No abstract available.
Adolescent* ; Humans ; Male* ; Shock, Septic*

Neuroblastoma stage IV-S patients have frequent spontaneous remission and high survival rate. Many investigators have recommended minimal or no therapeutic intervention ; however, some patient do experience progressive disease and ultimately die of neuroblastoma. We experienced a case of stage IVS neuroblastoma with N-myc amplification and coagulopathy. This patient has treated with combination chemotherapy and radiation therapy, then remained disease free for 1 year on the follow up till March, 1997.
Drug Therapy, Combination ; Follow-Up Studies ; Humans ; Neuroblastoma* ; Remission, Spontaneous ; Research Personnel ; Survival Rate

No abstract available.
Humans ; Infant* ; Streptococcal Infections*

No abstract available.
Aged* ; Humans

PURPOSE: The purpose of this study was to develop an e-Learning program about medication for nurses to enhance nurses' medication performance ability and to analyze learners' responses after studying with this program. METHOD: For the development of the e-Learning program, the NBISD(Network Based Instructional Systems Design) model, suggested by Jung(1999) was applied as a basic model and the instruction design theory of Gagne & Briggs(1979) and ARCS theory of Keller(1983) were applied. After the operation of this program for one month to 34 new nurses, learners' responses were analyzed. RESULT: Learners' knowledge of medication was greatly improved after this program. In addition learners' satisfaction with the overall education program, help in field applicability, ease of screen shift and exploration, and tutor activities were high and the contents were regarded suitable for e-Learning. Many things were advantageous such as easy accessibility, easy understandability with pictures and flash animation, practical cases and feedback from a tutor. Provision of a supplementary handout and improvement of a tight time schedule were pointed out as things to be improved. CONCLUSION: This e-Learning program can be used effectively for medication education for registered nurses, student nurses, and new nurses.
*Pharmaceutical Preparations ; *Internet ; Humans ; Female ; *Education, Nursing ; *Computer-Assisted Instruction ; Adult

Dyke-Davidoff-Masson syndrome is a rare disorder which developed hemiatrophy of brain, enlargement of ventricles and prominent pneumatization of petrous pyramid of the temporal bone. It manifests hemiparesis, varying type seizure, and mental retardation. We experienced two cases of Dyke-avidoff-Masson Syndrome, in a 6/12 year-old boy and a 1, 10/12 year-old girl who were admitted to our department of pediatrics, because of convulsion and hemiparesis The brain CT scan showed marked dilatation of lateral ventricle, prominent sylvian fissure and cortical sulci. So we report two cases of Dyke-Davidoff-Masson syndrome with review of literature.
Brain ; Dilatation ; Female ; Humans ; Intellectual Disability ; Lateral Ventricles ; Male ; Paresis ; Pediatrics ; Petrous Bone ; Seizures ; Temporal Bone ; Tomography, X-Ray Computed

No abstract available.
Humans

No abstract available.
Hemochromatosis* ; Spleen*

PURPOSE: Most of the gastroenteritis due to viruses and some bacteria can be successfully managed by oral and/or intravenous fluid-electrolyte replacement and antibiotic therapy is unnecessary and even harmful. It is, however, not uncommon practice to prescribe antibiotics when acute gastroentritis is suspected. Therefore authors analysed the clinical courses of the patients treated for acute non-bacterial gastroenteritis in a university hospital to assess the propriety of antibiotic usage in the treatment of acute non-bacterial gastroenteritis. METHODS: Ninty six patients hospitalized at Hanyang University Hospital from September 1993 to February 1995 due to acute non-bacterial gastroenteritis were included in this retrospective study. Fifty six patients received antibiotics (Group I) and the rest 40 patients did not (Group II). Clinical symptoms including dehydration, diarrhea, vomiting, temperature, and other clinical courses were analysed and compared between the two groups. RESULTS: 1) Average age of the patients is 1.76+/-0.24 years old and not significantly different between the two groups. 2) The number of patients with moderate or severe dehydration on admission were greater in Group II compared to Group I. 3) Frequency and duration of diarrhea prior to hospitalization were not different between the two groups. However, more number of patients in Group I compared to Group II suffered from aggravation of diarrhea during hospitalization. 4) Frequency and duration of vomiting were not different between the two groups. 5) Duration of temperature elevation prior to hospitaliztion was not different between the two groups: however during the hospitalization, duration and height of temperature elevation were significantly longer and greater in Group I compared to Group II. 6) Duration of hospitalization, the time from hospitalization to recovery, and duration of intravascular cannulation were significantly longer in Group I compared to Group II. 7) Occurrence of complication was not different between the two groups and rash and paralytic ileus are the ones frequently observed. CONCLUSIONS: The study results illustrates that antimicrobial administration appears not to be beneficial, but rather have harmful effect on the course of acute non-bacterial gastroenteritis. Therefore the overuse of antibiotics on patients with acute nonbacterial gastroenteritis should be restraint.
Anti-Bacterial Agents* ; Bacteria ; Catheterization ; Dehydration ; Diarrhea ; Exanthema ; Gastroenteritis* ; Hospitalization ; Humans ; Intestinal Pseudo-Obstruction ; Retrospective Studies* ; Vomiting

Two adolescent cases of Fitz-Hugh-Curtis syndrome, which has not been previously reported in Korean girls, presenting with right upper-quadrant abdominal pain, nausea, vomiting, and fever are reported here. A careful and thorough inquiry into the sexual history of the first patient, which was not done upon admission, led to a careful reassessment of the dynamic abdominal computed tomography scan revealing hepatic capsular enhancement without evidence of gallbladder or liver disease. Both cases were diagnosed noninvasively and were treated successfully by medical intervention. A high index of suspicion of Fitz-Hugh-Curtis syndrome should be implemented in the differential diagnosis of right upper quadrant pain, particularly in sexually active girls, for a prompt diagnosis and rapid cure.
Abdominal Pain ; Adolescent ; Chlamydia Infections ; Diagnosis, Differential ; Female ; Fever ; Gallbladder ; Hepatitis ; Humans ; Liver Diseases ; Nausea ; Pelvic Inflammatory Disease ; Peritonitis ; Vomiting