Transient hyperkalemia is well known to occur in man following intravenous administration of succinylcholine chloride. We studied the change of the serum potassium concentration after injection of succinylcholine in nonburn patients and electricburn patients, physical status 1 or 2 adopted by the American Society of Anesthesiologists. We compared two groups: Non-burn patient group(Group 1) as control, Electric burn patient group (Group 2) as experimental. The following results were obtained: 1) In non-burn patient group(Group 1) serum potassium concentration was slightly decreased in the 1st, 2nd, 3rd, 4th, 5th, 6th and 10th minute after succinylcholine injection compared with control, but nostatistical significance was noticed in this group. 2) In electric burn patient group (Group 2) serum potassium concentration was maximally increased compared with the controls. Statistical significance was noticed at the 2nd and 3rd minute after succinylcholine injection in this group.
Administration, Intravenous ; Burns, Electric* ; Humans ; Hyperkalemia ; Potassium ; Succinylcholine*

No abstract available.
Down Syndrome* ; Humans ; Mothers*

Anti-Bacterial Agents ; Copper ; Disinfection ; Ethylene Oxide ; Fibroblasts ; Freezing ; Micropore Filters ; Sterilization ; Succinate Dehydrogenase ; Transplants

No abstract available.
Diagnosis* ; Hirschsprung Disease* ; Manometry*

Portal vein thrombosis (PVT) is a rare but serious complication of splenectomy that is more common in patients with hematologic disorders (hemolytic anemia, myeloproliferative disease, etc.), but relatively rare when splenectomy is conducted because of trauma. We present the case of a 42-year-old woman, admitted for abdominal trauma, who produced a computed tomography (CT) scan showing a grade IV splenic laceration with perisplenic hematoma and subsequently underwent splenectomy. Preoperatively, a hematologic workup revealed no underlying platelet or coagulation disorder. The patient developed PVT in her anterosuperior branch of the right portal vein and anticoagulation treatment was immediately started. After the event was resolved, no symptoms of PVT were observed, which was confirmed by laboratory and radiologic findings. In summary, we report a case of spontaneous PVT after splenectomy for trauma and its successful resolution with anticoagulation treatment.
Anemia ; Blood Platelets ; Female ; Hematoma ; Humans ; Lacerations ; Portal Vein ; Splenectomy ; Thrombosis

Prompt and accurate diagnosis of cervical spine injury is important to prevent the catastrophic results that can be caused by undetected lesions. Delayed or missed diagnosis of cervical spine injury occurs with an incidence of 5 to 20% according to previous studies. In this study, we report four cases of cervical instability without initial radiologic evidence. These cases demonstrate that dynamic flexion and extension radiographies can be a proper choice of modality to diagnose and exclude the possibility of cervical instability in a patient with a suspicious ligament injury on the static radiographies following acute cervical trauma.
Cervical Vertebrae ; Diagnosis* ; Dislocations ; Female ; Humans ; Incidence ; Ligaments ; Radiography ; Spine

Leiomyoma is a tumor rarely occurring in the nose and the paranasal sinus. It constitutes about 1% of all benign tumors arising in the head and neck area. This is probably due to the paucity of smooth muscle in the nose. We experienced a case of leiomyoma originating in the right side of the nasal septum in a 50-year- man. It was successfully removed by endoscopic surgery, and we report this case with literature.
Head ; Leiomyoma* ; Muscle, Smooth ; Nasal Septum* ; Neck ; Nose

Accessory tragus is an embryologic developmental anomaly of the external ear. It is usually presented as congenital, firm papules located anterior to tragus; but rarely, it apprears along an imaginary line drawn between the pretragal and the angle of the mouth, or on the neck along the anterior edge of the sternocleidomastoid muscle and the sternoclavicular region. Histologically, there are numerous follicles, prominent connective tissue framework in the subcutaneous fat and central core of cartilage. The diagnosis is made by the age of onset, site of localization, and affirmative histopathology. We herein report a unique case of cervical accessory tragus on the suprasternoclavicular region in an 8 year-old-boy along with a study of embryological review and differential diagnosis.
Age of Onset ; Cartilage ; Connective Tissue ; Diagnosis, Differential ; Ear, External ; Mouth ; Muscles ; Neck ; Subcutaneous Fat

PURPOSE: Papillary thyroid cancer (PTC) is known to have a favorable prognosis and low mortality. However, some PTC has aggressive propensity with loco-regional recurrence or distant metastasis, and it could cause poor quality of life. Many studies for predicting high-risk group in papillary thyroid cancer have been reported, however, more study is needed. The objective of this study is to assess the efficiency of inflammation indices including the Neutrophil-Lymphocyte Ratio (NLR) as a predictor for high-risk group in papillary thyroid cancer patients. METHODS: From January 2006 to November 2012, this study enrolled consecutive 164 patients who underwent total thyroidectomy and were confirmed with papillary thyroid cancer by histopathology. Among 164 patients, 23 were excluded because they had co-morbidities which could confound the inflammation related variables. We reviewed the medical records of 141 patients and assessed the correlation between inflammation indices including preoperative serum NLR and clinical prognostic parameters, including age at presentation, tumor size, extra-thyroidal extension, lymph node metastasis, TNM stage, and MACIS score. RESULTS: In the papillary thyroid cancer patients, preoperative value of NLR, ESR, CRP, platelet, and albumin showed no significant correlation with the risk factors. CONCLUSION: In this study, preoperative inflammatory parameters such as NLR had uncertain efficacy as risk factors for papillary thyroid cancer.
Blood Platelets ; Humans ; Inflammation ; Lymph Nodes ; Medical Records ; Mortality ; Neoplasm Metastasis ; Prognosis ; Quality of Life ; Recurrence ; Risk Factors ; Thyroid Neoplasms* ; Thyroidectomy

PURPOSE: Chronic inflammation induces cancer and cancer induces local tissue damage with systemic inflammation. Therefore, the aim of this study is to investigate the potential relationship between the severity of inflammation and prognosis in cancer patients. MATERIALS AND METHODS: This study enrolled 220 patients from January 2002 to December 2006 who underwent gastric surgery. We evaluated the relationship between preoperative inflammatory parameters (erythrocyte sedimentation rate, neutrophil-to-lymphocyte ratio) and other clinicopathological factors. Survival outcomes were compared according to the extent of inflammation. RESULTS: Significant elevation of erythrocyte sedimentation rate was related with old age, increased neutrophil-to-lymphocyte ratio, decreased hemoglobin, increased carcinoembryonic antigen, increased tumor size and advanced TNM stage. Neutrophil-to-lymphocyte ratio was significantly correlated with old age, increased erythrocyte sedimentation rate and advanced TNM stage. In the univariate analysis, elevated erythrocyte sedimentation rate and increased neutrophil-to-lymphocyte ratio had significantly poorer survival than those without elevation (all P<0.05). However, the multivariate analysis failed to prove erythrocyte sedimentation rate and neutrophil-to-lymphocyte ratio as independent prognostic factors. CONCLUSIONS: The elevation of erythrocyte sedimentation rate and neutrophil-to-lymphocyte ratio were correlated with poor prognosis in the univariate analysis and there was a strong correlation between inflammatory parameters (erythrocyte sedimentation rate and neutrophil-to-lymphocyte ratio) and tumor progression. Thus, erythrocyte sedimentation rate and neutrophil-to-lymphocyte ratio are considered useful as follow-up factors.
Blood Sedimentation ; Carcinoembryonic Antigen ; Follow-Up Studies ; Hemoglobins ; Humans ; Inflammation ; Multivariate Analysis ; Prognosis ; Stomach Neoplasms