1.Cancer Patients' Use of Self-care Behaviors in Managing Side Effects Related to Chemotherpy.
Hyun Jung KIM ; Ok Hee AHN ; Kyung Sook CHOI
Journal of Korean Academy of Adult Nursing 1998;10(3):414-425
The purpose of the study is to research the side effects of chemotherapy which are experienced by cancer patients, theirself-care behaviors to manage the side effect symptoms, and to for provide the fundamental knowledge basis for nursing intervention and self-care education. The subjects were 15 cancer patients receiving chemotherapy in 2 university hospitals. The side effects and self-care behaviors were categorized into 7 themes. 1) First theme Patients experienced nausea, vomiting, alteration in appetite, constipation, diarrhea, and indigestion. Patients used emetics, ate sweets, fruits, drank alcohol and cold veberages to deal with nausea and vomiting. They took their favorites, and yogurt and medicine, and an easily digestible diet to decrease the side effects on digestive function. 2) Second theme Patients experienced oral-dryness & stomatitis. Patients consumed water, candy a warm food and various beverages. 3) Third theme, To cope with changed sense of taste, patient ate their favorite foods, and to help offset alteration in tactile sense they used massage. Concerning changed sensitivity to decreased temperature, ultraviolet treatment and various means of keeping warm were used. To deal with the changed sense of smell and hearing, they avoided noise and bad odors as much as possible. 4) Fourth theme Patients experienced discoloured skin and alopecia. Patients wore appropriate clothes to hide it. To deal with alopecia, they used hats, head kerchief, and positive thinking. 5) Fifth theme Patients experienced weight loss, URI symptoms, fatigue, pain, insomnia and they took various food health products, medicines, and naps. 6) Sixth theme Patients experienced musculoskeletal changes and decreased amounts and range of activities. They did self-care behaviors such as taking baths, exercising etc. 7) Seventh theme Patients felt varing level of anxiety and for this they had fellowship with support companies and used religion, self-control, and positive thinking. From the above research, it can be concluded that : Patients used self-care behaviors which were not proved in effectiveness and education for the prevention and management of the related side effects of chemotherapy was not effective, either.
Alopecia
;
Anxiety
;
Appetite
;
Baths
;
Beverages
;
Candy
;
Constipation
;
Diarrhea
;
Diet
;
Drug Therapy
;
Dyspepsia
;
Education
;
Emetics
;
Fatigue
;
Fellowships and Scholarships
;
Fruit
;
Head
;
Hearing
;
Hospitals, University
;
Humans
;
Massage
;
Nausea
;
Noise
;
Nursing
;
Odors
;
Self Care*
;
Skin
;
Sleep Initiation and Maintenance Disorders
;
Smell
;
Stomatitis
;
Thinking
;
Vomiting
;
Water
;
Weight Loss
;
Yogurt
2.Synthesis of Substrates for Gene Therapy Monitoring of HSV1-TK System.
Soon Hyuk AHN ; Chang Woon CHOI ; Sang Moo LIM ; Ok Doo AWH ; Tae Hyun CHOI
Korean Journal of Nuclear Medicine 2002;36(2):102-109
No abstract available.
Genetic Therapy*
3.The olloimrnunizotion rote of onti-c concurrent with onti-E in R1R1 potients.
Hyun Ok KIM ; Hyo Jun AHN ; Yong Bin EOM ; Jung Sin LEE ; Min Ja CHOI
Korean Journal of Blood Transfusion 1996;7(2):181-186
Anti-E and anti-c is one of the clinical significant irregular antibodies developing a delayed hemolytic transfusion reaction and hemolytic disease of the newborn. Since anti-c occurs frequently with anti-E in immunized people whosoe cells are E-and c-, it has been recommended to select blood of the patient's own R1 phenotype for transfusion, even when the presence of anti-c cannot be demonstrated in his/her serum. To determine the utility of this approach, we reviewed the blood bank laboratory records of patients identified anti-E and anti-c in his/her serum in Severance hospital over a 12 year period (1985-1996). During the 12-year period of study, 53 patients were identified with anti-E and/or anti-c; 30(56.6%) patients had anti-E alone, 6(11.3%) had anti-c, and 17(32.1%) had both. Thirty eight of forty two patients whose Rh-hr phenotypes were tested were R1R1. Of these 38 R1R1 patients, 16 patients (42.1%) presented with anti-c concomitant with anti-E. Ouru study showed that the incidence of antni-c in R1R1 patients with anti-E is similar to that of studies reported in Caucasian groups. We highly suggest the transfusion protocol of prophylactic use of c negative blood for R1R1 patients with anti-E. Furthermore, because anti-c may be present in concentrations too low to be detected, the enzyme technique is recommended in parallel with standard serologic methods for the identification of irregular antibodies.
Antibodies
;
Blood Banks
;
Blood Group Incompatibility
;
Humans
;
Incidence
;
Infant, Newborn
;
Phenotype
4.Molecular Epidemiology of Colon Cancer.
