The author have statistically observed growth pattern of LBW infants born at NMC obstetric ward for 4 years form Jan. 1972 rtrough Dec, 1975. LBW infants were divided ino 2 groups, preterm and small-for-date infants and compared with normal full-term delivered infants group for height and weight. Following results were obtained 1) As compared with NFD infants group, preterm infants group revealed ststistically meaningful difference in height and weight until 5-6 months of age. Thereafter no difference was noticed. But, SFD group showed difference in height and weight until 1 year of age. 2) Preterm infants group was found to have a greater growth velocity than SFD group in 4-7 months of age, SFD group showed relatively similar increment of height and weight with NFD group. 3) Mean heght and weight of LBW infants were below NFD gronp until 1 year of age. Growth velocity ws similar with NFD group, so handicaps of LBW infants were not overcome statistically during 1 year after birth.
Humans ; Infant* ; Infant, Low Birth Weight* ; Infant, Newborn ; Infant, Premature ; Parturition

A large number of patients who are diagnosed with rheumatoid arthritis undergo a chronic and progressive course. Surgical treatment is often needed for these patients, who have not responded to medical treatment. The aim of surgical intervention in rheumatoid arthritis is to restore function and quality of life by preventing joint destruction, correcting deformity, relieving pain, and making cosmetic improvements. There are many surgical options, including synovectomy, osteotomy, arthrodesis, resection arthroplasty, joint replacement, surgeries for the treatment of the tendon involved (repair, transfer, graft), and cervical spine surgery (fusion or decompression). The selection of the optimal surgical option requires consideration of not only the articular status and the degree of regional deformity involved, but also the physical status and age of the patient. In addition, timely surgical intervention is important because a delay of surgery often results in poorer functional outcomes and an increase in postoperative complications. Early referral to orthopedic treatment can provide better functional outcomes for patients with rheumatoid arthritis. Precise prediction of the disease progress and selection of the optimal treatment option are needed for excellent results to be expected. Therefore, a cooperative and multidisciplinary treatment strategy should be made among the relevant teams, such as physical medicine, rheumatology, orthopedics, physical therapy, occupational therapy, social work, and psychology.
Arthritis, Rheumatoid ; Arthrodesis ; Arthroplasty ; Congenital Abnormalities ; Cosmetics ; Humans ; Joints ; Occupational Therapy ; Orthopedics ; Osteotomy ; Physical and Rehabilitation Medicine ; Postoperative Complications ; Quality of Life ; Referral and Consultation ; Rheumatology ; Social Work ; Spine ; Tendons

PURPOSE: To evaluate the changes in bone mineral density (BMD) after alendronate intake and to determine the side effects and patient compliance. MATERIALS AND METHODS: Two hundred twelve patients with osteoporosis were treated with alendronate. One hundred sixty-two patients were excluded because of early discontinuation. Thus, 50 patients were included in the analysis. RESULTS: The annual increase in BMD in patients taking alendronate was 7.2% (1st year), 3.4%, 2.0%, and 0.9% (4th year) in the L-spine, and 2.2%, 1.5%, -0.9%, and 0.9% in the femur. The changes in BMD of patients< 60 years of age were 2.1% in the L-spine and 3.4% in the femur. The BMD of patients between 60 and 69 years of age increased 6.3% and 0.5% in the L-spine and femur, respectively, and the BMD of patients >70 of age were 2.9% and 1.2% in the L-spine and femur, respectively. The BMD changes in patients with a T-score< -4.0 were 7.0% (L-spine) and 1.2% (femur), the BMD changes in patients with a T-score between -3.0 and -3.9 were 5.3% and 0.2% for the Lspine and femur, respectively, and the BMD changes in patients with a T-score >3.0 were 2.5% and 3.1% for the Lspine and femur, respectively. The reasons for early discontinuation of alendronate were difficulty in intake, economic reasons, and adverse events. CONCLUSION: The BMD changes were greater in the L-spine than the femu in alendronate users. At the first year, the changes in BMD was greatest. There was no significant difference in BMD change according to age. In the Lspine, however, BMD changes were greater in the group with lower T-scores. The early discontinuance rate was 74%, and the adverse events rate was 19.8%.
Alendronate ; Bone Density ; Femur ; Humans ; Osteoporosis ; Patient Compliance

No abstract available.
Aortic Aneurysm, Abdominal* ; Ureter* ; Ureteral Obstruction*

