No abstract available.
Adolescent* ; Child* ; Drug Therapy* ; Humans

BACKGROUND: The number of the elderly living in a home for the aged is increasing as the socio-culture changes, but health management for the institutionalized elderly has been discontinuos, centered on the single treatment of the disease. The aim of this study is to collect baseline data which is for development of the health maintenance program for the elderly living in a house for the aged. METHODS: We reviewed the journals related to the health maintenance program for the elderly. We selected the contents about health management program for the elderly. 3 domain of the contens were done. The 3 domain were physical health (interview for health habit, physical exam, clinical test), mental health (Korean version of geriatric depression scale, Korean version of mini mental status examination), assessment of functional status (katz activities of daily living, lawtons instrumental activities of living).. 158 elderly people living in a home for the aged in Seoul have been researched since August 1996. RESULT: Total subjects were 158 (men 73, women 85). The average age was 78.1(+/-7.2). The rate of smoking, alcohol drinking, exercise were 32%, 20.4%, 34.4%, each. The rate of assitive device use was 28.3%. The prevalence of sleep distur-bance, urinary incontinence were 69.7%, 17.3%. The prevalence of gait disturbance was 38.4%. The occurrence rate of falling for last 1 year was 29.6%. The prevalence of fear of falling was 57.2%. The positive rate of VDRL was 12.3%, the prevalence of anemia was 48.7%. The prevalence of degenerative arthritis, hypertension were 44.2%, 31.3%, each. The prevalence of depression, dementia were 71.3%, 56.7%, each. The rate of elderly person dependent on one and more ADL was 8.1%. CONCLUSION: We found the health status of the elderly living in a home for the aged. On the basis of the results of the study, it is needed that continuous application of the program for management of the elderly in a home for the aged, keeping searching proper contents of examination and methods of measurement.
Activities of Daily Living ; Aged* ; Alcohol Drinking ; Anemia ; Dementia ; Depression ; Female ; Gait ; Humans ; Hypertension ; Mental Health ; Osteoarthritis ; Prevalence ; Seoul ; Smoke ; Smoking ; Urinary Incontinence

No Abstract available.
Cross Infection* ; Korea*

No abstract available.
Adipose Tissue ; Adult ; Humans ; Motor Activity ; Vitamin D Deficiency ; Vitamin D ; Vitamins

BACKGROUND: The early diagnosis of invasive candidiasis is the most important for reducing of morbidity and mortality rates in the immunocompromised patients. The study of antigen detection was performed by Cand-Tec kit, but antibody detection by Western blot, had not been reported. OBJECTIVE: We reviewed 62 cases of suspected invasive candidiasis(10), immunocompromised patients with leukemia, leukopenia, pneumonia, et al(44) and normal colonization control(8) in the urine and sputum for the immunological diagnosis of invasive candidiasis by Cand-Tec and Western blot assays. METHODS: The antigen and antibody detection were done by both Cand-Tec kit and Western blot assay, in the sera of the patients collected from several hospitals. RESULTS: The sera from 4(40%) and 8(80%) of 10 suspected invasive candidiasis had a threshold positive titers of > or = 1:4 by latex agglutination (Cand-Tec) and the results of positive antibody to the immunodominant antigen (47KDa) of Candida spp. by Western blot assay, each other. Both antigen and antibody we.e detected from 21(47%) of 44 patients in the immunocompromised group and 1(12%) of 8 cases with normal flora, separately, but the antibodies from 3(18%) of 16 healthy controls were detected by Western blot analysis, only. CONCLUSION: This study confirm that the Western blot method of detecting antibody against immunodominant antigen(47KDa) of Candida spp. was more effective than antigen detection by Cand-Tec method for immunodiagnosis of invasive candidiasis.
Agglutination ; Antibodies ; Blotting, Western ; Candida ; Candidiasis, Invasive* ; Colon ; Diagnosis* ; Early Diagnosis ; Humans ; Immunocompromised Host ; Immunologic Tests ; Latex ; Leukemia ; Leukopenia ; Mortality ; Pneumonia ; Sputum

Sarcomatoid carcinomas are malignant epithelial neoplasms in which the tumor cells assume a partial or complete spindle cell pattern of growth, leading to the erroneous classification of some true carcinomas as sarcomas. These spindle cells are malignant and manifest various amount of both vimentin and cytokeratin. Positive reaction of some of the spindle cells for cytokeratin antibodies is confirmatory. Clinical features do not differ significantly from those of patients with high-grade transitional cell carcinoma. So far, 13 cases of sarcomatoid transitional cell carcinoma of the renal pelvis have been reported in English and Korean literature. In this report, we describe clinicopathologic features of recently observed two cases of sarcomatoid transitional cell carcinoma of the renal pelvis and summarize the pathologic findings of previously reported cases with review of the literature.
Antibodies ; Carcinoma ; Carcinoma, Transitional Cell* ; Carcinosarcoma ; Classification ; Humans ; Keratins ; Kidney Pelvis* ; Sarcoma ; Vimentin

