No abstract available.
Leprosy*

The clinicolaboratory findings, cardiac catheterization, and outcome of operation were analyzed in 78 patients with tetralogy of Fallot, which were diagnosed by echocardiography, cardiac catheterization, and a cardiac angiography and confirmed by operation at Dong San Hospital, Keimyung University, during a 4(1/2)-year period from January 1984 to June 1988. The following results were obtained : 1) Out of the 78 cases, 45 were male and 64 were female. 2) The electrocardiogram showed right axis deviation in 71 cases(91%) and right ventricular hypertrophy in 66 cases(84.6%). 3) Chest X-ray revealed that, the cardiothoracic ratio was normal or decreased in 68 cases(87.3%), and cardiac apex elevation was noticed in 57 cases(73%). 4) Pulmonary stenosis were chiefly valvular and infundibular type(53.8%). 5) The associated heart diseases with TOF were patent foramen ovale(64.1%), right sided aortic arch(19.2%), and secundum ASD(10.3%), in that order. 6) There was an intimate correlation between secondary polycythemia and thrombocytopenia. 7) Among the 78 Cases, 73 cases had total correction, 1 case had shunt operation, and 4cases had total correction after shunt operation. The highest mortality rate occurred in the cases of total correction after shunt operation(25%). The cases with a main pulmonary artery size of 1/3 to 2/3 against, the aorta had a higher mortality than the other group, and no cases expired in the group with a ratio of more than 2/3. The overall surgical mortality was 8.9%.
Angiography ; Aorta ; Axis, Cervical Vertebra ; Cardiac Catheterization ; Cardiac Catheters ; Echocardiography ; Electrocardiography ; Female ; Heart Diseases ; Humans ; Hypertrophy, Right Ventricular ; Male ; Mortality ; Polycythemia ; Pulmonary Artery ; Pulmonary Valve Stenosis ; Tetralogy of Fallot* ; Thorax ; Thrombocytopenia

PURPOSE: The aim of the study is to determine factors influencing quality of caregiving by caregivers for the elderly with dementia. METHODS: Data were collected from 87 caregivers for elders with dementia who had visited in Busan Metropolitan Center for Dementia and D-University hospital outpatient center from July 10 to September 30, 2015. A self-reported questionnaire was used to assess the severity of the elders' dementia and knowledge of dementia, burdens and quality of caregiving by the caregivers. The SPSS 21.0 version program was used for data analysis. Data were analyzed using descriptive statistics, Pearson's correlation, t-test, ANOVA and multiple regression. RESULTS: Significant predictors of quality of caregiving by caregivers included caregivers' burdens (explanation power 25%), knowledge of dementia (explanation power 4%) and levels of education (explanation power 3%). These factors explained 32.3% of the variances in quality of caregiving. CONCLUSION: Burdens on caregivers were a major factor that decreased quality of caregiving, and knowledge of dementia was a factor that increased it. These findings show that educational programs and intervention for reducing burdens and improving knowledge of dementia are necessary to improve quality of caregiving by caregivers.
Aged ; Busan ; Caregivers* ; Dementia* ; Education ; Humans ; Outpatients ; Quality of Health Care ; Statistics as Topic

Primary pulmonary hemangiopericytoma is a rare, potentially malignant tumor and assumes more malignant course than that originated in the soft tissue. It can be asymtomatic until attaining a large size within the lung. We report a case of malignant hemangiopericytoma of the lung in a 29 year old man. It represented as a sharply demarcated, huge homogeneous opaque mass in the right upper lobe. The cytologic and histologic features were that of malignant hemangiopericytoma.

This prospective study was designed to investigate the clinical consequence of neuropsychiatric sequelae generated by acute carbon monoxide poisoning. For this study, 167 subjects who received the hospital emergency care for acute carbon monoxide poisoning during the period of November 1983 to December 1983 were selected from the emergency patients' lists of two general hospitals in Incheon area. Among them only 73 subjects could be followed up completely. Informations on the clinical consequence of neuropsychiatric sequelae were collected by 4-time-home visiting on the 10th, 30th, 70th and 180th day after acute carbon monoxide poisoning. Interviewers interviewed each family with pre-arranged questionnaire and the author performed neuropsychiatric examination for himself. The results were as follows: 1. During the 180 days after acute carbon monoxide poisoning, four types of clinical consequence were revealed. Full recovery rate was 83.6%, partial recovery rate 4.1%, delayed neuropsychiatric sequelae rate 6.8%, and death rate was 5.5%. 2. The prevalence rates of neuropsychiatric sequelae at the 2nd, 10th, 30th, 70th and 180th day were 50.7%, 32.9%, 15.1%, 15.1% and 13.7%, respectively. After the 30th day of acute carbon monoxide poisoning, no significant change of prevalence rates was observed and about half of total prevalence rate was occupied by mild and moderate degree neuropsychiatric sequelae (5.4%~8.2%). 3. After 30th day of acute carbon monoxide poisoning, there was no significant difference of the prevalence rates of neuropsychiatric sequelae among each age groups except below-19-year-old group, and prevalence rate in the female group was about three times higher than the male group. The poorer the consciousness level of the subject at emergency room was, the higher the prevalence rate was. Those of the stuporous, semicomatose and comatose groups were 4 to 20 times higher than the clear and drowsy groups. The prevalence rate of neuropsychiatric sequelae by emergency treatment was 5 to 10 times higher in hyperbaric oxygen therapy group than in 100% oxygen group. 4. At each time observed, as many as 60~90% of subjects with neuropsychiatric sequelae received no treatment at all.
Carbon Monoxide Poisoning* ; Carbon Monoxide* ; Carbon* ; Coma ; Consciousness ; Emergencies ; Emergency Medical Services ; Emergency Service, Hospital ; Emergency Treatment ; Epidemiologic Studies* ; Female ; Follow-Up Studies* ; Hospitals, General ; Humans ; Hyperbaric Oxygenation ; Incheon ; Male ; Mortality ; Oxygen ; Prevalence ; Prospective Studies ; Surveys and Questionnaires ; Stupor

