Acute Pancreatitis with Purtscher's-like Retinopathy / 대한췌담도학회지

A 28-year-old man with a history of alcohol abuse was diagnosed with acute pancreatitis based on clinical symptoms, laboratory findings and computed tomography findings. On the second day of hospitalization, he complained of sudden visual disturbance. The ophthalmologic examination showed Purtscher's-like retinopathy. Two weeks after initial presentation, his vision was significantly improved along with epigastric pain. Retinal arteriolar occlusion by complement-mediated leukoembolization is the proposed pathogenic mechanism of Purtscher's-like retinopathy. Increased activity of proteases such as trypsin, associated with acute pancreatitis might be linked with the production of complement C5a. We report a rare case of Purtscher's-like retinopathy associated with acute pancreatitis.

Factors associated with smoking cessation of male workers in a university hospital

BACKGROUND: The smoking rate of Korean male workers is top in the world. To establish the effective smoking cessation strategy, we conducted a study to evaluate the factors associated with smoking and smoking cessation. METHODS: We surveyed 509 male workers in a university hospital about age, marital status, drinking, exercise level and checked their awareness and seriousness for diseases due to smoking, benefits from smoking cessation, motivation derived from massmedi and books and their will to quit smoking by self-administerd questionnaire. RESULTS: The significant factors associated with smoking cessation were higher education (OR=1.85, 95% CI 1.26-2.74), non-religion (OR=0.56, 95% CI 0.38-0.83), drinking (OR=0.40, 95% CI 0.27-0.61), awareness (OR=1.30, 95% CI OR=1.03-3.25) and seriousness (OR=1.29, 95% CI 1.19-1.39) for smoking related disease, benefit (OR=1.21, 95% CI 1.16-1.27), and barrier (OR=0.78, 95% CI 0.74-0.83), motivation (OR=1.21, 95% CI 1.12-1.30), and the will to quit smoking (OR=1.70, 95% CI 1.56-1.85). CONCLUSION: This study suggested that effective smoking cessation program should be based on awareness and seriousness due to smoking related diseases, health benefit and barrier to quitting smoking, company's support, the individual's will to quit and various motivation methods.