No abstract available.
Fruit* ; Pregnancy*

No abstract available.
Female ; Pregnancy ; Pregnancy Outcome* ; Pregnancy*

No abstract available.

No abstract available.
Animals ; Horns* ; Pregnancy*

OBJECTIVE: To evaluate the usefulness of alendronate for prevention and treatment of postmenopausal osteoporosis this study was taken. METHODS: This prospective randomized clinical trial examined the effects of oral alendronate and HRT(conjugated estrogen plus medroxyprogesterone acetate), in combination and seperately, on BMD, biochemical markers of bone turnover in 79 women with low bone mass. Treatment included alendronate(10mg daily) plus HRT(group I, n=38), or HRT(group II, n=41) for 6 months. Bone density measurements were performed at months 0 and 6 at the lumbar spine. Biochemical markers of bone turnover were also measured every three months. RESULTS: Serum Osteocalcin decreased by 19.2% in group I and by 10.0% in group II at 3 months(p<0.05), and by 30.9% in group I and by 19.8% in group II at 6 months(p<0.05). Urinary deoxypyridinoline showed decrease of 19.75%(I) vs. 10.4%(II) at 3 months, 30.1%(I) vs. 20.7%(II) at 6 months, the difference was significant. Percent change of BMD measurements from baseline at 6 months in group I was 6.2% and in group II 0.6% on the lumbar spine(p<0.05). CONCLUSION: The treatment with alendronate is useful to postmenopausal women with osteoporosis by decreasing bone turnover markers, and by increasing the BMD.
Alendronate* ; Biomarkers ; Bone Density ; Estrogens ; Female ; Humans ; Medroxyprogesterone ; Osteocalcin ; Osteoporosis* ; Osteoporosis, Postmenopausal ; Prospective Studies ; Spine

PURPOSE: This study conducted a comparative analysis on 49 hips treated with a core decompression procedure and 19 hips treated with a Sugioka's transtrochanteric rotational osteotomy for a osteonecrosis of the femoral head (ONFH). MATERIALS AND METHODS: This study evaluated the relationship between the Ficat and Arlet Stage and the extent of the necrotic lesion (using Shimizu's Grade Classification), and the clinical outcome of each procedure. The patient's outcomes were assessed after a mean follow-up of 46 months (range=36-82 months) after the core decompression and 53 months (range=37-108 months) after the Sugioka's transtrochanteric rotational osteotomy. The results were considered successful if the patients were asymptomatic with no disease progression, and unsuccessful if there was radiographic (progression of the stage or collapse) or clinical failure (the need for an arthroplasty or subsequent salvage operation). RESULTS: Twenty one out of 49 cases (43%) in the core decompression group and 14 out of 19 (74%) in the rotational osteotomy group showed successful outcomes. In the core decompression group, among the 22 F-A Stage I hips, 15 (68%) hips had survived according to radiological criteria. All four (100%) Shimizu's Grade A hips of the F-A Stage I had successful results, which is in contrast to the 11 hips out of 18 hips (61%) of the Shimizu's Grade B and C hips (p<0.01). Six (38%) out of 16 F-A Stage IIA hips and two (25%) out of eight IIB hips in the core decompression group had successful results, while 11 (85%) out of 13 IIA and two (50%) out of four stage IIB hips in the rotational osteotomy group had successful results. In the F-A Stage III hips, all 2 hips in the Sugioka transtrochanteric rotational osteotomy treatment group had survived, while none of the three Shimizu's Grade C hips in the core decompression group were successful. CONCLUSION: A core decompression is effective only in the earliest stages of osteonecrosis (F-A Stage I), which means that its success strongly depends on the location and extent of the femoral head necrosis. Sugioka's transtrochanteric rotational osteotomy is a more dependable procedure than a core decompression for treating large lesions of nonsteroidal ONFH, particularly for patients under the age of 50.
Arthroplasty ; Decompression* ; Disease Progression ; Follow-Up Studies ; Head* ; Hip ; Humans ; Necrosis ; Osteonecrosis* ; Osteotomy*

