Kawasaki disease is generally diagnosed base on its clinical features. Sometimes unusual or atypical presentations make the diagnosis of Kawasaki disease difficult. We experienced an unusual case of Kawasaki disease presented with unilateral parotitis in a 23-month old girl. Despite of intravenous antibiotics treatment, fever and unilateral parotid swelling persisted. Skin rashes, conjunctival injections, and coronary abnormalities showed up on the 8th day of fever. After the intravenous immunoglobulin and salicylates treatment, all symptoms disappeared. Although unilateral parotitis is very unusual presentation of Kawasaki disease, in case of no response to antibiotics, Kawasaki disease should be included in the differential diagnosis.
Anti-Bacterial Agents ; Child* ; Diagnosis ; Diagnosis, Differential ; Exanthema ; Female ; Fever ; Humans ; Immunoglobulins ; Mucocutaneous Lymph Node Syndrome* ; Parotitis* ; Salicylates

PURPOSE: The aim of this study was to analyze the research trends of quality of life (QOL) after gastrectomy among gastric cancer patients in Korea and to make suggestions for future studies. METHODS: A literature search was done using Pubmed, CINHAL, and Korean databases in Korean and English. RESULTS: A total of 53 studies from 1993 to 2015 were analyzed. Of 53 papers, 6 (11.3%) were doctoral dissertations and master's theses, and 47 (88.7%) were from academic journals. All of the studies (100%) used quantitative research designs. The European Organisation for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ)-C30 and EORTC QLQ-STO22 were mostly used to evaluate QOL in the studies. The main research issues were varied, in particular, the most common subjects of studies were QOL related to the evaluation of treatment methods. CONCLUSION: Further studies about QOL after gastrectomy with gastric cancer patients need to be done with various approaches such as intervention studies to improve QOL, qualitative studies, and multidisciplinary research.
Gastrectomy* ; Humans ; Korea* ; Quality of Life* ; Research Design ; Stomach Neoplasms*

PURPOSE: The purpose of this study was to examine the effects on knowledge and performance in clinical nurses who participated in education on nursing recording focusing on the legal aspects. METHOD: The participants were working in medical departments in one hospital. There were 32 nurses in the experimental group and 25 in the control group. Pre-test was conducted on the two groups before education, and, in order to examine the effects of education, a post-test was conducted after three weeks. For the experimental group, the education on nursing recording focusing on legal aspects was provided as a lecture-led one-to-one training. RESULTS: Significant differences were found between the experimental and control groups in knowledge (F=15.728, p<.001), and performance (F=42.454, p<.001). CONCLUSIONS: The results of this study indicate that education on nurse recording enhances the knowledge and performance of the nurses. Thus education on nurse recording focusing on legal aspects should be required in the area of nursing science.
Jurisprudence ; Nursing Records

PURPOSE: Anaplastic thyroid cancer (ATC) is rare and has a poor prognosis. The aim of this study was to analyze the clinicopathologic characteristics of patients diagnosed with ATC expected to undergo curative thyroidectomy, with the goal of finding differences between patients surviving > or =6 months and <6 months. METHODS: From 1981 to 2010, 24 patients underwent thyroidectomy due to ATC. Among those patients, 12 suspected of distant metastasis preoperatively were excluded. The remaining 12 patients were analyzed by retrospective review of electronic medical records. RESULTS: Median age was 55 years, and the male to female ratio was 1:5. All patients presented with neck mass at initial diagnosis. Five patients lived <6 months and seven patients lived > or =6 months after operation. In patients surviving > or =6 months, all lesions were <5 cm and all patients underwent total thyroidectomy. In patients surviving <6 months, two of the four lesions were >5 cm, and two of the five patients underwent less than total thyroidectomy (P = 0.287 and 0.152, respectively). All patients with lesion size <5 cm underwent total thyroidectomy and showed a shorter median operation time (P = 0.182 and 0.033, respectively). CONCLUSION: ATC showed female predominance. Patients initially presented with neck mass, and median age was 55 years. In patients with ATC who are expected to undergo curative thyroidectomy, surgery should actively be considered as primary therapy for patient survival when the size is <5 cm.
Electronics ; Electrons ; Female ; Humans ; Male ; Neck ; Neoplasm Metastasis ; Prognosis ; Retrospective Studies ; Thyroid Gland ; Thyroid Neoplasms ; Thyroidectomy

