No abstract available.
Colonic Neoplasms* ; Rectum*

OBJECTIVES: The 1990s has seen advances in the conceptualization of self-perceived health status which has important roles for individual health and the quality of life. Many types of standardized questionnaires have been developed with the current wide use of SF-36, NHP, andEuroQol. However, the outcomes of these tools may be different with regard to regional, cultural and emotional backgrounds. The purpose of this study was to trial the development of a Korean Health Profile (KHP 1.0) to measure the self-perceived health stati of Koreans. METHODS: The KHP 1.0 was designed on the basis of the Medical Outcome Study Form 36 (SF-36), the Nottingham Health Profile (NHP), and the EuroQOL. It was composed of 9 scales; physical functioning, role limitation-physical, pain, general health, energy, social isolation, sleep, role limitation-emotional, and emotional health. Self-reported chronic disease conditions, and the Zung's Self-Rating Depression Scale (SDS), were also checked for the evaluation of clinical validity. This study was conducted, from December 2000 to January 2001, on 800 middle-aged parents, with four high school students, with 100 retest sets being conducted two weeks later. From the 800 subjects there were 588 complete responses (effective response 73.5%). The reliability of the test-retest results, and the factor analysis on the validity of the KHP 1.0 components, were evaluated using the SPSS (ver 10.0) software. RESULTS: The reliability of the KHP 1.0 was good with Cronbach's alpha (> 0.6), test-retest correlation coefficients (> 0.5), but with no significant differences from the paired t-test. From the psychometric validity tests, the 9 scales of the KHP 1.0 were divided into two components; physical and mental, and trimmed to the established model with 55% of the total variance, with the exception of role limitation-emotional. The clinical validity on the basis of the comparison for the four characteristic groups; healthy, physical conditions only, mental conditions only, and physical and mental conditions were also good. CONCLUSIONS: The KHP 1.0 appears to be a valid measurement tool of self-perceived health stati of Koreans, although there are limitations, i.e. sample size was too small, a limited number of middle-aged subjects, and it was based on unconfirmed diagnoses, etc. Therefore, further study is required to standardize the assessment.
Asian Continental Ancestry Group ; Chronic Disease ; Depression ; Diagnosis ; Humans ; Outcome Assessment (Health Care) ; Parents ; Psychometrics ; Quality of Life ; Sample Size ; Social Isolation ; Weights and Measures

Valid evaluation of self-perceived health status is important for the promotion of individual health and quality of life. In advanced countries, many types of health profile have been developed, and currently, the SF-36, NHP, and EuroQol, etc, are widely used. However, the outcomes of these profiles may vary according to regional, cultural or emotional backgrounds. For these reasons a Korean Health Profile should be developed. In this study, we reviewed the concept of self-perceived health status, and its significance to public health, and reviewed some of the differences between the available profiles in 139 related publications. Based on this review, we are trying to develop a Korean Health Profile in order to measure the self-perceived health stati of Koreans.
Asian Continental Ancestry Group ; Humans ; Public Health ; Quality of Life

PURPOSE: We experienced a case of ocular motility disturbance with esotropia and hypotropia, following implantation of Molteno to the superotemporal quadrant. METHODS: The patient recovered to orthophoria after removal of implant and fibrotic scar tissue with recession and resection. RESULTS: Multiple complications have been reported in association with Molteno implantation, including hypotony, cataract, choroidal hemorrhage, retinal detachment, endophthalmitis, hyphema, phthisis. However ocular motility disturbances have been documented in only a few cases and never in Korea to our knowledge. Therefore, we report this case with the review of related literatures.
Cataract ; Choroid Hemorrhage ; Cicatrix ; Endophthalmitis ; Esotropia ; Humans ; Hyphema ; Korea ; Retinal Detachment ; Strabismus*

No abstract available.
Endodermal Sinus Tumor* ; Lung* ; Neoplasm Metastasis* ; Yolk Sac*