We experienced a case of congenital rubella syndrome manifesting patent ductus arteriosus, petechiae, microcephaly, intrauterine growth retardation, and hepatomegaly in one-day-old female newborn infant. Congenital rubella syndrome was confirmed by positive results of anti-rubella IgM in the sera of patient. Anti-rubella IgM was negative in the sera of mother, while anti-rubella IgG was positive.
Ductus Arteriosus, Patent ; Female ; Fetal Growth Retardation ; Hepatomegaly ; Humans ; Immunoglobulin G ; Immunoglobulin M ; Infant, Newborn ; Microcephaly ; Mothers ; Purpura ; Rubella Syndrome, Congenital*

Seventy-seven patients who were treated regularly for more than 5 years in the Taegu Leprosy Mission were investigated with regard to the change of the bacillary index(BI) after treatment of either dapsone(DDS) alone or a combination of DDS and clofazimine. The results were as follows: 1) In the group that took only DDS 400-500 mg per week, the BI conversion to negative took average 51 months. 2) In the group that took only 600-700 mg per week, the BI conversion to negative took average 34 months. 3) In the group that took only DDS 400 mg per week initially and 600-700mg per week secondarily, the BI conversion to negative took average 64 months, the last 33 months of which marked the time period that 600-700 mg were taken per week. 4) In the group that took only DDS 400-500mg per week initially and a combination of DDS gpp 700 mg per week and clofazimine. 3pp-4pp mg per week secondarily, the BI conversion to negative took average 63 months, the last 35 months of which marked the time period for the combined therapy. 5) In the group that took a combination of DDS 600- 700 mg per week and clofazimine 400 mg per week, the BI conversion to negative took average 42 months.
Clofazimine* ; Daegu ; Dapsone* ; Humans ; Leprosy* ; Missions and Missionaries

No abstract available.
Osteomalacia*

Purpose: This study investigated the effects of infection control fatigue, job stress, and resilience on burnout in nurses responding to coronavirus disease 2019 (COVID-19). Methods: This correlational study was conducted among 151 nurses working at three hospitals designated for treating COVID-19 patients in Jeonbuk Province, South Korea. Data were collected with self-report questionnaires between February 10 and 28, 2022 and analyzed using the IBM SPSS Statistics 28.0 program with descriptive statistics, Pearson product-moment correlations, and hierarchical multiple regressions. Results: The participants' scores were 3.56±0.48 out of 5 for infection control fatigue, 2.49±0.25 out of 4 for job stress, 3.49±0.45 out of 5 for resilience, and 3.02±0.34 out of 5 for burnout. Burnout was significantly associated with working experience, average working hours, working department, and desire to stay in the current department. Burnout showed statistically significant moderate positive correlations with infection control fatigue and job stress, and a statistically significant moderate negative correlation with resilience. Hierarchical regression analysis showed that infection control fatigue, job stress, and resilience were factors affecting burnout in COVID-19 response nurses, with an explanatory power of 36.6%. Conclusion Based on the above results, it is clear that job stress, infection control fatigue, and resilience are factors to consider when designing an intervention to reduce burnout in COVID-19 response nurses.

Purpose: This study investigated the effects of infection control fatigue, job stress, and resilience on burnout in nurses responding to coronavirus disease 2019 (COVID-19). Methods: This correlational study was conducted among 151 nurses working at three hospitals designated for treating COVID-19 patients in Jeonbuk Province, South Korea. Data were collected with self-report questionnaires between February 10 and 28, 2022 and analyzed using the IBM SPSS Statistics 28.0 program with descriptive statistics, Pearson product-moment correlations, and hierarchical multiple regressions. Results: The participants' scores were 3.56±0.48 out of 5 for infection control fatigue, 2.49±0.25 out of 4 for job stress, 3.49±0.45 out of 5 for resilience, and 3.02±0.34 out of 5 for burnout. Burnout was significantly associated with working experience, average working hours, working department, and desire to stay in the current department. Burnout showed statistically significant moderate positive correlations with infection control fatigue and job stress, and a statistically significant moderate negative correlation with resilience. Hierarchical regression analysis showed that infection control fatigue, job stress, and resilience were factors affecting burnout in COVID-19 response nurses, with an explanatory power of 36.6%. Conclusion Based on the above results, it is clear that job stress, infection control fatigue, and resilience are factors to consider when designing an intervention to reduce burnout in COVID-19 response nurses.