No abstract available.
Aneurysm* ; Carotid Artery, Internal* ; Epistaxis*

OBJECTIVE: The study was performed to evaluate whether thallium reinjection (RI) distinguishes viable from nonviable myocardium among myocardial segments which showed persistent perfusion defect (PD) in patients with acute myocardial infarction (AMI). MATERIALS AND METHODS: We studied 22 patients underwent PTCA after AMI. SPECT was performed in all patients using dipyridamole stress- 4 hour redistribution (RD) followed by 24 hour RI protocols. Dysfunctional segs were classified into 5 groups: 1) normal, 2) reversible, 3) mild to moderate PD, 4) severe PD and 5) reverse redistribution (RR). All patients underwent follow up echocardiography after 4 months to assess regional wall motion (WM) improvement such as a criteria of viable myocardium. RESULTS: A total of 127 segs with abnormal WM was analyzed. Of 74 segs with PD, 17 (23%) showed enhanced uptake after 24 hour RI. Five of 17 segs (29%) with PD that responded to RI with enhanced thallium uptake showed WM improvement. WM improvement were seen in the 24 of 57 segs (42%) not responding to RI. All four segs (100%) with RR that responded to RI showed improvement. WM improvement were not seen in the 5 of 8 segs (71%) with RR not responding to thallium RI. Eleven (73%) of 15 segs with mild-moderate PD after RI showed improvement, but 33% of segs with severe PD after RI did not showed improvement. Segs with mild-moderate PD after RI and fill in after RI showed improvement in comparison to segs with severe PD after RI(p<0.05). CONCLUSIONS: These data indicate that because only small proportion of PD showed further perfusion improvement after RI and predictive value by the uptake after RI was low, there was limited role of RI after myocardial infarction. Usefulness of RI could be found in segs showing RR responding to RI in AMI reflects viable myocardium.
Dipyridamole ; Echocardiography ; Follow-Up Studies ; Humans ; Myocardial Infarction* ; Myocardium ; Perfusion ; Thallium ; Tomography, Emission-Computed, Single-Photon

Many researchers report that the measurement of urine calcium concentration during antenatal period is helpful in prediction of having preeclampsia,but some don`t. The purpose of this clinical study is to evaluate the relationship of low calcium level in urine and the develpoment of preeclampsia, and effects of other variables. 24hour urine were collected and measured for the concentration of calcium and creatinine from 769 pregnant women who visited our department of obstetrics at Young-Dong Severeance hospital, Yonsei university medical college for antenatal care from March 1, 1993 to May 31, 1996. One group of 41 women developed preeclampsia and the other didn`t. There were no diffrences in ages and gestational age at urine collection between two groups, but a group with preeclampsia had an increased mean arterial blood pressure. There were signiificant difference in calcium concentration in urine and ratios of concentration of calcium and creatinine from urine collected between gestational ages of 25 weeks and 32 weeks and also in those women younger than 25 years old and their first pregnancy. Our study suggests that the measure ment of calcium level and ratios of urine calcium concentration and creatinine concentration at gestational ages between 25 weeks and 32 weeks in women younger than 25 year old with their first pregnancy is quite helpful inpredicting the develpoment of preeclampsia.
Adult ; Arterial Pressure ; Calcium ; Creatinine ; Female ; Gestational Age ; Humans ; Obstetrics ; Pre-Eclampsia* ; Pregnancy ; Pregnant Women ; Urine Specimen Collection ; Weights and Measures

No abstract available.
Plasma* ; Schizophrenia*

No abstract available.
Diaphragmatic Eventration* ; Humans ; Infant, Newborn*

No abstract available.
Endometriosis* ; Female

BACKGROUND: With increasing number of female pilots who fly high-performance aircraft, the gender specific factors have become one of the most important aeromedical considerations. It has been raised that the changes of serum female hormone levels by menstrual cycle may affect vasoregulation and female G-tolerance ultimately. However, the exact relationship between serum female hormone levels and G-tolerance is still unknown. Moreover, well-controlled subjects without taking oral contraceptives are needed to examine the possible effect of menstrual cycle on female G-tolerance. The purpose of this study was to determine how female hormones and menstrual cycle affect female relaxed G-tolerance. METHODS: Eight female subjects were studied to test their relaxed G-tolerance. Seven out of 8 subjects had regular menstrual cycle during the study period. Each subject were exposed to human centrifuge once a week for 4 weeks (one complete menstrual cycle) and blood samplings were performed twice at 2nd and 4th week just before exposure to human centrifuge. The profile of centrifuge training consisted of gradual-onset run (0.1 G/sec) acceleration to the visual endpoint. RESULTS: The changes of 4 different serum female hormone levels failed to show any trend related to relaxed G-tolerance including estrogen. There was no significant difference in relaxed G-tolerance in any menstrual cycle time points. CONCLUSION: We conclude that the changes of female hormone levels and the menstrual cycle have no effect on female relaxed G-tolerance.
Acceleration ; Aircraft ; Contraceptives, Oral ; Diptera ; Estrogens ; Female* ; Humans ; Menstrual Cycle*

