The clinical analysis of hyperglycemic controls with four times daily administration of insulin on diabetes in pregnancy / 대한산부인과학회지

OBJECTIVE: To determine whether administrating insulin four times daily, compared to 1-3 times daily, improves maternal and perinatal outcomes of diabetes. METHODS: From August 1998 to April 2004, the 14 pregnant diabetic women were treated with four times daily administration of NPH and insulin-lispro and 15 pregnant diabetic women were treated with 1-3 times daily administration of Mixtard (30% RI, 70% NPH) or NPH. We compared the maternal and fetal complications between two groups. The goals for therapy are to achieve and maintain normoglycemia (premeal whole blood capillary glucose levels of less than 90 mg/dL and 1-hour after-meal levels of less than 120 mg/dL). RESULTS: The pregnant diabetic women who were treated with four times daily administration of NPH and Insulin lispro, instead of 1-3 times daily administration of Mixtard or NPH, resulted in better maternal and fetal outcome. But there was no significant difference between two groups statistically. CONCLUSION: This study reveals that this four times daily administration of NPH and insulin-lispro protocol achieved the glucose target level without maternal hypoglycemic events and helped to reduce the perinatal complications in pregnant diabetic women.

Subcutaneous emphysema following extraction of maxillary third molar

Stability Of Two-Jaw Surgery And Single Mandibular Surgery In Mandibular Prognathism

6months); were analyzed by linear measurement to evaluate changes in position (hard tissue B, Pogonion point)and compare relapse both group.The results obtained were as follows ; In view of B-point, the horizontal relapse rate of single mandibular surgery was 10.17%at post-op 1month,12.52%at post-op 3months,13.01%at post-op 6months and two-jaw surgery was 10.23%at post-op 1month,11.84% at post-op 3months,12.97%at post-op 6months. the horizontal relapse rates of Pogonion point were 10.78% at post-op 1month,12.21% at post-op 3months,12.98%at post-op 6months in single mandibular surgery and those were 10.27%at post-op 1month,11.33% at post-op 3months, 12.01%at post-op 6months in two-jaw surgery. In terms of vertical relapse rate, rates of B point were 22.96%at post-op 1month,28.30%at post-op 3months,29.56%at post-op 6months in single mandibular surgery and 21.14%at post-op 1month, 25.45% at post-op 3months,28.86% at post-op 6months in two-jaw surgery.Those of Pogonion point were 26.63%at post-op 1month,28.40% at post-op 3months,29.29% at post-op 6months in single mandibular surgery and 20.20%at post-op 1 month, 25.44% at post-op 3 months, 27.68% at post-op 6months in two-jaw surgery. There were no statistical difference between single mandibular surgery and two-jaw surgery in mandibular stability.

A Clinical Study On Stability Between Wire And Plate/screw Osteosynthetis In Genioplasty

6months); were analyzed by linear measurement to evaluate changes in position (hard tissue B, Pogonion point)and compare relapse between both groups.

Case Reports On The Surgical Approach Of The Orbital Bone Fracture

Clinical Evaluation of Unilateral Mandibular Condyle Fracture Combined with Midface Fracture

No abstract available.