No abstract available.
Carcinoma, Hepatocellular*

BACKGROUND: One of the problem in emergency room(ER) of university hospital is over-crowdedness that causes exhaustion of medical resources (personnel, device, space) and disturbes optimal treatment. METHODS: This is an evaluative research for the purpose of promoting efficient operation system in ER of university hospital. RESULTS: 1) In 387 visitors, mean age was 47.5 years, and male to female ratio 1.21:1. As the specialty in charge, 28.9%f them were internal medicine, 26.6%mergency medicine, 9.9%eurology, and 8.5%eurosurgery. 24%f visitors have come by ambulances. The patients stayed for average 16.1 hours. The admission rate of ER visitors was 33.4 %60.3 %returned home after some management. 2) The visitors had various causes without correlation between the severity of conditions and the choice of high level hospital ER. They perceived their situations emergent in 78.4% but after triage only 25.6%were classified emergent. 48.6%of the visitors were the patients of out-patient department of this hospital due to chronic diseases. 3) The patients were assessed within 9.5 minutes after arrival at ER by nurse and within 34 minutes by doctor. If they were in need of consultation to second/third department, they waited for 141.5/460 minutes respectively to see the doctor. They waited for 59.9/52.7 minutes to get routine laboratory sampling/radiologic examination respectively. 4) Every 2.3 new patients visited this ER per hour. Average 63.2 patients were taken over to next shirt of nurse duty, and 60%of them had chronic degenerative diseases. CONCLUSION: The causes of overcrowding in ER of the university hospital were (1) huge number of patients at out-patient department of the hospital, (2) shortage of beds compared to the number of patients waiting admission, (3) too many kinds of procedures performed in ER, (4) cooperation failure among doctors of different specialty, and (5) no definite criteria of admission/discharge into/from ER. To solve these problems, conversion of ER management policy from complete examination and treatment to more simple and rapid one is necessary.
Ambulances ; Chronic Disease ; Emergencies* ; Emergency Service, Hospital* ; Female ; Hospitals ; Humans ; Internal Medicine ; Male ; Outpatients ; Triage

No abstract available.

No abstract available.
Dwarfism*

No abstract available.
Bronchopulmonary Sequestration*

Acute posterior multifocal placoid pigment epitheliopathy(AMPPE), originally described by Gass in 1968, is a syndrome involving(1) rapid loss of central vision secondary to multifocal yellowish-white placoid lesions at the level of the pigment epithelium rather than in choroid; (2) rapid resolution of theselesions with perm anent alteration in the pigment epithelium and minimal damage to the adjacent choroid and retina; and (3) significant visual recovery which continues for several weeks or months after apparent ophthalmoscopic resolution of the acute lesions. Fluorescein angiography shows that the choroidal fluorescence is not visible at the site of acute lesions in the early arterial phase, but there is hyperfluorescence due to staining of the lesion in the late venous phase. We experienced and treated a case of acute posterior multifocal placoid pigment epitheliopathy, presenting with bilateral bullous serous sensory retinal detachment in 39 years old male, who had a good visual improvement.
Adult ; Choroid ; Epithelium ; Fluorescein Angiography ; Fluorescence ; Humans ; Male ; Retina ; Retinal Detachment* ; Retinaldehyde*

No Abstract Available.
Adult* ; Female ; Granuloma* ; Humans ; Toxocariasis*

No abstract available.
Gastroenteritis* ; Humans* ; Rotavirus*

OBJECTS: The study was designed to find out if there is any socio-psychological factors that could distinguish families with psychiatric patients apart from normal families. METHODS: A total of 235 psychiatric patients' family samples, 467 normal family samples, and total 802 family samples were randomly gathered from May 1995 to July 1995 in Seoul. Family Mental Health Questionnaire developed by the authors along with questions concerning family's way of communication were used as a method of evaluating the socio-psycologicla factor of the families. RESULTS: Compared to normal families, psychiatric patients' families show differences in these sociopsycological factors: emotional stability, open heartedness within family, family bonds, openness towards community, sexual relation of couple, conflict in the relationship between mother-in-law and daughter-in-law, unconditional parental love towards children, control over the children and patriarchic family orientation. Among the socio-psychological factors, parental attachment toward children and the self-sacrifice devotion toward parents show no significant differences between psychiatric patients' families and normal families. The best factor which distinguishes psychiatric patients' families apart from normal families is the conflict in the relationship between mother-in-law and daughter-in-law. Other factors which also show significant differences are openness towards community and unconditional parental love towards children. Within psychiatric patients' families, mother's opinions act as a main source of decision making throughout the family communication process. CONCLUSION: These results suggest that unstable, closed socio-psychological characteristics of psychiatric patients' families could result in negative effects during the therapeutic process.
Child ; Decision Making ; Family Relations ; Humans ; Love ; Mental Health ; Parents ; Surveys and Questionnaires ; Seoul

Authors have experienced 30 cases of traumatic hyphema for the recent 3 years. We treated all the patients by absolute bed rest. binocular patches, enzyme and osmotherapy, and in some cases, anterior chamber irrigation was performed. The following conclusions were obtained; 1) It took 2~3 1/2 days to be absorbed in the cases of hyphema less than one-quarter volume of anterior chamber. 2) It took 4-16 days in the cases of total hyphema. 3) In most cases of hyphema more than three-quarters volume of anterior chamber, they were associated with other ocular injuries and also shawed poar visual prognosis.
Anterior Chamber ; Bed Rest ; Humans ; Hyphema* ; Prognosis ; Telescopes