Neonatal infective endocarditis is fatal and rare disease but recently there is a trend of an increase in incidence even without congenital heart disease when there are high risk as prematurity, central vein catheterization and neonatal cardiopulmonary resuscitation. Symchych reported that in about 3% of autopsy cases of an year, the findings of infective endocarditis were noted. In Korea, there was a case report but it was case of a premature infant who had umbilical vein catheterization and respiratory ventilator treatment. We experienced a case of neonatal infective endocarditis in a female infant who was delivered at 34 weeks gestational age without receiving central vein catheterization or neonatal cardiopulmonary resuscitation. Although she received intensive antibiotic therapy for staphylococcus cultured in blood, she died necessarily. We reported a case of neonatal infective endocarditis without cardiac anomaly with brief review of related literature.
Autopsy ; Cardiopulmonary Resuscitation ; Catheterization ; Catheters ; Endocarditis* ; Female ; Gestational Age ; Heart Defects, Congenital ; Humans ; Incidence ; Infant ; Infant, Newborn ; Infant, Premature ; Korea ; Rare Diseases ; Staphylococcus ; Staphylococcus aureus ; Umbilical Veins ; Veins ; Ventilators, Mechanical

No abstract available.
Myocutaneous Flap* ; Pressure Ulcer*

No abstract available.
Animals ; Capillaries* ; Rats*

No abstract available.
Drug Eruptions*

No abstract available.
Humans ; Somatoform Disorders*

BACKGROUND: Lymphedema is a common condition occurring in over 50% of breast and cervix cancer patients. The pneumatic pump as used in the past is still utilized for the treatment. A complex lymphatic therapy was developed by Dr. Michael Foeldi of Germany in the 1980s, and was widely practiced with good effects. This study was to observe the practical effectiveness in patients receiving such treatment. METHODS: Twenty two patients diagnosed with lymphedema and treated in department of Family Medicine of National Health Insurance Corporation Ilsan Hospital from August 1, 2000 to September 30, 2001. They were observed with respect to the frequency of demographic characteristics, and were compared to assess the improvement of clinical symptoms before and after complex lymphatic therapy by independent samples T-test and the degree of edema reduction before and after complex lymphatic therapy by paired samples T-test (P-value<0.05). RESULTS: Among the 22 subjects 1 was a male and 21 were females and their mean age was 49.9 9.3. Cervix and breast cancer patients comprised 86.4% among the total. Twenty one cancer patients developed lymphedema after the operation or radiotherapy. Most were in stage 2 or 3 of edema with 81.8%. Relative to the edema onset time, there were 7 (33.3%) of less than 1 year, 5 (23.8%) from 1 to 3 years and 9 (42.9%) over 3 years. They came to see a lymphedema specialist in 2.9 3.9 years after edema progressed. The degree of lymphedema with 968.4 545.3 ml before the treatment was improved to 337.3 326.8 ml after the treatment which showed a statistically remarkable 65.0 33.2% effectiveness. CONCLUSION: Complex lymphatic therapy for the patients of lymphedema presented with a 65% edema reduction in our study. Thus, the therapy for such patients is considered the most effective method up to present.
Breast ; Breast Neoplasms ; Cervix Uteri ; Edema ; Female ; Germany ; Humans ; Lymphedema* ; Male ; National Health Programs ; Radiotherapy ; Specialization ; Uterine Cervical Neoplasms

The purpose of this study was to examine the relationships between the nutrient intake and level of depressive symptoms. A total of 5,761 subjects with depression were selected for the main data analysis from a Korean National Health and Nutrition Examination Survey, KNHANES (2016), and were divided into low depressed and high depressed groups. The data were analyzed by descriptive analysis, χ2-test, logistic regression, and t-test using SPSS 24.0 statistics. The results revealed significant differences in the prevalence of depression according to sex (P < 0.001), age (P < 0.001), income (P < 0.001), and education (P < 0.001). Regarding the health behavior, higher stress levels (P < 0.001) and smoking habit (P < 0.001) appeared to be strongly associated with high levels of depression. On the other hand, the possibility of experiencing depressive symptoms was lower when the number of walking days per week was more than 3 days (P < 0.05), when the number of working days per week was more than 5 days (P < 0.01), and the rate of aerobic physical activity was higher. Based on the ‘Dietary Reference Intakes for Koreans 2015’, the subjects in the low depression group showed better intake of energy and 22 nutrients than the high depression group.
Adult ; Depression ; Education ; Hand ; Health Behavior ; Humans ; Korea ; Logistic Models ; Motor Activity ; Nutrition Surveys ; Prevalence ; Smoke ; Smoking ; Statistics as Topic ; Walking

