We encountered a rare condition of rice body in subacromial and subdeltoid spaces in a patient with unremarkable medical history. Although it is uncommon, there have been continued reports on its formation in certain type of infective and inflammatory arthritis. However, except for a traumatic event, evaluation yielded no known and conceivable cause for his chronic inflammatory bursitis. Relatively typical findings for rice body on magnetic resonance imaging have been described, and in our case the imaging prompted us to schedule early removal, which is generally accepted as the management of choice to prevent further progression of symptoms. The symptoms of the shoulder showed significant improvement, and a close follow-up schedule has been recommended for observation of recurrence and development of any foreseeable underlying cause.
Appointments and Schedules ; Arthritis ; Bursitis ; Follow-Up Studies ; Humans ; Magnetic Resonance Imaging ; Recurrence ; Shoulder ; Shoulder Joint

For many years, developmental and physiological differences have been known to exist between anatomic segments of the colorectum. Because of different outcomes, prognoses, and clinical responses to chemotherapy, the distinction between right colon cancer (RCC) and left colon cancer (LCC) has gained attention. Furthermore, variations in the molecular features and gut microbiota between right and LCCs have recently been a hot research topic. CpG island methylator phenotype-high, microsatellite instability-high colorectal cancers are more likely to occur on the right side whereas tumors with chromosomal instability have been detected in approximately 75% of LCC patients and 30% of RCC patients. The mutation rates of oncogenes and tumor suppressor genes also differ between RCC and LCC patients. Biofilm is more abundant in RCC patients than LLC patients, as are Prevotella, Selenomonas, and Peptostreptococcus. Conversely, Fusobacterium, Escherichia/Shigella, and Leptotrichia are more abundant in LCC patients compared to RCC patients. Distinctive characteristics are apparent in terms of molecular features and gut microbiota between right and LCC. However, how or to what extent these differences influence diverging oncologic outcomes remains unclear. Further clinical and translational studies are needed to elucidate the causative relationship between primary tumor location and prognosis.
Biofilms ; Chromosomal Instability ; Colon* ; Colonic Neoplasms* ; Colorectal Neoplasms ; CpG Islands ; Drug Therapy ; Fusobacterium ; Gastrointestinal Microbiome* ; Genes, Tumor Suppressor ; Humans ; Leptotrichia ; Microsatellite Repeats ; Mutation Rate ; Oncogenes ; Peptostreptococcus ; Prevotella ; Prognosis ; Selenomonas ; Treatment Outcome

The immune response to M. tuberculosis engages T-cell medicated reactions which determine the degree of resistance and also the clinical pattern of disease. Although antibodies produced by the infected host have yet no proven protection, they are appilicable for alternative diagnostic tests in tuberculosis. Preparation of purified antigens from Mycobacteria with specific antigenic determinants would improve serological diagnosis in tuberculosis. The antigen was prepared by extraction of M. tuberculosis with perchloric acid which was found to be major bands of 71, 42, 38 and 10 kD by sodium dodecyl sulfate-polyacrylamide gel electrophoresis. Thirteen sera from patients with active tuberculosis showed positive reactions to TB-P by ELISA, but the reaction to perchloric acid extract antigen is weaker than to PPD. The IgG subclass profiles to TB-P were IgG1, IgG2 and IgG4. By means of western blotting, the antibodies in the tuberculous patients showed the reaction with antigens of lower molecular weight such as 14, 12, 11 and 10 kD. These results suggested that the perchloric acid soluble antigen of M. tuberculosis might be more related with cell-mediated immune reactions rather than humoral immune reactions.
Antibodies ; Blotting, Western ; Diagnosis ; Diagnostic Tests, Routine ; Electrophoresis ; Enzyme-Linked Immunosorbent Assay ; Epitopes ; Humans ; Immunoglobulin G ; Molecular Weight ; Sodium ; T-Lymphocytes ; Tuberculosis*

PURPOSE: The purpose of this study was to identify characteristics of the experience of maintaining employment for people with mental disabilities. METHODS: The research design was a descriptive design using Q-methodology, which is a method of measuring subjectivity. Twenty-one participants classified 34 selected Q-statements on a nine-point scale to create a normal distribution. The PC-QUANL software program(a factor analysis program for the Q technique) was used to analyze the Q-sort data. RESULTS: Three types were extracted that described different expressions of the experience of maintaining employment for people with mental disabilities; these types explained 52.3% of the total variance. Type I is ‘Workplace support’, Type II is ‘Self-management’, Type III is ‘Experience integration’. CONCLUSION: The results of this study provide an understanding that there are different types of experiences for maintaining employment for people with mental disabilities and each type has certain characteristics. In future studies, it would be helpful to develop customized nursing interventions for psychiatric nurses while occupational rehabilitation services are being provided.
Employment* ; Humans ; Mentally Disabled Persons* ; Methods ; Nursing ; Q-Sort ; Rehabilitation ; Research Design

