No abstract available.
Colon* ; Polyps*

Microcystic meningioma is a rare variant of meningiomas. This unusual variant was originally described by Masson, who labeled it "humid". The computed tomographic scan or magnetic resonance images of these tumors resemble those of a glial or metastatic tumor with cystic or necrotic changes. There is no definitive method for differentiating cystic meningiomas from these more common tumors. But immunohistochemically, they share a similar pattern of positive staining for epithelial membrane antigen and vimentin with other meningiomas. Our case was a 34-year-old woman with a tumor mass on the right frontal area. She was admitted to hospital because of generalized tonic seizure. Grossly all of the tumor could be removed, and histopathologically this tumor was revealed to be a microcystic meningioma.
Adult ; Female ; Humans ; Meningioma* ; Mucin-1 ; Seizures ; Vimentin

No abstract available.
Child* ; Humans ; Tuberculosis, Meningeal*

A 19-year-old man had a good neurologic recovery from a severe hypothermia(19 degrees C) and a prolonged coma following active infernal rewarming. From inhaling hydrocarbons, he was left unconscious on the cold floor for 24 hours. As soon as the patient was brought into the emergency medical center, he was early evaluated arid treated aggressively. ECG showed Osborn(J) wave on all leads. The temperature o( patient was increased by 2-3 degrees C per hour through active external rewarming (by heating blankets and warm bag) and active infernal rewarming (by airway rewarming, warmed IV fluids, gastrointestinal tract irrigation, and bladder irrigation). The temperature reached 36 degrees C after 6 hours. Active infernal rewarming provides rapid core rewarming with the additional benefit of circulatory support during the period of cardiac instability.
Coma ; Electrocardiography ; Emergencies ; Gastrointestinal Tract ; Heating ; Hot Temperature ; Humans ; Hydrocarbons* ; Hypothermia* ; Inhalation ; Rewarming ; Unconsciousness* ; Urinary Bladder ; Young Adult

Acute mountain sickness is an illness caused by climbing to a high altitude without prior acclimatization. Neurological consequences, like parkinsonism following acute mountain sickness without lesion of brain MRI have been reported rarely. A healthy 56-year-old man presented with dysarthria and gait disturbance. Neurological examination revealed tremor of hands, limb rigidity, and bradykinesia. The symptoms developed approximately 30 days following a 3,500 m climb of the Annapurna in the Himalayas. Brain MRI did not reveal any abnormalities including globus pallidus. The parkinsonism symptoms persisted for about 3 months before a complete recovered was made. We suggest that parkinsonism can develop after climbing to a high altitude but that the symptoms can be transient if a brain MRI detects no abnormalities.

Global aphasia without other focal neurologic lateralizing signs (GWLS) is an uncommon stroke syndrome. The pathogenesis of GWLS has been thought as the result of multiple cardioembolism. However, a few cases of GWLS with a single lesion have been reported. We report an unusual case of GWLS with a single left superior temporal infarction. A 73-year-old right handed man was admitted with receptive and expressive language impairment without other focal neurologic lateralizing signs. The patient's global aphasia symptom has being 4 weeks after symptom onset. Brain CT showed only one lesion of left superior temporal lobe. Our case notes that the multiple lesions of the speech area are not only necessary to produce GWLS, and it is not necessarily imply a double lesion or an embolic causes.
Aged ; Aphasia* ; Brain ; Hand ; Humans ; Infarction ; Stroke ; Temporal Lobe

