No abstract available.
Frontal Sinus*

Real-time ultrasongraphy is a simple, accurate, noninvasive and potentially valuable means of studying gallbladder size and emptying. The authors calculated ultrasonographically the ejection fraction of 80 cases of normally functioning gallbladder on oral cholecystography, from June 1983 to April 1984, at the department of radiology, Hangang Sacred Heart Hospital. The results were obtained as follows; 1. Ultrasongraphic Ejection Fraction at 30 minutes after the fatty meal was 73.1+-16.85. 2. There was no significant difference in age and sex, statistically.
Cholecystography ; Gallbladder ; Heart ; Meals

Although the peritoneum is rare site for a primary neoplasm, certain malignant neoplasms may arise from it. A case of 63-year-old woman who had a serous papillary carcinoma of peritoneal origin is reported. Extraovarian peritoneal serous papillary carcinoma was characterized by ascites, malignant washings, and omental involvement with bulky infiltration and/or multiple tumor nodules. The symptoms caused by diffuse spreading of the neoplasm over the peritoneum are the most important manifestation for clinical diagnosis of malignant primary neoplasm of peritoneum, especially serous papillary carcinoma. This behaving tumor was at least partially responded to therapy. In this report, we describe a case of serous papillary carcinoma of peritoneum carring on proper management with brief review.
Ascites ; Carcinoma, Papillary* ; Diagnosis ; Female ; Humans ; Middle Aged ; Peritoneum*

The authors have experienced a case of double elevation paralysis with mild degree of hypophoria and exophoria in 10 year-old primary school girl. This case is congenital in origin. Transposition of the insertion of medial and lateral rectus muscle placing the new inserti ons immediately adjacent to the insertion of the superior rectus muscle was performed. After the operation, the subjective symptoms such as diplopia, dizziness, headache were improved even though this does not produce normal elevation beyond the midline level. Double elevation paralysis is caused often by unilateral supranuclear lesion than peripheral congenital lesion.
Child ; Diplopia ; Dizziness ; Exotropia ; Female ; Headache ; Humans ; Paralysis*

A clinical analysis was done for 51 eyes of 50 retinal detachment patients, who operated in the Depart of Ophthalmology, Chungnam National University Hospital during last 3 years. The results were as follows: 1) The maximum incidence of detachment in this study occurred between the ages of 51 and 60 years (30 %), and the next over the age of 61 years (22 %), that was somewhat different comparing with other reports in Korea. Men were more common than women. 2) Of all retinal breaks, the round holes were most common (47.1 %), followed by dialyses (27.5 %) and horse-shoe tears(19.6 %) before the ages of 30 years, cases with disinsertions were frequently observed with trauma 3) The over aU success rate of retinal detachment surgery was 74.5 %. There was no effect on the success rate by the shapes and numbers of the retinal breaks. The shorter the duration. the better the preoperative vision, and the samller the extents of detached area showed the better success rate. 4) The most frequent and main causes of failure were massive vitreous retraction and giant tears. 5) No complications of silicon rubber was observed in the operated eyes, such as foreign body reaction or invasion into the globe after surgery.
Chungcheongnam-do ; Dialysis ; Female ; Foreign-Body Reaction ; Humans ; Incidence ; Korea ; Male ; Ophthalmology ; Retinal Detachment* ; Retinal Perforations ; Retinaldehyde* ; Rubber ; Silicone Elastomers*

This review article aims to reveal the meaning and importance of economic evaluation in Korean mental health sector. The global burden of neuropsychiatric disorders, as measured by loss of disability-adjusted life years (DALYs), is estimated very high, irrespective of low mortality. There are several methods for such economic evaluation, including cost-effectiveness analysis (CEA), cost-utility analysis (CUA), and cost-benefit analysis (CBA), but there is still a paucity of such studies in the mental health sector. Economic evaluations of mental health in Korea can provide a rational basis to plan a national health policy regarding the global burden of diseases caused by psychiatric disorders.
Cost-Benefit Analysis ; Health Policy ; Korea ; Mental Health

OBJECTIVES: In the current study, we investigated the general characteristics of suicide attempters and attempted to determine factors contributing to suicide attempt by analyzing severe suicide ideation and intent. METHODS: This study analyzed medical records of suicide attempters who visited the emergency departments. Data were collected from 7 university hospitals nationwide. As an evaluation measure of suicide intent, we used Suicide Intent Scale (SIS). Colombia Suicide Severity Rating Scale (C-SSRS) was applied for assessment of severity and intensity of suicide idea and lethality of suicide behavior. RESULTS: Male gender, old age and living alone group showed higher SIS score. Male gender, low income, and having psychiatric diagnosis or suicide history group showed a high score on the severity subscale of suicide ideation of C-SSRS. Old age, low income, and having psychiatric diagnosis showed a high score on the intensity subscale of suicide ideation of C-SSRS. Actual lethality scale of C-SSRS was high in male gender and old age group. Severity and intensity of suicide ideation and suicide intent showed positive correlation with actual lethality of suicide behavior. CONCLUSION: Male gender, old age, living alone, psychiatric diagnosis, and suicide history were risk factors affecting severity and intensity of suicide ideation and intent of suicide. Severity and intensity of suicide ideation and intent are positively related to lethality of suicide behavior.
Colombia ; Emergency Service, Hospital ; Hospitals, University ; Humans ; Male ; Medical Records ; Mental Disorders ; Risk Factors ; Suicide*

Vibrio parahaemolyticus is a gram-negative halophilic organism commonly associated with outbreaks of acute gastroenteritis which also sometimes causes serious wound infection. It is an uncommon cause of bacteremia. We have experienced a case of bacteremia due to Vibrio parahaemolyticus in a 59-year old man who initially presented with edema and dyspnea. He was diagnosed as liver cirrhosis, gastric cancer, and hepatoma. On hospital day 13, Vibrio parahaemolyticus was isolated from blood culture. The isolate showed typical cultural and biochemical characteristics such as salt tolerance and did not ferment lactose. The isolate was intermediate to ampicillin but susceptible to other agents.
Ampicillin ; Bacteremia* ; Carcinoma, Hepatocellular ; Disease Outbreaks ; Dyspnea ; Edema ; Gastroenteritis ; Humans ; Lactose ; Liver Cirrhosis ; Middle Aged ; Salt-Tolerance ; Stomach Neoplasms ; Vibrio parahaemolyticus* ; Vibrio* ; Wound Infection

In recent years, early intervention is the paradigm in psychosis treatment. The logic of early intervention paradigm is based on the view that the earliest possible detection and intervention for psychosis will deliver the best outcome for patients. Therefore, in recent decades, most of studies focused on indentifying people with psychosis as early as possible, reducing the duration of untreated psychosis. However, while there are well documented and sometimes serious side effects associated with antipsychotic medication in the short-term, the iatrogenic risks of atypical antipsychotic medication are underscored. Furthermore, against this paradigm, the recent of longitudinal studies of schizophrenia suggest a new paradigm shift in treatment timing of psychosis. In this respect, this case which showed symptom remission after conversion into schizophrenia in early psychosis suggests wondering about the time of treatment. Similar cases have not been reported. And review of the effects of timing, in fact, has yet to be done. If similar cases would be reported in the future more, treatment timing may be the next paradigm shift in the therapeutics of early psychosis.
Antipsychotic Agents ; Early Intervention (Education) ; Humans ; Logic ; Longitudinal Studies ; Psychotic Disorders* ; Schizophrenia*

No abstract available.
Epinephrine* ; Skin* ; Transplants*