No abstract available.
Female ; Pregnancy ; Pregnancy, Tubal*

PURPOSE: The purpose of this study is to examine how well patients who had hip arthroplasty comply with medical regimens given to them after the operation. METHOD: The subjects of the study were patients who had arthroplasty at P Hospital between April 1. 2001 and August 30, 2002. 20 patients of the subjects experienced complications after the operation and the other 20 did not. Data from a survey using the qustionnaire were statistically analyzed in terms of real number, percentage point, mean and standard deviation by using chi2test. t-test and ANOVA. RESULT: 1) the surveyed patients were significantly different in the compliance of medical regimen among them according to their education background as one of the subjects general characteristics. 2) It was found that the group of complication was higher in the compliance of medical regimen than that of non-complication. The two groups showed statistically significant difference with each other in the degree of compliance with therapeutic instructions than the experimental group in terms of the maintenance of abduction after the operation, training instructions on step-by-step basis, urination cotrol on bed, accurate use of crutch, compliance with medication, balance among medical treatment, training, leisure, rest and nutrition. instructions by physicians, nurses and physical therapists, use of low armchairs and toilet bowels and no bending of the body forward, and use of a non-operated leg in case of go upstairs or downstairs. CONCLUSION: It seems necessary to develop systematic and sessional education programs for improving the compliance of medical regimen. ultimately reducing complications following hip arthroplasty.
Arthroplasty* ; Compliance ; Education ; Hip* ; Humans ; Leg ; Leisure Activities ; Patient Compliance* ; Physical Therapists ; Urination

This study was carried out to compare the effect of smoking on dietary habits, nutrient intakes and blood lipid profiles in 173 adult male drinkers. Subjects were classified by two groups, alcohol-only and alcohol-smoking, based on their alcohol or smoking habits. The BMI of the alcohol-smoking group was significantly lower than those of alcohol-only group. In dietary habits, the alcohol-smoking group had higher irregular breakfast and dinner intakes than alcohol-only group (p<0.05). Plant lipid intake of the alcohol-smoking group was higher than those of alcohol-only group (p<0.05) and the vitamin C intake of the alcohol-smoking group was lower than those of alcohol-only group (p<0.05). With regard to the diet quality evaluation of subjects, the alcohol-smoking group showed significantly lower values than alcohol-only group in the nutrient density of carbohydrate, dietary fiber, sodium, potassium, vitamin B6, and vitamin C. Also, with regard to the index of nutrition quality (INQ) and the nutrient adequacy ratio (NAR), the alcohol-smoking group showed significantly lower value than alcohol-only group in vitamin C. With these results, we found that the alcohol-smoking group had lower diet quality evaluation. The results of blood analysis showed that HDL-cholesterol in the alcohol-smoking group was significantly lower than that in the alcohol-only group. In conclusion, the alcohol-smoking group had greater health risk than the alcohol-only group. Particularly, alcohol-smoking caused irregular eating patterns and unbalanced nutrition intakes compared to alcohol-only and also changed blood composition as shown in the decrease of HDL-cholesterol. Besides, the index of coronary heart disease such as AI was higher in both groups suggesting that alcohol-only or alcohol-smoking cause health problems. Since there is the limiting point in which the comparative analysis of non-drinkers and non-smokers is unable to be performed in this study, further wide research is needed on that matter.
Adult ; Ascorbic Acid ; Breakfast ; Coronary Disease ; Diet ; Dietary Carbohydrates ; Eating ; Food Habits ; Humans ; Male ; Meals ; Plants ; Potassium ; Smoke ; Smoking ; Sodium ; Vitamin B 6

PURPOSE: The purpose of this study was to identify the factors influencing suicidal ideation in older adults with osteoarthritis. METHODS: Data was collected by questionnaires using face-to-face interviews from 87 outpatients selected at a private hospital. The data was analyzed using SPSS/WIN 12.0. RESULTS: The mean scores of disability, depression and suicidal ideation were 58.5, 18.1 and 8.3 respectively. There were significant differences in suicidal ideation according to socio-demographic factors such as education, present job, marital status, residence with, economic status, difference in caregiver. Depression was a significant predictor of suicidal ideation (F=51.15, p<.001). CONCLUSION: Based on the findings of this study, to prevent suicidal ideation for older adults with osteoarthritis, nursing intervention program should include psychological care for depression as well as physical care for disability reduction.
Adult* ; Caregivers ; Depression ; Education ; Hospitals, Private ; Humans ; Marital Status ; Nursing ; Osteoarthritis* ; Outpatients ; Questionnaires ; Suicidal Ideation*

