BACKGROUND: Compliance with self-care and lifestyle modification is recommended for all patients with acute coronary syndrome to prevent a secondary attack. Data is limited regarding the association between compliance with self-care and restenosis. This study was conducted to examine the association between compliance with self-care and restenosis and to determine the predicting factors for restenosis and low compliance with self-care. METHODS: A total of 166 acute coronary syndrome patients (64.2+/-10.8 years) hospitalized for an angiogram during routine follow-up or symptom management were conveniently recruited from a university hospital cardiovascular care unit. Self-administered questionnaires were used to evaluate the level of compliance with self-care and symptom-related satisfaction. RESULTS: In-stent restenosis was found in 40.4% of the subjects and 36.1% were persistently smoking. There was no significant relationship between low compliance with self-care and restensosis. A lower symptom-related satisfaction significantly predicted restenosis and low compliance with self-care. A longer period after initial diagnosis predicted restenosis and a shorter period after initial diagnosis predicted low compliance with self-care. Persistent smoking was independently associated with low compliance with self-care. CONCLUSIONS: Patients who continued to smoke and had lower symptom-related satisfaction with daily living showed a stronger tendency for lower compliance with self-care and lifestyle modification. Effective educational strategy focusing on smoking cessation is needed to increase compliance with self-care in patients with ACS, especially during admission with a first heart attack.
Acute Coronary Syndrome ; Compliance ; Coronary Artery Disease ; Follow-Up Studies ; Heart ; Humans ; Life Style ; Patient Compliance ; Self Care ; Smoke ; Smoking ; Smoking Cessation ; Surveys and Questionnaires

c-erbB-2 oncogene is a normal cellular proto-oncogene coding transmembrane glycoprotein structurally similar to the epidermal growth factor receptor. Amplification of this oncogene in a variety of human adenocarcinomas has been reported and is particularly well documented in breast carcinoma. It has been suggested that amplification of this oncogene is indicative of poor prognosis and is valuable only second to the lymph node status. Using immunohistochemical staining for the c-erbB-2 protein, overexpression of this protein was analysed in 228 primary breast cancer specimens and the frequency of overexpression and the relationship between overexpression and the other established prognostic variables are evaluated. Ninty three cases out of 228 cases(40.8%) show postive oncoprotein overexpression and using the chi-squared test for a trend, a significant correlation was found between c-erbB-2 protein staining and the histological grade, lymph node status, and estrogen receptor status(P<0.05). No significant association was found between staining and the patient's age and tumor size. Most of the tumors with histological types known to have good prognosis showed negative expression. Above findings strongly suggest that expression of c-erbB-2 oncogene is another independent indicator of poor prognosis in breast carcinoma.
Humans ; Adenocarcinoma ; Breast Neoplasms

Ocular injury ig one of the commonest causes of eye diseases, but its patterng and incidences are variable according to the envirmment. A clinical analysis was done for 450 cases of ocular injurieg, including 99 cases of in-patients which were observed in the Department of Ophthalmology, Chungnam National University Hospital during the period of 1975~1978. The results were as follows; 1) The incidence of ocular injurieg was 4.3% of all patientg and there was the tendency to increase year by year. Ocular injuries ocupied 18.3% of all admitted patients. 2) The incidence was more common in male (80.6%) and in the age of 2nd to 4th decades (47.4%). RelativeIy higher incidence of ocular injuries were observed in children under the age of 10 (16.2%) and the damage was usually more serious. 3) The ocular injurieg were more common in the spring (27.7%) hit in children the incidence was higher during vacationg. It seemed that the ocular injuries were related to patient's occupation. 4) Small flying particles, such as sand, iron particle and dugt, were the mogt common cause of the ocuIar injurieg (31.7%), followed by the injuries with the figt (13.1%) and the wooden stick (10.8%), but the injuries with the iron and gteel were mogt common in the admitted patients (23.2% of all cases). 5) Subconjunctival hemorrhage was most frequent in the ocular injuries (21.4%) and corneal foreign body (14.8%, corneoscleral laceration (19.5%, traumatic cataract (8.0%) and subcutaneous hemorrhage (58%). In the cages of in-patients, hyphema was most common (22.6% of admitted cases), followed by corneoscleral laceration with prolapsed uveal tissue (l9.3%) and traumatic cataract (9.9%). Contusion or concussion was the most frequent nature of trauma in all cases and the perforating injury in admitted cases. 6) Surgical interventions inculded the simple suture of the cornea and the scleral (38.5% of surgical cases), the irrigation of the anterior chamber (23.6%), enucleation or evisceration (14.9%) and others. 7) At the first visit, 6.4% of all cages were totally bund and the visual acuity showed below 0.1 in 16.8%. The visual acuity in in-patients was total blindness in 9.0%, below 0.1 in 60.6% and over 0.5 in 9.0% After treatment, 49.4% of them showed the visual acuity below 0.1, reflecting a poor prognosis. But tbe number of the patients over 0.5 increased to 24.2%, showing the significanes of proper treatment immediately after injury. The prognosis of the ocular injury is generally poor in spite of proper treatment. Prevention of bundness, therefore, is mandatory through public enlightment and education propened by the society as a whole with the ophthalmologits on the leading role.
Anterior Chamber ; Blindness ; Cataract ; Child ; Chungcheongnam-do ; Contusions ; Cornea ; Diptera ; Education ; Eye Diseases ; Foreign Bodies ; Hemorrhage ; Humans ; Hyphema ; Incidence ; Iron ; Lacerations ; Male ; Occupations ; Ophthalmology ; Prognosis ; Silicon Dioxide ; Sutures ; Visual Acuity

