Actinomycosis, in which the principal causative agent in man is known to Actinomyces israelii, is a chronic, suppurative diseases characterized by extensive fibrosis, multiple abscesses, and formation of sinus tracts that drain suppurative exudates. On the basis of the anatomical sites involved; it can be subclassified into the cervicofacial form, which is the most common form, pulmonary form and abdominal form. Kidneys are rarely affected. Clinically, radiologically, and at operation it is difficult to differentiate the renal actinomycosis from renal tuberculosis and renal carcinoma. The prognosis is excellent after nephrectomy followed by appropriate antibiotic therapy. We presented a case of renal actinomycosis with a brief review of the literatures.
Male ; Humans

No abstract available.
Dinoprost* ; Female ; Laparoscopes* ; Pregnancy ; Pregnancy, Tubal*

PURPOSE: The purpose of this study was to determine the factors that affect suicidal ideation in patients with chronic mental illnesses, such as schizophrenia, depressive disorder, and bipolar disorder. METHODS: The research participants were 160 patients with mental illnesses residing in B City and G Province. They responded to questionnaires about their suicidal ideation, self-esteem, depression, family support, social support, and internalized stigma of mental illness. The collected data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and STEPWISE multiple regression with the SPSS/WIN 18.0 program. RESULTS: History of self-esteem, Depression, Social support, Psychiatric diagnosis of MDD and suicide attempt showed an explanatory power for 64% of suicidal ideation in patients with chronic mental illnesses. CONCLUSION: Specialized health and medical service personnel providing services to patients with chronic mental illnesses must determine the risk factors and protective factors for suicidal ideation associated with each illness, and establish a more individualized and systemized case management system based on customized approach.
Bipolar Disorder* ; Case Management ; Depression ; Depressive Disorder* ; Depressive Disorder, Major ; Humans ; Mental Disorders ; Risk Factors ; Schizophrenia* ; Suicidal Ideation* ; Suicide

PURPOSE: The purpose of this study was to identify sleep disorder experience in older patients living in the community and acknowledging being depressed. METHODS: For this study, 11 older patients with depression were purposively chosen. Data were collected through in-depth individual interviews from July 2013 to January 2014 and analyzed in terms of by Giorgi's phenomenological methodology. RESULTS: The study results showed that sleep disorder experience in older patients with depression consisted of sixteen themes and five themes-clusters: 1) exposure of the causes of sleep disorders; 2) life is painful; 3) harassing themselves and their family; 4) difficulty in controlling themselves; 5) trying to deal with the sleep disorder to overcome the situation. CONCLUSION: It is necessary to develop educational guidelines for patients with sleep disorders or nursing interventions that anyone can easily provide for elders in the communities. The first priority should be given to efforts to apply diverse methods to improve sleep hygiene and minimize the period of exposure to medication before starting medication for patients with sleep disorders.
Activities of Daily Living ; Adaptation, Psychological ; Aged ; Depression/complications/*diagnosis ; Family Relations ; Female ; Humans ; Interviews as Topic ; Male ; Sleep Disorders/complications/diagnosis/*psychology ; Stress, Psychological

No abstract available.
Histiocytosis*

No abstract available.
Corpus Callosum*

No abstract available.
Reye Syndrome*

Purpose: To evaluate the utility of a quantitative forced cyclorotation test using a smartphone in patients with unilateral superior oblique palsy. Methods: Twenty-nine patients who underwent muscle surgery for superior oblique palsy were included. With patients under anesthesia prior to surgery, the 12 and 6 o’clock positions of the limbus were marked, the globe was maximally excyclorotated and incyclorotated, and photographs of the globe were taken in each position. The maximum angle of rotation was read by two masked observers using two different smartphone applications. Maximum excyclorotation and incyclorotation were compared between patients with superior oblique palsy alone and patients with both superior oblique palsy and intermittent exotropia; associations were evaluated regarding age at surgery, angle of hypertropia, and cyclotorsion on fundus photographs. Results: The intraclass correlation coefficient between the two readers was 0.989. The maximum excyclorotation of affected eyes was significantly greater than that of the fellow eyes (46.1 ± 9.9° vs. 41.7 ± 7.6°; p = 0.040). Maximum incyclorotation did not differ between the two eyes. The maximum excyclorotation of affected eyes of 18 patients with unilateral superior oblique palsy alone was significantly greater than that of the fellow eyes (47.0 ± 9.5° vs. 39.4 ± 6.3°; p = 0.010). The maximum excyclorotation of affected eyes of 11 patients with both superior oblique palsy and intermittent exotropia was similar to that of the fellow eyes (44.5 ± 10.9° vs. 45.5 ± 8.3°). Maximum incyclorotation did not differ according to group or eye. Maximum excyclorotation did not differ according to age at surgery, angle of hypertropia, or cyclotorsion on fundus photographs. Conclusions New forced cyclorotation tests using a smartphone quantitatively assess the passive range of cyclorotation, and detect bilateral differences, particularly in patients with unilateral superior oblique palsy alone.

