Malignant hyperthermia is a dramatic syndrome that rarely arises during anesthesia and which is still fatal in the majority of cases. It is a hypermetabolic muscle condition characterized by hyperpyrexia and skeletal muscle rigidity. Any potent inhalation anesthetic agent or any skeletal muscle relaxant can trigger this acute catast rophic reaction. A case is presented of a 28 year old femal with a family history of malignant hyperthermia in herrelatives. She sunderwent repair of a retinal detachment under N2O-O2-halothane withcinduction by thiopenthal and succinylcholine. One and half hours after induction, arrhythmia developed and was followed by unstable blood pressure, hyperpyrexia, muscular rigidity. Anesthesia was ended and vigorous emergency treatment was attempted. But she died postoperatively on the 4th day after anesthesia. The etiologic factors, incidence, clinical feature, prevention, treatment and prognosis of malignant hyperthermia are discussed.
Incidence

Cervical plexus block has been evaluated clinically for surgery of the anterior neck in 13 patients during the 10 months(from July 1981 to April 1982) at the Department of Anesthesiology in Capital Armed Forces General Hospital. We have assessed CPB for technique, onset, anesthetized area, duration, complication and supplimentary agents, and reviewed the anatomical aspects of cervical plexus. The distribution of injected local anesthetics was demonstrated under radiography using Urographin. We experienced incomplete block in 9 cases which needed substitution with Thalamonal. The incidence of complications was few and most significant complication seen in this study was respiratory difficulty. However, There was no evidence for phrenic nerve paralysis. Cervical plexus block was performed safely and effectively for surgery of the anterior neck.
Incidence

STATEMENT OF PROBLEM: Higher incidence of prosthetic complications such as screw loosening, screw fracture has been reported for posterior single tooth implant. So, there is ongoing research regarding stability of implant-abutment interface. One of those research is increasing the implant diameter and prosthetic table width to improve joint stability. In another part of this research, internal conical type implant-abutment interface was developed and reported joint strength is higher than traditional external hex interface. Purpose. The purpose of this study is to compare stress distribution in single molar implant between external hex butt joint implant and internal conical joint implant when increasing the implant diameter and prosthetic table width : 4mm diameter, 5mm diameter, 5mm diameter/6mm prosthetic table width. MATERIAL AND METHOD: Non-linear finite element models were created and the 3-dimensional finite element analysis was performed to see the distribution of stress when 300N static loading was applied to model at 0., 15., 30.off-axis angle. RESULTS: The following results were obtained: 1. Internal conical joint showed lower tensile stress value than that of external hex butt joint. 2. When off-axis loading was applied, internal conical joint showed more effective stress distribution than external hex butt joint. 3. External hex butt joint showed lower tensile stress value when the implant diameter was increased. 4. Internal conical joint showed lower tensile stress value than external hex butt joint when the implant diameter was increased. 5. Both of these joint mechanism showed lower tensile stress value when the prosthetic table width was increased. CONCLUSION: Internal conical joint showed more effective stress distribution than external hex joint. Increasing implant diameter showed more effective stress distribution than increasing prosthetic table width.
Incidence

The incidence of primary splenic lymphoma is less than 1% of all non-Hodgkin's lymphoma. Lymphotrophism of hepatitis C virus may play a important role in the development of primary splenic lymphoma. However, there is no report about primary splenic lymphoma associated with hepatitis B virus infection. We present two cases of primary splenic lymphoma associated with hepatitis B virus infection. They suffered from left upper quadrant abdominal pain and underwent diagnostic splenectomy. In case 1, the spleen had a 10 x 10 x 9 cm lobulated tumor mass that replaced the splenic parenchyma. In case 2, the spleen contained two lobulated macronodular white tumors, measuring 3 x 2 cm and 2 x 2 cm. Splenic tumors were confirmed pathologically to be intermediate and high grade of B cell lymphoma. The patients received combination chemotherapy with CHOP. They are still alive without recurrence 23 months and 15 months after splenectomy.
Incidence

