No abstract available.
Hypertrophy, Left Ventricular* ; Kidney Failure, Chronic*

PURPOSE: This study was done to provide fundamental data for nursing interventions to prevent and reduce fatigue and to identify fatigue and kidney disease symptoms in female patients on hemodialysis and evaluate factors associated with this fatigue. METHOD: A cross-sectional study design was used with self-administered questionnaires which included general characteristics and the fatigue scale developed by Brown, Dittner, Findly, & Wessely (2005) (Cronbach's alpha=0.98 and for present study alpha=0.96) and a review of laboratory data. From eight dialysis units, 84 women were enrolled. Data were analyzed using the SAS program. RESULTS: Mean score for fatigue was 49.4 (range 16~78) and fatigue by research variables was significantly different by age (0.046), employment status (0.041), menopause (0.009), hypoalbuminemia (0.022), length of time on dialysis (0.48) and kidney disease symptoms (0.000). Correlations between fatigue and lack of strength, dizziness, and cramps after dialysis were significantly higher. Factors affecting fatigue were kidney disease symptoms and length of time on dialysis, explaining 49.2% of fatigue. CONCLUSION: A comprehensive approach considering kidney disease symptoms, length of time on hemodialysis, age, menopause, and hypoalbuminemia are required for interventions to reduce fatigue in female patients on hemodialysis.
Cross-Sectional Studies ; Dialysis ; Dizziness ; Employment ; Fatigue* ; Female* ; Humans ; Hypoalbuminemia ; Kidney Diseases* ; Kidney* ; Menopause ; Muscle Cramp ; Nursing ; Surveys and Questionnaires ; Renal Dialysis*

No abstract available.
Head and Neck Neoplasms* ; Head* ; Incidence* ; Neck* ; Neoplasm Metastasis*

Isolated hydroceohalus is an uncommon entity wihch results from obstruction of the level of the foramen of Monnro. We have recently expierience three cases of isolated loculations of the lateral ventricle cause by intraventricular hemorrhage and ventriculitis. All patients were treated sucessfully using one or multiple shunts.
Hemorrhage ; Humans ; Lateral Ventricles*

Isolated hydroceohalus is an uncommon entity wihch results from obstruction of the level of the foramen of Monnro. We have recently expierience three cases of isolated loculations of the lateral ventricle cause by intraventricular hemorrhage and ventriculitis. All patients were treated sucessfully using one or multiple shunts.
Hemorrhage ; Humans ; Lateral Ventricles*

PURPOSE: The study is designed to develop an educational CD-Program for prevention and control of obesity among primary school students. METHOD: The study is conducted from June 15, 2000 to April 15, 2002. Based on the course of program development suggested by Dick and Cray (1990), the study followed the planning, development, education and evaluation of a program. RESULT: The developed CD-Program consists 2 parts each for lower and higher grades of primary school students. The introduction part of the first trial for lower grade students uses quiz to encourage their motivations, the body proceeds with motion pictures and animations to trigger their interests. The introduction part of the second trial for the lower grades consists of remembering the exhibition lecture. The first trial for higher grades of primary school students builds on the contents of the low grades. Its body part, how to determine obesity and calculate ones own obesity, puts ones own weight and height in by the mouse. For the second trial of the higher grades, the body consists of life-style, diet, and regiments. CONCLUSION: The merits of this CD-Program are that to be possible an interaction between teachers and students.

Fourty three patients with tuberculous spondylitis were surgically treated through the anterior approach at our hospital from January, 1989 to December, 1994. Among them, 32 cases were followed up more than 18 months postoperatively, and were included in this study. The most prevalent location was lumbar region(50%). Paraparesis was frequently seen in patients with middle and lower thoracic spinal lesions and all patients with neurologic deficits improved after decompression of spinal cord. Autogenous rib and/or iliac strut bone grafting was performed, followed by spinal instrumentation. Solid bone fusion was obtained in all patients. There was no need for prolongation of duration of antituberculous drug therapy and no increased incidence of secondary infection due to spinal instrumentation.
Bone Transplantation ; Coinfection ; Decompression ; Drug Therapy ; Humans ; Incidence ; Neurologic Manifestations ; Paraparesis ; Ribs ; Spinal Cord ; Spondylitis*

Hyperthyroidism is a well known cause of atrial fibrillation. It is also known that control of hyperthyroidism can usually curb thyrotoxic atrial fibrillation and restore sinus rhythm. In this study, 282 patients with hyperthyroidism were investigated to quantify the incidence of atrial fibrillation, and to identify the vulnerable groups. In addition, we compared two groups of subjects with atrial fibrillation-one group with hyperthyroidism and the other group without
Aged ; Atrial Fibrillation ; Female ; Follow-Up Studies ; Heart Diseases ; Humans ; Hyperthyroidism ; Incidence ; Male ; Sex Ratio ; Thyroid Gland

Cancer of the vulva accounts for approximately 0.5% of all gynecologic malignancies. At diagnosis, one-third of these cases is detected in an advanced stage (FIGO stages III, IV), and local extension of primary vulvar cancer may involve adjacent midline structures such as the clitoris, urethra, vagina, and anus. Initial surgical therapy of such locally advanced primary cancers may compromise the functional integrity of midline structures, necessitating ultraradical surgery including pelvic exenteration. In view of the relatively elderly age of the patients and the morbidity of this ultraradical dissection, concomitant chemoradiation therapy - that the efficacy had been proven in head and neck cancer, anal cancer has approached for patients with locally advanced vulvar cancer. We experienced a case of stage III vulvar cancer patient, who underwent concomitant chemoradiation therapy with 5-fluorouracil(FU) and cisplatin and who showed complete response. So, we report this case with brief review of the literatures.
Aged ; Anal Canal ; Anus Neoplasms ; Cisplatin ; Clitoris ; Diagnosis ; Female ; Head and Neck Neoplasms ; Humans ; Pelvic Exenteration ; Urethra ; Vagina ; Vulvar Neoplasms*