Cold agglutinins are predominately immunoglobulin M autoantibodies that react at cold temperatures with surface antigens on the red blood cell.This can lead to hemagglutination low temperatures, followed by complement fixation and subsequent hemolysis rewarming.Development of or in patients is a risk cardiac surgery under hypothermia.In addition, there potential for intracoronary inadequate distribution cardioplegic solutions, thrombosis, embolism, ischemia, infarction.We report patient...

To assess the accuracy of a combination CT texture analysis (CTTA) and nodal axial ratio to detect metastatic lymph nodes (LNs) in esophageal squamous cell carcinoma (ESCC).The contrast-enhanced chest images 78 LNs (40 metastasis, 38 benign) from patients with ESCC were retrospectively analyzed. Nodal ratios (short-axis/long-axis diameter) calculated. CCTA parameters (kurtosis, entropy, skewness) extracted using commercial software (TexRAD) fine, medium, coarse spatial filters. Combinations...

Sparganosis in humans is an incidental infection and known to be associated with eating insufficiently cooked meat of frogs snakes or drinking unboiled stream water. Although it can involve various internal organs, pulmonary pleural involvement due sparganum rare. Because we recently experienced two cases involving lung parenchyma pleura that were misdiagnosed as bacterial pneumonia cancer, herein intend present them detail.

<b><i>Background/Aims:</i></b> Although previous studies showed a high prevalence of abnormal ankle-brachial index (ABI) in patients with ischemic stroke, few data exist regarding ABI Asian stroke. The purpose the present study was to determine and factors associated (≤0.9) cohort stroke patients. <b><i>Methods:</i></b> In this prospective multicenter study, 1,293 diagnosed acute or transient attack underwent measurement evaluate an association...

Surgical Treatment for Intra-Thoracic Migration of Acupuncture NeedlesThe aim this study was to introduce the experience diagnosis and treatment patients with migrated acupuncture needle pleural cavity or lung parenchyma.We had treated 5 who needles in their thoracic from January 2000 September 2009.The mean age 55.8 yr old.All suffered sequelae cerebrovascular accident been acupuncture.They drowsiness hemiplegic quadriplegic motor activity.Fever dyspnea were main symptoms when referred...

Objective: To determine the association of patient-level characteristics on use a patient engagement technology during perioperative period. Summary Background Data: As implementation technologies continues to grow, it remains unclear who uses, and not these technologies. Existing literature suggests significant disparities in usage other by age, race, sex, geographic location, however, have yet characterize Methods: This is retrospective cohort study patients undergoing elective surgery...

Gastric lymphangioma is a rare benign gastric tumor composed of unilocular or multilocular lymphatic spaces. On gastrofiberscopy submucosal covered with smooth transparent normal mucosa revealed in the stomach without stalk. Endoscopic ultrasonography has become an indispensable tool for differentiating these tumors. Treatment depends on its size, location, and presence complications. resection safe easy plays important role confirming diagnosis treatment tumors especially small-sized ones....

Purpose: To investigate the clinical features and risk factors of ischemic third, fourth, sixth cranial nerve palsy.Methods: Retrospectively, we reviewed medical records 46 eyes patients who were diagnosed with palsy alone such as age onset, factors, recovery rate time. Results:The mean onset was 64.9 years.Of patients, 15 (32.6%) in third group, fourth 16 (34.8%) group.The factor hypertension 30 (65.2%) most common than other diabetes, hyperlipidemia, elevated blood hematocrit, heart...

Sparganosis in humans is an incidental infection and known to be associated with eating insufficiently cooked meat of frogs snakes or drinking unboiled stream water. Although it can involve various internal organs, pulmonary pleural involvement due sparganum rare. Because we recently experienced two cases involving lung parenchyma pleura that were misdiagnosed as bacterial pneumonia cancer, herein intend present them detail.

Although classical multi-port video-assisted thoracic surgery has been widely performed, single-incision thoracoscopic (SITS) is a popular surgical technique for the treatment of primary spontaneous pneumothorax (PSP). However, inconvenient alignment instruments and limited field view occasionally make surgeons convert from SITS to or extend incision. This study aimed present an easy safe PSP using spinal needle.In total, 139 patients underwent between May 2011 December 2017. We used needle...

