PURPOSE: The purpose of this study is to determine the relationship between nursing students' level of knowledge of and attitude toward the elderly and their behavior towards the elderly. METHODS: For this study, 223 nursing students participated. The data was analyzed with PASW statistics program version 18.0 using descriptive statistics, a t-test, one-way ANOVA, Pearson's Correlation coefficient and multiple regression analysis. RESULTS: The findings of the study displayed a score of 14.5 out of 25 for the level of knowledge of the elderly, a score of 3.9 out of 7 on the attitude toward the elderly, and 1.3 points on a 4-point scale on behavior towards the elderly. There was a positive correlation (r=.410, p<.001) between attitude and behavior towards the elderly, thus confirming that attitude towards the elderly influences behavior towards them. CONCLUSION: The most influential variable on the behavior towards the elderly emerged to be attitude. Thus, although knowledge and attitude cannot be neglected in manifesting positive behaviors in nursing students when they care for the elderly, knowledge training and elderly nursing practical sessions need to take place in order to strengthen attitude, which displayed a positive correlation with behavior.
Aged* ; Humans ; Nursing* ; Students, Nursing

This study is undertaken to investigate the clinical effecte of Neutrogin(recornbinant human granulocyte-colony stimulatiing factor) in 25 patients with ovarian caneer who received two courses of CAP chemotherapy. In the first courae of chemotherapy as a contml course, all patients were treated with CAP chemotherapy alone and during the second course, Neutrogin was given at a dose of 2ug/kg/day subcutaneouely for 14 days 24 hours after completion of chemotherapy. Neutrogin significantly increaaed the nadir count of leukocyte and abaolute neutrophil and decreased tbe number of days per patient on which the absolute neutrophil count was 1,000/mm3 or less. The mean recovery time required for neutrophil to greater than l,500/mm3 after nadir were significantliy decreased in the seeond comse as compared with the first course. Each one patient exriened mild side effects of Neatrogin, such as fever, tene pain and malaise and rernovered without tretment. These results showed that Neutrogin is extremely effective and useful to treat chemotherapy indueed leukopenia and to accelerate the recovery from these complications.
Drug Therapy* ; Fever ; Granulocyte Colony-Stimulating Factor* ; Humans* ; Leukocytes ; Leukopenia ; Neutropenia* ; Neutrophils ; Ovarian Neoplasms

This study is undertaken to investigate the clinical effecte of Neutrogin(recornbinant human granulocyte-colony stimulatiing factor) in 25 patients with ovarian caneer who received two courses of CAP chemotherapy. In the first courae of chemotherapy as a contml course, all patients were treated with CAP chemotherapy alone and during the second course, Neutrogin was given at a dose of 2ug/kg/day subcutaneouely for 14 days 24 hours after completion of chemotherapy. Neutrogin significantly increaaed the nadir count of leukocyte and abaolute neutrophil and decreased tbe number of days per patient on which the absolute neutrophil count was 1,000/mm3 or less. The mean recovery time required for neutrophil to greater than l,500/mm3 after nadir were significantliy decreased in the seeond comse as compared with the first course. Each one patient exriened mild side effects of Neatrogin, such as fever, tene pain and malaise and rernovered without tretment. These results showed that Neutrogin is extremely effective and useful to treat chemotherapy indueed leukopenia and to accelerate the recovery from these complications.
Drug Therapy* ; Fever ; Granulocyte Colony-Stimulating Factor* ; Humans* ; Leukocytes ; Leukopenia ; Neutropenia* ; Neutrophils ; Ovarian Neoplasms

BACKGROUND: In retrospective studies relating body weight to disease, the source of information on the Past body weight and height is often based on recall. Several studies examined the accuracy of recalled body weight and height, and factors that might affect the accuracy of recall but data on the accuracy of the recalled weight and height are scare. This study examined the eccuracy of recalled body weight and height, over a 5year period. METHODS: Participants was two hundred and two men and women visiting Health Promotion Center of medical colleage hospital, from 1th Jan. to 30th Jun.1996. We compared of measured weight and height with recalled weight and height 6year later and examined of the influence of sex, occupation, education, chronic disease on recall. RESULTS: When we defined recall error as measured body weight and height minus recalled body weight and height, the mean of weight errors were 0.02 +/-3.22 kg, and the measured body weight was significantly correlated with recalled body weight (r = 0.96). The mean of height errors were -0.80 1.95 cm, the correlation was 0.97. Weight errors were negatively correlated to weight gain over 5year period (r= -0.49). The accuracy of recall was not influenced by sex, education, occupation, chronic disease. CONCLUSION: Middle aged men and women recalled their previous 6year weight and height well in this study. The recalled past body weight and height are feasible information in retrospective study relating body weight to disease.
Body Weight* ; Chronic Disease ; Education ; Female ; Health Promotion ; Humans ; Male ; Middle Aged* ; Occupations ; Retrospective Studies ; Weight Gain