BACKGROUND AND OBJECTIVES: Benign paroxysmal positional vertigo (BPPV) has been well controlled with otolith reposition maneuver. The purpose of this study was to investigate the incidence of various forms of BPPVs such as type change during the reposition maneuver, combined type and recurred cases, to study the therapeutic result of physical therapy in various forms of BPPVs, and to figure out the therapeutic strategy. MATERIALS AND METHOD: One hundred and twenty-seven patients who were diagnosed with BPPV were included in this study. Reposition maneuver was performed once a day until nystagmus disappeared. In the case of posterior canal BPPV, Epley maneuver was performed. In the case of lateral canal BPPV, barbecue rotation maneuver was performed in canalolithiasis type, and cupulolith reposition maneuver in cupulolithiasis type. In each type of BPPV, we analyzed the number of treatment, recurrence, changing type, and the relationship between recurrence and age or sex of patients. RESULTS: Posterior canal origin was more common than lateral canal origin. All cases except 2 were recovered by reposition maneuver. In 8 cases, the type of disease was changed, and the treatment of these cases were changed according to new type and origin. Overall recurrence rate was 14%, and they were completely treated with reposition maneuver. There was no correlation between recurrence and origin, type, age or sex of patients. CONCLUSION: Patients showed various origin, type and recurrence. Type of the disease was possibly changeable. Almost all the cases were cured with suitable reposition maneuver. Recurrence rate was relatively high, and the close follow up is required.
Incidence

The incidence of glomerulonephritis associated with malignancy is not common. Membranous glomerulonephritis associated with carcinomas and minimal change nephrotic syndrome with Hodgkin's disease has been occasionally reported. The pathogenesis of glomerular injury associated with malignancy is not well known. The IgA nephropathy associated with malignancy, though rare, has been reported. IgA nephropathy associated with acute myeloid leukemia, however, is yet to be reported. We hereby report a case of IgA nephropathy associated with acute myeloid leukemia (AML M2).
Incidence

Author investigated safety accidents occurred in 26 companies during one year to study on the relationship between safety accident and shift systems.Safety accident incidence rate in 2-shifting system was 12.4 spells per 100 workers, was 1.7 times higher than 3-shifting system (7.3 spells) and 4 times than nonshift system (3.1 spells). The proportion of safety accident occurred by workers' mistake was 77.0 % at 3-shifting system, 68.8 % at 2-shifting system and 40.7 % at nonshift system. Safety accident incidence rate by workers' mistake in 2-shifting system was 8.5 spells per 100 workers, was 3.5 times higher than 3-shifting system (5.6 spells) and 5.3 times than nonshift system (1.6 spells). There was no fluctuation of safety accident incidence in nonshift system by time. But in 2- and 3-shifting system, spells of safety accident at the daytime were more higher than nighttime, vise versa spells of safety accident by workers' mistake. In nonshift system, a weekday of the most safety accident incidence was Thursday. But in 3-shifting system the most safety accident incidence was happened at weekend , vice versa in 2-shifting system. The proportion of admission by safety accidents was 44.6 % at 3-shifting system (33 spells) that was more higher than 2-shifting system (33.2 %) and nonshift system (22.4 %). Author concluded that safety accident incidences at shifting system were more higher than nonshift system and also more serious injuries were occurred. So the various comprehensive methods for the safety system, were needed to decrease the safety accident incidence and to increase worker's well-being.
Incidence

Bronchial artery embolization (BAE) is a well accepted and effective treatment for massive and recurrent hemoptysis. However, several complications of BAE have been reported. Cortical blindness is defined as a loss of vision caused by bilateral occipital lobe lesions with normal pupillary light reflexes and a normal fundus. The reported incidence of transient cortical blindness (TCB) after cerebrovertebral angiography is approximately 1%. Two cases of TCB after BAE were found from a Medline search. Here, we report another case of TCB who was treated with BAE for a massive hemoptysis.
Incidence

Injuries at the cervico-thoracic junction can be difficult to diagnose (with an incidence as high as 9% of all spinal injuries) and to stabilize, because of anatomic complexities. We report a case with that was treated with a lateral mass screw and transpedicular screw-rod fixation for a flexion-distraction injury at the cervico-thoracic junction and we present a review of the literature.
Incidence

History, incidence and associated anormalies of the anorectal malformations were reviewed.
Incidence