1.Post-thyroidectomy hypocalcemia.
Sang Woo CHOO ; Young Jong JEGAL
Journal of the Korean Surgical Society 1992;42(6):741-747
No abstract available.
Hypocalcemia*
2.Paradoxical intracranial calcification in chronic profound hypocalcemia.
Ho Cheol KANG ; Dong Jin CHUNG ; Min Young CHUNG
Korean Journal of Medicine 2006;70(1):117-118
No abstract available.
Basal Ganglia
;
Hypocalcemia*
3.Clinical Observation for Hypocalcemia in Infant.
Seon Myeong KIM ; Sang Woo KIM ; Du Hee KIM
Journal of the Korean Pediatric Society 1983;26(12):1196-1202
No abstract available.
Humans
;
Hypocalcemia*
;
Infant*
4.Significance of hypocalcemia in predicting dengue severity in the pediatric population: A systematic review and meta-analysis
Katrina Mariz G. Domingo ; Cherrie Lou Nazareth-Duque ; Ma. Christina C. Blanco
Health Sciences Journal 2021;10(1):55-62
INTRODUCTION:
Dengue is one of the causes of morbidity and mortality among pediatric patients. Calcium has been shown to play a role in the myocardial function of the patient and is a potential cause of mortality among dengue patients. This study aimed to determine the accuracy of hypocalcemia in predicting the severity of dengue among pediatric patients.
METHODS:
This is a systematic review and meta-analysis of published studies identified through an electronic literature search using PubMed/Medline, Cochrane Library, Herdin, Google Scholar, and hand search. Validity was assessed using the Cochrane risk of bias tool. Statistical analysis of the diagnostic test accuracy review was done using Review Manager 5.4.1 with the random effects model. Results showed sensitivity and specificity of hypocalcemia in severe dengue with a 95% confidence interval. The predictive values and likelihood ratios were also computed.
RESULTS:
Four studies were analyzed. The mean serum total and ionized calcium levels of patients were decreased among the severe dengue group. Data showed that there is a 74% sensitivity (95% CI = 0.58, 0.84) and 75% specificity (95% CI = 0.67, 0.81) with a positive predictive value of 67% and a negative predictive value of 90.7%.
CONCLUSION
This systematic review and meta-analysis showed that hypocalcemia may be a useful tool to predict severe dengue fever. However, further analysis is needed to strengthen the the diagnostic accuracy of hypocalcemia.
Severe Dengue
;
Hypocalcemia
5.Relationship of post-thyroidectomy hypocalcemia to surgeon’s experience in a private tertiary hospital
Philippine Journal of Otolaryngology Head and Neck Surgery 2023;38(2):31-34
Objective:
To determine the association of surgeon’s experience based on years of practice and incidence of post thyroidectomy hypocalcemia.
Methods:
Design: Retrospective cohort study.
Setting: Tertiary Private Training Hospital.
Participants: Records of patients who underwent total thyroidectomy in a private tertiary hospital from January 2003 to December 2018 were retrospectively reviewed. Medical information obtained were patient demographics, surgeon’s years of practice, thyroid specimen weight, technique of surgery, histopathologic findings and calcium assay values. Chi square test and Odds Ratio analysis were used to determine the relationship between the surgeon’s experience and post-thyroidectomy hypocalcemia.
Results:
Three hundred fourteen (314) patients who underwent total thyroidectomy from 2003 to 2018 were included in the study. Overall rate of post-operative hypocalcemia was 41%. On multivariate analysis, no significant odds ratio was found between surgeons with 5 to 19 years of experience and those with more than 19 years of experience in relation to post-operative hypocalcemia [Odds Ratio 1.4 (95% Confidence Interval 0.7 to 2.6)]. Odds ratios for other variables may be interpreted, however, they could not be generalized over the population where data was gathered since the 95% Confidence Interval includes 1.
Conclusion
The results of this retrospective cohort study suggest that post-thyroidectomy hypocalcemia is not associated with surgeon’s experience based on years of practice. Further studies are recommended in a multicenter approach to better generalize to the whole population.
Thyroidectomy
;
Hypocalcemia
;
Postoperative Complications
6.Neonatal hypocalcemia: clinical manifestations and prognosis.
Jeong Lim KIM ; Heung Dong KIM ; Chang Jun COE
Journal of the Korean Pediatric Society 1991;34(7):912-920
No abstract available.
Humans
;
Hypocalcemia*
;
Infant, Newborn
;
Prognosis*
7.Role of Serum Ca and 1,25(OH)2D3 as Predictor in Bone Metabolism Abnormality by Chronic Medication of Anticonvulsant.