Total anomalous pulmonary venous return(connection) is a congenital heart disease. Especially, the reports of the patients with double connections of all pulmonary veins were rare. An infant who underwent operation for total anomalous pulmonary venous return had double drainge of all pulmonary veins to both left vertical vein and anomalous descending vein. This second lesion was not diagnosed preoperatively, but in operative field. Operative treatments were performed by ligation of left vertical vein and central pulmonary vein-to-left atrium anastomosis without ligation of the descending anomalous vein. For these less common variants fo total anomalous pulmonary venous return,a more detailed and precise understanding of morphology can facilitate accurate surgical repair. And also, early detection of the disease is an another issue for a good prognosis.
Heart Defects, Congenital ; Humans ; Infant ; Ligation ; Prognosis ; Pulmonary Veins ; Scimitar Syndrome* ; Veins

Main objectives of this study were to produce the experimental postirradiation sialadenitis and to observe the effects of hyperbaric oxygen therapy after the production of postirradiation sialadenitis in the unilateral parotid gland of white rats. To produce the experimental postirradiation sialadenitis, author attempted the various methods of irradiation such as 1000rad weekly for 5 weeks, or single dosage of 2000rad, 3000rad, 5000rad, but those attempts were futile due to the high mortality of experimental animals(used 80rats for pilot study). Finally author had to design fractional irradiation, that is, 1000rad per 2 weeks, total 5000rad for 8 weeks in order to produce postirradiation sialadenitis. The occurrence of postirradiation sialadenitis was proved with serial salivary scan findings. Author used irradiation 1000rats, dividing into the control(50) and experimental group (50) and rendered the hyperbaric oxygen therapy(2 hours/daily at 2.4ATM) on the experimental group for 6 weeks. The effect of hyperbaric oxygen therapy was examined by salivary scan findings and microscopic examination. The obtained results of this study were as follows: 1. The differences of salivary gland function between irradiated parotid glands(right) and nonirradiated parotid glands(left) showed the most remarkable changes at 32 weeks after total 5000rad irradiation. 2. In microscopic examination at 32 weeks after total 5000rad irradiation, irradiated parotid glands(right) showed severe degenerative changes of acinar cells, separations of lobules due to edema, severe intralobular fibrosis and connective tissue fibrosis. 3. After hyperbaric oxygen therapy for 4 weeks, the effect of hyperbaric oxygen therapy showed no distinctive difference findings between the control and the experimental group with salivary scan findings(p>or=0.05), while the experimental group showed progressive intralobular edema, copillary proliferation, hyperemia in connective tissues and intralobular fibrosis in microscopic examination. 4. Tc99m uptake of the experimental group was raised after hyperbaric oxygen therapy for 6 weeks, and showed reduction of Tc99m uptake ratio between irradiated parotid gland and nonirradiated gland up to 8 to 10 weeks(p<0.05), while in the microscopic exemination the experimental group showed aggravated acinar cell degeneration, intercalated duct proliferation, connective tissues fibrosis. In this study, author speculated that though the hyperbaric oxygen therapy improved the capillary impairment, there was a tendency to increase the degenerative changes of parechyma of postirradiated parotid glands, thus the usage of the hyperbaric oxygen therapy should be considered carefully in the aspect of hazardous effect to the parotid parenchymal tissues.
Acinar Cells ; Animals ; Capillaries ; Connective Tissue ; Edema ; Fibrosis ; Hyperbaric Oxygenation* ; Hyperemia ; Mortality ; Osteoradionecrosis ; Oxygen ; Parotid Gland ; Rats* ; Salivary Glands ; Sialadenitis* ; Xerostomia

BACKGROUND: Recent data suggest that the colonization rate of group B streptococci(GBS) in pregnant women and the incidence of neonatal infections by GBS is increasing trend in Korea, but the antimicrobial susceptibilities and serotypes in pregnant women have not been reported in Korea. So, we studied to define the antimicrobial susceptibility patterns and frequency of serotypes of GBS in pregnant women. METHODS: The susceptibility and serotyping of 60 GBS isolates from 27 pregnant women and four isolates from their two neonates were tested by an agar dilution method and agglutination test, respectively. The typing sera used in this study were Ia, Ib, II, III, IV, and V. RESULTS: Minimal inhibitory concentration range of 60 GBS from pregnant women were penicillin G 0.015-0.12 microgram/ml, vancomycin 0.5-2 microgram/ml, clindamycin 0.015-4.0 microgram/ml, chloramphenicol 2-4 microgram/ml, erythromycin 0.015-2 microgram/ml, tetracycline 0.5-256 microgram/ml, cephalothin 0.12-0.25 microgram/ml, ceftriaxone 0.03-0.12 microgram/ml, respectively. The resistance rate of GBS were 6.7% to clindamycin, 0% to erythromycin, and 98.3% to tetracycline. Most of GBS serotypes from pregnant women in decreasing order were Ib(48.3%), Ia(24.1%), III(20.7%). CONCLUSION: All GBS strains isolated from pregnant women are highly susceptible to commonly used antimicrobial agents with the exception of tetracycline. The low prevalence of severe neonatal GBS infections in Korea is not due to the absence of serotype III, but probably due to a low genital carriage rate of GBS by pregnant women.
Agar ; Agglutination Tests ; Anti-Infective Agents ; Ceftriaxone ; Cephalothin ; Chloramphenicol ; Clindamycin ; Colon ; Erythromycin ; Female ; Humans ; Incidence ; Infant, Newborn ; Korea ; Penicillin G ; Pregnant Women* ; Prevalence ; Serotyping ; Tetracycline ; Vancomycin