Dental porcelain is one of the materials of choice for restoration where esthetics is of concern, but has a considerable potentials of wear. The wear of enamel is variable when opposed by different porcelain systems and surface conditions, and the exposed dentine and opaque porcelain due to clinical failure is expected to have high potentials of wear. The purpose of this study was to investigate the wear effects of self-glazed, polished incisal porcelain, polished dentine and opaque porcelain against human enamel in the laboratory by use of a pin-on-disk type wear tester. 4 types of dental porcelain(Vita-omega, Ceramco-II, Vintage powder, Vita-alpha of In-Ceram system) and type IV gold alloy as cotrol group were used for test specimens. Intact buccal cusps of maxillary premolar were used for enamel specimens, and the cusp converged to a point and was devoid of visible abrasion, caries, decalcification. The upper part was the cusp of a maxillary premolar and the lower part was a porcelain specimen. The enamel wear was determined by weighing the cusp before and after each test. Surface profilometer was used to quantitate wear of the porcelain specimens. Vicker's hardness tester was used to evaluate the surface hardness of test specimens. The SEM was used to evaluate the wear surfaces. The results were as follows : 1.Self-glazed porcelain produced more enamel wear than polished porcelain, especially the enamel wear of Vita-alpha self-glazed porcelain was 3.2 times more than that of other groups. 2.Opaque porcelain produced least porcelain wear, Vita-alpha self-glazed porcelain produce greatest porcelain wear, but there was no statistically significant difference between the groups(p>0.05). 3.The enamel wear of dentine porcelain was 3.8 times more than that of polished inisal porcelain(p<0.05), and the enamel wear of opaque porcelain was 1.9 times more than that of polished inisal porcelain, but there was no statistically significant difference between the groups(p>0.05). 4.Overglazed porcelain produced less enamel wear than self-glazed porcelain, and more enamel wear than polished porcelain, but there was no statistically significant difference between the groups(p>0.05). 5.The hardness number of Vita-omega dentine and Ceramco-II opaque porcelain was larger, but that of Vintage dentine and Vita-alpha self-glazed porcelain was similar to other groups. 6.Examination of SEM photographs revealed that overglazed porcelain had smoother surface than self-glazed porcelain, and self-glazed porcelain had smoother surface than polished porcelain. Much polishing scratches and larger porosities were observed on the opaque porcelain specimen, and much polishing scratchess and small porosities were observed on the dentine porcelain specimen.
Alloys ; Bicuspid ; Dental Enamel* ; Dental Porcelain* ; Dentin ; Esthetics ; Hardness ; Hardness Tests ; Humans* ; Porosity

OBJECTIVES: Quality of life in patients with psychotic disorders and their caregivers has a important role on the treatment and relapse prevention of the patients. This study was intended to investigate the effects of patient's sociodemographic, clinical and psychological(self-esteem, social support and external control) characteristics, and caregivers' sociodemographic and psychological characteristics on quality of life in patients and caregivers. METHODS: The subjects were composed of 48 out-patients (schizophrenic disorder, mood disorders and other psychotic disorders) and 48 caregivers. Patients' clinical characteristics, patients' and their caregivers' sociodemographic, psychological characteristics(self-esteem, social support and external control) and quality of life were investigated. First of all, patients' self-esteem, social support, external control and quality of life were compared with caregivers'. After the correlations among each characteristics in patients and caregivers were calculated, the multiple regression analyses were conducted, where the predictable variables were those that had already shown significant correlations with quality of life. RESULTS: Patients' self-esteem and quality of life were significantly lower than their caregivers'. In patients, high socioeconomic status and self-esteem were correlated with high perception on the social support and quality of life. Also, the satisfaction to the medication was positively correlated with perception on the social support, quality of life and more external control. In addition, high compliance on medication and high perception on the social support were correlated with high quality of life. In caregivers, patients' onset age was positively correlated with caregivers' quality of life. Also, more caregivers' stress was correlated with their lower self-esteem, and higher caregivers' self-esteem was correlated with higher perception on the social support and quality of life. Furthermore, higher caregivers' perception on the social support was correlated with higher quality of life. The characteristics that predicted patients' quality of life significantly were self-esteem and perception on the social support, and the characteristics that predicted caregivers' quality of life significantly were caregivers' perception on the social support and patients' onset age. CONCLUSION: These results suggested that for improving the quality of life of patients and their caregivers, it was important not only to alleviate and treat the patient's symptom, but also to increase self-esteem and provide social support.
Age of Onset ; Caregivers* ; Compliance ; Humans ; Mood Disorders ; Outpatients ; Psychotic Disorders* ; Quality of Life* ; Recurrence ; Social Class

No abstract available.
Humans ; Siblings* ; Thrombasthenia*

Purpose: It is important to understand the differences between men and women when it comes to attitudes and risk perception toward disease. This study aimed to explore the fear of cancer from the standpoint of themselves and the opposite sex by cancer type. Materials and Methods: A cross-sectional survey with a representative sample was conducted. Results: The least and the most feared cancers in men were thyroid cancer and lung cancer, respectively. When men assumed the perspective of women, the least and the most feared cancer were thyroid cancer and stomach cancer, respectively. The least and the most feared cancers in women were thyroid cancer and stomach cancer, respectively. When women assumed the perspective of men, the least and the most feared cancer were prostate cancer and lung cancer, respectively. When both men and women assume the perspective of the opposite sex, the fear of sex-specific cancer was relatively low compared to the actual responses of both men and women. The top six of the most feared side effects of cancer treatment were pain, psychological problems, general weakness, digestive dysfunction, fatigue, and appearance change. These were the same between men and women. Conclusion Health care providers and caregivers in the family should provide care with more attention to the differences in thoughts about cancer between men and women. Health care providers should provide care with more attention to the differences in these problems between men and women.