No abstract available.
Titanium*

Diaphyseal fractures of the radius and ulna present high incidence of malunion and non-union because of difficulty in reduction and maintenance of two mobile, parallel bones in the presence of the pronating and supinating muscles which exert angulatory as well as rotational forces. Over the years various methods of open reduction and internal fixation or the closed method have been advocated, but open reduction, especially fixation with compression plate and screws resulted in more satisfactory results was proved recently by the major clinical reports. From March. 1977 to December. 1985, 59 cases of diaphysesl fractures of the forearm both bone in adult and children were managed in the Department of Orthopedic Surgery, Chonbuk National University Hospital and comparisions have been made between the conservative treatment group and operative group. The obtained results were as follows; 1. The most common csuse of injury was fallen on the outstretched hand in children and traffic accident in adult. 2. The most frequent site of the fracture was middle one-third(50.8%). 3. The most common pattern of the fracture was stable fracture(50.1%). 4. The applied methods for management of the fractures include cast immobilization after manual reduction or skeletal traction, K-wire fixation, compression plate and screws, intramedullary nailing, and combined. 5. Comparision of conservative treated group with operative treated group was as follows. 1) In roentgenologically, excluding those complicated by nonunion or infection, average bone union time of conservative group in children and adolescence was 10.2 weeks and in adult was 16.7 weeks, and of operative group was 13.9 weeks. 2) According to Grace and Eversmann's evaluation, Satisfactory results were shown in 80.0% of children and adolescence group treated by conservative method and 86.7% of adult group trested by compression plate and screws. 3) Among the various internal fixstion methods, compression plate and screws method was the best measure for rapid bone union and functional recovery in adult. 4) Any marked difference between each group was not seen in nonunion, but angulstory and rotational deformity were more common in conservative group and infection was developed 2 cases in operative group only. 6. There was no noticesble difference between each treatment in children and adolescence, but operative treatment, especially compression plate and screws, in adult was more superior to conservative treatment with. regard to bone union time and functional result.
Accidents, Traffic ; Adolescent ; Adult ; Child ; Clinical Study ; Congenital Abnormalities ; Forearm ; Fracture Fixation, Intramedullary ; Hand ; Humans ; Immobilization ; Incidence ; Jeollabuk-do ; Methods ; Muscles ; Orthopedics ; Radius ; Traction ; Ulna

No abstract available.
Blood Platelets* ; Leukocytes* ; Plateletpheresis*

A subperiosteal ganglion has been very rarely reported, since Ollier reported first one in 1864. A subperiosteal ganglion is produced by mucoid degeneration and cyst formation within the periosteum, which results in cortical erosion. The characteristic plain radiolographic appearance of irregular cortical erosion and scalloping, with reactive periosteal bone spicules, has been considered pathognomonic of subperiosteal ganglion. Magnetic resonance imaging is performed to further characterize the soft tissue component of the mass. As in our patient, the characteristic signal intensities of magnetic resonance imaging are especially useful in identifying the lesion as a ganglion and in defining the lobular nature and the anatomical extent. We report here the case of a 35-year-old female who had a sudperiosteal ganglion of the distal radius.
Adult ; Female ; Ganglion Cysts* ; Humans ; Magnetic Resonance Imaging ; Pectinidae ; Periosteum ; Radius*

Heterotopic pregnancy occurs when an intrauterine pregnancy co-exists with an ectopic pregnancy. It is a potentially fatal condition, rarely occuring in natural conception cycle. But its incidence is increased since the rise in PID, pelvic surgery, IUD, and advent of assisted reproductive technology involving use of superovulatory drugs and/or in vitro-fertilization. We present a case of intrauterine twin pregnancy and right tubal pregnancy following treatment with in vitro-fertilization. The right tubal pregnancy was diagnosed after rupturing at 6th gestational weeks, and resected via laparoscopy. And healthy twin babies were delivered without complication at 38th gestational week. So we report this case with a brief review of the literatures.
Female ; Fertilization ; Humans ; Incidence ; Laparoscopy ; Pregnancy ; Pregnancy, Ectopic ; Pregnancy, Heterotopic* ; Pregnancy, Tubal ; Pregnancy, Twin ; Reproductive Techniques, Assisted

