A thorough knowledge about the branching variations of the femoral and deep femoral arteries is important in vascular reconstructive surgery of the proximal leg. The present study was done to describe the patterns of origin of the main branches of the femoral and deep femoral arteries in Koreans. The cadavers of 77 Koreans(male, 51 ; female, 26), who were 18-97 years old of time of death, were used in the present investigations and the femoral arteries of 152 sides(right side, 77 ; left side, 75) were observed. The femoral arteries of two left sides were excluded from this study because their branches were not clearly examined during dissection. The results were as follows : 1. Lateral circumflex femoral artery arose from the deep femoral artery in 78.9% and from the femoral artery in 21.1%. Significant differences between the right and left sides were not observed. 2. Medial circumflex femoral artery arose from the deep femoral artery in 77.0% and from the femoral artery in 22.4%. This artery arose more frequently from the femoral artery on the left side, and from the deep femoral artery on the right side in about a 9-10% differential respectively. In one case, the medial circumflex femoral artery arose from the lateral circumflex femoral artery on the left side. 3. The descending branch, which is normally a branch of the lateral circumflex femoral artery, arose from either the femoral or the deep femoral arteries in about 7% of the cases respectively. 4. The patterns of origin of the deep and circumflex femoral group of arteries were classified into 18 types. Each type is represented in three letters by using the initial of the deep femoral artery (D) or femoral artery (F) or lateral circumflex femoral artery (L) in the order of origin of the lateral circumflex femoral artery, medial circumflex femoral artery and descending branch. Types DDL(49.3%), FDL(18.4%) and DFL(15.1%) constituted the three major types on both sides. In addition, seven types (DFD, FFL, DDD, DDF, DFF, DLL and FDF) were found on the left side and three types (DDF, DDD and DFD) on the right side.
Adult* ; Arteries ; Cadaver ; Dichlorodiphenyldichloroethane ; Female ; Femoral Artery* ; Humans ; Leg

M. supracostalis anterior is a rare varlation which occurs on the external aspect of the upper thoracic wall. This thin, short-like musc1e lies deep to the pectoralis major and minor muscles, and extends longitudinally over the upper four or five ribs. It is known that the muscle usually occurs bilaterally but sometimes unilaterally. In the present report, a case of unilateral (right) M.supracostalis anterior, observed in a 58-year-old man cadaver, is described. Because the muscle had not been reported in Korea, morphological characteristics and nerve innervation of the muscle were investigated. 1. M. supracostalis anterior, observed only on the right side, extended longitudinally from the first rib to the fourth rib deep to the pectoralis minor. 2. The suprarostalis anterior arose from the antero-inferior surface below the groove for subclavian vein of the first rib. After arising from the first rib, the smaller, more media part of the muscle inserted into the upper border of the fourth rib and the larger, more lateral part inserted into the upper border of the fourth rib. 3. The length of the musce is 9.9cm, and the width is 0.8cm at its origin, 1.7cm at the upper border of the third rib and 2.4cm at the upper border of the fourth rib. 4. It was confirmed, under stereomicroscope, that the muscle was innervated by the terminal branches of the nerve to the first external intercostal muscle deriving from Thl and Th2. Blood supply of the M. supracostalis anterior was provided mainly by the lateral thoracic artery arising from the axillary artery.
Axillary Artery ; Cadaver ; Humans ; Intercostal Muscles ; Korea ; Middle Aged ; Muscles ; Ribs ; Subclavian Vein ; Thoracic Arteries ; Thoracic Wall

This study aims at the developing of a computer program for the evaluation of nursing care quality. Since the professional nursing care requires a consistent evaluation, the computer program for the measurement of quality of nursing care is necessary. It provides the nursing care with an effective and efficient management of nursing quality. In this study, a computer program is developed as a module. The evaluation criteria are structured in a hierarchical manner. Each evaluation area includes several items, which again have their own indicators. The system consists of 7 evaluation areas, 32 evaluation items, and 71 indicators. Scoring is possible with the evaluation items. The scoring types of the program are of two types, that is, the norm-referenced type(option 1) and the criterion-referenced type(option 2). With this program, an accurate and consistent evaluation of nursing care with the rapid feedback to nursing care practice is expected.
Nursing Care* ; Nursing*

The changes in the size of human oviduct and ovary after immersion in formalin (4%, 10%) were investigated. The results were as follows : 1. After fixation, the length of oviduct was significantly reduced to 93%, but the cross sectional area of oviduct was significantly increased. The length of oviduct showed no significant difference between 4% and 10% formalin. The length of ovarian ligament was also significantly reduced to 84% after fixation. 2. After fixation, the volume of oviduct was increased significantly and showed a difference between the two fixatives. The volume of oviduct in 4% formalin has increased to 107%, as compared to 103% increase in 10% formalin. 3. After fixation, the volume of ovary was increased significantly and showed a difference between the two fixatives. The volume of ovary in 4% formalin has increased to 109%, as compared to 103% increase in 10% formalin.
Animals ; Female ; Fixatives ; Formaldehyde* ; Humans* ; Immersion* ; Ligaments ; Ovary* ; Oviducts*

