PURPOSE: The purpose of this study was to describe physical health and depression status, as well as to assessing factors that influence the physical health status. METHOD: The data was collected from July to August 2000. Study participants were 252 community-dwelling elderly who were recruited from 10 senior centers located in Seoul, Korea. Their physical health status was measured using the Physical Health Status Measurement Scale developed by Choi and Jung (1991), and depression was measured using BDI-II developed by Beck et al. (1996). RESULTS: 1) The physical health status score was 4.00 +/-0.68 (range :1-5). The sub-dimension that showed the highest score was personal hygiene ability at 4.62+/-0.95, and the lowest score was sexual function at 2.20+/-1.38. 2. The depression score was 17.99+9.79 (range : 0-63). Regarding the sub-dimensions, the depression scores were higher in the domain of interest with sexuality, general weakness, difficulty in concentration, and fatigue. 3. Deeper levels of depression were correlated with a declining physical health status. 4. The most influential factor on physical health was depression, and the explaining variance was 31.68%. CONCLUSION: It is concluded that elder subjects in senior centers had fairly good physical health and self-care ability. Also, they did not have significantly high levels of depression. Therefor, health promotion of elderly, it is recommended that elder individuals should be regarded as a respectful and useful segment of our society. Along with this basic concept, there should be a social milieu that does not snow prejudice. Moreover, health care professionals should give more attention to helping the elderly achieve a minimal level of ALD, and, particularly, to raise sexuality and help energize the lives of elder individuals.
Aged* ; Delivery of Health Care ; Depression* ; Fatigue ; Health Promotion ; Humans ; Hygiene ; Korea ; Prejudice ; Self Care ; Senior Centers ; Seoul ; Sexuality ; Snow

Catheters ; Choanal Atresia ; Diagnosis ; Emergencies ; Hand ; Membranes ; Nasal Cavity ; Nasopharynx ; Nose ; Operative Time ; Parturition ; Rubber

In 1980, Franklin was reported deltoid sensory flap for the one-stage reconstruction of large soft tissue injuries and restoration of protective sensation on the hand or weight bearing ares. The deltoid sensory flaps were performed in 8 cases at the Severance Hospital, Yonsei University College of Medicine from July, 1984 to June, 1986. The results were as followings : l. A one-stage reconstruction of large soft tissue injuries was done with a deltoid sensory flap. 2. The protective sensation was restored. 3. The primary closure of the donor sites was feasible, and no limitation of motion of the shoulder was remained. In conclusion, the advantage of deltoid sensory flap exceed the any methods that have been employed in the sense of functional and plastic aspects.
Hand ; Humans ; Plastics ; Sensation ; Shoulder ; Soft Tissue Injuries ; Tissue Donors ; Weight-Bearing

Correction and stabilization for deformed feet were performed on 372 feet in 309 patients under 17 years old age at the Sam Yook Rehabilitation Center. Review of statistics, technical problems, and complications has led to followings :1. Cerebral palsy and residual poliomyelitis were the most common etiology. 2. Equinovarus deformity and its conjoined cavus deformity were the most common deformity. 3. In soft tissue surgery, tendo calcaneus lengthening was the most common procedure, and next, plantar fasciotomy. 4. In bone surgery, triple arthrodesis was the most common procedure, especially Ryerson technique. 5. Almost patients impraved their stand and gait pattern by operation.
Achilles Tendon ; Arthrodesis ; Cerebral Palsy ; Clubfoot ; Congenital Abnormalities ; Foot Deformities ; Foot ; Gait ; Humans ; Poliomyelitis ; Rehabilitation Centers

"Dual LAD" was defined as the early bifurcation of the proximal LAD into two vessels : a short LAD which remained in the anterior interventricular sulcus and does not reach the apex, and a long LAD which leaves the anterior interventricular sulcus only to return to the distal sulcus and continue to the apex. Recognition of "Dual LAD" is essential to prevent errors of interpretation of the coronary arteriogram and for planning of optimal surgical therapy. We report 2 cases of "Dual LAD" with the review of the literatures.
Coronary Vessels*

