Nevus lipomatosus superficialis presented as soft, yellowish papules or cerebriform plaques occurring usually on the buttock or thigh, less often on the ear or scalp. We herein report a case of nevus lipomatosus superficialis on the leg.
Buttocks ; Ear ; Leg* ; Nevus* ; Scalp ; Thigh

PURPOSE: This study is aimed at obtaining the information on the physical fitness level of female flight attendants at a local airline. METHODS: The subjects are 2,409 female flight attendants who have had medical examination and physical fitness tests at an airline medical center from January 2 to December 30, 2008. The independent variables include socio-demographic & behavioral characteristics, and medical examination results, whereas the dependent variable is their physical strength score representing their fitness level. RESULTS: Factors that affect the fitness strength score are age, flight hours per year, and fasting blood sugar level. It is found that physical fitness level is higher when the subjects are over 35, on board for over 850 hours per year and their fasting blood sugar level is over 100 mg/dL. CONCLUSION: It is concluded that for the improvement of flight attendants' health, more exercise to develop cardio-respiratory endurance and muscular strength is needed, and further study needs to be done to develop fitness enhancement programs considering flight attendants' job characteristics, working years, and flight hours per year, and programs for those returning to their workplace after a long-term leave, and new employees.
Blood Glucose ; Fasting ; Female ; Humans ; Physical Fitness

No abstract available.
Bile Ducts* ; Bile* ; Constriction, Pathologic*

We evaluated the distribution of normal conjuctival flora and the change of antibiotic sensitivity of cultured bacteria. Specimens were obtained from inferior conjunctiva cul de sac with sterile cotton-tipped applicator from healthy 216 human beings. Antibiotic sensitivity test was done by disk diffusion method. The results indicated that overall positive culture rate was 47.7% and major organisms were Coagulase-negative Staphylococcus(55.7%), Staphylococcus aureus(16%), Gram negative bacteria(7.5%), Streptococcus(4.7%). Antibiotic sensitivity test of cultured Gram positive bacteria demonstrated less than 60% rate of susceptability in gentamicin, tetracyclin, erythromycin and 80.5% rate of susceptability in ciprofloxacin. Gram negative bacteria demonstrated less than 60% rate of susceptability in cephalothin, ampicillin. From the above results, we concluded that antibiotic resistance of normal conjunctival flora was increased from the past and the principle of antiviotic eye drop use should be emphasized.
Ampicillin ; Bacteria ; Cephalothin ; Ciprofloxacin ; Conjunctiva ; Diffusion ; Drug Resistance, Microbial ; Erythromycin ; Gentamicins ; Gram-Negative Bacteria ; Gram-Positive Bacteria ; Humans ; Staphylococcus

Valproic acid is a commonly prescribed medication approved for epilepsy, migraine and bipolar disorder. The common adverse effects associated with valproic acid include nausea, vomiting, tremor and weight gain. Less common but more serious adverse effects can occur. These include irreversible hepatotoxicity and pancreatitis. We report one case of pancreatitis, an uncommon disorder in children, in an 11-year-old boy treated with valproic acid for simple partial seizure.
Bipolar Disorder ; Child ; Epilepsy ; Humans ; Male ; Migraine Disorders ; Nausea ; Pancreatitis* ; Seizures ; Tremor ; Valproic Acid* ; Vomiting ; Weight Gain

PURPOSE: The purposes of this study were to investigate the effects of workplace bullying and positive psychological capital on field adaptation in newly graduated nurses. METHODS: The participants in this study were 132 nurses from three tertiary hospitals who had less than 12 months of nursing experience. From March 28 to May 15, 2016, data were collected using a structured questionnaire and analyzed using SPSS/WIN 22.0. RESULTS: The mean score for field adaptation of participants was 2.98±0.39, for workplace bullying, 1.61±0.66, and for positive psychological capital, 3.67±0.54. Sub domains of workplace bullying showed a negative correlation with field adaptation (r=-.21~-.39), and Sub domains of positive psychological capital showed a positive correlation with field adaptation (r=.35~.47). Significant factors that influenced field adaptation were optimism of positive psychological capital and work related bullying of workplace bullying. These factors explained 33.0% of the variance in field adaptation. CONCLUSION: These findings indicate that positive psychological capital at the individual level and workplace bullying at the organizational level should be the focus in the efforts to promote effective field adaptation in newly graduated nurses.
Bullying ; Nursing ; Optimism ; Psychology ; Tertiary Care Centers