A case of situs inversus totalis was observed in the cadaver of a 35 year old Korean female and the anatomical structures were investigated. The fact that she had received intestinal resection due to tuberculosis of intestines was confirmed. The results are summarized as follows : 1. All thoracic and abdominal viscera were completely transposed and in the left lower quadrant of abdomen, it was observed that the distal portion of the small intestine, cecum, appendix and part of the ascending colon had been resected. 2. Classic mirror-image dextrocardia with patent foramen ovale (large diameter, 7mm), sinusitis in the left maxillary sinus, bilateral thoracic duct, variation of the opennig site of the common bile duct and the main pancreatic duct, and maldvelopment of the left adrenal gland were observed together with the sinus inversus totalis.
Abdomen ; Adrenal Glands ; Appendix ; Cadaver ; Cecum ; Colon, Ascending ; Common Bile Duct ; Dextrocardia ; Female ; Foramen Ovale, Patent ; Humans ; Intestine, Small ; Intestines ; Maxillary Sinus ; Pancreatic Ducts ; Sinusitis ; Situs Inversus* ; Thoracic Duct ; Tuberculosis ; Viscera

The management of pineal region tumor remains controversial. This paper reports a case of pineocytoma which was attempted to improve treatment planning by the use of clinical features, computerized tomography, and markers for germ-cell tumor. A presumptive diagnosis could be made and this tumor less likely to respond to radiotherapy was subjected to primary surgery.
Diagnosis ; Pinealoma* ; Radiotherapy

A 44-year-old female with cervical cord compression signs had myelographic and computerized tomographic evidence of extradural spinal cord compression without any tuberculous bony lesion or cold abscess. At surgery, cervical spinal cord was compressed by extraosseous extradural granulomatous tissue which was histologically proved a very rare localized extradural tuberculous granuloma.
Abscess ; Adult ; Cervical Cord ; Female ; Granuloma ; Humans ; Spinal Cord Compression ; Tuberculoma*

The authors report a case of massive spontaneous intracerebral hematoma in a infant, caused by bleeding from cryptic vascular malformation associated with vitamin K dependant factor deficiency. The bleeding was initiated by vitamin K dependant factor deficiency, then 3 weeks later hematoma was expanded by rebleeding from malformed vessel after PT and PTT had been returned to normal values. The well circumscribed organized old hematoma with fresh expanded bleeding component within a huge rusty colored cystic fluid cavity was recognized in operative field and pathological ground.
Hematoma* ; Hemorrhage ; Humans ; Infant ; Reference Values ; Vascular Malformations ; Vitamin K

During last 10 years we experienced 25 cases of C.N.S. cysticercosis. Now clinical analysis and evaluation of our cases were made and the results are followings; 1. Prevalence in man and women are nearly same and about 70% of cases are distributed between 20-50 years old. 2. According to Nieto's classification, mostly are ventricular (44%) and parenchymal type (36%). 3. Clinical manifestations were IICP (92%), focal neurological deficits (68%), seizure (48%), altered mental status (36%) and others listed on table 7. 4. In ventricular type, IICP and cerebellar dysfunction signs were predominated but seizure and focal neurological deficits were commonly seen in parenchymal type. 5. Subcutaneous cysticercus nodules were palpated in 32% of cases. 6. Positive stool ova was observed in 29% of cases. 7. Radiologic studies revealed as followings: 16% of cases showed abnormal findings on plain film, 84% on angiography, 94% on ventriculography and 100% on computed tomography and myelography. Computed tomography looks like most helpful diagnostic method for C.N.S. cysticercosis, they usually revealed lucent cystic lesion, hydrocephalic findings and contrast enhancement. 8. Suboccipital craniectomy, craniotomy with removal of parenchymal cyst or laminectomy were done according to location and types of lesion. 72% of operated cases revealed good results and mortality was 4% of cases.
Angiography ; Cerebellar Diseases ; Classification ; Craniotomy ; Cysticercosis* ; Cysticercus ; Female ; Humans ; Laminectomy ; Methods ; Mortality ; Myelography ; Ovum ; Prevalence ; Seizures

The present study was performed to provide an anatomical basis of the coracoacromial (CA) arch and the articular surfaces of the scapula which can be applied to the diagnosis and treatment of some common shoulder problems. The standard dimensions and the range of variation of the CA arch, the acromial articular surface and the glenoid cavity were investigated in 114 dry scapulae obtained from 57 (male, 35 ; female, 22) Korean cadavers ranging in age from 18 to 97 years (average age of 67). The results were as follows : 1. The length (46.3mm), width(25.2mm), thickness (8.2mm) and height (4.5mm) of the acromion were measured. The length, width and thickness were significantly larger in the males. The slope of the acromion was 51.5°, and the slope of the scapular spine was 118.5°. 2. The height (13.5mm), slope of the root (138.4°) and the horizontal part (25.3°) of the coracoid process, and the angle between the root and the horizontal part (106.6°) were measured. There were no significant differences between sexes and sides in all morphometric values related to the coracoid process. 3. The length (67.6mm) and height (24.7mm) of the CA arch, the height of the CA ligament from the supraglenoid tubercle (13.1mm), and length of the CA ligament (27.6mm) were measured. Both the length and height of the CA arch and the length of the CA ligament were significantly larger in the males. The slope and anterior and posterior angles of the CA arch were 16.8°, 42.2°, and 34.7°, respectively. 4. The long (13.8mm) and short (8.0mm) diameters of the acromial articular surface were measured, and both diameters were significantly longer in the males. The acromial articular surface was 8.4mm away from the tip of the acromion and extended 1.4mm inferiorly below the inferior surface of the acromion. 5. The long (34.8mm) diameter, and superior (15.0mm), middle (19.5mm), and inferior (25.6mm) short diameters of the glenoid cavity were measured. The long and both superior and inferior short diameters were significantly longer in the males.
Acromion ; Cadaver ; Diagnosis ; Female ; Glenoid Cavity ; Humans ; Ligaments ; Male ; Scapula* ; Shoulder ; Spine