College and university foodservice dietitians have to be competent for playing a role as the future food service executive as well as the present foodservice administrator in the promising foodservice industry field. The study conducted a survey to examine training needs corresponding to educational contents for the purpose of helping them acquire a new knowledge related to self-development and duty through educational training. The results of this study suggested that training needs were differed by general characteristics of dietitians, operational characteristics of food services, and training subjects. A future study should develop systematic training strategies for dietitians.
Administrative Personnel ; Food Services ; Humans ; Nutritionists*

Angiomyofibroblastoma is a distinctive, hitherto uncharacterized, benign soft tissue tumor of the vulva with histology similar to an aggressive pelvic angiomyxoma. It can be distinguished from an aggressive angiomyxoma by its circumscribed borders, higher cellularity, more numerous blood vessels, the frequent presence of plump stromal cells, minimal stromal mucin, and rarity of erythrocyte extravasation. We experienced a case of angiomyofibroblastoma of the vulva occurring in a 45-year-old woman. The lesion was a well-defined but not encapsulated mass, 4.5x4.2 cm. Histologically the mass was characterized by alternating hypercellular and hypocellular edematous zones in which abundant blood vessels were irregularly distributed. Immunohistochemically, the spindled, plump spindled, and oval stromal cells were reactive for vimentin and desmin, but not for cytokeratin, or S-100 protein.
Female ; Humans

We evaluated thirty normal human eyes(aged from 22 to 95) to investigate the changes with age of the cellularity and acid mucopolysaccharides in the trabecular meshwork. The cellularities were evaluated from the number of the cells per unit area of trabecular meshwork and the number of cells per unit length of trabecular meshwork. In addition, acid mucopolysaccharides(AMS) were investigated by counter staining the trabecular meshwork specimens, with Van Gieson following colloidal iron. The results were as follows: 1. With age, cellularities of the whole trabecular meshwork and the counterpart of filtration region decreased significantly(p0.05). 2. The trabecular meshwork cellularity and the absolute number of cells were decreased by 40.0% and 35.9%, respectively, for those aged from 22 to 95. 3. There was no strong relation between the change of acid mucopolysaccharides of the trabecular meshwork and aging process. The grade +1 AMS was observed in 15 eyes(50.0%) and was the most prevalent.
Aging ; Colloids ; Filtration ; Glaucoma ; Glycosaminoglycans* ; Humans ; Iron ; Trabecular Meshwork*

PURPOSE: We performed this study in order to investigate the incidence and risk factors in acute phase of epilepsy after previous central nervous system (CNS) infection. METHODS: We retrospectively studied 74 children with epilepsy after CNS infection from January 2000 to June 2007. We compared the significant difference of the demographic findings, underlying disease, clinical features, and findings of EEG and brain MRI between the epilepsy group and the control group after CNS infection. RESULTS: Overall incidence of patients with epilepsy after CNS infection was 12.2%. The incidence of epilepsy in the children with seizure during acute stage of the illness, vomiting, decreased mentality, fever and headache was 26.5%, 24.0%, 16.6%, 10.2%, 9.1%, respectively. The incidence of epilepsy in children who had abnormal findings of EEG and brain MRI was 28.5% and 20.0%. The children who had seizure during acute stage(P=0.0005), vomiting(P=0.0261) and abnormal EEG finding(P=0.0065) had significantly higher incidence of epilepsy after CNS infection. CONCLUSION: The incidence of children with epilepsy after CNS infection was 12.2%. Special attention and follow-ups are needed to detect vomiting, seizure and abnormal EEG findings in acute phase of CNS infection.
Brain ; Central Nervous System ; Central Nervous System Infections ; Child ; Electroencephalography ; Epilepsy ; Fever ; Follow-Up Studies ; Headache ; Humans ; Incidence ; Retrospective Studies ; Risk Factors ; Seizures ; Vomiting

PURPOSE: Glyphosate-surfactant herbicide (GSH) is a widely used herbicide that is generally thought to be safe. When ingested in large quantities, however, it can result in serious toxicity and even lethality. The purpose of this study was to identify predictive factors for early hospital discharge in GSH poisonings. METHODS: GSH poisoning patients were divided into two groups. Group A consisted of patients who were discharged earlier, within 48 hours, without any complication since ED admission. Group B included patients who were admitted to the ED more than 48 hours earlier and/or who died within 48 hours of ED admission. Patient demographics, drug intoxication information, chest X-ray (CXR) findings and laboratory data during the first 24 hours on ED admission were collected. Those data were analyzed for their effect on the two groups. Univariate and odds ratio analysis were done. Predictive factors for early hospital discharge were then determined using logistic regression analysis. RESULTS: Seventy three patients (51 males, 22 females) were enrolled in our study; 39 patients in group A, and 34 patients in group B. By univariate and odds ratio analysis, the following variables showed statistically significant differences between groups A and B: estimated amount of poison ingested?, GSC score, CXR findings, arterial pH, PO2, bicarbonate, BUN, creatinine, amylase and potassium. In the analysis of clinical symptoms and signs, mental change, dyspnea and voice change were the significant findings in group B (p<0.05). In multivariate logistic regression analysis to predict early discharge in GSH poisonings, 3 variables (normal CXR finding, no metabolic acidosis, BUN level < or = 23) were found to be highly associated with early discharge. We established the following multiple logistic regression model: Log(p/1-p) = -3.02+1.85(normal CXR)+1.98(no metabolic acidosis)+1.46(BUN< or =23) CONCLUSION: Although GSH poisoning causes multi-organ toxicity, its mortality rate is relatively low (5.5%). Acid-base status, chest X-ray finding, and serum BUN level during the first 24 hours are useful predictive factors for early discharge from the hospital in GSH poisonings.
Acidosis ; Amylases ; Creatinine ; Demography ; Dyspnea ; Glycine ; Herbicides ; Humans ; Hydrogen-Ion Concentration ; Logistic Models ; Male ; Odds Ratio ; Potassium ; Thorax ; Voice

