No abstract available.
Emergencies* ; Humans

No abstract available.
Emergencies* ; Humans

No abstract available.
Thyroid Diseases* ; Thyroid Gland*

In chronic illness patients, promotion and self-care are important strategies for maintaining and improving health. Self-care behavior of hypertensive patient are affected by various variables. The purpose of this study was to investigate the relationships between three cognitive-perceptual resources-self efficacy, hardiness and perceived barriers and self-care in hypertensive patients. The subjects for the study were 102 patients who admitted to K medical center or visited to out-patient ward. The instruments used for this study included a survey of general characteristic. self-care, self efficacy, health related hardiness and perceived barriers. Analysis of data was done by use of mean, t-test, ANOVA, Person correlation coefficient and multiple regression The results of this study are summarized as follows: 1)The average score for the self-care was 56.18, for the hardiness was 120.90, for the self efficacy was 59.46 and for the perceived barriers was 34.60. 2)The relationships between the variables of self-care and cognitive-perceptual resource-self efficacy, hardiness, perceived barriers were significant. Self-care was significantly related to hardiness(r=.47, p<.001), suggesting that the person with high hardiness got higher self care scores. Self-care was significantly related to perceived barriers(r=-.41, p<.001), suggesting that the person with high perceived barriers got higher self care scores. A slight but significant correlation was also found between self-care and self efficacy(r=.26, p<.01). 3)In the relationships between general characteristics variables and self-care there were significant differences in gender(t=2.46, p<.05), job(t=3.72, p<.05), duration of illness(t=4.92, p<.05). 4)Stepwise multiple regression analysis was performed to examine the relationship between self-care and independent variables(self-efficacy, hardiness, perceived barriers) and selected general characteristics variables-job, duration of illness. These variables accounted for 36% of the variance in self-care score(F=13.34, p<.000). The hardiness was the most predictive factor(R2=19%) followed by job and perceived barriers. The finding of this study have implications for education of hypertensive patients and health care providers. For chronically ill patients adhere to self-care, we should focus on determining their personal resources such as hardiness and perceived barriers.
Chronic Disease ; Education ; Health Personnel ; Humans ; Hypertension* ; Outpatients ; Self Care* ; Self Efficacy

No abstract available.
Diagnosis* ; Respiratory Distress Syndrome, Adult*

No abstract available.
Amputees* ; Humans

Endoscopic variceal ligation is an accepted new form of safe treatment for esophageal varices. But, there are a few reports of long-term effect of EVL. We analysed 60 patients to evaluate long-term effect of EVL for esophageal varices. The eradication rate was 96.5%, the mean session for eradication of varices 3.0, the number of bands per person 21.5 and the number of bands per session 7.2, Child-Pugh classes(A: B: C) of patients were improved in 25, not changed in 30, deteriorated in 2 cases by EVL(34:19:4 at postEVL vs 20:19:21 at baseline, p<0.01). No serious treatment-related complication resulted from 167 EVL sessions. The patients were followed for a mean of 10.5 months, during which recurrence rate of varices was 14.5%, rebleeding rate 16.4%, and mortality rate 12,7%. The period from last session to recurrence was 4-19 months(mean 9.6). No late complication of EVL was documented. In conclusion, EVL is a safe and effective for hemostasis and eradication of esophageal varices. Thus it can improve liver function and reduce bleeding-related mortality in patients with liver cirrhosis. But the regular periodic examination for recurrence after an eradication of varices should be required.
Esophageal and Gastric Varices* ; Follow-Up Studies* ; Hemostasis ; Humans ; Ligation* ; Liver ; Liver Cirrhosis ; Mortality ; Recurrence ; Varicose Veins

Endoscopic variceal ligation is an accepted new form of safe treatment for esophageal varices. But, there are a few reports of long-term effect of EVL. We analysed 60 patients to evaluate long-term effect of EVL for esophageal varices. The eradication rate was 96.5%, the mean session for eradication of varices 3.0, the number of bands per person 21.5 and the number of bands per session 7.2, Child-Pugh classes(A: B: C) of patients were improved in 25, not changed in 30, deteriorated in 2 cases by EVL(34:19:4 at postEVL vs 20:19:21 at baseline, p<0.01). No serious treatment-related complication resulted from 167 EVL sessions. The patients were followed for a mean of 10.5 months, during which recurrence rate of varices was 14.5%, rebleeding rate 16.4%, and mortality rate 12,7%. The period from last session to recurrence was 4-19 months(mean 9.6). No late complication of EVL was documented. In conclusion, EVL is a safe and effective for hemostasis and eradication of esophageal varices. Thus it can improve liver function and reduce bleeding-related mortality in patients with liver cirrhosis. But the regular periodic examination for recurrence after an eradication of varices should be required.
Esophageal and Gastric Varices* ; Follow-Up Studies* ; Hemostasis ; Humans ; Ligation* ; Liver ; Liver Cirrhosis ; Mortality ; Recurrence ; Varicose Veins

We present a case of multiple trichoepithelioma associated with milia. A 12-year-old girl developed symmetrically distributed, numerous, skin-colored papules on her face, some of which were studded with milia-like whitish materials. Histopathological findings of these lesions revealed the typical findings of trichoepitheliomas with overlying milia in the upper dermis.
Child ; Dermis ; Female ; Humans

No abstract available.
Emergencies* ; Humans