No abstract available.
Evoked Potentials, Auditory, Brain Stem* ; Humans ; Infant*

A 48-years-old woman was visited to our hospital because of incidental finding of intrapulmonary foreign body. Chest X-ray showed a 4cm sized foreign body in left upper lung field without adjacent fibrosis. Chest CT showed a sewing needle shaped foreign body of metallic density, located in the left upper lobe. The foreign bodies including the needle were removed surgically using a wedge resection. The extracted needle was divided into three 4 cm pieces. Patient was discharged without other respiratory symptoms after surgery. We report a case of wedge resection in a patient with intrapulmonary needle in the left upper lobe, with review of literatures.
Female ; Fibrosis ; Foreign Bodies* ; Humans ; Incidental Findings* ; Lung ; Needles ; Thorax ; Tomography, X-Ray Computed

No abstract available.
Adult* ; Arteries* ; Humans

No abstract available.

Tinea capitis is the most frequent manifestation of dermatophyte infection in children, but is rare in infants less than 1 year of age. Furthermore, Trichophyton(T.) verrucosum as a causative organisum of tinea capitis in infants is documented very rarely. We report a 6-month-old girl with tinea capitis caused by T. verrucosum. The lesion was manifested by round, 2.0x2.0 sized, fine scaly, well-difined erythematous patch on the occiput. Culture from the skin lesion of patient on Sabouraud's dextrose agar showed typical colony of T. verrucosum. The patient was treated with topical lanoconazole application for 1 month.
Agar ; Arthrodermataceae ; Child ; Glucose ; Humans ; Imidazoles ; Infant ; Skin ; Tinea ; Tinea Capitis ; Trichophyton

Pleural effusion due to hepatic cirrhosis with ascites is well known, although hepatic hydrothorax in the absence of ascites is a rare condition, the pathogenesis of which is still unknown. We report a case of hepatic hydrothorax without ascites confirmed by the intraperitoneal injection of Tc-99m macroaggregated serum albumin (Tc-99m MAA) that demonstrated the passage of Tc-99m MAA into the right pleural cavity.
Ascites* ; Hydrothorax* ; Injections, Intraperitoneal ; Liver Cirrhosis ; Pleural Cavity ; Pleural Effusion ; Serum Albumin*

No abstract available.
Typhlitis*

Objective: Appropriate triage in emergency rooms is fundamental. This study assessed the appropriateness of the triage results using the Korean Triage and Acuity Scale (KTAS) by emergency medical technicians (EMT) by comparing an emergency physician and a KTAS instructor. Methods: The medical records of patients who presented to a local emergency room for a month were analyzed retrospectively. This study compared the triage results using KTAS among EMTs, an emergency physician, and a KTAS instructor. Results: Among 2,248 patients, consistent KTAS codes of 1,453 patients (64.6%) were obtained between the EMTs and emergency physicians. In addition, a KTAS instructor had agreed with the results of EMT for 1,686 patients (75%). The Kappa value to evaluate the agreement between an emergency physician and a KTAS instructor was 0.72 (95% confidence interval, 0.55-0.89). Conclusion The results of triage using KTAS by EMT was appropriate because substantial agreement existed between an emergency physician and KTAS instructor. On the other hand, there were some inappropriate results of triage, and it is proposed that the results would be reflected in KTAS provider education programs aimed at EMTs. It is expected that qualified KTAS providers will be produced, and the quality of triage can be controlled and improved.

BACKGROUND/AIMS: Endoscopic sclerotherapy and band ligation have been well documented beneficial therapeutic options of esophageal variceal bleeding. But acute variceal bleeding is refractory to sclerotherapy in upto one-hird of patients, and rebleeding occurs in 30% to 50%. Recently alternative endoscopic modality, N-utyl--yanoacrylate (Histoacryl) injection is performed in intravariceal sclerotherapy but its efficacy and safty are not clearly established. We evaluated the efficacy of Histoacryl on esophageal variceal bleeding and compared with that of endoscopic band ligation in the present study. MATERIALS/METHODS: From March 1994 to March 1998, ninety seven patients with endoscopically documented esophageal variceal bleeding were enrolled. Histoacryl injection (Histoacryl group, n=33) or endoscopic band ligation (EVL group, n=64) was done for esophageal variceal bleeding. We evaluated the rebleeding rate and in-ospital mortality in both groups. RESULTS: Baseline characteristics were similar but active bleeding on first endoscopic session was significantly higher in Histoacryl group (Histoacryl group; 90.7%, EVL group; 26.6%, p=0.002). Successful hemostasis was done at 87.9% in Histoacryl group, 95.3% in EVL group (not significant). There were no significant differences on early rebleeding rate (18.2% vs 23.4%), late rebleeding rate (39.4% vs 37.5%) and in-ospital mortality (24.2% vs 15.6%) between Histoacryl group and EVL group. There were no technique-elated fatal complications at Histoacryl injection group. CONCLUSION: Therapeutic efficacy of Histoacryl injection was similar to the endoscopic band ligation in patients with esophageal varix bleeding in terms of hemostasis and rebleeding. Histoacryl is effective therapeutic option for esophageal variceal bleeding as well as gastric variceal bleeding.
Enbucrilate ; Esophageal and Gastric Varices* ; Hemorrhage ; Hemostasis ; Humans ; Ligation* ; Mortality ; Sclerotherapy

OBJECTIVES: Many patients diagnosed with cancer suffer from various psychiatric symptoms such as depression, anxiety and insomnia as well as cancer itself. Patients with cancer are more vulnerable to possible adverse events of psychotropic medications. Although antidepressants are widely used among cancer patients, there is little information about tolerability of antidepressants. This study was conducted to compare tolerability of antidepressants in cancer patients referred for psychiatric consultation. METHODS: The participants were cancer patients who had been referred to psychiatrist for their psychiatric symptoms. We retrospectively analyzed the data of patients diagnosed with cancer from 9 general hospitals in Korea. The discontinuation rate for a 6 months period after treatment initiation for three antidepressants(Escitalopram, Mirtazapine, Paroxetine) were compared. RESULTS: Antidepressants were prescribed for 96.3% of subjects and Escitalopram 150(47.2%), Mirtazapine 92 (28.9%) and Paroxetine 76(23.9%) were prescribed frequently in order There were no significant differences in discontinuation rates among the three antidepressants during the 6 month period after initiation of pharmacotherapy. But there was a difference in discontinuation rates between inpatients versus outpatients(p<0.0001). CONCLUSIONS: In a naturalistic setting for the antidepressant treatment for cancer patients, it seems that there are no differences in discontinuation rates among these three antidepressants. It is therefore essential that such interactions are carefully considered when treating patients of antidepressants who already have cancer.
Antidepressive Agents ; Anxiety ; Citalopram ; Depression ; Hospitals, General ; Humans ; Inpatients ; Korea ; Mianserin ; Paroxetine ; Psychiatry ; Retrospective Studies ; Sleep Initiation and Maintenance Disorders