Primary sclerosing cholangitis is a chronic disease of unknown cause, characterized by inflammation and fibrosis of the biliary tree with diffuse multifocal stricture formation. With increasing knowledge of primary sclerosing cholangitis, it is now recognized that in the setting of inflammatory bowel disease, cholangiocarcinoma is a complication of primary sclerosing cholangitis. We recently experienced a case of 41 year old female patient who had Crohns disease associated with primary sclerosing cholangitis and cholangioearcinoma. We report a case of primary sclerosing cholangitis with cholangiocarcinoma with literature review.
Adult ; Biliary Tract* ; Cholangiocarcinoma* ; Cholangitis, Sclerosing* ; Chronic Disease ; Constriction, Pathologic ; Crohn Disease ; Female ; Fibrosis ; Humans ; Inflammation ; Inflammatory Bowel Diseases ; Pancreas*

Werniche's encephalopathy is clinically characterized by the acute onset of global confusion, ataxia, gaze paresis, and nystagmus. It result from a deficiency in thiamine, an essential coenzyme in intermediate carbohydrate metabolism. The prompt use of thiamine prevents progression of the disease and reverses those lesions that have not yet progressed to the point of fixed structural change. We experienced a case of Wemiches encephalopathy associated with hyperemesis gravidarum, which happens to the patient who are injected only dextrose without thiamine. Therefore, we emphasize the need of thiamine replacement in hyperemesis gravidarum.
Ataxia ; Carbohydrate Metabolism ; Female ; Glucose ; Humans ; Hyperemesis Gravidarum ; Paresis ; Pregnancy ; Thiamine

PURPOSE: This study elicited Korean women's perceptions of the life situations that contribute to Hwabyung, a culture bound psychiatric illness in Korea, and delineated a typology of the perceived causative factors for this illness. METHOD: A purposive sample of 21 Korean women was recruited from a church, a senior center in Seoul and a clinic that provides traditional Korean and westernized medical services to patients in the Gyeonggi area. Inclusion criteria were: 1) the diagnosis of Hwabyung by a traditional doctor or "stress reaction and depression" by a westernized doctor; and 2) a score greater than 40 on the Hwabyung Self Report Instrument. Surveys using the HSRI and individual interviews using Q methodology were used. RESULT: The average age of the participants was 53.7 years (range 35-84). The mean score on the HSRI was 46.2 (range = 42-52). Data analysis showed that participants perceived three life situations to cause Hwabyung: vulnerable situation, lowered self esteem, and negative life events. CONCLUSIONS: Korean women, suffering from Hwabyung, perceived at least three different causal patterns for this illness. Nursing care plans should be tailored to meet these differences.
Diagnosis ; Female ; Gyeonggi-do ; Humans ; Korea ; Patient Care Planning ; Self Concept ; Self Report ; Senior Centers ; Seoul ; Statistics as Topic

No abstract available.
Dermoid Cyst*

PURPOSE: This study was designed to identify degrees of self-esteem, health status, and life satisfaction in elderly women and investigate the relationship between these factors. The results will contribute to effective nursing intervention for promoting the quality of life for elderly women. METHOD: The subjects of this study included 129 elderly women. The data was collected through personal interviews using questionnaires from Nov. to Dec. of 2000. The measurement tools were the self-esteem scale developed by Rosenberg and translated by Byong-Je Jong (1974), the health status scale developed by Young Ja Lee (1989), and the life satisfaction scale developed by Jin Youn (1982). The data was analyzed by the SPSS computer program, and it included descriptive statistics, x2-test, t-test and the pearson correlation coefficient. RESULT: The conclusions of this study are summarized as follows: 1. There was a significant difference in age (x2=12.952, p=.000), religion (x2=6.140, p=.000), spending money (x2=.7.511, p= .000), living expenses load (x2=16.189, p= .000), and the major support provider (x2=6.539, p=.000), according to general characteristics in the existence elderly women. 2. There was a significant difference in self-esteem (t=7.05, P=.000), Health status (t=-10.09, P=.000), and life satisfaction (t=6.62, P=.000) between the two groups. 3. There was a significant positive correlation between self-esteem and health status (r=.406, P=.000), self-esteem and life satisfaction (r=.524, P=.000), and health status and life satisfaction (r=.504, P= .0000) in elderly women.
Aged* ; Female ; Humans ; Nursing ; Quality of Life ; Surveys and Questionnaires