Ischemic myelopathy is a rare and uncommon disease than the cerebral ischemia. Ischemia of spinal cord usually occur in the midthoracic regions (T4-T8). The major arteries supplying spinal cord are anterior and posterior spinal arteries. Anterior spinal artery is more responsible for the ischemic change of the spinal cord. We report a 45 years old man with ischemia of the spinal cord and acute renal failure due to rhabdomyolysis following the heavy alcohol ingestion.
Acute Kidney Injury ; Arteries ; Brain Ischemia ; Eating* ; Humans ; Ischemia* ; Middle Aged ; Rhabdomyolysis* ; Spinal Cord Ischemia ; Spinal Cord*

Rhabdomyolysis is an acute disorder resulting from skeletal muscle injury in which intracellular contents are released into extracellular space and plasma. The condition may result from drug or alcohol overdose, infection, crush injuries, collagen disease, or intensive exercise. We report two cases of acute rhabdomyolysis resulting from CO poisoning and alcohol overdose, and discuss the MRI and ultrasonographic findings.
Collagen Diseases ; Extracellular Space ; Magnetic Resonance Imaging ; Muscle, Skeletal ; Plasma ; Poisoning ; Rhabdomyolysis*

Background: Guselkumab is a monoclonal antibody that selectively targets interleukin-23 in the treatment of moderate to severe psoriasis. Several multinational clinical studies have reported on its efficacy. However, data on its efficacy and safety in Korean patients are currently very limited. Objective: This study evaluated the real-world efficacy and safety of guselkumab for treating patients with moderate to severe psoriasis in Korea. Methods: This single-center retrospective study included 40 patients treated with guselkumab for at least 12 weeks.Electronic medical records were reviewed for demographics, clinical characteristics, psoriasis area and severity index (PASI) score, body surface area, and adverse events. Results: The average PASI score at baseline (12.0±8.3) was significantly reduced to 3.3±3.8 at week 12, 2.2±2.2 at week 36, and 1.6±1.5 at week 52. At week 60, 93%, 60%, and 33% of patients achieved a PASI of 75, 90, and 100, respectively. Obesity, psoriatic arthritis, and previous biologics treatment experience were not significant indicators of guselkumab treatment efficacy. Seven patients reported adverse events; however, none discontinued guselkumab treatment. Conclusion Guselkumab is an effective and safe treatment option for moderate to severe psoriasis in Korea.

BACKGROUND: The purpose of this study was to survey the nasal colonization of methicillin-resistant Staphylococcus aureus (MRSA) among the patients admitted in a medical intensive care unit (MICU) and analyze risk factors associated with the colonization. METHODS: The study was carried out on patients admitted into the MICU in a 1,250-bed tertiary care university hospital from January through December 2006. Nasal surveillance cultures were obtained from patients within 24 hours of admission to the unit. Data were analyzed retrospectively by the review of medical records. RESULTS: A total of 312 patients were screened with active nasal cultures; 36 patients (11.6%) were positive for MRSA. Of these, 22 (7.1%) were positive in the nasal cultures only and 14 (4.5%) were positive in the cultures of other specimens (13, sputum; 1, joint fluid) in addition to the nasal swabs. Among the risk factors for MRSA nasal colonization were sex (man), route of admission (from other ICUs or wards), a history of ICU admission during the recent 12 months, and prolonged hospital days in ICU. CONCLUSION: MRSA nasal carrier rate was found higher in this study than in those reported in the literature. Most of the patients colonized with MRSA in the nostril were not colonized with the organism elsewhere in the body. Whether or not active surveillance for MRSA should be performed would depend on the nasal colonization rate of the patients at the time of admission to the ICU.
Colon* ; Humans ; Intensive Care Units* ; Critical Care* ; Joints ; Medical Records ; Methicillin Resistance* ; Methicillin-Resistant Staphylococcus aureus* ; Retrospective Studies ; Risk Factors ; Sputum ; Tertiary Healthcare

PURPOSE: Brush cytology is one of useful methods for establishing a diagnosis of lung cancer. There are two methods of retrieving the specimen of brush cytology. One is to withdraw the brush through the working channel of the bronchoscope (withdrawn brush) and the other is to withdraw the brush and bronchoscope as a unit, with brush remaining protruded through the distal tip of the bronchoscope (nonwithdrawn brush). We tried to compare two methods in the cellularity of the specimen and the diagnosis of lung cancer. MATERIALS AND METHODS: Thirty-one patients with suspected lung cancer were studied prospectively. The sequence of sampling (withdrawn or nonwithdrawn brush) was assigned randomly. The specimens were interpreted by two cytopathologists about cellularity (1-4) and presence of recognizable malignant cells. RESULTS: Cellularity was significantly greater for nonwithdrawn brush (p<0.05). There was no significant difference of diagnostic rate between both methods in the diagnosis of lung cancer. CONCLUSION: Withdrawing the brush through the bronchoscope decreases the cellularity, but it does not affect the diagnostic rate for lung cancer.
Bronchoscopes ; Diagnosis* ; Humans ; Lung Neoplasms* ; Lung* ; Prospective Studies

No abstract available.
Scrub Typhus* ; Seoul*