• Title/Summary/Keyword: Hospital Characteristic

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Scan Manifestations and Blood Clearance Rates in Typhoid Liver (티프스 간(肝)의 주사(走査)소견과 간혈류 동태)

  • Bahk, Yong-Whee;Ahn, Jae-Sung;Kim, Soon-Hi
    • The Korean Journal of Nuclear Medicine
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    • v.4 no.2
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    • pp.67-71
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    • 1970
  • Fourteen patients with typhoid fever were studied by scanning and clearance-rate measurements of subcritical dose colloidal radiogold($^{198}Au$). Mild to moderate enlargement of the liver and spleen was noted in 78.6 and 64.3 per cent of patients, respectively; and splenic and spinal bone-marrow uptake was seen in 78.6 and 57.1 per cent of cases, respectively. Typically, these scan changes occurred concomitantly (57.1%) and are considered to represent increased phagocytic activity of the RE cells which is characteristic of typhoid fever. The half clearance-time was significantly shortened during the first 10-day period of the illness indicating an increas in the hepatic blood in the early phase of typhoid infection. Hepatomegaly, splenomegaly and extrahepatic uptakes along with an accelerated (or later a normal) clearance time are characteristic of typhoid fever.

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A Study on the characteristic of Living behaviors of the Elderly with Dementia in Recuperation facilities (치매노인의 요양생활(療養生活) 전개특성(展開特性)에 관(關)한 연구(硏究))

  • Yang, Kum-Suek
    • Journal of the Korean Institute of Rural Architecture
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    • v.3 no.1
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    • pp.53-64
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    • 2001
  • The purpose of this study is to clarify the actual condition of the daily living activities of the elderly with dementia in recuperation facilities. The thorough investigation and observation works were made to them from the view points of daily living behaviors and activities of the recuperating elderly. This article discusses about the basic characteristics of the elderly and the actual condition of the daily living activities of the elderly with dementia in 2 nursing homes and 1 geriatric hospital. As a result, we are able to draw out the following conclusion ; There is no wide difference between geriatric hospital and nursing homes on the characteristic of living behaviors of the elderly with dementia.

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A Novel Insertion in Exon 23 of the TCOF1 Gene in a Newborn Infant with Treacher Collins Syndrome

  • Yang, Ji Hyeon;Cha, Hyo Hyun;Yoon, Hye Sun
    • Journal of Genetic Medicine
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    • v.10 no.2
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    • pp.109-112
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    • 2013
  • Treacher Collins syndrome (TCS) is the most common and well known mandibulofacial dysostosis with characteristic clinical features including downward slanting of palpebral fissures, coloboma of the lower eyelid, hypoplastic zygomatic arches, micrognathia, macrostomia, microtia, and other deformities of the ears. TCS is caused by mutations in at least 3 genes involved in pre-rRNA transcription: TCOF1, POLR1D and POLR1C. We experienced a 1-day-old female infant with characteristic clinical features of TCS. A novel, heterozygotic mutation within the TCOF1 gene (c.3874_3875insG, p.Ala1292Glyfs*30) was identified to cause a premature stop codon.

Mesenchymal Chondrosarcoma of the Cervical Spine - Case Report - (경추부에 발생한 간엽성 연골육종 - 증 례 보 고 -)

  • Kwon, O Hyun;Kim, Jung Deuk;Park, Sang June;Kim, Eui Joong;Yoon, Sung Moon
    • Journal of Korean Neurosurgical Society
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    • v.30 no.11
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    • pp.1336-1339
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    • 2001
  • Mesenchymal chondrosarcoma is a rare tumor occurring in both bone and soft tissues and exhibits characteristic of a malignant nature. The authors experienced a case of mesenchymal chondrosarcoma occurring in a 23-year-old woman which had invaded the cervical spine. The patient presented with severe both shoulder pain, left upper extremity weakness(Grade IV) and paresthesia at admission. Radiologic studies of the cervial spine showed an aggressive osteolysis of C4 vertebral body, pedicle and lamina with compression of the spinal cord posteriorly on C3, C4, C5 levels. The tumor was totally removed by a combined anterior and posterior approach. The removed vertebral body was replaced with autogenous bone and stabilized by Codman locking plate symtem. The pathological examination showed characteristic of mesenchymal chondrosarcoma.previous symptoms well improved postoperatively. The authors present a case of mesenchymal chondrosarcoma with review of literature.

