OBJECTIVES: Sleep problems has been consistently reported as a suicidal risk factor in adults and, recently, also in adolescents. In this study, dividing study subjects by the previous suicidal behaviors (suicidal vs non-suicidal), we compared the group differences of suicidal risk factors, and examined the possibility of sleep as a suicidal risk factor. METHODS: Study subjects were 561 (271 boys and 290 girls) from a community sample of high school students. Suicidal Risk Behavior Checklist, Center for Epidemiological Study-Depression (CES-D), Symptom Checklist-90-Revision (SCL-90-R) Anxiety and Aggression subscale, Pittsburg Sleep Quality Index (PSQI) were done. RESULTS: Forty six students (8.1%) reported previous actual self-harm behavior as a suicidal attempt, 181 students (32.4%) reported having suicidal thought only. Three hundred thirty four students (59.5%) reported no previous suicidal behavior (thought and attempt, both). Suicidal behavior group showed higher score on risk behaviors such as school violence, substance use and internet addiction. CES-D, SCL-90-R, PSQI showed significant group difference. Logistic regression analysis showed suicidal risk were significantly associated with depression, stress in suicidal risk factors and sleep latency, daytime dysfunction in PSQI. Analysis of variance (ANOVA) shows the most prolonged sleep latency and increased index of all PSQI components except sleep efficiency in suicidal attempt group. CONCLUSIONS: Sleep Problems had a strong association with the suicidal risk behavior in adolescents. Sleep problems, especially, prolonged sleep latency, daytime dysfunction might be important markers for suicidal behavior. Screening for sleep problems in adolescents are encouraged for the parents, school teachers, and related medical physicians.
Adolescent ; Adult ; Aggression ; Anxiety ; Checklist ; Depression ; Humans ; Internet ; Logistic Models ; Mass Screening ; Parents ; Risk Factors ; Risk-Taking ; Suicide ; Violence

This study was aimed to explore the relationship between the type of family system and the self-concept of kidney-transplantation recipients. 190 recipients were sampled from 3 general hospitals in Seoul and Kunggi-area, KOREA. Family Cohesion and Adaptability Evaluation Scale III (Olson et al., 1985) of the Circumplex Model (Olson et al., 1983) and Self-concept Test (Jeong, Won Sik, 1968) were used to collect the data. The data collected was analyses by the t-Test and ANOVA. It was found that there were no differences on recipients' self-concepts by types of family systems. But there were differences in recipients' self-concepts by family cohesion and adaptability levels. That is, the higher level of cohesion and adaptability, the higher the recipients' self-concepts. The type of family system and recipients' self-concept are related. So the recipients and the family of recipients must be included in subjects of medical and nursing care.
Hospitals, General ; Humans ; Kidney ; Korea ; Nursing Care ; Seoul ; Transplantation

Pseudopolyps represent discrete areas of mucosal inflammation and regeneration that are seen in a variety of inflammatory bowel disease including ulcerative colitis and Crohn's disease. These polyps are typically short, measuring less than 1.5 cm in height. Rarely, localized giant pseudopolyposis can occur, i.e., a collection of larger inflammatory pseudopolyps giving rise to a mass lesion within the colon. The most serious problem concerned with pseudopolyposis is a confusion with carcinoma. We experienced a case of localized giant pseudopolyposis causing partial large bowel obstruction. Right hemicolectomy was done for a preoperative diagnosis of ascending colon carcinoma. The resected specimen contained a circumferential lesion, which was composed of numerous interconnecting cylindrical villi, measuring 12 cm in length and 3 cm in height. Microscopically, these polypoid lesions were inflammatory pseudopolyps. Several deep fissure-like ulcerations were noted with multifocal microabscess, lymphoid hyperplasia and an area of noncaseating granuloma.

When coexistence of carcinoma with similar histologic type is present in female genital tract, it is difficult to differentiate independent primary tumor from metastasis. Most of them are endometrial and ovarian tumors, but coexistence of uterine cervical and ovarian tumor with similar histologic type is rare. We experienced an independent primary tumor of ovarian mucinous cystadenocarcinoma associated with mucinous adenocarcinoma of uterine cervix. The patient was a 50-year-old woman. She had a lower abdominal mass which was detected as a huge cyst on ultrasonography. Although the ovarian lesions were bilateral, features that preferred to consider independent primary tumor are listed as; absence of lymphatic or vascular invasion, absence of ovarian surface implant, superficial invasion of cervical tumor, absence of tumor in abdominal cavity, and disease free follow-up after removal of the tumor.
Female ; Humans ; Cysts ; Adenocarcinoma

No abstract available.
Humans*

PURPOSE: This study was conducted to analyze industrial workers' stresses from physical symptoms, PWI, JCQ and tasks in classification of Sasang constitutions. METHOD: Data were collected from industrial workers in J Province from May 2003 to June 2003. Questionnaires were distributed and collected on the day of their physical examination. Collected data were analysed through chi2-test. RESULT: Health-related characteristics showed that most of smokers and drinkers were Taeumins and this result was statistically significant. Physical symptoms related to constitutions indicated that GI and neurologic symptoms are significantly more frequent in Soeumin. The percentage of subjects with moderate risk was high in order of Soyangin, Taeumin and Soeumin while the percentage of subjects with high risk was high in order of Soeumin, Taeumin and Soyangin. CONCLUSION: Through this study, Lee Jae Ma's theory was be confirmed compatible with disease characteristics. However, research with more various subjects and variables needs to be made.
Classification ; Constitution and Bylaws* ; Neurologic Manifestations ; Physical Examination ; Surveys and Questionnaires

