Delayed Reduction of Nasal Bone Fractures

BACKGROUND: Nasal bone fractures are managed by closed reduction within the 2-week period, and are managed by secondary correction after this time. There is little literature on the delayed reduction for nasal bone fractures beyond the 2-week duration. We report our experience with nasal fractures, which were reduced beyond this period. METHODS: A retrospective review was performed for all patients who had undergone closed reduction of isolated nasal bone fracture. Patients were included for having undergone reduction of nasal bone fractures at or more than 2 weeks after the injury. Medical records were reviewed for demographic information, injury mechanism, fracture type, delay in treatment, and cause for delay. Postoperative outcomes were evaluated using computed tomography images. RESULTS: The review identified 10 patients. The average reduction time was 22.1 days. Five of patients underwent reduction between days 15 and 20, and the remaining five patients underwent reduction between days 21 and 41. The postoperative outcomes were excellent in 8 patients and good in 2 patients. CONCLUSION: Outcomes were superior for nasal fractures with displaced end plates and multiple fracture segments. Our study results appears to support delayed reduction of isolated nasal fractures in the presence of factors that delay bony reunion.

A Case of Lermoyez' Syndrome / 대한평형의학회지

Lermoyez's syndrome is usually regarded as a rare variant of Meniere's disease which is characterized by the disappearance of aural symptoms after vertiginous attacks. It is recognized as an uncommon paroxysmal clinical syndrome caused by pathological endolymphatic change in the labyrinth. It is thought that the cause of Lermoyez's syndrome is due to cochlea hydrops which result from endolymphatic blockage of the ductus reunions. With its distinct characteristic manifestations, the diagnosis is not difficult, but Lermoyez's syndrome has been rarely reported universally. Otologists are in a whirl about its rare occurrence. We report a unique case of a 46-year-old woman, who showed typical clinical features of Lermoyez's syndrome with review of literatures. We focused on the sequential clinical change during our observation.

Emotional Resolution through an Eagerly Desired Family Reunion after Long-Lasting Separation / 신경정신의학

OBJECTIVES: Separation and reunion is common experiences in our life but enduring unwanted early-life separation from family members may be a distressful event. This study was executed to observe emotional resolution in the subjects who eagerly desire and experience reunion with their families after long-lasting separation. METHODS: Thirty subjects who have participated in the reunion program of the Korean Broadcasting System (KBS) from April 2005 to July 2005 were interviewed to assess their demographic characteristics and memories about separation. Their anxiety and depressive mood were assessed using Spielberger's State-Trait Anxiety Inventory, Beck Depression Inventory, Hamilton Depression Rating Scale and Hamilton Anxiety Rating Scale before the family reunion. At the time of the reunion, psychological states of 14 participants who were able to meet their family members were assessed again using the same assessment tools and the follow-up assessment was performed for one possible case at 7 months after the reunion. RESULTS: The depression and anxiety levels of most subjects were significantly decreased after the reunion. Standardized T scores of their state-anxiety were mostly in abnormal range before the reunion but most of their anxiety levels were reduced within normal range after the reunion. Duration of education was negatively correlated with trait-anxiety level and duration of separation respectively even though trait-anxiety levels were not directly correlated with duration of separation. Emotional acceptability about childhood separation tended to contribute to the increased anxiety level. CONCLUSION: This is the first study to assess psychological distresses of the Korean people who have suffered from longlasting separation with their families. The results in this study suggest that the eagerly desired reunion after long-lasting separation from family may have a resolutive effect for emotional distress. Further study will be needed for larger population suffering from early-life separation.

Tercer Taller y Tercera Reunión Científica Internacional Leptospirosis Habana 2006 / Third Workshop and Third International Scientific Meeting Leptospirosis Habana 2006

Los avances de la salud pública en el ámbito internacional y los cambios ocurridos en el comportamiento de las enfermedades, determinados por el control de unas y la aparición o reaparición de otras, exige la aplicación de medidas y sistemas de vigilancia y control que permitan enfrentar esta situación en la actualidad. En especial América Central y la región del Caribe se han visto amenazadas por innumerables eventos atmosféricos, los cuales han puesto en quiebra los sistemas de salud de muchos países de la región, que origina grandes costos en hospitalización y asistencia a enfermos así como en campañas de emergencia para el control medio ambiental.

