A total of 48 cases of tuberculous lesion in the lymph nodes (43 cases), lung (3 cases) and soft tissue (2 cases), was subjected to fine needle aspiration cytology(FNAC). The age of the patients ranged from 19 to 77 year-old (average 33.6 years in age) and the male to female ratio was 1: 4. Thirty-four cases (70.8%) demonstrated distinct granulomatous reaction with or without caseation necrosis, nine cases (18.8%) showed no granulomas, but large amount of necrotic debris with numerous polymorphonuclear cells and histiocytes, and five cases (10.4%) revealed acellular material only. The overall AFB positivity in smears was 62.5%. In areas associated with granulomatous reaction and necrosis, AFB positivity was 55.8%, while it was 80.0% in cases with acellular necrotic material. There were 2 cases of parasitic infestation which could not be easily differentiated from tuberculosis based on aspiration smears only.
Aged ; Biopsy, Fine-Needle ; Child* ; Female ; Granuloma ; Histiocytes ; Humans ; Lung ; Lymph Nodes ; Male ; Necrosis ; Tuberculosis ; Vesico-Ureteral Reflux*

Many people in Korea suffer from a fear of dental treatments; however, only a few studies have focused on this population. This study assessed the effectiveness of cognitive behavioral therapy (CBT) and its interventions in reducing dental anxiety, especially when administered by trained dental staff. Using case studies, the authors analyzed the content of each session and examined the process of reducing dental anxiety. First, the authors observed that the results of both dental fear scale and subjective unit of disturbance decreased significantly with changes in cognitive distortions related to dental anxiety and that rapid improvements were noted after two therapy sessions. Second, the study reported that practicing relaxation (deep-breathing) and muscle relaxation techniques; using hand signals to indicate anxiety or discomfort; establishing an empathic relationship with the therapist; making an anxiety list; and graded insensitive and exposure along with rehearsal, were effective in coping with dental anxiety and in changing negative thoughts towards the dentist. Third, a simple cognitive behavioral intervention can be effective in reducing dental anxiety. In summary, a short-term, five-session psychological intervention with CBT produced a sustained decrease in the symptoms of dental anxiety, allowing the patients to receive the required procedures. The authors discussed the study limitations and the implication of their results on future research.
Anxiety ; Cognitive Therapy* ; Dental Anxiety* ; Dental Staff ; Dentists ; Hand ; Humans ; Korea ; Muscle Relaxation ; Qualitative Research ; Relaxation

Background: To promote and maintain oral health among adults, the relationship between oral health and obesity was examined, and the effects of oral health on obesity were investigated. Methods: A total of 4,270 Korean adults aged ≥20 years were selected as study subjects using raw data from the first year (2019) of the eighth period of the Korea National Health and Nutrition Examination Survey (KNHANES). Complex sample Rao–Scott chi-square test and complex sample logistic regression analysis were performed using PASW Statistics ver. 18.0. Results: The prevalence of abdominal obesity was 1.3 times higher subjects with poor oral health than in those with good perceived oral health and 1.3 times higher in subjects who did not receive dental checkups compared to those that did. The frequency of brushing of teeth was 1.2 times higher for subjects who reported brushing 2∼3 times per day compared to those who reported brushing four or more times per day. The risk of being overweight was 1.3 times higher in subjects with one or more dental implants than in those with none. Conclusion To build an integrated health program, it is thought that a preventive approach through self and expert oral health care, considering the age-specific characteristics of adults, is necessary for the intervention process used to build customized obesity prevention projects at the national level.

Background: The purpose of this study was to evaluate the association between metabolic syndrome and periodontal disease in Korean adults. Methods: This study analyzed the screening data of 12,686 adults aged ≥19 years, including demographic characteristics, lifestyle habits, and each component of metabolic syndrome, obtained from the sixth Korea National Health and Nutrition Examination Survey database. Periodontal health status was measured by the community periodontal index. Subjects with three or more risk factors were considered as having metabolic syndrome. The Rao–Scott chi-square test was performed to assess the relationships between demographic characteristics, lifestyle habits, components of metabolic syndrome, and periodontal disease. Logistic regression analysis was performed based on the complex sample to evaluate the relationship between metabolic syndrome and periodontal disease. Results: The prevalence of periodontal disease was higher among the subjects with advancing age, lower average household income and education level, those working in production, residents of eup-myeon areas, in past or current smoker, those with excessive alcohol consumption habit in a week, and reduced brushing frequency and the use of oral care products (p＜0.001).Each component of metabolic syndrome was associated with higher prevalence of periodontitis in the subjects with abnormal than in those with normal levels (p＜0.001). The prevalence of periodontal disease in subjects with metabolic syndrome was approximately 1.443 times higher than that in normal subjects (odds ratio,1.443; p＜0.001). Conclusion This study confirmed the association between metabolic syndrome and periodontitis in Korean adults, and further studies will be needed to determine the causal relationship between the two conditions.

