No abstract available.
Pregnancy*

No abstract available.
Fertilization in Vitro* ; Gonadotropin-Releasing Hormone*

No abstract available.
Female ; Hysterectomy, Vaginal*

No abstract available.
Female ; Hysterectomy, Vaginal*

No abstract available.
Cryptococcosis* ; Sputum*

Primary uterine leiomyosarcomas are very rare malignant tumors and the related MR findings have been the subject of only a few case reports. We describe the MR findings of two cases of histologically confirmed primary leiomyosarcoma, correlating these pathologic findings.
Leiomyosarcoma

We experienced a case of gastric carcinoid with melena and syncope, which had a metastasis to regional lymph nodes. The gastric carcinoid tumor with massive upper gastrointestinal bleeding, which required transfusion, is very rare disease. So we report a case of gastric carcinoid with massive upper gastrointestinal bleeding with a review of relevant literature.
Carcinoid Tumor* ; Hemorrhage ; Lymph Nodes ; Melena ; Neoplasm Metastasis ; Rare Diseases ; Syncope

OBJECTIVE: The purpose of this study is to survey the health and functional status of adult cerebral palsy. METHOD: This study included 47 patients who have cerebral palsy between the ages of 20 and 45 years. We evaluated the functional status by the interview and questionnaire, the medical status including a detailed medical history, with emphasis on the musculoskeletal system. RESULTS: 1) In the functional status, the number of non-functional ambulator increased from ten cases (21.3%) to fourteen cases (29.8%) in proportion to the incidence of fracture. 2) In the medical status, thirty-seven cases (78.8%) had more than one musculoskeletal complaint. Twenty-three cases (48.9%) had gastric discomfort, twenty-five cases (53.2%) had dental caries and thirty cases (63.9%) had speech disturbance. 3) Only eleven cases (23.4%) had undergone the comprehensive rehabilitation. CONCLUSION: To prevent and minimize the physical disabilities and musculoskeletal complications of adult cerebral palsy, we need more active medical intervention, active research on the methodology and comprehensive rehabilitation.
Adult* ; Cerebral Palsy* ; Dental Caries ; Humans ; Incidence ; Musculoskeletal System ; Surveys and Questionnaires ; Rehabilitation

There is increasing tendency to use epinephrine injection or topical application to obtain clear operative field and hemostasis under general anesthesia. But excessive catecholamines due to inadvertent administration are known to cause a wide spectrum of cardiotoxicity. The authors have experienced a case of reversible cardiomyopathy due to accidental epinephrine overdose during mastoidectomy. This report is the first recorded case of the nearly fatal conseguences of inadvertent administration of a very large dose of epinephrine, with the subsequent development of a severe catecholamine induced "cardiomyopathy". After the initial phase of massive catecholamine excess, this patient required exogenous catecholamines to support the injured, dysfunctional myocardium and maintain adequate perfusion pressure to vital organs. These abnormalities are also transient in nature with complete recovery documented. The case suggests the need for aggressive support of patients received accidental epinephrine overdose with the expectation that, while cardiar. function may be extremely impaired early in the course of the illness, recovery is virtually complete over time.
Anesthesia, General ; Cardiomyopathies ; Catecholamines ; Epinephrine* ; Hemostasis ; Humans ; Myocardium ; Perfusion ; Ventricular Fibrillation

BACKGROUND: The purpose of this stady is to define the clinical characteristics of Tsutsugamushi disease. METHODS: We analyzed 12 cases of tsutsugamushi disease admitted to BAG AE general hospital from 1999. Oct. 1st to Dec. 10. Tsutsugamushi disease was diagnosed by indirect immunofluorescent antibody test. RESULTS: 1) Among them, 8 cases were female and 4 cases were male. The prevalence was predominantly high in female. 2) The age distribution ranged from 40 to 80 years old. The high incidence of age was 70's and 80's. 3) The peak incidene was showed between October and November.(91.6%). 4) The most frequent symptoms were fever and chills(91.6%). 5) Rash and eschar were observed in 83.3%(10 of 12) both. 6) Hepatosplenomegaly and lymphadenopathy were also observed in 25%(3 of 12), 16.6%(2 of 12) respectively. 7) The Laboratory finding showed the elevation of AST 66.6% (8 of 12), ALT 58.3%(7 of 12), alkaline phosphatase 25%(3 of 12) and LDH 25%(3 of 12). Albuminuria and hypoalbuminuria were also observed in 25%(3 of 12), 58.3%(7 of 12) respectively. 8) The therapeutic efficacy of doxycycline was excellent. CONCLUSION: Tsutsugamushi disease which appeared in Pyoungtack area showed typical clinical pattern and was effective to doxycycline treatment.
Age Distribution ; Aged, 80 and over ; Albuminuria ; Alkaline Phosphatase ; Doxycycline ; Exanthema ; Female ; Fever ; Gyeonggi-do* ; Hospitals, General ; Humans ; Incidence ; Lymphatic Diseases ; Male ; Prevalence ; Scrub Typhus*