Hydroa Vacciniforme is a rare, light sensitive dermatitis characterized by discrete vesicles followed by varioliform scar formation, which was first described by Bazin on 1862. We have expe"ienced three cases of hydroa vacciniforme in childhood. The first case was a 6-year-old boy who had discrete vesicles, crusts and pitting scars on forehead, both cheeks, ears and dorsum of the hands in symmetrical distribution with itching sensation, which had used to recur in every summer since last three years ago. Histologic section of a primary lesion showed necrosis and severe edema in the epidermis and adjacent dermis with the dermal inflammatory cell infiltration. The second case was a 10-year-old girl who had discrete vesicles, crusts, erosive and depigmented patch and scars on face, lip, dorsum of the hand and forearm with itching sensation, which had also developed on last spring. The third case was a 7-year-old boy who had vesiclee, erosive patch, crusts and pitting scars on face, Iower lip, both dorsum of the hand and forearm with itching sensation, which had recurred in every summer since last two years ago, On urine examination, porphyrin, was negative in all three cases. Diagnosis was established by clinical characteristics and laboratory findings and histological pictures. Symptomatic treatment was done in all three cases. The literatures were briefly reviewed.
Cheek ; Child ; Cicatrix ; Dermatitis ; Dermis ; Diagnosis ; Ear ; Edema ; Epidermis ; Female ; Forearm ; Forehead ; Hand ; Humans ; Hydroa Vacciniforme* ; Lip ; Male ; Necrosis ; Pruritus ; Sensation

The immunoreactivities of surgically removed 16 cardiac myxomas were studies for factor VIII-related Ag (F VIII-RA), Ulex europaeus agglutinin I (UEA-I) and desmin alpha1-antichymotrypsin, and this study was accompained by a clinicopathologic review. More than 50% of the patients with cardiac myxomas were in their fourth and fifth decades, and cardiac myxomas were much more common in women than in men. All but on occurred in the left atrium, and the majority were attached to the atrial septum, usually in the region corresponding to the fossa ovalis. In one case, an atrial myxoma recurred 37 months after the initial excision. Microscopically, the myxomas contained a myxoid matrix composed of acid mucopolysaccharides within which were embedded polygonal cells. The cells forming both the surface and complicated vascular like channels throuhout the myxoid stroma tested positive for F VIII-RA and UEA-I. The outer cell layers of the complex vascular structures demonstrated variable staining for F VIII-RA, while isolated bundles of smooth muscle cells were present and stained for desmin. A small number of the so-called myxoma cells, immunoreactive for alpha1-antichymotrypsin which were not laden with hemosiderin pigment but were similar to histiocytes, were present particularly around the areas of hemorrhage. These findings support the current view that cellular and histologic heterogeneity arose from the divergent differentiation of multipotential mesenchymal cells. In particular, it remains to be confirmed by further study whether or not true histiocytic differentiation occurs.
Female ; Male ; Humans

No abstract available.
Caves*

A 30-year old female had proximal muscle weakness, periungal telangiectasia and purplish red erythema and edema on the face. Diagnosis of dermatomyositis was estabiiished by clinical manifestations, muscle enzyme study, electromyogram, histologic findings of skin and muscle. She was treated with systemic steroid with some improvemellt. About 1 year after the onset of dermatomyositis, aggravated skin lesion and exophthalmos were noted on right eyelid. Orbit computerized tomography scan showed maxillary carcinoma. She treated with systemic steroid, 5-fluorouracil and cis-platin with partial remission and some improvement of dermatomyositis.
Adult ; Dermatomyositis* ; Diagnosis ; Edema ; Erythema ; Exophthalmos ; Eyelids ; Female ; Fluorouracil ; Humans ; Muscle Weakness ; Orbit ; Skin ; Telangiectasis

PURPOSE: The purpose of this study was to identify the effects of a physical exercise program using elastic bands in rural area women. METHOD: This study adopted a pre-post test design. The subjects were 89 rural area women who were selected from four community health care centers. The physical exercise program was executed 30 times for 10 weeks (3 times a week) from August 23 to October 31, 2003. RESULTS: There was a significant difference in the attitude of physical exercise (t=-5.517, p=.000). In the degree of joint pain, there were significant differences in the flextion and extension of the shoulder joint (t=2.557, p=.020; t=5.625, p=.000), and there was a significant difference in the flextion of the knee joint (t=4.747, 0=.000) but there was no significant difference in the extension of the knee joint (t=1.795, p=.083). CONCLUSION: Physical exercise programs need to be implemented and spread continuously.
Arthralgia* ; Community Health Services ; Evaluation Studies as Topic ; Exercise* ; Female ; Humans ; Knee Joint ; Shoulder Joint

The Purpose of this study was to explore the meaning of breastfeeding using a phenomenological research methodology. The sample consisted of 9 primiparous mothers who had breastfed their babies at least for 3 consecutive months. Data were collected from January 10 to February 28, 1998 through interviewing. The research question was "What was the meaning of breastfeeding to breastfeeding mothers?" Responses to non-structured open-ended question was audio-recorded during the interview. Data were analyzed using the phenomenological method of Colazzi. From the protocols, significant statements about meaning of breastfeeding were clustered into 8 themes. Mothers perceived meaning of breastfeeding as feeling of unification through tie, expression of love, gift, nutritional supplement, duty as a mother, nurturing, mystery, and identity. From the results of this study, breastfeeding mothers perceived breastfeeding positively, so nurses need to encourage mothers to breastfeed her baby and develop program which can promote successful breastfeeding.
Breast Feeding* ; Humans ; Love ; Mothers* ; Research Design