Background: This study aimed to investigate the association between metabolic syndrome and tooth loss among adults aged 19years and older using data from the nationally representative Korea National Health and Nutrition Examination Survey (KNHANES). Methods: A total of 49,468 adults aged 19 years and older who participated in the 2007∼2018 KNHANES were included in the final analysis. Chi-square tests were conducted to examine tooth loss according to sociodemographic factors and the presence of metabolic syndrome. Logistic regression analysis was performed to evaluate factors influencing tooth loss. Results: Sociodemographic factors and components of metabolic syndrome were identified as potential risk factors for tooth loss.The prevalence of tooth loss was higher among individuals in older age groups, those with lower educational and income levels, those engaged in agricultural or fishery-related occupations, and those residing in rural areas (p＜0.001). Adults with metabolic syndrome exhibited a relatively higher prevalence of tooth loss (p＜0.001), with a 1.19-fold increased likelihood of tooth loss compared to those without metabolic syndrome (p＜0.001). Conclusion Efforts are needed to develop oral health education programs and integrate systemic health management strategiesaimed at improving oral health among adults with metabolic syndrome.

Background: This study aimed to investigate the association between metabolic syndrome and tooth loss among adults aged 19years and older using data from the nationally representative Korea National Health and Nutrition Examination Survey (KNHANES). Methods: A total of 49,468 adults aged 19 years and older who participated in the 2007∼2018 KNHANES were included in the final analysis. Chi-square tests were conducted to examine tooth loss according to sociodemographic factors and the presence of metabolic syndrome. Logistic regression analysis was performed to evaluate factors influencing tooth loss. Results: Sociodemographic factors and components of metabolic syndrome were identified as potential risk factors for tooth loss.The prevalence of tooth loss was higher among individuals in older age groups, those with lower educational and income levels, those engaged in agricultural or fishery-related occupations, and those residing in rural areas (p＜0.001). Adults with metabolic syndrome exhibited a relatively higher prevalence of tooth loss (p＜0.001), with a 1.19-fold increased likelihood of tooth loss compared to those without metabolic syndrome (p＜0.001). Conclusion Efforts are needed to develop oral health education programs and integrate systemic health management strategiesaimed at improving oral health among adults with metabolic syndrome.

Background: This study aimed to investigate the association between metabolic syndrome and tooth loss among adults aged 19years and older using data from the nationally representative Korea National Health and Nutrition Examination Survey (KNHANES). Methods: A total of 49,468 adults aged 19 years and older who participated in the 2007∼2018 KNHANES were included in the final analysis. Chi-square tests were conducted to examine tooth loss according to sociodemographic factors and the presence of metabolic syndrome. Logistic regression analysis was performed to evaluate factors influencing tooth loss. Results: Sociodemographic factors and components of metabolic syndrome were identified as potential risk factors for tooth loss.The prevalence of tooth loss was higher among individuals in older age groups, those with lower educational and income levels, those engaged in agricultural or fishery-related occupations, and those residing in rural areas (p＜0.001). Adults with metabolic syndrome exhibited a relatively higher prevalence of tooth loss (p＜0.001), with a 1.19-fold increased likelihood of tooth loss compared to those without metabolic syndrome (p＜0.001). Conclusion Efforts are needed to develop oral health education programs and integrate systemic health management strategiesaimed at improving oral health among adults with metabolic syndrome.

Primary iliopsoas abscess, without a causative infection focus, is a very rare kind of retroperitoneal abscess. Immunocompromised patient, such as elderly patients, diabetics and patients with chronic disease, are susceptible to this kind of infection. Because early diagnosis of priiliopsoas abscess is usually delayed due to nonspecific clinical presentation, proper treatment is also delayed which causes high mortality and morbidity. Recently we experienced three cases of primary iliopsoas abscess due to Staphylococcus aureus. Diagnosis of these cases was belatedly confirmed by using a abdominal-pelvic computerized tomography (CT) scan. Open surgical drainage via an extraperitoneal approach and administration of appropriate systemic antibiotics were required to save these patients. Based on a review of the literature, we evaluated the diagnosis and treatment of primary iliopsoas abscess.
Abscess ; Aged ; Anti-Bacterial Agents ; Chronic Disease ; Diagnosis ; Drainage ; Early Diagnosis ; Humans ; Immunocompromised Host ; Mortality ; Psoas Abscess* ; Staphylococcus aureus* ; Staphylococcus*

We presented several cases of the exophthalmos due to the orbital tumors, with the review of the literatures. We performed modified Kronlein operation and anterior orbitotomy, appropriately for each cases to improve the visual acuity and at least to correct cosmetically the proptosed eye. It will be better to do one's best in order to search a possible way to save the eye ball by which the ophthalmologist can remove the orbital tumor even if the patient lost his vision.
Exophthalmos* ; Humans ; Orbit ; Visual Acuity

No abstract available.
Antibodies, Monoclonal* ; Herpesvirus 3, Human*