No abstract available.
Myocarditis* ; Stomach*

No abstract available.
Plants, Medicinal*

Tumoral calcinosis was coined by Inclan in 1943 and thereafter about 40 cases have been reported in the literature, but there has not been reported on a case which involved knee joints. The majority of cases hitherto reported were found in Negro. There was no report in yellow race. Authors presented a case of tumoral calcinosis that involved boih knee joints of a 55 years old Korean housewife. On physical examination chronic draining sinuses with spontaneous extrusion of calcific material was noted on the left infrapatellar region. A radiograph of the both knees showed dense, multinodular deposits of calcium. The masses were confined to the soft tissues; the contiguous joint showed no pathological change. En-block excisianal biopsy was done. The histological section of the excised mass disclosed the foreign-body giant cell with inflamed connective tissue surrounding calcific deposits.
African Continental Ancestry Group ; Biopsy ; Calcinosis ; Calcium ; Connective Tissue ; Continental Population Groups ; Giant Cells, Foreign-Body ; Humans ; Joints ; Knee ; Knee Joint ; Numismatics ; Physical Examination

PURPOSE: This research was conducted to compare the effects of an obesity control program on knowledge of obesity, diet habit, exercise habits, and weight loss of children in a pediatric and adolescent psychiatric hospital. METHODS: A non-equivalent control group non-synchronized design was used for this study. Eighteen patients were participated in the experimental group and seventeen were participated in the control group. For 8 weeks, the experimental group received the interventions for fifty minutes weekly, which were consisted of knowledge of obesity, diet habit, and exercise habits and weight loss, while the control group received the usual care during the same period. The outcome variables were measured before and after the program. Data were analyzed using t-test with SPSS/WIN 18.0. RESULTS: The experimental group showed more significant improvement in knowledge of obesity, diet and exercise habits than the control group, but weight loss was not different between the groups. CONCLUSION: To be more effective obesity control program, nurses should collaborate with other staffs including doctors and social workers, and consistently educate the families of the patients.
Adolescent* ; Child* ; Diet ; Food Habits ; Hospitals, Psychiatric* ; Humans ; Obesity* ; Social Workers ; Weight Loss

The purpose of this study was to identify school dieticians' perceptions on the Potentially Hazardous Food (PHF) and the inspection of food safety and sanitation conducted by Provincial Office of Education. Questionnaires were distributed to 400 school dieticians in elementary schools in Seoul and Gyeonggi Province, and 217 responses were collected. The majority of respondents (64%) defined PHF as food that easily decays at room temperature and over half of the respondents considered Korean cooked vegetables as a PHF. In addition, 4% of respondents completely excluded PHFs from their menus. Forty five percent of the respondents selected CCP rule 7 (delivery and distribution process) and 34% selected CCP rule 6 as the most difficult of the CCP rules to follow. Also, perceptions concerning food safety inspection and sanitation were not high in terms of validity, objectivity, and reliability among the evaluation criteria. The study results suggest that PHF as well as Potentially Hazardous Menu (PHM) definitions and guidelines should be re-established in consideration of traditional Korean food culture and the preparation of Korean foods.
Surveys and Questionnaires ; Food Safety ; Humans ; Sanitation ; Vegetables

Endoscopic injection sclerotheraphy(EIS) was an effective method for treatment of bleeding esophageal varices. However, it might be associated with some undesirable complications. Endoscopic variceal ligation(EVL) is a recently developed method for control of active variceal bleeding and eradicating esophageal varices with similar efficacy and minimal risk of complications compare to EIS. We performed EVL in 40 patients who had recently bled from esophageal varices. Total 198 variceal ligations were performed during 64 separate EVL session. Control rate of acute bleeding was 90%(36 of 40patients) and 4 patients died after EVL because of failure of bleeding control. Rebleeding following initiation of EVL occured in 5 patients-three patients were successfully controlled by EVL, one patient was controlled but eradication was impossible and one patient died. Varices were eradicated or reduced to grade I in 31(86.1%) of 36 survivors by 1-9 ligation(mean 5.0) in l-4 EVL sessions(mean 1.6). After EVL, there were mild complications-mild substernal discomfort in 4 patients, mild dysphagia in 2 patients and fever in 2 patients. These results suggest that EVL is a safe and effective method for treatment of bleeding and eradication of esophageal varices with less complication.
Deglutition Disorders ; Esophageal and Gastric Varices* ; Fever ; Hemorrhage* ; Humans ; Ligation* ; Survivors ; Varicose Veins