Cystic lymphangioma are rare benign tumors that originate as a congenital anomaly of the lymphatic system. Their common presentation is in neck and axillary area at the birth, during infancy or early pediatric age group. Author reports an unusual case of cystic lymphangioma of breast which was diagnosed in a 32-year-old woman. The findings were very dense, sharply defined, and multilobulated masses on mammography, and mu-Itiloculated echo free lesions on ultrasonogram.
Adult ; Breast* ; Female ; Humans ; Lymphangioma, Cystic* ; Lymphatic System ; Mammography ; Neck ; Parturition ; Ultrasonography

The purpose of this study was to explore the change of muscle strength, muscle endurance, flexibility and activities of daily living to develop a rehabilitational program. The subjects were selected randomly among the patients who underwent kidney transplantations at one major transplantation hospital in Seoul, Korea. This study was carried out between November 23, 1999 and February 15, 2000. The subjects in this study consisted of 16 patients who had kidney transplantations between 1 month and 12 months ago prior to this study. They were all on steroids and did not take any physical exercise regularly. The muscle strength, muscle endurance, flexibility and activities of daily living were evaluated at 1st week and after 12 weeks. The data were analyzed with numbers, percentiles, mean, standard deviation and t-test. The results were as follows: 1. After 12 weeks, the grip strength was significantly decreased than 1st week (p=.0002). 2. After 12 weeks, the back lift strength was significantly decreased than 1st week (p=.0002). 3. After 12 weeks, the muscle endurance was increased than 1st week, but it was not significant(p=.5487). After 12 weeks, the flexibility was significantly decreased than 1st week (p=.0002). 5. After 12 weeks, the activities of daily living was significantly decreased than 1st week (p=.0006). Like the above result, the kidney transplant receipients' muscle strength, flexibility and activities of daily living were reduced. In order to solve this problem, the writer has found that program development to prevent the defects should be extremely required. Since now on the number of patients should expand. After the kidney transplantation, the periods of 4, 8, 12 and 16 weeks are extended. The writer proposes to examine the different phase of change in each periods.
Activities of Daily Living* ; Exercise ; Hand Strength ; Humans ; Kidney Transplantation ; Kidney* ; Korea ; Muscle Strength* ; Pliability* ; Program Development ; Seoul ; Steroids ; Transplantation*

The main purpose of this study was to characterize and classify families of KT recipients and to identify family adaptability and cohesion, as family function, by the Circumplex model. A Cross-sectional survey approach was employed for this research project. The data was collected by the questionnaire method in 3 general hospitals in Seoul and Kyonggi-do, Korea. The Family Adaptability and Cohesion Evaluation Scales III was used. By Convenient sampling, a total of 190 subjects (Male 117, Female 73) with an average age of 39.7 years (range: 18-62 yrs.) participated. The mean age at transplantation was 36.8 yrs. (SD: 9.4 yrs.). On an average, the patients had received transplants 39.9 months previously. The data was analyzed by percentage of frequency, t-test, and one-way ANOVA by the SPSS program. The results were as follows: 1. The mean family adaptability score was 30.26(SD: 6.6, range: 12-49) and the mean family cohesion score was 34.96(SD: 6.5, range: 15-48). 2. All of 16 distinct types of family system were identified. Among them, 'Flexibly connected types' (32 families, 16.8%) were the most common and 'chaotically disengaged types' (2 families, 1.1%) were the least common. 3. Dividing the 16 unit typology into 3 basic groups of types, 'Balanced types' composed 88 families (46.3%), 'Mid-range types' composed 76 families (40.0%), and 'extreme types' composed 26 families (13.7%). 4. The family adaptation differed according to age, education level, marital status, the diagnostic age of CRF, and level of recipient's perception of the family's importance. The family cohesion differed according to age, employment status, number of kid, and level of recipient's perception of the family's importance. In conclusion, by providing nursing intervention designed to increase family adaptability and cohesion, considering the socio-demographic factors of recipient and family, nurses may improve the recipient's family function and health, and also the recipient's health and quality of life.
Cross-Sectional Studies ; Education ; Employment ; Female ; Gyeonggi-do ; Hospitals, General ; Humans ; Kidney* ; Korea ; Marital Status ; Nursing ; Quality of Life ; Seoul ; Transplantation* ; Weights and Measures ; Surveys and Questionnaires

PURPOSE: This study was done to identify the awareness of gender equality among nursing college students, and to provide basic data for educational solutions and desirable directions. METHODS: A Q-methodology which provides a method of analyzing the subjectivity of each item was used. 34 selected Q-statements from each of 20 women nursing college students were classified into a shape of normal distribution using 9-point scale. Subjectivity on the equality among genders was analyzed by the pc-QUANL program. RESULTS: Four types of awareness of gender equality in nursing college students were identified. The name for type I was 'pursuit of androgyny', for type II, 'difference-recognition', for type III, 'human-relationship emphasis', and for type IV, 'social-system emphasis'. CONCLUSION: The results of this study indicate that different approaches to educational programs on gender equality are recommended for nursing college students based on the four types of gender equality awareness.
Female ; *Gender Identity ; Humans ; Interviews as Topic ; Q-Sort ; Questionnaires ; Students, Nursing/*psychology ; Young Adult