No abstract available.
Heat-Shock Proteins* ; Hot Temperature*

No abstract available.
Heat-Shock Proteins* ; Hot Temperature*

One hundred normal optic discs were analysed by fluorographic fundus pictures. Horizontal diameter of optic disc was set as 10. The following results were obtained. 1) The vertical diameter of optic disc was larger than the horizontal one. (10.77 : 10). 2) The ratio of diameters of cenitral retinal vein(CRV) was 1 : 1.51 before and 1 : 1.47 after fluorescein injection. 3) The central retinal artery(CRA) located nasal to the CRV in most cases. 4) In nearly half of cases, physiologic cups located at the nasal portion of optic discs. 5) The average size of physologic cup was 2.90. 6) The cilioretinal artery was detected in 58% of cases in which one cilioretinal artery was found in 42%, two was found in 16%. 7) The CRA made branchings more than retinal veins (7.74 : 5.48) and total sum of diameters of retinal artery was larger than that of retinal vein at the disc margin.
Arteries ; Fluorescein ; Retinal Artery ; Retinal Vein ; Retinaldehyde

Macrostomia is a relatively rare malformation. There have been many surgical methods for the correction of macrostomia. The old method, a simple straight line closure , did not include reconstruction of the orbicularis oris muscle. Postoperatively, a depressed scar and severe contraction on the cheek were found, especially with animation. As a result, many authors have known that reconstruction of the orbicularis oris muscle was very important to avoid a depressed scar for the correction of macrostomia. The tendency toward lateral displacement of the reconstructed commissure has been attributed to linear scar contraction, and Z-plasty is advocated to prevent this deformity. However, we found that the Z-plasty scar may be conspicuous when the patient smiles. So we performed reconstruction of the orbicularis oris muscle to avoid a depressed scar, and straight line closure to avoid a conspicuous scar. In order to prevent linear scar contracture due to straight line closure, we overcorrected the new commissure. We treated 6 cases of macrostomia form May 1, 1996 to April 30, 1999 using straight line closure and reconstruction of the orbicularis oris muscle. Periods of follow-up were from 12 months to 35 months, with an average of 20,2 months. Every patient was analyzed clinically by ordinary scale method and anthropometrically by the ratio of abnormal distances to normal distances between cheilion and crista philtri. In 3 clinical assessments : symmetry of the commissure was excellent: degree of the scar at rest was good: and degree of depression with animation was excellent. The anthropometrical ratio was 1:1.05. Despite the fact that the linear scars were perpendicular to the minimal skin tension lines, the scars were inconspicuous. The muscle repair provided reconstruction to the modiolus and gave a natural appearance to the commissure, however it did not seem to provide sufficient bulkiness around the commissure. The straight line skin closure and repair of the orbicularis oris muscle provide effective functional and aesthetic reconstruction.
Cheek ; Cicatrix ; Congenital Abnormalities ; Contracture ; Depression ; Follow-Up Studies ; Humans ; Macrostomia* ; Skin

No abstract available.
Sarcoma*

No abstract available.
Drug Therapy* ; Humans ; Osteosarcoma* ; Recurrence* ; Survival Rate*

Renovascular hypertension is the leading cause of surgically curable arterial hypertension. With the marked advancement in the technique of vascular surgery, renal revascularization is preferred to nephrectomy. It is used for the recovery of impaired function or the prevention of renal failure and the control of hypertension. We report a case of renovascular hypertension with the nonfunction of the left kidney due to complete renal artery obstruction, treated successfully with an aortorenal bypass graft.
Hypertension ; Hypertension, Renovascular* ; Kidney ; Nephrectomy ; Renal Artery Obstruction ; Renal Insufficiency ; Saphenous Vein* ; Transplants*

Extracorporeal shock wave lithotripsy monotheraphy was performed in 315 urinary stones from 278 patients with the Domestic SDS-2 lithotriptor using C-arm fluoroscopy between December 1991 and December 1994. Of 315 cases, renal stones were 150 cases(47.6%) and ureteral stones 165 cases(36.1%). No regional or general anesthesia was required but parenteral or oral analgesics were required in some patients. Among 315 cases who completed extracorporeal shock wave lithotripsy, the overall success rate of treatment was 90.5% with 92.4% in 5-9 mm, 94.8% in 10-19 mm, 89.7% in 20-29 mm and 61.5% over 30 mm or staghorn stones. Post lithotripsy complications were transient gross hematuria in 17.1%, renal colic in 11.4%, steinstrasse in 4.8%, petechia in 2.9% and fever in 1.9% and these complications were controlled with conservative treatment or repeated session of extracorporeal shock wave lothotropsy, percutaneous nephrodtomy, Double-J stent insertion or ureterolithotomy. We suggest that extracorporeal shock wave lithotripsy monotheraphy with the Domestic SDS-2 lithotriptor was considered to be effective and safe procedure for the initial treatment of urinary stones.
Analgesics ; Anesthesia, General ; Fever ; Fluoroscopy ; Hematuria ; Humans ; Lithotripsy ; Renal Colic ; Shock* ; Stents ; Ureter ; Urinary Calculi*

No abstract available.
Osteoporosis* ; Radionuclide Imaging*

OBJECTIVES: Depression is a common affective problem in patients with chronic medical illness. It has been well known that depression gives negative influence to medical outcome in patients with chronic renal failure (CRF). The purpose of this study is to reveal the effects of antidepressant treatment on depressive symptoms and nutritional indexes. We hope that this study could be a help to make a new model in the treatment of patients with CRF. METHODS: For this study, 30 depressive patients with CRF on maintenance hemodialysis were included. As affective variables, Hamilton Depression Rating Scale (HDS) and Zung's Self-Rating Depression Scale (SDS) were used. Medical outcomes were assessed with the following nutritional parameters: Kt/V, normalized protein catabolic rate (nPCR), serum albumin concentration, BUN, intracelluar fluid(ICF), extracellular fluid (ECF), lean body mass, fat mass, percent body fat, waisthip ratio (WHR), and body mass index(BMI). Paroxetine, one of the SSRI classes, was administered as antidepressant for 8 weeks. For statistical analysis paired t-test was used for each variables. RESULTS: The prevalences of depression were 75% from HDS and 80% from SDS (N=40). The mean+/-SD of HDS and SDS score were 12.35+/-7.45 and 59.43+/-11.89 respectively. HDS score significantly decreased (p< 05) after antidepressant treatment for 8 weeks. There was a significant increase (<.05) in such nutritional parameters as nPCR, serum albumin concentration, BUN, ICF, ECF, and WHR. CONCLUSION: Both nutritional indexes and depressive symptoms improved after 8 weeks of antidepressant treatment. We suggest that improvement of depressive symptoms should contribute to improved nutritional indexes. Long-term follow up and placebo-controlled double blind study are firmly required to confirm the results of this study.
Adipose Tissue ; Depression* ; Double-Blind Method ; Extracellular Fluid ; Follow-Up Studies ; Hope ; Humans ; Kidney Failure, Chronic ; Nutrition Assessment* ; Paroxetine ; Prevalence ; Renal Dialysis* ; Serum Albumin