No abstract available.
Pneumonectomy*

PURPOSE: We report here on our experience with interrupted whole layer closure of abdominal wounds with using 1-0 polyester (Green Polyester(R), Ailee, Busan, Korea) during emergency operations for peritonitis patients. METHODS: We studied 163 patients who had emergency laparotomy performed at Soonchunhyang University Hospital, the Department of Surgery from March, 2005 to February, 2008. The abdominal wall was closed by layered suture in 126 patients (the LL group), and by interrupted whole layer suture in 37 patients (the WL group). Based on the medical records, we retrospectively analyzed and compared the clinical factors and wound-related complication between the two groups. RESULTS: Although there were no differences in age, gender, the course of admission and the chief complaint between the two groups, the WL group had a significantly greater number of patients with a deteriorated mental state, a history of shock and abnormality that was seen on chest X-ray. The average operation time was 116 minutes for the WL group and 158 minutes for the LL group, and the most common cause of peritonitis was bowel perforation in both groups (WL group: 43%, LL group: 60%) and this was followed by bowel obstruction (WL group: 19%, LL group: 18%). There were no differences in the total incidence of complications and the mortality between the two groups, but the incidence of wound-related complication was higher in the LL group (WL group: 5%, LL group: 31%). The average follow-up period was 308 days in the WL group and 222 days in the LL group. There were 2 cases of delayed wound hernia in the WL group and 6 cases in the LL group. CONCLUSION: Interrupted whole layer closure during performance of emergency laparotomy for peritonitis patient is very effective for preventing postoperative wound-related complication and it is as effective as layered suture for preventing delayed ventral hernia in the long-term.
Abdominal Wall ; Emergencies ; Follow-Up Studies ; Hernia ; Hernia, Ventral ; Humans ; Incidence ; Laparotomy ; Medical Records ; Peritonitis ; Polyesters ; Retrospective Studies ; Shock ; Suture Techniques ; Sutures ; Thorax ; Wound Infection

Congenital leukemia is a rare condition diagnosed at birth to 6 weeks of life with an estimated incidence of 4.7 per million live births. In a review, about 25~30% of cases were well documented as leukemia cutis. We report a case of a 3-month-old infant presented with asymptomatic multiple erythematous to bluish patches and nodules, which had developed about two months ago. Biopsy of the cutaneous lesions revealed immature cells which are overall monotonous with large kidney shaped nucleus, prominent nucleoli and moderate cytoplasm. These atypical cells stained positive for leukocyte common antigen, lysozyme and CD68. With this result, a congenital leukemia cutis was diagnosed. Six months later, she underwent cord blood stem cell transplantation. Seven months after the cord blood stem cell transplantation, the bone marrow examination revealed a normal result. Leukemia can be presented in the skin, the eruption may be nonspecific and it may precede systemic involvement. The recognition is important because early diagnosis can lead to appropriate treatment, followed by better prognosis.
Antigens, CD45 ; Biopsy ; Bone Marrow Examination ; Cord Blood Stem Cell Transplantation ; Cytoplasm ; Early Diagnosis ; Humans ; Incidence ; Infant ; Kidney ; Leukemia ; Live Birth ; Muramidase ; Parturition ; Prognosis ; Skin

A digital mucous cyst (DMC) is clinically characterized by a round to oval, translucent, smooth nodule localized to the dorsal aspect of the distal digits near the distal interphalangeal joint. It usually presents as a solitary lesion, and multiple lesions are uncommon. An 88-year-old man presented with herpetiform translucent papules on the right thumb. We first diagnosed the lesion as molluscum contagiosum or herpetic whitlow. Histopathology showed a cystic space containing mucinous material and numerous fibroblasts surrounded by mucinous stroma in the upper dermis. The lining of the cyst wall was not apparent and mucinous material was stained with Alcian blue, indicating a diagnosis of DMC.
Aged, 80 and over ; Alcian Blue ; Chlorobenzenes ; Dermis ; Fibroblasts ; Humans ; Joints ; Molluscum Contagiosum ; Mucins ; Thumb