OBJECTIVES: The purpose of this study was to compare the differences of parental rearing attitude between incarcerated delinqent adolescents and adolescents attending school, in order to identifying the relationships between delinquent behavior and personality factors. METHODS: The subjects were composed of 94 incarcerated delinqent adolescents and 112 adolescents attending school. Subjects were required to complete self-report questionnare including PBI and 16 PF. RESULTS: In incarcerated delinqent adolescents, maternal care(MC) was significantly lower than in adolescents attending school and paternal overprotection(PO) was significantly higher than in adolescents attending school. Of the scores of 16 PF, incarcerated delinqent adolescents showed lower scores in intelligence(B), guilt-proneness(O), liberalism(Q1), self-control(Q3), tension(Q4), anxiety(ANX), superego(SUP) and creativity(CRE) than adolescents attending school. Of the correlation between the scores of PBI and 16PF in incarerated delinqent adolescents, each of superego(G), liberalism(Q1), and supergo(SUP) was negatively correlated with maternal overprotection. Liberalism(Q1) was negatively correlated with paternal overprotection. Stableness(C) was positively correlated with paternal care. Each of gulit-proneness(O), liberalism(Q1), self sufficiency(Q2), tension(Q4), and anxiety(ANX) was negatively correlated with paternal care. In adolescents attending school, groups classified by parental bonding pattern indicated that optimal bonding group(Group l) was correlated with more positive aspects of personality factors, and the affectionless control(Group lV) was correlated with more negative aspects of personality factors. In delinquent adolescents, however, results didn't match the above findings. CONCLUSION: The parent-child bonding patterns of incarcerated delinqent adolescents were related to multiple personality factors. In parental rearing of incarcerated delinqent adolescents, maternal care(MC) was lower and paternal overprotection(PO) was higher than in adolescents attending school. We suggest that personality factors of incarcerated delinqent adolescents are correlated with delinquent behaviors. However, early parent-child bonding patterns do not seem to be correlated with later personality development.
Adolescent* ; Humans ; Multiple Personality Disorder ; Parents* ; Personality Development

Labyrinthine fistula caused by cholesteatoma can make various complications according to the site of the lesion. The lateral canal, superior canal ampulla, posterior canal and promontory of the cochlea are the common areas of fistulization. However, invasion into the cochlea or internal auditory canal (IAC) is very rare. We have experienced a case of cholesteatoma extending into the cochlea and IAC, which was successfully treated via the transotic approach. Herein we report this case with a review of literature
Cholesteatoma ; Cochlea ; Fistula

Brain hernia into the middle ear cavity is quite a rare entity which is often caused by chronic otitis media with cholesteatoma and surgical complications. Other unusual factors such as extension of the intracranial meningioma, primary temporal bone meningioma and aberrant arachnoid granulation can also cause hernia of brain tissue. Brain hernia can be diagnosed through temporal bone computed tomography (TBCT) and brain magnetic resonance image (MRI), which show the location of bony defect and similar signal intensity between the herniated tissue and brain. We present a 50-year old female patient, who suffered from otorrhea 8 years ago; otorrhear disappeared 4 years ago and rhinorrhea 1 years ago. She had not have any history of chronic otitis media and otologic surgery. The herniated cerebellum was diagnosed through the TBCT and brain MRI. She was successfully cured after cerebellar reduction operation without any postoperative complications.
Arachnoid ; Brain ; Cerebellum ; Cerebrospinal Fluid Otorrhea ; Cholesteatoma ; Ear, Middle ; Encephalocele ; Female ; Hernia ; Humans ; Magnetic Resonance Spectroscopy ; Meningioma ; Otitis Media ; Postoperative Complications ; Temporal Bone

Objective: This study evaluates the impact of the coronavirus disease 2019 (COVID-19) pandemic on emergency medical service (EMS) responses and out-of-hospital cardiac arrest (OHCA) outcomes. Methods: This is a retrospective comparison study analyzing the OHCA data of a university medical center in Seoul during the COVID-19 pandemic period (January 2020-January 2021) and non-pandemic period (January 2019-January 2020). The EMS response time and OHCA outcomes were compared between both periods. Based on the weekly mean number of confirmed cases and their EMS response time, patients were classified into six groups and OHCA outcomes were compared. Results: This study evaluated 309 OHCA patients (non-pandemic period of 146, pandemic period of 163). Significant delays in the EMS response and transport time were observed during the pandemic period. However, no significant differences were obtained in the rate of return of spontaneous circulation (ROSC) and survival at discharge (12.4% in pandemic vs. 13.8% in non-pandemic; P=0.722). According to the weekly mean COVID-19 incidence when patients were over 100, there was a significant increase in the EMS response and transport time, whereas ROSC and survival rate were dramatically decreased. Conclusion During the pandemic, the EMS service for OHCA patients was worse than before, with delayed and reduced survival for OHCA patients. We further determined that an increase in the number of COVID-19 cases (especially when weekly mean numbers were over 100) dramatically delayed the EMS response time. This resulted in a very low survival rate of OHCA patients.