This descriptive correlational study was undertaken to examine the degree of health promoting behavior, and to analyze the factors affecting those health promoting behaviors of middle-aged men. The subjects for this study were 215 men aged by 35-55 from three business enterprises located in Seoul and Inchon. Data collection was conducted through the use of 5 questionnaires and analysis of the data was done by used of descriptive statistics, t-test, ANOVA, Pearson Product Moment Correlation Coefficient and Stepwise Multiple Regression Analysis. The results of this study were as follows: 1. The average score of health promoting behavior was 2.58. And the average scores of the dimensions of health promoting behavior, i.e., self-actualization, interpersonal support, stress management, health responsibility, and exercise and nutrition were 2.92, 2.82, 2.48, 2.38 and 2.31 respectively. 2. There were significant differences in the health promoting behavior according to religion(F=3.58, p=0.0040), educational level (F=3.85, p=0.0104), household income (F=3.81, p=0.0051), smoking(F=3.90, p= 0.0097), alcohol(F=3.57, p=0.0149), check body weight(t=3.32, p=0.0069), and exercise(F= 14.56, p=0.0001). 3. A positive correlation was found between health promoting behavior and all the independent variables of perceived health status(r=0.319, p=0.0001), self-efficacy(r= 0.380, p=0.0001), self-esteem(r=0.487, p= 0.0001) and social support(r=0.474, p= 0.0001). 4. Stepwise Multiple Regression Analysis revealed that the most powerful predictor was self-esteem. Self-esteem, exercise, social support, smoking and alcohol accounted for 44% of the variance in health promoting behavior in middle-aged men. Therefore health professionals firtst need to develop nursing interventions will enhance self-esteem. Above these findings partially support the relationships posited in Pender's health promotion model that individual perceptions influence health promoting behavior.
Commerce ; Data Collection ; Family Characteristics ; Health Occupations ; Health Promotion ; Humans ; Incheon ; Male ; Nursing ; Seoul ; Smoke ; Smoking ; Surveys and Questionnaires

BACKGROUND: Rapid-sequence induction is common technique to reduce anesthetic complications. Due to side effects of succinylcholine, nondepolarizing muscle relaxants have been tried. The authors tried to observe the effect of lidocaine on the onset of vecuronium. METHODS: Sixty patients were divided into lidocaine group(L) and control group(C). Anesthetic induction with 4-5 mg/kg of thiopental and 0.1 mg/kg of vecuronium was made. The L-group received 1.5 mg/kg of lidocaine 90 seconds prior to the injection of vecuronium and the C-group received normal saline with the same volume and at the same time like L-group. The ulnar nerve stimulations were applied to detect the contraction of the adductor pollicis on thumb by using Accelograph . The condition of intubation, the appearanee of arrhythmias, side effects of drugs, and the changes of mean arterial pressure and heart rate were checked and compared in peri-induction periods. RESULTS: The results are followings; (1) There were no differences in changes of MAP and HR, and the appearance of arrhythmias in 2 groups, (2) the conditions of intubation were satisfactory with same degree in 2 groups, (3) ths lidocaine pretreatment decreased significantly the onset of vecuronium (137.5+/-33.4 seconds vs. 176.4+/-62.7 seconds) comparing to the C-group and augumented the potency of vecuronium by 28% CONCLUSIONS : From the above results, the authors concluded that 1.5mg/kg of intravenous lidocaine at 90 seconds before induction can be safely used to reduce the onset time of vecuronium especially in the case of rapid endotracheal intubation. Furthermore, it is expected that lidocaine in combination with other techniques will be more effective in shortening the onset of vecuronium.
Anesthetics ; Arrhythmias, Cardiac ; Arterial Pressure ; Heart Rate ; Humans ; Intubation ; Intubation, Intratracheal ; Lidocaine* ; Neuromuscular Blockade* ; Succinylcholine ; Thiopental ; Thumb ; Ulnar Nerve ; Vecuronium Bromide

No abstract available.
Urodynamics

Tuberculous cervical lymphadenitis(TCL) has some problems in microbiologic, pathologic, immunologic diagnostic procedures. More accurate diagnostic means has been needed beacuse TCL requires long-term antituberculous chamotherapy as long as 18 months. Recently, polymerase chain reaction (PCR) which amplifies known DNA segments was applied to the diagnosis of tuberculosis. However, the sensitivity of PCR is low with the samples of low-microorganism-burden. Nested PCR (nPCR) was introduced as a good alternative increasing the sensitivity of PCR by repeated amplification of DNA segment with inner primers which exist in the DNA sequence of first PCR products. Fifteen cases which were suspected to TCL were undertaken fine needle aspiration (FNA) and/or excisonal biopsy from enlarged cervical lymph nodes. All samples were examined with pathologic studies, simple PCR using INS-1/INS-2 primers, and nPCR using outer SCL-1/SCL-2 primers and inner SCL-3/SCL-4 primers. Eeight in fifteen patients were pathologically diagnosed to tuberculosis. Aspiration cytology diagnosed 2 cases to tuberculosis and did not confirm but suspect tuberculosis in 3 cases of thier 12 cases. A case of cases compatible with tuberculosis was diagnosed to subacute necrotizing lymphadenitis with tissue...
Base Sequence ; Biopsy ; Biopsy, Fine-Needle ; Diagnosis* ; DNA ; Humans ; Lymph Nodes ; Lymphadenitis* ; Polymerase Chain Reaction* ; Tuberculosis

No abstract available.
Down-Regulation ; Mast Cells ; Sialic Acid Binding Immunoglobulin-like Lectins

No abstract available.

