The giant intra-articular osteochondroma of the knee is very rare and is probably result of synovial metaplasia of the fibrous capsule or of the adjacent connencive tissue of a joint, and of the fragment of articular cartilage. The gross findings and histology are consistent with the osteochondroma. The authors experienced a case of giant intra-articular osteochondroma of the right knee in a 19 years old man who had history of knee injury when he was 16 years old. The mass was excised and the symptome was relieved.
Cartilage, Articular ; Joints ; Knee Injuries ; Knee ; Metaplasia ; Osteochondroma

A clinical observation was made on 10 cases of modified Denis-Browne urethroplasty experienced at Department of Urology, Jeonbug National University, from January 1978 to July 1980 and the following results were obtained: 1. The age was distributed from 2 years to 44 years and most of cases was found in the age group which was less than 7 years. 2. Among 10 cases of modified Denis-Browne urethroplasty, 4 cases were penile hypospadias, 4 cases were penoscrotal hypospadias and 2 cases were perineal hypospadias. 2 cases of penile hypospadias were not combined chordee. 3. Cryptorchism and meatal stenosis were the most common associated anomalies. 4. Interval from chordectomy to modified Denis-Browne urethroplasty took 6 months to 1 year in 6 cases (75%), with the average of 10 months 5. We performed trocar cystostomy as urinary diversion in all cases. 6. 3-layer longitudinal monofilament subcuticular suture was used in all cases. 7. Among 10 cases, complications developed in 2 cases (20%), one case was urethral fistula, the other was urethral stricture 8. Success rate of modified Denis-Browne urethroplasty in our cases was 80%.
Constriction, Pathologic ; Cryptorchidism ; Cystostomy ; Female ; Fistula ; Humans ; Hypospadias ; Jeollabuk-do ; Male ; Surgical Instruments ; Sutures ; Urethral Stricture ; Urinary Diversion ; Urology

PURPOSE: The purpose of this study was to identify the attitude of persons with an mental disability to marriage. METHODS: The Q-methodology which provides a method of analyzing the individual's subjectivity was used. The 30 participants classified 36 selected Q-statements on a 9 point scale to make a normal distribution. The collected data was analyzed by a PC Quanl Program. RESULTS: Four types of attitude of persons with an mental disability to marriage were identified. Type I: Actively supportive-resistant against social bias, Type II: Passively supportive-reliant on others, Type III: Intensively desiring-less sense of reality, Type IV: Controlling desire-more sense of reality. CONCLUSION: The results of this study suggest a need develop a variety of programs specifically designed for each type of attitude to change attitudes to marriage for persons with an mental disability.
Bias (Epidemiology) ; Humans ; Marriage* ; Mentally Disabled Persons

PURPOSE: This study was to investigate difficulties in daily activities and tingling from patients having treatment of FOLFOX chemotherapy after colon resection. METHOD: This study included 103 patients hospitalized for FOLFOX chemotherapy in one of the university affiliated hospital from August 1, 2008 through September 30, 2009. Data were collected using the questionnaire comprised general symptoms, tingling, difficulties in daily activities and coping behavior. Using the SPSS 14.0 program, data analytic methods include Chi-Square test, ANOVA, Scheffe's test. RESULTS: The tingling sensation occurred in hands, feet, mouth, throat. Contacts with cold objects and the number of chemotherapy cycle worsen tingling sensation. Patients experienced difficulties in daily activities such as personal hygiene, kitchen work, eating cold food, sleeping cold, using fine motors like button up, writing, or using knife. The coping behavior included drinking warm water, sleeping warm, using gloves and socks, wearing comfortable shoes, massaging hands and getting help from supporters. CONCLUSION: An educational guideline for promoting coping behavior to relieve tingling sensation and difficulty in daily living in patients with FOLFOX chemotherapy is needed.
Activities of Daily Living ; Adaptation, Psychological ; Antineoplastic Combined Chemotherapy Protocols ; Cold Temperature ; Colon ; Drinking ; Eating ; Fluorouracil ; Foot ; Hand ; Humans ; Hygiene ; Leucovorin ; Mouth ; Organoplatinum Compounds ; Pharynx ; Surveys and Questionnaires ; Sensation ; Shoes ; Writing

No abstract available.
HLA-DR Antigens* ; Thyroid Gland* ; Thyroid Neoplasms*

Tuberous sclerosis is a rare hereditary anomaly of variable penetrance characterized by mental retardation, epilepsy, and adenoma sebaceum. Pulmonary involvement is uncommon, but, when involve by tuberous sclerosis, it shows characteristic reticulonodular infiltration and cystic changes. Lymphangioleiomyomatosis is a rare disease of unknown cause that affects women of reproductive age. It is characterized by progressive proliferation of smooth muscle in the lung. We experienced one case of pulmonary lymphangioleiomyomatosis associated with tuberous sclerosis in a 26-year-old female patient. This case is reported with a brief of the literature.
Adult ; Angiomyolipoma* ; Epilepsy ; Female ; Humans ; Intellectual Disability ; Lung ; Lymphangioleiomyomatosis* ; Muscle, Smooth ; Penetrance ; Rare Diseases ; Tuberous Sclerosis*

