No abstract available.
Spermatozoa*

No abstract available.
Crowns*

No abstract available.
Gastric Emptying* ; Pancreaticoduodenectomy*

No abstract available.
Gastric Emptying* ; Pancreaticoduodenectomy*

No abstract available.
Meningitis*

BACKGROUND: The red cell distribution width(RDW) has been reported to be of value in discriminating iron deficiency anemia(IDA) from the anemia of the other causes(non-IDA). The combination of a low MCV and a high RDW may indicate iron deficiency anemia. The purpose of this study was to discriminate IDA from anemia, using automated blood cell count alone. METHODS: We collected 139 cases of anemia in outpatients, with 80 cases of IDA and 59 cases of anemia due to other causes, from July 1995 to September 1996 in department of family medicine, Pusan Paik hospital. RESULTS: The sex distribution was 39(28.1%) in male, 100(71.9%) in female. The age distribution was 15 to 79 year. The hemoglobin level and MCV in IDA(9.5+/-1.6g/dl, 77.5+/-8.9fl) was significantly lower than those in non-IDA(10.1+/-1.5g/dl, 87.6+/-10.5fl)(P=0.042, P<0.001, respectively). And mean RDW in IDA(16.9+/-3.3%) was significantly higher than that in non-IDA(15.1+/-3.2%)(P<0.001). In discriminating IDA from anemia, we drew receiver operating characteristic curves (ROC curves) with each value of MCV and RDW. The cut-off value of MCV was 83fl, and in that value, the sensitivity and specificity were 75.9% and 72.9%, respectively. The cut-off value of RDW was 14.3%, and the sensitivity and specificity were 78.2% and 57.6 %, respectively. We combined each value of MCV with RDW, the cut off value were 83fl of MCV and 14.3% of RDW, and the sensitivity and specificity were 76.3% and 71.3%, respectively. CONCLUSIONS: The sensitivity and specificity of MCV, RDW and combination of MCV and RDW were not so high in discriminating IDA from the anemia of the other causes in ambulatory patients.
Age Distribution ; Anemia* ; Anemia, Iron-Deficiency ; Blood Cell Count ; Busan ; Female ; Humans ; Iron ; Male ; Outpatients ; ROC Curve ; Sensitivity and Specificity ; Sex Distribution

BACKGROUND: The mechanically ventilated patient's stay in the emergency department (ED) is brief but ventilatory management and intervention must be optimal. Agitation, anxiety, distress, and discomfort are common complications far the ventilated patient. So, sedation is necessary to reduce these complications. METHODS: Patients were monitored and mechanically ventilated. Midazolam was intravenously administered as loading dose(3-5mg), followed by continuous infusion at a rate of 0.06mg/kg/hr, titrated to achieve a predetermined sedation level (Ramsay's sedation score: 2-5 points, Glasgow coma score scathe : 8-11 points). RESULTS: After onset of predetermined sedation, systolic and diastolic blood pressure and heart rate remained stable during continuous infusion when compared with those of the initial state. Arterial blood gas and peak inspiratory pressure remained unchanged but respiratory rate was decreased to allowable ranges. CONCLUSION: A short-term continuous infusion of midazolam was a safe and erective method for sedation of ventilated patients in ED.
Anxiety ; Blood Pressure ; Coma ; Dihydroergotamine ; Emergency Service, Hospital ; Heart Rate ; Humans ; Midazolam* ; Respiratory Rate

PURPOSE: The Burch bladder neck suspension is a effective treatment for stress urinary incontinence due to hypermobility. To assess the safety, effectiveness and potential benefits of the transperitoneal laparoscopic Burch colposuspension. MATERIALS AND METHOD: We assessed the short-term result of 15 patients who underwent a laparoscopic Burch colposuspension with transperitoneal approach. All patients had stress incontinence with bladder neck hypermobility and no cystocele and rectocele. The 14 patients had coexisting disorder(uterine myoma 11, ovarian cyst 2, carcinoma in situ 1), so concomitant operation was performed 14 cases(laparoscopic assisted vaginal hysterectomy 12, laparoscopic assisted ovarian cystectomy. RESULTS: In 15 patient who underwent the laparoscopic procedure, continent in 11(73%), improved in 1 (6%) and failed in 3(20%) with mean follow-up of 14 months (range 6-18). The mean operation time was 81 minutes(range 70-120), mean postoperative hospital stay was 4.8 days(range 3-7). CONCLUSIONS: Laparoscopic colposuspension with the transperitoneal approach is a reasonable alternative in treating stress urinary incontinence, especially when the patients have previous properitoneal or lower abdominal surgery or concomitant operation for coexisting disease. Early results are similar to those of open and needle suspension techniques, although longer follow-up is necessary to determine longterm efficiency.
Carcinoma in Situ ; Cystectomy ; Cystocele ; Female ; Follow-Up Studies ; Humans ; Hysterectomy, Vaginal ; Length of Stay ; Myoma ; Neck ; Needles ; Ovarian Cysts ; Rectocele ; Urinary Bladder ; Urinary Incontinence

The purpose of this study was to define the optimum dose of lidocaine required to reduced pain on injection of diazepam. We conducted a prospective, randomized trial on l20 patients undergoing anesthesia. patients were allocated to four groups according to the lidocaine do sage: group A(control), no lidocaine; group B, lidocaine 0.1 mg/kg; group C, lidocaine 0.2 mg/kg; group D, lidocaine 0.4 mg/kg. our results sbowed that a dose of lidocaine 0.4 mg/kg significa ntly reduced the incidence of pain.
Anesthesia ; Diazepam* ; Humans ; Incidence ; Lidocaine* ; Prospective Studies

No abstract available.
Ambulatory Care Facilities* ; Humans ; Outpatients* ; Pharynx*