A 28-year-old male patient is described who developed multiple erythematous nodules and papules on the face, upper chest, back, upper and lower extrimities, leading to extensive ia.filtration of the skin and lymph nodes. Histology from the involved lymph node and skin nodule revealed widely scattered patchy infiltration of abnormal. hyperchromatic polymorphous histiocytes in the dermis. The patient died at about 8 months after onset of the disease, in spite of antineoplastic treatment.
Adult ; Dermis ; Histiocytes ; Humans ; Lymph Nodes ; Lymphoma* ; Male ; Skin ; Thorax

An asymptomatic 26-year-old man was initially admitted with a suspicious mediastinal mass. On the basis of the contrast-enhanced chest CT findings, aneurysm formation involving the left cervical aortic arch associated with subaortic left innominate vein was diagnosed. The aneurysm was confirmed by MR angiography and DSA. The arch aneurysm was surgically removed. We describe this case, and review the literature.
Adult ; Aneurysm* ; Angiography ; Aorta, Thoracic* ; Brachiocephalic Veins* ; Humans ; Tomography, X-Ray Computed

No abstract available.
Female ; Humans ; Pregnancy ; Pregnancy Trimester, Second*

To investigate the relationship of the density change of lens nucleus and cortex with anterior chamber depth and lens thickness, we measured the anterior chamber depth, density and length of lens nucleus and cortex of 312 eyes with a Scheimpflug camera. The mean values of density of lens nucleus and cortex were 108.45+/-46.33CCT and 27.74+/-13.76CCT, respectively. The mean values of the thickness for both were 2.85+/-0.54mm and 1.29+/-0.46mm, respectively. The mean value of anterior chamber depth was 2.93+/-0.49mm. The densities of lens nucleus and cortex were increased significantly with aging, but lens thickness and anterior chamber depth were decreased. The value of anterior chamber depth changes and lens thickness changes were more rapid especially in the 5th and 7th decades compared with other groups(P<0.01), and more rapaid in the density group(100~150CCT) than other group in changing densities(P<0.05), and they were highly correlated with anterior cortex, posterior cortex, nucleus in order at each portion of lens. Both anterior chamber depth changes and lens thickness changes were more rapid in the lens cortex than those in the lens nucleus.
Aging ; Anterior Chamber*

To study the frequency of the most common organisms according to culture sites, age, antibiotic sensitivity and resistance, we researched the medical records of the patients for the past 5 years who had ever been treated for infectious ocular disease. Total 19 strains and 226 bacterial organisms were cultured in 207 eyes. Most common organism was staphylococcus(37.6%). The overall percentage of gram-positive organisms showed 61.9% and that of gram-negative 38.1%. According to age, the most common organism was staphylococcus in neonatal period, streptococcus in the age from 1 to 10 and over 60, pseudomonas in the age from 21 to 30 and 41 to 50. The common organisms according to the culture site were staphylococcus in conjunctiva, staphylococcus and streptococcus in punctum, staphylococcus and pseudomonas in cornea, and staphylococcus in vitreous. The antibiotic sensitivity test of gram-positive organisms showed sensitivity more than 90% and rare resistance to ofloxacin and vancomycin. Gramneganisms showed sensitivity more than 80% to ofloxacin and resistance less than 30% to tobramycin. Ofloxacin showed high sensitivity and low resistance to all of the gram-positive and negative organisms. According to culture sites, it was vancomycin in conjunctiva and punctum, ofloxacin in cornea, and ciprofloxacin in vitreous that showed relatively high sensitivity and low resistance. Though it is necessary to culture and test antibiotic sensitivity in treating the ocular disease, it seemed effective as primary therapeutic agents to use appropriate antibiotics based on the clinical findings before the test results are reported. Periodic culturing of causative organisms and testing the antibiotic sensitivities would be helpful in selecting the effective antibiotics for treatment and reducing abuse of antibiotics.
Anti-Bacterial Agents ; Bacterial Infections* ; Ciprofloxacin ; Conjunctiva ; Cornea ; Drug Resistance, Microbial ; Humans ; Medical Records ; Ofloxacin ; Pseudomonas ; Staphylococcus ; Streptococcus ; Tobramycin ; Vancomycin

