The aortic dissection is an acute aortic syndrome, caused by an intimal tear and subsequent splitting of the media by the pulsatile blood flow. Though there would be differences in the origin of aortic dissection and therapeutic modalities, the intermediate and long-term prognoses are poor. Endovascular Stent-graft implantation is a revolutionary technique in the treatment of aortic dissection. The endovascular stent grafting in aortic dissection is less invasive and feasible method and is an effective tool for closing the entry site and promoting clot formation, reducing the size of the false lumen. Therefore, endovascular Stent-graft implantation makes possible the desirable remodelling of aorta. We report 33 year-old male with aortic dissection in the thoracic aorta, which was treated with endovascular Stent-graft implantation. Over the favorable remodelling, his dissection was healed completely by the endovascular treatment using Stent-graft.
Adult ; Aorta ; Aorta, Thoracic* ; Blood Vessel Prosthesis ; Humans ; Male ; Prognosis

No abstract available.
Pyelonephritis, Xanthogranulomatous* ; Wilms Tumor*

OBJECTIVE: Each consumer uses different consumer evaluation by sources of health information, considering the influences of consumers' socio-demographic characteristics, health status, attitude to health, and types of health information needed. METHODS: Sources of health information include web-based resources, health professionals, and publications such as medical books, magazines, newspapers, etc. Data were collected from 1,189 respondents through a telephone survey, among whom 513(43%) responses were finally included in the analysis. The results were analysed by statistical methods including Chi-square, multiple regression, and correlation analyses. RESULTS: Key findings are as follows. First, there were significant differences in evaluation results by different sources of health information. Access to health professionals shows positive outcomes in general, followed by web-based resource. Second, the significant factors related to the access outcomes were different in each domains such as easiness, amount, understanding, reliability, and helpfulness. In addition, while access to health professionals was found to have significant influence on health behavior by improving the ability of health management, access to internet improved only the understanding of health information. CONCLUSION: Access to health professionals for health information was positively related to utilization outcomes in general, but access to publications was negatively related to outcomes. Despite the increase in the number of web-based users, they could not rely on the information they found. To effectively utilize various sources of health information and improve the nation's health by providing appropriate health information, quality assurance strategy for contents in health information websites and active intervention by health professionals should be pursued.
Attitude to Health ; Surveys and Questionnaires ; Health Behavior ; Health Occupations ; Health Resources ; Internet ; Periodicals ; Periodicals as Topic ; Telephone

OBJECTIVE: This study investigates consumers' choice regarding source of health information. Specifically, the relationships between consumers' socioeconomic characteristics, health status, attitude to health, information needs and source of health information were explored. METHODS: Type of health information sources includes web-based, health professional, and mass-media types. Structured questionnaires were completed by 1,189 consumers through a telephone survey, and 622(52.3%) responses were included in analysis. RESULTS: A key finding was the significant difference for accessing health information by customer's characteristics, although the strong preference was shown in web-based resource. Accessing channels were different by consumer's needs of health information and attitude to health as well as consumer's age, job, education, and economic status. CONCLUSION: Consumer behaviors are likely to optimize physical and psychosocial health potentials through health information. Despite a growing number of available web-based health information resources, consumers continue to face a variety of barriers as they attempt to access these resources. Meeting consumer's needs for health information is an important role for all providers of health information.
Access to Information ; Attitude to Health ; Education ; Health Occupations ; Information Services ; Surveys and Questionnaires ; Telephone