No abstract available.
Teratoma*

No abstract available.
Nerve Regeneration* ; Silicones*

Two Cases of Juvenile XanthogranuIoma(JXG) are reported with review of literatures. JXG is a rare disease, and have not yet been reported in this country. Case I: Two months oId healthy female infant has two firm, discrete, brownish yellow waxy nodules on the left postauricular region and the left forearm. The lesion had begun as erythematous pinhead sized papules, and have been enlarged rapidly to pea siez during last three weeks. Case II: Three year old healthy male has firm, discrete, pinhead to pea sized scattered 16 papules and nodules on the trunk and right side of neck. Laboratory findmgs and X-ray studies were normal in both cases and there were no evidence of metabolie disorder or bony abnormality. Histopathologic studies show similar findings in both cases. In hematoxylin-eosin staining, epidermis shows parekeratosis and slight elongation of rete ridges with suprapapillary thinning with focal spongiosis and invasion of inflammatory cells. The entire dermis, from dermal papillae to sbcutis, is replaced by granulomatous lesion composed with histioeytes and a few giant cell reaction, in addition to histiocytic proliferation, considerable amount of eosinophils are infiltrated with some lymphocytes and plasma cells. The dermal collagen fibers are partly degenerated. In the upper most portion, some foamy histiocytes are also seen. In frozen section and Sudan III fat staining, the tissue shows rnild reactivities.
Collagen ; Dermis ; Eosinophils ; Epidermis ; Female ; Forearm ; Frozen Sections ; Giant Cells ; Histiocytes ; Humans ; Infant ; Lymphocytes ; Male ; Neck ; Peas ; Plasma Cells ; Rare Diseases ; Sudan ; Xanthogranuloma, Juvenile*

BACKGROUND: Changes in body fat distribution and antioxidant status can be shown in patients with coronary heart disease (CHD) and these changes may be more pronounced in CHD patients with than those without diabetes. This study was undertaken to determine the discrimination of body fat distribution, hormones and antioxidants among healthy male and CHD male patients with and without diabetes. METHODS: An oral glucose tolerance test was performed in 64 healthy males and 56 CHD male patients. CHD group was subdivided into patients with and without diabetes. Adipose tissue and muscle areas were calculated from computed tomography scans made at four body levels, L1, L4 and mid portion of thigh and calf. Fasting serum levels of lipids, hormones and antioxidants and plasma level of homocysteine were determined. RESULTS: 28% of healthy males, 33% of CHD patients without diabetes and 15% of CHD patients with diabetes were current smokers. 56% of healthy males, 30% of CHD patients without diabetes and 46% of CHD patients with diabetes supplemented their diet with synthetic vitamin preparation. There were no differences among groups in means of age, body mass index and blood pressure. While CHD patients without diabetes showed an increase in visceral fat area at only L1 level, CHD patients with diabetes showed an increase at both L1 and L4 levels, compared with healthy males. CHD patients with diabetes showed the lowest mean value of HDL-cholesterol and testosterone. The mean response areaof insulin and C-peptide during OGTT was higher in CHD patients without diabetes than healthy males. CHD patients with and without diabetes showed higher plasma level of homocysteine and lower serum levels of IGF-1, superoxide dismutase (SOD) and beta-carotene, compared with healthy males. Serum levels of cryptoxanthin and lycopene were lower in CHD patients with diabetes than healthy males. CONCLUSION: Visceral fat accumulation, an increase in insuline and homocysteine levels and a decrease in IGF-1, SOD and beta-carotene levels in CHD patients indicate a difference in body fat distribution, hormones and antioxidant systems between CHD patients and healthy males. In addition, a further increase in visceral fat and a decrease in the serum levels of HDL-cholesterol, testosterone and carotenoids in CHD patients with diabetes show the increased risk in the simultaneous presence of CHD and diabetes. Thus, the lifestyle modification of these CHD patients such as quitting smoking, reducing abdominal fat and taking antioxidant-rich foods is recommended.
Abdominal Fat ; Adipose Tissue* ; Antioxidants ; beta Carotene ; Blood Pressure ; Body Fat Distribution* ; Body Mass Index ; C-Peptide ; Carotenoids ; Coronary Disease* ; Diet ; Discrimination (Psychology) ; Fasting ; Glucose Tolerance Test ; Homocysteine ; Humans ; Insulin ; Insulin-Like Growth Factor I ; Intra-Abdominal Fat ; Life Style ; Male ; Plasma ; Smoke ; Smoking ; Superoxide Dismutase ; Testosterone ; Thigh ; Vitamins

Ki-1 lymphoma is a rare, large cell anaplastic non Hodgkin's lymphoma. It expresses the CD30 antigen and is recognized by the antibodies Ki-1. This Ki-1 positive anaplastic lymphoma was first described in 1985 as a new histological subtype and was added to the updated Kiel classification in 1988. Morphological and immunological features of this lymphoma have been well described, but clinical studies have been limited and follow up has been short. The authors report a case of Ki-1 lymphoma of the skin without systemic involvement in a young adult based on clinical, pathological and immunological features.
Antibodies ; Antigens, CD30 ; Classification ; Follow-Up Studies ; Humans ; Lymphoma* ; Lymphoma, Large-Cell, Anaplastic ; Lymphoma, Non-Hodgkin ; Skin ; Young Adult*