No abstract available.
Esophageal and Gastric Varices* ; Meta-Analysis as Topic

No abstract available.
Travel Medicine

No abstract available.
Venous Thrombosis

OBJECTIVE: To compare the safety and efficacy of intravaginal misoprostol versus intracervical dinoprostone (prostaglandin E2 gel) for cervical ripening and labor induction. METHODS: 60 patients with indication for labor induction and unfavorable cervices were randomly assigned to receive either intravaginal misoprostol or intracervical dinoprostone. 50 microgram tablets of misoprostol were placed in the posterior vaginal fornix every 4 hours for a maximum of 3 doses or dinoprostone 0.5mg was placed into the endocervix every 6 hours for a maximum of 2doses. No more medication was given after either spontaneous rupture of membranes or beginning of active labor. RESULTS: Among 60 patients enrolled, 30 received misoprostol and 30 received dinoprostone. The average interval from start of induction to active labor was shorter in misoprostol group (6.5+/-3.2 hours) than in the dinoprostone group (10.7+/-7.3 hours) (p<0.05). Oxytocin augmentation of labor occurred more often in the dinoprostone group (36.7%) than in the misoprostol group (10.0%) (p<0.05). There was a higher prevalence of fetal distress (23.3% versus 3.3%) and tachysystole (16.6% versus 6.6%) in the misorprostol group than in the dinoprostone group(p<0.05). CONCLUSIONS: Vaginally administered misoprostol is an effective agent for cervical ripening and induction of labor. Furthermore, the cost of misoprostol ( 360/200microgram) is much less than that of dinoprostone ( 42,000/0.5mg). Cost benefits from administration of misoprostol are evident, especially in clinics under system of diagnosis-related group (DRG) : however when given at this dosage, it is associated with a higher prevalence of fetal distress and tachysystole than dinoprostone. Further studies to compare the safety of misoprostole to that of dinoprostone and to delineate an optimal dosing regimen for misoprostol are needed.
Cervical Ripening* ; Cost-Benefit Analysis ; Diagnosis-Related Groups ; Dinoprostone* ; Female ; Fetal Distress ; Humans ; Membranes ; Misoprostol* ; Oxytocin ; Pregnancy ; Prevalence ; Prospective Studies* ; Rupture, Spontaneous ; Tablets

No abstract available.
Constriction, Pathologic* ; Sutures* ; Trachea*

No abstract available.
Incidence* ; Nurseries* ; Parenteral Nutrition, Total* ; Pharmacy* ; Sepsis*

Traditionally the mast cell has been known to he a cell component dwells in annective tissue. But oocasional epithelial mast cells were presented both in light microscopic and electron microscapic examinations. This study was undertaken to evaluate the presence of mast ceil in epidermis of diseased skin. A total of 93 biopsy specimes obtained from the skin lesions of patients with various dermatological conditions were examined with light microacope after toluidine blue stain. The results are as follows: 1. Mast cells were shown in the epidermis of 2 patients with chronic eczema and one patient with pustular psoriasis. 2. Most of the epidermal mast cells were located in ar nearby the basal ceII layer. 3. Epidrmal mast cells have an oval or round nucleus and variable amounts of granulesin the cytoplasm. Some of the cells have a halo-like clear zone around them.
Biopsy ; Cellular Structures ; Cytoplasm ; Eczema ; Epidermis ; Humans ; Lichens* ; Mast Cells ; Psoriasis ; Skin* ; Tolonium Chloride

No abstract available.
Fertilization in Vitro* ; Humans ; Twins* ; Umbilical Cord*

Ultrasound studies of sixty five patients with thyroid mass histologically proven at KyungPook NationalUniversity Hospital from June 1983 to May were retrospectively analized. No specific sonographic characteristicsof thyroid mass lesions was found on the basis of histological diagnosis. Authors consider that ultrasound studymight be mere useful for detection and localization of a lesion, and guide to needle aspiration, monitoring thesize of a mass following therapy as well.
Diagnosis ; Gyeongsangbuk-do ; Humans ; Needles ; Retrospective Studies ; Thyroid Gland ; Ultrasonography

Aneurysm of the internal carotid artery is a rare disease and is known to be associated with congenital arterial anomalies such as neurofibromatosis type I (NF-I). NF-I is an autosomal dominant neurocutaneous disorder characterized by a variety of manifestations that involve the central and peripheral nervous systems, skin, vascular system, and skeleton. In particular, the involvement of vascular abnormalities in NF-I is well known. Any vessel may be affected by this condition, although the renal artery is most frequently involved. The vascular abnormality can be occlusive or an aneurysmal degenerative change. Therefore, symptomatic presentations might assume an indolent pathophysiologic course such as hypertension, or manifest as a catastrophic event such as arterial rupture that could result in sudden death. We report a rare autopsy case of an aneurysmal rupture of the internal carotid artery in a woman with suspected NF-I, who collapsed in her home.
Aneurysm ; Autopsy ; Carotid Artery, Internal ; Death, Sudden ; Female ; Glycosaminoglycans ; Humans ; Hypertension ; Neurocutaneous Syndromes ; Neurofibromatoses ; Neurofibromatosis 1 ; Peripheral Nervous System ; Rare Diseases ; Renal Artery ; Rupture ; Skeleton ; Skin