Mesenteric lymphadenitis due to Yersinia enterocolitica infection is not common in Korea. Although most cases of Yersinia enterocolitica-induced mesenteric adenitis are self limited, cardinal features of Yersinia enterocolitica-induced mesenteric adenitis are so similar to those of acute appendicitis that some of the patients undergo laparotomy with suspected appendicitis. The findings on laparotomy in such patients are usually enlarged mesenteric nodes with a normal or slightly inflamed appendix. Because histologic examination of the removed mesenteric lymph nodes reveals reactive hyperplasia in most cases, it is usually difficult to suspect Yersinia enterocolitica infection on morphology of the resected nodes. But suppurative granulomata of mesenteric lymph nodes, uncommonly encountered in Yersinia enterocolitica infection, strongly suggest yersinial infection. We report a case of mesenteric lymphadenitis in a 10-year-old boy, who underwent laparotomy with suspected acute appendicitis. The removed lymph node showed several suppurative granulomata in the cortex, suggesting yersinial infection. Serologic study confirmed Yersinia enterocolitica serotype O:3 infection.
Appendicitis ; Appendix ; Child ; Humans ; Hyperplasia ; Korea ; Laparotomy ; Lymph Nodes ; Lymphadenitis ; Male ; Mesenteric Lymphadenitis* ; Yemen ; Yersinia enterocolitica* ; Yersinia*

No abstract available.
Lymphangioma, Cystic*

BACKGROUND/AIMS: The p53 mutations have been described as the most common genetic alteration during development and progression of malignancy in a wide range of human cancers. Mutant p53 proteins have a prolonged half-life accounting for increased levels of p53 protein frequently detected in tumors. This can induce the production of anti-p53 in the senzn of patients with HCC. We determined the relationship of serum anti-p53 with p53 expression in the liver tissue of chronic liver disease and the correlation of serum anti-p53 with serum alpha- fetoprotein(AFP) in patients with HCC. METHODS: In sera of same patients, we analysed the anti- p53 using ELISA system As controls we tested 50 healthy individuals and 20 patients with chronic hepatitis. Immaiohistochemical study for the presence of mutant p53 was performed on liver tissue from 50 patients with cirrhosis and 30 patients with HCC using monoclonal antibody clone DO-7 and LSAB kit by ABC method. RESULTS: Anti-p53 was positive in 9(30%) of 30 patients with HCC. Among nine patients with positive anti-p53, only two patients had detectable p53 expression in their tumor tissues. Anti-p53 was positive in 5(10%) of 50 patients with liver cirrhosis. The AFP was elevated in 21(70%) of 30 patients with HCC. Among the 9 AFP- negative HCC patients, 4(44.4%) were found to be positive for anti-p53. P53 expression was detectable in 9(30%) of 30 HCCs and 1(3.3%) of RO surrounding non-tumorous cirrhotic tissues. CONCLUSION: Mese findings suggest that anti-p53 was not correlated with the status of p53 expression in liver tissue and serological testing for anti-p53 antibody may be complementary to serum AFP for diagnosing of HCC with normal serum AFP.
Carcinoma, Hepatocellular ; Chronic Disease* ; Clone Cells ; Enzyme-Linked Immunosorbent Assay ; Fibrosis ; Half-Life ; Hepatitis, Chronic ; Humans ; Liver Cirrhosis ; Liver Diseases ; Liver* ; Serologic Tests

The objective of this study was to investigate how to improve job satisfaction for dietitians and nutrition teachers by identifying influencing factors in Daejeon and Chungnam Province, South Korea. A survey was conducted among school foodservice dietitians and nutrition teachers from selected primary, middle and high school in the area. This survey consisted of general characteristics, status of their job, job satisfaction, work satisfaction and work performance. In this study we found current state of general characteristics and status of their job according to frequency analysis and the level of work satisfaction, work performance and job satisfaction using descriptive statistics. The t-test, ANOVA and Duncan-test were also conducted in order to searching for tendency of job satisfaction according to the general characteristics and the status of their job. Pearson's correlation was carried out in order to find correlation with job satisfaction. Also, factors, which influenced job satisfaction according to regression analysis, were drawn. We describe the difference of job satisfaction between irregular dietitians and nutrition teachers as well. Besides we discussed the improvement of dietitians' (nutrition teachers') work environment to raise their job satisfaction through this study.
Humans ; Job Satisfaction ; Republic of Korea

