This study was focused on the distribution of different facial types of the Class II division 1 malocclusion groups and skeletal characteristics of the each group and those that anteropsterior relationship of the maxilla and mandible calculated from the analysis of ANB angle and Wits appraisal was quite different from each other, as well. Cephalometric headplates of 140 persons of Class II division 1 malocclusion whose mean age was 11.2 years and 69 persons of normal occlusion whose mean age was 12.2 years were utilized as materials. Measurements were recorded, tabulated and statistically analyzed employing the tracings of the lateral cephalograms, then Class II division 1 malocclusion group was divided into 9 Types according to the angle of SNA and SNB for the anteroposterior relationship of the maxilla and mandible, another 9 Types according to the FH-NPog and SN-MP for the horizontal and vertical relationship, and the other 9 Types according to the ANB and Wits appraisal for intermaxillary relationship as well, with which was based on Mean+/- 1SD of those of normal occlusion. The result allowed the following conclusion: 1. 37.1 % of population demonstrated maxilla within normal range and retrognathic mandible to the cranial base, 30% for both maxilla and mandible within normal range, 20% for retrognathic maxilla and mandible and 12.9 % of the rest were arranged in Class II division 1 malocclusion groups. 2. Retrognathic mandible and hyperdivergent face accounted for 30.7 %, mesognathic mandible and neutrodivergent face for 29.3 %, mesognathic mandible and hyperdivergent face for 16.4 %, retrognathic mandible and neutrodivergent face for 13.6 %, mesognathic mandible and hypodivergent face for 10% of population were computed in Class II division 1 malocclusion groups. 3. It was suggested that skeletal Class II malocclusion might be due to anomaly in size and shape of cranial base, underdevelopment of mandible, retropositioning of mandible, underdevelopment of posterior face against anterior face, or any combination of these factors. 4. Population with underdevelopment and/or retropositioning of the mandible showed hyperdivergent tendency of facial profile. 5. The ANB angle and Wits appraisal did not coincide the severity of anteroposterior dysplasia in 35.7% of Class II division 1 malocclusion group each other, and this inconsistency was suggested to be related with mandibular rotation, inclination of cranial base, and anteroposterior position of the maxilla.
Humans ; Malocclusion* ; Mandible ; Maxilla ; Reference Values ; Skull Base

The purpose of this study was to compare bracket shear bond strengths of th crystal growth solutions wi those of the 37% phosphoric acid etch technique. The 4 crystal growth solutions were made experimentally in th lab, that is (1)30% polyacrylic acid solution containing 0.3 M sulfuric acid (ES 1), (2)30% polyacrylic acid solution containing 0.6 M solution acid (ES 2), (3)30% polyacrylic acid solution containing 0.3 M solution acid and 0.6M lithium sulfate(ES 3), (4)30% polyacrylic acid solution containing 0.3 M solution acid and 5% phosphoric acid (ES 4). The 37% phosphoric acid solution used as a control. Bovine lower incisor tooth enamel was treated by the above solutions for 60 sec, washed out for 20 sec with slow water stream, and bonded lower anterior edgewise bracket with the light curing orthodontic composit resin adhesives. The teeth bonded brackets were stored in the distilled water at room temperature for 24h, and followed to test the bracket shear bond strength. The acid etch technique showed 177.6kg/cm(2) of mean shear bond strength which was the highest among the enamel treatment solutions. ES 1 shown 58.4 kg/cm(2) of mead shear bond strength and the of ES 4 showed 66.5 kg/cm(2). There was no significant difference between the two(p>0.05). Es 2 showed 110.6kg/cm(2) of mean shear bond strength which was 62.3% of that of acid etch technique. ES 3 showed 131.3kg/cm(2) of mead shear bond strength which was the highest among experimental crystal growth solution and which was 74% of that of acid etch technique. The shear bond strengths of the crystal growth solutions and were significantly lower that that of acid etch technique(p<0.05). The results suggest that bracket shear bond strength of 30% polyacrylic acid solution containing 0.3M sulfuric acid and 0.6M lithium sulfate were showed the highest, it is low for the clinical application of this solution.
Adhesives ; Crystallization* ; Dental Enamel ; Incisor ; Lithium ; Rivers ; Sulfur ; Tooth ; Water

