Adverse reactions to latex are various from localized skin problem to systemic anaphylaxis, even causing death. There are few reports on latex glove hypersensitivity in Korea, even though clinically the adverse reactions to latex sporadically have been reported. The purpose of this study was to survey the prevalence rate of adverse reactions to latex glove and compare the rate of allergy to ordinary latex glove with those 4 types of hypoallergenic gloves. Data on adverse reaction to latex gloves and symptoms as well as risk factors were collected from 63 operating room nurses using a questionnaire and direct observation of skim prick test. Questionnaire was used to survey the adverse reactions including the type I and IV, skin prick test was used to survey latex allergy defined type I. Among respondents, 25 nurses with adverse reaction to latex gloves were selected for the skin prick and exposure test with 5 latex gloves ( 1 ordinary glove, 4 hypoallergenic gloves) using the repeated measures design of the counterbalancing method. The results were followed : 1) The response rate of questionnaire was 96.8%, and the prick test was performed in 61 out of 63 nurses. 2) Common symptoms of adverse reactions to latex gloves were rash (49.2%), skin itching (44.3%), dizziness (31.3%), and eye itching (26.2%). 3) The prevalence rate of adverse reactions to latex glove was 80.3%. 4) The prevalence rate of latex allergy was 9.8%. The relationship between the latex allergy and atopy was significant, i.e. the atopic persons had more latex allergy than the non-atopics. 5) In 5 latex gloves, the prevalence rate of latex allergy by skin prick test and skin exposure test was follows : 16%, 24% for skin angel gloves, 8%, 24% for hypoallergenic HAG glove, 12%, 4% for hypoallergenic SmooTer-R glove, 8%, 0% for hypoallergenic Candle glove, 8%, 24% for hypoallergenic Neutralon glove respectively. There was no difference in prevalence rate of latex allergy among gloves by skin prick test. As the results of skin exposure test, the usual latex gloves had higher prevalence rate of latex allergy than the hypoallergenic gloves (p<0.0001).
Anaphylaxis ; Dizziness ; Exanthema ; Humans ; Hypersensitivity ; Korea ; Latex Hypersensitivity ; Latex* ; Operating Rooms ; Prevalence ; Pruritus ; Risk Factors ; Skin ; Surveys and Questionnaires

Neurofibromatosis is one of the neurocristopathies that involve many system or tissues forming various types of lesion. Almost every tissue or organ can be involved by this disease. However, the eyeball itself is very rarely affected by this process. The findings seen in our case indicate the diversity of lesions in neurofibromatosis, and also suggest hamartomatous nature. Heterotopic ganglion cells and glial cells in uveal tract are not easily understood. We reported here a case of intra-occular neurofibromatosis with its characteristic involvement of the uveal tract, in a 21 year old female. Her ocular symptoms began at her age of 11 as poor vision and were slowly progressive together with multiple facial neurofibromas. The involved left eyeball showed many ganglioneuroglial cell nests in iris, ciliary body and retina. Minute plexiform neurofibromas were also seen in small nerve twigs around the eyeball.
Female ; Male ; Humans

No abstract available.

Curschmann' spirals morphologically similar to those seen in sputum were found in cervico-vaginal smears of six patients ranged from 28 to 40 years of age, during 18 months from January. 1985 to June. 1986. The prevalence was 1 in 2147 smears in that period. All of them had gynecologic disorders without systemic effect such as chronic cervictis in three, leiomyoma in one, pelvic inflammatory disorder in one, and primary infertility in one. The Curshmann' spirals in the smear showed varying degrees of maturation from wavy incipient ones to highly coiled mature ones, admixed with thick mucinous background, suggesting of their production in the uterine cervix itself. Also the recent history of undergone cryocautery, electrocautery or parturition suggest its production in the endocervical gland due to mechanical obstruction and/or change in biochemical composition of mucus.
Cervix Uteri ; Electrocoagulation ; Female ; Humans ; Infertility ; Leiomyoma ; Mucins ; Mucus ; Parturition ; Prevalence ; Sputum

In order to evaluate the role of cytopathologic diagnosis of sputum, bronchial washing and bronchial brushing in the diagnosis of lung cancer, we performed this study. The patients included in this study had undergone sputum, bronchial washing and brushing cytology over the 20-month period of 1985 through 1987. The total number of specimens was 5,495 of 2,242 patients, including 4,830 sputa and 665 bronchial washing and brushings. The average number of sputa and bronchial washings and brushings per case was 2.4 and 1.2 respectively. Among them, about 10% were unsatisfactory specimen, and three-fourths were negative specimens. In sputum cytology, the diagnosis of "atypical cells" was given to 3%, "suspicious for malignancy" was given to 1 %, and "malignancy" was given to 13%. In bronchial washing and brushing cytology, the diagnosis of "atypical cells", "suspicious for malignancy" and malignancy" was given to 6%, 3%, and 20% respectively. The cases diagnosed as "atypical cells" in cytology were actually malignancy in 95% and 84.8% of sputum and bronchial washing and brushings respectively, and the "suspicious for malignancy" were actually malignancy in 100% in both methods. The detection rates of malignancy were 50.4% and 55.2% in sputum and bronchial washing and brushing respectively, and the specificity was 100% in both methods. The accuracy of cell typing was 92% in sputum and 89.7% in bronchial washing and brushing.
Diagnosis* ; Humans ; Lung Neoplasms ; Lung* ; Sensitivity and Specificity ; Sputum

