Targetoid hemosideric hemangioma represents a distinctive, benign, vascular tumor. Histologically, it is a noncircumscribed vascular proliferation that may extend into the subcutaneous tissue. The superficial component is composed of ectactic dermal vascular lumina with intradermal papillary projections. The deeper component is composed of angular lumina dissecting collagen bundles. We present a case of targetoid hemosideric hemangioma which was presented as solitary nodule on left thigh.
Collagen ; Hemangioma* ; Subcutaneous Tissue ; Thigh

Objectives: This study aims to determine the influence of social exchange relationships, leader’s political skills, job stress, job satisfaction, and organizational commitment on turnover intention among dental hospital hygienists. Methods: A self-administrated questionnaire survey was conducted from April 1-May 12, 2020, involving 209 dental hospital hygienists in Seoul, Busan, and Gyeongnam. The collected data were analyzed using SPSS and AMOS statistical analysis programs. Results: In the hypotheses testing, 9 of 18 hypotheses were supported. In social exchange relationships, job stress, job satisfaction, and organizational commitment, the path to turnover intention had a significant effect, but it was not statistically significant in leader’s political skills. With regard to mediating effect, job stress, job satisfaction, and organizational commitment played a complete mediating role in the path from social exchange relationships to turnover intention. Conclusions To increase job satisfaction and organizational commitment, and lower job stress in order to have a positive impact on turnover intentions, it is imperative to develop and apply a program to enhance social exchange relationships.

Objectives: This study aims to determine the influence of social exchange relationships, leader’s political skills, job stress, job satisfaction, and organizational commitment on turnover intention among dental hospital hygienists. Methods: A self-administrated questionnaire survey was conducted from April 1-May 12, 2020, involving 209 dental hospital hygienists in Seoul, Busan, and Gyeongnam. The collected data were analyzed using SPSS and AMOS statistical analysis programs. Results: In the hypotheses testing, 9 of 18 hypotheses were supported. In social exchange relationships, job stress, job satisfaction, and organizational commitment, the path to turnover intention had a significant effect, but it was not statistically significant in leader’s political skills. With regard to mediating effect, job stress, job satisfaction, and organizational commitment played a complete mediating role in the path from social exchange relationships to turnover intention. Conclusions To increase job satisfaction and organizational commitment, and lower job stress in order to have a positive impact on turnover intentions, it is imperative to develop and apply a program to enhance social exchange relationships.

No abstract available.
De Lange Syndrome*

BACKGROUND: Quinidine appeared to increase serum digoxin levels when given with quinidine. Therefore elevated serum digoxin concentrations and clinical toxicity have been reported in patient receiving quinidine. Currently, Bayesian method which estimates the most probable parameters of the drug for each patient from population parameters data is useful approach for adjusting digoxin dosage. To increase the accuracy of Bayesian method, it is desirable to use population parameters of Korean. Therefore we evaluated the effect of quinidine on digoxin clearance in Korea. METHOD: Patient's records from 19 adult cardiac disease without CHF having normal renal and liver function from Seoul National University of Hospital respectively wre evaluated. Digoxin pharmacokinetic parameters, CL and Vd, were obtained from serum concentration of digoxin of single and combined therapy at each steady-state by using bayesian method. RESULTS: This study show that quinidine reduced the total body clearance of digoxin from 2.39+/-0.17 to 1.51+/-0.08ml/min/kg(p<0.05) and reduced the digoxin volume of distribution from 8.57+/-0.29 to 4.98+/-0.19L/kg(p<0.05). This results show that digoxin dosage reduced to 40-50% in Korean, if quinidine therapy is initiated.
Adult ; Bayes Theorem ; Digoxin* ; Drug Interactions ; Heart Diseases ; Humans ; Korea ; Liver ; Pharmacokinetics ; Quinidine* ; Seoul

OBJECTIVES: This study examined the characteristics and nutritional risk of the elderly who receive home delivery services. We then analyzed the effects of the characteristics of the elderly who receive the home-delivery meal service on their nutritional risk. METHODS: A total of 220 respondents who receive home-delivery meal service in Seoul participated in the survey. The survey consisted of the characteristics of the elderly (health status, tooth condition, physical activity, social participation activity, depression and relationship with neighbors), nutritional risk assessment and other general matters. The data was analyzed by using the SPSS program. Cross-tabulation analysis, t-test, correlation analysis and regression analysis were all conducted. RESULTS: 47.0% of the subjects were under 80 years old and 53.0% were over 80 years old, The nutritional risk score, as evaluated by a Nutrition Screening Initiative (NSI) checklist was 10.7 points, and the high nutrition risk group was 91.5% of the subjects. The subjective self-health status score was 2.24 points (out of a total of 5 points) and the tooth status score was 3.30 points. The physical activity level was 2.17 points for the under 80 years old group and 1.76 points for the over 80 years old, and there was a significant difference according to age (p<0.01), The higher the health status, tooth condition, physical activity and social participation activity level, the lower was the nutritional risk. Further, the higher the degree of depression, the higher was the nutritional risk. CONCLUSIONS: For the healthy life of the elderly in the community, various welfare policies should be planned to increase social participation as well as to promote physical health and reduce depression.
Aged ; Checklist ; Depression ; Humans ; Mass Screening ; Meals ; Motor Activity ; Risk Assessment ; Seoul ; Social Participation ; Surveys and Questionnaires ; Tooth

