Although there have been a few reports of cases in which cancer cells of extrauterine origin were observed in vaginal smears, such findings are relatively uncommon. We recently experienced a case of ovarian serous cystadenocarcinoma diagnosed by cervicovaginal smear in a 56-year-old woman in routine work-up of carcinoma peritonei. The cellular features were several scattered cellular clusters of adenocarcinoma cells in clear background without tumor diathesis. Psammoma body was not present. Exploratory laparotomy confirmed the diagnosis of bilateral ovarian serous cystadenocarcinoma with multiple metastases.
Adenocarcinoma ; Cystadenocarcinoma, Serous ; Diagnosis ; Disease Susceptibility ; Female ; Humans ; Kidney Failure, Chronic* ; Laparotomy ; Middle Aged ; Neoplasm Metastasis ; Thyroid Gland ; Vaginal Smears

PURPOSE: To evaluate the incidence and the site of osteomas and their relation to sinonasal inflammation. MATERIALS AND METHODS: 1578 PNS computed tomography (CT) of patients with symptoms of sinusitis were evaluated and correlation with plain radiographic finding was done. RESULTS: The total incidence of osteomas was 0.82%(13/1578) on plain radiography and 3.29% (52/1578) on CT. Fifty-seven osteomas were found in 1578 PNS CT, including 2 osteomas in 5 cases. The most common site was the ethmoid sinus(54%, 31/57) and the next was the frontal sinus(35%, 20/57) on CT. Forty-five osteomas (78.9%) were associated with the sinonasal inflammatory change. CONCLUSION: The total incidence of osteomas from our results was higher than previous reports. And based on the analysis of CT, the most common site was not the frontal sinus as all the previous reports stated, but the ethmoid sinus, probably by virtue of high resolution of CT and/or higher prevalence of inflammation in the ethmold sinus.
Ethmoid Sinus ; Frontal Sinus ; Humans ; Incidence ; Inflammation ; Osteoma* ; Prevalence ; Radiography ; Sinusitis ; Virtues

Purpose: Nursing care activities for patient safety are important to prevent accidents. This study aimed to examine the association between nurses’ perception of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing care activities for patient safety. Methods: In this cross-sectional study, data were obtained from online surveys conducted with 201 ward nurses. An independent t-test, one-way ANOVA, Pearson’s correlation coefficient test, and multiple linear regression analysis were performed using IBM SPSS/WIN 21.0. Results: Perceptions of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing activities for patient safety were all correlated with each other. According to the regression model, significant factors influencing nursing care activities for patient safety were medical ward (β=-.28, p=.010), critical thinking disposition (β=.27, p<.001), willingness to report near misses (β=.19, p=.004), perceptions of patient safety culture (β=.19, p=.007), and work experience (β=-.18, p=.016). Conclusion Improving nurses’ perceptions of patient safety culture, promoting the reporting of near misses, and strengthening nurses' critical thinking dispositions can foster patient-safety nursing care activities. Additionally, a tailored patient safety education program that considers nursing work experience may be appropriate for patient-safety nursing care activities.

Purpose: Nursing care activities for patient safety are important to prevent accidents. This study aimed to examine the association between nurses’ perception of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing care activities for patient safety. Methods: In this cross-sectional study, data were obtained from online surveys conducted with 201 ward nurses. An independent t-test, one-way ANOVA, Pearson’s correlation coefficient test, and multiple linear regression analysis were performed using IBM SPSS/WIN 21.0. Results: Perceptions of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing activities for patient safety were all correlated with each other. According to the regression model, significant factors influencing nursing care activities for patient safety were medical ward (β=-.28, p=.010), critical thinking disposition (β=.27, p<.001), willingness to report near misses (β=.19, p=.004), perceptions of patient safety culture (β=.19, p=.007), and work experience (β=-.18, p=.016). Conclusion Improving nurses’ perceptions of patient safety culture, promoting the reporting of near misses, and strengthening nurses' critical thinking dispositions can foster patient-safety nursing care activities. Additionally, a tailored patient safety education program that considers nursing work experience may be appropriate for patient-safety nursing care activities.

Purpose: Nursing care activities for patient safety are important to prevent accidents. This study aimed to examine the association between nurses’ perception of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing care activities for patient safety. Methods: In this cross-sectional study, data were obtained from online surveys conducted with 201 ward nurses. An independent t-test, one-way ANOVA, Pearson’s correlation coefficient test, and multiple linear regression analysis were performed using IBM SPSS/WIN 21.0. Results: Perceptions of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing activities for patient safety were all correlated with each other. According to the regression model, significant factors influencing nursing care activities for patient safety were medical ward (β=-.28, p=.010), critical thinking disposition (β=.27, p<.001), willingness to report near misses (β=.19, p=.004), perceptions of patient safety culture (β=.19, p=.007), and work experience (β=-.18, p=.016). Conclusion Improving nurses’ perceptions of patient safety culture, promoting the reporting of near misses, and strengthening nurses' critical thinking dispositions can foster patient-safety nursing care activities. Additionally, a tailored patient safety education program that considers nursing work experience may be appropriate for patient-safety nursing care activities.