Purpose: The purpose of this study is to identify changes in knowledge, self-efficacy and anxiety achieved through the provision of video education on chemotherapy with a portable infusion pump to colorectal cancer patients. Methods: This study is a nonequivalent control group and non-synchronized design as a quasi-experimental study. Participants in this study were colorectal cancer patients who received chemotherapy with a portable infusion pump through an ambulatory care unit. For 48 subjects, the education was divided into printed materials and videos, and knowledge, self-efficacy, and anxiety were measured. Data were analyzed using independent t test, paired t-test, and Wilcoxon’s signed rank test. Results: In the video education group, knowledge (Z=-4.09, p<.001) and self-efficacy (Z=-2.72, p=.012) significantly increased after education, and anxiety significantly decreased after education (Z=2.24, p=.035). However, there was no difference in knowledge (t=0.09, p=.931), self-efficacy (t=1.22, p=.229), and anxiety (t=-1.16, p=.250) between the groups after education. Conclusion To improve the quality of life of cancer patients, it is necessary to promote self-efficacy and reduce anxiety. The results of this study suggest that more diverse educational methods should be attempted to improve knowledge and self-efficacy and reduce anxiety in colorectal cancer patients.

No abstract available.
Humans

No abstract available.
Child* ; Humans ; Liver Diseases* ; Liver* ; Prospective Studies*

u-Health is a good alternative in providing health care service under special situations where access to health care is limited. With the expansion of life space and the increase of travel, people are being put in danger across various situations on the sea, in the sky, disasters, and so on. It is not easy to provide health care in those situations, while people may still have high expectation to heath care. This gap can be narrowed by using u-Health, which is based on advanced information and communication technologies. The special situation for u-Health is where normal health care cannot be performed because of physical limitation and danger, which can be further broken down to five situations. The first is a situation on means of transportation such as ship and airplane. The second situation is when medical facilities are far away from life space, in places like backwoods. The third situation occurs on the place where it is difficult for patients to receive treatment due to restrained freedom, for example, a prison. The forth is the situation where the medical team is unable to approach easily, such as war zone and disaster area. The last special situation is the extreme environments like polar region. In order to make the u-health system more helpful for patients under special situations, there is a need for a research development and investment on sensors to measure accurate bio-signals, the network to transmit the data, and the technologies to analyze the data and to provide feedback. Therefore, institutional supports for technology development are required for further development of u-Health for people in great needs.
Aircraft ; Cold Climate ; Delivery of Health Care ; Disasters ; Freedom ; Health Services Accessibility ; Humans ; Hypogonadism ; Investments ; Mitochondrial Diseases ; Ophthalmoplegia ; Prisons ; Ships ; Telemedicine ; Transportation

Differential diagnosis of acute scrotum is very important. As the chances of salvaging testicular function are inversely proportional to the elapsed time between onset of torsion/rupture and surgical repair of testes, prompt and accurate diagnosis is imperative. 17 patients with acute scrotum who had visited to the Department of Urology, Yeungnam University Hospital from June l985 to May l986 underwent scrotal ultrasonography to evaluate the value of scrotal ultrasonography for the differentiation of the diseases that cause acute scrotum. Scrotal ultrasonographic findings in 8 patients with acute epididymitis were enlargements of the epididymes with decreased echogenicity in 7 and enlargement of the epididymis and testis with mixed echogenicity in 1. In 3 patients with testicular torsion ultrasonogram revealed enlarged epididymis and testis with homogeneous and slightly decreased echogenicity in 1 patient of acute stage (within 24 hours) and enlarged epididymis and testes with diffuse mixed echogenicity in 2 patients. In 6 patients with scrotal trauma ultrasonogram revealed extratesticular fluid collection with well-defined intact in 1 patient of intrascrotal hematoma. 2 patients with testicular hematoma showed well-defined testes with intratesticular focal echolucent region on ultrasonogram. 3 patients with testicular rupture revealed mixed echogenicity in an injured hemiscrotum with well-defined testes in 2 out of 3.
Diagnosis* ; Diagnosis, Differential ; Epididymis ; Epididymitis ; Hematoma ; Humans ; Male ; Rupture ; Scrotum* ; Spermatic Cord Torsion ; Testis ; Ultrasonography* ; Urology

In this article, Table 1's data was given incorrectly. Metodopramide should be corrected as Metoclopramide.