No Abstract Available.
Astrocytes* ; Humans*

BACKGROUND: Paramedian approach is more useful than midline approach when degenerative changes are encountered in the interspinous structure and when ideal positioning of the patient can not be achieved. The purpose of this study was to determine the guideline of depth from skin to subarachnoid space by midline or paramedian approach in Korean adult. METHODS: The distance from skin to subarachnoid space was measured in 47 patients recieving spinal anesthesia by midline approach and 30 patients by paramedian approach at L3-4 level. RESULTS: The mean depth to subarachnoid space was 5.44+/-0.47 cm in midline approach. In paramedian approach by 18.0degrees of caudal and 18.5degrees of lateral angle, mean depth was 6.24+/-0.60 cm. There were significant correlation between depth and weight, and depth and ponderal index. In ages over 50 years old, difficult cases were significantly more in midline approach than in paramedian approach. CONCLUSIONS: Measurement of factors as weight or ponderal index can be used to predict the depth. Paramedian approach is more useful than midline approach in ages over 50 years old.
Adult* ; Anesthesia, Spinal* ; Humans ; Middle Aged ; Needles* ; Punctures* ; Skin ; Subarachnoid Space

PURPOSE: The objective of the study is to analyze the review contents of reviewers for the submitted papers in the Journal of Korean Academy of Nursing in 2003. METHOD: The review contents of the 165 papers were selected 217 papers that were submitted in 2003. Among those 165 papers, the 21 papers belonged to the 'Do not publish' list and 17 papers, 'Revise manuscript and resubmit', list and the 94 papers, 'Publish if revisions are made' list. There are more than two level differences among the four levels of decision in acceptance of publication in 33 papers. RESULTS: The analysis of the review contents for the papers were suggested according to review categories : introduction, method, results, discussion and conclusion. In addition, if papers had more than two levels of review they were rated poor accord or inconsistent. CONCLUSION: For the quality of the academic journal and development of the nursing science, it is important to disseminate and publish the research paper. Therefore, review of the submitted paper is also important. Implications for the profitable review were suggested in the study.
Publishing/*standards/statistics & numerical data ; Periodicals/*statistics & numerical data ; *Nursing ; Korea ; *Bibliometrics

No abstract available.
Astrocytes* ; Gene Expression* ; Humans* ; Polymerase Chain Reaction*

BACKGROUND: Hemodynamic instability is one of the main concerns for anesthesiologists during orthotopic liver transplantation (OLTX). The most troublesome event would be an increase of central venous pressure associated with sudden right ventricular (RV) filling without any change in heart contractility. An acute increase in RV outflow pressure depresses RV contractility and eventually causes overt RV failure. To avoid such disaster, it would be wise to evaluate right heart pressure/volume relationship and assess contractility when anticipating acute increase of pressure in right heart chamber. METHODS: RV function was assessed in 15 patients undergoing OLTX. RV function was monitored using an ejection fraction catheter and a monitor. Complete hemodynamic profile was obtained on regular intervals. Statistical analysis was performed using ANOVA for repeated measures. Correlation between variables were determined by simple regression analysis and ANCOVA. RESULTS: RV end-diastolic volume was in the range of supranormal values. No correlation was observed between right atrial pressure and RV end-diastolic volume index (RVEDVI). There was a significant correlation between stroke index and RVEDVI. RV ejection fraction and E-single were relatively constant throughout the procedure. There was weak negative correlation between E-signle and RVEDVI. CONCLUSION: RV function appeared to be well preserved during OLTX. However, RV contractility tends to decrease in response to RVEDV increase because RVEDV of endstage liver disease might increase to their maximal value. Right heart filling pressure was less reliable clinical indicator of RV preload.
Atrial Pressure ; Catheters ; Central Venous Pressure ; Disasters ; Heart ; Hemodynamics ; Humans ; Liver Diseases ; Liver Transplantation* ; Liver* ; Myocardial Contraction ; Stroke

No abstract available.
Animals ; Cricetinae* ; Fertilization in Vitro* ; Humans*

Endometriosis in the abdominal wall following Cesarean section is one of the very rare condition among the extrapelvic endometriosis. Although benign, endometriosis possesses the unique ability to invade tissue and to disseminate or metastasize by hematogeneous, lymphatic route, or direct implantation. We reported the case with brief review of the literature.
Abdominal Wall* ; Cesarean Section* ; Endometriosis* ; Female ; Pregnancy

No abstract available.
DNA* ; Mycobacterium tuberculosis* ; Mycobacterium*

No abstract available.
DNA* ; Mycobacterium tuberculosis* ; Mycobacterium*

Skull base surgery has developed through the evolution of imaging, anatomic research, surgical approach and reconstructive techniques. The basic disciplines of approaching skull base lesions are provide direct vision, minimizing brain retraction, excellent exposure and minimal blood loss. The focus of this report is to review the advantages of skull base approach in our cases and suggest some indications. We experienced 20 cases of skull base surgery by a team approach consisting of a neurosurgeon and plastic surgeon. The surgical approach were supraorbital osteotomy(5 case), orbitozygomatic osteotomy(8 case), orbitozygomaticoglenoid osteotomy (5 case ) and orbitozygomaticoglenoidocondylar osteotomy (2 case). In our experience, these approaches provided excellent exposure of the lesion, direct access to lesions and minimal brain retraction thereby better outcome.
Brain ; Osteotomy ; Skull Base* ; Skull* ; Surgery, Plastic*