This study was conducted to explore the status of nursing information systems implementation in Korean hospitals. Structured questionnaires were mailed to the 411 hospitals with more than 80 beds. Data were tabulated using descriptive procedure. Out of 411 hospitals, 116 hospitals replied. Out of 116 replied hospitals 114 hospitals indicated that they have some kind of hospital information system implemented. 86 hospitals have computerized their outpatient care management system and 84 hospitals have computerized their inpatient care management system. And 70 hospitals replied that they have some form of nursing information systems. Most components in the nursing information system are the ones related to other department with only a few nursing specific tasks being computerized. Order communication system was ranked the first as a task to be computerized with nursing history. nursing record. nursing care plan, daily report following. Nursing department of the sixty hospitals reflect their input in nursing information system development by participating a hospital wide adhoc committee. And 32 hospitals have their own committee to discuss issues related to nursing information system development. Eleven hospitals reported that they have nurse information and 17 hospitals have dispatched nurses to the information department. And 25 hospitals said that they are not involved at all in nursing information system development. Sixty-two hospitals indicated that the N have some form of computer education programs for nurses: 28 have regular in-service education programs 34 have irregular in-service education programs: and 29 have education programs for the newly employed.
Ambulatory Care ; Education ; History of Nursing ; Hospital Information Systems ; Humans ; Information Systems* ; Inpatients ; Nursing Informatics ; Nursing Records ; Nursing* ; Patient Care Planning ; Postal Service ; Surveys and Questionnaires

One of the moot important goals of modem gynexologic oncology is the adequate management of ocarian cancer. This includes early detection and differenciation of recurrence or residurd turnur. A promising method is availaible today with the use of mctabolic suubstrates used by tumor cells that are labeled with positron emittillg isotopes and a special instrument capable of detecting the radiations in vivo. Measuring tumor metabolic characteristics appear also to diffnencinte tumor recurrence or reeidual tumor from surgical or irradiation changes which is important since this wil1 not be defferentiaited by other modalities such ac CT or MRI. The goal of this study was to rletennine the potential utility uf whole-body PET using the giucose malogue 2-(18F)-fluoro-2-deoxy-D-glucoae(F-18-FDO for the detection of primey, metastatic, and recurrent ovarian cancer. Six patients had imaging studies prior to laparotomy for suspected ovarian cancer. PET(Positron Emission Tomogrnphy) scans were done with an ECAT 921(Emission Computed Axial Tomograpy 921, Sieinens/CTI. The result of this study show good correla- tion between PET nnd pathological findirs. The tumor detection rate of CT, MRI, CA-125, PET for ocarian cancer was 50%, 75%, 25%, 100% respectively. In summary, this work indicates that PET may be useful in the rnanagement of patients with ovwrian cancers by idengying occult foci of rnetabolically active tumor that do not appear on morphological studies.
Electrons* ; Humans ; Isotopes ; Laparotomy ; Magnetic Resonance Imaging ; Modems ; Ovarian Neoplasms ; Recurrence

One of the moot important goals of modem gynexologic oncology is the adequate management of ocarian cancer. This includes early detection and differenciation of recurrence or residurd turnur. A promising method is availaible today with the use of mctabolic suubstrates used by tumor cells that are labeled with positron emittillg isotopes and a special instrument capable of detecting the radiations in vivo. Measuring tumor metabolic characteristics appear also to diffnencinte tumor recurrence or reeidual tumor from surgical or irradiation changes which is important since this wil1 not be defferentiaited by other modalities such ac CT or MRI. The goal of this study was to rletennine the potential utility uf whole-body PET using the giucose malogue 2-(18F)-fluoro-2-deoxy-D-glucoae(F-18-FDO for the detection of primey, metastatic, and recurrent ovarian cancer. Six patients had imaging studies prior to laparotomy for suspected ovarian cancer. PET(Positron Emission Tomogrnphy) scans were done with an ECAT 921(Emission Computed Axial Tomograpy 921, Sieinens/CTI. The result of this study show good correla- tion between PET nnd pathological findirs. The tumor detection rate of CT, MRI, CA-125, PET for ocarian cancer was 50%, 75%, 25%, 100% respectively. In summary, this work indicates that PET may be useful in the rnanagement of patients with ovwrian cancers by idengying occult foci of rnetabolically active tumor that do not appear on morphological studies.
Electrons* ; Humans ; Isotopes ; Laparotomy ; Magnetic Resonance Imaging ; Modems ; Ovarian Neoplasms ; Recurrence

