No abstract available.
Evoked Potentials, Visual* ; Humans ; Infant, Newborn*

No abstract available.
Humans ; Infant, Newborn* ; Microbubbles*

OBJECTIVES: The objective of this study is to find out what nurses wrote in narrative nursing notes. METHODS: Forty-six patients' nursing notes were analyzed based on the nursing process. Eight patterns were extracted depending on the different combinations of the nursing process components. RESULTS: Of the 8 patterns, assessment only pattern was the most frequent comprising 45.8% and assessment or diagnosis-intervention-outcome patterns accounted for 25.9% of the total nursing phrases. The content of nursing notes was also classified into 15 categories. Out of these 15 categories, nursing outcomes were recorded more frequently in nursing care mainly driven by doctor's order such as diseases related symptom management, insomnia care, respiratory care and pain control than in independent nursing care such as education and emotional care. According to the survey on nurses' attitude toward nursing record, nurses did not document nursing outcome as much as they reported they did. The main reasons for this discrepancy were insufficient time for recording and lack of knowledge about why, how and what to evaluate. CONCLUSION: Even though there is room for improvement, nursing notes can be used a source for nursing contribution to patient outcomes.
Education ; Humans ; Nursing Care ; Nursing Process* ; Nursing Records* ; Nursing* ; Outcome Assessment (Health Care) ; Sleep Initiation and Maintenance Disorders ; Thoracic Surgery*

No abstract available.
Transcutaneous Electric Nerve Stimulation*

No abstract available.
Sarcoma, Endometrial Stromal*

The proliferating trichilemmal cyst is a rare, usually benign tumor of external root sheath origin. About 90% of the cases gccur on the scalp, with the residual 10% occurring mainly on the back. More than 80% of the patients are women, most of whom are elderly. The cysts are commonly large, measuring up to 6 cm or more in diameter. A 33-year-old woman visited our department with a history of a matchhead- sized erythematous tender papule on her left knee that had been present for two years. A histopathological examination revealed a well-circumscribed, multilobulated cystic tumor with trichilemmal keratinization in the dermis. There were individual cell keratinization and focal calcification in some areas. This case was diagnosed as a proliferating trichilemmal cyst. This case was very unusual not only because the tumor occurred on the knee as a matchhead-sized papule but also because of her young age at presentation.
Adult ; Aged ; Dermis ; Female ; Humans ; Knee ; Scalp

OBJECTIVES: To develop reliable tools for measuring communication skills in schizophrenia, the present study proposed the concept of communication intelligence, consisting of conversational competence, emotional competence, and empathic competence, and explored its neurobiological underpinnings using regional gray matter volume with healthy people. METHODS: Communicative intelligence scores were obtained from 126 healthy young participants. Correlation analyses between regional volume distributions and communication intelligence subcomponents were conducted using voxel-based morphometry of structural MRI. RESULTS: The significant positive correlations between the regional gray matter volumes with conversational competence were found mainly at the ventromedial frontal gyrus while the negative correlations between the bilateral middle frontal gyrus. With emotional competence, the volume of right superior temporal gyrus was positively and that of bilateral insula was negatively correlated. With empathic competence, the volume of the left middle frontal gyrus was positively and that of the insula was negatively correlated. CONCLUSION: Each of the subcomponents of communicative intelligence scores showed distinctive neurobiological underpinnings. The regions for the subcomponents, which constitute a common network for social cognition and emotion, are highly associated with the regions of the schizophrenia pathology. In conclusion, communicative intelligence scales have neurobiological basis to evaluate social skills of patients with schizophrenia.
Cognition ; Humans ; Intelligence* ; Magnetic Resonance Imaging ; Mental Competency ; Pathology ; Schizophrenia ; Weights and Measures

Most of health care professional obtain and update their new knowledge and skills through continuing education. Nurses who works three shifts per day are not easy to attend continuing education session usually offered during their working hours. One of solutions to this problem would be to develop a education program which does not limit time and place. The aim of this study is to develop and evaluate a web-based continuing education program, to help nurse improve their knowledge of transfusion therapy and medical law, and to enhance their ability to contribute to the quality of patient care. A wide range of contents regarding transfusion therapy are covered extensively, concentration on principles of transfusion therapy and administration of whole blood and blood components, transfusion reactions. In the medical law, contents on Korean law in general, medical law, history of revision of medical law, nursing related medical laws are covered, Many color illustrations have been included to help nurses learning process. Each unit has a set of multiple choice questions to provide feedback to nurses. Two sets of questionnaires were used for this study. First, a questionnaire was administered to 21 nurses to collect information on their general characteristics, opinions of inservice and continuing education, and experiences of using computer and internet before they were exposed to the program. Second, another questionnaire was administered to 21 nurses after they were exposed to the program. They were asked to evaluate program in terms of its easiness of use, contents and ways of presenting contents, and usefulness of program for learning. The program generally was well received by the nurses. The program is a useful adjunct to the existing continuing education program. It also could be used in nursing student education and other health sciences.
Blood Group Incompatibility ; Delivery of Health Care ; Education* ; Education, Continuing ; Humans ; Internet* ; Jurisprudence ; Learning ; Multimedia* ; Nursing ; Patient Care ; Surveys and Questionnaires ; Students, Nursing ; Teaching Materials*

The purpose of this study was to collect basic information for the development of information interchange infrastructure of health research and development library in Korea. Domestic data was collected via mail and telephone survey and site visit of information producing and distributing organizations and agencies in the health related field. Data was analyzed and tabulated using descriptive statistics. Research and development activities of the National Library of Medicine were examined using materials posted on the internet. Content of data was reviewed and summarized. It was found that we lack a standardized Korean medical subject headings for the medical librarians to refer when indexing an article written in Korean. And most of academic societies lack a standardized vocaburary system for their members to refer when wrting an article.
Abstracting and Indexing as Topic ; Humans ; Integrated Advanced Information Management Systems ; Internet ; Korea ; Librarians ; Medical Subject Headings ; National Library of Medicine (U.S.) ; Postal Service ; Telephone

This study amis for examines the actual physical symptom and stress in caregivers of patients with cerebrovascular disease. The data were collected by a survey conducted from August to September, 1997 which included 65 caregivers of cerebrovascular disease patient in 4 hospitals located in Seoul. The caregiver's stress was measured by Choi(1992)'s instrument and the actual physical symptoms were investigated. The data were analyzed using ANOV, Scheffe test, pearson correlation coefficient and stepwise multiple regression. The results were as follows : 1. The mean number of caregiver's physical symptom was 3.5. There were significantly higher number of physical symptom in women, those of who have a religious affiliation, those of two perceive their own health status perceived s bad, and those of two perceived their patients disease condition as serious than in their counterparts. Also, the number of caregiver's physical symptom was significantly higher in caregivers whose patients have a paralysis symptom and the disease onset as spontaneous. 2. The average of caregiver's stress was 57.9. The caregiver's stress was the highest in between the ages of 50 and 59. There were also significantly higher level of stress in women, those of two perceived the disease condition of their patient as serious than in counterparts. 3. The most common caregiver's physical symptom was fatigue(87.7%). This was followed by insomnia(58.5%) and muscle (47.4%). 4. Caregiver's physical symptom was positively correlated with caregiver's stress and negatively correlated with patient's activity of daily life. 5. The most important variable affecting the caregiver's physical symptom was patient's activity of daily life which accounted for 12.7% of the total variance in stepwise multiple regression analysis. The most important variable affecting the caregiver's stress was the patient disease condition perceived by the caregiver that accounted for 12.1% of the total variance.
Caregivers* ; Female ; Humans ; Paralysis ; Seoul