Macular atrophy is relatively rare skin disease and is characterized histologically by deficiency of elastic fibers and clinically by circumscribed area of thin, wrinkled bulging out skin. Whether the association with identificable specific dermatosis or not divides the macular atrophy into primary & secondary type. I present a case of widespreaded primary macular atrophy. A 28 year old male has been suffered from symptomless, slowly progressive, numerous, well demarcated, neither coalesced nor grouped, rice sized, round to oval shaped, hypopigmented, protruded, wrinkled surfaced eruptions which began from both flank at first about 3 years ago and then spreaded to abdomen, chest, back and all extremities except hands & feet. General physical & laboratory examinaions did not show distinct abnormality except skin tindings. Histopatholgical study revealed fragmentation, scantiness or disappearance of elastic fibers by means of Verhoeff-VanGieson stain and no increase of Periodic acid-Schiff stain positive material ruled out the possibility of amyloidosis. Diagnosis was confirmed by clinical & histochemical findings. Literature was briefly reviwed for the discussion.
Abdomen ; Adult ; Amyloidosis ; Atrophy* ; Diagnosis ; Elastic Tissue ; Extremities ; Foot ; Hand ; Humans ; Male ; Skin ; Skin Diseases ; Thorax

No abstract available.
Erectile Dysfunction* ; Humans ; Male*

No abstract available.
Aging* ; Humans ; Male* ; Reproduction*

No abstract available.
Andropause* ; Diagnosis* ; Male

Prematurity is the main cause for respiratory disorders in neonates. The goal in respiratory management is to maintain respiration with adequate oxygenation. Chest vibration(CV) prior to endotracheal suctioning(ETS) has been arbitrarily applied to ventilated premature infants without the scientific evaluation of its safety and efficacy. A repeated measure within subjects experimental study was conducted to investigate the effects of CV prior to ETS on oxygenation and lung secretions in twenty-one ventilated premature infants. The independent variable was the type of research protocol, the control type(ETS without CV) and the intervention(ETS with CV). The dependent variables were oxygen saturation(SpO2), heart rate (HR), measured by pulse oximeter, and the amount of lung secretions measured in gram, the results showed there was no difference in SpO2 responses regardless CV employed before ETS. But there was a significant difference in HR responses between the control and the intervention, even without clinical significance. There was a significant difference in the amount of lung secretions retrieved during ETS with CV, compared to ETS without CV. This study suggested the safety of CV by demonstrating no clinically significant changes in SoO2 and HR in premature infants. The efficacy of CV could be supported by the increases in the amount of sputum during ETS with CV compared to ETS without CV in premature infants.
Heart Rate* ; Heart* ; Humans ; Infant, Newborn ; Infant, Premature* ; Lung* ; Oxygen* ; Respiration ; Sputum ; Suction* ; Thorax* ; Vibration* ; Child Health

No abstract available.
Metabolism*

No abstract available.
Metabolism*

Newborn period is a transitional stage for independent adaptation from intrauterine to extrauterine life by maintaining respiration, temperature and nutrition. In general, the adaptability of the newborn is proportional to the gestational age(GA), so knowing the accurate GA is critical to develop nursing process in the newborn nursery. A newborn maturity rating, a Ballard examination, has been used to measure GA by assessing the maturity of newborn. It consists a total of 12 items, which is the 6 items for the neuromuscular maturity and the 6 items for the physical maturity. A total of 75 newborn were assessed for the maturity and GA using the Ballard examination. The results are follows: 1) The score of each item of Ballard examination is proportional to GA using the Ballard examination as well as LMP. 2) There was a greater positive relationship between neuromuscular, physical and total maturity, and the GA measured by Ballard examination, than the GA measured by LMP. 3) Any stressful environment to the newborn could influence to the maturity of newborn. In summary, the study showed the Ballard examination is more reliable and clinically feasible method to measure the accurate GA, compared to the GA by LMP. Therefore, it suggests the application of Ballard examination to measure the newborn maturity and GA is beneficial in developing nursing process. The expansion of the study with the variety of the subject characteristics will enhance the clinical applicability of the examination.
Gestational Age* ; Humans ; Infant, Newborn* ; Nurseries ; Nursing Process ; Respiration ; Child Health

No abstract available.
Lithotripsy*

Helicobacter pylori infection has been shown to be associated with gastric carcinoma. However, despite the frequent detection of seropositivity for H. pylori and histologic detection in biopsy specimen, histologic detection rate of H. pylori in surgical specimens has been low. In this study, we investigated the prevalence of H. pylori infection in gastrectomy specimens bearing gastric adenocarcinoma and compared it with both endoscopic biopsy and serologic results. H. pylori infection was identified by Giemsa stain in the mucosa stripped from the tumor, body, and antrum in 61 gastrectomy specimens. We evaluated the effect of H. pylori infection on gastric mucosal cell proliferation by using monoclonal antibody for Ki-67. H. pylori detection rate using Giemsa stain was higher in gastrectomy specimens (67.3%) compared to that (48.1%) of biopsy specimens (p=0.006). The detection rate was higher in body than that of antrum or tumor site in the same patients (p=0.001). The H. pylori seropositivity was 60.5% and relatively nonspecific. The mean value of Ki-67 labeling index in the H. pylori-positive group was higher than that in the H. pylori-negative group (p<0.05). The increase in gastric epithelial cell proliferation was not influenced by the location of the tumor or the site of the specimen. The results suggest that the actual prevalence of H. pylori infection in patients with gastric carcinoma is considerably higher than that evaluated on endoscopic biopsy specimens. In addition, the increased cell proliferation in the H. pylori-positive group suggests some evidence that H. pylori may be involved in gastric carcinogenesis.
Adenocarcinoma* ; Azure Stains ; Biopsy ; Carcinogenesis ; Cell Proliferation ; Epithelial Cells ; Epithelium* ; Gastrectomy ; Helicobacter pylori* ; Helicobacter* ; Humans ; Mucous Membrane ; Prevalence