A case of 23 years old male with Reiters syndrome was reported. The skin lesions were characterized by thick, britle and heavy keratotic crust formation on whole body with weakness, severe arthritis, ankylosis, on the feet, wrists, knees, ankle and finger joints. Histopathological examination showed a spongiform vesicopustules, acanthosis and parakeratosis, interpapillary process elongated in the epidermis hyperkeratosis, dilated. vessels with perivascular infiltrate in the dermis. He was treated with Arning's tincture, Nystatin ointment, coaltar ointment painting and oral administration of prednisolone, methotrcxate for 1 month, resulting favorable improvement.
Administration, Oral ; Ankle ; Ankylosis ; Arthritis ; Candidiasis* ; Dermis ; Epidermis ; Finger Joint ; Foot ; Humans ; Knee ; Male ; Nystatin ; Paint ; Paintings ; Parakeratosis ; Prednisolone ; Skin ; Wrist ; Young Adult

Herpes zoster is a acute viral infection of nerve structures manifesting cutaneous lesions in the form of groups of vesicles distributed along one or more peripheral sensory nerves. Sometimes involve motor nerves. The skin lesions usually appear on unilateral, but some on bilateral. And caused by variella-zoster virus, which is the same virus, with varicella. The most important etiologic mechanism is the reactivation of the latent virus; a latent virus infection is set up in spinal and cranial sensory ganglion as a result of hematogenous dissemination during the initial varicella infection and is activated in later life so that the virus spread down to the peripheral nerve into the skin. Durig last 5 years (1968-1972) 94 cases of Herpes zoster, of Dermatology Dept. in N.M.C. were investigated by statistics of sex, age, predilection site of skin eruptions, seasonal variation, and of its complications or associated diseases. The reults were following; In sex, age distribution, female is rather common than male and more commonly affected after 40's. In predilection site, more than half cases, involved thoracic cutaneous nerves, and the least were sacral and lateral cutaneous nerves. Right and left side proportion was about same (40: 49), bilateral or mid-zone involvement were 5 cases. In seasonal distribution, there was no relation between epidemic of varicella and Herpes zoster, The most were at Summer, and the least at Autumn. In complications and associated diseases, complication noted in 4 cases, 3 were Herpes zoster ophthalmicus and 1 case was Ramsey-Hunt syndrome. The most frequent associating disease was pulmonary tuberculosis, otherwise were diabetes, asthma etc.
Age Distribution ; Asthma ; Chickenpox ; Dermatology ; Female ; Ganglia, Sensory ; Herpes Zoster Ophthalmicus ; Herpes Zoster* ; Humans ; Male ; Peripheral Nerves ; Seasons ; Skin ; Tuberculosis, Pulmonary

Porokeratosis (mibelli's disease) is a chronic, heritable disorder of the skin, which has a regular dominant limitation to the male sex. This is characterized by localized areas of faulty keratinization resulting in the cornoid lamella, the morphologic and histologic hallmakr of the disease process. Histogenesis is best explained as a mutant clonal keratosis of epidermis, these clonal cells are probably ingerited. A case of porokeratosis Mibelli is reported with its clinical, histological evaluation and review of articles.
Epidermis ; Humans ; Keratosis ; Male ; Porokeratosis* ; Skin

Pityriasis Circinata is a rare, symptomless, etiologically uncertain disease, but often associated with chronic illness such as Tuberculosis, diseases of uterus and ovaries. It was first described- in Japan by Toyama(1906), Matsura(1906), then reported in South Africa, France, England, Germany, and North-Africa. However, much more frequent evidence noted in Far East. Many authers agree that this condition is a specific localized type of acquired ichthyosis. This disease is manifested by strictly round scaly, light or dark brownish ichthyotic patches of variable number and diameter. Mainly distributed on trunk, and extremities with freedom of flexure. And having history of winter exacerbation and summer remission. These two cases of pityriasis Circinata are, although Toyama quoted 4 Korean patients reports and 2 cases of Manchuria, the first report in Korea, which have been associated with tuberculous empyema and meningitis, respectively.
China ; Chronic Disease ; Empyema, Tuberculous ; England ; Extremities ; Far East ; Female ; France ; Freedom ; Germany ; Humans ; Ichthyosis ; Japan ; Korea ; Meningitis ; Ovary ; Pityriasis* ; South Africa ; Tuberculosis ; Uterus

A case of 24 years old male patient with Acrodermatitis continua(Hallopeau) is reported. Clinically, the skin lesions were characterized by the pustular eruption on digit of extremities. Diagnosis was conformed by characteristic clinical appearance, laboratory findings and histopathology finding. He has been treated with prednisolone 20 mg daily, antibiotics and symptomatic therapy and relieved temporaly.
Acrodermatitis* ; Anti-Bacterial Agents ; Diagnosis ; Extremities ; Humans ; Male ; Prednisolone ; Skin ; Young Adult

