No abstract available.
Tuberculosis, Multidrug-Resistant ; Tuberculosis, Pulmonary*

No abstract available.

No abstract available.
Radiopharmaceuticals*

This study was designed to evaluate the results of anterior cruciate ligament(ACL) reconstructions with ligament augmentation device(Kennedy LAD; 3M Co., St. Paul, MN, USA) in chronic injury. Eighteen patients with chronic ACL insufficiency were treated by ACL reconstruction using bone- patellar tendon-bone/LAD composite graft. The patients were followed up more than 5 years and the lat- est follow-up results are presented here. Evaluations were based on the Lysholm functional score, Lachman test and pivot-shift test. Data were analysed using the SPSS software. There were 9 patients(50%) with a Lysholm score more than 84(excellent or good) at latest follow-up. This postoperative improvement of Lysholm score was sta- tistically significant, P=0.001. There was no serious perioperative complications. Rehabilitation was not prolonged. This study demonstrated that a synthetic graft augmentation may improve results. However, no significant advantages have been observed with the use of LAD to augment patellar tendon. The com- parison study of ACL reconstruction with and without Kennedy LAD is recommended to assess the possi- ble effects of the addition of the LAD. And routine use of LAD should not be advocated in uncomplicated reconstruction of ACL using biological graft.
Follow-Up Studies ; Humans ; Ligaments ; Patellar Ligament* ; Rehabilitation ; Transplants*

No abstract available.
Anterior Cruciate Ligament*

No Abstract available.
Consensus* ; Infection Control*

No Abstract available.
Chungcheongnam-do* ; Infection Control*

No abstract available.
Drug Therapy, Combination* ; Ulcer*

BACKGROUND: This study was designed to examine the effect of a hand washing improving program on the adherence of hand washing of health care workers in a surgical intensive care unit (SICU) and to test the hypothesis that improved hand washing adherence would help reduce nosocomial infection rates and MRSA colonization rates. METHODS: The study was conducted from March to December, 2001, at the SICU of a 2,200-bed university-affiliated hospital in Seoul. The hand washing improving program, developed by the investigator, a multi-fauceted program, was provided beginning August until October for medical personnel at the SICU. Hand washing adherence was monitored through direct observations for one hour everyday from mid-June through October. Nosocomial infections were monitored for the to month period from March to December. MRSA colonization rates were monitored during the four-month period from July to October by taking nares cultures from the patients who stayed at the SICU for three days or longer. RESULTS: Hand washing adherence rates increased from 33.5% at the pre-intervention to 58.4% at the post intervention period (p<.001). Nosocomial infection rates were 11.0 at the pre-intervention period and 11.6 per 1,000 patient-days at the post intervention period. When surgical site infections were excluded, the rates tended to decrease from 6.8 at the pre-intervention period to 6.0 per 1,000 patient-days at the nest-intervention period. MRSA colonization rates were 14.3% and 13.0% at the pre- and post-intervention period, respectively. But the differences were not statistically significant. The mean days from SICU admission to MRSA colonization were 2.9 in pre-intervention period and 6.5 at the post-intervention period. The differences between the pre- and post-intervention period were statistically significant (p=.001). CONCLUSION: The hand washing improving program was found to be effective in increasing the hand washing adherence of the healthcare workers at the SICU. In spite of the improved hand washing practices, however, nosocomial infection rates were found not changed significantly, although MRSA colonization by the patients, which is considered as a high risk factor for nosocomial infections, was delayed significantly. To demonstrate the causal relationship between hand washing and nosocomial infections, further studies are warranted with a larger number of patients during an extended study period.
Colon ; Cross Infection* ; Delivery of Health Care ; Hand Disinfection* ; Hand* ; Humans ; Critical Care* ; Methicillin-Resistant Staphylococcus aureus ; Research Personnel ; Risk Factors ; Seoul

OBJECTIVE: Pelviscopic surgery has been used in the treatment of some gynecologic disease. And now, it is applied in almost all cases of gynecologic disease. This study is performed to evaluate the clinical advantages of pelviscopic surgery. Mehtods: From March, 1997 to February 1999, total 310 cases were received laparoscopic surgery on dept. OBGY of Seonam University hospital and Chosun University hospital. We reviewed the chart and analyzed these cases about age, parity, clinical indication, operation type, duration of hospitalization, operation time and complication. RESULTS: The results of this study were summarized as follows : 1. The mean age of patients was 32.1 years old with ranges between 15 and 54 years old. 2. The mean parity of the patients was 1.33. 3. The common indications were ectopic pregnancy (33.5%), ovarian cyst (28.4%) and uterine myoma (16.5%). 4. The frequent types of surgery were salpingectomy (23.2%), adnexectomy (22.6%) and laparoscopy assisted vaginal hysterectomy (LAVH) (13.9%). 5. The operation time was variable according to the types of operation and difficulty. 6. The mean duration of hospitalization was 4.17 days. 7. The most frequent complication was hemorrhage at the trocar site. CONCLUSION: Pelviscopic surgery is useful and recommended for the treatment of gynecologic disease, because this is safe and has many advantages. So, we expect the number and indication of pelviscopic surgery will be increased in future.
Female ; Genital Diseases, Female ; Hemorrhage ; Hospitalization ; Humans ; Hysterectomy, Vaginal ; Laparoscopy ; Leiomyoma ; Middle Aged ; Ovarian Cysts ; Parity ; Pregnancy ; Pregnancy, Ectopic ; Salpingectomy ; Surgical Instruments