PURPOSE: This study was to identify the stop-out experiences of female nursing students. Stop-out is defined as the withdrawal temporarily from enrollment at a university. METHODS: Data was collected through in-depth individual interviews from February 2013 to February 2014 (N=8) and analyzed with Colaizzi's phenomenological methodology. The participants were interviewed once or twice, for 30minutes to 1hour per interview. RESULTS: Five theme-clusters were identified from 14 themes. The theme-clusters were 'Craving for self-directed life', 'Anxiety about leaving regular orbit', 'Responsibility for selection of the stop-out', 'Reinvention of self and nursing major', and 'Making of mental power'. CONCLUSION: The results showed that the stop-out experience of female nursing students in this study has positive aspects in craving for self-directed life and challenges to live a new life. Therefore research is needed on various angles in studying stop-out experience as well as balance quantitative and qualitative research methods. Also it is suggested that continuous managements should be given to the students during stop-out period.
Female ; Humans ; Nursing ; Qualitative Research ; Students, Nursing*

No abstract available.
Acne Vulgaris*

No abstract available.
Pityriasis Rubra Pilaris ; Pityriasis ; Ustekinumab

No abstract available.
Lichen Sclerosus et Atrophicus* ; Lichens*

No abstract available.
Audiometry*

Bradycardia is recognized as an acute complication of cervical cord injury. The etiology of such a phenomenon is believed to be due to an imbalance in the autonomic nervous system imposed on the heart by a cervical cord injury. The majority of the episodes of bradycardia degrees Ccurred either with tracheal suctioning or with changes in position. We experienced a case of severe bradycardia and hypotension when turning the patient with acute cervical spinal cord injury to the prone position, which was reversed by administration of intravenous atropine and ephedrine.
Anesthesia, General* ; Atropine ; Autonomic Nervous System ; Bradycardia* ; Ephedrine ; Heart ; Humans ; Hypotension* ; Prone Position ; Spinal Cord Injuries* ; Spinal Cord* ; Suction

OBJECTIVE: This study aims the electrophysiological documentation of possible neurological abnormalities in diabetic patients with or without neuropathy symptoms. METHOD: Forty five diabetic patients, 15 male and 30 female, were included in this study. They were divided into symptomatic and asymptomatic groups and received various electrophysiologic studies including a nerve conduction study, F-wave study and median and tibial SSEP study. The clinical parameters were the clinical symptom and sign of neuropathy, disease duration, complications, HbA1c, and fasting blood sugar. Statistical significances of the parameters were observed between symptomatic and asymptomatic groups. RESULTS: The most sensitive electrophysiologic parameter was the tibial SSEP. For the documentation of diabetic neuropathy, the electrophysiologic study of posterior tibial, median, superficial peroneal and sural nerves were most useful. F-wave study did not reflect the early involvement of proximal nerve segment in diabetic patients. CONCLUSION: Multimodal neurophysiological approaches including a tibial SSEP study rather than the conventional nerve conduction studies can depict a broader and more complete map of the possible abnormalities of diabetic neuropathy.
Blood Glucose ; Diabetic Neuropathies ; Evoked Potentials, Somatosensory* ; Fasting ; Female ; Humans ; Male ; Neural Conduction* ; Sural Nerve

Thirteen patients were operated for cubital tunnel syndrome and followed for an average of 26 months postoperatively. Ten patients had a history of relevant trauma and three patients had degenerative osteoarthritis of the elbow. The average duration of symptoms was 18 months (range, 2 to 96 months). Diagnosis was made by physical examination, electromyography and nerve conduction study. Among these, nerve conduction study was found to be the most valuable diagnostic method for the patients with atypical clinical findings. Most of the operations were performed by anterior transposition of the ulnar nerve. At the most recent follow-up, the result was excellent in two patients, good in eight, and fair in three; thus ten patients(77%) showed satisfactory results. The rating system for ulnar neuropathy based on sensory, motor dysfunction and pain was useful for evaluating the operative results. The postoperative gain of score for pain and sensory function were larger than that of motor function. Factors known to influence the result of the operation (age, duration of symptom, history of trauma, method of operation) did not effect the outcome in this study. For successful operation, the ulnar nerve must be thoroughly examined, all possible levels of compression must be released and new foci of compression must be created.
Cubital Tunnel Syndrome ; Diagnosis ; Elbow ; Electromyography ; Follow-Up Studies ; Humans ; Methods ; Neural Conduction ; Osteoarthritis ; Physical Examination ; Sensation ; Ulnar Nerve ; Ulnar Neuropathies