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Skin malignancy initially misdiagnosed as a benign epidermal cyst

  • Chung, Chan Min;Wee, Sung Jae;Lim, Hyoseob;Cho, Sang Hun;Lee, Jong Wook
    • Archives of Craniofacial Surgery
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    • v.21 no.2
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    • pp.123-126
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    • 2020
  • Skin cancer, which often occurs as a result of skin exposure to ultraviolet light radiation, usually presents with characteristic abnormal features, such as ulcerative lesions, irregular morphology, bleeding, and excessive growth. Therefore, skin cancer rarely resembles a benign tumor on visual inspection. Nonetheless, squamous cell carcinoma and basal cell carcinoma with nodular or polypoid features can have a similar appearance to that of benign tumors, meaning that they are sometimes misdiagnosed as benign. As benign and malignant tumors have some overlapping features, clinicians sometimes use additional imaging techniques such as ultrasonography to improve the accuracy of the diagnosis because even a malignant tumor that externally resembles a benign tumor generally has internal morphological features characteristic of malignancy, such as invasion and irregular borders. However, these imaging tools also have limitations, and punch or excisional biopsy can be needed if malignancy cannot be completely ruled out. Herein, we report a case of skin malignancy initially misdiagnosed as a benign epidermal cyst based on external visual inspection and ultrasonography.

A chromosome 1q44 deletion in a 4-month-old girl; The first report in Korea

  • Cho, Joo Hyun;Song, Eun Song;Kim, Hee Na;Oh, Burm Seok;Choi, Young Youn
    • Clinical and Experimental Pediatrics
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    • v.57 no.6
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    • pp.292-296
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    • 2014
  • The deletion of the distal long arm of chromosome 1 is associated with a characteristic facial appearance and a pattern of associated malformations. Characteristic manifestations include a round face with prominent 'cupid's bow' and downturned corners of the mouth, thin vermilion borders of lips, a long upper lip with a smooth philtrum, a short and broad nose, epicanthal folds, apparently low-set ears, micrognathia, microcephaly, abnormal hands and feet, variable cardiac or genital anomalies, moderate to severe mental retardation, and growth retardation. Using fluorescent in situ hybridization (FISH) analysis to map precisely the deletion, we present a case of chromosome 1q44 deletion with craniofacial characteristics, multiple congenital anomalies, and growth and psychomotor retardation. In comparison with other reported cases of 1q43-44 deletion, the subject does not show hydrocephalus, seizure, syn- or polydactyly of hands, and a urogenital anomaly. However, an arachnoid cyst, pinpoint dimple on the midline of the forehead, a right-sided supernumerary nipple and auricular pit, polydactyly of the right foot, adducted thumb, and flexion restriction of the proximal interphalangeal joint with a simian line in both hands were observed additionally.

Difference in Length of Stay and Treatment Outcome of Pulmonary Tuberculosis Inpatients between Health Insurance Types (의료보장유형에 따른 폐결핵 입원환자의 재원기간과 치료결과 차이분석)

  • Kim, Sang Mi;Lee, Hyun Sook;Hwang, Seul ki
    • Korea Journal of Hospital Management
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    • v.21 no.4
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    • pp.45-54
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    • 2016
  • The purpose of this study is to identify patient and hospital characteristics with pulmonary tuberculosis and to analyze factors which were influencing length of stay and treatment. The Korean National Hospital Discharge In-depth Injury Survey database from 2006 to 2012 was used for analysis. Study subjects were 4,704 patients and analyzed by using frequency, chi-square and logistic regression through using STATA 12.0. To avoid selection bias, we used propensity score matching. Analysis results show that the length of stay and treatment of pulmonary tuberculosis was different between insurance types. Patients characteristic(female, comorbidity, admission by outpatient department, medical insurance type) and hospital characteristic(500-999 beds, over 1000 beds) significantly influence length of stay. Admission by outpatient department and over 1000 beds are significantly influence treatment. Based on these findings, it is necessary to clarify between length of stay and treatment outcome by medical aids beneficiaries and audit hospitals follow discharge guidelines in pulmonary tuberculosis patients.

