No abstract available.
Carcinoma, Transitional Cell* ; Cytochrome P-450 CYP1A1* ; Genetic Predisposition to Disease* ; Urinary Bladder*

No abstract available.
Carcinoma, Transitional Cell* ; Cytochrome P-450 CYP1A1* ; Genetic Predisposition to Disease* ; Urinary Bladder*

No abstract available.
Diagnosis* ; Hemangioma* ; Tomography, Emission-Computed, Single-Photon*

PURPOSE: This study involved a population-based survey to provide evidence of public awareness of risk factors of gastric cancer and to investigate attitudes for the screening of gastric cancer in the South Korean population. MATERIALS AND METHODS: Using a nationwide random selection method, 2014 subjects were enrolled in the study between 5 September 2006 and 25 September 2006. RESULTS: In terms of the awareness of risk factors, awareness was scored as the percentage of the probability of developing gastric cancer when a subject had a particular risk factor. For the risk factors, stress ranked highest with a score of 73.5%, followed by chronic gastritis (score of 72.1%), gastric ulcer (score of 71.2%) and a previous gastrectomy history (score of 68.7%). Other factors included a diet of charred foods (score of 67.3%), alcohol use (score of 65.3%), salty diet (score of 65.1%), history of smoking (score of 64.3%) and Helicobacter pylori infection (score of 57.5%). Subjects believed that 60.4% of all gastric cancers were preventable by lifestyle modification and the subjects believed that regular screening could prevent 72.1% of all gastric cancers. However, 54% of subjects did not receive regular screening and the most common reason for not undergoing screening was a lack of symptoms. CONCLUSION: Public education about the risk factors of gastric cancer and of lifestyle modifications and the importance of regular screening regardless of the presence of symptoms should be emphasized to reduce gastric cancer mortality in South Korea.
Diet ; Gastrectomy ; Gastritis ; Helicobacter pylori ; Life Style ; Mass Screening ; Public Health ; Republic of Korea ; Risk Factors ; Smoke ; Smoking ; Stomach Neoplasms ; Stomach Ulcer ; Trout

The purpose of this study was to investigate the psychological characteristics of mothers of children with disabilities. This study was performed under the hypotheses that, at the initial diagnosis of the children's disabilities, (1) the mothers suffered from serious psychological distress; (2) the more severe the child's disability was, the more serious the mother's psychological distress was; and that (3) the mother's psychological distress might be resolved within 8 weeks of rehabilitational interventions. The results were as follows: 1) mothers of children with disabilities showed significant (p<0.05) somatization, depression, anxiety, hostility, and phobic anxiety more so than the control group; 2) there was no significant difference in T scores of 9 dimensions of the Symptom Checklist-90-Revision (SCL-90-R) of the mothers at the initial diagnosis of children's disabilities according to severity of child's disability; 3) there was no significant difference in T scores of 9 dimensions of SCL-90-R in mothers of children with disabilities between at initial evaluation and after 8 weeks of rehabilitational interventions. In conclusion, : 1) mothers of children with disabilities suffered from serious psychological distress at the initial diagnosis of their child's disability; 2) the severity of the child's disability had little influence on the degree of the mother's initial psychological distress; 3) this distress did not resolve with only 8 weeks of rehabilitational interventions. Therefore, effective rehabilitational programs should provide sufficient opportunities for repeated follow-up interviews which offer not only adequate information on the children's disabilities but also psychological support for the mothers.
Adult ; Affective Symptoms/etiology/psychology ; *Child ; Child, Preschool ; Developmental Disabilities/diagnosis/rehabilitation ; *Disabled Persons/rehabilitation ; Female ; Human ; Infant ; Male ; Mothers/*psychology ; Time Factors

The correction of risk fators is very important in the prevention of stroke. This study was designed to investigate the risk factors of stroke patients and to correlate these risk factors with Functional Independence Measure(FIM) scores to be used for possible prognostic values in rehabilitation program. The subjects were 75 patients from 36 to 84 years of age. Data collection was done through chart reviews on risk factors of stroke including hypertension, transient ischemic attacks or previous stroke history, diabetes mellitus, heart disease, cigarette smoking, alcohol intake and hypercholesterolemia. Risk factors in stroke by the order of frequency were hypertension(68.0%), previous stroke history(38.7%), heart diseases(22.7%), hypercholesterolemia(24.0%), and diabetes mellitus(16.0%). The frequency of hypercholesterolemia, diabetes mellitus, heart disease, smoking in cerebral infarction group was higher than in intracerebral hemorrhagic group. There was no stastically significant correlation between risk factors and FIM scores. The results suggest that hypertension was the most important risk factor in stroke and the rate of risk factors was higher in cerebral infarction than in cerebral hemorrhage.
Cerebral Hemorrhage ; Cerebral Infarction ; Data Collection ; Diabetes Mellitus ; Heart ; Heart Diseases ; Humans ; Hypercholesterolemia ; Hypertension ; Ischemic Attack, Transient ; Rehabilitation ; Risk Factors* ; Smoke ; Smoking ; Stroke*