The purpose of this study was to compare the nutrient intake and diet quality of postmenopausal osteoporotic women to those of control subjects, and to investigate the relationship among diet quality and bone mineral density in postmenopausal women. In this study, we classified the subjects into the postmenopausal osteoporotic women (n = 38) and control (n = 43) according to their lumbar spine bone mineral density and age. Dietary intakes, anthropometric measurements and dietary quality indices were measured and evaluated. The average age of osteoporotic and control group were 60.4 yrs and 58.3 yrs, respectively and there was no significant difference. Body weight, body mass index of osteoporotic group were significantly lower than those of control group. The average energy intake of osteoporotic and control group were 1243.3 kcal and 1475.8 kcal, respectively and there was a significant difference. The osteoporotic group consumed significantly lower quantities of protein, plant protein, vitamin A, vitamin B1, vitamin B2, folate, vitamin C, calcium, animal calcium, plant calcium, iron and zinc compared to the control group. The osteoporotic group consumed significantly lower of food, vegetables, mushrooms, fruits intakes compared to the control group. In the diet quality, protein, vitamin A, vitamin B1, vitamin B2, folate, vitamin C, calcium, iron, Zinc nutrient adequacy ratio (NAR) of osteoporotic group were significantly lower than that of control group. Mean adequacy ratio (MAR) of osteoporotic and control group were 0.63 and 0.78, respectively and there was significant difference. To evaluate nutrient density, Index of nutritional quality (INQ) was calculated by dividing nutrient content per 1,000 kcal of diet with RDA per 1,000 kcal. The average dietary variety score (DVS) of osteoporotic and control group were 22.4 and 33.2, respectively and there was significant difference. DVSs of pulses (p < 0.01), seeds (p < 0.01) and vegetables (p < 0.05) in osteoporotic group were significantly lower than those of the control. In conclusion, postmenopausal osteoporotic women had lower protein, vitamin A, folate, vitamin C, calcium, iron zinc intake quality and vegetables, mushrooms, fruits DVSs than those of the control. Therefore, to promote skeletal health enough energy and food should be consumed, and the maintenance of vitamin and mineral balance by increasing of vitamin A, folate, vitamin C, calcium, iron of intakes are very important.
Agaricales ; Animals ; Ascorbic Acid ; Body Mass Index ; Body Weight ; Bone Density ; Calcium ; Diet* ; Energy Intake ; Female ; Folic Acid ; Fruit ; Humans ; Iron ; Nutritive Value ; Plants ; Riboflavin ; Spine ; Thiamine ; Vegetables ; Vitamin A ; Vitamins ; Zinc

School Lunch Program (SLP) should provide adequate and qualitative nutritional food for student's growth and proper food habit. With this fact, this study divided 524 middle school students who resided in Jeonju, Jellabukdo into two groups, SLP or non SLP according to whether they were provided SLP or not. Then this research estimate each group's nutritional knowledge, nutritional attitude, dietary behavior, balance of three meals, and health checking their clinical symptom to investigate the effects of the SLP. This research applied anthropometric data, questionnaires and food intake data using 24 hours recall method. Each group's age average was same as 14.0 years old respectively. The average score of nutritional knowledge and condition of balance of lunch were significantly higher in SLP group than those of non-SLP group, although, there were no significant differences in the scores of nutritional attitude, dietary behavior, and balance of breakfast and dinner within both groups. This research showed that SLP had positive role on nutritional knowledge and balanced lunch. However, current SLP is not sufficient to cause change the nutritional attitude and dietary behavior. To make more applicable and effective result of SLP leading nutritional attitude changes and development of appropriate dietary behavior, certain level of nutritional education to the student may be important.
Breakfast ; Eating ; Education ; Food Habits ; Humans ; Jeollabuk-do ; Lunch* ; Meals ; Surveys and Questionnaires

Giant cell tumor (GCT) occurs very unusually in the rib (less than 1% of GCT). We present the cytologic features of GCT of the rib. It showed multiple cellular clusters composed of characteristic, benign looking osteoclast-like multinucleated giant cells and fibroblast-like mononuclear cells. The multinucleated giant cells contained numerous nuclei (average, 30 to 40 per cell, which were closely packed. The nuclei in giant cells were remarkably uniform and round to oval. The mononuclear, neoplastic stromal cells were elongated and spindle-shaped, There was no cytologically malignant portion in the tumor.
Child* ; Giant Cell Tumors ; Giant Cells ; Humans ; Ribs ; Stromal Cells ; Urinary Tract*

