The authors present 31 patient with acute epidural hematoma who had been admitted from January, 1987 to June. 1989 managed by consevative treatment. The results were as follows ; 1) The age of patients was distributed evenly, most patients were male (26 cases) and the most common mechanism of injury was traffic accidents(14 cases). 2) Sites of hematoma were mostly the temporal and parietal area and the maximum thickness of hematoma was not different from each site. 3) On admission, all patients presented GCS score above 13 except 2 cases. 4) All patients did not undergo delayed up, due to the enlargement of the hematoma or neurological deterioration. 5) The maximum thickness of hematoma was under 20 mm in all patients. 6) The hematoma was resolved within 30 days in all cases. This was confirmed with brain CT scan.
Brain ; Hematoma* ; Humans ; Male ; Rabeprazole ; Tomography, X-Ray Computed

The acetabular angles were measured in 2 groups of selected 100 infants and children each, of whom one group aged 14 months and younger and the other group aged 15 months of 5 yrs. and who were proved to be normal by all the physical examination and whose acetabular angles were below 40 according to Coleman's diagnostic criteria. The measurements were broken down into right and left, and male and female because of the known difference in the incidence of CDH in 2 members of each of these paired categories and analysed statistically. The following statistic significances resulted: l. All the measured normal acetabular angles vary between 10 and 31 degrees. 2. The acetabular angles decrease after weight bearing by the statistical significant difference between 0-14 mo. group and 15 mo-5yr. group. The angles are 22,61±3,47 (M±S,D) and 18.68±3.64 (M±S.D) respectively. 3. The acetabular angles of female of 15mo.-5yr. group are higher than male by the statistical significant difference. The angles are 17.77±3.54 (M±S.D) and 20.18±3.29 (M±S.D) respectively. 4. Statistical significant differences were absent between right and left.
Acetabulum ; Child ; Female ; Humans ; Incidence ; Infant ; Male ; Physical Examination ; Weight-Bearing

No abstract available.
Lipodystrophy*

No abstract available.
Arthritis, Rheumatoid* ; Humans

No abstract available.
Tenosynovitis*

No abstract available.
Infant, Newborn ; Meconium Aspiration Syndrome* ; Meconium* ; Mortality ; Suction*

BACKGROUND: Since the endothelin-1 may be implicated in the pathogenesis of peripheral vascular diseases associated with connective tissue diseases (CTDs), we examined the plasma endothelin-1 level in association with quantitative nailfold capillaroscopy in patients with CTDs. METHODS: We investigated 79 patients with connective tissue diseases (54 systemic lupus erythematosus (SLE), 18 systemic sclerosis (SSc), 4 mixed connective tissue disease, 3 polymyositis/dermatomyositis). Plasma samples were obtained and endothelin-1 levels were measured by sandwich enzyme-linked immunosorbent assay. The presence and duration of Raynaud phenomenon as well as nailfold capillaroscopy were evaluated in each patient. To examine the quantitative nailfold capillaroscopy, we measured the length of apical limb width, capillary width and capillary length. RESULTS: According to the presence or absence of Raynaud phenomenon, there was no statistically increased plasma endothelin-1 level between two groups (2.433 +/- 2.259 pg/mL n=33, vs. 1.905 +/- 1.371 pg/mL n=46, p=non specific). All the SSc patients had Raynaud phenomenon and according to the presence of abnormal capillaroscopic findings, there were increased level of endothelin-1 in abnormal capillaroscopy group compared to normal capillaroscopy group (3.940 +/- 3.335 pg/mL (n=12), vs 1.573 1.006 pg/mL (n=6), p<0.05). As compared quantitative examination of nailfold capillaroscopy with plasma endothelin-1 level, in SSc patients the endothelin-1 level correlated well with the length of apical limb width (r(s)=0.577 p<0.05). In SLE patients the endotheliln-1 level correlated well with the length of apical limb width and capillary width (r(s)=0.425 p<0.01, rs=0.278 p<0.05, respectively). CONCLUSION: Our data demonstrate that the presence of abnormal capillaroscopic findings reflect increased plasma endothelin-1 level in patients with connective tissue diseases, and quantitative analysis of nailfold capillaroscopy can be useful to predict the disease activity with the evidence of increased plasma endothelin-1.
Capillaries ; Connective Tissue Diseases* ; Connective Tissue* ; Endothelin-1* ; Enzyme-Linked Immunosorbent Assay ; Extremities ; Humans ; Lupus Erythematosus, Systemic ; Microscopic Angioscopy ; Mixed Connective Tissue Disease ; Peripheral Vascular Diseases ; Plasma* ; Raynaud Disease ; Scleroderma, Systemic

No abstract available.
Kasabach-Merritt Syndrome*

Arthroscopic shoulder surgery is generally accepted as a popular tool for diagnostic and therapeutic approach to various shoulder lesions. Arthroscopic surgery is well known for its safety, less invasiveness and rare complication, but it can also cause life-threatening events which include soft tissue edema surrounding airway, pulmonary embolism, pneumothorax and so on. The author experienced a fatal case of pulmonary edema during shoulder arthroscopic surgery which resulted from leakage of irrigation fluid. The course of arthroscopic procedure, clinical progression and special attention for forensic pathologists and clinicians will be discussed.
Arthroscopy ; Edema ; Pneumothorax ; Pulmonary Edema ; Pulmonary Embolism ; Shoulder

PURPOSE: The purpose of this study is to identify how the participants understand the meaning of the hand-moxibustion that is mainly used for an alternative therapy, so that the participants utilize the data for the basic nursing intervention through the understand and use of the hand-moxibustion. METHOD: This research was carried from January to May of 2003 and its participants were the elder five men and one woman who have been living in Seoul and had jobs. the researcher assorted the topics of the study by Ben Menun' methodology. RESULT: The results showed that there was a significant effects of the hand moxibustion and treatment with protect. CONCLUSION: The moxibustion therapy is a nursing intervention that can provide a better quality of life for the prevention of disease, health promotion may be develope in the future.
Female ; Hand ; Health Promotion ; Humans ; Male ; Moxibustion* ; Nursing ; Quality of Life ; Seoul