In order to investigate a hemodynamic complication associated with the resection of a large arteriovenous malformation, we planed the following experiment. We divided the left common caroted artery and the internal jugular vein for microsurgical anastomsis between the rostral carotid and caudal jugular vessel ends : the 2 remaining wessel stumps were ligated. This created an arteriovenous shunt with afferent flow from the contralateral caroted and the basilar artery and retrograde down to the carotid-jugular anastomosis. And then, we occluded the shunt vessels at the each stage of the first and fourth week after anteriovenous shunt. Forty adult cats weighing from 2.2 to 2.4kg were used in this study The animals were devided into 4 groups : group 1(acute occlusion-1 week after shunt, n=10), group 2(staged occlusion-1 week after shunt, n=10), group 3(acute occlusion-4 week after shunt, n=10), group 4(staged occlusion-4 week after shunt, n=10) respectively. The regional cerebral blood flow(rCBF), cardiopulmonary function were measured in each animal group and also observed the response of the cerebral blood flow on induced changes of the blood pressure and the arterial bicarbonate. The arteriovenous shunt patency was evaluated by serial angiography. The results were as follows ; 1) Considerable increases in the mean arterial blood pressure(mABP) as well as bradycardia were observed in acute occlusion groups(group 1, 3). After induced hyercarbia, the increments of mABP in acute occlusion groups were less than staged occlusion groups, considerbly. 2) Significant decreases in the mean pulse rate were observed in acute occlusion groups. the mean pulse rate were the highest decrease in group 3. 3) The values of rCBF of left frontal cortex in acute occlusion groups were more greater increase than those of staged occlusion groups considerably. 4) After induced hypercarbia, considerable increases of the rCBF were demonstrated in all groups and increases of the rCBF were lowest in group 3 compared with the other groups. After induced hypercarbia, considerable increases of the rCBF were demonstrated in all groups and reductions of the rCBF were lowest in group 3 compared with the other groups. 5) After induced hypercarbia, considerable increases of the rCBF were demonstrated in all groups. The rCBFs were the highest increase in group3 and lowest increase in group 2 compared with the other groups. After induced hypotension, considerable reductions of the rCBF were demonstrated in all groups. The rCBFs were the highest reduction in group 3 and lowest reduction in group 2 compared with the other groups. It might be infered from these results that patients with large arteriovenous malformations, particulary those with cerebral steal symptoms, are at risk to develp neurologic defictis related to perfusion breakthrough if their malformed vessels are abruptly removed, and staged or gradual occlusion of feeding arteries may prevent this potentially devastating complication.
Adult ; Angiography ; Animals ; Arteries ; Arteriovenous Malformations ; Basilar Artery ; Blood Pressure ; Bradycardia ; Cats ; Heart Rate ; Hemodynamics ; Homeostasis* ; Humans ; Hypotension ; Jugular Veins ; Perfusion

No abstract available.
Dermabrasion* ; Eyebrows* ; Foreign Bodies* ; Foreign-Body Reaction*

The Author reports here the statistical observation of poliomyelitis from the 46 cases during a 3 month period (June, August, 1971) at the department of Orthopaedic Surgery, Korea General Hospital under the support of Shrine Club in Korea. The statistical results were as follows: 1. Among 46 cases, 30 were male, age of infection of poliomyelitis ranged from 2 month to age of five. The majority of cases were under the age of one and 95% of total patients were under the age of three. 2. Among 46 cases, 78.2% was not vaccinated fer poliomyelitis. The sequela of paralysis were more prevalent in this group. 3. tibialis anterior muscle and quadriceps femoris muscle were paralized predominently, 78.2% and 60.8% respectively. 4. Seventy eight and two tenth percent (78.2%) of patient seeked Chinese medicine practitionar with herb and acupunture, following paralysis, only 39.1% reported to the hospital and 4.4% did not see any treatment at all.
Asian Continental Ancestry Group ; Hospitals, General ; Humans ; Korea ; Male ; Paralysis ; Poliomyelitis ; Quadriceps Muscle