Angioleiomyoma is a benign solitary tumor that arises from the medial layer of the vein walls. We encountered a 21-year-old man who was presented with a non-tender, slowly growing, 3 cm x 5 cm-sized mass on the thenar eminence of his left hand. Histopathological examination showed the tumor to be a giant vascular leiomyoma. It is extremely rare for an angioleiomyoma to reach this size as well as occurring on the palm and this is the first report of such a case in Korea.
Angiomyoma* ; Hand* ; Humans ; Korea ; Veins ; Young Adult

PURPOSE: Patients with canalicular or common canalicular obstruction have been treated by carrying out conjuctivodacryocystorhinostomy mainly through skin or the nasal cavity, but all sorts of defects attendant on an operation have been indicated. At this, the authors inquired into a result of a surgery and their satisfaction in a different viewpoint for silicone intubation. METHODS: We inquired into a result of a surgery and their satisfaction in a different viewpoint for 68 patients' 72 eyes who can be observed over 3 months among patients diagnosed as canalicular or common canalicular obstruction and operated on with silicone intubation as subject. RESULTS: After surgery, silicone tube was removed at average postoperative 5.8 months and we observed them for average 10.5 months. The result of operations showed that successful cases are 72.2% (52 eyes) and failing cases are 28.8% (20 eyes). CONCLUSION: For the cases with canalicular obstruction, especially common canalicular obstruction for short period, primary silicone intubation would be one of the ideal lacrimal surgery that should be explained the possible secondary conjuctivodacryocystorhinostomy later.
Adult* ; Humans ; Intubation* ; Lacrimal Apparatus Diseases ; Nasal Cavity ; Silicones* ; Skin

Epidermoid tumors rarely occur in the central nervous system. Their incidence among intraspinal canal tumors is even less than 1% in most large series. Epidermoid tumors are generally understood as embryogenic or congenital tumor, however the etiologic importance of previous lumbar punctures in the formation of epidermoids has been also suggested by some papers, and almost confirmed by an extensive literature review and an animal experiment. Recently we have experienced a case of intraspinal epidermoid, which occurred at the same site as a lumbar puncture had been performed to carry out lumbar myelogram. To our knowledge, such a case has never been reported in a scientific journal in Korea yet. In this report we emphasize the importance of using a spinal puncture needle with a stylet in spinal taps, and of considering a lesion in the thoraco-lumbar junction on performing lumbar spine CT scan even in a patient only with lumbar disc symptoms.
Animal Experimentation ; Central Nervous System ; Humans ; Incidence ; Korea ; Needles ; Spinal Puncture* ; Spine ; Tomography, X-Ray Computed

No abstract available.
Brain Stem* ; Classification* ; Hemorrhage*

BACKGROUND: Many authors hypothesized that Helicobacter pylori (H. pylori), a causative agent of gastric disease, might act as a potential antigen in salivary glands. H. pylori has been suggested to be transmitted via oral route. METHODS: To investigate the transmission of H. pylori via oral route, saliva samples were taken from the patients with gastric disease. After total DNA was isolated from each saliva sample, amplification of H. pylori urease gene fragment was performed by polymerase chain reaction (PCR) with the isolated DNA as template. PCR-amplified DNA fragments were obtained from seven of 42 patients, the amplified DNA fragments were sequenced by automatic DNA sequencer. Biopsy materials from 2 patients of CLO test-positive with gastric disease were examined and photographed using a light and an electron microscope. RESULTS: The nucleotide sequence of PCR products showed high homology with H. pylori 26695 urease (98%), and the deduced amino acid sequence was identical to the urease alpah subunit of H. pylori J99. The cytosine in the 272th position of urease A nucleotide sequence showed the tendency of high prevalence in the patient with healthy periodontium. Electron micrograph showed helical cell profile of H. pylori on surface epithelial lining cells. CONCLUSION: These results suggest that there might be a transmission of H. pylori via oral route.
Amino Acid Sequence ; Base Sequence ; Biopsy ; Cytosine ; DNA ; Helicobacter pylori* ; Helicobacter* ; Humans ; Mouth* ; Periodontium ; Polymerase Chain Reaction* ; Prevalence ; Saliva ; Salivary Glands ; Stomach Diseases ; Urease