No abstract available.
Paget Disease, Extramammary

PURPOSE: This study was to identify the effect of the experience of diabetes education on knowledge, self-care behavior and glycosylated hemoglobin (HbA1C). Further, this study was held to examine about patient's preferred methods of education and re-education frequency. METHODS: 166 type 2 diabetes patients from two hospitals in Incheon participated in this study. Data were analyzed by using descriptive analysis, t-test, ANOVA, Scheffe's test and multiple regression analysis. RESULTS: 72.3% patients needed re-education and the average interval of re-education was 8.53 months. Patients preferred education methods were lectures, practical training, and studying from pamphlet. Depending on the frequency of diabetes education, there were significant differences in the level of diabetes knowledge (F=10.88, p<.001) and self-care behaviors (F=4.59, p=.012), but there was not significant difference with HbA1C (F=1.53, p=.220). As to how much the diabetes education helped managing diabetes, there was a significant difference in the level of self-care behaviors (t=2.01, p=.049), but there were not significant differences in level of knowledge (t=1.10, p=.275) and HbA1C (t=-.33, p=.746). The experience of diabetes education was a significant factor which influenced patient's knowledge (t=3.93, p<.001) and self-care behaviors (t=2.21, p<.001). But HbA1C was not influenced by the experience of diabetes education (t=-1.68, p=.096). CONCLUSION: It is necessary to provide diabetes education with appropriate interval and methods and subjects that reflect the needs of patient through the study results.
Education* ; Hemoglobin A, Glycosylated* ; Humans ; Incheon ; Lectures ; Pamphlets ; Self Care*

No abstract available.
Adult ; Fingers ; Humans

BACKGROUND: Chronic urticaria (CU) has a considerable influence on the well-being of patients and it has a negative impact on the quality of life (QOL). Oral antihistamines are commonly used as the first-line treatment for CU. Although the efficacy and safety of antihistamines are well established for treating CU, a responder-based analysis to identify the improvement of symptoms and QOL has not yet been performed for Korean patients. OBJECTIVE: The purpose of this study was to compare the baseline urticaria severity score and the QOL with those after antihistamines treatment, and to assess the clinical outcome of CU after long-term antihistamine treatment. METHODS: A total of 103 CU patients were asked to complete a questionnaire about the effect of CU on their QOL at their first visit. Both the urticaria severity score and QOL were determined before and after a 6-month period, during which time the patients were administered a regular antihistamine prescription. QOL was assessed using a modified version of the Dermatology Life Quality Index (DLQI). The clinical efficacy was measured at baseline and at all visits. RESULTS: Oral antihistamines significantly improved the total QOL scores after 6-months treatment (p<0.05). The QOL dimensions that showed a statistically significant difference before and after antihistamine treatment were the mental status, daily living activities, leisure activities, self perceptions and social functions. The urticaria severity score values were positively correlated with QOL impairment for the CU patients. Also, the changes in the QOL following antihistamine treatment were reflected by the changes observed in the urticaria severity score. After taking oral antihistamines for 6 months, 65 patients (63.1%) stated that the urticaria had improved, and 43.1% of those patients had > or =75% reduction of symptoms from baseline. CONCLUSION: Our data highlights the importance of continuous antihistamine treatment for the management of CU. Oral antihistamines, when taken regularly, can improve the QOL and urticaria severity of CU patients.
Activities of Daily Living ; Dermatology ; Histamine Antagonists ; Humans ; Leisure Activities ; Prescriptions ; Quality of Life ; Questionnaires ; Self Concept ; Urticaria

A 6-year-old boy presented with a fast-growing, 0.8x0.7 cm-sized, dome-shaped, erythematous nodule on the back. Histopathologically, the lesion showed a spitzoid melanocytic proliferation from the dermo-epidermal junction to the reticular dermis. Melanocytes arranged in nests were epithelioid and spindle-shaped with abundant eosinophilic cytoplasm. The histopathological and clinical features were consistent with atypical Spitz nevus in that they showed no Kamino body, prominent cellular density, more than three mitoses per high power field, a high Ki-67 level, large size, and the lesion was located at an unusual location. Herein, we report a case of an atypical Spitz nevus on the back of a 6-year-old boy.
Child ; Cytoplasm ; Dermis ; Eosinophils ; Epithelioid Cells ; Humans ; Melanocytes ; Mitosis ; Nevus, Epithelioid and Spindle Cell

