No abstract available.
Colorectal Neoplasms* ; DNA* ; Ploidies*

No abstract available.
Dermatomyositis* ; Lymphoma, Follicular*

No abstract available.
Neck* ; Nevus* ; Sebaceous Glands*

No abstract available.
Cellulitis* ; Klebsiella pneumoniae* ; Osteomyelitis*

No abstract available.
Acanthoma* ; Nose*

No abstract available.

A case of rare subcutaneous sparganosis in thigh treated by surgical excision is reported. In this 49year-old male with a palpable mass on the anteromedial aspect of mid-thigh (5x7x5cm sized) which was misdiagnosed with a soft tissue tumor initially, a sparganosis was suspected by a plain x-rays, bone scan and his past history which he frequently had raw snakes, frogs and raw fishes before but confirmed by MRI and surgical excision. This represents tor warning to some Koreans who have frequently comsumed raw fishes, snakes or frogs etc., and to some doctors because it is easily confused with a soft tissue tumor.
Fishes ; Humans ; Magnetic Resonance Imaging ; Male ; Snakes ; Sparganosis* ; Subcutaneous Tissue* ; Thigh*

43 cases of pen heart surgery anesthesia done at Kyungpook National University hospital from Jun 1983 to August 1984, were measured for the concentrations of serum Na, K, Cl and CO2 before, during and after bypass. Also these values were analysed according to disease such as A(V)SD, TOF and M(S)I groups. The results were as follows. The mean values for serum sodium level before, during and after bypass were observed to be 124.41+/-8.62, 127.56+/-8.63, and 130.73+/-29.04mEq/G. These values revealed a tendency to elevation and the value after bypass was significantly increased comparied with the value before bypass(p<0.01). The mean values for serum potassium levels of all the cases before, during and after bypass were observed to be 3.84+/-1.01, 4.38+/-1.48, and 3.59+/-0.95mEq/G. The value after bypass was significantly decreased compared with the value during bypass(p<0.001). The mean values for serum chloride level of all the cases before, during and after bypass were observed to be 98.26+/-6.87, 97.10+/-6.59 and 98.35+/-7.94mEq/G and these values showed no significant change. The mean values for serum carbon dioxide levels of all the cases before, during and after bypass were observed to be 20.78+/-3.70, 22.33+/-4.53 and 24.87+/-3.72 mEq/G and these values continuously increased. The value after bypass was significantly increased. The value after bypass was significantly increased compared with the value before bypass. In the changes of serum electrolytes before, during and after bypass according to disease, the serum potassium level after bypass of the A(V)SD group and during bypass of TOF group showed a significant change(p<0.05). The changed values in the serum electrolytes before and during bypass became within normal range after bypass.
Anesthesia* ; Carbon Dioxide ; Electrolytes ; Gyeongsangbuk-do ; Heart* ; Potassium ; Reference Values ; Sodium ; Thoracic Surgery*

We experienced a case of clipping of an intracranial aneurysm of a 63 year old male with a subarachnoid hemorrhage under general anesthesia. Preoperative electrocardiography showed complete Left Bundle Block (LBBB) without subjective symptoms. Among the intraventricular blocks, bundle branch block is the most common type and in particular, complete LBBB may progress to the more serious condition of complete heart block. Consideration of anesthetic management in such patients requires a knowledge of normal cardiac physiology, neurophysiology, the circulatory effects of various anesthetic agents and the pathophysiology of these diseases, to prevent any hypertension in response to intubation and surgery. We report upon the anesthetic management of a patient for clipping of an intracranial aneurysm with complete LBBB, which was performed successfully without complication.
Anesthesia, General ; Anesthetics ; Bundle-Branch Block* ; Electrocardiography ; Heart Block ; Humans ; Hypertension ; Intracranial Aneurysm* ; Intubation ; Male ; Middle Aged ; Neurophysiology ; Physiology ; Subarachnoid Hemorrhage

BACKGROUND: Nonrheumatic atrial fibrillation is common in elderly and associated with an increased risk for thromboembolism. Left atrial spontaneous echo contrast(SEC) and thrombus. which are easily detected by transesophageal echocardiography(TEE) in patients with rheumatic mitral valve disease and atrial fibrillation, have been known as markers of thromboembolism. However, most of the previous studies on left atrial SEC and thrombus were performed in rheumatic mitral valve disease or various conditions including rheumatic mitral valve disease. Therefore this study was underaken in order to investigatd 1) the prevalence of left atrial SEC and thrombus, and 2) clinical and echocardiographic variables related to left atrial SEC and thrombus in nonrheumatic atrial fibrillation. METHODS: In patients with estabished atrial fibrillation over 7 days, we examined the clinical gistory and performed transthoracic echocardiography(TTE) and TEE simultaneously. Enlisted patients were those without rheumatic mitral valve disease, prosthetic valves, previous thromboembolism, and recent anticoagulant therapy. RESULTS: 1) Left atrial SEC was detected in 32(62.7%) of 51 patients and left atrial thrombus in 10(19.6%). All thrombi were located in the left atrial appendage. 2) In univariate analysis, SEC positive group showed higher prevalence of congestive heart failure(CHF)(56.3% vs 0%, p<0.001), lower ejection fraction(42.2+/-14.1% vs 50.8+/-9.7%, p<0.05), lower left atrial appendage blood flow velocity(peak positive flow velocity ; 18.7+/-11.1cm/sec vs 32+/-12.4cm/sec, p<0.01, and peak negative flow velocity ; 21.4+/-12.4cm/sec vs 31.9+/-12.8cm/sec, p<0.01) than SEC negative group. Multivariate analysis identifed CHF as an independent variable related to left atrial SEC(p=0.02, Odds ratio ; 2.38, 95% CI ; 1.18-4.82). 3) In univariate analysis. left atrial thrombus positive group showed higher prevalence of CHF(70% vs 26.8%, p<0.05), larger left atrial demension(34+/-3.4mm/m2 vs 30.6+/-4.6mm/m2, p<0.05) than thrombus negative group. Multivariate analysis identifed CHF as an independent variable related to left atrial thrombus(p=0.04, Odds ratio ; 4.30, 95% CI ; 1.11-16.68). 4) Left atrial thrombus is more frequent in SEC positive group than in SEC negative group(28.1% vs 5.3%), however, there was no statistical significance(p=0.07). CONCLUSION: 1) Left atrial SEC is common in nonrheumatic atrial fibrillation and significantly related to CHF. 2) Left atrial thrombus is frequently detected in SEC positive patients, however, it is more realted to CHF than left atrial SEC itself.
Aged ; Atrial Appendage ; Atrial Fibrillation* ; Echocardiography ; Estrogens, Conjugated (USP) ; Heart ; Humans ; Mitral Valve ; Multivariate Analysis ; Odds Ratio ; Prevalence ; Thromboembolism ; Thrombosis*