Acute lymphoblastic leukemia (ALL), in general, can be diagnosed by detecting blasts in peripheral blood or bone marrow. Some of the cases of ALL do not show typical leukemic features, and only manifest as refractory anemia, thrombocytopenia, myelofibrosis and lymphocytic infiltration into bone marrow. Several months after presentation, they may reveal typical leukemic features and are diagnosed as ALL. This kind of leukemia is called ALL with aleukemic prodrome. Although the incidence of ALL with aleukemic prodrome is 1.5~2.2% of childhood ALL cases, it is rarely reported in Korea. We experienced a 6 month-old female infant who presented with refactory anemia and thrombocytopenia, and two serial of bone marrow examination revealed only myelofibrosis. She subsequently developed ALL 3 months later. We report this case with a brief review of related literatures.
Anemia ; Anemia, Refractory ; Bone Marrow ; Bone Marrow Examination ; Female ; Humans ; Incidence ; Infant ; Korea ; Leukemia ; Precursor Cell Lymphoblastic Leukemia-Lymphoma* ; Primary Myelofibrosis ; Thrombocytopenia

Currently, there are a few reports on viral coinfection that causes an acute watery diarrhea in Korean children. So, to evaluate the features of coinfectious viral agents in children with acute watery diarrhea, we enrolled 155 children with acute watery diarrhea from July 2005 to June 2006. Fecal samples were collected and evaluated for various viral infections such as rotavirus, norovirus, adenovirus and astrovirus. The mean (+/-standard deviation) age of the children was 2.71+/-2.37 yr. The detection rate of viral agents was most common in children between the ages of 1 and 3 yr. Rotavirus was detected in 63 children (41.3%), norovirus in 56 (36.2%), adenovirus in 11 (7.1%), and astrovirus in 1 (0.6%). Regarding rotavirus, there were 38 (60.3%) cases with monoinfection and 25 (39.7%) with coinfection. For norovirus, there were 33 (58.9%) cases with monoinfection and 23 (41.1%) with coinfection. Coinfection with rotavirus and norovirus was most common, and occurred in 20/155 cases (12.9%) including coinfection with adenovirus. So, rotavirus and norovirus were the most common coinfectious viral agents in our study population with acute watery diarrhea.
Acute Disease ; Adenovirus Infections, Human/epidemiology ; Astroviridae Infections/epidemiology ; Caliciviridae Infections/epidemiology ; Child ; Child, Preschool ; Diarrhea/epidemiology/*virology ; Feces/virology ; Humans ; Infant ; Korea/epidemiology ; Norovirus/isolation & purification ; Rotavirus Infections/epidemiology ; Virus Diseases/complications/*epidemiology/virology

Primary adenocarcinoma of the duodenum is a rare disease, representing 0.35% of all gastrointestinal neoplasm and 0.042% of all malignant neoplasm. Since Ham-burger described the first duodenal caricinoma in 1746, the incidence has shown an increasing tendency. Compared with upper gastrointestinal contrast studies, the gastroduodenoscopy has gained an increasing popularity as an invesitigative tool in recent years. But the diagnosis is usually made at a very late stage because the symptoms are often non-specific, which contributes to delayed diagonsiss and poorer prognosis. We have experienced two cases of the primary carcinoma of the duodenal bulb and one case of carcinoma of the second portion, which were diagnosed by biopsy with gastrofiberoscopic endoscopy and operative finding. So we report three csses with a brief review of literature.
Adenocarcinoma* ; Biopsy ; Diagnosis ; Duodenum* ; Endoscopy ; Gastrointestinal Neoplasms ; Incidence ; Prognosis ; Rare Diseases

1380 extracapsular cataract extractions were perfomed from January, 1987 to August, 1988 at St. Mary's Hospital. Among them 88 eyes which developed postoperative fibrinous membrane were evaluated. The incidence of fibrinous membrane was about 6.4%. The fibrinous membrane was developed in 3 to 5 days and resolved within 15 days after surgery in most cases. Mild type of fibrinous membrane was most common and was located on the surgace of the intraocular lens in most cases. Although the presumed causes of the fibrinous membrane were uncertain yet, authors thought that inflammatory reactions from the intraoperative trauma, the remained lens cortex and the posterior chamber lens itself were the causative factors.
Cataract Extraction* ; Cataract* ; Fibrin* ; Incidence ; Lenses, Intraocular ; Membranes*

PURPOSE: This study aimed to evaluate the usefulness of the needle aspiration alternative to open surgical drainage of children with suppurative cervical lymphadenitis requiring surgical drainage. METHODS: From January 1998 to June 2008, we retrospectively reviewed 38 children treated with needle aspiration as management with suppurative cervical lymphadenitis instead of open surgical drainage. RESULTS: All 38 children underwent only 1 puncture. Two patients (5.2%) out of 38 patients experienced reformation of an abscess and all recovered completely after re-treatment with antibiotics. Minor complications were detected in 2 patients (5.2%). One complication originated from remnant necrotic tissue and the other involved formation of a small scar in two patients, which resolved spontaneously. There were no major complications. CONCLUSION: Needle aspiration can be a simple, safe, and effective alternative procedure to open surgical drainage of children with suppurative cervical lymphadenitis requiring surgical drainage.
Abscess ; Anti-Bacterial Agents ; Child ; Cicatrix ; Drainage ; Humans ; Lymphadenitis ; Needles ; Punctures ; Retrospective Studies ; Suppuration