After the success of total hip replacement arthroplasty by John Charnley in 1962, it was well known fact that total hip replacement arthroplasty can be applied to degenerative arthritis, rheumatoid arthritis, post-traumatic arthritis, ankylosing spondylitis, even on the fused hip. However the old dislocated hip gives arise a few problem for its total hip replacement with the follwing causes:, 1. floor of the falad acetabulum is very thin and inadequate to receive a socket. 2. distorted anatomy of the acetabulum and proximal femur. 3. short and atrophic abductor mechanism. Total hip replacement arthroplasty could be successful for the old dislocated hip, if the adequate size of cup ard prosthesis are available and there is adequate length of the hip abductor. Preoperatively we can measure the size of the acetabulum and the distorted femur with roentgenogram. But it is not known how to measure or predict whether or not there is enough length of the abductor muscle mechanism preoperatively. Therefore the question arises how to measure or predict the length of the hip abductor in the old dislocated hip. Although this is a preliminary report, it is our feeling that the more the range of motion the hip has, the better the length of the hip abductor muscle. In our series acetabular socket can be positioned at the original site and the osteomized greater trochanter reduced to the femur easily in the cases more than 190 of total range of motion of the affected hips, The range of motion of the affected hip can be measured preoperatively.
Acetabulum ; Arthritis ; Arthritis, Rheumatoid ; Arthroplasty ; Arthroplasty, Replacement, Hip ; Femur ; Hip ; Osteoarthritis ; Prostheses and Implants ; Range of Motion, Articular ; Spondylitis, Ankylosing

No abstract available.
Angioedema*

No abstract available.
Humans ; Lung Diseases*

No abstract available.
Humans ; Lung Diseases*

This study was designed to identify the relationship between perceived family support and quality of life in patients with liver cirrhosis. The subjects for this study were the 136 patients with liver cirrhosis that received hospital treatment in 1 general hospitals as Kwang-Ju City in Chonbuk and 3 general hospitals at Kwang-Ju City. The data were collected during the period from May 24 to August 2, 1997 by means of an interview utilized a structured questionnaire. Peceived family support was measured by the family support questionnaire that Kim, Eunu-Young(1996) used for her study about the relationships between perceived family support and self-care agency in adults with diabetes and the author of this study modified it instrument. Quality of life was measured by the quality of life instrument that Ro You-Ja(1998) developed by and analytical study of the quality of life the middle-aged in seoul and modified by the author of this study. The data were analyzed by descriptive statistics, t-test, ANOVA, Peraon's correlation, and Simple regression using the SPSS PC+ program. The results of this study were as follows: 1. relationship between perceived family support and quality of life in patients with liver cirrhosis revealed a significant correlation(r=0.581, p=.000). In addition, perceived family support in patients with liver cirrhosis provided predicted 32.37%(F=63.87, p=.000) of quality of life. 2. There were significant associations between perceived family support and religion(t=4.11, p=.000), occupation(f=4.40, p=.002), and the number of family(f=8.19, p=.000). There were significant associations between quality of life and occupation(f=7.52, p=.000), and economic state(f=3.30, p=.022) among general character. In conclusion, this study revealed that perceived family support in patients with liver cirrhosis may be an important factor that can improve their quality of life. Therefore, nurses must establish nursing plan included their family when nurse carry out nursing intervention and education for patients so that a patient promote quality of life by maintaining optimal well-being state.
Adult ; Education ; Gwangju ; Hospitals, General ; Humans ; Jeollabuk-do ; Liver Cirrhosis* ; Liver* ; Nursing ; Quality of Life* ; Self Care ; Seoul

No abstract available.
Internet*

Unnecessary extirpative surgical procedure should be avoided for renal tuberculosis but patients refractory to or intolerant of chemotherapy and patients unable to stay on long-term chemotherapy for any reason may still require nephrectomy. Cure of patients is more important than cure of the disease in terms of rehabilitation. The author divided therapeutic principles of the renal tuberculosis into six categories as follows and representing case of each was evaluated. Category 1: anti-tuberculous chemotherapy only Category 2: anti-tuberculous chemotherapy and renal surgery Category 3: anti-tuberculous chemotherapy and permanent urinary tract diversion such as cutaneous ureterostomy Category 4: anti-tuberculous chemotherapy and restoration of urinary tract patency following urinary diversion Category 5: anti-tuberculous chemotherapy and enlargement of contracted bladder Category 6: anti-tuberculous chemotherapy and removal of clinically healed kidney because of failure of rehabilitation.
Drug Therapy* ; Humans ; Kidney ; Nephrectomy ; Rehabilitation ; Tuberculosis, Renal* ; Ureterostomy ; Urinary Bladder ; Urinary Diversion ; Urinary Tract