Purpose: Nursing care activities for patient safety are important to prevent accidents. This study aimed to examine the association between nurses’ perception of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing care activities for patient safety. Methods: In this cross-sectional study, data were obtained from online surveys conducted with 201 ward nurses. An independent t-test, one-way ANOVA, Pearson’s correlation coefficient test, and multiple linear regression analysis were performed using IBM SPSS/WIN 21.0. Results: Perceptions of patient safety culture, willingness to report near misses, critical thinking disposition, and nursing activities for patient safety were all correlated with each other. According to the regression model, significant factors influencing nursing care activities for patient safety were medical ward (β=-.28, p=.010), critical thinking disposition (β=.27, p<.001), willingness to report near misses (β=.19, p=.004), perceptions of patient safety culture (β=.19, p=.007), and work experience (β=-.18, p=.016). Conclusion Improving nurses’ perceptions of patient safety culture, promoting the reporting of near misses, and strengthening nurses' critical thinking dispositions can foster patient-safety nursing care activities. Additionally, a tailored patient safety education program that considers nursing work experience may be appropriate for patient-safety nursing care activities.

No abstract available.
Antibody Formation* ; Lymphocytes* ; Mycobacterium tuberculosis* ; Mycobacterium*

Purpose: The purpose of this study was to examine the effects of a mobile application on quality of life, wellness, and preventive behaviors against dementia among older adults who use senior citizen centers. Methods: Seventy-two older adults who used senior citizen centers were allocated to an intervention group (n=36) and a control group (n=36). The experimental treatment involved a cognitive enhancement program for preventing dementia using a mobile application for 12 sessions over 6 weeks. Data were analyzed using the t-test, chi-square test, Fisher’s exact test, paired t-test, and independent t-test. Results: The cognitive enhancement program based on a mobile application was effective for wellness (t = -3.87, p < .001) and preventive behaviors against dementia (t = -3.98, p < .001) for older adults who used a senior center. Conclusion The mobile application-based cognitive enhancement program developed in this study is recommended as an effective intervention for dementia prevention in older adults.

BACKGROUND/AIMS: Anisakiasis is a well known parasitosis resulted from eating raw seafoods and there were many reports of cases. However, its endoscopic and clinical characteristics have not been reviewed well. The aim of this study was to clarify the gastric mucosal changes and influencing factors of upper gastrointestinal (UGI) anisakiasis. METHODS: We analyzed retrospectively the endoscopic and clinical characteristics of 141 cases with UGI anisakiasis diagnosed during UGI endoscopy, based on the review of medical records. The patients' data were collected consecutively from October 1999 through September 2006. RESULTS: In the 141 patients with UGI anisakiasis, the peak age was the 40s (44.7%). The female to male ratio was 1.82:1. The most prevailed season was winter (41.1%). The most frequent symptom was acute epigastric pain and 76.6% of the patients developed symptoms within 12 hours after the ingestion of raw seafoods. The greater curvature of body was the most preferred site of anisakid larvae. The median time from meal to symptom onset was shortest in esophageal location and longest in fundus location (3 vs. 18.7 hours). The various mucosal changes were observed and the most frequent mucosal change was edema (90.8%). Submucosal tumor was also found in 31.9% of the patients. The severity of mucosal change was related inversely with the time interval from meal to endoscopy (p=0.048). CONCLUSIONS: Anisakiasis presented various mucosal changes depending on the time interval from ingestion of raw seafood to endoscopy. Delayed endoscopy may lead chronic mucosal change and cause difficulty in the detection of anisakiasis. Therefore, the prompt endoscopic examination is required for the patients presenting acute gastrointestinal symptoms after taking raw fish.
Adult ; Aged ; Animals ; Anisakiasis/*diagnosis/parasitology ; Edema/etiology ; Esophageal Diseases/*parasitology/pathology ; Female ; Gastric Mucosa/parasitology/*pathology ; Gastroscopy ; Humans ; Male ; Medical Records ; Middle Aged ; Retrospective Studies ; Seafood ; Stomach Diseases/*parasitology/pathology ; Time Factors ; Upper Gastrointestinal Tract/parasitology/*pathology

Purpose: The coronavirus disease 2019 (COVID-19) outbreak has significantly impacted the diagnosis and treatment of breast cancer. Our study investigated the change in diagnosis and treatment of breast cancer with the progress of COVID-19 pandemic. Materials and Methods: The study group comprised 6,514 recently diagnosed breast cancer patients between January 1, 2019, and February 28, 2021. The patients were divided into two groups: pre–COVID-19 period (3,182; January 2019 to December 2019) and COVID-19 pandemic period (3,332; January 2020 to February 2021). Clinicopathological information related to the first treatment after breast cancer diagnosis was retrospectively collected and analyzed in the two groups. Results: Among the 6,514 breast cancer patients, 3,182 were in the pre–COVID-19 period and 3,332 were in the COVID-19 pandemic period. According to our evaluation, the least breast cancer diagnosis (21.8%) was seen in the first quarter of 2020. The diagnosis increased gradually except for the fourth quarter in 2020. While early-stage breast cancer was diagnosed 1,601 (48.1%) during the COVID-19 pandemic (p=0.001), the number of surgical treatments increased 4.6% (p < 0.001), and the treatment time was slightly shorter 2 days (p=0.001). The breast cancer subtype distribution was not statistically different between the pre–COVID-19 and COVID-19 period groups. Conclusion In the early stages of the pandemic, the number of breast cancer cases temporarily decreased; however, they stabilized soon, and no significant differences could be identified in the diagnosis and treatment when compared to the period before the pandemic.