An aberrant right subclavian artery, the most common congenital anomaly of the aortc arch, is rarely symptomatic during the infancy, if an anomalous origin of a right common carotid artery is also associateda varient of innomiate artery compression syndrome. We experienced a case of an aberrent right subclavian artery associated with an anomalous origin of the right common carotid artery in a female newborn, who showed severe respiratory distress soon after birth. The diagnosis was confirmed by aortogram and operative findings. the ligature and section of the aberrent right subclavian artery resulted in improvement of respiratory distress. A brief review of the related literature is also presented.
Arteries ; Brachiocephalic Trunk* ; Carotid Artery, Common ; Diagnosis ; Female ; Humans ; Infant, Newborn ; Ligation ; Parturition ; Subclavian Artery*

No abstract available.
Acute Kidney Injury* ; Carbon Monoxide* ; Carbon* ; Rhabdomyolysis*

PURPOSE: This study was done to examine actor and partner effect of dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples. METHODS: Participants were 115 couples aged 60 years or over who met eligibility criteria. All measures were self-administered. Data were analyzed using SPSS 18.0 and AMOS 18.0 program. RESULTS: Dementia knowledge in elderly couples showed actor and partner effect on dementia preventive behavior. Self-efficacy in the wife did not have direct effects on dementia preventive behavior, but showed indirect effects through dementia knowledge. Self-efficacy in the husband showed direct effects on dementia preventive behavior and indirect effects through dementia knowledge. Wife's depression had direct actor effect on dementia preventive behavior and indirect effect through self-efficacy and dementia knowledge. Husband's depression did not have direct actor effect on dementia preventive behavior, but indirect effect through self-efficacy and dementia knowledge. Effect size of wives' dementia knowledge, self-efficacy and depression on dementia preventive behavior was larger than that of husbands'. Dementia preventive behavior, dementia knowledge and depression had a mutual effect. CONCLUSION: Results indicate that to promote dementia preventive activity in elderly couples, programs should be conducted for both of the couple, but focused differently for wife and husband.
Aged ; Aged, 80 and over ; Dementia/*prevention & control ; *Depression ; Female ; Humans ; Knowledge ; Male ; Middle Aged ; Questionnaires ; *Self Efficacy ; Spouses/*psychology

PURPOSE: This research was conducted to compare the effect of a wellness program on nutrition and diet knowledge, exercise and weight control knowledge, and weight control of schizophrenia patients. METHODS: A nonequivalent control group pretest-posttest design was used for this study. A total of 34 patients were randomly divided into the experimental group (17) and the control group (17). The experimental group received about 1 hour of a nutrition and diet knowledge intervention for 6 weeks and about 1 hour of an exercise and weight control knowledge intervention for another 6 weeks, while the control group received the usual care. The outcome variables were measured before and after the program. Data were analyzed by t-test using SPSS/WIN 14.0. RESULTS: The experimental group showed significant improvement in nutrition and diet knowledge, exercise and weight control knowledge, and reduction in body weight. CONCLUSION: The wellness program was effective on increasing nutrition and diet knowledge, exercise and weight control knowledge, and decreasing body weight of schizophrenia patients.
Body Weight ; Diet* ; Health Promotion* ; Humans ; Schizophrenia*

PURPOSE: This research was conducted to compare the effect of a wellness program on nutrition and diet knowledge, exercise and weight control knowledge, and weight control of schizophrenia patients. METHODS: A nonequivalent control group pretest-posttest design was used for this study. A total of 34 patients were randomly divided into the experimental group (17) and the control group (17). The experimental group received about 1 hour of a nutrition and diet knowledge intervention for 6 weeks and about 1 hour of an exercise and weight control knowledge intervention for another 6 weeks, while the control group received the usual care. The outcome variables were measured before and after the program. Data were analyzed by t-test using SPSS/WIN 14.0. RESULTS: The experimental group showed significant improvement in nutrition and diet knowledge, exercise and weight control knowledge, and reduction in body weight. CONCLUSION: The wellness program was effective on increasing nutrition and diet knowledge, exercise and weight control knowledge, and decreasing body weight of schizophrenia patients.
Body Weight ; Diet* ; Health Promotion* ; Humans ; Schizophrenia*

Varicose veins are a common disease that cause edema, heaviness, pigmentation, and skin ulcers, ultimately affecting the quality of life. Various treatments have recently been developed; therefore, clinicians need to understand the anatomy, pathophysiology, risk factors, and symptoms of varicose veins to provide optimal treatment.Current Concepts: Lower extremity veins are composed of deep, superficial, perforating, and communicating vein systems, and the main axial superficial veins are composed of the great and small saphenous veins. Venous circulation primarily relies on muscle pumps in the foot and calf. Pressure on the sole and contraction of calf muscles compress the veins, sending blood upward or to the deep vein system. Varicose veins are caused by valvular abnormalities, muscle pump failure, etc., and associated risk factors include age, pregnancy, obesity, and family history. The main symptoms include heaviness, fatigue, and edema.Discussion and Conclusion: Varicose veins have complex anatomical structures and are developed by various factors. Therefore, appropriate treatments should be selected considering patients’ symptoms, anatomical structure, and economic aspects.

