ABSTRACT
Cough syncope is characterized by the loss of consciousness occurring after vigorous coughings. There are approximately 90 reported cases of cough syncope within the medical literature. Most cases involving middle aged, overweight and chronic bronchitic male smokers. Although many studies have been published in the medical literature, the mechanism and pathophysiology for cough syncope has not been well established. Cough syncope is treated by correcting the underlying cause when identified, or by avoiding conditions that may cause the cough syncope. In addition, cough suppression modalities can also be used. We herein report 3 cases of cough syncope presenting in lung cancer patients.
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Humans , Male , Middle Aged , Cough , Lung , Lung Neoplasms , Overweight , Syncope , UnconsciousnessABSTRACT
Plasma cell myelomas generally manifest as bone or soft-tissue tumors with variable mass effects, pain, and infiltrative behavior. Extramedullary involvement occurs most commonly in the spleen, liver, lymph nodes, and kidneys, but intracranial involvement in plasma cell myeloma is a rare extramedullary manifestation. These authors recently encountered a case of intracranial involvement of plasma cell myeloma. A 69-year-old man was hospitalized for headache and mental changes. Brain CT showed subdural hemorrhage caused by plasma cell myeloma. Plasma cell myeloma with intracranial involvement has poor prognosis, and the patient in this case died from acute complications, such as subdural hemorrhage. Based on this case report, it is suggested that more effective treatment regimens of plasma cell myeloma with intracranial involvement be developed. Moreover, a screening method and decision on the appropriate time for intracranial involvement are needed for plasma cell myeloma patients.
Subject(s)
Aged , Humans , Brain , Brain Neoplasms , Headache , Hematoma, Subdural , Kidney , Liver , Lymph Nodes , Mass Screening , Multiple Myeloma , Plasma , Plasma Cells , Prognosis , SpleenABSTRACT
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Humans , Dental Occlusion , Incisor , Malocclusion , Orthognathic Surgery , Skull , Skull BaseABSTRACT
BACKGROUND: Non-dippers were reported as showing different left atrial function, compared to dippers, but no study to date investigated the changes in the left atrial function according to the diurnal blood pressure pattern, using tissue Doppler and strain imaging. METHODS: Forty never treated hypertensive patients between 30 and 80 years of age were enrolled in this study. Patients were classified as non-dippers when, during night time, they had a blood pressure decrease of less than 10%. Strain of the left atrium was measured during late systole, and peak strain rates of the left atrium were measured during systole, early and late diastolic periods. RESULTS: The left atrial expansion index, left atrial active emptying volume and left atrial active emptying fraction were all significantly increased in non-dippers. They also had increased values of mean peak left atrial strain (dippers = 21.26 +/- 4.23% vs. non-dippers = 24.91 +/- 5.20%, p = 0.02), strain rate during reservoir (dippers = 1.29 +/- 0.23 s-1 vs. non-dippers =1.52 +/- 0.27 s-1, p = 0.01) and contractile period (dippers = -1.38 +/- 0.24 s-1 vs. non-dippers = -1.68 +/- 0.32 s-1, p < 0.01). CONCLUSION: Strain and strain rate acquired from color Doppler tissue imaging demonstrate exaggerated reservoir and booster pump function in never-treated, non-dipper hypertensive patients. These methods are simple and sensitive for the early detection of subtle changes in the left atrial function.