OBJECTIVE: In addition to bone bridging inside a cage or graft (intragraft bone bridging, InGBB), extragraft bone bridging (ExGBB) is commonly observed after anterior cervical discectomy and fusion (ACDF) with a stand-alone cage. However, solid bony fusion without the formation of ExGBB might be a desirable condition. We hypothesized that an insufficient contact area for InGBB might be a causative factor for ExGBB. The objective was to determine the minimal area of InGBB by finite element analysis. METHODS: A validated 3-dimensional, nonlinear ligamentous cervical segment (C3–7) finite element model was used. This study simulated a single-level ACDF at C5–6 with a cylindroid interbody graft. The variables were the properties of the incorporated interbody graft (cancellous bone [Young’s modulus of 100 or 300 MPa] to cortical bone [10000 MPa]) and the contact area between the vertebra and interbody graft (Graft-area, from 10 to 200 mm²). Interspinous motion between the flexion and extension models of less than 2 mm was considered solid fusion. RESULTS: The minimal Graft-areas for solid fusion were 190 mm², 140 mm², and 100 mm² with graft properties of 100, 300, and 10000 MPa, respectively. The minimal Graft-areas were generally unobtainable with only the formation of InGBB after the use of a commercial stand-alone cage. CONCLUSION: ExGBB may be formed to compensate for insufficient InGBB. Although various factors may be involved, solid fusion with less formation of ExGBB may be achieved with refinements in biomaterials, such as the use of osteoinductive cage materials; changes in cage design, such as increasing the area of polyetheretherketone or the inside cage area for bone grafts; or surgical techniques, such as the use of plate/screw systems.
Biocompatible Materials ; Diskectomy* ; Finite Element Analysis* ; Ligaments ; Spinal Fusion ; Spine ; Transplants

BACKGROUND AND OBJECTIVES: The etiology and pathogenesis of nasal polyps are still not fully understood. In nasal polyps, infiltration of lymphocytes is one of the characteristic findings. The purpose of this study was to determine the lymphoid cell populations in various nasal polyps and the effect of corticosteroid on the lymphocytes of nasal polyps. MATERIALS AND METHODS: We carried out immunohistochemical staining for CD3, CD4, CD8, CD20, and HLA-DR monoclonal antibodies using five allergic polyps, five non-allergic polyps, five antrochoanal polyps and five steroid treated non-allergic polyps, and four normal inferior turbinates tissues. The number of positive cells in three subepithelial and three periglandular areas were counted by light microscopy at x 400 magnification in each section. RESULTS: There were no significant difference among lymphocyte subsets at different levels of nasal polyp. The proportion of CD8+ was significantly higher than that of CD4+ cells in the tissues of every nasal polyp, and CD20+ cells were rare. Corticosteroid significantly influenced the proportion of CD4+ cells. There was no difference among lymphocyte subsets between allergic and non-allergic polyps. The incidence of HLA-DR+ cells were much lower in antrochoanal polyps and inferior turbinates than in nasal polyps. CONCLUSION: The proportion of low CD4+cells, high CD8+ cells, and high HLA-DR+ cells in nasal polyp may be responsible for chronic inflammation, which would be important for the formation of nasal polyps. The difference of lymphocyte subsets and low HLA-DR+ cells may reflect the different pathogenesis of antrochoanal polyp from other nasal polyps.
Adrenal Cortex Hormones* ; Antibodies, Monoclonal ; HLA-DR Antigens ; Incidence ; Inflammation ; Lymphocyte Subsets* ; Lymphocytes* ; Microscopy ; Nasal Polyps* ; Polyps ; Turbinates