BACKGROUND: There have been numerous studies to define the diurnal variation of urinary excretions of substances. It is known that this variation is influenced by many factors. This diurnal variation also affects results of quantitative analysis of random urine. The purpose of this study is to evaluate the maximum excretion time of day for representative urinary analytes and to elucidate the most appropriate time for spot urine quantitative analysis. METHODS: The concentrations of following urinary analytes were measured on healthy male and female volunteers at 06, 08, 12, 16 and 24 hours in August 1995, March 1996 and January 1997: protein, amylase, urea nitrogen, creatinine, uric acid, sodium, potassium, chloride, magnesium, calcium and inorganic phosphorus were measured by Hitachi Model 747 automatic analyzer and microalbumin by Beckman Array 360. The statistical analyses of results were performed by one-way ANOVA and multiple comparison for the significance of difference. RESULTS: The excretion of protein, amylase, urea nitrogen, creatinine, sodium, potassium, chloride, magnesium and inorganic phosphorus showed the diurnal variations. The peak excretion time of protein, amylase, urea nitrogen and creatinine was at early morning. However, that of sodium, pota-ssium, chloride, magnesium and inorganic phosphorus was at afternoon. The excretion of urea nitrogen, sodium, chloride and magnesium revealed the seasonal variations. The excretion of urea nitrogen, sodium and chloride was increased during winter. CONCLUSIONS: The morning urine specimen is considered to be the most appropriate for analysing protein and nitrogenous substances and the afternoon specimen is appropriate for electrolytes.
Amylases ; Calcium ; Creatinine ; Electrolytes* ; Female ; Humans ; Magnesium ; Magnesium Chloride ; Male ; Nitrogen ; Phosphorus ; Potassium ; Seasons ; Sodium ; Urea ; Uric Acid ; Volunteers

PURPOSE: This survey was aimed to examine the current dietary restrictions practices for neutropenic patients among hospitals with 500 and more beds. METHODS: Self-administered questionnaires were sent to 100 head or charge nurses of oncology or hemato-oncology wards by mail during October 2009, and 51 questionnaires were returned. The data were analyzed with descriptive statistics using SPSS (WIN version 12.0). RESULTS: Of the hospitals surveyed, 47.1% (n=24) had guidelines on the dietary restrictions, and 80.4% (n=41) placed patients with neutropenia on restricted diets. The major decisional criteria of the dietary restriction was absolute neutrophil count (30.5%) and cooking status (29.2%). The most commonly restricted foods were raw fish or fresh meat (98.0%), uncooked intestine (98.0%), raw eggs (98.0%), draught beer (96.1%), and fresh fruits or vegetables (86.3%). CONCLUSION: The results showed variation in pattern of dietary restrictions and lower rate of guideline among hospitals, so that the need for the standard dietary restriction guideline is high. However, the role of diet in the development of infection in neutropenic patients is still unclear, which makes it difficult to establish dietary restriction guideline. Therefore, additional research are required to identify the relationship between dietary factors and infections.
Beer ; Cooking ; Diet ; Eggs ; Fruit ; Head ; Humans ; Intestines ; Meat ; Neutropenia ; Neutrophils ; Nursing, Supervisory ; Ovum ; Postal Service ; Surveys and Questionnaires ; Vegetables

PURPOSE: Of various effects of relaxin, we assumed that anti-fibrotic effects, neovascularization effects and vasodilatation effects of relaxin might enhance the survival rate of skin flap. In the current study, we used adenovirus expressing relaxin genes to examine whether these genes could enhance the survival rate of a skin flap. METHODS: A total of 30 Sprangue-Dawley rats were divided into three groups: RLX group (10; relaxin virus injected group), CTR group (10; no gene coded virus injection group), and PBS group (10; PBS injected group). Each group was intradermally injected with the virus (107 PFU) and PBS 48 hours before and immediately before the flap elevation. A distally based flap 3 x 9 cm in size was elevated on the dorsal aspect of each rat. Following this, a flap was placed in the original location and then sutured using a #4-0 Nylon. A surviving area of the flap was measured and then compared on postoperative days 3, 7 and 10. Using a laser Doppler, the amount of blood flow was measured. On postoperative day 10, tissues were harvested for histologic examination and the number of blood vessels was counted. RESULTS: There was a significant increase in the area of the flap survival in the RLX group on postoperative days 3 and 7. The Doppler measurement also showed significantly increased blood flow immediately after the operation and on postoperative days 7 and 10. The number of blood vessels was significantly greater in the RLX group in the tissue harvested on postoperative day 10. The VEGF concentration was significantly higher in the RLX group than others in the tissues harvested on postoperative day 10. CONCLUSION: Following an analysis of the effects of relaxin-secreting adenovirus on the survival of a flap, the surviving area of the flap and the blood flow also increased. A histopathology also showed an increase in the number of blood vessels and the concentration of VEGF.
Adenoviridae ; Animals ; Blood Vessels ; Genetic Therapy ; Nylons ; Rats ; Relaxin ; Skin ; Survival Rate ; Vascular Endothelial Growth Factor A ; Vasodilation ; Viruses

It is very rare for the primary lung cancer to metastasize to gastrointestinal tract, which has poor prognosis. A 72-year-old man admitted with dyspnea and a mass lesion in the left lower lobe on chest roentgenogram and chest computed tomogram(CT). Large cell carcinoma of the lung was diagnosed by percutaneous needle biopsy. Also gastroduodenoscopy was conducted for evaluation of gastrointestinal symptoms, such as indigestion and epigastric discomfort. Large cell carcinoma of duodenum was diagnosed by biopsy of duodenal polyp, which was considered to be metastasized from the primary lung cancer. Palliative radiation therapy was performed, but he died 2 months after diagnosis. We report a rare case of large cell carcinoma of the lung with metastasis to uodenum.
Aged ; Biopsy ; Biopsy, Needle ; Carcinoma, Large Cell* ; Diabetes Mellitus ; Diagnosis ; Duodenum* ; Dyspepsia ; Dyspnea ; Gastrointestinal Tract ; Homocysteine ; Humans ; Lung Neoplasms ; Lung* ; Microcirculation ; Neoplasm Metastasis ; Polyps ; Prognosis ; Thorax