PURPOSE: Bone bruises of patients with acute traumatic knee injuries, that are not found on simple radiograph, can be found on magnetic resonance imaging (MRI). The purpose of this study is to evaluate the frequency and locations of bone bruises on MRI in acute traumatic anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL) injury. MATERIALS AND METHODS: 25 and 19 MRls, in which acute traumatic ACL and PCL injury was pre sent and there was no abnormality in simple radiograph, were reviewed. MRI was taken within 51 days of injury. A bone bruise was determined as a geographic and nonlinear area of signal loss on T1 images and increased signal intensity on T2 images involving the subcortical bone. RESULTS: In 16 patients with bone bruises and acute ACL injury, bone bruises were found in the lateral compartment of the knee in 15 (93.8%) patients. The most common area was the lateral tibial plateau (11 cases, 68.8%) and the second was lateral femoral condyle (9 cases, 56.3%). In 5 patients with bone bruises and acute PCL injury, bone bruises were found in the lateral compartment of the knee in all 5 (100%) patients. The most common area was lateral tibial plateau (4 cases, 80%) and the second was lateral femoral condyle (2 cases, 40%). CONCLUSIONS: In patients with acute traumatic ACL or PCL injuries the bone bruises are often found on the lateral compartment of the knee, especially lateral tibial plateau and lateral femoral condyle on MRI.
Anterior Cruciate Ligament ; Contusions* ; Humans ; Knee ; Knee Injuries ; Magnetic Resonance Imaging* ; Posterior Cruciate Ligament

BACKGROUND: Preoperative chemotherapy has been adopted in our hospital as a standard treatment for non-small cell lung cancer patients with N2 disease. However, there have been cases of pathologic N2 disease that have been detected after curative-intent surgical resection. We retrospectively studied the outcomes of initial surgical treatment without neoadjuvant therapy in patients with unexpected N2 non-small cell lung cancer. MATERIAL AND METHOD: Between January 1995 and June 2007, 225 patients were diagnosed with pathologic N2 disease after they underwent initial pulmonary resection without neoadjuvant therapy. Among them, 170 patients were preoperatively diagnosed with lymph node stage N0 or N1. We retrospectively reviewed their medical record and analyzed the outcomes. RESULT: The overall 5-year survival rate was 35.4%. The prognostic factors that were significantly associated with survival were no adjuvant therapy, histologic cell types other than adenocarcinoma or squamous cell carcinoma, a pathologic T stage more than T1, old age (> or =70 years) and no mediastinoscopic biopsy. During the follow-up, 79 patients (46.5%) experienced tumor recurrence, including loco-regional recurrence in 20 patients (25.3%) and distant metastasis in 56 (70.9%). The 5-year recurrence-free survival rate was 33.7%. CONCLUSION: Based on our findings, the survival was good for patients with unexpected N2 non-small cell lung cancer and who underwent initial pulmonary resection without neoadjuvant therapy. A prospective comparative analysis is needed to obtain more conclusive and persuasive results.
Adenocarcinoma ; Biopsy ; Carcinoma, Non-Small-Cell Lung ; Carcinoma, Squamous Cell ; Follow-Up Studies ; Humans ; Lung Neoplasms ; Lymph Nodes ; Mediastinoscopy ; Medical Records ; Neoadjuvant Therapy ; Neoplasm Metastasis ; Neoplasm Staging ; Recurrence ; Retrospective Studies ; Survival Rate ; Treatment Outcome

PURPOSE: The purpose of this study was to compare differences in the time when bowel sounds were heard and gas was passed in women who had an abdominal hysterectomy and were treated for 5 minutes (experimental group A) or 10 minutes (experimental group B) with San-Yin-Jiao (SP-6) acupressure. METHOD: The design of this study was a nonequivalent control group non-synchronized post test only design. The participants included 142 women, 39 in experimental group A, 30 in experimental group B, and 73 in the control group. Data was collected using a structured questionnaire which included items on general characteristics and a self report of time when gas was passed. Differences for the three groups as to time when bowel sounds were heard and gas was passed were analyzed using ANOVA. RESULT: The time when bowel sounds were heard was statistically significantly shorter in both experimental groups compared to the control group(F=10.29, p=.000). The time when gas was passed was statistically significantly shorter in experimental group B(10 min) compared to the control group(F=4.68, p=.011). CONCLUSION: It could be concluded that SP-6 acupressure of 10 minutes was effective in shortening the time until bowel sounds were heard and gas was passed for women who had had an abdominal hysterectomy. Replication of the study with a larger number of participants is necessary in order to be able to generalize the results.
*Acupressure ; Adult ; *Auscultation ; Female ; *Flatulence ; *Gastrointestinal Motility ; Humans ; *Hysterectomy ; Middle Aged ; Postoperative Complications/*therapy