Modulo desarrollo del liderazgo en las instituciones de salud: unidad IV comunicacion organizacional e interpersonal: guia del facilitador / Modulo development of the leadership in the health institutions unit IV communication organizational and interpesonal: guide of the facilitator

Presenta guia del facilitador sobre la comunicacion y los diversos mecanismos de comunicacion orgnizacional asi como una metodologia sencilla de comunicacion interpersonal que permitira el entendimiento mutuo y el compromiso para la accion del personal de salud

Capítulo II: el auto-diagnóstico comunitario / Guía para trabajar con la seguridad alimentaria y nutricional en procesos de desarrollo local / Chapter II: the car - community diagnosis

Presenta capítulo II sobre El Auto-Diagnóstico Comunitario que aborda la participación comunitaria para discutir y analizar la iniciativa regional de seguridad alimentaria y nutricional que bajo una metodología de participación comunitaria y movilización social,la cual es promovida por el Instituto de Nutricion de Centro América y Panamá, La Organización Panamericana de la Salud, el Ministerio de Salud de Nicaragua

Comparison of Periodontology Terminology between South and North Korea / 대한치주과학회지

Background: Terminology is a good index of reflections in conceptional imaginations, trends and technological advances in the field of their own. The purpose of this study is to compare the similarity and difference of terms in periodontology to evaluate the communicability between South and North Korea. These result may be particularly helpful for making glossary, academic communication and social unity at the time of reunion. Methods: This study was carried out by searching northern periodontology terminologies used in literatures published in North Korea and comparing those terms with the southern terms. The standard northen terms were not able to be distinguished, so the terms used frequently were chosen as the standard northern terms. Results: The South and North both use terms that stem from Chinese characters, but this tendency is stronger in the South. The main differences between the South and North are due to the North Korea's effort in converting terms into the native languages. There are also some differences in inscription of foreign language, spelling and spacing, and so on. Conclusion: The terminology using in South and North Korea in the field of periodontology is somewhat different but both side can be capable of communication. Now the basic efforts in both parts must be taken, such as establishing new terms, in order to relieve these differences.

IV encuentro de editores de revistas de peditría del cono sur / IV meeting of publishers of pedicure magazines in the southern cone

informe del encuentro de los editores de revistas de pediatría del cono sur

Seminario "Enfoque del Sector Salud en Nicaragua" / Seminar \"Focuses Health of the Sector in Nicaragua\"

En el transcurso del Seminario, la Ministra de Salud, Lic. Mariángeles Argüello, dejó sustentada la voluntad del gobierno de la república de continuar con todo el proceso del enfoque sectorial en salud, actividad que esta inmersa dentro de la filosófia de la política de la modernización del sector bajo la rectoria liderazgo del Ministerio de Salud. En este sentido, expresó la importancia que su jefatura otorga a la experiencia de los países y regiones, así como el apoyo brindado por la comunidad cooperante, las instituciones de gobierno, los organismos no gubernamentales y la sociedad civil, con los cuales debe de fortalecerse la coordinación, la coherencia de planes y programas y la participación ciudadana. La parte nicaragüense está consciente de la necesidad de un marco mucho más amplio el cuál comprende, factores relativos a la institucionalidad, transparencia y gobernabilidad

XIII Reunión del Grupo Tecnico Asesor de la OPS sobre Enfermedades Prevenibles por Vacunación: Informe de Paraguay

Con apoyo tecnico y politico, el Paraguay ha logrado en 1998 avances hacia las metas de erradicación de tétanos y sarampión, el Programa ampliado de inmunizaciones se fortaleció promoviendo cambi de paradigmas y nuevas formas de trabajar en inmunizaciones para lograr la vacunación de los usuarios del programa