No abstract available.

BACKGROUND: Different types of analgesia may affect the rate of recovery of gastrointestinal function after colon surgery. METHODS: Sixty-six patients undergoing colon surgery which including right and left hemicolectomy, anterior resection and Miles` operation were categorized into four groups. All groups received a general anesthesia. Control group, in surgical ward the patients received adjuvant analgesics on request postoperatively. Group M received a intraoperative bolus epidural morphine followed by an infusion of morphine. Group MB received a intraoperative bolus of epidural morphine followed by an infusion of bupivacaine and morphine. Group PCA received a intraoperative bolus of intravenous morphine followed by patient- controlled morphine postoperatively. RESULTS: Ambulation, oral feeding and duration of hospitalization were not differed among groups. Group MB, recovered gastrointestinal function approximately 30 hours earlier than Group PCA (p<0.05). CONCLUSION: Epidural analgesia with bupivacaine and morphine accelerated postoperative recovery of gastrointestinal function.
Analgesia ; Analgesia, Epidural ; Analgesics ; Anesthesia, General ; Bupivacaine ; Colon* ; Hospitalization ; Humans ; Morphine ; Passive Cutaneous Anaphylaxis ; Walking

No abstract available.
Erythrocytes*

No abstract available.
Blood Platelets* ; Blood Transfusion*

No abstract available.
Chloroquine* ; Edetic Acid* ; Glycine* ; Immunoglobulin G*

Widely used tests for the detection of platelet antibodies in Korea include platelet suspension immunofluorescence test(PSIFT), enzyme immunoassay and mixed passive hemagglutination(MPHA). In these tests, removal of HLA antigens from platelet are required to detect platelet-specific antibodies. Modified antigen capture ELISA(MACE) is known to be very sensitive for the detection of platelet-specific antibodies, in which specific platelet glycoprotein, captured by the monoclonal antibody is used as a target antigen. MACE is very useful for the detection of platelet-specific alloantibodies in neonatal alloimmune thrombocytopenia(NAIT) and posttransfusion purpura(PTP). We employed MACE in our laboratory, using AP2(anti-GPIIb/IIIa, monoclonal), #30 sera(anti-PlA1), 90-545 sera(anti-HLA-B51+52) and LYS sera(multispecific HLA antibodies). LYS sera had been used as our positive control( 1:120) in MPHA. Platelet from PIA1(+), HLA-B5 I, blood group O healthy male donor, gave positive result with #30 sera(1:40) and negative result with 90-545 sera in MACE. With LYS sera, MACE showed negative in 1:120, but positive in 1:20. So LYS sera was thought to contain strong multispecific HLA antibodies and relatively weak antibody(-ies) reacting with GPllb/Illa. Further studies employing different monoclonal antibodies, such as anti-GPIb/IX, -GPIa/Ila and -GPIV are under way.
Antibodies* ; Antibodies, Monoclonal ; Blood Platelets ; Fluorescent Antibody Technique ; Glycoproteins ; HLA Antigens ; Humans ; Immunoenzyme Techniques ; Isoantibodies ; Korea ; Male ; Tissue Donors

No abstract available.
Hepacivirus* ; Hepatitis C* ; Hepatitis*

BACKGROUND: Identification of blood use characteristics in medical facilities is essential for predicting blood demand and maintaining an efficient blood programme. We investigated the use of blood components and discard rate of blood in hospitals. METHOD: Blood component utilization of hospitals in 1998 and 1999 was analyzed by mail survey and co-work with eight university hospitals. RESULTS: A total of 1,510,862 blood component units in 1998 and 1,646,346 units in 1999 meaning an increase of 8.97 % percent were used by 59 hospitals investigated. Use of irradiated blood and single-donor platelets increased. Blood discard rate was less than five percent in most hospitals and many hospitals experienced improper cut in health insurance reimbursement. CONCLUSION: Use of blood components in hospitals is increasing and national guideline for transfusion is needed. A successive investigation on National wide blood utilization like this study is required for estimation of blood demand.
Hospitals, University ; Insurance, Health, Reimbursement ; Korea* ; Postal Service

OBJECTIVE: To establish the standard values for proper antenatal weight gain, biweekly mean weight gains, standard deviations were calculated from the 5th to the 42nd gestational week and their percentiles were determined. And the influence of prepregnancy body mass index and/or parity on biweekly weight gain was investigated. METHODS: We analyzed the biweekly weight gain data from 910 women who had noncomplicated singleton term pregnancy. Data was categorized in three groups according to body mass index (BMI). RESULTS: The biweekly weight gain table has been determined and 'Sigmoid(S) shaped' weight gain curves were presented. Primipara and multipara have significantly less weight gain than nullipara beyond the 25th weeks. Biweekly weight gain was significantly different among prepregnancy BMI groups from the 13th week. CONCLUSION: More careful prenatal care according to the biweekly weight gain-gestational week tables is needed to prevent a lot of complications which may be associated with abnormal weight gain during pregnancy. To establish Korean standard value for antenatal weight gain, a nationwide multicenter study is needed.
Body Mass Index ; Female ; Humans ; Parity ; Pregnancy* ; Prenatal Care ; Weight Gain*

OBJECTIVE: To establish the biweekly standard values of pregnancy weight gains for primiparas and multiparas, and to investigate the influence of prepregnancy body mass index on biweekly weight gain during pregnancy. METHODS: We analyzed the biweekly weight gain data from 536 primiparas and 114 multiparas who had noncomplicated singleton term pregnancy. Data was categorized according to parity and body mass index (BMI). RESULTS: Biweekly weight gain was significantly different among prepregnancy BMI groups from the 15th week but was not different between primiparas and multiparas. CONCLUSION: To prevent a lot of complications which may be associated with abnormal weight gain during pregnancy, more careful prenatal care according to the prepregnancy BMI groups is needed. To establish the Korean standard value for antenatal weight gain, a nationwide multicenter study is needed.
Body Mass Index ; Female ; Parity ; Pregnancy* ; Prenatal Care ; Weight Gain*