No abstract available.
Thoracic Surgery*

No abstract available.
Korea* ; Pneumoconiosis*

No abstract available.
Mass Screening* ; Ultrasonography*

Behavioral symptoms are frequent and problematic components of dementia. The aim of this study was to detect behavioral problem of the 25 item of dementia problem behaviour(DPB)assesment scale for demented older adults. Seventy-three patients with dementia staying in the day care center, group home, dementia hospital, nursing home were recruited data on problematic behavior obtained through interviews with their caregiver during 2 months from March to May 2004. Results shows that problematic behaviors common occurring in 95% of subjects. The most frequently exhibited problematic behaviors were repetitive movement(1.05), repetitive questions(1.03), restlessness(1.0). indifference(0.97). shouting/screaming(0.92). Problematic Behaviors of the demented older adults were closely associated to the distress for caregiver. Most distressful ones for caregivers were repetitive questions(1.46), repetitive movement(1.42), shouting/ screaming (1.42), indifference(1.41). restlessness(1.41). Problematic Behaviors of the demented older adults were divided into six subdivisions, among those restless behavior was positively correlated with aggressive behavior, nervous symptom and psychotic symptom. and then nervous symptom was interrelated to psychotic symptom(p<0.01). This study has limitation that field study data were derived from various primary caregivers.
Adult* ; Behavioral Symptoms ; Caregivers* ; Day Care, Medical ; Dementia ; Group Homes ; Humans ; Nursing Homes

A 6(1/2)-year-old girl developed recurrent cholangitis following hepatic portoenterostomy for biliary atresia. Computed tomogram showed an ovoid cyst (4.5 x 4.0 cm in size) in the left hepatic lobe and another tubular dilatation (2.0 x 0.8 cm in size) in the right hepatic lobe. Percutaneous transhepatic cholangio-drainage (PTCD) with cystogram showed an ovoid cyst in the left hepatic lobe (Tsuchida type A), measuring 6.6 x 5.0 cmin size. She became afebrile and anicteric with aid of PTCD and parenteral antibiotics. However she continued to drain 45-150 cc of bile per day via the tube for over 2 weeks. Then she successfully underwent intrahepatic cystojejunostomy with guidance of intraoperative ultrasonography. This case illustrates relapsing cholangitis caused by Tsuchida type A intrahepatic cyst, which was successfully managed with PTCD followed by internal drainage procedure.
Anti-Bacterial Agents ; Bile ; Biliary Atresia* ; Cholangitis ; Dilatation ; Drainage ; Female ; Humans ; Portoenterostomy, Hepatic ; Ultrasonography

No abstract available.
Hepatitis B* ; Hepatitis* ; Prevalence*

Mitral regurgitation (MR) was analyzed by Doppler echocardiography, preoperatively and postoperatively, in 59 patients with patent ductus arteriosus (PDA). The ratio of left atrial dimension and aortic root dimension (LAD/AOD) and the maximal velocity of the mitral valve (MVmax) were compared in pre, postop group. The degree of the regurgitation was given to the MR group. In preop MR group (13 of 59,22%), we compared the LAD/AOD by echo and the Qp/Qs by catheterization with non-MR group. The following results were obtained: 1) In preop MR group, about half of them had a grade 1 regurgitation, where as one fourth showed grade 2, remaining one fourth showed grade 3. The later were all changed to grade 2, postoperatively. The whiffle or mild MR (grade 1 or 2) shown preoperatively were slightly reduced in their degrees of regurgitation, but most were not disappeared and persisted to 7th postop day. 2) LAD/AOD and MVmax were significantly reduced at postop state of PDA. 3) In preop MR group (n=13), LAD/AOD was significantly increased. Qp/Qs was higher in MR grade 2 group (n=6). In conclusion, left atrial dilatation could be a factor causing mitral regurgitation in the PDA. The amount of the pulmonary blood flow also related to that. The size of the PDA itself, Rp/Rs and associated cardiac lesions were not related to the regurgitation.
Catheterization ; Catheters ; Dilatation ; Ductus Arteriosus, Patent ; Echocardiography, Doppler ; Humans ; Mitral Valve ; Mitral Valve Insufficiency*

No abstract available.
Constriction, Pathologic* ; Intestinal Atresia*

BACKGROUND: When going into the intensive care unit (ICU), health care workers (HCWs) and visitors are required to put on cover-gowns and change into slippers, which is considered by some hospitals as one of the customary infection control practices. The purpose of this study was to evaluate the efficacy of cover-gowns and slippers in reducing nosocomial infections in the medical ICU (MICU). METHODS: The study was carried out in four periods. In the period-I (January to June, 2002), all HCWs and visitors put on cover-gowns when entering the MICU, but not in the period-II (July to December, 2002). They were required to change into slippers in the period-III (January to April, 2004), but not in the period-IV (May to August, 2004). RESULTS: Nosocomial infection rates during the period-I and period-II were 14.8 and 12.6 per 100 discharges (P>0.05) or 14.1 and 13.6 per 1,000 patient days (P>0.05), respectively. During the period-III and period-IV respective infection rates were 9.4 and 12.6 (P>0.05) or 10.2 and 15.7 (P>0.05). There were no statistical differences in device utilization ratios, device-associated infection rates, and site of infections (P>0.05) between the periods of I and II or between the periods of III and IV. CONCLUSION: These results showed that the intervention of cover-gown and slipper change is a non-effective factor in reducing nosocomial infections in the MICU; therefore, the infection control practice of cover-gown and slipper changes for HCWs and visitors entering the ICU should be eliminated.
Cross Infection* ; Delivery of Health Care ; Humans ; Infection Control ; Intensive Care Units* ; Critical Care*

No abstract available.
Risk Assessment*