Introduction: Anaplastic lymphoma kinase-positive (ALK+) anaplastic large cell lymphoma (ALCL) with a non-common pattern can be diagnostic challenging. Pathologists can be unavoidably and unintentionally blind to non-descript tumor cells in a lymphohistiocytic- (LH) or small-cell (SC)pattern. We report a case of primary systemic ALK+ ALCL with a SC pattern that presented as secondary gastric lesions with a mixed LH and SC pattern that was masqueraded as inflammatory lesions. Case Report: A 34-year-old woman with intractable epigastric pain was referred to have repeated endoscopy with biopsy. She was found to multiple gastric erosions and nodules that were diagnosed as inflammatory lesions both endoscopically and histologically. Meanwhile, she developed an acute onset of severe back pain associated with a pathologic compression fracture in the T3 thoracic vertebral body. Imaging studies disclosed a disseminated systemic disease involving abdominopelvic lymph nodes and cervical and thoracic vertebral bodies. The needle biopsy of the pelvic lymph node disclosed diffuse proliferation of monomorphic small round cells that were diffusely positive for CD30 and ALK. A diagnosis of ALK+ ALCL with a monomorphic SC pattern was rendered. Discussion: A retrospective review of the gastric biopsies with the aid of immunohistochemistry enabled us to recognise the presence of lymphomatous infiltrates with a mixed LH and SC pattern in every piece of gastric biopsies that were repeatedly misdiagnosed as inflammatory lesions. This case illustrates a significant diagnostic pitfall of the LH- and SC-patterns in ALK+ ALCL, in which the tumour cells featuring lymphoid, plasmacytoid or histiocytoid appearance can be masqueraded as inflammatory cells.
Anaplastic large cell lymphoma

The prevalence of obesity and metabolic syndrome in children and adolescents continues to increase worldwide. Childhood obesity is associated with adulthood obesity and increases the risk of developing adult metabolic syndrome. Metabolic syndrome is a well-documented risk factor for the co-occurrence of cardiovascular disease and type 2 diabetes mellitus. Thus, early detection and early intervention to prevent metabolic complications are critical in obese children and adolescents. This review article describes clinical predictive risk factors for metabolic syndrome in obese children and adolescents and provides a comprehensive understanding of each risk factor in pediatric metabolic syndrome.
Adolescent ; Adult ; Cardiovascular Diseases ; Child ; Diabetes Mellitus, Type 2 ; Early Intervention (Education) ; Humans ; Obesity ; Pediatric Obesity ; Prevalence ; Risk Factors

No abstract available.
Endocrinology ; Metabolism

BACKGROUND: Atopic dermatitis is a chronic skin disease, most common in childhood. Severe atopic dermatitis may require the regular use of topical corticosteroids or systemic corticosteroids. These treatments are prone to several adverse side effects. Many studies have reported that short-term use of cyclosporin is a quite effective prescription for severe atopic dermatitis of adults. Unfortunately, there have been very few studies on the use of cyclosporin for children. OBJECTIVE: The purpose of this study was to examine the effect of cyclosporin in treating severe atopic dermatitis of children. Mehtods: Thirteen children who had severe atopic dermatitis were treated with cyclosporin(Neoral , Norvatis). The dose of cyclosporin was 3mg/kg/day. The disease activity has been monitored on a weekly basis, based on changes in 6 parameters of sign; erythema, exudation, excoriation, dryness, cracking, and lichenification. We employed a measurement system in which six different sites(head and neck, hands, elbows, feet, legs, and trunk)were scored on 4 different scales; 0(none), 1(mild), 2(moderate), and 3(severe). In addition to parameters mentioned above, itching and sleep-disturbance were also monitored. These were assessed by patients or their parents in the same manner. RESULTS: After 4 weeks of cyclosporin treatment, the significant reductions in mean severity scores and mean sysmptom scores were observed. The mean severity scores of 13 patients decreased from 42.0+/-13.3 to 14.0+/-13.1(p<0.01). The mean symptom scores of itching and sleep-disturbance decreased from 2.2+/-1.0, 2.1+/-1.0 to 0.8+/-1.0, 0.8+/-1.0(p<0.01), respectively. There were 6 events of adverse side effects throughout the study. Upper respiratory tract infection was the most frequent complication from 3 patients. CONCLUSION: In view of these findings, we conclude that cyclosporin is effective in the treatment of severe atopic dermatitis of children without serious complications.
Adrenal Cortex Hormones ; Adult ; Child ; Cyclosporine* ; Dermatitis, Atopic* ; Elbow ; Erythema ; Foot ; Hand ; Humans ; Leg ; Neck ; Parents ; Prescriptions ; Pruritus ; Respiratory Tract Infections ; Skin Diseases ; Weights and Measures