BACKGROUND/AIMS: The etiology of funetional dyspepsia remains unknown, with inconclusive evidence for several factors, including abnormal gastroduodenal motility, personal traits, infection of Helicobactor pylori (H. pylori) and erosive prepyloric change (EPC). Therefore, we evaluated the relation between H. pylori or EPC and gastric emptying in patients with functional dyspepsia. METHODS: We performed an ultrasonographic gastric emptying test in 18 patients with functional dyspepsia comparing 6 healthy volunteers as the control. The presence of BPC in the stomah was diagnosed by esophogogastroduodenoscopy, and the Helicobacter pylori infection was evaluated using a rapid urease test. RESULTS: The erosive prepyloric change in the antrum was revealed in five patients with dyspepsia. Amang the EPC (+), EPC (-) with dyspepsia, and healthy volunteers, the parameters of the ultrasonographic gastric emptying test and subjective symptom scores did not reveal significant differences. Among the H. pylori (+), H. pylori (-) patients with dyspepsia and healthy volunteers, the parameters of the ultrasonographic gastric emptying test and subjective symptom scores did not reveal significant differences. CONCLUSIONS: No association was found between dyspeptic symtoms and the presence of H. pylori infection or EPC. The two factors, Helicobacter pylori infection and erosive prepyloric change, did not affect the gastric motility in functional dyspepsia.
Dyspepsia* ; Gastric Emptying ; Healthy Volunteers ; Helicobacter pylori* ; Helicobacter* ; Humans ; Urease

A 52-year-old women visited Seoul National University Hospital due to abdominaldistension and pelvic mass. Under the impression of ovarian malignancy, total abdominalhysterectomy, bilateral salpingo-oophorectomy, infra-colic omentectomy and lymph nodebiopsy was done. Histopathological and immunohistochemical study demonstrated the tumors tobe non-Hodgkin`s lymphoma of diffuse large cell type, B-cell lineage with the involvementof both ovaries, tubes, uterus, omentum and regional lymph nodes. Bone marrow biopsywas done postoperatively and revealed normal. She got one cycle of VBP(vincristine,bleomycin, prednisolone) first, then the chemotherapy regimen was changed to COPBLAM(cyclophosphamide, vincristine, prednisolone, bleomycine, adriamycin, procarbazine). After sixcycles of COPBLAM, she shows complete remission at 7 months of follow up after surgery.Characteristics of primary ovarian lymphoma are emphasized with a brief review of theliteratures.
B-Lymphocytes ; Bleomycin ; Bone Marrow ; Doxorubicin ; Drug Therapy ; Female ; Follow-Up Studies ; Humans ; Lymph Nodes ; Lymphoma* ; Middle Aged ; Omentum ; Ovary ; Prednisolone ; Seoul ; Uterus ; Vincristine

BACKGROUND: Dehydroepiandrosterone (DHEA) is an androgen precursor, and is known to be decreased by the aging process. DHEA has been known to have a protective effect on insulin resistance and cardiovascular disease in men, but remains controversial in women. The aim of this study was to elucidate the role of DHEA on insulin resistance, and the risk for cardiovascular disease, in women. METHODS: We analyzed the relationship between DHEA sulfate (DHEAS), known to have a longer half-life and less diurnal variation than DHEA, and insulin resistance syndrome (IRS) in 471 non-diabetic women from an urban community diabetes prevalence study. Serum DHEAS concentrations were measured using a commercially available radioimmunoassay kit. RESULTS: 1. The frequencies of obesity, impaired glucose tolerance, hypertension and dyslipidemia were 25.3, 8.5, 21.9 and 6.2%, respectively, and the frequency of IRS was 16.5%. 2. DHEAS was significantly inversely correlated with age (r=-0.47, p<0.001), systolic blood pressure (r=-0.18, p<0.001), diastolic blood pressure (r=-0.10, p<0.05), fasting serum glucose (r=-0.10, p<0.05), postchallenge 2 hour glucose (r=-0.12, p<0.01) and triglycerides (r=-0.16, p<0.01). 3. As serum DHEAS concentrations, by quartiles, were decreased, the age-adjusted frequency of hypertension was significantly increased (p<0.05). 4. A Multiple linear regression analysis revealed that DHEAS was significantly associated with age (p<0.0001) and BMI (p<0.05). 5. A Logistic regression analysis showed that DHEAS was not associated with IRS after adjustment for age. CONCLUSION: DHEAS is inversely associated with age. DHEAS has no harmful effect, and may even have a protective role, on insulin resistance syndrome. Prospective examinations of DHEAS and insulin resistance syndrome in women are needed to confirm the mechanism for the association between DHEAS and the development of cardiovascular disease.
Aging ; Blood Glucose ; Blood Pressure ; Cardiovascular Diseases ; Cross-Sectional Studies ; Dehydroepiandrosterone Sulfate* ; Dehydroepiandrosterone* ; Dyslipidemias ; Fasting ; Female ; Glucose ; Half-Life ; Humans ; Hypertension ; Insulin Resistance* ; Insulin* ; Linear Models ; Logistic Models ; Male ; Obesity ; Radioimmunoassay ; Triglycerides