Mediastinal fibrosis is pathologically characterized by chronic inflammation and fibrosis of mediastinal soft tissue. Mediastinal fibrosis is local expression of a family of systemic fibrosing syndroms. This can result in compression of adjacent mediastinal structures. Idiopathic fibrosing syndromes include retroperitoneal fibrosis, sclerosing cholangitis of the orbit and fibrosis of the thyroid gland(Riedel's struma). The cause of these disorders is obscure, in some instance there is an underlying malignancy, infection, history of drug ingestion, or trauma with retoperitoneal bleeding. Treatment of mediastinal fibrosis depends on structures involved by the fibrotic process. The disease is self limited in most case or improved by steroids uses. We experienced a case of idopathic solerosing mediastinitis with orbital fibrous dysplasia of unknown cause, which was confirmed by open lung biopsy, so reported it with a review of literature.
Biopsy ; Cholangitis, Sclerosing ; Eating ; Fibrosis* ; Hemorrhage ; Humans ; Inflammation ; Lung ; Mediastinitis ; Orbit ; Retroperitoneal Fibrosis ; Steroids ; Thyroid Gland

OBJECTIVE: To assess the outcomes of pregnancies in women with kyphoscoliosis. METHOD: A total of 15 patients (17 pregnancies) complicated by kyphoscoliosis were reviewed among 19,717 deliveries between Jan. 1991 and Apr. 2001, from the Department of Obstetrics and Gynecology, Seoul National University Hospital. Their prenatal course, mode of deliveries, and pregnancy outcomes were scrutinizingly investigated. RESULTS: The incidence of kyphoscoliosis in this study was one per 1160 deliveries. The mean age of these patients in their pregnancies was 30.6+/-4.4 years (range 23-38), mean height 143.5+/-14.0 cm (range 124-160), and mean weight 55.8+/-14.4 kg (range 38-96). The causes of kyphoscoliosis included idiopathic (n=8), spinal tuberculosis (n=3), external trauma (n=3), poliomyelitis (n=1), spinal muscular atrophy (n=1), and progressive muscular dystrophy (n=1). The mean forced vital capacity (FVC) was 2.098+/-0.774 L (range 0.54-3.59) and mean vital capacity (VC) % predicted was 68.2+/-20.6% (range 24-105) prior to delivery. Vaginal delivery was performed in 4 cases, and cesarean section in 13. Fetal growth restriction was identified in 7 cases, and one case had both fetal heart anomaly and imperforate anus. Two babies were managed in neonatal intensive care unit; preterm birth at 34 weeks in one case, and term birth with low apgar score in the other. Maternal pulmonary complication was developed in two cases, the lowest two values of FVC and VC % predicted, one was FVC 0.86 L, VC % predicted 33% and the other was FVC 0.54L, VC % predicted 24%. These mothers were managed with transnasal oxygen therapy in one, artificial oxygen therapy in the other. CONCLUSION: The maternal and perinatal risks in pregnancy associated with kyphoscoliosis may be dependent on maternal pulmonary function prior to delivery.
Anus, Imperforate ; Apgar Score ; Cesarean Section ; Female ; Fetal Development ; Fetal Heart ; Gynecology ; Humans ; Incidence ; Infant, Newborn ; Intensive Care, Neonatal ; Mothers ; Muscular Atrophy, Spinal ; Muscular Dystrophies ; Obstetrics ; Oxygen ; Poliomyelitis ; Pregnancy Outcome ; Pregnancy* ; Premature Birth ; Seoul ; Term Birth ; Tuberculosis, Spinal ; Vital Capacity

OBJECTIVE: To assess the outcomes of pregnancies in women with kyphoscoliosis. METHOD: A total of 15 patients (17 pregnancies) complicated by kyphoscoliosis were reviewed among 19,717 deliveries between Jan. 1991 and Apr. 2001, from the Department of Obstetrics and Gynecology, Seoul National University Hospital. Their prenatal course, mode of deliveries, and pregnancy outcomes were scrutinizingly investigated. RESULTS: The incidence of kyphoscoliosis in this study was one per 1160 deliveries. The mean age of these patients in their pregnancies was 30.6+/-4.4 years (range 23-38), mean height 143.5+/-14.0 cm (range 124-160), and mean weight 55.8+/-14.4 kg (range 38-96). The causes of kyphoscoliosis included idiopathic (n=8), spinal tuberculosis (n=3), external trauma (n=3), poliomyelitis (n=1), spinal muscular atrophy (n=1), and progressive muscular dystrophy (n=1). The mean forced vital capacity (FVC) was 2.098+/-0.774 L (range 0.54-3.59) and mean vital capacity (VC) % predicted was 68.2+/-20.6% (range 24-105) prior to delivery. Vaginal delivery was performed in 4 cases, and cesarean section in 13. Fetal growth restriction was identified in 7 cases, and one case had both fetal heart anomaly and imperforate anus. Two babies were managed in neonatal intensive care unit; preterm birth at 34 weeks in one case, and term birth with low apgar score in the other. Maternal pulmonary complication was developed in two cases, the lowest two values of FVC and VC % predicted, one was FVC 0.86 L, VC % predicted 33% and the other was FVC 0.54L, VC % predicted 24%. These mothers were managed with transnasal oxygen therapy in one, artificial oxygen therapy in the other. CONCLUSION: The maternal and perinatal risks in pregnancy associated with kyphoscoliosis may be dependent on maternal pulmonary function prior to delivery.
Anus, Imperforate ; Apgar Score ; Cesarean Section ; Female ; Fetal Development ; Fetal Heart ; Gynecology ; Humans ; Incidence ; Infant, Newborn ; Intensive Care, Neonatal ; Mothers ; Muscular Atrophy, Spinal ; Muscular Dystrophies ; Obstetrics ; Oxygen ; Poliomyelitis ; Pregnancy Outcome ; Pregnancy* ; Premature Birth ; Seoul ; Term Birth ; Tuberculosis, Spinal ; Vital Capacity

