No abstract available.
Classification* ; Female ; Hydatidiform Mole* ; Pregnancy ; Risk Factors*

No abstract available.
Classification* ; Female ; Hydatidiform Mole* ; Pregnancy ; Risk Factors*

No abstract available.
Umbilical Cord*

No abstract available.
Classification* ; Risk Factors* ; Trophoblastic Neoplasms* ; Trophoblasts*

No abstract available.
Pyelonephritis*

PURPOSE: The clinical factors that help to determine the management in the emergency department for acute poisoning are the type of toxic material and the amount, the cause of poisoning, and the toxidrome. Especially, when one cannot obtain much information about the type of toxic material and the amount from history taking, the most important factor in deciding whether a patient should be hospitalized or discharged is the toxidrome. The Poisoning Severity Score is a standardized system for scoring clinical signs and symptoms due to poisoning. This study was conducted to see if the Poisoning Severity Score on arrival at the emergency department might be used as a prognostic factor and, to see if there are any other factors that might be used to deciding on treatment plans and whether to hospitalize or discharge a patient. METHODS: Retrospective chart reviews of poisoned patients who had visited the Emergency Department of Ansan Hospital of Korea University were used in this study. Age, sex, the time taken to arrive at the emergency department after poisoning, the type of toxic material and the cause of poisoning, the mean arterial pressure, the pulse pressure, the respiratory rate, the body temperature, the initial Poisoning Severity Score, the AST, the serum creatinine level, the anion gap, and the base excess were checked. Also, the use of activated charcoal, gastric lavage, antidotes, hemodialysis/hemoperfusion, and mechanical ventilation, as well as the final Poisoning Severity Score and the clinical progress were checked. RESULTS: In cases of high initial poisoning, the final Poisoning Severity Score was, with statistical significance, much higher than it was in cases of low initial poisoning. Also, in cases of high final Poisoning Severity Scores, the mechanical ventilation rate and the death rate were higher than they were in cases of low final Poisoning Severity Scores, and this difference was statistically significant. In cases of high final Poisoning Severity Scores, mean age was older, and the intentional poisoning rate, the hemodialysis/ hemoperfusion rate, the base excess, and the initial Poisoning Severity Score were higher than in cases of low final Poisoning Severity Score. CONCLUSIONS: We have concluded that the initial Poisoning Severity Score can be a useful factor for giving a prognosis and for deciding on hospitalization and on a therapeutic plan. Also, we have concluded that multiple variables, such as the patient's age, the type of toxic material, the cause of poisoning, and the base excess are significant factors that can complement the initial Poisoning Severity Score in deciding on a hospitalization and therapeutic plan. Consequently, early evaluation of the type of toxic material and the cause of poisoning from history taking and early measurement of the initial Poisoning Severity Score and the variables mentioned above are of utmost importance in formulating a prognosis and deciding on the need for hospitalization.
Acid-Base Equilibrium ; Antidotes ; Arterial Pressure ; Blood Pressure ; Body Temperature ; Charcoal ; Complement System Proteins ; Creatinine ; Emergency Service, Hospital ; Gastric Lavage ; Gyeonggi-do ; Hemoperfusion ; Hospitalization ; Humans ; Korea ; Mortality ; Poisoning* ; Prognosis ; Respiration, Artificial ; Respiratory Rate ; Retrospective Studies

Hypokalemic periodic paralysis is an autosomal dominant disorder characterized by episodic weakness of skeletal muscle associated with hypokalemia. It may be presented as familial or sporadic. Familial hypokalemic periodic paralysis is caused by mutations in the muscle membrane dihydropyridine sensitive calcium channel alpha-1 subunit. The abnormal genes in most cases are located in the chromosome 1q31-32. We experienced 2 cases(a 14-year-old male, a 12-year old male) of familial hypokalemic periodic paralysis. Two cases presented with quadriplegia after eating salty foods. The diagnosis was made by demonstrating decreased plasma level of potassium. The patient responded dramatically to potassium replacement therapy. We report two cases of familial hypokalemic periodic paralysis caused by salty foods with a brief review of related literatures.
Adolescent ; Calcium Channels ; Child ; Diagnosis ; Eating ; Humans ; Hypokalemia ; Hypokalemic Periodic Paralysis* ; Male ; Membranes ; Muscle, Skeletal ; Plasma ; Potassium ; Quadriplegia