Subject(s)
Humans , Atrial Function, Left , Blood Pressure , Circadian Rhythm , Echocardiography , Heart Atria , Hypertension , Sprains and Strains , SystoleABSTRACT
STATEMENT OF PROBLEMS: Long-term success of esthetic restorations, depends on various factors, especially on color stability of the restorations. The color stability is affected by resin cements beneath the porcelain laminate veneers. PURPOSE: The purpose of this study was to comprehend the color stability of resin cements by comparing with 4 different kinds of resin cements (Choice, Variolink II, Nexus 2, Rely-X). MATERIAL AND METHODS: Porcelain laminate disk samples were luted with resin cements. After thermocycling of each 1000, 2000 and 3000 cycle, specimens were measured by spectrophotometers and the color differences were. RESULTS: 1. After thermocycling of 1000, 2000 and 3000cycle, color difference, (deltaE*) of all specimens were incresed, but were not statiscally significant differences. 2. In the Choice of A1 shade and the Nexus 2 of A3 shade, color difference(deltaE*) after thermocycling of 3000cycle was incre*ased significantly than after thermocycling of 1000cycle. However, other groups did not show any statistically significant differences (P<0.05). 3. After thermocycling of 3000cycle, color difference(deltaE*) between A1 shade and A3 shade of Nexus 2 showed statistically significant difference. However no statistically significant differences were observed in other groups (P<0.05). 4. The mean of color difference(deltaE*) is 1.0-2.06 after 3000 thermocycling and the data were ranked in the ascending order of Variolink II, Nexus 2, Choice and Rely-X in A1 shade group and Choice, Rely-X, Variolink II and Nexus 2 in A3 shade group. CONCLUSION: Above results revealed that, after 3000thermocycing, the color difference (deltaE*) of experimental resin cements was within clinically acceptable ranges. Color stability of 4 different resin cements was comparatively excellent.
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Dental Porcelain , Resin CementsABSTRACT
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Humans , Alveolar Process , Follow-Up Studies , Maxillary Sinus , Osteotomy , TransplantsABSTRACT
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Alveolar Process , Alveolar Ridge Augmentation , Follow-Up Studies , Mandible , Osseointegration , Osteogenesis, DistractionABSTRACT
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Adult , Humans , Follow-Up Studies , Malocclusion , Molar , Orthopedics , Osteotomy , Palatal Expansion Technique , RecurrenceABSTRACT
The effects of insulin and exercise on glucose uptake of skeletal muscle were investigated in soleus muscle isolated from low dose streptozotocin induced diabetic rat in vitro. Glucose uptake was assessed by measuring ³H-methylglucose uptake in vitro. Basal glucose uptake in diabetes was reduced by approximately one-third of the control value (5.6±0.73µMol/g/20min. in diabetes versus 8.4±0.77 in control, P<0.01). There was also a significant decrease (P<0.01) in glucose uptake of diabetes at physiologic insulin concentration (200 µIU/ml) by 40% (6.1±1.20 versus 10.0±0.81). Furthermore, maximal insulin (20000 µIU/ml)-stimulated glucose uptake was 36% lower in diabetes as compared with control (7.3±1.29 versus 11.4±1.29, P<0.01). In contrast, exercise (1.0 km/hr, treadmill running for 45 min.) effect on glucose uptake was so dramatic in diabetes that glucose uptake at basal state was 8.+1.09 and insulin stimulated-glucose uptake were 10.2±1.47 and 11.9±1.64, in 200 and 20000 µIU/ml added insulin, respectively. These results suggest that insulin insensitivity develops in skeletal muscle after 2 weeks of streptozotocin-induced diabetes, but these insensitivity was recovered significantly by single session of running exercise.
Subject(s)
Animals , Rats , Glucose , In Vitro Techniques , Insulin , Muscle, Skeletal , Running , StreptozocinABSTRACT
Chronic inflammation of the meibonliarl glands (chalazia) frequently become troublesome because of recurrences, cosmetic blemish and distortion of vision when it is large enough. Medical treatment with hot compress, topically administered antibiotics and corncosteroids often fail to cure, so leads to chalazia with trial intralesional injection of triamcinolone acetonide. Ten chalazia reso1ved within one week after only one injection, two chalazia after two injections, one chalazion after three injections and one lesion failed to respond to three injections which was removed by surgery. We observed that intralesional injection of triamcinolone acetonide for chalaza is a good procedure, which appear to be a safe, convinient and effective alternative to chalazion surgery.