Ketalar, a new parenteral anesthetic, was used as a clinical trial for 14 surgical cases ranged from 2 to 15 year old children, and also intraocular pressures of their patient's sound eyes were measured before and after Ketalar injection, I.M. 5-10 mg/kg. Unlike conventional anesthetic agents, Ketalar caused a significant rise in intraocular pressure within 5 minutes and then the pressure improved to normal range about 15 minutes after Ketalar injection. Ketalar could not recommended as a general anethetic agent in case who should examine the intraocular pressure. In eye surgery under 15 year old children, this agent would be a safe and effective general anesthetic, and in an emergent eye injured case, Ketalar is an agent of first choice and can injects to patient regardless of diet intake.
Adolescent ; Anesthetics ; Child* ; Diet ; Humans ; Intraocular Pressure* ; Ketamine* ; Reference Values

Aberrant left-sided pulmonary artery(pulmonary artery sling) is an uncommon anomaly, which may cause significant respiratory abnormality. We report a case of pulmonary artery sling which is combined with persistent left superior vena cava and dextrocardia. This case was identified by esophagogram and CT and confirmed by MRI and angiography. We consider that MRI is a valuable new method for the diagnosis of aberrant left-sided pulmonary artery.
Angiography ; Arteries ; Dextrocardia ; Diagnosis ; Magnetic Resonance Imaging ; Methods ; Pulmonary Artery* ; Vena Cava, Superior

Authors performed 25 corneal grafts in 24 patients since the inauguration of The Central Eye Bank, attached to the Department of Ophthalmology, St. Mary's Hospital, Catholic Medical College, in April 19, 1967. Method and results of these cases are as follows; METHOD: In technique of surgery, the grafts in most of the cases were 7 mm in diameter(Table 3), in two types of penetrating and lamellar corneal grafts(Table 4). The donor material came from patient age group of 51-60 years old in most and was used within 24 hours after death (Table 5). In most cases we placed 12 interrupted sutures except of two cases for continuous suture by 8-0 virgin silks. Preoperative and postoperative cares were routine with systemic dexamethasone, 7.0mg a day was given routinely on the 5 th postoperative day for 30-50 days because of prevention of graft rejection. RESULTS AND SUMMARY: Table 7 summbrizes the results of our observation. Nineteen of the 25 grafts remained clear. And there was improved vision above 20/200 in ten eyes out of nineteen clear grafts. Table 10 lists the reasons why nine clear grafts did not improve vision. Postoperative complications occurred in fourteen grafts (Table 11). Penetrating corneal grafts for adherent leucoma courneae, staphyloma corneae and corneal scars from alkaline burn were failed to maintaining the clear graft. The donor material, the recipient cornea, graft rejection as a complication and its prevantion were discussed. ACKNOWLEDGEMENTS: We wish to express our sincere gratitude to an those who have guided in carrying out the present investigation. In particular, We are jndebted to Dr. Bon Sool Koo, Former Chief and Professor, Department of Ophthalmology, Catholic Medical College. Dr. Sang Wook Rhee. Chief and Associate Professor, Department of Ophthalmology, Catholic Medical College.
Burns ; Cicatrix ; Cornea ; Corneal Transplantation* ; Dexamethasone ; Eye Banks ; Graft Rejection ; Humans ; Ophthalmology ; Postoperative Complications ; Silk ; Sutures ; Tissue Donors ; Transplants*

No abstract available.
Nasal Bone*

OBJECTIVE: This study was designed to evaluate the efficiency of tumor markers level for early diagnosis of ovarian malignancy and for differentiation between benign and malignant ovarian tumors. MATERIALS AND METHODS: We determined preoperative serum tumor markers level in patients who were going to have an operation due to ovarian tumor in OB & GY Dept. of Chonnam University Hospital from April 1993 to September 1999. RESULTS: 1) The average values of serum tumor markers in patients with malingnant ovarian tumors were statistically higher than those of benign ovarian tumors. among malignant ovarian tumors, positive rate of all serum tumor markers was highest in epithelial ovarian carcinoma group. and among ovarian tumor markers, and positive rate of CA 125 was highest in epithelial ovarian carcinoma. 2) Dermoid cyst and endometioma were correlated to CA 19-9, CA 125 levels respectively. for malignant tumors, mucinous ovarian adenocarcinoma and non-mucinous ovarian adenocarcinoma were CA 19-9, CA 125 levels respectively. 3) Among ovarian tumor markers, CA 125 was the most in sensitivity and CA 72-4 was the most in specificity and diagnostic efficiency. 4) For postmenopausal women with ovarian tumors, elevated levels of at least one of the 4 tumor markers were present in the serum in 85.7% of the women who developed cancer, 62.5% of women with borderline, 27.8% of women with benign ovarian tumors. Conclusion; It is suggested that determination of serum tumor markers in patient suspected of ovarian tumor may be helpful to clinician for early diagnosis, differentiation between malignant and benign ovarian tumors.
Adenocarcinoma ; Dermoid Cyst ; Early Diagnosis ; Female ; Humans ; Jeollanam-do ; Mucins ; Sensitivity and Specificity ; Biomarkers, Tumor*

