No abstract available.
Foreign Bodies* ; Statistics as Topic*

Calcium deposits in the basal ganglia and in the other areas of the brain may occur as idiopathic disease or secondary to metabolic disturbances including hypoparathyroidism. Fahr's syndrome is characterized by secondary cerebral calcification and variable clinical manifestations of movement disorder, cognitive impairment, and behavioral changes. We report a 48 year-old man with Fahr's syndrome due to idiopathic hypoparathyroidism who presented with recurrent epileptic seizures. Brain CT showed multiple calcifications of the Fahr type in the basal ganglia, thalami, cerebellar white matter and dentate nuclei, and centrum seiovale. Brain MRI diffusion-weighted image showed high signal intensity in the right anterior temporal region.
Basal Ganglia ; Brain ; Calcium ; Epilepsy ; Humans ; Hypoparathyroidism ; Movement Disorders

No abstract available.
Adult* ; Humans ; Liver* ; Sarcoma*

Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of the central nervous system caused by the human polyomavirus JC virus. PML mainly occurs in immunocompromised patients. A 36-year-old man with no evidence of immunosuppresion presented seizures. MRI scans of brain showed multifocal lesions in the cerebral white matters. JC virus DNA was positive in the cerebrospinal fluid examined by JC virus PCR. We report a rare case of PML presenting as viral encephalitis that occurred in a healthy adult person.
Adult ; Brain ; Central Nervous System ; Demyelinating Diseases ; DNA ; Encephalitis, Viral ; Humans ; Immunocompromised Host ; JC Virus ; Leukoencephalopathy, Progressive Multifocal ; Magnetic Resonance Imaging ; Polymerase Chain Reaction ; Seizures ; Viruses

PURPOSE: The aim of this study was to examine effects of patient safety culture and burnout on safety management activities with a focus on clinical experience of nurses in general hospitals. METHODS: Self-administered questionnaires were given to nurses in a general hospital in C Province, and 107 questionnaires were used for final analysis. Collected data were analyzed using SPSS/WIN 21.0 Program for t-test, ANOVA, Pearson correlation coefficients, and multiple regression. RESULTS: The highest score as perceived by general hospital nurses for patient safety culture was for 'Immediate superior/Manager'(3.84), for burnout, the highest score was for 'Emotional exhaustion' (4.13), and for safety management activities, the highest score was for 'Prevention of infection' (3.96). Patient safety culture and safety management activities perceived by general hospital nurses showed significant positive correlations (r=.35 p<.001). The correlations between burnout and safety management activities perceived by the nurses showed significant negative correlations (r=-.37, p<.001). Results of hierarchical regression analysis conducted to identify factors that affect safety management activities showed that patient safety culture (β=.40 p<.001) was effective for controlling safety management activities. CONCLUSION: The findings indicate a need to build a patient safety culture that fits the characteristics and situations of various hospitals.
Hospitals, General* ; Humans ; Patient Safety* ; Safety Management*

Graves disease is the most common clinical feature of hyperthyroidism in childhood. Clinical manifestations include emotional lability, hyperactivity, tremor, excessive sweating, exophthalmos and weight loss. In Graves disease, osteoporosis could occur because of a disturbance of mineral homeostasis which rarely develops from reduced calcium absorption of the gastrointestinal tract and increased urinary calcium excretion related to an increased bone resorption. We report a case of Graves disease with spinal deformity caused by osteoporosis in a 12-year-old female who was presented with back pain, anterior neck mass and kyphosis. Laboratory findings revealed hyperthyroidsm, hypercalciuria in 24-hour urine and normal serum parathyroid hormone. On radiologic examination, multiple osteoporosis and a spinal compression fracture were observed. The bone mineral density was decreased at the hip and lumbar spine on the bone densitometry. After initiating antithyroid drug, calcitonin and vitamin D, she returned to a euthyroid state and her back pain was improved. Bone density was also increased one year later.
Absorption ; Back Pain ; Bone Density ; Bone Resorption ; Calcitonin ; Calcium ; Child ; Congenital Abnormalities ; Densitometry ; Exophthalmos ; Female ; Fractures, Compression ; Gastrointestinal Tract ; Graves Disease* ; Hip ; Homeostasis ; Humans ; Hypercalciuria ; Hyperthyroidism ; Kyphosis* ; Neck ; Osteoporosis* ; Parathyroid Hormone ; Spine ; Sweat ; Sweating ; Tremor ; Vitamin D ; Weight Loss

Little literature exists about the risk of atypical femoral fracture in patients received zoledronic acid for prevention of skeletal metastasis. We report an atypical subtrochanteric femoral fracture in a patient with multiple myeloma received zoledronic acid. The patient was treated by closed reduction and internal fixation with cephalomedullary nailing.
Diphosphonates ; Femoral Fractures ; Humans ; Imidazoles ; Multiple Myeloma ; Nails ; Neoplasm Metastasis

In this study, we describe our diagnosis and treatment of two patients who presented with femoral vessel compression caused by a cystic lesion in the groin. One case was diagnosed as adventitial cystic disease (ACD) of the common femoral artery resulting in leg claudication and the other was diagnosed as a ganglion cyst (GC) causing femoral vein compression and unilateral leg swelling. The operative findings differed between these two cases with respect to the dissection of the cyst and femoral vessel, but the postoperative histological examination results were similar. The pathogenesis of ACD and GC is not fully understood, and further investigation is needed to delineate the exact pathology of these uncommon conditions.
Adventitia ; Diagnosis ; Femoral Artery ; Femoral Vein ; Ganglion Cysts ; Groin* ; Hip ; Humans ; Leg ; Pathology

The PHIS(Public Health Information System) has been developed, and installed in public health centers nationwide since 1994. Ironically, however, even though infrastructures have been modernized, there is scant published material that has investigated the determinants of success of the PHIS. Therefore, these were evaluated in relation to the concern of user satisfaction, which was composed of overall satisfaction, usability, convenience and satisfaction for the supportive system. These satisfaction factors were also compared according to general user characteristics. The questionnaire response rate was 81.5%. The overall satisfaction and total Likert's scores, 3.078 +/- 0.634 and 3.005 +/- 0.563, respectively, showed that the end-users were relatively satisfied with the PHIS. Also, the overall satisfaction correlated most strongly with the convenience attribute. However, dissatisfaction strongly correlated with the supportive system, i.e. education and training facilities. This article describes our progress, and reports on the lessons learned, which will guide future work in this field.
Education ; Factor Analysis, Statistical* ; Information Systems* ; Iron ; Public Health* ; Surveys and Questionnaires

A congenital hernia into the base of the umbilical cord is known as an exomphalos and when the size of the defect is 5 cm or less and containing only bowel, it is called as exomphalos minor. We present a case of a newborn with an exomphalos minor within a Meckel diverticulum. He underwent surgical resection of the Meckel diverticulum and repair of the abdominal wall defect. To our knowledge, this is the first reported case of Meckel diverticulum in an exomphalos minor in Korea.
Abdominal Wall ; Hernia ; Hernia, Umbilical* ; Humans ; Infant, Newborn ; Korea ; Meckel Diverticulum* ; Minors ; Umbilical Cord