No abstract available.
Leukemia, Myelogenous, Chronic, BCR-ABL Positive*

PURPOSE: There has been little research regarding the effectiveness of oseltamivir for influenza B infections. We sought to identify the different clinical manifestations between patients treated with and without oseltamivir. METHODS: We retrospectively studied the medical records of 72 inpatients or outpatients from two medical centers diagnosed with influenza B infections by either a rapid antigen test or multiplex reverse transcriptase PCR between January 2012 and July 2012. We compared gender, age, past medical history, admission period, total fever duration, fever duration after hospitalization, post-oseltamivir medication peak temperature, laboratory test, chest X-ray, antibiotic medication, and the presence of concomitant viral or bacterial infections. RESULTS: The number of subjects in our study was 72 who were diagnosed with influenza B pneumonia, acute bronchitis, acute bronchiolitis, croup, and mean age was 3.6+/-2.8 year old. The demographic characteristics and clinical manifestations of oseltamivir and the non-oseltamivir groups, including hospitalization period (4.18+/-2.10 vs 4.79+/-1.49 days, P=.17) and total fever duration (5.32+/-2.07 vs 6.41+/-3.25 days, P=.09), demonstrated no significant differences. Notably, the oseltamivir group did have significantly reduced usage of antibiotic treatment than the non-oseltamivir group (P=.04). When we limited our patient group to patients under the age of three, similar results were seen. The group prescribed oseltamivir within 48 hours of fever onset had less antibiotic usage, in addition to a shorter fever duration. CONCLUSION: Oseltamivir appeared to have no benefit in improving the clinical course. However, if it is prescribed within the first 48 hours of symptoms, it may be more effective.
Bacterial Infections ; Bronchiolitis ; Bronchitis ; Child* ; Croup ; Fever ; Hospitalization ; Hospitals, University* ; Humans ; Influenza B virus* ; Influenza, Human ; Inpatients ; Medical Records ; Oseltamivir* ; Outpatients ; Pneumonia ; Retrospective Studies ; Reverse Transcriptase Polymerase Chain Reaction ; Thorax

Paranasal sinus CT is known as the most effective imaging modality in the evaluation of inflammatory sinonasal diseases and can depict the distribution, causative lesions obstructing main drainge route, and associated findings. Recently, functional endoscopic sinus surgery has been widely used for the evaluation and treatment. Before operation, PNS CT has been routinely used to evaluate the paranasal sinuses and mucociliary drainage route. The authors analyzed the PNS CT findings of 3156 cases in 1578 patients with chronic sinusitis symptoms. Sinonasal inflammatory diseases were categorized into 5 patterns according to the obstruction sites. They were 1) infundibular (10%, 316/3156), 2) ostimeatal unit (41%, 1294/3156), 3) sphenoethmoidal recess (12%, 379/3156), 4) sinonasal polyposis (30%, 946/3156) , and 5) unclassifiable (6%, 190/3156) patterns. The main causes for infundibular obstruction in order of frequency were inflammatory mucosa, enlarged ethmoidal bulla and Haller's cell. With respect to the middle meatus obstruction, is main causes in the order of frequency were polypoid lesion, inflammatory mucosa and medially deviated uncinate process. In particular, sinonasal polyposis showed one or more of the characteristic associated findings of infundibular enlargement, air-fluid level, ethmoidal sinus was bulging and bony deossification or sclerosis as well as sinonasal polypoid change. In conclusion, the inflammatory sinonasal diseases were classified into five patterns, and the causative lesions or anatomic variations were efficiently detected by the PNS CT. Furthermore, it could provide a guidance for proper management of the sinusitis including functional endoscopic sinus surgery.
Drainage ; Humans ; Mucous Membrane ; Paranasal Sinuses ; Sclerosis ; Sinusitis