Extensive disease surveys performed during the summers of 2013 and 2014 in Schisandra chinensis orchards resulted in the finding of a Septobasidium sp. associated with felt disease. The fungus was characterized to be symbiotic with a scale insect (Pseudaulacaspis cockerelli). Morphological and molecular characteristics of the Septobasidium isolates were investigated. The isolates were morphologically and phylogenetically close to S. bogoriense. We tentatively describe this isolate as a Septobasidium sp., mainly because of the limited amount of information available on the internal transcribed spacer region of the ribosomal DNA of Septobasidium spp.
DNA, Ribosomal ; Fungi ; Hemiptera ; Schisandra*

OBJECTIVE: This study was done to formulate Korean fetal biometry charts of midtrimester presenting percentile values as a function of gestational age. METHODS: The relationships between the ultrasound measurement of 5 fetal parameters (biparietal diameter, head circumference, abdominal circumference, femur length, transverse cerebellar diameter) and nuchal skinfold thickness and menstrual age were determined by a cross-sectional study. The study group consisted of 215 normal healthy pregnant Korean women with known last menstrual period and regular menstrual period who had been performed genetic amniocentesis at our hospital and for whom complete pregnancy outcome information was available. All ultrasound examination was performed by one expert examiner. For each of the 5 parameters, the 5th, 10th, 25th, 50th, 75th, 90th, and 95th percentiles were determined. RESULTS: Ready-to-use fetal measurement charts in midtrimester are presented in a format giving the percentile values as a function of gestational age. CONCLUSION: These fetal biometry charts, obtained from midtrimester, Korean women can be used as a reference value.
Amniocentesis ; Biometry ; Cross-Sectional Studies ; Female ; Femur ; Fetal Development* ; Gestational Age* ; Head ; Humans ; Pregnancy ; Pregnancy Outcome ; Pregnancy Trimester, Second* ; Pregnancy* ; Reference Values ; Skinfold Thickness ; Ultrasonography*

Fistula between coronary artery and pulmonary artery is a type of coronary artery anomalies. It can cause atypical chest pain and fatigue, angina pectoris, endocarditis, finally myocardial steal can result in heart failure and myocardial infarction. But only 0.1-0.2% of coronary angiographic studies reveal the communications between coronary artery and other spaces. (heart chamber, pulmonary artery etc.) It is frequently congenital, but acquired types are increasing because chest and heart manipulations such as opertion of tetralogy of Fallot, endomyocardial biopsy, radiation therapy, or penetrating blunt trauma are increasing. There are reports about repair of fistula using thrombogenic tips, coil embolization and surgical intervention. We report a connection between coronary artery and pulmonary artery in 79 years old female. She was 30 pack-years smoker and suffered from dyspnea several years with chronic obstructive pulmonary disease. She presented with atypical chest pain and palpitation after admission. Electrocardiography showed ST-T wave abnormality. Emergency coronary angiography and chest CT scan revealed coronary-pulmonary artery fistula. Transcatheter embolization was performed and she was relieved from discomforts.
Aged ; Angina Pectoris ; Arteries* ; Biopsy ; Chest Pain ; Coronary Angiography ; Coronary Vessels ; Dyspnea ; Electrocardiography ; Embolization, Therapeutic ; Emergencies ; Endocarditis ; Fatigue ; Female ; Fistula* ; Heart ; Heart Failure ; Humans ; Myocardial Infarction ; Pulmonary Artery ; Pulmonary Disease, Chronic Obstructive ; Tetralogy of Fallot ; Thorax ; Tomography, X-Ray Computed