No abstract available.
Lung Neoplasms* ; Lung* ; Neoplasm Metastasis*

No abstract available.
Glomerulonephritis* ; Humans ; T-Lymphocytes*

No abstract available.
Purpura, Thrombocytopenic, Idiopathic*

Aging changes on the upper third of the face include brow ptosis, glabellar furrowing and forehead transverse wrinkle caused by an imbalance of the forehead muscles. Surgical methods to correct these phenomena include forehead lift with a coronal incision, endoscopic access, and direct forehead skin excision. In response to a common need for cosmetic improvement in the brow-upper eyelid and a desire for minimal incisions for forehead rejuvenation, an approach through blepharoplasty incision had been developed. This approach has many advantages, such as fewer skin incision, less tissue mobilization and direct excision of the hyperactive depressor muscles. However, this approach is not suitable for those who have significant forehead wrinkle and ptosis. We used a combined subperiosteal approach for forehead lift and transection of the hyperactive corrugator and procerus muscles through blepharoplasty incision. This combined surgical technique is simple and effective to correct aging of the upper third of the face without the usual complication. We performed 10 cases of the transpalpebral approach for the correction of the upper third of the face from January 1997 to September 1998, following them up for from 3 to 6 months and obtained satisfactory results. We report our experiences with a review of the literature.
Aging* ; Blepharoplasty ; Eyelids ; Forehead ; Muscles ; Rejuvenation ; Skin

PURPOSE: This study was done to identify the ways regional public hospital nurses perceive the healthcare accreditation system as related to their patient safety management activities and nursing performance. METHODS: The participants were 190 nurses chosen with convenient sampling from nurses who worked at regional public hospitals that had obtained healthcare accreditation as of May, 2016 and who had experienced the healthcare accreditation process at least once and whose clinical experience was one year or longer. Collected data were analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients and multiple regression analysis. RESULTS: There were significant positive correlations between perception of the Healthcare Accreditation System, patient safety management activities and nursing performance. Factors affecting patient safety management activities were activities to improve medical service quality, patient dissatisfaction and difficulties, changes and values. These factors explained 55.4% of variance in patient safety management activities (F=22.25, p<.001). The factors affecting nursing performance were being charge nurses and activities to improve medical service quality. These factors explained 48.1% of the variance in nursing performance (F=16.57, p<.001). CONCLUSION: Finding indicate that positive perception of the healthcare accreditation system by nurses at local government institutions is a factor in heightening patient safety management activities and nursing performance.
Accreditation* ; Delivery of Health Care* ; Hospitals, Public* ; Humans ; Local Government ; Nursing* ; Nursing, Supervisory ; Patient Safety* ; Work Performance

No abstract available.
Humans

No abstract available.
Humans

No abstract available.
Cicatrix* ; Skin* ; Suture Techniques* ; Sutures*

No abstract available.
Femoral Neck Fractures* ; Femur Neck*

Glucocorticoids are usually given according to a standard dosing protocol regardless of individual difference. We evaluated the pharmacokinetic characteristics of methylprednisolone and the degree of interpatient variation in stable Korean renal transplant recipients during the period of 15-21 days after transplantation. This study included 23 renal transplant recipients, 13 males and 10 females, who received kidneys from living donors with stable graft function and without episode of acute rejection. On the study day at 8 A.M., 16.3mg of ethylprednisolone sodium succinate (i.v.) was administered to each patient instead of usual dose (20mg) of prednisolone (p.o.) after sampling of 7cc of baseline blood and additional blood samples were drawn after starting infusion. Plasma was separated and analyzed for methylprednisolone level using high performance liquid chromatography (HPLC) assay, and parameters for pharmacokinetics were calculated. There was significant interpatient variation in the pharmacokinetics of methylprednisolone in our patients group. There was no significant difference in the pharmacokinetic parameters between patients with and without side effects of steroid. Korean renal transplant recipients had higher volume of distribution than black renal transplant recipients; lower clearance than white renal transplant recipients; longer t1/2 than both black and white renal transplant recipients. Even if the number of patients included in this study was too small to reach conclusion, the differences in the pharmacokinetics of glucocorticoids do not seem to be a significant risk factor for side effects of steroid after transplantation. It may be necessary to individualize the dose of a glucocorticoid to achieve an optimal effect and also we need to establish a new steroid regimen protocol for Korean renal transplant recipients.
Chromatography, Liquid ; Female ; Glucocorticoids ; Humans ; Individuality ; Kidney ; Kidney Transplantation ; Living Donors ; Male ; Methylprednisolone* ; Pharmacokinetics ; Plasma ; Prednisolone ; Risk Factors ; Sodium ; Succinic Acid ; Transplantation* ; Transplants