No Abstract Available.
Receptors, Cytoplasmic and Nuclear*

Surface ECG findings in 29 patients with left isomerism were reviewed. Among the total 46 wave axis distributions, 25(54%) were abnormal axis, not originated from sinus node. Congenital atrioventricular block was found in 2 children. 6 patients showed the bradycardia and junctional escape rhythm intermittently or persistently. 4 of them, not related with heart surgery, were much older than 2 patients who showed these ECG findings after heart surgery. These ECG findings suggested the possibility of occurrence of sinus node or subsidiary pacemaker dysfunction in the patients with left isomerism, especially in the older patients. So we thought that electrophysiologic evaluation is necessary in some patients with left isomerism.
Atrioventricular Block ; Axis, Cervical Vertebra ; Bradycardia ; Child ; Electrocardiography* ; Humans ; Isomerism* ; Sinoatrial Node ; Thoracic Surgery ; United Nations

PURPOSE: The purpose of this study was to construct an acceptance-commitment therapy (ACT)-based stress management program for inpatients with schizophrenia and to examine its effects on hospitalization stress, self-efficacy, and psychological well-being. METHODS: A non-equivalent control group pretest-posttest design was used. Participants were 44 inpatients with a diagnosis of schizophrenia. The experimental group (n=22) received the ACT-based stress management program twice a week for a total of four weeks. The control group (n=22) received the usual care from their primary health care providers. The study was carried out from August 7 to September 1, 2017, and data were analyzed using IBM SPSS/WIN 22.0 with a Chi-square test, Fisher's exact test, and an independent t-test. RESULTS: The experimental group showed a significant decrease in hospitalization stress (t=5.09, p < .001) and an increase in self-efficacy (t=2.44, p=.019). However, there was no significant difference in psychological well-being between the two groups (t=0.13, p=.894). CONCLUSION: The results of this study suggest that the ACT-based stress management program can be used as an effective mental health nursing intervention for hospitalization stress and self-efficacy for inpatients with schizophrenia.
Acceptance and Commitment Therapy ; Diagnosis ; Hospitalization* ; Humans ; Inpatients* ; Primary Health Care ; Psychiatric Nursing ; Schizophrenia* ; Self Efficacy ; Stress, Psychological

No abstract available.

Chronic inflammation of the meibonliarl glands (chalazia) frequently become troublesome because of recurrences, cosmetic blemish and distortion of vision when it is large enough. Medical treatment with hot compress, topically administered antibiotics and corncosteroids often fail to cure, so leads to chalazia with trial intralesional injection of triamcinolone acetonide. Ten chalazia reso1ved within one week after only one injection, two chalazia after two injections, one chalazion after three injections and one lesion failed to respond to three injections which was removed by surgery. We observed that intralesional injection of triamcinolone acetonide for chalaza is a good procedure, which appear to be a safe, convinient and effective alternative to chalazion surgery.
Anti-Bacterial Agents ; Chalazion* ; Inflammation ; Injections, Intralesional ; Recurrence ; Triamcinolone Acetonide* ; Triamcinolone*

PURPOSE: To evaluate the presence, degree and direction of ocular cyclotorsion in eyes undergoing laser in situ keratomileusis (LASIK). METHODS: We measured the presence, degree and torsional direction of 161 eyes of 88 patients who underwent LASIK for myopic and hyperopic astigmatism with LADARVision 4000 excimer laser (Alcon Summit Autonomous). Preoperatively, each eye was marked at the 3, 9-o'clock conjunctival area with marking pen under the slit lamp observation with a horizontal beam while the patient was seated upright. After lifting of corneal flap and acquiring of LADARVision4000 auto-tracking system, the presence and torsional direction was confirmed on the computer monitor and the rotational deviation degree was measured from horizontal reference line by software program built in laser computer system before the laser exposure. RESULTS: There was a cyclotorsional deviation in 144 eyes (89%). The counter-clockwise rotation was shown in 99 eyes (69%) and clockwise rotation in 45 eyes (31%). Mean ocular torsional misalignment was 3.8 +/- 2.9 degrees (right eye; 4.7 +/- 2.9 degrees, left eye; 3.5 +/- 2.4 degrees). 85 eyes (53%) had a torsional deviation less than 4 degrees and 5 eyes (3%) had a deviation greater than 10 degrees. CONCLUSIONS: A misalignment of astigmatism axis caused by ocular cyclotorsion was known as a reason of astigmatism undercorrection during LASIK. Thus, preoperative marking on conjunctiva and cyclotorsional axis alignment before laser treatment may reduce the incomplete astigmatism correction in LASIK.
Astigmatism ; Axis, Cervical Vertebra ; Computer Systems ; Conjunctiva ; Humans ; Keratomileusis, Laser In Situ* ; Lasers, Excimer ; Lifting

No abstract available.
Cardiomyopathy, Dilated* ; Doxorubicin

PURPOSE: This study was performed to identify how internalized stigma, anger expression style, and mental health service satisfaction impact on the self-esteem of inpatients with schizophrenia. METHODS: For this descriptive correlational study, 191 inpatients with schizophrenia participated. They had been admitted to one of six mental hospitals in three areas of South Korea. Data were collected from August 1 to November 30, 2016 using self-report questionnaires and data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with IBM SPSS 22.0. RESULTS: The significant predictors of self-esteem in inpatients with schizophrenia were internalized stigma, anger expression style, and mental health service satisfaction, explaining 36% of the variance in self-esteem. The most significant predictor of self-esteem in inpatients with schizophrenia was internalized stigma. CONCLUSION: Study findings suggest that a significant reduction in the internalized stigma of inpatients with schizophrenia increases their self-esteem. It is also, necessary to improve adaptive anger expression style and mental health service satisfaction.
Anger* ; Hospitals, Psychiatric ; Humans ; Inpatients* ; Korea ; Mental Health Services* ; Mental Health* ; Schizophrenia*

We describe a case of an acute heart transplant rejection treated with triple immunosuppression and plasmapheresis, resulting in evidence of improved clinical manifestation and hemodynamics. This case suggests that plasmapheresis may be useful in the treatment of possible acute humoral(vascular) rejection in heart transplantation.
Graft Rejection* ; Heart Transplantation ; Heart* ; Hemodynamics ; Immunosuppression ; Plasmapheresis*

PURPOSE: The purpose of this study was to (1) develop an acceptance commitment therapy (ACT) based recovery enhancement program for inpatients with mental illness and (2) test the effects of the program on patients' psychological flexibility, recovery attitude, and quality of life. METHODS: A mixed methods design was used: a combination of a repeated-measure design with a non-equivalent control group and qualitative data collection. The participants were 41 inpatients with mental illness (experimental group: 20, control group: 21). The ACT based recovery enhancement program was conducted over four sessions for a total of two weeks. Data were collected from December 2018 to January 2019. RESULTS: Study results revealed that the ACT based recovery enhancement program was effective for psychological flexibility (F=150.71, p<.001), recovery attitude (F=60.22, p<.001), and quality of life (F=31.59, p<.001) for inpatients with mental illness. CONCLUSION: The results of this study suggest that the ACT based recovery enhancement program can be used as an effective mental health nursing intervention for psychological flexibility, recovery attitude, and quality of life of inpatients with mental illness.
Acceptance and Commitment Therapy ; Data Collection ; Hospitalization ; Humans ; Inpatients ; Mental Disorders ; Pliability ; Psychiatric Nursing ; Quality of Life