BACKGROUND/OBJECTIVES: The purposes of this study were to evaluate the nutritional status and dietary habits of the elderly using the nutrition quotient for the elderly (NQ-E) and to analyze the differences in the NQ-E according to their levels of oral health. SUBJECTS/METHODS: The survey was administered to 123 elderly people receiving congregate meal services in Seoul. The questionnaire comprised 3 domains: oral health status, general characteristics, and the NQ-E for the elderly. RESULTS: The respondents were divided into 2 groups based on the average score of their levels of oral health (the group with high oral health scores: 4.42 points and the group with low oral health scores: 2.89 points). As a result of evaluating nutritional status using the NQE, it was found that the average NQ-E score was 58.7 points, with 46.0 points in the balance domain, 47.0 points in the diversity domain, 72.9 points in the moderation domain, and 61.8 points in the dietary behavior domain. The NQ-E score (62.3 points) of the group with high oral health scores is significantly higher than the NQ-E score (54.7 points) of the group with low oral health scores (P < 0.001). Concerning the NQ domain scores, the elderly with good oral health status had “favorable” results in terms of balance and dietary behavior, and the elderly with poor oral health status had “favorable” results only in terms of balance. CONCLUSIONS Overall, several dietary areas needed improvement in general. Those with poor oral health conditions urgently needed to improve related factors to minimize the risk of increasing imbalanced nutrition and comorbidities due to insufficient nutrition and undesirable eating habits.

PURPOSE: To report a case of a familial lecithin cholesterol acyltransferase (LCAT) deficiency patient with bilateral corneal opacities. CASE SUMMARY: A 26-year-old man with bilateral corneal opacities visited our hospital. We took slit lamp examination, corneal thickness measurement, corneal endothelial cell counts and fundus examination. Blood and urine tests were included. Kidney biopsy was done. The tissues were observed by a light microscopy and an electron microscopy. Hemolytic anemia, proteinuria, hematuria, hypertriglyceridemia, decreased HDL cholesterol level, and lecithin cholesterol acyltransferase (LCAT) deficiency were found. At kidney biopsy, electron-lucent vacuoles and lamellar inclusion body were found. CONCLUSIONS: Bilateral corneal opacities can be an imporant clinical sign of systemic disease which is caused by abnormal lipid metabolism like the familial lecithin cholesterol acyltransferase (LCAT) deficiency.
Adult ; Anemia, Hemolytic ; Biopsy ; Cholesterol, HDL ; Corneal Opacity ; Corneal Pachymetry ; Endothelial Cells ; Hematuria ; Humans ; Hypertriglyceridemia ; Inclusion Bodies ; Kidney ; Light ; Lipid Metabolism ; Microscopy ; Microscopy, Electron ; Phosphatidylcholine-Sterol O-Acyltransferase ; Proteinuria ; Vacuoles

This study was designed to compare the incidence and severity of premenstrual syndrome (PMS) between normal (N = 85) and overweight or obese (N = 28) college female students and investigated correlation between PMS, nutrient intake, hematological index and psychological index (depression, anxiety, stress). Each subject was asked a Menstrual Discomfort Questionnaire (MDQ) for PMS by 5 Likert scale. The PMS scores of women in the normal weight subjects ranked in order of severity were water retention (2.71), followed by behavioral change (2.58), negative affect (2.46), pain (2.31), autonomic reaction (2.27), decreased concentration (2.16). The symptoms of 'pain' and 'behavioral change' of overweight or obese subject were significantly higher than those of normal subject (p < 0.05). And total cholesterol concentration of overweight or obese subjects was significantly higher than in normal subject (p < 0.05). There was a significant positive correlation (p < 0.05) between the symptoms of 'negative effect' and BMI. And the triglyceride concentration was positively related with 'water retention (p < 0.01)'. The symptoms of 'decreased concentration' were negatively correlated with calcium (p < 0.01) and vitamin B6 intake (p < 0.05). The depression score were positively related with symptoms of 'behavioral change (p < 0.05)', 'negative affect' (p < 0.01), and the anxiety score was positively correlated with 'behavioral change (p < 0.05)' and 'decreased concentration (p < 0.05)'. The stress score was positively correlated with 'decreased concentration (p < 0.01)', 'behavioral change (p < 0.05)' and 'negative affect (p < 0.05)'. This suggests that PMS represents the clinical manifestation of a calcium, vitamin B6 deficiency and psychological disorder. Therefore we concluded that nutrient supplementation, depression and stress management may help to relieve PMS symptoms.
Anxiety ; Calcium ; Cholesterol ; Depression ; Female ; Humans ; Incidence ; Obesity ; Overweight ; Premenstrual Syndrome ; Surveys and Questionnaires ; Retention (Psychology) ; Vitamin B 6 ; Vitamin B 6 Deficiency ; Water

Diabetes is a rapidly increasing heath care problem all over the world due to increased prevalence during past decade. Diabetic nephropathy develops in 25-30% of patients with type 1 diabetes and is the leading cause of end stage renal disease. Diabetic nephropathy is characterized by persistent proteinuria, decline in renal function, hypertension and increased cardiovascular morbidity and mortality. Early detection of diabetic nephropathy risk is an important goal because early diagnosis and treatment prevent advanced renal damage and other diabetic complications. Increased urinary albumin excretion rate is widely accepted as the first clinical sign of diabetic nephropathy. However, reduced glomerular filtration or hypertension could be the first manifestation in some diabetic patients. We need improved markers and predictors of diabetic nephropathy risk. We report a case of diabetic nephropathy and decreased glomerular filtration rate (GFR) without microalbuminuria occcured in type 1 diabetic patient.
Diabetes Complications ; Diabetic Nephropathies* ; Early Diagnosis ; Filtration ; Glomerular Filtration Rate ; Humans ; Hypertension ; Kidney Failure, Chronic ; Mortality ; Prevalence ; Proteinuria