Purpose: To evaluate the utility of a quantitative forced cyclorotation test using a smartphone in patients with unilateral superior oblique palsy. Methods: Twenty-nine patients who underwent muscle surgery for superior oblique palsy were included. With patients under anesthesia prior to surgery, the 12 and 6 o’clock positions of the limbus were marked, the globe was maximally excyclorotated and incyclorotated, and photographs of the globe were taken in each position. The maximum angle of rotation was read by two masked observers using two different smartphone applications. Maximum excyclorotation and incyclorotation were compared between patients with superior oblique palsy alone and patients with both superior oblique palsy and intermittent exotropia; associations were evaluated regarding age at surgery, angle of hypertropia, and cyclotorsion on fundus photographs. Results: The intraclass correlation coefficient between the two readers was 0.989. The maximum excyclorotation of affected eyes was significantly greater than that of the fellow eyes (46.1 ± 9.9° vs. 41.7 ± 7.6°; p = 0.040). Maximum incyclorotation did not differ between the two eyes. The maximum excyclorotation of affected eyes of 18 patients with unilateral superior oblique palsy alone was significantly greater than that of the fellow eyes (47.0 ± 9.5° vs. 39.4 ± 6.3°; p = 0.010). The maximum excyclorotation of affected eyes of 11 patients with both superior oblique palsy and intermittent exotropia was similar to that of the fellow eyes (44.5 ± 10.9° vs. 45.5 ± 8.3°). Maximum incyclorotation did not differ according to group or eye. Maximum excyclorotation did not differ according to age at surgery, angle of hypertropia, or cyclotorsion on fundus photographs. Conclusions New forced cyclorotation tests using a smartphone quantitatively assess the passive range of cyclorotation, and detect bilateral differences, particularly in patients with unilateral superior oblique palsy alone.

PURPOSE: To evaluate the prevalence and type distribution of high-risk human papillomavirus (HPV) infection in genital warts of Korean men, and for the first time, to describe the risk factors associated with high-risk HPV infection in male genital warts. MATERIALS AND METHODS: In a single private clinic, 150 consecutive male patients with histopathologic-confirmed genital warts who underwent HPV genotyping by use of polymerase chain reaction (PCR) were included in this study. We detected HPV DNA in male genital warts and evaluated HPV type distribution, especially high-risk HPV types, by use of PCR. The associations between HPV prevalence and various characteristics, such as age, circumcision status, type of genital warts diagnosis (new vs. recurrent), number of lesions, site of lesions, and gross morphology, were assessed by use of unconditional multiple logistic regression. RESULTS: High-risk HPV types were detected in 31 cases (23.5%), and of these, 27 cases (20.5%) contained both high-risk and low-risk HPV types. The most frequently detected high-risk HPV types were HPV16 (6.8%), HPV33 (4.5%), HPV18 (2.3%), and HPV68 (2.3%). In particular, the prevalence of infection with HPV16 and/or HPV18 was 8.3% (11 of 132). In the multivariate analysis, lesions located at sites including the base of the penis or the pubic area, papular or mixed genital warts, and lack of circumcision significantly increased the association with high-risk HPV infection in male genital warts. CONCLUSIONS: The prevalence of high-risk HPV infection was substantial in male genital warts. The site and morphology of lesions and circumcision status were significantly associated with the prevalence of high-risk HPV infection.
Circumcision, Male ; Condylomata Acuminata* ; Diagnosis ; DNA ; Female ; Human papillomavirus 16 ; Humans* ; Logistic Models ; Male* ; Multivariate Analysis ; Papillomavirus Infections* ; Penis ; Polymerase Chain Reaction ; Prevalence* ; Risk Factors