BACKGROUND: The valve area derived from the Gorlin formula has been used clinically for decades as an index of severity on the assessiment of valve stenosis, in spite of some limitations on Gorlin formula studied in aortic stenosis and mitral bioprostheses. It had been shown that Gorlin valve area varied if the hemodynamic conditions during measurement are changed. Valve resistance has been proposed as an alternative hemodynamic indicator, but initially this index was not used because it was unlikely to remain constant at different flow rates. Recently valve resistance provided a better indices of hemodynamic obstruction than mitral valve area, and these stenotic indices usually estimated by angiographic method and we studied the valve resistance by Doppler echocardiographic measurement. METHOD AND RESULT: To compare the clinical implication about these stenotic indices measured by echcoardiography and cardiac catheterization, we studied 41 patients of mitral stenosis with normal sinus rhythm. The results were as follows ; 1) In catheterization, increased heart rate, mean pressure gradient and decreased diastolic time was observed, but mitral area, resistance, cardiac output and mitral flow was not different. 2) Linear regression analysis showed negative correlation of mitral valve resistance and Gorlin mitral area(echocardiography r=-0.84, catheterization r=-0.84)(p<0.001). 3) Correlation coefficeint of mitral valve area and mitral valve resistance between echocardiography(r=0.87) and catheterization(r=0.82) showed positive correlation(p<0.001). CONCLUSION: These results suggest that mitral valve resistance by echocardiography is a useful method in the evaluation of the severity of mitral stenosis.
Aortic Valve Stenosis ; Bioprosthesis ; Cardiac Catheterization* ; Cardiac Catheters* ; Cardiac Output ; Catheterization ; Catheters ; Constriction, Pathologic ; Echocardiography ; Echocardiography, Doppler* ; Heart Rate ; Hemodynamics ; Humans ; Linear Models ; Mitral Valve Stenosis* ; Mitral Valve*

PURPOSE: To evaluate the radiologic findings and detectability of parathyroid masses in ultrasonograph computed tomography(CT), and radionuclide study(201TI-99mTc pertechnetate subtraction scintigraphy). MATERIALS AND METHODS: Surgically-proven 11 cases with parathyroid masses consisted of adenoma(n=8), adenomatous hyperplasia(n:2) and adenocarcinoma(n:l) were retrospectively analyzed. We performed US in all cases, CT in 8 cases, and radionuclide study in 7 cases. The parathyroid masses were analysed in regard to anatomic localization and imaging appearance on three modalities. RESULTS: Ten of the 11 parathyroid masses(91%) were located posterior to the thyroid gland and the remainder in the left superior mediastinum. Nine of the 11 cases(82%) were detected on US. The majority were well-defined hypoechoic mass on US. Six of the 8 cases(75%) were detected on CT scan. In the precontrst CT, all of the 8 masses were hypodense as compared with thyroid gland and most showed mild enhancement on post-contrast CT. Six of the 7 cases(86%) were detected on RI study as hot nodule. CONCLUSION: The typical radiological findings of the parathyroid mass were well-defined ovoid or round hypoechoic mass on US, hypodense mass with variable contrast enhancement on CT, and hot nodule on radionuclide study. US was a convenient and reliable imaging modality in detecting parathyroid masses. Improved diagnostic accuracy could be achieved with complementary CT scan and radionuclide study in addition to ultrasonography.
Mediastinum ; Retrospective Studies ; Sodium Pertechnetate Tc 99m ; Thyroid Gland ; Tomography, X-Ray Computed ; Ultrasonography

Brunners gland adenoma is a benign epithelial tumor of the duodenum originating from submucosal Brunners gland. This is an extremely rare entity that account for only 10.6% of benign duodenal tumor, which are themselves relatively rare, representing 0.008% of all surgical and autopsy specimens. The clinical manifestation are nonspecific gastrointestinal complaints, such as bloating or epigastric pain, and the tumor gives rise to melena or anemia, due to the ulceration or erosion of the tumor. The diagnosis is usually made by radiologic studies and gastroduodenal endoscopy which can also provide definitive treatment. The aim of treatment is complete removal of the lesion and exclude malignancy. We report on 4 cases of Brunners gland adenoma which was confirmed by operation or endoscopic polypectomy.
Adenoma* ; Anemia ; Autopsy ; Diagnosis ; Duodenum ; Endoscopy ; Melena ; Ulcer

Since oligodendroglioma was first described by Bailey & Cushing in 1926, there have been numerous studies reporting detailed description of the clinical and pathological characteristics of the tumor. It is a slow growing tumor usually in adults, with the highest frequency between 30 and 50 years, and affect the cerebral hemispheres, particularly the frontal lobes. Of all brain tumors the oligodendroglioma is the most likely to contain calcareous deposits which can be demonstrated radiologically in 40% to 50%. It consists of a continous sheet of uniformed small, round & densely packed cells interruptedly only by remarkably regular network of small blood vessels in histology. We have been recently experienced of a case of typical oligodendroglioma and reviewed the literatures.
Adult ; Blood Vessels ; Brain Neoplasms ; Cerebrum ; Frontal Lobe ; Humans ; Oligodendroglioma*