No abstract available.
Lymphoma, Non-Hodgkin* ; Small Cell Lung Carcinoma*

No abstract available.
Humans ; Infant, Newborn*

We have experienced an anesthetic management of 56-year-old male patient with carotid stenosis. Carotid endarterectomy was performed with processed electroencephalography (compressed spectral array, CSA) monitoring. Carotid endarterectomy has significant risk of perioperative stroke and myocardial infarction. For brain protection during carotid cross clamp, body temperature of patient was maintained at 33.5oC and thiopental was infused continuously to induce burst suppression. To maintain blood pressure during cross clamp, dopamine was infused continuously and phenylephrine was injected intermittently. CSA was performed to monitor thiopental-induced burst suppression and ischemic brain insult. After releasing carotid cross clamp, body temperature was raised to 35oC.
Blood Pressure ; Body Temperature ; Brain ; Carotid Stenosis ; Dopamine ; Electroencephalography ; Endarterectomy, Carotid* ; Humans ; Hypothermia ; Male ; Middle Aged ; Myocardial Infarction ; Phenylephrine ; Stroke ; Thiopental

No abstract available.

Annular pustular psoriasis is a rare variant of the generalized pustular psoriasis characterized by annular lesions with rapidly evolving pustules, associated mild toxicity, and rapid response to therapy. We present a case of annular pustular psoriasis in a 17-year-old male, in whom no previous history of psoriasis was found. The skin lesions were characterized clinically by annular to gyrate erythematous lesions with pinpoint pustules near the periphery on both shoulders, upper arms, and back areas. The histology showed large intraepidermal spongiform pustules. Most of the skin lesions disappeared within 1 week with topical corticosteroid cream.

Although extrahepatic metastasis of hepatocellular carcinoma are frequent as about 64%, implants involving the peritoneum are rare. We presented a cases, whieh is hepatocellular carcinoma with metastasis to visceral peritoneum revealing multiple, hard, variable-sized and nodular mass including large mass over 10 cm in size. The presence of tumor was diagnosed by serum alpha fetoprotein, abdaminal CT, celiac and SMA angiography and biopsy with laparoscopy.
alpha-Fetoproteins ; Angiography ; Biopsy ; Carcinoma, Hepatocellular* ; Laparoscopy ; Neoplasm Metastasis* ; Peritoneum

PURPOSE: This study was aimed to investigate age-related changes of CD5+ B lymphocytes in healthy Korean neonates. METHODS: Sixty healthy neonatal infants were enrolled in this study; at birth(n=10), day 1(n=10), day 2(n=10), day 3(n=10), day 4 (n=10) and day 5 (n=10). Phenotypic analysis of CD5+ B lymphocytes was performed on blood samples using standard flow-cytometric techniques. RESULTS: The percentage of lymphocyte was significantly increased from at birth to day 5. The percentage of CD19+ lymphocyte was decreased from at birth to day 4, but statistically not significant. The percentage of CD5+ /CD19- lymphocyte on day 5 was significantly lower than that of at birth. The percentage of CD5-/CD19+ lymphocyte was not changed. The percentage of CD5+ /CD19- lymphocyte on day 1 was significantly higher than that of at birth, then it gradually decreased with aging to the at birth figure. The percentage of CD5+ /CD19+ lymphocyte was decreased from at birth to day 5, but the changes were not significant. The percentage of CD5+ / CD19+ lymphocyte in CD19+ lymphocyte was decreased from at birth to day 5, but it was not statistically significant. CONCLUSION: CD5+ B lymphocyte counts are considerably higher than previously established adult values and the age-related changes are very important in interpretating CD5+ B lymphocyte. These data may serve as a reference range for studies in early neonatal period.
Adult ; Aging ; B-Lymphocytes* ; Humans ; Infant ; Infant, Newborn ; Lymphocyte Count ; Lymphocyte Subsets ; Lymphocytes ; Parturition ; Reference Values