PURPOSE: Most undergraduate students are in the phase of gaining mental and physical autonomy from their parents as they expand their worlds. The ways that sexual ethics are established during this time may have an important influence on healthy lifestyles and the maintenance of social order. This study aims to determine a typology of undergraduate students' sexual ethics and the characteristics that compose the types. METHODS: Q methodology, which analyzes the subjectivity of each type of attitude, was used. The 44 selected Q statements from 43 participants were classified into the shape of a normal distribution using a 9-point scale. The collected data were analyzed using the PC-QUANL program. RESULTS: The results revealed three discrete groups of students with respect to sexual ethics: traditional absolute purity type, open-minded compromise type, and rational responsibility type. CONCLUSIONS: The results of this study indicate that different approaches to educational programs on sexual ethics are recommended for undergraduate students based on the three types studied.
Attitude to Health ; Consensus ; Female ; Healthy Lifestyle ; Humans ; Male ; Republic of Korea ; Sex Education/statistics & numerical data ; Sexuality/*ethics ; Social Responsibility ; Students/*psychology ; Young Adult

No abstract available.
Osteosarcoma* ; Retinoblastoma*

No abstract available.
Immunoglobulins* ; Tuberculosis, Pulmonary*

No abstract available.
Abortion, Spontaneous* ; Chorion* ; Chorionic Villi* ; Female ; Humans ; Pregnancy

PURPOSE: To investigate the frequency and characteristics of artifacts which can cause errors in retinal nerve fiber layer nalysis using optical coherence tomography (OCT). METHODS: The frequency, characteristics and retinal lesions responsible for the artifact were analyzed for 179 patients (338 eyes) by OCT. All images were categorized into two groups according to the presence of artifacts and then, the differences between the two groups were analyzed by t-test and cross-tabulation analysis in terms of age, refractive error, peripapillary atrophic areas, and type of glaucoma. RESULTS: The male to female ratio was 1.37:1, average age was 47.6+/-15.7 years and average degree of refraction was -1.78+/-0.23 diopter. Artifacts were noted in 64 eyes (18.9%), and were present in the temporal quadrant in 12 eyes (18.8%), superior quadrant in 51 eyes (79.7%), nasal quadrant in 19 eyes (87.5%), and inferior quadrant in 8 eyes (48.4%). The average angle of the artifact was 138 degrees. Although retinal lesion, age, and glaucoma type were not significantly different between the two groups, peripapillary atrophy and myopia were significantly more common in the group with the artifact. CONCLUSIONS: When analyzing retinal nerve fiber layer by OCT, artifacts should be considered, especially in cases of peripapillary atrophy and myopia.
Artifacts ; Atrophy ; Eye ; Female ; Glaucoma ; Humans ; Male ; Myopia ; Nerve Fibers ; Refractive Errors ; Retinaldehyde ; Tomography, Optical Coherence

PURPOSE: Although immunoglobulin E play a major role in immediate hypersensitivity reactions, some reaginic activity is associated with IgG. Part of the reaginic activity is associated with IgG1, IgG4. In contrast with this reaginic activity of IgG4, allergen-specific IgG4 antibody is allergen neutralizing antibody and contribute to the benificial effect of immunotherapy. The role of specific IgG antibody in allergic disorder is uncertain. The Dermatophagoides pteronyssinus is well known as the major allergen triggering allergic disorder. For determining the distribution of specific IgE and IgG subclass antibodies and their role in allergic disorders. Mehtods : Specific IgE and IgG subclasses to Dermatophagoides pteronyssinus (Dp) were measured in 62 allergic children (Group I;Bronchial asthma, Group II; Bronchial asthma +Allergic rhintis) aged 8-13 year. All of them had positive skin test to Dp and every data were compared with thet of 42 normal control. RESULTS: 1) Dp specific IgE antibody titer was significantly higher in Group I, II, III than in control group (p< .01). 2) pecific IgG, IgG1, IgG2, IgG4 antibodies were higher in all three allergic groups than in control group (p< .01). 3) Specific IgG, IgG1, IgG2, IgG3, IgG4 antibodies were higher in patient with asthma and allergic thinitis than asthma or allergic rhnitis. 4) The linear correlation between specific IgE and IgG, IgG1 or IgG4 was not significant (p< 0.05). CONCLUSIONS: Specific IgE, IgG and IgG subclass antibodies were increased in allergic disorders than normal control. The level of specific IgG and IgG subclass antibodies were higher as the clinical symptoms were more severe.
Antibodies* ; Antibodies, Neutralizing ; Asthma ; Child* ; Dermatophagoides pteronyssinus* ; Humans ; Hypersensitivity, Immediate ; Immunoglobulin E ; Immunoglobulin G ; Immunoglobulins ; Immunotherapy ; Pyroglyphidae* ; Skin Tests

On this study, silicone intubation was performed for punctal stenois in 10 patients(group 1), incomplete nasolacrimal duct obstruction in 47 patients (group 2), and complete nasolacrimal duct obstruction in 18 patients(group 3) in adults. Silicone tube was removed between 3-6 months(mean 5.7 months) after intubation. Mean follow-up period of 9.5 months, 9 patients(90%)in group 1,39 patients(83%)in group 2,and 8 patients(44%) in group 3 showed no epiphora, and 1 patient(10%)in group 1, 8 patients (17%) in group 2, and 4 patients(22%) in group 3 showed intermittent epiphora. 6 patients(33%) in group 3 showed persistent epiphora. In summary, silicone intubation can be an alternative to dacryocystorhinostomy in selected adult patients who have punctal stenosis and incomplete obstruction of nasolacrimal duct system. It is safe, and less traumatic with high success rate in these patients.
Adult* ; Constriction, Pathologic ; Dacryocystorhinostomy ; Follow-Up Studies ; Humans ; Intubation* ; Lacrimal Apparatus Diseases ; Nasolacrimal Duct* ; Silicones*