Chronic eosinophilic pneumonia is a rare diasease characterized by chronic infiltration of the lung with ~eosinophils, usually associated with peripheral eosinophilia. In 65% of cases, the chest rad Ogroaph shows typiical nonsegmental air-space consolidation confined to the outer third of the lung and in 25)/0 of case "photographic negative of pulmonary edema". Typical lung manifestations with 'peripheral eosinophiliSa' tahrcharacteristic of chronic eosinophilic pneumonia. In the remaining cases, radiographic findings are nonspecific and require lung biopsy for confirmation. We repot a case of chronic eosinophilic pneumonia in which chest radiograph and CT scans revealed bilateral patchy or diffuse opacity with nodules scattered throughout the lungs.
Biopsy ; Eosinophilia ; Eosinophils* ; Lung ; Pulmonary Eosinophilia* ; Radiography, Thoracic ; Thorax ; Tomography, X-Ray Computed

A study was done to identify the differences of women's perception of fatigue according to the period of pregnancy. Questionnaires were collected from 510 normal pregnant women in 3 University Hospitals in Korea from April to November of 1999. The questionnaires used to measure pregnant women's fatigue were the "Subjective Symptoms of Fatigue Test" designed by the Research Committee of Industrial Fatigue in Hygienic Association of Japanese Industry. The collected data was analyzed by SPSS-Win. The results revealed that there was a significant difference according to the periods of pregnancy: The degree of fatigue was the highest in the first trimester and then third and second trimester in decreasing order (F=89.53, p=0.000). The degree of fatigue was also compared with the respect to the general characteristics of women: There were statistically significant differences according to number of pregnancy (t=6.41, p=0.000), expectation of pregnancy (t=-291, p=0.004) and weight change (F=8.07, p=0.000). Therefore, variable nursing intervention should be provided to alleviate the fatigue according to the each trimester of pregnant period. Especially the nursing intervention program to alleviate the physical fatigue in the first trimester is necessary.
Asian Continental Ancestry Group ; Fatigue* ; Female ; Hospitals, University ; Humans ; Korea ; Nursing ; Pregnancy Trimester, First ; Pregnancy Trimester, Second ; Pregnancy* ; Pregnant Women ; Surveys and Questionnaires

PURPOSE: This study was done to develop a sexual health education program for unmarried mothers that were intended to provide the correct sexual knowledge, to help them establish positive sexual perception and to improve sexual health. The program was applied and its effect was evaluated. METHOD: One group pretest-posttest quasi-experimental research design was applied to evaluate the effect of a sexual health education program unmarried mothers. The research team developed a 34 hour program of 16 units, where the basic schemes were human development, relationships, personal skills, sexual behavior, sexual health, and society & culture. We applied the program to 32 unmarried mothers in the Institute for unmarried mothers in Gangwon-do, Korea from April 19, 2004 to June 14, 2004. RESULT: After the application of an 8 week sexual health education program, the subjects significantly showed a better perception of self-efficiency, self-esteem, sexual knowledge and sexual behavior than before the program. CONCLUSION: The sexual health education program for unmarried mother in this study was effective on improving sexual perception and promoting sexual health behavior.
Education* ; Gangwon-do ; Health Education ; Human Development ; Humans ; Illegitimacy* ; Korea ; Reproductive Health* ; Research Design ; Sexual Behavior ; Sexuality ; Single Person*

PURPOSE: This study was to investigate the types and seriousness of pregnancy-related physical and psychological symptoms among pregnant couples. METHOD: Subjects consisted of 77 pregnant couples at one hospital in Seoul, Korea. The pregnant couples had not been diagnosed with any medical complications. Data were analyzed by the SPSS WIN program. RESULT: In the degree of physical and psychological symptoms of pregnancy experienced by subjects, the mean score of perceived physical symptoms (2.40, 1.86) was higher than the mean score of psychological symptoms (2.13, 1.83) for both pregnant women and their spouses. In the couple's difference of physical and psychological symptoms of pregnancy experienced by subjects, there were not statistically significant differences in the physical symptoms: "I have hemorrhoids" (t=1.91, p=.06), "My body weight decreased" (t=1.78, p=.08), "I have colds more often" (t=1.77, p=.08), and "I became more active than ordinary times" (t=1.99, p=.05) or in the psychological symptoms: "I am more elated than ordinary times" (t=.83, p=.41), and "I feel inferior" (t=1.62, p=.11). Therefore, these symptoms are coincidental between couples. In the difference of physical and psychological symptoms of pregnancy experienced by subjects according to general characteristics, there were not significant differences. In the relationship between physical and psychological symptoms experienced by subjects, there were statistically significant correlations between subject's physical symptoms and psychological symptoms (r=.54, p< .001; r=.78, p< .001). CONCLUSION: Physical and psychological symptoms of pregnancy experienced by pregnant couples are an issue for nurses who perform an important role in the care of pregnant women and their spouses
Body Weight ; Family Characteristics* ; Female ; Humans ; Korea ; Pregnancy* ; Pregnant Women ; Seoul ; Spouses