Neonatal Hyperbilirubinemia is increasing in frequency and there have been suggestions that this may be due to some change in factors involved in delivery. In this study, among numerous hypothesized factors, maternal age, gestational age, birth weight, birth order, and methods of delivery were tested if there were statistical associations between these factors and occurance of neonatal hyperbilirubinemia. For the study 83 cases(jaundiced infants) and sex matched 332 controls (normal infants) were chosen from the hospital records in St. Mary's Hospital, Catholic Medical Center. For testing the association between hypothesized factors and neonatal hyperbilirubinemia, X2-test was applied and relative risk estimates(odds ratio) were calculated for judging the degree of association. Mantel-Haenszel method was also used for calculation of summary relative risk. Study results showed that there was a strong statistical evidence of association between neonatal hyperbilirubinema and instrumental delivery such as vaccum delivery. Birth order seemed to be associated with the neonatal hyperbilirubinemia in simple X2-test of univariate situation, but the association disappeared when the method of delivery was controolled. Other factors (maternal age, birth weight, and gestational age) revealed no influence on the occurrence of the jaundice even in the simple X2-test. This study was able to suggest that the incidence of the neonatal jaundice could be reduced by applying more skilled technique when instrumental deliveries were needed and by making more conservative decision about the use of instrumental deliveries.
Birth Order ; Birth Weight ; Case-Control Studies* ; Gestational Age ; Hospital Records ; Hyperbilirubinemia, Neonatal* ; Incidence ; Infant, Newborn ; Jaundice ; Jaundice, Neonatal ; Maternal Age

PURPOSE: To evaluate MR characteristics of periosteal reactions and subperiosteal abscesses in osteomyelitis as compared with radiographs. MATERIALS AND METHODS: We retrospectively reviewed 28 patients(18 males, 10 females) with osteomyelitis. Nineteen patients underwent MR imaging with 0.5 T. We analyzed for morphologic patterns, intervals of appearance and disappearance of periosteal reactions after symptom onset. Twenty-three patients were confirmed by surgery and 5 patients by the radiologic findings, clinical and laboratory data. RESULTS: Periosteal reaction appeared as low signal intensity arc on the T1- and T2-weighted axial images. In 3-7 days after symptom onset, periosteal reactions and subperiosteal abscesses were noted on MR imaging, and only two of eleven patients were noted in radiographs. Periosteal reactions of 8-14 days after symptom onset were demonstrated in all of 13 patient on MR, and 9 on plain radiographs. All patients with 2 weeks after symptom onset showed perioste.al reaction in plain film and MR. The periosteal reactions persisted until approximately 2 to 3 months after treatment on follow up radiographs. CONCLUSION: Periosteal reactions in osteomyelitis are detected on the MR imaging earlier than plain film. MR is valuable in detecting subperiosteal abscess which is not appecent in simple radiographs. Periosteal reactions can be seen on MR in 3 days after symptom onset and persist for 2-3 months after treatment.
Abscess ; Follow-Up Studies ; Humans ; Magnetic Resonance Imaging* ; Male ; Osteomyelitis* ; Retrospective Studies

The effects of topical Betoptic(R) 0.5% and Mikelan(R) 2% on the ophthalmic artery blood pressure and perfusion pressure were investigated in 30 healthy subjects using ophthalmodynamometer and Goldmann applanation tonometer. The subjects were divided into two groups and each has 15 healthy subjects. In a randomized, double-blind study, one eye of each subject received one drop of Betoptic(R) 0.5% or Mikelan(R) 2%, and fellow eye was received a drop of placebo. Diastolic ophthalmic artery blood pressure (OABPd), systolic artery blood pressure (OPBPs), and intraocular pressure (lOP) were measured just before and 2 hours after the instillation of the drugs. Mean ophthalmic arery blood pressure (OABPm) was calculated as OABPm = OABPd + 1/3 (OABPs - OABPd) and the perfusion pressure (PP) was calculated as PP = OABPm - lOP. The perfusion pressure (pp) was Betoptic(R)-treated group was increased by 9%, and that of Mikelan(R)-treated group was increased by 13%, these increasement were statistically significant (Both group P<0.01).
Arteries ; Blood Pressure ; Double-Blind Method ; Intraocular Pressure ; Ophthalmic Artery ; Perfusion*