In spinal cord injury, various options exist for the management of the neurogenic bladder. For the management of neurogenic bladder, urethral stent was placed under a cystoscopic guidance as one day procedure. Urethral stents were inserted in a T12 spinal cord injured patient who had recurrent urinary tract infections and a vesicoureteral reflux (VUR) and a T3 spinal cord injured patient who had a detrusor-sphincter dyssynergia. In the first case, recurrent urinary tract infection and VUR were resolved after the stenting. In the second case, urethral stent was removed because of the failure of continuous drainage. Because of its easily reversible nature, the urethral stent can be adopted for use in pateints as an option of neurogenic bladder management.
Ataxia ; Drainage ; Humans ; Spinal Cord Injuries* ; Spinal Cord* ; Stents* ; Urinary Bladder, Neurogenic* ; Urinary Tract Infections ; Vesico-Ureteral Reflux

The importance of neuropathy in the pathogenesis of foot lesions has been well recognized in diabetes. Blood flow in ischemic limbs has been extensively investigated but the circulation of limbs affected by peripheral neu ropathy has received little attention. Some studies on blood flow in peripheral neuropathy have shown a remarkable increase in resting flow, transcutaneous venous oxygen tension, and vascularity, along with loss of the spontaneous variations which occur normally with sympathetic activity of the foot in patients with diabetes. The aim of present study is to find out the effects of somatic and autonomic nervous function in early change of blood flow of foot in diabetic patients, We have studied fifty-one patients of non-insulin-dependent(type II) diabetes with no history of hypertension of diabetic foot ulcers. The evidence of neuropathy was screened by nerve conduction studies and sympathetic skin response of both lower extremities. Blood flow of dorsalis pedls and posterior tibial arteries was measured by portable doppler machine and presented as pressure index(ankle-to-arm systolic pressure ratio). The patients with sympathetic dysfunction showed significant decrease in pressure index compared to normal control and diabetic patients with normal sympathetic function, suggesting that changes of the blood flow occur in diabetic patients with sympathetic dysfunction.
Blood Pressure ; Diabetic Foot ; Extremities ; Foot* ; Hemodynamics* ; Humans ; Hypertension ; Lower Extremity ; Neural Conduction ; Oxygen ; Peripheral Nervous System Diseases ; Skin ; Tibial Arteries ; Ulcer

The McGill Pain Questionnaire consists primarily of 3 major classes in word descriptorssensory, affective and evaluative-and is used in the studies of clinical and experimental pain. The purpose of the study is to analyz e characteristics of the central pain in patients with spinal cord injury and to compare with the musculosleletal pain using McGill Pain Questionnaire(MPQ) Korean version. The subjects of this study were ninety-nine patients with spinal cord injury who were admitted to Ajou University Hospital or registered with other social agencies, and thirty patients with musculoskeletal pain who were treated at the rehabilitation medicine out patient clinic of Ajou University Hospital. Central pain had significantly higher sensory, miscellaneous and total scores of MPQ Korean version than the musculoskeletal pain. There were no correlations between visual analogue scale and each dimension of MPQ Korean version except evaluative dimension in central pain. Central pain had significantly higher scores than musculoskeletal pain in subelasses such as spatial punctate, incisive, thermal and coldness. The most frequently chosen words were "radiating"(46%) in central pain and "throbbing"(32%) in musculoskeletal pain of all subjects. In conclusion, the central pain has no difference in pain intensity but shows bizzare and diverse character compared with the musculoskeletal pain. Authors suggest that MPQ Korean version can be an useful measuring tool for the evaluation and the follow up of the central pain of spinal origin.
Follow-Up Studies ; Humans ; Musculoskeletal Pain* ; Pain Measurement* ; Rehabilitation ; Spinal Cord Injuries* ; Spinal Cord*

Dissecting aneurysm involving the posterior inferior cerebellar artery (PICA) are challenging because of its nature and anatomic relationship to medulla and lower cranial nerve. We introduce a case of ruptured dissecting aneurysm located at the proximal PICA treated with telescoping stents for flow diversion and dissection healing. A 49 years old female visited to the emergency room for ruptured dissecting aneurysm at right proximal PICA. Telescoping stent was deployed along the right vertebral artery to PICA covering the dissecting aneurysm bleb using two Low-profile Visualized Intraluminal Support Jr (LVIS Jr) stents. Three months follow up angiography revealed a disappearance of aneurysm bleb and healing of dissection by parent artery remodeling. Telescoping stent with LVIS Jr may be an effective treatment for dissecting aneurysm with small diameter (<2 mm) parent artery. Convenient navigation and targeted telescoping stent for minimizing metal coverage at perforating arteries are an advantage for this method.