Cancer Research and Treatment 2004;36(2):93-99
Colorectal cancer appears to have rapidly increased over the past two decades in Korea. Environmental factors, characterized by a western life style, seem to be closely related to the increased risk of colorectal cancer. Higher intakes of meat, a lower vegetable intake, a lack of physical activity, obesity, and alcohol drinking have been suggested to be risk factors for colorectal cancer in the numerous epidemiologic studies. Several specific associations have also been observed between genetic polymorphisms and colorectal cancer. Moreover, it has been postulated that environmental factors and a genetic predisposition work in concert in colorectal cancer development. A stronger association between red meat intake and colorectal cancer among those with rapid acetylators at either the NAT1 or NAT2 locus was reported, particularly for colorectal cancer associated with K-ras mutations. The protective effect of the homozygous variant TT form of the MTHFR genotype on the risk of colon cancer seems to be modified by the level of methyl diets, i.e., by folate, which has a protective effect, or conversely by alcohol. The insulin-related pathway, which possibly explains at a mechanistic level the effect of physical activity and obesity on colon cancer, appears to be a common denominator in colon cancer and in other metabolic disorders, such as diabetes mellitus and dyslipidemia. Hyperinsulinemia has been proposed as an explanation for the association between a Western lifestyle and colon cancer risk. Further studies, that incorporate both genetic and environmental factors, are needed to fully explain and identify the underlying pathway of colorectal carcinogenesis.
Alcohol Drinking
;
Carcinogenesis
;
Colon*
;
Colonic Neoplasms*
;
Colorectal Neoplasms
;
Diabetes Mellitus
;
Diet
;
Dyslipidemias
;
Epidemiologic Studies
;
Folic Acid
;
Genetic Predisposition to Disease
;
Genotype
;
Hyperinsulinism
;
Korea
;
Life Style
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Meat
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Molecular Epidemiology*
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Motor Activity
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Obesity
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Polymorphism, Genetic
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Risk Factors
;
Vegetables
5.A study of effect of exercise in spinal cord injured patients.
Kyung Mo AHN ; Jean Yee NOH ; Hyun Sook SHIN ; Young Ok PARK
Journal of the Korean Academy of Rehabilitation Medicine 1991;15(3):316-322
No abstract available.
Humans
;
Spinal Cord*
6.A Study on the Medical Insurance Utilization of Workers Suffering from Low Back Pain in an Area.
Chul Gab LEE ; Hyun Ok AHN ; So Yeon RYU ; Jong PARK ; Ki Soon KIM ; Yang Ok KIM
Korean Journal of Preventive Medicine 1997;30(4):764-778
To find the medical insurance utilization of workers when suffering from low back pain, an analysis was made toward the data of medical insurance benefits matched with the general characteristics of 10,183 workers, who were registered continuously from 1993 to 1995 at a medical insurance cooperation for industrial workers. The results were as follows; 1. The period prevalence of the medical insurance utilization for low back pain for 3 years from 1993 to 1995 was calculated as 17.1% for male workers and 19.4% for female workers. Most common cause of utilization was other dorsopathies including the herniation of lumbar discs. 2. The utilization rate increased significantly as the present age and the age joining the company got older(p<0.001). As the duration of employment got longer, the utilization rate of the male showed the tendency to increase and that of the female increased significantly(p<0.05). Among male workers employed at cement and concrete manufacturing companies showed higher utilization rate and among female laborers showed significantly higher utilization rate than clerical workers(p<0.01). 3. Annual utilization rate for low back pain didn't show any difference, but the portion of other dorsopathies among cause of utilization showed the tendency to increase from 1993 to 1995. 4. The mean number of claims for outpatient medical care for low back pain differed significantly by age, working duration, type of industries, income level(p<0.05), and the mean of total visiting days for care of low back pain differed siginificantly by working duration. In conclusion, considering the fact that the medical insurance utilization for low back pain increased annually and other dorsopathies including the herniation of dorsopathies were increasing, an effective preventive or management program for low back pain toward worker employed at industries were required.
Employment
;
Female
;
Humans
;
Insurance Benefits
;
Insurance*
;
Low Back Pain*
;
Male
;
Outpatients
;
Prevalence
7.Validation of a Needs Assessment Tool for Case Management in Korean Medical Aid Beneficiaries.