PURPOSE: Since umbilical cord blood (UCB), which used to be discarded, was found to be a source of enriched hematopoietic stem and progenitor cells, basic research to elucidate characteristics of UCB hematopoietic stem cells (HSCs) and its clinical application to bedside transplantation have been attempted. Moreover, stem cell transplantation (SCT) has expanded its role, not only in hematopoietic reconstitution, but in cancer therapy, stem cell expansion and gene therapy. This study was aimed to clarify the characteristics of UCB HSC comparing differences between term and preterm babies in term of 1) hematologic parameters, 2) immunophenotypic characteristics studied by flow cytometer utilizing CD34 and several other monoclonal antibodies (MoAb), and 3) hematopoietic capacity by clonogenic assays. METHODS: UCB was obtained from 18 term babies and 13 preterms after informed consents. Samples were initially tested for complete blood counts. Immunophenotypic characteristics were studied in 11 cases (preterm, 4; term, 7) by two laser FACscan plus (Becton Dickinson) with FITC-conjugated MoAb to CD3, CD4, CD5, CD8, CD10, CD16+ 56, CD19, CD33, CD34, CD38, CD71, Thy-1, and HLA-DR. Clonogenic assays were performed by methylcellulose method. RESULTS: The mean hematologic parameters for all groups were : white blood cell, 12.7x103/microliter; hemoglobin 14.8g/dL; platelets, 230x103/microliter. The parameters for preterms and terms were as follows : white blood cell, 10.6x103/microliter vs 13.9x103/microliter; hemoglobin 13.5g/dL vs. 15.4g/dL; platelets, 188x103/microliter vs 254x103/microliter; mononuclear cells 5.1x103/microliter vs 6.4x103/microliter, respectively. Parameters other than hemoglobin and platelet counts were not significantly different between the two groups. The colony-forming units granulocyte-macrophage (CFU-GM) count and count for all colonies identified on day 14 were 10,888+/-11,257.3/mL and 16,504+/-16,531.6/mL, respectively. However, there was no significant differences in clonogenic assays between the term and preterm groups. The percentage of CD34+ cells in mononuclear cells was 1.5+/-1.5%, with 1.0+/-0.2% for preterms and 1.8+/-1.9% for terms. The number of CD34+ cells was 5.5+/-4.1x104/mL, with 3.8+/-2.0x104/mL for preterms and 6.5+/-4.7x104/mL, respectively. These findings suggested that the percentage and number for CD34 cells and the number of CFUs be higher in term babies than in preterms, but the differences failed to meet statistical significances. As T cell markers, CD3 (pan-T cell) and CD5 (early developmental T cell) were positive in 28.5% and 32.8%, respectively. The CD4 : CD8 ratio for all was 2.2+/-0.5, with 2.3+/-0.3 for preterms and 2.1+/-0.6 for terms, respectively, tending to decrease with gestational age with transient increase when approaching to the term. CD10 and CD19 expression as markers for B cell-associated antigens were 1.8+/-1.6% and 6.5+/-4.6%, respectively. Myeloid marker CD33 was positive in 2.24%, while CD71 (transferrin receptor) in 43.7%. Thy-1 was 30.0% with peak of 63.4% at 32th gestational week. As a subpopulation study among HSCs, CD34+CD38- cells were 2.1+/-1.5%, CD34+ HLA-DR+ was present in 85.3+/-3.1%, while CD34+CD19+ cells were 1.7+/-1.6%. CONCLUSION: These results suggested that T cells in UCB were immature, that the number of CD8+ cells which are known to be implicated in graft-versus-host disease, was relatively low, that B cell expression was low, and that UCB were enriched with primitive HSCs. As UCB for preterms were not significantly different from that of terms, the UCB from preterm babies might be used as a source of HSCs. Moreover, the cell number for adequate engraftment might be inferred from calculating mononuclear cells in UCB as the mononuclear cell count had a good correlation with CFUs.
Antibodies, Monoclonal ; Blood Cell Count ; Cell Count ; Fetal Blood* ; Genetic Therapy ; Gestational Age ; Graft vs Host Disease ; Hematopoietic Stem Cells ; HLA-DR Antigens ; Leukocytes ; Methylcellulose ; Platelet Count ; Stem Cell Transplantation ; Stem Cells ; T-Lymphocytes ; Umbilical Cord*

No abstract available.
Purpura, Thrombocytopenic, Idiopathic*

No abstract available.
Diaphragmatic Eventration* ; Humans ; Infant, Newborn*

Forces needed for orthodontic tooth movement are obtained from various appliances such as orthodontic wires or elastic rubber. Orthodontic elastic rubber is widely used clinically, but permanent deformation and force decay may occur from the environmental changes, time of clinical use and the extent of the stertch, making the prediction of force being applied difficult. The present study examined and compared the changes in residual force between three brands of elastomertc chains (Ormco : Generation II Power Chains ; brand A, RMO : Energy-Chain ; brand B, Unitek : Alastik ; brand C) under various environmental conditions, amout of inital force, types of elastomer and the rate of extension. The characteristic physical properies of the elastomeric chains were as follows. 1. In all three brands, the residual force ratio was largest when the chains were stored in air, with no difference between water and saliva. 2. In all three brands, after 24 hours, there was no statistical difference in residual force ratio according to the initial force level. 3. In Brand A and B, the presence of filament had no correlation with the residual force ratio. In Brand C force decay was more severe when the chain contained filament. 4. In each brand, rate of extension had no effect on residual force ratio. 5. Brand B showed relatively higher residual force ratio compared to other brands.
Elastomers* ; Orthodontic Wires ; Rubber ; Saliva ; Tooth Movement ; Water

Dental Occlusion ; Female ; Humans ; Jaw ; Mandible ; Maxilla ; Orthognathic Surgery ; Recurrence