No abstract available.
Abruptio Placentae* ; Female ; Pregnancy

No abstract available.
Abruptio Placentae* ; Female ; Pregnancy

No abstract available.
Albendazole/therapeutic use ; Animals ; Antiprotozoal Agents/therapeutic use ; Enzyme-Linked Immunosorbent Assay ; Eosinophilia/*diagnosis ; Humans ; Liver Abscess/*diagnosis/parasitology ; Male ; Middle Aged ; Tomography, X-Ray Computed ; Toxocara canis/*isolation & purification ; Toxocariasis/*diagnosis/drug therapy/parasitology

BACKGROUND AND OBJECTIVES: As the endoscopic sinus surgery continues to gain popularity, the application of endoscopic sinus surgery has extended to children. The knowledge about the variation of the paranasal sinuses in children is essential to perform sinus operations without complication. To identify the difference of the paranasal sinuses between children and adults, we have measured the cribriform plate, the ethmoid roof (lateral lamella of the lamina cribrosa), the width of the anterior ethmoid sinus and the position of the sphenoid sinus. MATERIAL AND METHODS: Ostiomeatal unit CT scans of the paranasal sinuses obtained in consecutively imaged cases were analysed. The subjects were 58 children who were divided into two groups. One group had 22 children from ages 4 to 10 and the second group had children from ages 11 to 16. RESULTS: The length of the lateral lamella was 4.5+/-1.6 mm (group 1) and 5.4+/-2.9 mm (group 2). The depth of the lateral lamella was 4.1+/-1.4 mm (group 1) and 5.3+/-2.2 mm (group 2). The width of the cribriform plate was 2.5+/-0.9 mm for Group 1 and 2.8+/-0.9 mm for Group 2. The width of upper portion in the anterior ethmoid sinus was 7.9+/-2.1 mm for Group 1 and 9.2+/-2.9 mm for Group 2. The width of lower portion in the anterior ethmoid sinus was 9.7+/-2.2 mm for Group 1 and 13.5+/-3.1 mm for Group 2. The front of the sphenoid sinus was 45.9+/-6.6 mm from the anterior nasal spine for Group 1 and 50.9+/-7.1 mm for Group 2. CONCLUSION: Since the length and depth of the lateral lamella in children were greater than the reported lengths in the adults, it is suggested that the lateral lamella in children is more prone to danger than in adults. The distance between the anterior nasal spine and anterior face of the sphenoid sinus in children was 5 to 10 mm shorter than in the adults.
Adult ; Child* ; Ethmoid Bone ; Ethmoid Sinus ; Humans ; Paranasal Sinuses* ; Sphenoid Sinus ; Spine ; Tomography, X-Ray Computed

Polycythemia is a condition in which the red blood cell count is increased due to an inherited or acquired mutation, a physiologic response to hypoxia, autonomous erythropoietin production, or deliberate erythropoietin administration. Higher testosterone levels appear to act as a stimulus for erythropoiesis and testosterone replacement therapies have rarely been reported as causes of polycythemia. We report here a case of a 51-year-old man with polycythemia that was caused by long-acting testosterone undecanoate (Nebido(R)).
Anoxia ; Erythrocyte Count ; Erythropoiesis ; Erythropoietin ; Humans ; Middle Aged ; Polycythemia ; Testosterone

No abstract available.
Lymphadenitis*

A 59-year-old woman was admitted to our hospital because of occipital headache and multiple cranial nerve dysfunction. The patient had been suffered from chronic otitis media. MRI of the brain showed a thickened and markedly enhanced dura mater in the temporal lobe. The patient underwent a left temporal craniectomy and dural biopsy. Histopathological examination revealed thickened duar amter infiltrated with giant cell, lymphocytic and plasma cell infiltration. The fungus, acid-fast and PAS stains were all negative. After administraion of steroid, cranial nerve disturbances and headache improved. The cause of the hypertrophpic intracranial pachymeningitis in this patient was thought to be related with the chronic otitis media, although the clinical course of the patient was similar to the idiopathic hypertrophic pachymeningitis.
Biopsy ; Brain ; Coloring Agents ; Cranial Nerves ; Dura Mater ; Female ; Fungi ; Giant Cells ; Headache ; Humans ; Magnetic Resonance Imaging ; Meningitis* ; Middle Aged ; Otitis Media* ; Otitis* ; Plasma Cells ; Temporal Lobe