학동기이전 소아 안와골절 환자의 임상양상과 예후 박정현⋅김대현 조선대학교 의학전문대학원 안과학교실 목적: 7세 이하의 환자에서 골절원인 및 형태 등의 예후를 알아보고자 하였다.대상과 방법: 2001년 1월부터 2009년 10월까지 안와골절로 진단받은 학동기이전의 환자 11명 11안을 대상으로 골절의 원인, 위치 임상양상을 분석하고 최종 경과 관찰 시 복시 안구운동장애 알아보았다.결과: 평균 나이는 5.36세였으며 원인은 교통사고가 5예(45%)로 가장 많았고 골절위치는 하벽이 7예(63%)로 많았으며 형태는 들창문형(trapdoor type)이 7명(63%)으로 많았다.특히 들창문형 골절 7명 중 7명(100%) 모두에서 오심, 구토 동반증상이 관찰되었다.수술을 시행한 환자는 8명이었는데 수상 후 수술 시행까지의 기간은 4

Inho Yi, M.D., Joo Chul Park, Kyu Seok Cho, Bum Shik Kim, Soo-Cheol Dae Hyun Jung-Heon Hyo Youn, M.D.. Korean J Thorac Cardiovasc Surg 2011;44:343-7. https://doi.org/10.5090/kjtcs.2011.44.5.343

Primary bronchogenic carcinoma of the lung is extremely rare in childhood, particularly squamous cell type. Only 13 cases have been reported literature. We report a case an autistic, 16-year-old boy who presented with productive cough. Interestingly, he was never-smoker, but had exposed to environmental tobacco smoking by his father for years. The diagnosis delayed approximately 1 month due young age. He diagnosed video-assisted thoracoscopic surgery, and chemotherapy arranged. Considering...

BACKGROUND: Opioid analgesics decrease the minimum alveolar concentration of inhalation agents during acute phase response. However, effect chronic opioid exposure on remains unknown. This study aimed to determine sevoflurane necessary maintain a bispectral index (BIS) <50 (SEVO BIS50 ) in patients with use compared those naïve use. METHODS: We included users who received stable dose oral morphine at least 60 mg/d according equivalent daily for 4 weeks and opioid-naïve patients. General...

Abstract: We report a rare case of patient with corticobasal degeneration (CBD) who was also diagnosed complex regional pain syndrome type I (CRPS I), which has similar clinical characteristics. A 76-year-old man had been CBD several years prior presented asymmetric severe pain, postural instability, limb rigidity, dystonia, tremor, ideomotor apraxia, and bradykinesia especially on his left upper extremity admission at our rehabilitation center. Additional physical examination showed...

이 연구의 목적은 열수력 성능을 향상시키기 위하여 PCHE의 새로운 유로 형상을 제안하는 것이다. 기존의 Zigzag 유로는 굽힘점에서 유동 박리와 역류 영역의 발생으로 높은 압력손실을 가지고 있다. 단점을 개선하기 굽힘점에 직관영역을 삽입하였다. 또한 직관의 길이 변화가 열전달 및 압력손실에 미치는 영향을 분석하였다. 형상과 기존 유로의 Goodness Factor를 사용하여 정량적으로 비교하였다. 질량유량은 1.41×10SUP-4/SUP에서 2.48×10SUP-4/SUP kg/s까지 변화 하였다. 1mm 직관길이에서 평균 Factor는 Zigzag보다 약 25% 정도 증가되었다.

Background: postoperative atelectasis is a significant clinical problem during thoracic surgery with one-lung ventilation. Intraoperative deep neuromuscular blockade can improve surgical conditions, but an increased risk of residual paralysis may aggravate atelectasis. Every patient was verified to have full reversal before extubation. We compared the effect versus moderate on quantitatively using chest computed tomography. Methods: patients undergoing were randomly allocated two groups:...

Although various methods are already used to calculate predicted postoperative forced expiratory volume in 1 second (FEV1) based on preoperative FEV1 lung surgery, the is not always same as actual FEV1. Observed values usually or higher than To overcome this issue, we investigated relationship between number of resected segments and discordance values.From September 2014 May 2020, data all patients who underwent anatomical resection by video-assisted thoracoscopic surgery (VATS) were...

Aortobronchial fistula (ABF) induced by an infected pseudoaneurysm of the thoracic aorta is a life-threatening condition. As surgical treatment associated with significant mortality and morbidity, endovascular aneurysm repair (TEVAR) may be alternative for ABF. However, long-term durability this intervention largely unknown recurrence ABF potential complication. We experienced case recurrent after stent grafting as early procedure aorta. Remnant ABF, bronchial and/or aortic wall erosion,...

The internal pressures of medication reservoirs gas-compensated intrathecal infusion pumps decrease when is discharged, and these discharge-induced pressure drops can the volume discharged. To prevent reductions, volumes discharged must be adjusted to maintain required dosage levels. In this study, authors developed an automatic control algorithm for pump by Korean National Cancer Center that regulates single-dose volumes. proposed estimates amount remaining adjusts parameters automatically...