No abstract available.
Carcinoma, Basal Cell* ; Mohs Surgery* ; Sutures*

PURPOSE: The purpose of this study was to examine the level of intention to quit smoking and to identify factors influencing intention to quit among patients with coronary heart disease. Method: The subjects consisted of 80 male patients with coronary heart disease (angina pectoris, myocardial infarction) at three hospitals in Seoul. The data were collected with self reporting in a structured questionnaire. Stepwise multiple regression was used to identify predictors of intention to quit. Included variables were attitudes toward smoking cessation, subjective norms, perceived behavioral control, usefulness of smoking cessation, and previous attempts to quit. RESULT: 1. The mean score for intention to quit was 11.1(+/-6.1) which was lower than median score of the scale. 2. There were significant correlations between the all predictive variables and the intention to quit(r=.24-.48, p<.05). 3. usefulness of smoking cessation, perceived behavioral control, and previous attempts to quit explained 34.6% of the variance for intention to quit. CONCLUSION: usefulness of smoking cessation, perceived behavioral control, and previous attempts to quit were identified as important variables in explaining the intention to quit smoking among patients with coronary heart disease. Thus, it is necessary to try to enhance this factors for increasing intention to quit among patients with coronary heart disease.
Coronary Disease* ; Humans ; Intention* ; Male ; Surveys and Questionnaires ; Self Report ; Seoul ; Smoke* ; Smoking Cessation ; Smoking*

No abstract available.
Glioblastoma* ; Keratosis, Seborrheic

OBJECTIVE: To compare pregnancy and delivery complications in first births between women 35 years or older and those who are younger. METHODS: Matemal and newborn records for first births at Chonnam university hospital from January 1, 1988 to December 31, 1996 were studied. The study group included 123 women who were 35 years or older. A control group consisting of 120 younger women was used for comparison. The X2 test was used to identify trends in individual variables and outcomes. RESULTS: Premature rupture of membrane, uterine myoma, and malpresentation were much mare prevalent in the older nullipara. However, there were no significant differences in incidences of preeclampsia, placenta previa, and pyelonephritis between the older nullipara and younger nullipara groups. Older nullipara had a significantly higher incidence of Cesarean delivery than younger women, Elective cesarean section was performed only in the older nullipara and it was the most common indication for Cesarean delivery in older nullipara. Fetal distress and breech presentation as indications for Cesarean delivery were significantly more common in the older study group. There were no noticeable differences in postpartal complication between the groups. Pretam birth and low birth weight were much more common in the older nullipara. but there were no significant differences in small for gestational age, low Apgar score, perinatal morbidity and deaths between the groups. CONCLUSION: From the results, it was difficult to conclude that women 35 or older are pmne to higher risk pregnancies, compared to their younger counterparts. Although more incidences of premature rupture of membrane, preterm delivery, and Cesarean delivery were observed, there were no significant differences in other pregnancy and delivery complications. With appropriate obstetric care, it is most probable that first time pregnancies in older women will result in similar outcome as those in younger women.
Apgar Score ; Birth Order ; Breech Presentation ; Cesarean Section ; Female ; Fetal Distress ; Gestational Age ; Humans ; Incidence ; Infant, Low Birth Weight ; Infant, Newborn ; Jeollanam-do ; Leiomyoma ; Membranes ; Parturition ; Placenta Previa ; Pre-Eclampsia ; Pregnancy ; Pyelonephritis ; Rupture

Generalized eczema with pruritus may be due to various causes including atopic dermatitis, contact allergy and drug ingestion. However, unexplained recalcitrant eczema may be associated with an underlying lymphoproliferative malignancy. A 41-year-old woman visited our clinic with a 3-month history of pruritic erythematous papules and nodules on the whole body. She was diagnosed as having prurigo nodularis and treated, but failed to respond to conventional treatment including steroids, cyclosporine and antihistamine. About 3 months later, the patient developed low-grade fever and night sweats. Computed tomography of the chest confirmed an enlarged lymph node suggestive of Hodgkin's lymphoma. Patients who have recalcitrant eczema should be evaluated with a careful examination for internal malignancies.
Adult ; Cyclosporine ; Dermatitis, Atopic ; Eating ; Eczema ; Female ; Fever ; Hodgkin Disease ; Humans ; Hypersensitivity ; Lymph Nodes ; Prurigo ; Pruritus ; Steroids ; Sweat ; Thorax

There are many theonies regarding the etiology of idiopathic facial paralysis(Bell's palsy), but none will bear close examination at the present time. Quite possibly a proportion of causes should be classified as due to the herpes virtus. Herpes zoster is commonly known as a benign viral disease affecting the sensory nerves, but less well known is that this viral infection also caused muscle paralysis, in a not significant number of patients. There is increasing evidence that sympathetic blocks performed during the acute stage of herpes zoster infection shorten the eruptive phase of the disease and decreases the incidence of post herpetic neuralgia. Early treatment is particularly important in elderly patients in whom the incidence of long standing postherpetic pain is extremely high. The aim of treatment of Bell's palsy is to reduce edema and improve circulation to be facial nerve. Stellate ganglion block resulted in abolishing cerebral vascular spasm and in increasing cerebral blood flow. Thus stellate ganglion block is effective in treatment of Bell's palsy. This patient with herpes zoster associated with idopathic complete Bell's palsy was treated by repeat stellate ganglion block with 1% lidocaine and excellent result were noted.
Aged ; Bell Palsy ; Edema ; Facial Nerve ; Facial Paralysis* ; Herpes Zoster* ; Humans ; Incidence ; Lidocaine ; Neuralgia ; Paralysis ; Spasm ; Stellate Ganglion* ; Virus Diseases