Pleomorphic lipoma is an asymptomatic, slowly growing, solitary, well-circumscribed dermal or subcutaneous benign tumor. It is commonly found on the back or the neck of elderly male patients. Clinically, the lesion looks like a lipoma. Histopathologically, mature and immature fat cells are situated singly or in groups in a mucinous stroma. There can also be floret giant cells with overlapping nuclei. Histologically, pleomorphic lipoma may resemble liposarcoma but behaves in a perfectly benign manner. Our case is unique in terms of the sex and location of the tumor. In our case, complete excision was performed, and the patient shows no sign of recurrence 1 year after surgery. We herein report a case of pleomorphic lipoma which developed on the scalp of a 49-year-old female.
Adipocytes ; Aged ; Female ; Giant Cells ; Humans ; Lipoma ; Liposarcoma ; Male ; Middle Aged ; Mucins ; Neck ; Recurrence ; Scalp

Post-zoster eosinophilic dermatosis is a rare disease that occurs as an isotopic response in the region of previously healed herpes zoster. We report here on a case of post-zoster eosinophilic dermatosis that occurred 13 years after an episode of herpes zoster. A 48-year-old woman presented with several pruritic, brown papules and plaques in the same dermatome where her previous episode of herpes zoster had healed. Histopathologically, there was a dermal inflammatory cell infiltration composed of abundant eosinophils, lymphocytes and histiocytes. Based on these clinicopathologic findings, the patient was diagnosed with post-zoster eosinophilic dermatosis.
Eosinophils ; Female ; Herpes Zoster ; Histiocytes ; Humans ; Lymphocytes ; Middle Aged ; Rare Diseases ; Skin Diseases

Focal acral hyperkeratosis (FAH) is a rare genodermatosis with an autosomal dominant pattern of inheritance; however, it may also be sporadic. FAH is characterized by late-onset crateriform keratotic papules, some coalescing into plaques, along the borders of the hands and feet. We herein report a case of FAH in a 47-year-old male with a family history of similar lesions in three generations. The histological findings revealed focal areas of orthohyperkeratosis over an area of depressed but otherwise normal epidermis. The dermis showed no specific changes, which distinguished this case from acrokeratoelastoidosis, which shows elastorrhexis of clinically similar lesions.
Dermis ; Epidermis ; Family Characteristics ; Foot ; Hand ; Humans ; Male ; Middle Aged

The purpose of this study was to develop the standardized manual for dietetic internship. The general information of the dietetic internship program in Korea was gathered and of dietetic internship(DI) in the USA was also surveyed. The existence of DI program manual, the number of intern and length of the dietetic internship program, and other general information were investigated. At first, the questionnaire was developed and mailed to 130 hospitals in Korea and the number of returned questionnaires was 42 showing participating rate of 28%. Second, telephone survey was carried out and the number of response was 40 out of 46 participating rate of 87%. The results of this study could be summarized as follow. 1. General informations of dietetic internship program in Korea; The hospital having a dietetic internship program was 31.7% and of them 14.6%(12 hospitals) have a manual developed by themselves. The number of dietetic intern per hospital was 2.0+/-1.4. The length of the program was from 3 to 12 months. Ten hospitals (38.5%) have a only food service program and 16 hospitals (62.5%) have both food service and clinical program. Seventy one percent (58 hospitals) of total hospital were willing to use the well developed standardized dietetic internship manual. 2. General information of Dietetic Internship Program in the USA; Two hundred fifty nine hospital had the dietetic internship program approved by ADA. The number of dietetic intern in each hospital was 10.6+/-6.3. The mean length of the program was 13.6+/-6.3 months. Twenty seven percent of institution have coordinated internship/masters degree program. The range of tuition for DI program was from $300 to 30,855(otherwise, interns were payed by the hospital in Korea). As a conclusion, the standardized dietetic internship program for the clinical dietitian as nutrition professionals to carry out their job at the hospitals should be developed. And the coordinated internship/masters degree program could be considered to improve the skill levels and job performances of clinical dietitian.
Food Services ; Internship and Residency* ; Korea* ; Nutrition Therapy ; Nutritionists ; Postal Service ; Surveys and Questionnaires ; Telephone

No abstract available.