BACKGROUND: Adverse transfusion reactions (ATRs) are clinically relevant to patients with significant morbidity and mortality. This study aimed to review the cases of ATR reported in the recipient-triggered trace back system for a recent nine-year period in Korea. METHODS: Nine-year data obtained from 2006 to 2014 by the trace back system at the Division of Human Blood Safety Surveillance of the Korean Centers for Disease Control (KCDC) were reviewed. The suspected cases were assessed according to six categories: (i) related to, (ii) probably related to, (iii) probably not related to, (iv) not related to transfusion, (v) unable to investigate, and (vi) under investigation. RESULTS: Since 2006, 199 suspected serious ATRs were reported in hospitals and medical institutions in Korea, and these ATRs were reassessed by the division of Human Blood Safety Surveillance of the KCDC. Among the reported 193 cases as transfusion related infections, hepatitis C virus (HCV) infection (135, 67.8%) was reported most frequently, followed by hepatitis B virus (HBV) infection (27, 13.6%), HIV infection (13, 6.5%), syphilis (9, 4.5%), malarial infection (4, 2.0%), other bacterial infections (3, 1.5%), HTLV infection (1, 0.5%), and scrub typhus infection (1, 0.5%), respectively. Of the 199 cases, 13 (6.5%) cases were confirmed as transfusion-related (3 HCV infections, 3 malarial infections, 1 HBV infection, 2 Staphylococcus aureus sepsis, 3 transfusion-related acute lung injuries, and 1 hemolytic transfusion reaction). CONCLUSIONS: This is the first nationwide data regarding serious ATRs in Korea and could contribute to the implementation of an effective hemovigilance system.
Acute Lung Injury/epidemiology/etiology ; Blood Transfusion/*adverse effects ; HIV Infections/epidemiology/etiology ; Hepatitis C/epidemiology/etiology ; Humans ; Malaria/epidemiology/etiology ; Republic of Korea ; Retrospective Studies ; Transfusion Reaction/*etiology

Bleeding frorn the duodenal varix is an unusual event. Upper gastrointestinal endoscopy is the diagnostic procedure of choice in diagnosing duodenal varices. If performed during active bleeding, it can differentiate between esophageal and duodenal varices as the source, which has important therapeutic implications. A thorough examination of the duodenum for varices is important in an upper gastrointestinal hemorrhage. Treatment modalites for bleeding duodenal varices are sclerotherapy, varix suture ligation, portocaval shunt, and duodenal resection. Although endoscopic sclerotherapy has lirnited success in controlling active duodenal varix as initial treatment, endoscopic injection sclerotherapy is a useful first-line therapeutic measure in the treatment of bleeding duodenal varices. In this study we present a case of a ruptured duodenal varix, which was defected by an endoscopy, in a 61-year-old male. An endoscopic examination showed small and nonbleeding esophageal varices and a prominant ulcerated varix was identified in the 2nd portion of the duodenum. Endoscopic sclerotherapy was performed by injecting ethanolamine oleate into the varix. Our report demonstrate that endoscopic sclerotherapy can be efficient even in the presence of acute bleeding and that it can provide a definitive method of curing of a bleeding duodenal varix.
Duodenum ; Endoscopy ; Endoscopy, Gastrointestinal ; Esophageal and Gastric Varices ; Ethanolamine ; Gastrointestinal Hemorrhage ; Hemorrhage* ; Humans ; Ligation ; Male ; Middle Aged ; Oleic Acid ; Sclerotherapy* ; Sutures ; Ulcer ; Varicose Veins*

Paragonimiasis is the infestation of lung flukes of the trematode genus Paragonimus. This disease is common in Asia, and the southern part of Korea has been known as one of the endemic areas of Paragonimiasis westermanii in Korea. Human infection is associated with specific dietary habits, such as eating freshwater crawfish or crabs. In a 6 1/2-year-old boy with pleural effusion and eosinophilia, paragonimiasis was diagnosed by skin test, serologic exam, and histologic identification of the parasites in a skin lesion. The same diagnosis was entertained in his elder sister with silent pleural effusion. We describe herewith these rare cases of paragonimiasis in two siblings who had a history of eating cooked freshwater crabs.
Humans