No abstract available.
Carcinoma, Squamous Cell ; Humans ; Osteosarcoma

No abstract available.
Drug Therapy* ; Pregnancy*

No abstract available.
Hemangioblastoma* ; Spinal Cord*

No abstract available.
Burns* ; Hand* ; Humans ; Infant*

No abstract available.
Acute Lung Injury* ; Animals ; Hydroxyl Radical* ; Rats*

BACKGROUND: It is well known that severe hypoxemia is often associated with liver cirrhosis without preexisting cardiac or pulmonary diseases. Pulmonary vascular impairments, more specifically, intrapulmonary shunting have been considered as a major mechanism. Intrapulmonary shunting arises from pulmonary vascular dilatation at the precapillary level or direct arteriovenous communication and has relationship with the characteristic skin findings of spider angioma. However, these results are mainly from Western countries where alcoholic and primary biliary cirrhosis are dominant causes of cirrhosis. It is uncertain that tie same is true in viral hepatitiss associated liver cirrhosis, which is dominant causes of liver cirrhosis in Korea. We investigated the incidences of hypoxemia and orthodeoxia in Korean cirrhotic patients dominantly composed of postnecrotic cirrhosis and the significance of intrapulmonary shunting as the suggested mechanism of hypoxemia. METHOD: We performed the arterial blood gas analysis separately both at the supine and errect position in 48 stable cirrhotic patients without the evidences of severe complications such as ascites, variceal bleeding, and hepatic coma. According to the results of arterial blood gas analysis, all patients were divided into hypoxemic and normoxemic group. In each group, pulmonary function test and Tc-99m-MAA whole body scan were performed. The shunting fraction was calculated based on the fact that the sum of cerebral and bilateral renal blood flow is 32% of the systemic blood flow. RESULTS: The hypoxemia of PaO2 less than 80 mmHg was observed in 9 patients(18.8%) and Orthodeoxia more than 10 mmHg was observed in 8 patients(16.7%). Hut there was no patient with significant hypoxemia of PaO2 less than 60 mmHg. PaO2 was significantly decreased in the patients with spider angioma than the patients without spider angioma and showed no correlation with the serologic type and severities of liver function test findings. Any parameters of pulmonary function test did not demonstrate the difference between normoxemic and hypoxemic group. But hypoxemic group showed significantly increased shunt fraction of 11.4+/-4.1% than normoxemic group of 4.1+/-2.0% (p<0.05). CONCLUSIONS: Hypoxemia is not infrequently observed complication in liver cirrhosis and intrapulmonary shunting is suggested to play a major role in the development of hypxemia. But there was no great likelihood of clinically significant hypoxemia in our domestic cirrhotic patients predominantly composed of postnecrotic type.
Alcoholics ; Anoxia* ; Ascites ; Blood Gas Analysis ; Dilatation ; Esophageal and Gastric Varices ; Fibrosis ; Hemangioma ; Hepatic Encephalopathy ; Humans ; Incidence ; Korea ; Liver Cirrhosis* ; Liver Cirrhosis, Biliary ; Liver Function Tests ; Liver* ; Lung Diseases ; Renal Circulation ; Respiratory Function Tests ; Skin ; Spiders ; Technetium Tc 99m Aggregated Albumin* ; Whole Body Imaging*

No abstract available.
Mycobacterium tuberculosis* ; Mycobacterium* ; Pleural Effusion*

From March 1979 through December 1988, 232 previously untreated patients with invasive carcinoma of the uterine cervix stage IIB were treated at the Department of Therapeutic Radiology, Seoul National University Hospital. The patients studied were staged according to the FIGO recommendations and the majority of patients were treated with external beam whole pelvis radiation and intracavitary radiation. Pretreatment parameters, including physical examination findings, blood parameters, prior medical illnesses, histology and abdomino-pelvic CT findings were studied, employing univariate and multivariate analyses to identify the potentially significant prognostic factors on locoregional control, disease free survival and overall survival. Histology, extent of parametrial involvement on physical examination and paraaortic Iymph node metastasis on CT were found to have prognostic significance in the carcinoma of uterine cervix stage IIB.
Cervix Uteri* ; Disease-Free Survival ; Female ; Humans ; Multivariate Analysis ; Neoplasm Metastasis ; Pelvis ; Physical Examination ; Radiation Oncology ; Seoul ; Uterine Cervical Neoplasms

No abstract available.
Diagnosis* ; Tuberculosis*

No abstract available.