Lennox-Gastaut syndrome associated with dysgenesis of corpus callosum

  • Janati, A. Bruce;ALGhasab, Naif Saad;Umair, Muhammad;FazelHaq, FazelHaq;Osman, Aboubaker;Sammour, Mohammad;Ahmed, AmalAbdulgadir;Ghorbel, Sofiane;Alshammeri, Hesse;Aldaife, Maram;Abdollah, Ahmad;ALMubaddel, Afnan Ibrahim
    • Annals of Clinical Neurophysiology
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    • v.20 no.1
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    • pp.36-40
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    • 2018
  • Lennox-Gastaut syndrome (LGS) is an electro-clinical syndrome composed of the triad of mental retardation, multiple seizure types, and the characteristic generalized slow spike-wave complexes in the electroencephalogram. In this article, we report on two patients with LGS whose brain magnetic resonance imaging showed dysgenesis of corpus callosum (CC). We discuss the role of CC in the genesis of secondary bilateral synchrony.

Cytologic Findings of Rheumatoid Pleuritis in Pleural Effusion - A Case Report - (흉막강액에서 진단된 류마티스성 흉막염 - 세포학적 소견 1예 보고 -)

  • Cha, Hee-Jeung;Min, Soo-Kee;Kim, Joon-Mee;Chu, Young-Chae
    • The Korean Journal of Cytopathology
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    • v.8 no.1
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    • pp.47-51
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    • 1997
  • Patients with rheumatoid arthritis of any degree of severity or duration may develop necrotizing granulomatous pleuritis, a morphologic replica of the inflammatory reaction characteristic of rheumatoid synovitis and rheumatoid nodules. The principal feature is the background composed of granular, amorphous, particulate material or debris of various hues. The material is sometimes eosinophilic sometimes more cyanophilic, or even green in the Papanicolaou stain. Within this background are elongated, fibroblast-like epithelioid cells, numerous multinucleated giant cells and degenerating leukocytes. The combination of the debris, spindle epithelioid ceils, and multinucleated giant cells in fluid is pathognomonic for rheumatoid pleuritis. We experienced a hcase of rheumatoid pleuritis showing these characteristic cytologic findings. The patient was a 63 year-old man with positive rheumatoid factor. The pleual fluid specimen revealed elongated epithelioid cells and multinucleated giant cells on a background of amorphous granular material.

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Fine Needle Aspiration Cytology of Two Cases of Leiomyosarcoma (평활근육종의 세침 흡인 세포학적 소견 -2예 보고-)

  • Ha, Chang-Won;Myong, Na-Hye;Cho, Kyung-Ja;Jang, Ja-June
    • The Korean Journal of Cytopathology
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    • v.1 no.2
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    • pp.147-151
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    • 1990
  • Leiomyosarcoma of the soft tissue is a well-defined and characteristic entity histologically, but cytomorphological studes are lacking. A correlaive cytological study of 2 cases of leiomyosarcoma is presented. The smears from case 1 were rich in tumor cells and most cells were arranged in large sheets or clusters. The cells showed round to oval nuclei containing fine chromatin and small promiment nucleoli. The smears from case 2 were moderate in cellularity with loose clusters or isolated cells. The characteristic blunt-ended and cigar-shaped nuclei containing coarse chromatin and prominent nucleoli were identified in case 2. Nuclear atypia, prominent nucleoli and high cellularity permit diagnosis of malignancy, although the atypia is generally less pronounced than in the histology. The cytological diagnosis of leiomyosarcoma may be auxiliary in the diagnosis of recurrence or metastasis in the patients with alleged leiomyosarcoma.

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