No abstract available.
Epidemiologic Studies* ; Female ; Pregnancy ; Pregnancy, Ectopic*

No abstract available.
Sarcoma, Ewing* ; Thoracic Wall* ; Thorax*

No abstract available.
Diagnosis, Differential* ; Humans ; Lower Urinary Tract Symptoms*

Many authors reported the etiology of hypoplasia of the nasomaxillary complex as trauma, infection, underdevelopment. To correct these deformities, Le Fort II Osteotomy and its modification has been popularly applied. This method enabled total advancement of nasomaxillary complexes and acquirememt of midfacial esthetics. But it has some limitations such as various occlusal deviation or lateral shifting of nasomaxillary complex in case of nasomaxillary retrusion. We grouped these patients as follows : 1. Nasomaxillary retrusion without shifting of nasomaxillary complex (1) Anteroposterior deviation of occlusal plane (2) Lateral deviation of occlusal plane(including canting) (3) Supero-inferior deviation of occlusal plane (4) Combined disturbance of occlusal plane without shifting of nasamaxillary complex 2. Lateral shifting of nasomaxillary complex with or without deviation of occlusal plane We performed Le Fort II and I combined osteotomy on eleven cases of midfacial deformity from June 1994 to July 1997 and in most of the cases, followed up maximum 36 months and could acquire positional stability and improvement of facial eathetics.
Congenital Abnormalities* ; Dental Occlusion ; Esthetics ; Humans ; Osteotomy*

Positron emission tomography (PET) with 2-[F-18]-Fluoro-2-deoxy-D-glucose (FDG) was performed in ninteen patients who had benign musculoskeletal tumors in order to determine if there was a relationship between histologic grade of tumor and FDG uptake of tumor. These patients had been evaluated previously with computed tomography (CT) or magnetic resonance (MR) imaging or both. The diagnoses were confirmed with incisional or excisional biopsy or by radiographic follow-up. Generally high-grade tumors had significantly greater uptake of FDG than low-grade lesions . Benign lesions such as giant cell tumor, fibrous dysplasia, and osteofibrous dysplasia showed significant elevation of SUV (Standardized Uptake Value) above 4.0. On the contrary. The current studies suggest the utility of FDG-PET imaging as an adjunct to CT or MR imaging in the evaluation of benign tumors. And results of PET suggest benign tumors with high SUV are histologically active lesion and tend to be locally aggressive.
Biopsy ; Diagnosis ; Electrons* ; Follow-Up Studies ; Giant Cell Tumors ; Glucose* ; Humans ; Magnetic Resonance Imaging ; Positron-Emission Tomography

No abstract available.
Kidney Pelvis* ; Metaplasia* ; Ureter*

Lipoma of the gastrointestinal (GI) tract is a rare disease, 0.1~0.3% of all diseases involving the gastrointestinal tract. As the size increases, the symptoms which develop are GI bleeding, abdominal pain, intussusception, intestinal obstruction. To the best of our knowledge no lipoma of gallbladder been reported yet. Furthermore a lipoma cannot develop in the GB, because the submucous layer is not existed. From a point of view for the mechanism, it is important for submucous layer, which is infiltrated by eosinophil or lymphocyte, to develop the lipoma of GB. We experienced the case of a 51-year-old female with a GB lipoma, and we report our experience with that case along with a review of the literatures about the most likely mechanism for the development of the GB lipoma.
Abdominal Pain ; Eosinophils ; Female ; Gallbladder* ; Gastrointestinal Tract ; Hemorrhage ; Humans ; Intestinal Obstruction ; Intussusception ; Lipoma* ; Lymphocytes ; Middle Aged ; Rare Diseases

To analyse the age of onset, etiologic microorganisms, clinical manifestations, managements and genetic variation of chromic granulomatous disease, the authors reviewed four patients who were diagnosed as CGD at Department of Pediatrics, Seoul National Univesity Children's Hospital. They were siblings in relationship-two of them were brothers, the others were brother-sister. @ES The results were as follows; 1) Initial manifestations developed within 1 year old, and lymphadenopathy associated with BCG vaccination was the most common. 2) In culture study of micro-organism, catalase positive microorganisms such as Staphylococcus aureus, Serratia marcescens, Coagulase (-) Staphylococcus, Enterococcus, Proleus vulgaris, Klebsiella pneumoniae, E. coli and fungus such as Candida albicans were isolated. In 2 cases, culture study revealed no growth. 3) Fever, lymphadenopathy, hepatomegaly, suppurative dermatitis and pneumonia were the most common manifestations. In most of cases, antituberculous medications were administered under the impression of tuberculosis without response. 4) Immunologic screening tests including B-cell system, T-cell system, and complement system were within normal limit except NBT test. 5) In spite of severe infections, NBT scores of all the cases were less than those of controls. Liver biopsies of 3 cases showed granuloma formation with characteristic yellow brown pigment-laden macrophages.
Age of Onset ; B-Lymphocytes ; Biopsy ; Candida albicans ; Catalase ; Coagulase ; Complement System Proteins ; Dermatitis ; Enterococcus ; Fever ; Fungi ; Genetic Variation ; Granuloma ; Hepatomegaly ; Humans ; Klebsiella pneumoniae ; Liver ; Lymphatic Diseases ; Macrophages ; Mass Screening ; Mycobacterium bovis ; Pediatrics ; Pneumonia ; Seoul ; Serratia marcescens ; Siblings ; Staphylococcus ; Staphylococcus aureus ; T-Lymphocytes ; Tuberculosis ; Vaccination

