Mucous gland adenoma, one type of bronchial adenoma, is first introduced by Rosenblum and Klein2) in 1935 and very rare. Only twenty-one cases had been reported in english literature. This tumor must be differentiated from other types of bronchial adenoma because of completely benign clinical course. A case of mucous gland adenoma is presented which showed marked secondary calcification.
Adenoma

This study has been undertaken in order to 1) test the effect of health education on the performance of health promoting lifestyle, self efficacy, control and perceived health status in college students, 2) assess whether pretreatment level of self-efficacy, control, and perceived health status predict post-treatment health promoting lifestyle, 3) assess whether pre-to post-treatment changes in self-efficacy, control, and perceived health status predict post-treatment health promoting lifestyle, and 4) examine the correlation between changes in subscales of health promoting lifestyle. One-group pretest-posttest design was used. Fifty eight college students at T college in T city were studied. They attended a health education, which is composed of 13 sessions(one session per week, 130 minutes per one session). This study was conducted from August 26 to December 2. The instrument used for this study included a survey of general characteristics, self-efficacy, control, perceived health status and health promoting behavior. Analysis of data was done by use of mean, percentage, paired t-test, pearson correlation coefficient and stepwise regression. The results of this study are summarized as follows : 1) The average item score for the health promoting lifestyle was low at 2.301. In the sub-categories, the highest degree of performance was interpersonal support(2.87), following self actualization, nutrition, stress management, exercise, and the lowest degree was health responsibility(1.67). Female students had lowest degree in exercise subscale(1.48). A significant correlation between self-efficacy and control, self-efficacy and perceived health status, self-efficacy and health promoting lifestyle, control and health promoting lifestyle. Self-efficacy was the highest factor predicting health promoting lifestyle of college students(38.31%). 2) No significant difference among total health promoting lifestyle and subcategories of health promoting lifestyle. Self-efficacy was increased after health education than that of before education(T=2.33, P=.023). Control was decreased after education than that of before education(T=-2.03, P=.046). 3) Pretreatment self-efficacy, control, and health status did not predict post-treatment health promoting lifestyle. 4) Pre-to post-treatment changes in self-efficacy predicted post-treatment stress management subscore. 5) Pre-to post-treatment changes in control predicted post-treatment self actualization and exercise subscale. A significant correlation between changes in self-actualization and changes in exercise, changes in self-actualization and changes in nutrition, changes in health responsibility and changes in exercise, changes in exercise and changes in interpersonal support, changes in exercise and changes in stress management, changes in nutrition and changes in interpersonal support, and changes in interpersonal support and changes in stress management.
Education ; Female ; Health Education* ; Humans ; Life Style* ; Self Efficacy

Patients with AIDS frequently present with pulmonary complications which are associated with a high mortality rate and infections are the most important cause of lung infiltrates. In addition to pneumonia caused by Pneumocystis carinii, which was noted in early reports of the syndrome, a variety of other severe pulmonary disorders may occur. Frequently more than one organism is found in a single patient and among these, combined infections of Pneumocystis carinii and cytomegalovirus are the most common. We experienced a case of combined Pneumosytis carinii and Mycobacterium tuberculosis infection as a pulmonary manifestation of AIDS in a 38-year-old man. In bronchoalveolar larvage, bronchial washing and brushing, and sputum smear specimens, Pneumocystis carinii organisms were recognized, especially in Gomori's methenamine silver stains. Transbronchial lung biopsy specimen revealed intra-alveolar frothy exudates composed of collections of Pneumocystis carinii organisms as well as several granulomas with central caseous necroses.
Mortality ; Biopsy

No abstract available.
Child* ; Cystitis* ; Eosinophils* ; Humans

The purpose of this study was to test Interaction Model of Client Health Behavior(IMCHB) of Cox repeatedly and to determine the contributions of sociodemographic variables, health experiences, family functioning, intrinsic motivation, health perception, self esteem, to health behavior of highschool students. A convenient sample of 2nd grade highschool students(N=638) responded to self-report questionnaires. The IMCHB was then tested with data using SAS program by frequency, t-test, ANOVA, regression. The results were as follows 1. Health behaviors were found to be gender specific. 2. From the body's model, mother and students health affected health perception and self-esteem among a set of background variables. Health perception and self-esteem are related to health behaviors. 20% of the varience in body's health behavior are explained by health perception and self-esteem. 3. From the girls model, students health explained 13.3% of health perception varience and father's health explained 11.6% of self-esteem varience. 16% of health behavior varience are explained by health perception and self-esteem. The results indicated that there was a relatively poor fit of the IMCHB to the highschool students data. But further study using the IMCHB to define health outcome in student is needed to verify the linkage. The model generated in this study clarified the contribution of some factors such as parental and student's health status. The results also indicated that the schoolnurse has to develop the health care program for students and their parent with community resources to improve health perception and self-esteem of students for intervening health behavior of highschool students.
Delivery of Health Care ; Female ; Health Behavior* ; Humans ; Mothers ; Motivation ; Parents ; Self Concept ; Surveys and Questionnaires

