PURPOSE: The purpose of this study was to identify the relationship between anger expression and self-esteem in nursing college students. METHODS: A total of 297 subjects aged between 18 and 28 were selected through convenience sampling. Data were collected from March 2 to 25, 2011 using a self-reporting questionnaire. Collected data were analyzed with SPSS/WIN 15.0. RESULTS: Differences in anger expression according to general characteristics were as follows. There were significant differences in violent attitude depending on gender (t=3.003, p<.01). Violent actions differed significantly depending on year in school (F=3.279, p<.05) and whether there is a dual income families (t=-2.23, p<.05). There were significant differences in self-esteem depending on year in school (F=4.553, p<.01), school record (F=15.18, p<.001) and the economic status of the parents (F=4.878, p<.01). There were positive correlations between violent attitude and violent actions, except between violent actions and self-esteem. 10.3% of the variance in violent actions was explained by violent attitude, self-esteem and school in year and perceived acceptance. CONCLUSION: The findings of this study may be useful in understanding the anger expression of nursing college students and developing more specific programs to improve personality and self-control of the mind.
Aged ; Anger ; Humans ; Parents ; Self Concept ; Surveys and Questionnaires

PURPOSE: This study was to identify the relationship among self-management, economic stability, self-esteem, self-achievement and predictor of the self-achievements in elders. METHODS: A total of 294 subjects aged between 60 and 92 were selected through convenient sampling. Data were collected by self-reported questionnaire from May to June, 2008. Collected data were analysed by the SPSS/WIN 15.0 program. RESULTS: Self-management, economic stability, self-esteem, self-achievement were positively correlated. The most significant predictor of self-achievement in elders were self-management and self-esteem. CONCLUSION: These findings suggest that self-achievement is influenced by self-management and self-esteem and needed for aged well.
Self Care ; Surveys and Questionnaires

PURPOSE: This study was to identify the relation between productive activity and physical and psychological ability in elders. METHODS: A total of 294 subjects aged between 60 and 92 were selected through convenient sampling. Data were collected with a self-reported questionnaire from May to June, 2008. Collected data were analyzed by SPSS/PC Win. 15.0. RESULTS: Of variance in productive activity, 13.3% was explained by house ownership, number of diseases, and successful aging. Of variance in physical and psychological ability, 25.4% was explained by house ownership, perceived health, number of diseases, and successful aging. The correlation coefficient between productive activity and physical and psychological ability was significant (r=.32, p<.001) CONCLUSION: Findings of this study may be useful in understanding the health status of community-dwelling elders and developing more specific health promotion programs.
Aging ; Aptitude ; Health Promotion ; Motor Activity ; Ownership ; Surveys and Questionnaires

Uterine serosal pregnancy is an extremely rare form of ectopic pregnancy. This is a report of a 35-year-old primigravida woman who was diagnosed with uterine serosal pregnancy via laparoscopic intervention. A 35-year-old woman (gravida 1, para 0) was referred from a local clinic for a ruptured left tubal pregnancy at amenorrhea 5+0 weeks with elevated serum beta human chorionic gonadotropin (16,618 mIU/mL). A pregnancy on the left posterior wall of the uterine serosa was diagnosed during the operation and successfully treated with laparoscopic surgery as a conservative management strategy to enable fertility preservation. With the advantages of ultrasonography and laparoscopy, an early diagnosis of a primary abdominal pregnancy located on the left posterior wall of the uterine serosa was made, prior to the occurrence of severe intra-abdominal massive hemorrhage, which was then treated laparoscopically as a conservative management strategy enabling the preservation of fertility.
Adult ; Amenorrhea ; Chorionic Gonadotropin ; Early Diagnosis ; Female ; Fertility ; Fertility Preservation ; Hemorrhage ; Humans ; Laparoscopy ; Pregnancy* ; Pregnancy, Abdominal ; Pregnancy, Ectopic ; Pregnancy, Tubal ; Serous Membrane ; Ultrasonography

Despite their existence all around, primary cutaneous infections caused by Serratia marcescens are still fairly rare. In many cases, symptoms caused by S. marcescens usually manifest as opportunistic infections in pulmonary, urinary and digestive organs of immunocompromised patients. It is unusual to find manifestations as "primary" cutaneous infection. A 56-year-old woman presented to our hospital with ulcerative skin lesions. She had a medical history of poorly controlled diabetes mellitus for 5 years. Multiple nodules and ulcerative lesions of various sizes were distributed on the abdomen, both buttocks and thighs. Two biopsy samples revealed deep dermal and subcutaneous suppurative inflammation. Two culture samples from the skin biopsy sites demonstrated S. marcescens. Small-to-medium sized lesions showed improvements with antibiotic treatment for 14 days. However, for large sized lesions, partial-thickness skin grafts were done.
Abdomen ; Biopsy ; Buttocks ; Diabetes Mellitus ; Ecthyma ; Female ; Humans ; Immunocompromised Host ; Inflammation ; Middle Aged ; Opportunistic Infections ; Serratia ; Serratia marcescens ; Skin ; Thigh ; Transplants ; Ulcer