Since the Korean College of Helicobacter and Upper Gastrointestinal Research has first developed the guideline for the diagnosis and treatment of Helicobacter pylori infection in 1998, the revised guideline was proposed in 2009 by the same group. Although the revised guideline was made by comprehensive review of previous articles and consensus of authoritative expert opinions, the evidence-based developmental process was not applied in the revision of the guideline. This new guideline has been revised especially in terms of changes in the indication and treatment of H. pylori infection in Korea, and developed by the adaptation process as evidence-based method; 6 guidelines were retrieved by systematic review and the Appraisal of Guidelines for Research and Evaluation (AGREE) II process, 21 statements were made with grading system and revised by modified Delphi method. After revision, 11 statements for the indication of test and treatment, 4 statements for the diagnosis and 4 statements for the treatment have been developed, respectively. The revised guideline has been reviewed by external experts before the official endorsement, and will be disseminated for usual clinical practice in Korea. Also, the scheduled update and revision of the guideline will be made periodically.
Amoxicillin/therapeutic use ; Anti-Bacterial Agents/therapeutic use ; Aspirin/therapeutic use ; Bismuth/therapeutic use ; Breath Tests ; Clarithromycin/therapeutic use ; Gastroesophageal Reflux/etiology ; Gastroscopy ; Helicobacter Infections/complications/*diagnosis/drug therapy ; *Helicobacter pylori ; Humans ; Lymphoma, B-Cell, Marginal Zone/complications ; Metaplasia/complications ; Metronidazole/therapeutic use ; Peptic Ulcer/complications/drug therapy ; Proton Pump Inhibitors/therapeutic use ; Republic of Korea ; Stomach Neoplasms/complications/surgery ; Tetracycline/therapeutic use

OBJECTIVETo determine whether jaw-tapping movement, a classically described as an indication of personal well-being and mental health, stimulates the memory and the cognitive regions of the brain and is associated with improved brain performance.

METHODSTwelve healthy right-handed female subjects completed the study. Each patient performed a jaw-tapping task and an n-back task during functional magnetic resonance imaging (fMRI). The subjects were trained to carry out the jaw-tapping movement at home twice a day for 4 weeks. The fMRI was repeated when they returned.

RESULTSDuring the first and second jaw-tapping session, both sides of precentral gyrus and the right middle frontal gyrus (BA 6) were activated. And during the second session of the jaw-tapping task, parts of frontal lobe and temporal lobe related to memory function were more activated. In addition, the total percent task accuracy in n-back task significantly increased after 4 weeks of jawtapping movement. After jaw-tapping training for 4 weeks, brain areas related to memory showed significantly increased blood oxygen level dependent signals.

CONCLUSIONJaw-tapping movement might be a useful exercise for stimulating the memory and cognitive regions of the brain.

Brain ; physiology ; Brain Mapping ; Cognition ; physiology ; Female ; Health ; Humans ; Jaw ; physiology ; Magnetic Resonance Imaging ; Memory ; physiology ; Middle Aged ; Movement ; physiology ; Task Performance and Analysis

BACKGROUND: Many studies about unilateral cerebellar infarctions (UCI) have been reported to delineate the clinical findings and stroke mechanisms but have not been studied extensively in acute bilateral cerebellar infarctions (BCI). In order to evaluate the neurological features and mechanisms of BCI, we compared those between BCI and UCI. METHODS: Using diffusion-weighted imaging, we divided 103 patients with acute cerebellar infarctions into two groups: BCI and UCI. Clinical features, outcome and their mechanisms were compared between the groups. RESULTS: Among the 103 patients, 45 patients (44%) had BCI and the remaining 58 patients had UCI. The PICA territory was the most frequently involved site in both groups, and 15 patients were non-territorial infarctions. Clinical symptoms and signs were not different between the groups, however, most patients with decreased mentality had BCI (86%) and also had concomitant lesions outside the cerebellum (72%). Patients with BCI showed poorer prognosis than UCI (modified Rankin score, 1.41 and 2.87 respectively). Other factors included the presence of concomitant lesiona outside the cerebellum, however, mass effect did not affect their prognosis. The main cause of BCI was large artery disease (57%), whereas about half of the patients with UCI (51%) had no demonstrable cause of stroke. CONCLUSIONS: Owing to its poorer outcome and its higher frequency of demonstrable causes of stroke, more intensive work-up, such as vascular study, may be warranted in the patients with acute BCI.
Arteries ; Cerebellum ; Humans ; Infarction* ; Magnetic Resonance Imaging ; Pica ; Prognosis ; Stroke