This study was undertaken to investigate the relation between orthodontic force magnitude and the amount of tooth movement. And more light force application for reducing root resorption. Twenty-four rats were divided into three experimental groups(A, B, C) based on force magnitude and application method. Springs of 50g force were applied to A group, spring of 100g force were applied to B group and springs of 25g force were applied to C group initially, and after 4 days springs of C group were changed to springs of 50g force. Two kinds of sentalloy(R) (GAC U.S.A) closed coil spring, 50g and 100g, were used. And we made 25g springs by heat treatment process of 50g spring. Each spring was inserted between the maxillary central incisor and the maxillary left first molar. Amounts of tooth movement were measured everyday by digital caliper(Digimatic(R) , Mitutoyo, Japan) under inhalation anesthesia for 15 days, all rats were sacrificed and histological sample were obtained with Hematoxyline-Eosin stan and Masson's trichrome stain. Following conclusion were made : 1. Group B showed the mean cumulative tooth movement of 2.19+/-0.41mm at 15th day, which was greatest among three groups, followed by group C(2.06+/-0101mm), group A(1.90+/-0.49mm) respectively. However, there was no statistically difference among three groups. 2. All groups showed general tooth movement pattern and A, B, C group finished lag phase at 9th, 8th, 7th day, but three was no statistical significance. 3. Group A, B, C showed root resorption and especially group B showed the most severe root resorption and group C showed milder root resorpting than other groups. According to the above results, large initial force with the development of a fairly widespread hyalinized zone may cause severe root resorption, so initial force should be applied lightly to reduce hyalinized area and eventually root resorption and then increased force will induce efficient tooth movement.
Anesthesia, Inhalation ; Animals ; Hot Temperature ; Hyalin ; Incisor ; Molar ; Rats* ; Root Resorption* ; Tooth Movement* ; Tooth*

BACKGROUND: The fixed dose regimen with activated coagulation time (ACT) is the most commonly employed method for determining the required dosage of heparin and protamine during cardiopulmonary bypass (CPB). MATERIAL AND METHOD: We performed a prospective study on a fixed dose regimen for analyzing adequate dosages of heparin and protamine, the incidence of heparin resistance and heparin-induced thrombocyt openia, factors affecting ACT during CPB, and changes of ACT during aprotinin usage. 300 units/kg of heparin were administered to patients, and ACTs were measured after 5 mins. ACTs were checked at 10 mins and 30 mins after the onset of CPB, and then at 30 min intervals thereafter. If the measured ACT was under 400 secs, we added 100 units/kg of heparin. The heparin was reversed with 1 mg of protamine for each 100 units administered. If the measured ACT was longer than 130 secs 30 mins after protamine administration or if there was definitive evidence of a coagulation defect, we administered a further 0.5 mg/kg of protamine. RESULT: We studied 80 patients (50 adults and 30 children) who underwent open heart surgery (OHS) at Seoul National University Hospital. Preoperative ACT was 114.3+/-19.3 secs in adults, and 119.5+/-18.2 secs in children. There were no differences in preoperative ACT due to age, body weight, body surface area, or sex. The preoperative ACT was not influenced by a positive past history of OHS. Ten adults (20%) and 3 pediatric patients (10%) needed additional doses of heparin to maintain the ACT above 400 secs. Additional protamine administration was needed in 9 adults (18%) and 10 children (33%). Heparin resistance was found in only two adults. Heparin-induced thrombocytopenia was detected in 2 adults and 1 child. During CPB, ACT was prolonged. 12 adult patients received a low dose of aprotinin and showed longer celite activated ACT compared to the control group.The kaolin activated ACT showed a lower tendency than the celite activated ACT in aprotinin users. CONCLUSION: In conclusion, fixed dose regimen of heparin and protamine can be used without significant problems, but the incidence of need of additional dosage remains unsatisfactory.
Adult ; Aprotinin ; Body Surface Area ; Body Weight ; Cardiopulmonary Bypass* ; Child ; Diatomaceous Earth ; Heparin* ; Humans ; Incidence ; Kaolin ; Prospective Studies ; Seoul ; Thoracic Surgery ; Thrombocytopenia