Aeromonas hydrophila is a motile gram negative rod which exists in soil and water. It can cause septicemia in persons with severe immune deficiency. Occasionally it is one of the etiologic agents of the gangrenous skin disease similar to the gangrene caused by Vibrio vulnificus septicemia. A 42-year-old farmer had been suffering from liver cirrhosis for about 3 years. He had episodes of melena and hematernesis for 2 days prior to coming to the emergency room but had no skin lesions. On the 2nd hospital day, painful, erythematous and edematous skin lesions developed on his left arm and on the 3rd hospital day, several purpuras and hemorrhagic bullae developed on his left arm and leg. In the tissue, blood and blister fluid, numerous gram negative rods were identified by direct smear and culture. The bacterial identification studies from blood and blister fluid revealed A. hydrephda.
Adult ; Aeromonas hydrophila* ; Aeromonas* ; Arm ; Blister ; Emergency Service, Hospital ; Farmers ; Gangrene* ; Humans ; Leg ; Liver Cirrhosis ; Melena ; Purpura ; Sepsis ; Skin Diseases ; Skin* ; Soil ; Vibrio vulnificus ; Water

Benign neonatal eruptive hemangiomatosis is extremely rare congenital multiple hemangiomatic disease without systemic visceral involvement. The akin lesions are usually detected at birth and virtually disappear by the age of 12 months. A female infant of 27 days had three or four flat reddish purple maculopapules on the face from the time of birth. They spreaded into the entire body surface and increased in size forming plaque upto little finger tip size for 3 days. There was no evidence of asociated symptomatic visceral involvement. Histologically they were compatible with capillary angiomatous nevi. They began to resolve into residual hyperpigmented macules necrotizing centrally at 2 months of age and almo. completely resolved at 6 months of age without any treatment.
Capillaries ; Female ; Fingers ; Humans ; Infant ; Nevus ; Parturition

No abstract available.
Pregnancy*

No abstract available.
Education*

A teratoma is the most common germ cell tumor in children; however, a gastric teratoma is very rare. An immature gastric teratoma has malignant potential; therefore, it should be removed surgically and followed up routinely to assess for recurrence by performing imaging studies and estimating serum alpha-fetoprotein (AFP) level. We describe the case of a 2-day-old male neonate with abdominal distension and a palpable mass. He underwent surgical resection of a tumor that was diagnosed as an immature gastric teratoma.
alpha-Fetoproteins ; Child ; Humans ; Infant, Newborn* ; Male ; Neoplasms, Germ Cell and Embryonal ; Recurrence ; Stomach Neoplasms ; Teratoma*

Bisphosphonates are potent inhibitors of bone resorption and considered as a gold standard and are generally recommended as first-line therapy in patients with osteoporosis. Though bisphosphonates are shown to significantly reduce the risk of vertebral, non-vertebral and hip fractures, recent reports suggest a possible correlation between long-term bisphosphonate therapy and the occurrence of insufficiency fractures owing to prolonged bone turnover suppression. We report a patient with non-traumatic stress fractures of bilateral femoral shafts related to long-term bisphosphonate therapy indicating the need for a critical evaluation of patients with long-term bisphosphonate therapy.
Bone Resorption ; Diphosphonates ; Femur ; Fractures, Stress ; Hip Fractures ; Humans ; Osteoporosis

In order to investigate food purchase frequency of elementary school children and its related ecological factors, 4314th, 5th and 6th grade elementary school children and their mothers, living in Seoul and Daejon, small city and rural area of Chungnam Province, were participated in this study. The subjects and their parents were surveyed by a selfrecording questionnaire about food purchase frequency and some ecological factors. Average height and weight of the subjects by gender and grade were similar to or a little bit more than the 1998 Korean Growth Standard. According to relative body weight, 30.6% and 10.8% of the subjects belonged to under-weight and obesity categories, respectively. Of the subjects, 46.9% used PC telecommunication or internet, 53.8% of them used it for less than an hour per day, and 46.4% watched TV for 2 to 4 hours a day. About 42% of the subjects spent 500 Won or less daily to buy snacks. A half of the subjects took snacks once a day because of hunger. Mothers' nutrition knowledge score was averagely 8.16 out of 13 full score and the average attitude score was 43.22 out of 50 full score. Foods purchased more than once a week were milk and yoghurt, cookies, ice-cream, ramyun, and gum in order. Family income, parents' education level, mothers' nutrition knowledge and food attitude score, students' snacking frequency and TV watching time showed significant correlations with purchase frequencies of some individual food items. In conclusion, the elementary school children considered taste most important rather than nutrition in buying snacks and most frequently bought carbohydrate foods and concentrated sugars except milk. Ecological factors such as mothers' nutritional knowledge and food attitude, TV watching time and snacking frequency had influenced the children's food purchase frequency. Accordingly, it is necessary to educate both children and their mothers about good food purchase and the importance of snacking.
Body Weight ; Carbohydrates ; Child* ; Chungcheongnam-do ; Daejeon ; Education ; Gingiva ; Humans ; Hunger ; Internet ; Milk ; Mothers ; Obesity ; Parents ; Seoul ; Snacks* ; Telecommunications ; Yogurt

