One and a half syndrome is an ipsilateral gaze paresis or palsy combined with and internuclear ophthalmoplegia on contralateral gaze. The lesion site is at the paramedian pontine reticular formation and the adjacent MLF. The common causes are unilateral pontine infarction and multiple sclerosis. We experienced a case of one and a half syndrome which has a suspected small pontine infarct.
Infarction ; Multiple Sclerosis ; Ocular Motility Disorders ; Paralysis ; Paresis ; Pontine Tegmentum

The diagnosis of OPCA could be made clinically with important aid of brain CT scanning, although the definite and conclusive diagnosis only by postmortem pathological determination. We reviewed, clinically and with brain CT examination, 12 cases of patients with OPCA who were admitted to the Yeungnam University Hospital for a recent 5 years. The result were as following: 1. The distribution of age is from 49 to 72, mainly 50 to 60. Man is more frequent than women at the 4.5 times. 2. The interval period from Sx. Onset to diagnosis is 1 year to 6 years. 3. The usual initial Sxs. Were dizziness (58%), ataxia (33%), and other less frequent Sxs. Were weakness of low extremities, dysarthria, headache and urinary incontinence. The clinical manifestations at the initial diagnosis were cerebellar disturbance (100%), dysarthria (83%), and increased deep tendon reflexes (58%). 4. The results of brain CT finding are like this: the width of cerebellar sulci is more than 1mm, other 4 cases more than 2mm. the width of cerebellar pontine cistern of the patient if usually 3 to 4mm, other 2 cases extended to the 5 mm. the A. P and lateral lengths of 4th. ventricle is 4 mm and 4 to 8 mm respectively. 6 cases of whole patients show coincidentally cerebral atrophy.
Ataxia ; Atrophy ; Brain ; Clinical Study* ; Diagnosis ; Dizziness ; Dysarthria ; Extremities ; Female ; Headache ; Humans ; Olivopontocerebellar Atrophies* ; Reflex, Stretch ; Tomography, X-Ray Computed ; Urinary Incontinence

BACKGROUND: Recently, obesity has become an important health problem in Korea. In 2000, the WHO Western Pacific Region recommended an obesity diagnostic criteria for Asian population. But among Asians, each ethnic group had their own anthrometric characteristics and so it was difficult to apply the same criteria to different ethnic groups. Thus, the aim of this study was to study the appropriate cut-off value of visceral fat area (VFA) and waist circumference (WC) which increases the risk of obesity-related disorders and to validate the diagnostic criteria of abdominal obesity and metabolic syndrome in Korean adult population. METHODS: A total of 278 of subjects (101 men and 177 women) were included for this study. The subjects were selected among Korean adults who visited the Department of Family Medicine, St. Mary's Hospital from January 1999 to August 2005. Three obesity-related disorders were defined to hypertension, hyperglycemia, and dyslipidemia. RESULTS: The cut-off value of visceral fat area which increased the risk of obesity-related disorders by ROC curve was 114.3 cm2 (sensitivity 76.3%, specificity 65.9%, P<0.005), and the waist circumference corresponding to a VFA of 114.3 cm2 by simple regression analysis was 74.2 cm in men and 87.37 cm in women (P<0.05). CONCLUSION: Based on the results of this study, the visceral fat area which increased the risk of obesity-related disorders was 114.3 cm2 and the WC corresponding to this VFA was 74.2 cm in men and 87.37 cm in women. For appropriate diagnostic criteria of abdominal obesity and metabolic syndrome in Korean adult population, further studies are required.
Adult* ; Asian Continental Ancestry Group ; Dyslipidemias ; Ethnic Groups ; Female ; Humans ; Hyperglycemia ; Hypertension ; Intra-Abdominal Fat* ; Korea ; Male ; Obesity ; Obesity, Abdominal ; ROC Curve ; Sensitivity and Specificity ; Waist Circumference

BACKGROUND: Complementary and alternative medicine (CAM) use is popular and current trend suggests a demand for CAM education during residency training. Our objective was to assess perception, the need and experience of CAM education for family practice residents by training faculty. METHODS: A questionnaire was administered to family physicians (n=262) who were registered in the Korean Academy of Family Medicine as residency training faculty between February and May 2006. RESULTS: One hundred and seven (40.8%) of 262 faculty completed the questionnaires. Eighty three (77.6%) respondents recognized the need of CAM education during residency training and fifty two (46.8%) respondents have already educated some kind of CAM. Thirty nine (36.4%) respondents replied that partial CAM educational contents were given out at conferences. Seventy eight (72.9%) respondents recognized the need for educating residents on the general outlines of CAM along with education on verified CAM. Sixty six (61.7%) respondents replied that the Korean Academy of Family Medicine should host such education. CONCLUSION: Most family practice training faculty recognized the need for providing CAM education for family practice residents during residency training, but about an half of family practice training faculty did not have experiences of CAM education.
Complementary Therapies ; Congresses as Topic ; Surveys and Questionnaires ; Education, Medical ; Family Practice ; Humans ; Internship and Residency ; Physicians, Family ; Republic of Korea

OBJECTIVES: Although the prevalence of depressive disorders in South Korea's general population is known, no reports on the prevalence of depression among patients who visit primary care facilities have been published. This preliminary study was conducted to identify the prevalence of depressive disorder in patients that visit two primary care facilities. METHODS: Among 231 consecutive eligible patients who visited two primary care settings, 184 patients consented to a diagnostic interview for depression by psychiatrists following the Diagnostic and Statistical Manual of Mental Disorders-IV criteria. There were no significant differences in sociodemographic characteristics such as gender, age, or level of education between the groups that consented and declined the diagnostic examination. The prevalence of depressive disorder and the proportion of newly diagnosed patients among depressive disorder patients were calculated. RESULTS: The prevalence of depressive disorder of patients in the two primary care facilities was 14.1% (95% confidence interval [CI], 9.1 to 19.2), with major depressive disorder 5.4% (95% CI, 2.1 to 8.7), dysthymia 1.1% (95% CI, 0.0 to 2.6), and depressive disorder, not otherwise specified 7.6% (95% CI, 3.7 to 11.5). Among the 26 patients with depressive disorder, 19 patients were newly diagnosed. CONCLUSIONS: As compared to the general population, a higher prevalence of depressive disorders was observed among patients at two primary care facilities. Further study is needed with larger samples to inform the development of a primary care setting-based depression screening, management, and referral system to increase the efficiency of limited health care resources.
Adult ; Aged ; Depressive Disorder, Major/*epidemiology ; Female ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Outpatients ; Prevalence ; Primary Health Care ; Republic of Korea/epidemiology