PURPOSE: This study was to describe the relationship between optimism and post-traumatic stress disorder (PTSD) in breast cancer patients. METHODS: The data were collected by self-administered questionnaires from March 5 to April 24, 2012. The participants included 204 breast cancer patients at K university hospital in D city. The utilized measurements were Life Orientation Test-revised (LOT-R) and Impact of Event Scale (IES). RESULTS: The mean scores of optimism and PTSD were 21.61+/-3.54 and 30.18+/-10.43, respectively. There were significant differences in the score of optimism by monthly income, engaging in a hobby, perceived level of stress management, need to manage stress, and people thought to be helpful in stress management. There were significant differences in the score of PTSD by engaging in a hobby, recurrence of cancer, the number of hospitalization, perceived level of stress management, need to manage stress, and people thought to be helpful in stress management. There was a negative correlation between optimism and PTSD. CONCLUSION: To relieve post-traumatic stress in breast cancer patients, nurses should provide ongoing psychological stress assessment from the beginning of the diagnostic stage and offer proper nursing intervention to improve optimism in dealing with their stress.
Breast Neoplasms* ; Breast* ; Hobbies ; Hospitalization ; Humans ; Nursing ; Recurrence ; Stress Disorders, Post-Traumatic* ; Stress, Psychological ; Surveys and Questionnaires

PURPOSE: The purpose of this study is to investigate working time of nurses in urban public health center branch, especially for nurses for visiting health service and chronic disease management. METHOD: Daily note, which was developed by this research team, was distributed to nurses at 7 urban public health center branches to be filled out them for 2 weeks during 2 month from June 2007 to August 2007. We analyzed 121 daily notes recorded by visiting nurses and 65 daily notes written by chronic disease management nurses were analyzed. RESULTS: The total working time for visiting nurses at urban public health center branches was 589.85 minutes per day on the average. They spent 147.13 min in actual visiting nursing services, 149.36 min in documenting, 66.94 in preparing, 77.69 min in transferring, and 11.84 min in referring. The total working time for chronic disease management nurses at urban public health center branches was 582.92 minutes per day on the average. They spent 148.77 min in actual chronic disease management services, 120.62 min in documenting, 42.46 min in group education, 37.38 in preparing, and 10.38 min in referring. CONCLUSION: Based on the results of this study, it is recommended to improve documenting systems and to increase community resources linkage were recommended through the results of this study. The results of this study are expected to be used to plan staffing at urban public health center branches in the future.
Chronic Disease* ; Education ; Health Services* ; Korea ; Nurses, Community Health ; Nurses, Public Health ; Nursing Services ; Public Health*

Purpose: The purpose of this study was to understand and describe the experiences of patients with glaucoma. Methods: Data were collected from March to April in 2023, through individual in-depth interviews with 10 glaucoma patients. Verbatim transcripts were analyzed using Colaizzi’s phenomenological analysis. Results: Six theme clusters were extracted that described patients’ experiences: 1) The frightening disease unexpectedly discovered; 2) A dismal life gradually trapped in darkness; 3) Fear of the unseen; 4) Following treatment without any other options; 5) Grateful for the help but feeling miserable; 6) Realizing the importance of eyes and health. Conclusion The results of this study provide a deep understanding and insight into the experience of Glaucoma patients. Glaucoma patients experienced physical, mental, and social pain through the disease process. Therefore, psychological nursing interventions are needed to understand and reduce mental pain along with medical treatment to relieve physical symptoms in glaucoma patients. Furthermore, it will be necessary to prepare institutional support measures to minimize various social restrictions.

PURPOSE: This study aimed at exploring relationships among Internet addiction, smoking, and drinking and examining the effect factors on Internet addiction, smoking and drinking. METHODS: By using stratified sampling, 1,529 participants representing high school students in the Kangwon province were selected. Data was analyzed by SPSS 12.0. using chi-square, Pearson correlation coefficient and multiple regression. RESULTS: One-fifth of the total participants were at the mild or moderate stage of Internet addiction. Regarding smoking, 22.7% of male subjects and 4.5% of female subjects were current smokers. Regarding drinking, the percentages of subjects who drank alcohol once or twice per month were 53.5% of male students and 40.7% of female students. Internet addiction positively correlated with depression, novelty seeking, harm avoidance and reward dependence, Internet addiction negatively correlated with persistence, self-directness, cooperativeness, and self-transcendence. Significant factors affecting Internet addiction were depression, gender, novelty seeking, and self-transcendence. Important factors influencing smoking were drinking, gender, school type, satisfaction with school, novelty seeking, and reward dependence. Significant factors affecting drinking were smoking, novelty seeking, school type and ages. CONCLUSION: This study shows the necessity of developing and implementing effective intervention programs in order to prevent adolescents from experiencing Internet addiction and health risk behaviors.
Adolescent ; Adolescent Behavior/*psychology ; Alcohol Drinking/*psychology ; Behavior, Addictive/*psychology ; Depression/psychology ; Female ; Humans ; *Internet ; Male ; Multivariate Analysis ; Smoking/*psychology ; Students/psychology

Substernal goiter is defined as a thyroid mass of which more than half is located below the thoracic inlet. As substernal goiter enlarges within the bony thoracic cavity, and vascular and visceral structures may slowly become compressed and compromised. Airway obstruction can occur due to the compression or the displacement of the trachea. Tracheal compression may rarely lead to severe respiratory compromise. Recently, we experienced a case of huge substernal goiter causing acute respiratory failure in a 63-year old female. We present this case with a review of the literature.
Airway Obstruction ; Bays ; Displacement (Psychology) ; Female ; Goiter, Substernal ; Humans ; Respiratory Insufficiency ; Thoracic Cavity ; Thyroid Gland ; Trachea