No abstract available.
Glomerular Filtration Rate* ; Plasma*

A comparative observation was done on 139 patients of the lower ureteral stone, those were applied cystoscopic manipulation with 3 different types of stone dislodger at the Department of Urology, Seoul Adventist Hospital, during the periods from Jan. 1982 to June 1985. During that periods, we applied end-loop catheter in 48 patients, blunt-tip Dormia basket in 38 patients. The results were as follows; 1. The success rate of passage of dislodger beyond the stone was the highest in filiform-tip Dormia basket (97.4%) and loop catheter was the lowest (8l.3%). 2. The success rate of the primary stone extraction with filiform-tip Dormia basket was the highest (86.8%). 3. Indwelling of the dislodger in the ureter loop catheter was the most successful method among them(62.5%). 4. Of the cases of passage beyond the stone, the success rates of the stone extraction were very high and similar in their results, as in 92.3% with loop catheter, in 90.9% with blunt-tip Dormia basket, in 91.9% with filiform-tip Dormia basket. 5. The overall success rate of stone extraction was 75.0% in loop catheter, 75.5% in blunt-tip Dormia basket 89.5% in filiform-tip Dormia basket.
Catheters ; Humans ; Seoul ; Ureter ; Urolithiasis ; Urology

PURPOSE: The objective of this study was to define the Os Submedialis Malleolare (OSM) as an any ossicles below medial malleolus of tibia and to determine the characteristics of clinical and radiological characteristics and to evaluate results of surgical treatment of OSM. MATERIALS AND METHODS: Twenty-six patients with OSM were identified between November 1, 1998 and June 30, 2002. RESULTS: The mean age was 18.3 years. All patient except one were male and soccer players comprised 71% (20 cases). Associated disease were 8 cases (29%) of chronic ankle instabilities, one case (4%) of anterior impingement syndrome and one (4%) of plantar fascitis. The most common clinical symptom was pain during walking and sports activity and sign was tenderness around medial malleolus. Only simple radiograph could reveal presence of ossicle and differentiate with acute fracture. If symptom and sign obscured , Bone scan (7 cases) and MRI (3 cases) identify causes of pain and tenderness. As a surgical treatment, all bony fragment caused symptom and sign were eliminated and medial collateral ligament was reattached meticulously. Associated chronic ankle instability were present, modified Brostrom procedure was done simultaneously. On follow-up, The symptomatic pain were wholly disappeared at average 2.2 months (1-6 months) after operation. On one year follow-up, all patients have been daily life without any complaints and all soccer players go back to the game within three months. CONCLUSION: Os Submedialis Malleolare have relatively rare incidence and most common clinical symptom and sign is tenderness on medial malleolar area of ankle, can be diagnosed both physical examination and plain X-ray film. As a treatment, Removal of ossicle and meticulous repair or reattachment of deltoid ligament could obtain excellent or good results.
Ankle ; Collateral Ligaments ; Fasciitis ; Follow-Up Studies ; Humans ; Incidence ; Ligaments ; Magnetic Resonance Imaging ; Male ; Physical Examination ; Soccer ; Sports ; Tibia ; Walking ; X-Ray Film

Scrub typhus is a zoonosis transmitted by a chigger of trombiculid mite and manifested with fever, skin rash, myalgia, and hepatitis etc. The renal involvement of the disease is prese-ted with transient microscopic hematuria and/or proteinuria. However acute renal failure or meningoencephalitis is very rare. We report a case of scrub typhus manifested with acute renal failure, meningoencephalitis, and hepatitis. The patient was treated with doxycycline and continuous arteriovenous hemofiltration (CAVH) and recovered successfully.
Acute Kidney Injury* ; Doxycycline ; Exanthema ; Fever ; Hematuria ; Hemofiltration ; Hepatitis* ; Humans ; Meningoencephalitis* ; Myalgia ; Proteinuria ; Scrub Typhus* ; Trombiculidae

No abstract available.

No abstract available.
Autoantibodies* ; DNA*

BACKGROUND: High doses of intrathecal bupivacaine may produce a high level of sensory and motor block, and arterial hypotension and, Intrathecal opioids added to low-dose local anesthetics produced a synergistic effect Thus it may be possible to augment spinal anesthesia without delaying recovery. The aim of this study was to investigate the efficacy and adverse effects of adding alfentanil to intrathecal small-dose bupivacaine for short-duration surgery. METHODS: In this randomized double-blinded, prospective study, 60 patients scheduled for short-duration surgery were randomly assigned to Group B10 (0.5% bupivacaine 10 mg), Group B5AE (0.5% bupivacaine 5 mg + alfentanil 0.25 mg + 0.1% epinephrine 0.2 ml + normal saline 0.3 ml), or Group B5A (0.5% bupivacaine 5 mg + alfentanil 0.25 mg + normal saline 0.5 ml). The final volume of intrathecal injectate was adjusted to 2.0 ml with normal saline. Neural block was assessed by pinprick and a modified Bromage scale. RESULTS: No significant difference was found between three groups at the median peak sensory level, but administered fluid, and the duration of sensory and motor blockade in Group B5A was significantly shorter than in Group B10. CONCLUSIONS: We conclude that alfentanil 0.25 mg with 0.5% bupivacaine 5 mg produced a shorter in neural blockade, than the other groups and that it did not cause hemodynamic instability and produced effective spinal anesthesia for short-duration surgery.
Alfentanil* ; Analgesics, Opioid ; Anesthesia, Spinal ; Anesthetics, Local ; Bupivacaine* ; Epinephrine ; Hemodynamics ; Humans ; Hypotension ; Prospective Studies

An en bloc bilateral osteotomy of the orbital roofs and frontal sinus for large or deeply situated anterior skull base tumors offers less brain retraction and a wide exposure. The authors describe en bloc bilateral osteotomy of the orbital roofs and frontal sinus, with skull base reconstruction using inner table of the patient's own frontal bone flap. The approach in this report offers the advantage of wide exposure, one-site operation and short operation time.
Brain ; Frontal Bone ; Frontal Sinus ; Orbit ; Osteotomy ; Skull Base* ; Skull*

Atropine and glycopyrrolate have been used for the reversal of non-depolarizing neuromuscular blockade as anticholinergics. Atropine may produce the central anticholinergic effect because it is a tertiary amine which can cross the blood-brain barrier. Glycopyrrolate is a quaternary ammonium compound that does not cross the blood-brain barrier. and as a result, it has no significant central anticholinergic effect. This report compares postanesthetic arousal between glycopyrrolate-neostigmine and atropine-neostigmine mixtures. We conclude that the glycopyrrolate-neostigmine mixture group have significantly more rapid arousal than the atropine-neostigmine group.
Ammonium Compounds ; Arousal* ; Atropine ; Blood-Brain Barrier ; Cholinergic Antagonists ; Glycopyrrolate ; Neuromuscular Blockade

No abstract available.
Anthropology, Cultural ; Female ; Genital Diseases, Female/epidemiology* ; Genital Diseases, Female/etiology ; Genital Diseases, Female/therapy ; Human ; Korea ; Medicine, Traditional*