Yang Heui AHN ; Eui Sook KIM ; Ok Kyung HAM ; Soo Hyun KIM ; Soon Ok KIM ; Myung Kyung SONG
Journal of Korean Academy of Nursing 2012;42(4):549-558
PURPOSE: The purpose of this study was to validate the Needs Assessment Tool for Case Management (NATCM) for use with Korean medical aid beneficiaries. METHODS: Psychometric testing was performed with a sample of 645 Korean medical aid beneficiaries, which included 41 beneficiaries who were selected using proportional sampling method, to examine intraclass correlation coefficients (ICC). Data were evaluated using item analyses, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's alpha, and ICC. RESULTS: Through psychometric testing the final version of NATCM was found to consist of two subscales: 1) Appropriateness of Health Care Utilization (5 items) and 2) Self Care Ability (6 items). The two subscale model was validated by CFA (RMSEA=.08, GFI=.97, and CFI=.93). Internal consistency measured by Cronbach's alpha was .82, and subscale reliability ranged from .79 to .84. The ICC of the NATCM between case managers was .73 and between case managers and health care professionals. .82. CONCLUSION: This study suggests that the final version of NATCM is a brief, reliable, and valid instrument to measure needs of Korean medical aid beneficiaries. Therefore, the NATCM can be effectively utilized as an important needs assessment as well as outcome evaluation tool for case management programs in Korea.
Activities of Daily Living
;
Adult
;
Aged
;
Aged, 80 and over
;
Asian Continental Ancestry Group
;
Case Management
;
Female
;
Health Status
;
Humans
;
Male
;
Middle Aged
;
*Needs Assessment
;
Pain Management
;
Psychometrics
;
Questionnaires
;
Republic of Korea
;
Social Support
8.A Case of Malignant Clear Cell Hidradenoma.
Sun Ok KIM ; Hyun Tai KIM ; Sang Tae AHN ; Poong LIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2000;27(5):567-570
Malignant clear cell hidradenoma is a rare eccrine gland malignancy characterized by a solitary nodule on the head, trunk or distal extremity. We report a case of malignant clear cell hidradenoma in the left sole of a 66 year old female patient. Despite wide resection, regional lymph node dissection and radiation therapy, wide spread regional invasion and multiple distant metastasis were developed. As the malignant clear cell hidradenoma is reported rarely in the world and not yet reported in Korea, we report its clinical process of the diagnosis and treatment to patient's death.
Acrospiroma*
;
Aged
;
Diagnosis
;
Eccrine Glands
;
Extremities
;
Female
;
Head
;
Humans
;
Korea
;
Lymph Node Excision
;
Neoplasm Metastasis
9.A case of Lupus Nephritis.
Kang Hyun CHO ; Hae Ok KIM ; Don Hee AHN ; Keun Chan SOHN
Journal of the Korean Pediatric Society 1982;25(3):289-294
Lupus nephritis is one of major complications of systemic lupus erythematosus, which determine the outcome of the disease. A case of lupus nephritis was admitted to our pediatric department and renal biopsy was done, which reveraled membranophroliferative type in electron-microscopy. He was treated with prednisone only and responded well in urinary findings. Now, he is maintained with low dose prednisone.
Biopsy
;
Lupus Erythematosus, Systemic
;
Lupus Nephritis*
;
Prednisone
10.Ten Year Trend of Cancer Incidence in Seoul, Korea: 1993-2002.
Myung Hee SHIN ; Hyun Kyung OH ; Yoon Ok AHN
Journal of Preventive Medicine and Public Health 2008;41(2):92-99
OBJECTIVES: Effective cancer prevention and control measures can only be done when dependable data on the cancer incidence is available. The Seoul Cancer Registry (SCR) was founded to provide valid, comparable and representative cancer incidence data for Koreans. We aimed to compare the cancer incidence in the first (1993-1997) and second term (1998-2002) of the SCR, and we analyzed the annual incidence trend during that 10 years. METHODS: The SCR detects potential cancer cases through the Korean Central Cancer Registry (KCCR) data, the health insurance claims, the individual hospital's discharge records and the death certificates. About 87% of the SCR data is registered through the KCCR. The rest of the data is registered by SCR registrars who visit about 70~80 mid-sized hospitals in Seoul to review and abstract the medical records of the potential cancer patients. RESULTS: The total number of new cancer cases was higher in 1998~2002 than in 1993~1997 by 20.6% for men and 18.4% for women, respectively. The age-standardized rate (ASR) of total cancer per 100,000 increased 1% (from 295.4 to 298.3) for men and 5.1% (from 181.5 to 190.7) for women, between the two periods. The commonest cancer sites during 1998-2002 for men were stomach, liver, bronchus/lung, colorectum, bladder and prostate, and the commonest cancer sites for women were breast, stomach, colorectum, cervix uteri, thyroid and bronchus/lung. Compared with the ASRs in 1993, the ASRs in 2002 increased for colorectum (58.4% for men, 27.1% for women), prostate (81.5%), breast (58.3% for women), thyroid (141% for women), and bronchus/lung (15.4% for women). The ASRs for stomach (-18.7% for men, -20.7% for women) and uterine cervix cancer (-39.7%) had decreased. CONCLUSIONS: The cancer incidence is increasing in Seoul, Korea, especially for the colorectum and prostate for men, and for the breast, colorectum, bronchus/lung and thyroid for women.
Female
;
Humans
;
Incidence
;
Korea/epidemiology
;
Male
;
Neoplasms/classification/*epidemiology
;
Registries
;
Sex Distribution