BACKGROUND: Somatosensory evoked potential (SSEP) has been used to help minimize neurologic morbidity during spinal surgery. But, SSEP is affected by various factors, namely technical errors, anesthetics and physiologic aspects (systemic blood pressure, temperature, blood gas tensions). We experienced 40 cases of spinal surgery done with total intravenous anesthesia under SSEP monitoring. We reviewed these cases with the availability of total intravenous anesthesia during SSEP monitoring. METHODS: Forty patients, ASA class I-II, free of neurologic disease and scheduled for elective spinal surgery were randomly selected for the study. All of the operations were performed under general anesthesia employing the method of total intravenous anesthesia with propofol and fentanyl, and monitored by SSEP. We recorded latency and amplitude of SSEP in the pre-induction, post-induction, during-instrument insertion and post-distraction periods. RESULTS: There were no statistical differences in latencies among pre-induction, post-induction, screw insertion and post-distraction period. The amplitude of the post-induction period was statistically higher than pre-induction period (p<0.05), but there were no differences in other periods. None of cases showed abnormal findings (i.e., delay of latency over 10% or decrease of amplitude over 50%). CONCLUSIONS: SSEP monitoring may be helpful in identifying potentially neurologically threatening surgical maneuvers during spinal surgery. To achieve better outcomes, we should consider the effects of various factors on SSEP. Total intravenous anesthesia may be useful method, which has lifter influence on SSEP monitoring.
Anesthesia, General ; Anesthesia, Intravenous* ; Anesthetics ; Blood Pressure ; Evoked Potentials* ; Evoked Potentials, Somatosensory ; Fentanyl ; Humans ; Propofol

BACKGROUND AND OBJECTIVES: Endothelial dysfunction is widely observed in diabetes mellitus, resulting in diabetic vascular complications. Kruppel-like factor 2 (KLF2) is implicated as being a key molecule that maintains endothelial function. We evaluated the expression of KLF2 in endothelial cells cultured in high glucose and investigated its functional implication in a diabetic animal model. SUBJECTS AND METHODS: Human umbilical vein endothelial cells (HUVECs) were cultured in physiologically high glucose (35 mM) condition. The Otsuka Long Evans Tokushima Fatty (OLETF) strain of rat was used as an excellent model of obese type II diabetes, and their lean littermates are Long Evans Tokushima Otsuka (LETO) rats. RESULTS: In HUVECs cultured in physiologically high glucose condition, FOXO1 was activated whereas KLF2 and endothelial nitric oxide synthase (eNOS) expression was near completely abolished, which was completely reversed by FOXO1 small interfering ribonucleic acid. In the vessels harvested from the OLETF rats, the animal model of type II diabetes, KLF2 and eNOS expression were found depleted. When vascular remodeling was induced in the left common carotid artery by reduction of blood flow with partial ligation of the distal branches, greater neointimal hypertrophy was observed in OLETF rats compared with the control LETO rats. CONCLUSION: KLF2 suppression in endothelial cells by high glucose is a possible mechanism of diabetic endothelial dysfunction. The strategy of replenishing KLF2 may be effective for preventing diabetic vascular dysfunction.
Animals ; Carotid Artery, Common ; Diabetes Mellitus ; Diabetic Angiopathies ; Endothelial Cells ; Glucose ; Human Umbilical Vein Endothelial Cells ; Hypertrophy ; Ligation ; Models, Animal ; Nitric Oxide Synthase Type III ; Rats ; Rats, Inbred OLETF ; RNA ; Sprains and Strains

OBJECTIVE: To evaluate the clinical effectiveness of minilaparotomy total hysterectomy compared with other methods of hysterectomy ever used. METHODS: Data of 300 women who had been done hysterectomy due to benign gynecologic disease were used for this thesis. Minilaparotomy hysterectomy was done for 40 women, classical transabdominal hysterectomy for 186 women, laparoscopic assisted vaginal total hysterectomy for 28 women and vaginal total hysterectomy for 46 women. Women's clinical data and clinical outcome were compared using Excel and SPSS. RESULTS: Minilaparotomy hysterectomy has no limitation in choosing patient and adnexal surgery like classical transabdominal hysterectomy, and postoperative clinical course is so rapid similar with laparosocopic assisted vaginal total hysterectomy. CONCLUSION: Minilaparotomy hysterecomy is good choice for treatment of benign gynecologic disease.
Female ; Genital Diseases, Female* ; Humans ; Hysterectomy* ; Laparotomy