No abstract available.
Electrolytes* ; Lung*

Sexual health education for the patients is an independent function as well as a professional responsibility of nurses. Education should be based on the needs of patients in order to be successful and effective. Therefore nurses must identify sexual health education needs of their patients. A sexual health education protocol for hysterectomy patients was developed by the researcher for this study and included physiosexual and psychosexual topics as well as the topic of sexual interaction. The subject pool was composed of 108 post op total hysterectomy patients who had undergone doing a hysterectomy 5 to 10 days previously at 5 hospitals located in the Seoul and Kyunggi-do area from July 23 to September 30, 2001.The questionnaire was composed of 60 items on sexual health education and used a Likert-type 4-point scale. Internal consistency of this questionnaire in this study was cronbach's aloha=.9495 for sexual health educational needs. For data analysis, the study executed a t-test, ANOVA, and Duncan's Test, in accordance with the purpose of the study using SPSS/PC Win 10.0. The results were as follows: The need for education was highest in the psychosexual area (3.38 point) with education related to sexual interaction the lowest (3.20 point). Osteoporosis (3.75 point) was ranked overall as the highest area of educational need. The degree of educational need varied in correlation with other characteristics of the patients including age, status of marriage, duration of marriage, religion, academic career, monthly income, occupation, the number of children age of menarche, menstruation, other diseases except gynecological disease, previous genital organ operation experience, disease discovery method, pre-explanation for the hysterectomy, average sexual intercourse frequency, how to acquire sexual health information and previous sexual health education (p<.05). In conclusion, the degree of sexual health education needs of hysterectomy patients was very high. Therefore, sexual health educational programs planned according to characteristics of the participating women is necessary.
Child ; Coitus ; Education ; Female ; Genitalia ; Gyeonggi-do ; Humans ; Hysterectomy* ; Marriage ; Menarche ; Menstruation ; Occupations ; Osteoporosis ; Surveys and Questionnaires ; Reproductive Health* ; Seoul ; Statistics as Topic

No abstract available.
Ascites* ; Hernia, Umbilical* ; Leiomyoma*

PURPOSE: This study attempted to describe the essential structure of the lived experience of a students transferring into the nursing program. METHOD: The data was collected from 14 graduates and undergraduates who enrolled in nursing school as transfer students. The analysis of the data was made by phenominological analytic method suggested by Colaizzi(1978). RESULT: In this study, 6 essential themes were extracted: 'Constant anxiety of being a stranger', 'Feeling of constant burden', 'Thankfulness of a clinical practice group', 'Being supportive with each other between transferring students', 'Pleasure of studying a desired major', 'Feeling the responsibility of own choice of a new major'. CONCLUSION: With rapidly increasing number of transferring students, the significance of this study in the field of nursing is that by understanding the transferring experience of nursing students, it describes the need of systematic and emotional support for transferring students.

PURPOSE: The purposes of this phenomenological study were to explore the experience of preterm labor. METHODS: The participants were 7 women admitted to two obstetric hospitals in Kyunggi-do Province with preterm labor. Data was collected with MP3 records through individual in-depth interviews and participated observation. The data was analyzed by Giorgi(1985) method. RESULTS: The results were divided into six categories as follows: 1) Inappropriate coping: unexpected event, overwork, lack of insight of preterm labor, 2) Burn out: multiple role, burden, role conflict. 3) Restrictions of lifestyle: uncomfortable hospital environment, wearisomeness, limitations of personal hygiene, 4) Physical discomfort: headache, flush, tremor, palpitations, 5) Psychological distress : concerns about fetus health status, fear of possible preterm delivery, lack of information, financial worries, 6) A transition to new lifestyle: share of household chores, communication with self-help group, careful lifestyle. CONCLUSION: The findings of this study will offer a better understanding of women's preterm labor experiences and suggest clues to nurses on how to improve the care they provide.
Burns ; Family Characteristics ; Female ; Fetus ; Headache ; Humans ; Hygiene ; Life Style ; Obstetric Labor, Premature ; Pregnancy ; Self-Help Groups ; Tremor