Pulmonary embolism (PE) is the leading cause of maternal deaths and the incidence has been increased in recent years in Asian countries. Although the treatment options available for patients with massive PE include thrombolytic therapy, catheter-directed thrombectomy, and surgical embolectomy, there are no conclusive data or evidence on the appropriate treatment of PE. We experienced a case of massive PE with large thrombus involving major pulmonary arteries immediately after emergency cesarean section and successfully treated by thrombectomy, so hereby report the case.
Asian Continental Ancestry Group ; Cesarean Section ; Embolectomy ; Emergencies ; Female ; Humans ; Incidence ; Maternal Death ; Pregnancy ; Pulmonary Artery ; Pulmonary Embolism ; Thrombectomy ; Thrombolytic Therapy ; Thrombosis

Pulmonary embolism (PE) is the leading cause of maternal deaths and the incidence has been increased in recent years in Asian countries. Although the treatment options available for patients with massive PE include thrombolytic therapy, catheter-directed thrombectomy, and surgical embolectomy, there are no conclusive data or evidence on the appropriate treatment of PE. We experienced a case of massive PE with large thrombus involving major pulmonary arteries immediately after emergency cesarean section and successfully treated by thrombectomy, so hereby report the case.
Asian Continental Ancestry Group ; Cesarean Section ; Embolectomy ; Emergencies ; Female ; Humans ; Incidence ; Maternal Death ; Pregnancy ; Pulmonary Artery ; Pulmonary Embolism ; Thrombectomy ; Thrombolytic Therapy ; Thrombosis

No abstract available.
Hypertensive Encephalopathy ; Stroke, Lacunar

PURPOSE: To describe the demographics, relative incidence of subtypes, and clinical characteristics of blepharoptosis in Korean patients. METHODS: This is a retrospective, observational case series consisting of 2,328 patients who underwent ptosis surgery from 1991 to 2014 at a tertiary referral hospital in Korea. The patients were classified according to the type of ptosis and the evaluation of clinical characteristics including levator muscle function (LF) and degree of ptosis. RESULTS: Of the 2,328 patients, 1,815 (78%) had congenital ptosis and 513 (22%) had acquired ptosis. Simple congenital ptosis is the most common type overall (73.7%), and aponeurotic ptosis is the most common acquired type. More than three-quarters of eyes with congenital ptosis were affected in a moderate (34.4%) to severe degree (41.3%), and most of these eyes had fair (33.7%) to poor LF (60.1%). Among eyes with acquired ptosis, approximately three-quarters were affected in a mild (33.3%) to moderate degree (41.0%), with 63.3% of these eyes having good LF. The most widely used surgical technique was frontalis suspension (55.1%), followed by levator resection (29.0%) and aponeurosis repair (14.8%). At 3 years after the first surgery, 15.7% of patients with congenital ptosis and 10.4% of patients with acquired ptosis underwent reoperation. CONCLUSIONS: Although the prevalence has decreased from previous years, the proportion of cases with congenital ptosis was higher in this study than has been shown in research conducted in the West. The majority of eyes with congenital ptosis was affected to a severe degree and had poor LF, while those with acquired ptosis were affected to a moderate degree and had good LF. More cases with acquired ptosis presented with fair to poor LF, and frontalis suspension surgery was performed more commonly compared to previous studies. The reoperation rate was higher in congenital ptosis compared to acquired ptosis.
Blepharoptosis* ; Classification ; Demography ; Humans ; Incidence ; Korea* ; Prevalence ; Reoperation ; Retrospective Studies ; Tertiary Care Centers

Thyroid cancer is the most common malignancy in Korea; in 2012, about 44,000 new cases (19.6% of all malignancies) were registered and the estimated age-standardized incidence rate of thyroid cancer was 73.6 per 100,000 (17.3 and 88.6 per 100,000 in men and women, respectively). Despite the steep increase in its incidence, the age-standardized mortality rate of thyroid cancer has remained stable and 10-year relative survival rate is 99.2%. Increased detection using high-resolution ultrasonography may have contributed to the increased incidence of thyroid cancer if not all. However, the effectiveness of thyroid cancer screening using ultrasonography has not been fully evaluated as to whether screening and early diagnosis could decrease the morbidity or mortality of thyroid cancer. A multidisciplinary expert committee for developing a guideline for thyroid cancer screening was organized and established a recommendation for thyroid cancer screening using ultrasonography in Korea based on scientific evidence for the first time. In conclusion, the current evidence is insufficient to assess the balance of benefits and harms of the thyroid cancer screening by ultrasonography and the recommendation is that thyroid ultrasonography is not routinely recommended for healthy subjects.
Early Detection of Cancer ; Early Diagnosis ; Female ; Humans ; Incidence ; Korea ; Male ; Mass Screening* ; Mortality ; Survival Rate ; Thyroid Gland ; Thyroid Neoplasms* ; Ultrasonography