BACKGROUND: Normal pressure hydrocephalus (NPH) is an etiology of dementia that is reversible following cerebrospinal fluid shunt placement, however, surgical intervention not always clinically effective and the respons to shunt therapy is poorly understood. Furthermore, NPH is a source of comorbidity in diseases with neurodegenerative pathology, such as Alzheimer's disease (AD). CASE REPORT: A 61-year-old woman presented to the neurology clinic with progressive gait difficulties and cognitive impairment over five years. Nine years after ventriculoperitoneal (VP) shunt treatment, the patient began to experience frequent falls. There was no improvement in clinical symptoms after the alteration of valve pressure on the VP shunt. An 18F-florbetaben amyloid positron emission tomography scan showed increased diffusion uptake over the bilateral cortices, precuneus, and posterior cingulate cortex. CONCLUSIONS: The patient of NPH was unresponsive to shunt therapy due to the development of AD.
Accidental Falls ; Alzheimer Disease* ; Amyloid ; Cerebrospinal Fluid Shunts ; Cognition Disorders ; Comorbidity ; Dementia ; Diffusion ; Female ; Gait ; Gyrus Cinguli ; Humans ; Hydrocephalus* ; Hydrocephalus, Normal Pressure ; Middle Aged ; Neurology ; Parietal Lobe ; Pathology ; Positron-Emission Tomography

Background: This study aimed to evaluate the relationship between clinical experience and death certificate (DC) errors by analyzing DCs written by experienced emergency physicians (EPs). Methods: DCs issued by four experienced EPs over a 10-year period were retrospectively reviewed. DC errors were divided into major and minor errors based on whether they affected the cause of death (COD) determination. The errors were judged through first and second evaluations. Basic information regarding DCs and 10-year changes in DC errors were analyzed. Results: A total of 505 DCs were analyzed, with an average of 34 to 70 for each study year.The number of CODs written in the DCs tended to decrease over time. The presentation of major DC errors did not show a tendency to change over time. However, the sum of the major and minor errors tended to increase over time. Secondary conditions as the underlying COD tended to increase, and the incompatible causal relationships between CODs tended to decrease over time in the detailed analysis of major errors. The increasing tendency for incorrect other significant conditions, incorrect type of accident, incorrect intention of the external cause, no record of the trauma mechanism, and record of the trauma mechanism without another COD were found in the detailed analysis of minor errors. Conclusion DC errors did not decrease as clinical experience increased. Education to reduce DC errors and a feedback process for written DCs are necessary, regardless of clinical experience.

Typical transcranial approaches are insufficient for adequate visualization and resection of skull base tumors. Different approaches with multiple modifications have been attempted. Here, we describe a new approach for a lesion that is central and hard to treat by conventional craniotomy and successful reconstruction with calvarial bone graft and titanium mesh plate. A 69-year-old female patient presented with recurrent meningioma. The tumor had invaded the frontal lobe, right supraorbital rim, and ethmoidal bone. We performed a modified anterior craniofacial approach that fully exposed the tumor and invaded bone. In consideration of the patient's age and cosmetic result, the tumor and invaded bone was resected and the defect area was reconstructed with titanium mesh and calvarial bone graft. At 6 months postoperative the patient had no complications and was satisfied with the esthetic result. We report this case to demonstrate the successful approach and reconstruction using this technique.
Aged ; Autografts ; Craniotomy ; Female ; Frontal Lobe ; Humans ; Meningioma* ; Nasal Bone* ; Osteotomy* ; Skull Base ; Titanium ; Transplants

Typical transcranial approaches are insufficient for adequate visualization and resection of skull base tumors. Different approaches with multiple modifications have been attempted. Here, we describe a new approach for a lesion that is central and hard to treat by conventional craniotomy and successful reconstruction with calvarial bone graft and titanium mesh plate. A 69-year-old female patient presented with recurrent meningioma. The tumor had invaded the frontal lobe, right supraorbital rim, and ethmoidal bone. We performed a modified anterior craniofacial approach that fully exposed the tumor and invaded bone. In consideration of the patient's age and cosmetic result, the tumor and invaded bone was resected and the defect area was reconstructed with titanium mesh and calvarial bone graft. At 6 months postoperative the patient had no complications and was satisfied with the esthetic result. We report this case to demonstrate the successful approach and reconstruction using this technique.
Aged ; Autografts ; Craniotomy ; Female ; Frontal Lobe ; Humans ; Meningioma* ; Nasal Bone* ; Osteotomy* ; Skull Base ; Titanium ; Transplants