Morning glory syndrome is a rare congenital clinical entity that results from abnormal optic nerve development. In 1970, Kindler reported on ten patients having this anomaly and coined the term "morning glory syndrome" because of its similarity to the flower. The ophthalmoscopic picture is characterized by an enlarged pink excavated optic disk containing a mass of white tissue at its center, surrounding the disk is a wide, grey, elevated annulus of chorioretinal pigment disturbance. The retinal vessels appear as multiple radially oriented branches near the edge of the disk. Vision is usually markedly reduced. We experienced four cases of morning glory syndrome demonstrating various ophthalmoscopic and fluorescein angiographic features.
Flowers ; Fluorescein ; Humans ; Numismatics ; Optic Disk ; Optic Nerve ; Retinal Vessels

No abstract available.
Arthroplasty, Replacement, Knee

Massive ovarian edema is a rare tumor-like condition occurring in young women; it involves enlargement of the ovary, caused by intermittent torsion of the mesovarium. Ultrasonographically, a well-defined inhomogeneous soft tissue mass lesion is seen, and this cannot be distinguished from other solid ovarian tumors. The MRI findings, seen on T1WI, are inhomogeneous high signal intensity of the central part, with peripheral low signal intensity of the mass lesion. On T2WI, the inner part of the mass shows high signal intensity and the peripheral part, low signal intensity. Ovarian follicles are arranged peripherally, and are seen as low signal intensity on T1WI, and high signal intensity on T2WI. These MR findings are specific for the diagnosis of massive ovarian edema.
Diagnosis ; Edema* ; Female ; Humans ; Magnetic Resonance Imaging* ; Ovarian Follicle ; Ovary

No abstract available.
Infarction* ; Retrospective Studies*

PURPOSE: Laparoscopic appendectomy isused as a three port technique for appendectomy. In children, single port laparoscopic appendectomy is difficult because they have a small peritoneal cavity for manipulation of laparoscopic instruments. We performed transumbilical laparoscopic assisted single port appendectomy (hybrid appendectomy) in children. METHODS: From March 2010 to July 2012, we performed transumbilical laparoscopic assisted single port appendectomy in 53 children. We made a vertical incision to the umbilicus approximately 1.5 cm, and a wound retractor (Applied Medical Resources Co., Ltd., Rancho Santa Margarita) was placed in the umbilical incision, and appendix exteriorized the extraperitoneum through the wound retractor. Appendectomy was performed conventionally. We had no conversion cases for laparotomy. RESULTS: A total of 53 patients, 29 females and 24 males, with a mean age of 8.5+/-2.0 years were enrolled in this retrospective study. The mean operative time was 29.4+/-9.4 minutes. There was no occurrence of complication or mortality. BMI was 17.8+/-4.9 kg/m2. And mean hospital stay was 3.2+/-1.0 days. CONCLUSION: In children, transumbilical single port laparoscopic appendectomy is technically difficult because they have a small peritoneal cavity. However, transumbilical laparoscopic assisted single port appendectomy (hybrid appendectomy) appearsto be a safe and effective technique for use in children, which allows for achievement of nearly scarless surgery.
Achievement ; Appendectomy ; Appendix ; Child ; Female ; Humans ; Laparoscopy ; Length of Stay ; Male ; Operative Time ; Peritoneal Cavity ; Retrospective Studies ; Umbilicus

PURPOSE: To report a case of very limited primary sebaceous carcinoma of the lacrimal gland that soon recurred and rapidly progressed after excision and radiotherapy. METHODS: A 67-year-old man presented to our clinic with a history of proptosis in his right eye for 1 month. On physical examination, 4mm exophthalmos and a palpable mass at the superotemporal area of the lacrimal gland without tenderness were noted in his right eye. The eyelid was entirely normal on examination. A CT scan was taken which showed a heterogenous mass in the lacrimal gland area. We performed surgical excision and biopsy of the mass through lateral orbitotomy. RESULTS: Primary sebaceous carcinoma of the lacrimal gland was diagnosed pathologically. A 63-Gy electron beam was irradiated for 6 weeks. Five months after the operation, a large mass was again palpable at the superotemporal orbital area. MRI revealed recurrence of the sebaceous carcinoma and its metastasis to the brain. Systemic metastasis in multiple organs was noted on PET scan. CONCLUSIONS: As primary sebaceous carcinoma of the lacrimal gland has a very poor prognosis, aggressive treatment such as exenteration should be considered, and a CT scan should be taken early on to find any recurrence or metastasis.
Aged ; Biopsy ; Brain ; Exophthalmos ; Eyelids ; Humans ; Lacrimal Apparatus* ; Magnetic Resonance Imaging ; Neoplasm Metastasis ; Orbit ; Physical Examination ; Positron-Emission Tomography ; Prognosis ; Radiotherapy ; Recurrence ; Tomography, X-Ray Computed