PURPOSE: We performed the retrospective analysis to find the outcome of external beam radiotherapy alone in advanced esophageal cancer patients. METHODS AND MATERIALS: One hundred and six patients treated with external beam radiotherapy alone between July 1990 and December 1996 were analyzed retrospectively. We limited the site of the lesions to the thoracic esophagus and cell type to the squamous cell carcinoma. Follow-up was completed in 100 patients (9 4%) and ranged from 1 month to 92 months (median; 6 months). RESULTS: The median age was 62 years old and male to female ratio was 104:2. Fifty-three percent was the middle thorax lesion and curative radiotherapy was performed in 83%. Mean tumor dose delivered with curative aim was 58.6 Gy (55-70.8 Gy) and median duration o f the radiation therapy was 53 days. The median survival of all patients was 6 months and 1-year and 2-year overall survival rte was 27% and 12%, respectively. Improvement of dysphagia was obtained in most patients except fo 7 patients who underwent feeding gastrostomy. The complete response rate immediately after radiation therapy was 32% (34/106). The median survival and 2-year survival rate of the complete responder was 14 months and 30% respectively, while those of the nonresponder was 4 months and 0% respectively (p=0.000). The median survival and 2-year survival rate of the patients who could tolerate regular diet was 9 rnonths and 16% while those of the patients who could not tolerate regular diet was 3 months and 0%, respectively (p=0.004). The survival difference between the patients with 5 cm or less turnor length and those with more than 5 cm tumor length was rnarginally statistically significant (p=0.06). However, the survival difference according to the periesophageal invasion or mediastinal lymphadenopathy in the chest CT imaging study was not statistically significant in this study. In a multivariate analysis, the statistically significant covariates to the survival were complete response to radiotherapy, tumor length, and initial degree of dysphagia in a decreasing order. The complication was observed in 10 patients (9%). CONCLUSION: The survival outcome for advanced esophageal cancer patients treated by external be am radiotherapy alone was very poor, In the treatment of these patients, the brachytherapy and chemotherapy should be added to improve the treatment outcome.
Brachytherapy ; Carcinoma, Squamous Cell ; Deglutition Disorders ; Diet ; Drug Therapy ; Esophageal Neoplasms* ; Esophagus ; Female ; Follow-Up Studies ; Gastrostomy ; Humans ; Lymphatic Diseases ; Male ; Middle Aged ; Multivariate Analysis ; Radiotherapy* ; Retrospective Studies ; Survival Rate ; Thorax ; Tomography, X-Ray Computed ; Treatment Outcome

This study was conducted to investigate the effects of smoking on nutrition intake, bone mineral density and blood mineral status. The subjects were composed of two groups: 100 smokers and 100 non-smokers was used along with a questionnaire. Anthropometric measurements, dietary intakes using 24-hours recall method were compared. At twenty subjects from each group were selected, bone mineral density were measured by quantitative ultrasound and plasma mineral levels were analyzed by ICP spectrometer. The average ages of smokers and non-smokers were 23.9 and 22.8 years old, respectively. The height, weight and BMI of the smokers were no significant difference. The average numbers of smoked cigarettes were 11.8/d and the average packyear was 3.1 in the smokers. About 97% of the smokers drank alcoholic beverages, while 85% of the non-smokers did. The smokers tended to eat less meals and dinner meal, but drink coffee more often compared to the non-smokers. The mean daily energy intake and CPF energy intake ratio were 2184. 9 kcal and 57.2 : 13.7 : 26.4 in the smokers and 2262.6 kcal and 55.8 : 13.1 : 28.6 in the non-smokers. The smokers consumed significantly lower intake of beta-carotene. There were no significant differences in bone mineral density of BUA, SOS and QUI. There were no significant differences in plasma levels of Ca, Mg, Fe and Zn. However, plasma Cu level of the smokers was significantly higher than that of the non-smokers. In conclusion, the smokers of this study showed a more undesirable dietary intake in the light of their low beta-carotene and high alcoholic beverages, and coffee. The plasma Cu level of the smokers was higher than that of the non-smokers, showing that Cu is involved in smoking. Therefore, it could be suggested that more systematic research be conducted with respect to Cu and smoking and that increased nutrition education and guidelines for smokers are required.
Adult* ; Alcoholic Beverages ; beta Carotene ; Bone Density* ; Coffee ; Education ; Energy Intake ; Humans ; Male* ; Meals ; Nutritional Status* ; Plasma* ; Smoke* ; Smoking* ; Tobacco Products ; Ultrasonography