The authors report 2 cases of pseudotumor cerebri in which ventriculoperitoneal shunting procedures have been performed to relieve intracranial hypertensions, and satisfactory results have been obtained.
Pseudotumor Cerebri* ; Ventriculoperitoneal Shunt*

The permeability in vitro of rabbit corneal epithelium alone and whole cornea to four radioactive substances of various molecular weights-tritiated water (THO: molecular weight 22), mannitol (molecular weight 182), inulin(molecular weight 5,175), and dextran(molecular weight 77,500)-was directly measured by using a newly designed lucite chamber (Fig.1) and a proportional counter system for radioisotope experiments. The permeability of the corneal epithelium and the whole cornea varied with the size of molecular weight (Fig.4) and curvilineally with respect to molecular radius (Fig.5). Certainly the data (Table 2 and 3) support that the greater part of non-electrolyte permeation was through intercellular spaces passively. The epithelial or whole corneal permeability fell markedly as the molecular weight increased from 22 to 5,175. Above the molecular size of inulin, the permeability decreased much as the molecular weight increased. Generally, tritiated water permeability was about 150 times greater than that of mannitol and about 2,000 times than that of inulin and about 10,000 times than that of dextran. The difference between the permeability of the epithelium alone and that of the whole cornea was not noticed. Futhermore, the permeability, either of epithelium alone or the whole cornea, did not vary significantly depending upon the location of the hot side with any of the four kinds of isotope-labelled solutes, whether it was set at the epithelial or endothelial side of the corneal membrane (P>0.1). These results may support that the epithelial layer plays a main role as a physical barrier for nonelectrolyte solutes movement across the rabbit cornea.
Cornea* ; Dextrans ; Epithelium ; Epithelium, Corneal* ; Extracellular Space ; Inulin ; Mannitol ; Membranes ; Molecular Weight ; Permeability* ; Polymethyl Methacrylate ; Radius ; Water

The variations of the sigmoid sinus were studied in 50 Korean adults (average age 67). The classification of the shape and a measurement of the diameters of the sinus were done and the morpological. 1. The shape was classified into 4 types, and the round type was the most common in both sides. S shaped type was below 10% in both sides. 2. The breadth was regular in 54% of the right and in 70% of the left sinuses. According to the breadth change, the shape was classified into 4 shapes. 3. The average diameter was 8.6mm on the right side and 7.2mm on the left side. 4. Symmetry was present in 16% of all. 5. The right transverse sinus was absent in 1 case (2%) and the superior petrosal sinus did not open into the sigmoid sinus in 2 cases (4%). 6. Petrosqamous sinus was observed in 16%.
Adult* ; Classification ; Colon, Sigmoid* ; Humans

No abstract available.
Intussusception*

PURPOSE:The pathogenesis of short stature in growth hormone(GH) deficiency is believed to be based on the growth failure of growth plate chondrocytes by reduced growth hormone dependent insulin-like growth factor- I (IGF- I ) level in serum. Therefore, author studied the growth promoting effect of IGF- I purified from human serum on the chondrocytes, cultured from rat rib cartilage. METHODS:Rat rib cartilage were treated with type II collagenase and hyaluronidase and were cultured in Ham's F-12 culture media containing 10% fetal calf serum. Growth promoting effect of IGF- I was measured by MTT dye by adding 20ng/ml IGF- I purified by protein-diol 120 column(YMC Co, Japan) from human serum, to 1*104 cultured chondrocytes separated into each of 96 well culture vessel. RESULTS: 1) When elution time of biotin labeled IGF- I by protein pak 300sw column was compared to elution time of standard molecular weight, IGF- I exists as large complex of 150Kd and small complex of 50Kd with free 7Kd form in serum before acid treatment. After acid treatment, IGF- I exists as small complex of 50Kd with free 7Kd form. 2) IGF- I purified from blood samples, as compared to genetic engineering product standard IGF- I , showed good parallelism in competition inhibition curve by purity analysis utilizing IGF- I antibody, and thus it is assumed that complex protein as inhibiting factor for purified IGF- I does not exist. Furthermore, complex protein was not present on the Western ligand method using biotin-labeled IGF- I ligand after purified IGF- I transferred to nitrocellulose paper following SDS-PAGE electrophoresis. 3)IGF- I of 20ng/ml showed 30% growth promoting effect, when rat rib chondrocyte culture with Dulbeco's modified Eagles medium(DMEM) is considered to show maximum growth promoting effect, while with pure culture medium, DMEM, showing minimum effect. CONCLUSIONS:The results of this study suggest that IGF- I purified by this method assumes the role of growth promoting effect on the chondrocytes, and that the described method of radioimmuno assay of IGF- I also could effectively remove inhibiting protein complex, therefore allowing more accurate assay.
Animals ; Biotin ; Cartilage ; Chondrocytes* ; Collagenases ; Collodion ; Culture Media ; Eagles ; Electrophoresis ; Electrophoresis, Polyacrylamide Gel ; Genetic Engineering ; Growth Hormone ; Growth Plate ; Humans* ; Hyaluronoglucosaminidase ; Molecular Weight ; Rats* ; Ribs* ; Staphylococcal Protein A