Two cases of Castleman's disease (Giant lymph node hyperplasia) are reported. The first case was a multicentric cervical giant lymph node hyperplasia. Excisional biopsy confirmed the diagnosis of Castleman's disease of the plasma-cell type. Despite repeated dissection of the cervical lymph nodes, complete removal of the lymph nodes was impossible, and the type was changed into mixed type, and regrowth of the tumor was noted. Prednisolone was of no benefit. The patient is now living with cervical masses in situ without general symptoms, 4 years after the initial diagnopsis. The second case was a solitary retroperitoneal giant lymph node hyperplasia, incidentally found. Complete excision was performed and biopsy confirmed the diagnosis of Castleman's disease of hyaline-vascular type. No recurrence was found at 2 years after the excision.
Biopsy ; Diagnosis ; Giant Lymph Node Hyperplasia* ; Humans ; Lymph Nodes* ; Neck ; Prednisolone ; Recurrence

OBJECTIVES: To investigate the current status of hospital-based health promotion programs in Korea and to elucidate the factors which affect to the process of implementation. METHODS: We conducted a mail survey of all 875 hospitals in Korea from March to May 2001. In reference to 12 specific kinds of health promotion programs, hospital CEOs were asked whether their hospital have such programs, whether they are fully staffed and whether the program is paid for by the patients. Contextual factors(location, hospital type, number of beds, length of operation, public/private status, economic level of the community, the level of competition) and organizational factors (the extent of market, compatibility with vision, formalization), strategic types of the CEOs (defender/analyser/prospector) were also surveyed. The relationships between each variable and the implementation of health promotion services, activation of services, and the target groups(patient/community resident) were analyzed by univariate analysis and the independent effects of these variables were examined with multiple logistic regression. RESULTS: 106 of 125 hospitals responding (84.8%) had more than one health promotion program. However, they showed fluctuations in the adoption rate of each programs, meaning that comprehensive health promotion services were not provided. Many programs were not fully staffed and few hospitals had paid programs. In factors affecting health promotion service implementation, private hospitals showed a higher rate in implementation than public hospitals. In contrast, when the competition among nearby hospitals was intense, the level of implementation of service lowered. In the strategic type of the CEOs, the prospectors were shown to have instituted more health promotion programs in their hospitals and the analysers had a greater tendency to have programs for community residents than the defenders. CONCLUSION: Considering the above results, contextual factors may contribute greatly to the introduction of health promotion services in Korean hospital, although the CEO's personal preference and organizational factors play a larger role in the activation of services. Additionally, the CEO's personal preference may be the major influencing factor in the introduction of programs for community residents.
Chief Executive Officers, Hospital ; Health Promotion* ; Hospital Administration ; Hospitals, Private ; Hospitals, Public ; Humans ; Korea* ; Logistic Models ; Organizational Innovation ; Postal Service

No abstract available.
Cell Line, Tumor* ; Doxorubicin* ; Epirubicin* ; Humans*

This study aimed to analyze the patterns of antipsychotic prescription to patients with schizophrenia in Korea. Using the Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS), which was a stratified sampling from the entire population under the Korean national health security system (2009), descriptive statistics for the patterns of the monopharmacy and polypharmacy, neuropsychiatric co-medications, and prescribed individual antipsychotic for patients with schizophrenia were performed. Comparisons of socioeconomic and clinical factors were performed among patients prescribed only with first- and second-generation antipsychotics. Of 126,961 patients with schizophrenia (age 18-80 yr), 13,369 were prescribed with antipsychotic monopharmacy and the rest 113,592 with polypharmacy. Two or more antipsychotics were prescribed to 31.34% of the patients. Antiparkinson medications (66.60%), anxiolytics (65.42%), mood stabilizers (36.74%), and antidepressants (25.90%) were co-medicated. Patients who were prescribed only with first-generation antipsychotics (n=26,254) were characterized by significantly older age, greater proportion of male, higher proportion of medicaid, higher total medical cost, lower self-payment cost, and higher co-medication rates of antiparkinson agents and anxiolytics than those who were prescribed only with second-generation antipsychotics (n=67,361). In this study, it has been reported substantial prescription rates of first-generation antipsychotics and antipsychotic polypharmacy and relatively small prescription rate of clozapine to patients with schizophrenia. Since this study has firstly presented the patterns of antipsychotic prescription to schizophrenic patients in Korean national population, the findings of this study can be compared with those of later investigations about this theme.
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anti-Anxiety Agents/therapeutic use ; Antidepressive Agents/therapeutic use ; Antiparkinson Agents/therapeutic use ; Antipsychotic Agents/*therapeutic use ; Clozapine/therapeutic use ; Drug Therapy, Combination ; Female ; Humans ; Insurance, Health ; Male ; Middle Aged ; *Physician's Practice Patterns ; Polypharmacy ; Republic of Korea ; Schizophrenia/*drug therapy ; Young Adult