OBJECTIVE: To compare sexual function before and 12 months after between sacrocolpopexy and sacrocervicopexy. METHODS: This retrospective study examined a cohort of 55 sexually active women who underwent either supracervical hysterectomy with sacrocervicopexy (n=28) or total abdominal hysterectomy with sacrocolpopexy (n=27) for stage II to IV pelvic organ prolapse. Pelvic floor support was measured with Pelvic Organ Prolapse-Quantification examination. Pelvic floor function was measured with the Pelvic Floor Distress Inventory-Short Form 20 and sexual function was measured with Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-Short Form 12 (PISQ-12). RESULTS: Baseline pelvic floor symptoms, demographics and PISQ-12 questionnaire scores were similar between the two groups. Overall improvements in sexual function were seen based on PISQ-12 scores in both groups, but were not statistically significant. No differences were seen in PISQ-12 scores regardless of sparing the cervix or surgical route. Responses to the PISQ-12 question of avoiding sexual intercourse because of vaginal bulging showed significant improvement in both group. No recurrences of prolapse occurred. CONCLUSION: In women with pelvic organ prolapse, sexual function after either sacrocolpopexy or sacrocervicopexy was not different. Sexual dysfunction in terms of avoidance of sexual activity because of vaginal bulging was greatly improved in both groups with statistical significance.
Cervix Uteri ; Cohort Studies ; Coitus ; Demography ; Female ; Humans ; Hysterectomy ; Pelvic Floor ; Pelvic Organ Prolapse ; Prolapse ; Recurrence ; Retrospective Studies ; Sexual Behavior

No abstract available.
Accidents, Traffic* ; Fistula*

PURPOSE: To evaluate the radiologic findings of gastric MALToma, and to correlate these with its pathologic findings. MATERIALS AND METHODS: We retrospectively reviewed the pathologic slides of gastrectomy and gastroscopic biopsy specimens obtained between 1982 and 1996 and collected nine cases of gastric MALToma. Eight of these had been surgically confirmed, and one had been diagnosed by gastroscopic biopsy. A gastrointestinal series comprised eight cases ; five involved sonography and five, CT. RESULTS: The lesions were located at the body in five cases, at the antrum in one, and at the body and antrum in three cases. Pathologic diagnosis was low grade MALToma in four cases, and mixed high and low grade MALToma in five cases. Initial radiologic diagnosis was gastric lymphoma in four cases, early gastric carcinoma in three, and advanced gastric carcinoma in two cases. On retrospective analysis, radiologic diagnosis was changed to lymphoma in both cases initially diagnosed as advanced gastric carcinomas. One case showed marked thickening of the gastric wall, with poor enhancement on CT, and the other case showed a very small and shallow ulcer in comparison to diffuse infiltration of tumor in the upper gastrointestinal series. The final radiologic diagnosis was gastric lymphoma in six cases, and early gastric carcinoma in three. Radiologic findings of gastric MALToma were EGC II c-like lesion in three cases, marked gastric wall thickening in two, multiple discrete lesions in two, hyperugosity of gastric folds with discrete lesions in one, and diffuse infiltrative lesion with small ulcer in one case. The pathologic diagnosis of gastric MALToma was made by the presence of lymphoepithelial lesions, centrocyte-like cells, reactive follicles, plasma cell infiltration, and follicular colonization. There were no significant correlations between radiologic findings and pathologic results such as depth of tumor invasion, low grade MALToma or mixed high and low grade MALToma. CONCLUSION: There are no specific radiologic characteristics of gastric MALToma, but a gastric MALToma might show the radiologic findings of gastric lymphoma. Further radiologic evaluations of many cases of gastric MALTomas are needed in the future.
Biopsy ; Colon ; Diagnosis ; Gastrectomy ; Lymphoma ; Plasma Cells ; Retrospective Studies ; Ulcer

Tetrodotoxin is a neurotoxin, so gastrointestinal symptoms are very rare ; these described in the literature are merely nausea and vomiting. Severe complications in the gastrointestinal tract caused by tetrodotoxin have not been radiologically reported. US and CT show thickening of the gastric wall and contraction of the lumen, andupper gastrointestinal series show shortening, lobulation and irregularity of the lesser and greater curevature ofthe body and antrum similar to the findings of corrosive gastritis.
Barium ; Eggs* ; Gastritis* ; Gastrointestinal Tract ; Nausea ; Ovum* ; Tetraodontiformes* ; Tetrodotoxin ; Vomiting