Increasing importance of vaccination during coronavirus disease 2019 (COVID-19) pandemic, several vaccines were developed. Messenger RNA (mRNA) vaccines including BNT162b2 (Pfizer, New York, NY, USA; BioNTech, Mainz, Germany), mRNA-1273 (Moderna, Cambridge, MA, USA) have been disclosed side effects such as thrombocytopenia, myocarditis and headache in general. In addition, adverse effects due to autoimmune responses induced by spike glycoproteins of mRNA vaccines are rarely reported such as the Guillain-Barre syndrome, autoimmune encephalitis and so on. Herein, we report a rare case of encephalitis with new-onset refractory status epilepticus after BNT162b2 mRNA COVID-19 vaccination improved with immune therapy.

Rifampin is sometimes associated with hematologic complications such as hemolytic anemia or thrombocytopenia. Patients with drug-induced thrombocytopenia develop a drug- dependent antibody that binds to platelets in the presence of the drug causing platelet clearance. It has been previously proposed that the antibody binds the drug, resulting in an immune complex that is then adsorbed onto platelets. However, it has been recently known that drug-dependent antibodies bind to one or more of the platelet membrane glycoprotein Ib, IIb, IIIa, and IX. We, hereby, report a case of rifampin-induced thrombocytopenia in which drug-dependent antibody specific for platelet glycoprotein Ib/IX and IIb/IIIa was demonstrated by modified antigen capture ELISA method. The case was a 37 year-old female who had had pulmonary tuberculosis and taken antituberculous regimen including rifampin. Intermittent epistaxis appeared 10 days after treatment with rifampin. She was admitted to hospital due to gingival bleeding for 3 days and menorrhagia for 2 days. On admission, her platelet count was dropped to 7,000/microliter.
Adult ; Anemia, Hemolytic ; Antibodies* ; Antigen-Antibody Complex ; Blood Platelets* ; Enzyme-Linked Immunosorbent Assay ; Epistaxis ; Female ; Glycoproteins* ; Hemorrhage ; Humans ; Menorrhagia ; Platelet Count ; Platelet Glycoprotein GPIb-IX Complex ; Rifampin ; Thrombocytopenia* ; Tuberculosis, Pulmonary

OBJECTIVE: To analyze the interrelationship between homocysteine and methylenetetrahydrofolate reductase (MTHFR) mutation in patients with recurrent spontaneous abortion. MATERIAL AND METHOD: Homocysteine and MTHFR mutation were tested by fluorescent polarizing immunoassay and PCR-RFLP method, respectively. RESULTS: In patients with homocysteine level less than 5 mmol/L, there was no case of normal group but there were four cases of heterozygosity and one case of homozygosity. In patients with homocysteine level 5~10 mmol/L, the number of normal, heterozygosity and homozygosity group were eleven, eighteen and eight, respectively. In patients with homocysteine level 10~15 mmol/L, the number of normal, heterozygosity and homozygosity group were four, one and one, respectively. In patients with homocysteine level more than 15 mmol/L, there was no case of normal and heterozygosity group but there were two cases of homozygosity. CONCLUSIONS: Hyperhomocysteinemia due to MTHFR mutation is a cause of recurrent spontaneous abortion. And there was a significant relationship between homocysteine and MTHFR mutation.
Abortion, Spontaneous* ; Female ; Homocysteine* ; Humans ; Hyperhomocysteinemia ; Immunoassay ; Methylenetetrahydrofolate Reductase (NADPH2)* ; Pregnancy

A case of pyomyositis of right pyriformis and iliacus muscle in a healthy 13 year old male patient is presented and discussed. Pyomyositis is a primary acute bacterial infection of large skeletal muscles, associated with abscess formation. Since pyomyositis has been reported mainly in tropical countries and is rare in temperate climates, the name 'tropical myositis' is often used. Outside the tropics, pyomyositis is often associated with immune compromised state, and vigorous muscle acivity may have a role in some cases of pyomyositis. In this case, thirteen year old healthy boy developed severe right buttock pain after vigorous gymnasium activity and was treated with acutpucture, then showed high fever and aggrevation of pain. This case was thought to be associated muscle injury due to vigorous gymnasium activity and transient bacteremia following cutaneous acupuncture. He was treated with ultrasono guided needle aspiration and parenteral antibiotics successfully.
Abscess ; Acupuncture* ; Adolescent ; Anti-Bacterial Agents ; Bacteremia ; Bacterial Infections ; Buttocks ; Climate ; Fever ; Humans ; Male* ; Muscle, Skeletal ; Needles ; Pyomyositis*