We report a family suffering from Marie Unnas hypotrichosis (8 members affected in 4 generations). At birth they had normal hairs, subsequently loss of hair on the scalp, eyebrow and eyelash. At about 3rd years, coarse twisted scalp hair regrow until puberty when progressive loss from vertex and scalp margin was noticed. On physical examination and lsboratory studies, there was no associated abnormality in the patients. The scanning electron microscopic examination of the affected hair showed cuticular peeling and twisting or angulation of hair shaft.
Adolescent ; Eyebrows ; Hair ; Humans ; Hypotrichosis* ; Parturition ; Physical Examination ; Puberty ; Scalp

This study was undertaken in order to examine the effect of hardiness on future stress-related physical symptoms in the female students in a longitudinal design. The subjects who participated in this study were 97 female nursing students (in the analysis of data after 1 year). The instruments used for this study were a survey of general characteristics, stress (43 items), hardiness(25 items), and physical symptoms(35 items). Analysis of data was done by use of mean and hierarchical multiple regression with the SAS program. The results of this study were as follows. 1) Main effects of hardiness on future stress-related physical symptoms was found. 2) The stress buffering effects of hardiness were not found.
Female ; Humans ; Longitudinal Studies* ; Nursing* ; Students, Nursing*

We reviewed surgical specimens from 11 patients with diffuse neurofibroma to define the specific clinicopathologic characteristics. Ten cases were cutaneous neurofibromas and one case was an uncommon gastrointestinal neurofibroma involving the rectum. The most frequent sites of involvement were the head and neck, especially the eyelids and the periorbital areas. They usually presented as a plaque-like elevation of the skin. They primarily occured in children and young adults and positive family histories of von Recklinghausen's neurofibromatosis were obtained in 45.4%. Pathologically, the involved skin & rectum were diffusely thickened by an infiltrative growing mass, showing proliferation of short fusiform cells in the uniform matrix of fine fibrillary collagen. The characteristic prominence of Wagner-Meissner bodies (45.4%) suggests they could be associated with pathogenesis of diffuse neurofibroma. On the basis of these findings, we could confirm diffuse neurofibroma to be a distinct form of neurofibroma.
Child ; Adult ; Male ; Female ; Humans

Chromomycosis is a chronic localized infection of the cutaneous and subcutaneous tissues and characterized by verrucoid, ulcerated and crusted lesions with sclerotic margins. It histologically show confluent granulomatous nodules containing large giant cells of the foreign body type. The organisms are differ from other yeastform fungi by the characteristic chestnut-brown color and by the septate division. A case of 51 year old woman with chromomycosis at submental area is presented.
Female ; Humans

Peutz-Jeghers syndrome is an autosomal dominant disease characterized by gastrointestinal ployposis and mucocutaneous melanin pigmentation involving the lip, oral mucosa, digits, palms and soles. The polyps are almost hamartomatous. The relationship of gastrointestinal carcinoma and the Peutz-Jeghers syndrome has been discussed for many years. The question is unsettled whether gastrointestinal carcinoma arise in hamartomatous polyps itself. Recently, there are a few reports that adenomatous and carcinomatous changes were superimposed upon the background of the hamartoma. Occasionally epithelial misplacement of the epithelium is found in the small intestinal polyps. Since the epithelial misplacement may involve submucosa, muscularis propria and serosa, a difficulty of histopathologic differential diagnosis between the epithelial misplacement and invasive adenocarcinoma cause overdiagnosis of cancer in the gastrointestinal polyps of Peutz-Jeghers syndrome. We present a case of Peutz-Jeghers syndrome of 39-year-old woman with multiple gastrointestinal polyps, two of which showed extensive epithelial misplacement even into the pancreas and another one at the colon showed carcinomatous change at the tip portion. Areas of hamartoma, adenoma and in situ carcinoma were noted in this colonic hamartomatous polyp. This case support that adenoma and carcinomatous changes may evolve directly within a hamartomaous polyp itself.
Female ; Humans ; Diagnosis, Differential ; Adenocarcinoma ; Adenoma