PURPOSE: This study was to use Parse's research method to discover the structure of the lived experience of sufferings of women who have attempted suicide. METHODS: This study was a qualitative research based on Parse's research method. Participants were 7 women who had attempted suicide and who were hospitalized in a Mental Hospital and in the Suicide-Prevention Center of G City. Data were collected by dialogical engagement between participants and the researcher from November, 2011 to February, 2013, and were analyzed through the extraction-synthesis and heuristic interpretation processes. RESULTS: Through the analyses, the structure was identified; The lived experience of suffering of women who have attempted suicide is the process that they ultimately found new meaning and value of life by speaking out their concealed pain through the intimate human contact with other people, although the women once decided to commit suicide to escape from extreme agony. CONCLUSION: This study results suggest, therefore, that the nurses working in this field should try wholeheartedly to understand the suffering and agony of women who have attempted suicide and to provide practical nursing to help them revitalize their lives.
Female ; Hospitals, Psychiatric ; Humans ; Nursing, Practical ; Qualitative Research ; Stress, Psychological ; Suicide ; Suicide, Attempted* ; United Nations ; Value of Life

BACKGROUND/AIMS: Despite the potent suppression of the hepatitis B virus with modern antiviral agents, only a minority of HBeAg-positive patients achieve hepatitis B e antigen seroconversion. We aimed to explore the potential efficacy of combination therapy consisting of pegylated interferon (p-IFN) and an oral antiviral agent in patients with HBeAg-positive chronic hepatitis B. METHODS: The treatment protocol consisted of p-IFN-α-2a at 180 μg/wk for 48 weeks, with either entecavir or tenofovir added 8 weeks after the initiation of p-IFN and continued for at least 6 months after HBe seroconversion was achieved. RESULTS: To date, 10 patients have been treated under the protocol (eight adults, mean age 36±8 years; two adolescents, aged 12 and 16 years). All eight adult patients experienced loss of HBeAg at a mean of 72.3±66.9 weeks, including six patients who also developed anti-HBe and one patient who had HBs seroconversion. Although both adolescents remain on therapy, one adolescent had HBs seroconversion without HBe seroconversion. A total of nine of our 10 patients experienced a favorable serological transition. CONCLUSIONS: The combination of p-IFN and a modern oral antiviral agent may be more effective than monotherapy with either class of agent in the treatment of HBeAg-positive chronic hepatitis B patients.
Adolescent ; Adult ; Antiviral Agents ; Clinical Protocols ; Hepatitis B ; Hepatitis B e Antigens ; Hepatitis B virus ; Hepatitis B, Chronic* ; Hepatitis, Chronic* ; Humans ; Interferons ; Seroconversion ; Tenofovir

For trauma patients with severe shock, massive fluid resuscitation is necessary. However, shock and a large amount of fluid can cause bowel and retroperitoneal edema, which sometimes leads to abdominal compartment syndrome in patients without abdomino-pelvic injury. If other emergent operations except intraabdomen are needed, a distended abdomen is likely to be recognized late, leading to multiple organ dysfunction. Herein, we report two cases of a 23-year-old woman who was in a car accident and a 53-year old man who was pressed on his leg by a pressing machine; severe brain swelling and popliteal vessel injury were diagnosed, respectively. They were both in severe shock and massive fluid resuscitation was required in the emergency department. Distended abdomen was recognized in both the female and male patients immediately after neurosurgical operation and immediately before orthopaedic operation in the operating room, respectively. Decompressive laparotomy revealed massive ascites with retroperitoneal edema.
Abdomen ; Ascites ; Brain Edema ; Edema ; Emergency Service, Hospital ; Female ; Humans ; Intra-Abdominal Hypertension* ; Laparotomy ; Leg ; Male ; Operating Rooms* ; Resuscitation ; Shock ; Young Adult

PURPOSE: The purpose of this study was to test the effects of a forgiveness therapy program to improve self-esteem, anger and forgiveness in people who abuse alcohol. METHODS: A non-equivalent control group pre-posttest design was employed. Participants were 38 people who abuse alcohol and who agreed to participate in this study. They were assigned to the experimental group in Alcoholics Anonymous meetings of J hospital(n=19) and the control group in Alcoholics Anonymous meetings of B hospital(n=19). The eight session program was provided once a week for 8 weeks. The data were analyzed using percentage, chi2-test, Kolmogorov - Smirnov test, and t-test with SPSS 21.0 program. RESULTS: The results showed significant decrease in state anger and increase in self-esteem and forgiveness in the experimental group compared to the control group. CONCLUSION: The findings show that forgiveness therapy program has a positive effect on self-esteem, anger, and forgiveness of people who abuse alcohol but further studies will be needed in order to determine the long term effects of an extended integrated program on rehabilitation of these people.
Alcoholics ; Alcoholics Anonymous ; Anger* ; Forgiveness* ; Humans ; Rehabilitation

No abstract available.
Carcinoembryonic Antigen* ; Cell Line* ; Colorectal Neoplasms* ; Humans*

No abstract available.
Hodgkin Disease* ; Radiotherapy*