Although excessive arteriovenous fistula blood flow may be a factor in the development of high-output cardiac failure, this diagnosis is easily over-looked. Surgical reduction of fistula blood flow can improve the condition. We here report a case of high-output cardiac failure due to excessive arterio-venous fistula blood flow in a hemodialysis patient. A 51-year-old man who had been treated with hemodialysis since 5 years ago was admitted for increasing cardiac failure. Echocardiographic evaluation of cardiac output and duplex measurement of the fistula confirmed the diagnosis of high-output cardiac failure due to excessive arteriovenous fistula blood flow. After surgical closure of the fistula, the signs and symptoms of cardiac failure subsequently subsided and both systolic and diastolic dimension of left ventricle much decreased.
Arteriovenous Fistula* ; Cardiac Output ; Diagnosis ; Echocardiography ; Fistula ; Heart Failure* ; Heart Ventricles ; Humans ; Middle Aged ; Renal Dialysis*

We report the case of a 52-year-old man who had two syncopal episodes associated with coughing. Other than essential hypertension, he had no organic disease of the heart or lungs. Transient complete atrioventricular block following coughing was detected by electrocardiographic telemonitoring while resting. During that time, the patient experienced near-syncope similar to his previous syncopal episodes. He was treated successfully with permanent pacemaker implantation.
Atrioventricular Block ; Cough ; Electrocardiography ; Heart ; Humans ; Hypertension ; Lung ; Middle Aged ; Syncope

BACKGROUND: Hydromorphone, a derivative of morphine, has the same actions and uses as morphine, has about eight times more potency on a milligram basis. Hydromorphone is used for the relief of moderate to severe pain. There has been no report in Korea on patient controlled analgesia (PCA) using hydromorphone. Here, the efficacy and incidence of side effects of PCA, with hydromorphone, were investigated. METHODS: 68 patients scheduled for spinal, urological, gynecological and general surgery were enrolled. Patients received standardized general anesthesia, with the PCA initiated at the end of surgery. Parameters for PCA were a 0.1 mg bolus and 0.05 mg/hr infusion of hydromorphone, with a 10 min lockout interval. A verbal rating scale (1: none, 2: very mild, 3: mild, 4: moderate, 5: severe) of pain, nausea (mild, moderate, severe), vomiting, dizziness and somnolence were assessed at 6, 12, 24 hr postoperatively. The amount of hydromorphone used and the requirements for symptomatic relief were also recorded. RESULTS: The mean pain scores were 3.5+/-0.8, 2.9+/-0.8 and 2.5+/-0.7, and the amounts of hydromorphone delivered were 1.0+/-0.1, 1.8+/-1.0 and 2.7+/-1.3 mg, 6, 12 and 24 hr postoperatively, respectively. The incidence of nausea, vomiting, dizziness and somnolence were 17.6, 4.4, 8.8 and 1.5%, respectively. CONCLUSIONS: Intravenous PCA, with hydromorphone, was effective in controlling postoperative pain, with fewer eide effects than morphine, as reported in the literature.
Analgesia, Patient-Controlled* ; Anesthesia, General ; Dizziness ; Humans ; Hydromorphone* ; Incidence* ; Korea ; Morphine ; Nausea ; Pain, Postoperative ; Passive Cutaneous Anaphylaxis ; Vomiting

Neuroendocrine carcinomas from an unknown primary site are uncommon. The authors report on a case of neuroendocrine carcinoma in a perigastric lymph node (LN) with no primary site. A 52-year-old male patient with early gastric adenocarcinoma underwent treatment by endoscopic submucosal dissection, and, six months later, findings on a computed tomographic scan of the abdomen revealed a LN enlargement measuring 2.0 cm in the perigastric region. The patient underwent subtotal gastrectomy and regional LN dissection under a suggestive preoperative diagnosis of gastric adenocarcinoma with LN metastasis. However, microscopically, no residual tumor was found in the stomach, and the perigastric LN showed poorly differentiated neuroendocrine carcinoma (PDNEC). After an extensive workup, no primary site was identified. The patient also received four cycles of etoposide and cisplatin. Despite its extremely rare incidence, this case suggests that PDNEC of an unknown primary site is limited to a single site, and that resection should be considered in combination with chemotherapy.
Abdomen ; Adenocarcinoma ; Carcinoma, Neuroendocrine ; Cisplatin ; Etoposide ; Gastrectomy ; Humans ; Incidence ; Lymph Nodes ; Male ; Neoplasm Metastasis ; Neoplasm, Residual ; Neoplasms, Unknown Primary ; Stomach