Ho Soo KIM ; Hyun Ho KANG ; Sa Jun CHUNG ; Yong Mook CHOI
Journal of the Korean Pediatric Society 1997;40(11):1567-1571
PURPOSE: Chronic use of anticonvulsant bring about abnormalities of bone metabolism, as hypocalcemia, rickets and osteomalacia. Early detection and treatment of abnormalities is important to pediatric patients. To investigate the usefulness of the serum Ca and 1,25(OH)2D3 as an predictor of bone metabolism abnormality, the study was done. METHODS: Serum Ca, P, ALP and 1,25(OH)2D3 were measured and analyzed in 48 children who diagnosed as convulsive disorder and took anticonvulsant medication over 6 months in Pediatric Department of Kyung Hee Medical Center. RESULTS: 1) Average duration of medication was 3.4+/-2.5yrs. 2) Values of serum Ca and P, ALP, 1,25(OH)2D3 were normal. 3) Serum levels of anticonvulsants were therapeutic range. 4) 1,25(OH)2D3 had significant correlation to serum Ca (P<0.005) and P (P<0.05) but no correlation to ALP. 5) Duration of medication had significant correlation to 1,25(OH)2D3 (P<0.05) but no correlation to Ca. 6) Duration of medication had no correlation to 1,25(OH)2D3 and Ca. CONCLUSIONS: Because 1,25(OH)2D3 is a good predictor for change of bone metabolism by chronic medication of anticonvulsant than Ca, its regular check is necessary.
Anticonvulsants
;
Child
;
Humans
;
Hypocalcemia
;
Metabolism*
;
Osteomalacia
;
Rickets
8.Two Cases of Pseudohypoparathyroidism in Sibling.
Seon Young YOU ; Soo yong LEE ; Jeh Hoon SHIN
Journal of Korean Society of Pediatric Endocrinology 1997;2(2):255-262
Pseudohypoparathyroidism(PHP) is an inherited metabolic disorder characterized by hypocalcemia, hyperphosphatemia and an impaired phosphaturic response to exogenous parathormone(PTH), which are caused by end organ resistance to the action of PTH. Most of these patients have, in addition, the skeletal abnormalities of Albright hereditary osteodystrophy. We report two cases of PHP, suspicious type Ia, in sibling who were presented with multiple subcutaneous soft tissue calcification similar to that seen in tumoral calcinosis and had short stature, round face, brachydactyly and metabolic abnormalities(hypocalcemia, hyperphosphatemia, increased serum PTH, and decreased 24hr urinary basal cAMP)
Brachydactyly
;
Calcinosis
;
Humans
;
Hyperphosphatemia
;
Hypocalcemia
;
Pseudohypoparathyroidism*
;
Siblings*
9.Change of Ionized Calcium following Blood Transfusion during Hepatic Lobectomy.
Gyu Wan KIM ; Chee Mahn SHIN ; Joo Yuel PARK
Korean Journal of Anesthesiology 1992;25(6):1093-1099
Citrate in transfused blood forms a complex with calcium and decreases the free ionized calcium. Serum normalized ionized calcium(nCa2+) concentration was measured in patients receiving resection of brain tumor(Group l) and hepatic lobectomy(Group 2) before and after transfusion The results were as follows; l) nCa2+ concentration decreased from 1.08+/-0.08 mmol/L at baseline to 0.98+/-0.10 mmol/L(p< 0.05) at 10 min after transfusion in Group l. 2) nCa2+ concentration decreased from 1.13+/-0.05 mmol/L at baseline to 0.84+/-0.08 mmol/L(p< 0.01) at 10min and to 0.87+/-0.11 mmol/L(p<0.05) at 2hr after transfusion in Group 2. 3) nCa2+ concentration at 10 min and 2hr after transfusion in Group 2 were significantly lower than those in Group l(p<0.05). nCa2+ concentration decreased significantly after transfusion and didnt returned to baseline at 2hr after transfusion during hepatic lobectomy. We conclude that it is essential to measure ionized calcium(Ca2+) concentration directly and at frequent interval during transfusion in hepatic surgery and we can prevent or treat severe hypocalcemia and cardiovascular depression with measured serum Ca2+.
Blood Transfusion*
;
Brain
;
Calcium*
;
Citric Acid
;
Depression
;
Humans
;
Hypocalcemia
10.The Author Reply: Endocrine and metabolic emergencies in children: hypocalcemia, hypoglycemia, adrenal insufficiency, and metabolic acidosis including diabetic ketoacidosis.
Annals of Pediatric Endocrinology & Metabolism 2016;21(2):111-112
No abstract available.
Acidosis*
;
Adrenal Insufficiency*
;
Child*
;
Diabetic Ketoacidosis*
;
Emergencies*
;
Humans
;
Hypocalcemia*
;
Hypoglycemia*