No abstract available.
Agaricales* ; Anemia, Aplastic* ; Humans

One family with asymmetric septal hypertrophy was reported. The propositus of this family was 31 years old man who was admitted because of transient syncope. His father and one brother were affected but asymptomatic. His sister was suddenly died at age 21 years. The interventricular septal thickness to left ventricular posterior wall thickness ratios were measured using M-mode echocard ogram. In the affected family, echocardiogram revealed asymmetric septal hypertrophy (1.5:1, 2:1, 1.9:1 respectively). In the propositus, cardiac catheterization and simultaneous biventricular cineangiography were performed. Pressure study revealed mild peak systolic pressure gradient within left ventricular apex and left ventricular outflow tract (4mm Hg respectively). Biventricular cineangiogram showed the septal width increased inferiorly, and left ventricular endocardial surface of the septum was straight, while the right ventricular border convex toward the right ventricle.
Adult ; Blood Pressure ; Cardiac Catheterization ; Cardiac Catheters ; Cardiomyopathy, Hypertrophic* ; Cineangiography ; Fathers ; Heart Ventricles ; Humans ; Siblings ; Syncope

No abstract available.
Diarrhea* ; Korea*

PURPOSE: To evaluate the results of antegrade interlocking intramedullary nailing for complex fractures of the proximal and midshaft of the humerus. MATERIALS AND METHODS: We retrospectively analyzed the clinical and radiologic results in 11 cases, which were treated by antegrade interlocking intramedullary nail. We assessed clinical outcomes according to ASES scoring system and radiological result. RESULTS: All cases had bony union and the mean union period was 14.7 weeks. Postoperative complications were 1 loss of fixation, 2 proximal protrusion of nail and 2 temporary shoulder pain. A case with loss of fixation was treated open reduction and refixation and had union at 14 weeks postoperatively. The mean ASES score was 85.9 and the clinical outcomes were 4 excellent, 5 good, 1 fair and 1 poor. CONCLUSION: Intramedullary nailing for complex fractures of the proximal and midshaft of the humerus can offer a reliable treatment option.
Fracture Fixation, Intramedullary ; Humerus ; Nails ; Postoperative Complications ; Retrospective Studies ; Shoulder Pain

Rupture of the extensor tendon caused by a posteriorly displaced lunate fragment is an uncommon complication of Kienbock's disease. Thirteen cases have been reported in the English literatures, but it has never been reported in the Korean literatures. We report a case of rupture of the third and fourth extensor tendons secondary to advanced Kienbock's disease that was successfully treated by excision of the lunate and a tendon transfer.
Osteonecrosis ; Rupture ; Tendon Transfer ; Tendons

Accidents, Traffic ; Age Distribution ; Busan ; Dislocations ; Emergencies ; Emergency Service, Hospital ; Facial Bones ; Female ; Fractures, Bone ; Hemorrhage ; Humans ; Incidence ; Infant ; Male ; Maxilla ; Nasal Bone ; Outpatients ; Soft Tissue Injuries ; Surgery, Oral ; Temporomandibular Joint ; Tooth ; Tooth Injuries ; Toothache ; Violence

Antibodies, Neutralizing ; Biopsy ; Blood Vessels ; Carcinoma, Squamous Cell ; Cytokines ; Endothelial Cells ; Humans ; Intercellular Signaling Peptides and Proteins ; Lymphocytes ; Microvessels ; Mitosis ; Neoplasm Metastasis ; Prognosis ; Receptors, Vascular Endothelial Growth Factor ; Recurrence ; Tongue Neoplasms ; Tongue ; Vascular Endothelial Growth Factor A

BACKGROUND: Clonidine, an alpha-2 adrenergic agonist, is used in the perioperative period and in intensive care for the management of hypertension. The in vivo and in vitro effects of clonidine on the actions of nondepolarizing neuromuscular blocking drugs are conflicting. We evaluated the potency and time course of rocuronium-induced neuromuscular block after prolonged pretreatment with clonidine in rabbits. METHODS: Sixty rabbits were randomly assigned to three groups; control (C) group: normal saline 0.1 ml/kg daily subcutaneous for 6 weeks; S3 group: clonidine 4 microgram/kg daily subcutaneous for 3 weeks; S6 group: clonidine 4 microgram/kg daily subcutaneous for 6 weeks. The dose-response relations of rocuronium were tested in 30 rabbits (10 from each of the three groups) during ketamine-thiopental anesthesia, while the time course of rocuronium 0.6 mg/kg was examined in 10 rabbits each from the three groups. RESULTS: There was no difference in mean arterial pressure and pulse rate among the experimental groups. The calculated ED(50) for rocuronium decreased significantly from 64.1 microgram/kg (C group) to 50.3 microgram/kg (S3 group) and 47.8microgram/kg (S6 group) (P < 0.001). There was no difference in the onset and the recovery times after rocuronium. CONCLUSIONS: Rocuronium after pretreatment with clonidine for three or six weeks may have an increased effect, but no difference in the duration of action compared with control group.
Adrenergic Agonists ; Androstanols ; Anesthesia ; Arterial Pressure ; Clonidine ; Heart Rate ; Hypertension ; Critical Care ; Neuromuscular Blockade ; Perioperative Period ; Rabbits

Atrial Septal Defect(ASD) is usually suspected clinically but requires a confirmative diagnostic procedure before surgical repair. Conventional transthoracic echocardiography has relatively high sensitivity and specificity for ASD, but difficulty in visualizing the ASD occasionally. Transesophageal echocardiography has special advantages for investigating the posteriorly located cardiac structures, including the atrial septum, which is imaged perpendicularly at a relatively short distance. We describe a case in which ostium secundum ASD was not visualized by conventional transthoracic echocardiography, but was diagnosed confidently by transesophageal echocardiography. It is concluded that transesophageal echocardiography appears to be a promising diagnostic tools for the evaluation of ASD on the basis of its ability to provide excellent imaging of the entire atrial septum and related posterior cardiac structures.
Atrial Septum ; Echocardiography ; Echocardiography, Transesophageal* ; Heart Septal Defects, Atrial* ; Sensitivity and Specificity

No abstract available.
Cyclophosphamide* ; Doxorubicin* ; Drug Therapy, Combination* ; Etoposide* ; Small Cell Lung Carcinoma*