No abstract available.
Bile* ; Diagnosis* ; Drainage*

OBJECTIVE: The purpose of this study was to develop a Web-based ostomy self-care education program and to evaluate its effects on ostomates' self-care knowledge and self-care behavior. METHODS: Based on the needs assessment and literature review, a Web-based ostomy self-care education program was developed and modified incorporating feedbacks from nurse experts panel. The experimental group received the ostomy self-care using the Web-based program and the control group received the traditional education. The level of self-care knowledge and self-care behavior were measured and were compared between the experimental and the control groups. RESULTS: The levels of self-care knowledge and self-care behavior in the experimental group were significantly higher than those of the control group. CONCLUSION: This study implies that a Web-based education program for the ostomates can be used to improve ostomy self-care.
Education* ; Internet ; Needs Assessment ; Ostomy* ; Patient Education as Topic ; Self Care*

No abstract available.
Candidiasis* ; Humans ; Infant, Newborn ; Infant, Premature

A prevalence of anti-HCV and ALT value was analyzed in 89,995 healthy Korean blood donors. The positive rate of anti-HCV was 0.43% (386) and increased with age. And the positive rates of anti-HCV was statistically significant higher in group having elevated ALT level than in group having normal ALT level(P<0.005). The mixed-infection rates of the hepatitis B and C was 0.02%(25/89,995), and statistically the positivity of anti-HCV was higher in HBs Ag positive group than in HBs Ag negative group(P<0.01). On follow up study from 51 donors of the anti-HCV positivity in initial test, 15(29.4 %) cases were continuously positive by follow up test in 5-20 months. But these results were independent of transfusional history and intervals of follow up. The positive rates of anti-HCV during the follow up with reagents of Ortho- I and Ortho-II were 24% and 33% respectively. The positivity of anti-HCV was higher in group had continuously elevated serum ALT level than in group with normal serum ALT level.
Blood Donors ; Follow-Up Studies* ; Hepatitis B ; Humans ; Indicators and Reagents ; Prevalence ; Tissue Donors*

This study was done to compare the breast-feeding primiparas' perceptions of their babies with bottle-feeding primiparas' at 2-3 days after delivery. The subjects of this study included 42 breast-feeding mothers and 56 bottle-feeding mothers. Data were collected by using the Neonatal Perception Inventory(NPI) devised by Broussard(1963) and added by Lee, Ja Hyung(1986) form December, 1996 to June, 1997. The results of this study are as follows : 1. Primiparas perceptions of their babies according to their general characteristics. 1) There was no significant difference in mothers' perceptions according to mothers' age and whether they have a job or not. 2) There was a difference in mothers' perceptions according to their educational level(P<0.1). 2. The comparisons of breast-feeding mothers' perceptions of their babies with bottle-feeding mothers'. 1) There was no significant difference in the two group's perceptions of other babies 2) There was no significant difference in the two group's perceptions of their own babies. (1) Breast-feeding mothers' general perceptions of their own babies were better than bottle-feeding mothers', but there was (2) Breast-feeding mothers' perceptions about the basic needs of their own babies were better than bottle-feeding mothers', and there was a significant difference between the two groups(P<0.05). (3) Breast-feeding mothers' perceptions about the sense and motor abilities of their own babies were better than bottle-feeding mothers', but there was no significant difference between the two groups. (4) Breast-feeding mother's perceptions about the necessary care of their own babies were lower than bottle-feeding mothers', but there was no significant difference between the two group. 3) There was no significant difference between the two groups' positive-negative perceptions of their babies (1) 69% of breast-feeding mothers and 69.9% of bottle-feeding mothers had positive perceptions about general conditions, but there was no significant difference between the two groups (2) 57.1% of breast-feeding mothers and 46.4% of bottle-feeding mothers had positive perceptions about the needs of babies, but there was no significant difference between the two groups. (3) 50% of breast-feeding mothers and 48.2% of bottle-feeding mothers had positive perceptions about the sense and motor abilities of babies, but there was no significant difference between the two groups. (4) 57.1% of breast-feeding mothers and 60.7% of bottle-feeding mothers had positive perceptions about the necessary care for babies, but there was no significant difference between the two groups. 3. 54.8% of breast-feeding mothers tried to feed their own babies on the 1st day after delivery. 83.3% of breast-feeding mothers chose the feeding method for themselves. Only 9.5% of breast-feeding mothers took recommendations for breast-feeding from nurses. 78.6% of breast-feeding mothers had no chance to learn about breast-feeding. 69% of breast-feeding mothers complained about the difficulties of breast-feeding. The most serious problems were : 'insufficient milk supply', 'lack of knowledge about feeding technique' and 'problems with nipples'.
Bottle Feeding* ; Breast Feeding* ; Breast* ; Feeding Methods ; Humans ; Milk ; Mothers ; Child Health