No abstract available.
Dementia*

No abstract available.
Gastroesophageal Reflux* ; Korea* ; Prevalence*

No abstract available.
Gastrointestinal Diseases*

No abstract available.
Constipation*

Diffuse alveolar hemorrhage (DAH) is an uncommon complication in patients with systemic lupus erythematosus (SLE), and mortality remains high. In recent years, cases of DAH due to SLE treated with extracorporeal membrane oxygenation (ECMO) have rarely been reported. The authors present a case of a 43-year-old woman with SLE who had rapidly aggravating dyspnea and hemoptysis. She was diagnosed as having DAH with refractory respiratory failure and was successfully managed with veno-venous ECMO. We propose ECMO as a useful salvage therapy in patients with alveolar hemorrhage secondary to SLE who are failing conventional ventilatory support.
Adult ; Dyspnea ; Extracorporeal Membrane Oxygenation* ; Female ; Hemoptysis ; Hemorrhage* ; Humans ; Lupus Erythematosus, Systemic* ; Mortality ; Respiratory Distress Syndrome, Adult ; Respiratory Insufficiency ; Salvage Therapy

BACKGROUND: The purpose of study to present the basic data for enhancing the performance level of the dental clinic infection prevention through the actual condition of the implementation for dental treatment infection prevention aimed at dental hygienists in each hospital. METHODS: We carried out a survey targeting 69 dental hygienists in the dental college hospital, 42 in the dentist of the Dentistry in General Hospital, 51 in the dental clinic and 38 in the dentist's office and the medical institutions surveyed, and we used frequency analysis and chi-square analysis by using SPSS (Ver. 18.0). RESULTS: The experiences wounded in the body by sharp instruments or needles contaminated with patients' blood or saliva were on average in 86.5% of the dental hygienists, and people who disinfected the wound with disinfectants after washing their own hands and squeezing blood as the method to fight the wound was 73.4%. The dental clinic was the highest in case of the rate of wearing gloves, and the dental clinic was the highest in the case of the rate of wearing a mask. The use of the liquid soap containing antimicrobial was the highest as 28.0% in the dental college hospital in case of 'the cleanser to be used for washing their own hands'. In the multiple response for dental treatment mechanical equipment management apparatus and the actual condition to be equipped with medicines and the survey in sterilization, Povidone was the highest as 28% in the dental college, and surface disinfectants were being used in some hospitals. CONCLUSION: To prevent the infection in the consultation room, dental hygienists should thoroughly recognize Dental Treatment Infection Prevention Standards, and the research measures or administrative support of the government and the organs concerned is needed a lot.
Dental Clinics ; Dental Hygienists ; Dentistry ; Dentists ; Disinfectants ; Hand ; Hospitals, General ; Humans ; Masks ; Needles ; Povidone ; Saliva ; Soaps ; Sterilization

From August 1991 to July 1992, 262 patients of benign prostatic hyperplasia (BPH) were treated with transurethral microwave thermotherapy (TUMT). Among those, 64 patients were followed up more than I year and 26 patients were followed up more than 4 years without other treatment. The patient`s age ranged from 49 to 80 years with a mean of 64.3 years. Prostate volume determined by transrectal ultrasonography ranged from 27.0cm3 to 73.6cm3, the mean 40.8cm3. After I year, maximum flow rate increased from 8.1+/-2.3ml/sec to 11.5+/-3.6ml/sec, Madsen symptom score decreased from 12.6 +/-3.8 to 6.6+/-4.7, and residual urine volume decreased from 75.6+/-33.5ml to 43.4+/-35.3ml. Complete response of maximum flow rate and Madsen symptom score observed in 17.2% in each group, partial response in 50.0% and 40.6%, and non-response in 32.8% and 42.2%. Improvement of subjective symptoms were evaluated by patients themselves and divided into 3 groups: ""satisfactory"" was 28.1%, ""acceptable"" 34.4%, and ""not effective"" 37.5%. Complications were i case of erectile dysfunction and 4 cases of dry ejaculation. Among the 64 patients who were followed up more than 1 year, 26 patients (40.6%) were remained without other treatment, 20 (31.3%) patients were medicated additionally, 11 (17.2%) patients required TUR-P during the follow-up period due to persistent symptoms, and 7 (10.9%) patients were performed re-TUMT. In conclusion, TUMT could be useful, safe and inexpensive treatment for BPH when it is applied selectively and should be advanced in mechanism to be more effective in treatment of BPH.
Ejaculation ; Erectile Dysfunction ; Follow-Up Studies* ; Humans ; Male ; Prostate ; Prostatic Hyperplasia ; Transurethral Resection of Prostate* ; Ultrasonography

PURPOSE: Pilomatrixoma is a benign, usually asymptomatic tumor. It presents clinically as a solitary superficial subcutaneous nodule measuring between 0.5 cm and 5 cm in diameter on the head or upper extremeties and has not been reported after skin graft. The objective of this article is to report our experience in treating pilomatrixoma which occurred after split thickness skin graft on the lower extremity. METHODS: A 56-year-old female was treated in August 2005 with a 0.5 X 0.5 cm firm subcutaneous nodule at recipient site of split thickness skin graft on the left medial thigh. The tumor was successfully removed by complete excision and histologic examination was followed. RESULTS: The diagnosis was pilomatrixoma which was characterized by a dual population of proliferating basophilic cells and diagnostic shadow cells. CONCLUSION: The tumor was successfully treated by complete resection. The authors report this very rare case of pilomatrixoma which occurred at recipient site of split thickness skin graft.
Basophils ; Diagnosis ; Female ; Head ; Humans ; Lower Extremity ; Middle Aged ; Pilomatrixoma* ; Skin* ; Thigh ; Transplants*

A parallel distributed neural network model of basal ganglia based on the neuroanatomy, neuropharmacology and neurophysiology is described. Despite recent advances in the understanding of the pathophysiology of movement disorders, little is known about the precise function the banal ganglia play in the control of movement. This article reviews an approach to studying the function of neural systems that is based on the use of a class of a computer models as parallel distributed processors (PDPs) and indicate its potential range of applications to the study of movement disorders. On this model, nigro-striatal dopaminergic system is considered as a threshold on the cortico-striatal glutamatergic fibers. So this dopaminergic system can control the striatal output to the globus pallidus and the striatal net model is consistent with clinical effect of Parkinson's disease that shows loss of dopaminergic function on the striatal medium spiny neurons due to nigral degeneration. The pallidal net is more complicated due to the probable reciprocal effects of dopaminergic function on the direct and indirect pathways of striato-pallidal connections which is not well known at present. But the neural network modal of PDPs would be a important field of neuroscience in a near future.
Basal Ganglia* ; Computer Simulation ; Ganglia ; Globus Pallidus ; Movement Disorders ; Neural Networks (Computer)* ; Neuroanatomy ; Neurons ; Neuropharmacology ; Neurophysiology ; Neurosciences ; Parkinson Disease

No abstract available.
Acute Kidney Injury*