No abstract available.

A 23 year old female patient swallowed a tooth brush about one month prior to admission. She has been felt discomfort in epigastrium and dull aching pain recently around umbilicus. Upper gastrointestinal X-Ray and gastroduodenoscopic examination disclosed that a full size, yellow tooth brush is lodged transversely in the stomach and duodenal bulb, Endoscopic remova.l was tried and failed because of impaction of the both ends into mucosa. The tooth brush was removed by gastrotomy under general anesthesia. The free end of the brush handle penetrated the duodenal bulb wall and the impaction of the tip prevented the leakage of duodenal contents before removal. Though the primary method of the gastroduodenal foreign body is endoscopic, if sharp end of the forei body seems to be impacted into the gastrointestinal wall, and if it retained same position for long duration, it should not tried to remove by force fo prevention of leakage and resulting peritonitis. Surgical removal may be safer method in these cases.
Anesthesia, General ; Female ; Foreign Bodies* ; Humans ; Mucous Membrane ; Peritonitis ; Stomach ; Tooth ; Umbilicus ; Young Adult

No abstract available.
Spine*

No abstract available.
Animals ; Anoxia* ; Brain* ; Dopamine* ; Norepinephrine* ; Rats* ; Serotonin*

No abstract available.
Echocardiography*

Heterotopic panereas is pancreactie tissue occuring outside its normal anatomical location and without any connection and normal pancreas and it is a developmental anormaly. The most commen site is stomach(esp. greater curvature of the antrum), duodenum and jejunum, In majority of cases heterotopic pancreas does not produce symptoms. When it produces complications, the symptoms depend on the site of lesion and the size of mass. Pathologically, the heterotopic pancreatic tissue is subject to all the lesions found in the normally placed pancreas. Tbe smooth broad base intramural defect with central niche ie typical radiologic fiadings of heterotoPic pancreas. Gastrofiberscopy revealed a small round, submucosal projection with a central umblication. The lesions are frequently confused with polys, lymphoma, in.tramural neoplasm and gastric uleer. Accurate diagnosis may prevent needless surgical procedures. Three cases of heterotopic pancreas of stomach were reported and the pertinent literature were reviewed briefly.
Diagnosis ; Duodenum ; Jejunum ; Lymphoma ; Pancreas* ; Stomach*

The pinching motion is thought to be one of fundamental hand functions, the power of which has been quantified by measuring it isometrically with variously devised pinch-meters. The present authors describe the investigations on the pinching power of 350 healthy persons, 200 male and 150 female Koreans, by the use of Preston Pinch Gauge. Six kinds of pinch were chosen: (1) thumb index finger tip pinch (1-2TP), (2) thumb-middle finger tip pinch (1-3TP), (3) thumb-index finger pulp pinch (1-2PP), (4) thumb-middle finger pulp pinch (1-3PP), (5) thumb-index-middle finger pulp pinch (3PP), (6) key pinch (KP), which were classified again into 19 kinds according to the shape of thumb, index, middle, or other fingers during each pinch. We describe those as principal type, hyperextension-flexion type, hyperextension type and other type into four. It should be justified to calculate the mean normal value of principal type pinching power in Korean. Principal type of pinch involves 1-2TP, 1-3TP, 1-2PP, 1-3PP, 3PP and KP, as to Hyperextension type of 1-2PP, 1-3PP, 3PP and KP. Other type of pinch involving 1-2TP, 1-3TP, 1-2PP, 1-3PP, 3PP and KP is different from Principal type simply because of the shape of nonjoining fingers during pinch. Generally, the pinching power of Principal type was clearly highest among the four types except for pulp pinches.
Asian Continental Ancestry Group ; Female ; Fingers ; Hand ; Humans ; Male ; Reference Values ; Thumb

No abstract available.

No abstract available.
Glomerulonephritis*

BACKGROUND: Anterior temporal lobectomy (ATL) is by far the most commonly performed and successfully achieved surgical treatment available for patients with medically intractable temporal lobe epilepsy. The aim of this study was to find the factors related to the surgical outcome in order to predict the prognosis of ATL in an out-patient clinic (OPD) before surgery. METHODS: We selected 54 patients with medically refractory nonlesional temporal lobe epilepsy who were treated with ATL between 1991 and 1996 in the Yonsei Epilepsy Program and were followed up for at least 2 years. We divided the 54 patients into a favorable prognosis group (Class I-II) (FPG) and an unfavorable prognosis group (Class III-IV) (UPG) according to Engel's classification. We investigated the correlation of the clinical, neu-roimaging, and EEG findings between the two groups, and the predictability of the prognosis by discriminant analysis. RESULTS: Of the 54 patients who had ATL, 43 were FPG and 11 were UPG. Among the various factors, febrile convul-sion, medial temporal sclerosis (MTS) in MRI and localization in scalp interictal EEG were significantly higher in FPG than in UPG (p<0.05). Encephalitis and multifocal epileptiform discharges in EEG were significantly higher in UPG (p<0.05). Age, sex, onset age, seizure duration, aura, automatism, secondary generalization, seizure frequency before surgery, family history, I.Q., neurological deficits, interictal SPECT, PET, and cerebellar atrophy in MRI were not significantly different between FPG and UPG. We were able to predict correct surgical outcomes in 18 patients with 100% predictability by discriminant analysis. CONCLUSIONS: Among the many factors, the past history of febrile convulsion and encephalitis, MTS in MRI, and interictal EEG findings were significantly related to the post-surgical outcome. We can expect correct surgical outcome at OPD before surgery through the evaluation of these various factors.
Age of Onset ; Anterior Temporal Lobectomy* ; Atrophy ; Automatism ; Classification ; Discriminant Analysis* ; Electroencephalography ; Encephalitis ; Epilepsy ; Epilepsy, Temporal Lobe ; Generalization (Psychology) ; Humans ; Magnetic Resonance Imaging ; Outpatients ; Prognosis* ; Scalp ; Sclerosis ; Seizures ; Seizures, Febrile ; Tomography, Emission-Computed, Single-Photon