Dermatophytes infect the human hair, skin, nail and cause the dermatophytosis. The extracellular and intracellular proteinases of the dermatophytes commonly occur in the genus Trichophyton like T. rubrum, T. mentagrophytes, and T. granulosum. These enzymes play a prominent role in growth, multiplication and infection of the host tissue. Extracellular proteinases have been purified from the species of Trichophyton and Microsporum. We purified the proteinase partially from the culture filtrate of the Trichophyton tonsurans through Mono-Q and Superose 12 column and investigated its biochemical and enzymatic characters. The molecular size of the proteinase was estimated to be 41 kDa by SDS-PAGE. And pI was 3.2. The optimal temperature and pH for an enzymatic activity were 27C and 7.5, respectively. The purified porteinase degraded the keratin, bovine serum albumin, hemoglobin. The serine proteinase inhibitor like PMSF and DFP inhibited the proteolytic activity of the purified enzyme whereas the cysteinase inhibitor did not. These results demonstrated that the purified proteinase is a serine proteinase and can contribute the tissue invasion.
Arthrodermataceae ; Electrophoresis, Polyacrylamide Gel ; Hair ; Humans ; Hydrogen-Ion Concentration ; Isoflurophate ; Microsporum ; Peptide Hydrolases ; Serine Proteases* ; Serine* ; Serum Albumin, Bovine ; Skin ; Tinea ; Trichophyton*

Herpes zoster is not a common disease in healthy children. Neurologic complications can occur to herpes zoster patients but rare in immunocompetent children. It usually affects patients with immunocompromised or impaired cellular immunity. Aseptic meningitis is especially rare in the various neurologic complications that are induced by varicella-zoster virus. We experienced a case of herpes zoster meningitis in a previously healthy child.
Child ; Herpes Zoster* ; Herpesvirus 3, Human ; Humans ; Immunity, Cellular ; Meningitis ; Meningitis, Aseptic*

BACKGROUND: Childhood obesity leads to a high possibility of adult obesity. Previous studies show cases of research on obesity control programs led by doctors specializing in obesity, and dietitians. However, no such research have yet targeted schools, where such obesity control program are led by the school's staff (dietitian, school nurse and physical education teacher) instead. Thus, this research set out to determine whether obesity control programs could be effectively utilized within elementary schools as a part of the school health problems. As a start, a book on Elementary School Obese Children Control Program was used as the main text to provide the basics of the program. METHODS: The research was targeted at an elementary school located in NoWon district, where 16 moderate obese children from grades 3 to 6, were chosen to participate in training once every week for 6 weeks, together with exercises once every week for 5 weeks. RESULTS: The evaluation of the obesity control program showed significant results in obesity index, body fat and HDL-cholesterol. The school nurse contacted each student's teacher every day and an exercise or training was scheduled, so that students could participate in the program. This contributed to a high participation rate, with an overall participation rate reaching 85% and an exercise participation rate reaching 79%. During the evaluation of the program, it was found that the regular exercises carried out once a week in the school led the students to get in the habit of exercising regularly after school. CONCLUSION: It is considered that there would be a considerable change in childhood obesity control if the school nurse, dietitian and physical education teachers each played a part in carrying out an obesity control program as part of the school health care.
Adipose Tissue ; Adult ; Child ; Exercise ; Humans ; Nutritionists ; Obesity* ; Pediatric Obesity ; Physical Education and Training ; School Health Services

The present study reviews recently developed and commonly used methods for determination of body composition in vivo with relevance for nutritional assessment. Body composition measurement methods are continuously being improved, with the most commonly used methods being bioelectrical impedance analysis, dual energy X-ray absorptiometry, computed tomography, and magnetic resonance imaging or magnetic resonance spectroscopy. Recent developments include three-dimensional photonic scanning, quantitative magnetic resonance, and air displacement plethysmography. Collectively, these techniques allow for the measurement of fat, fat-free mass, bone mineral content, total body water, extracellular water, total adipose tissue and its subdepots (visceral, subcutaneous, and intermuscular), skeletal muscle, select organs, and ectopic fat depots.
Absorptiometry, Photon ; Adipose Tissue ; Body Composition ; Body Water ; Bone Density ; Electric Impedance ; Human Body ; Humans ; Magnetic Resonance Imaging ; Magnetic Resonance Spectroscopy ; Methods ; Muscle, Skeletal ; Nutrition Assessment ; Obesity ; Plethysmography ; Water