ABSTRACT
Congenital web neck is a deformity hardly ever reported in the English literature. It is usually associated to Ulrrich-Turner syndrome. There are several options to correct this deformity, but in severe cases complete correction of the web and the abnormal back hair is not always possible. We present our experience with a secondary case where previous butterfly method was employed, a combined procedure was used achieving a satisfactory result. We considered that this technique is useful and offers an important improvement of the contour.
Subject(s)
Abnormalities, Multiple/surgery , Malignant Hyperthermia/surgery , Postoperative Complications/surgery , Pterygium/surgery , Turner Syndrome/surgery , Abnormalities, Multiple/diagnosis , Child , Cicatrix/surgery , Female , Follow-Up Studies , Humans , Malignant Hyperthermia/diagnosis , Postoperative Complications/diagnosis , Pterygium/diagnosis , Recurrence , Reoperation/methods , Skin Abnormalities , Surgical Flaps , Turner Syndrome/diagnosisABSTRACT
The use of silicalite, a zeolitic form of silica, is suggested as a means of purifying samples prior to the determination of chlorinated biphenyls (CBs), particularly those which are heavily contaminated with petroleum derived n-alkanes. Experiments using mussel, fish and sediment extracts show that CBs are recovered quantitatively after silicalite treatment of lipid extracts.
Subject(s)
Arrhythmias, Cardiac/diagnosis , Electrocardiography , Exercise Test , Football , Adult , Humans , MaleABSTRACT
To develop reference ranges for creatine kinase (CK) appropriate for the patient population served by this hospital, levels of serum CK were measured in 1,537 individuals in our employee population. There was substantial heterogeneity in mean, median, and range of CK levels among the several race/gender subgroups in the population studied. The race/gender subgroups could be placed into three broad groups: a high CK group, composed solely of black men; an intermediate CK group, consisting of nonblack men plus black women; and a low CK group, comprised of nonblack women. Mean CK level of the high CK group was twice that of the intermediate CK group, which, in turn, was twice that of the low CK group. Differences in mean CK values among the subgroups placed into either the intermediate CK group or the low CK group were not significant when tested with analysis of variance. Therefore, practical reference ranges for these groups are as follows: 52-520 U/L for the high CK group; 35-345 U/L for the intermediate CK group; and 25-145 U/L for the low CK group.
Subject(s)
Creatine Kinase/blood , Body Height , Body Weight , Female , Humans , Male , Racial Groups , Reference Values , Sex Factors , Urban PopulationABSTRACT
Massive lobar pulmonary hemorrhage related to Swan-Ganz catheterization represents a catastrophic complication that, to our knowledge, has received little attention in the literature. Our experience with two recent cases emphasizes the life-threatening nature of such bleeding as well as the potential for patient salvage after urgent resectional therapy. A spectrum of pulmonary vascular injuries is incurred after the insertion of a balloon-tipped catheter, and there are therapeutic approaches for each. The anticoagulation associated with cardiac surgical procedures prompts us to suggest that the technique of insertion and the use of the Swan-Ganz catheter in these patients be modified to avoid this complication.