Behcet's disease is an uncommon disorder characterized by clinical triad of relapsing iritis, ulcer of mouth and genitalia. It is now recognized as a systemic disorder with mucocutaneous, ophthalmic, intestinal, respiratory, musculoskeletal, cardiovascular, urogenital and neurologic involvement. Systemic complications affecting the arterial system of disease are rare and mainly the aorta and iliac arteries are involved. Invasion of arterial wall is the most common lesion, predisposing to false aneurysm or rupture. As the standard open surgery, although often difficult, needed second surgeries in 30% to 50% of the patients due to the occurrence of anastomotic false aneurysms, endovascular repair emerged as an alter-native treatment of aneurysmal or pseudoaneurysmal manifestrations in Behcet's disease. We report here a case of the pseudoaneurysm at right subclavian artery which is successfully treated with percutaneous stent-graft.
Aneurysm ; Aneurysm, False* ; Aorta ; Behcet Syndrome* ; Genitalia ; Humans ; Iliac Artery ; Iritis ; Mouth ; Rupture ; Subclavian Artery* ; Ulcer

The Marfan syndrome is a generalized connective tissue disease involving eye, musculoskeletal system, cardiovascular system, and inherited autosomal dominant with various expression type. The cardiovascular complications such as aortic aneurysm, aortic dissection, aortic regurgitation, mitral regurgitation and aortic dissection which usually occurs in previously normal sized aorta are poor prognostic factors. However, the aortic dissection which developed in patient with Marfan syndrome and aortic aneurysm was rare. We experienced one case of dissecting aneurysm in patient diagnosed as previous aortic aneurysm, aortic regurgitation, and Marfan syndrome, receiving successful operation.
Aneurysm, Dissecting ; Aorta ; Aortic Aneurysm* ; Aortic Valve Insufficiency ; Cardiovascular System ; Connective Tissue Diseases ; Humans ; Marfan Syndrome* ; Mitral Valve Insufficiency ; Musculoskeletal System

PURPOSE: The determination of tetanus prophylaxis according to patients' memories of past immunization is inaccurate. However, by using the Tetanos Quick Stick(R) test, it is possible to select Korean adults with low tetanus antibody titers and to perform tetanus prophylaxis in the emergency department. In 1996, Ha reported that tetanus toxoid injection into healthy Korean adults revealed significant differences between the tetanus antibody titers at the beginning and the tetanus antibody titers after 1 week. Our purpose is to determine the effect of a single tetanus toxoid in Korean adults with low tetanus antibody titers. METHODS: Blood samples were taken from 44 volunteers for a period of 6 weeks. All samples were analyzed using the Tetanus IgG ELISA (enzyme-linked immunosorbent assay) method. RESULTS: The results for tetanus antibody titers at the beginning and after 1 week, 2 weeks, 4 weeks, and 6 weeks were 0.04+/-0.05 IU/mL, 1.22+/-3.63 IU/mL, 4.99+/-7.3 6 IU/mL, 8.36+/-11.10 IU/mL and 6.59+/-9.21 IU/mL respectively. There was a statistically significant defference between the tetanus antibody titers at the beginning and the tetanus antibody titers after 2 weeks. There was no statistically significant defference between the tetanus antibody titers after 2 weeks and 6 weeks. After 4 weeks, all subjects' tetanus antibody titers were at the protective level. CONCLUSIONS: A single tetanus toxoid injection is effective in Korean adults with low tetanus antibody titers.
Adult* ; Emergency Service, Hospital ; Enzyme-Linked Immunosorbent Assay ; Humans ; Immunization ; Immunoglobulin G ; Tetanus Toxoid* ; Tetanus* ; Volunteers