No abstract available.
Pierre Robin Syndrome*

Purpose: This study aimed to analyze the differences in medical care use and patient outcomes between patient groups in the general ward (GW) and integrated nursing care ward (INCW). Methods: Among all patients admitted from January 1 to December 31, 2020, 430 patients (total 860) were selected in the GW and INCW using propensity score matching. The differences in the two groups were analyzed using t-test and x 2 test. Multiple and logistic regression were used to investigate the effect of admission to the INCW or GW on medical use and patient outcomes. Results: The total medical expenses, urinary tract infection rate, and pneumonia rate of the two groups did not show significant differences; however, the length of stay for the INCW group was approximately 3 days longer and unplanned readmissions were 5.4% lower for the INCW group than that for the GW group. Multiple and logistic regression analysis showed similar results. Conclusion Patients in the INCW group had longer hospitalization days and lower rates of unplanned readmission than those in GW group. Additional studies related to longer hospital stays are needed, and measures should be taken to prevent social hospitalization.

Purpose: This study aimed to analyze the differences in medical care use and patient outcomes between patient groups in the general ward (GW) and integrated nursing care ward (INCW). Methods: Among all patients admitted from January 1 to December 31, 2020, 430 patients (total 860) were selected in the GW and INCW using propensity score matching. The differences in the two groups were analyzed using t-test and x 2 test. Multiple and logistic regression were used to investigate the effect of admission to the INCW or GW on medical use and patient outcomes. Results: The total medical expenses, urinary tract infection rate, and pneumonia rate of the two groups did not show significant differences; however, the length of stay for the INCW group was approximately 3 days longer and unplanned readmissions were 5.4% lower for the INCW group than that for the GW group. Multiple and logistic regression analysis showed similar results. Conclusion Patients in the INCW group had longer hospitalization days and lower rates of unplanned readmission than those in GW group. Additional studies related to longer hospital stays are needed, and measures should be taken to prevent social hospitalization.

Purpose: This study aimed to analyze the differences in medical care use and patient outcomes between patient groups in the general ward (GW) and integrated nursing care ward (INCW). Methods: Among all patients admitted from January 1 to December 31, 2020, 430 patients (total 860) were selected in the GW and INCW using propensity score matching. The differences in the two groups were analyzed using t-test and x 2 test. Multiple and logistic regression were used to investigate the effect of admission to the INCW or GW on medical use and patient outcomes. Results: The total medical expenses, urinary tract infection rate, and pneumonia rate of the two groups did not show significant differences; however, the length of stay for the INCW group was approximately 3 days longer and unplanned readmissions were 5.4% lower for the INCW group than that for the GW group. Multiple and logistic regression analysis showed similar results. Conclusion Patients in the INCW group had longer hospitalization days and lower rates of unplanned readmission than those in GW group. Additional studies related to longer hospital stays are needed, and measures should be taken to prevent social hospitalization.

Purpose: This study aimed to analyze the differences in medical care use and patient outcomes between patient groups in the general ward (GW) and integrated nursing care ward (INCW). Methods: Among all patients admitted from January 1 to December 31, 2020, 430 patients (total 860) were selected in the GW and INCW using propensity score matching. The differences in the two groups were analyzed using t-test and x 2 test. Multiple and logistic regression were used to investigate the effect of admission to the INCW or GW on medical use and patient outcomes. Results: The total medical expenses, urinary tract infection rate, and pneumonia rate of the two groups did not show significant differences; however, the length of stay for the INCW group was approximately 3 days longer and unplanned readmissions were 5.4% lower for the INCW group than that for the GW group. Multiple and logistic regression analysis showed similar results. Conclusion Patients in the INCW group had longer hospitalization days and lower rates of unplanned readmission than those in GW group. Additional studies related to longer hospital stays are needed, and measures should be taken to prevent social hospitalization.

BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) is associated with metabolic syndrome including insulin resistance, hypertension, dyslipidemia, central obesity, type 2 diabetes, and cardiovascular disease. In NAFLD, insulin resistance plays an important role in the progression of liver damage. In this study, we evaluated insulin resistance, plasma adiponectin, hepatic steatosis, and their association in adults with normal liver transaminase concentrations. METHODS: We analyzed 111 subjects, aged over 20 years old, who visited the Health Management Center at Chung-Ang University Hospital between May 2006 and August 2006. They had neither history nor clinical evidence of diabetes, cardiovascular or liver disease. They were divided into three groups by the degree of hepatic steatosis based on ultrasound findings. Anthropometric parameters were measured and blood samples were drawn after eight hours of fasting. RESULTS: Hepatic steatosis had a positive correlation with body mass index, waist circumference, blood pressure, triglycerides, HOMA-IR, and QUICKI. Moreover, it had a negative correlation with high-density lipoprotein cholesterol and adiponectin. Triglycerides, Adiponectin, and QUICKI were independent variables in predicting the degree of hepatic steatosis. CONCLUSION: This finding suggests that triglycerides and plasma adiponectin are independent predictors of hepatic steatosis in adults with normal liver transaminase concentrations.
Adiponectin ; Adult ; Aged ; Blood Pressure ; Body Mass Index ; Cardiovascular Diseases ; Cholesterol ; Dyslipidemias ; Fatty Liver ; Humans ; Hypertension ; Insulin Resistance ; Lipoproteins ; Liver ; Liver Diseases ; Obesity, Abdominal ; Plasma ; Triglycerides ; Waist Circumference

PURPOSE: This exploratory study aims to identify various factors influencing the rehabilitation nursing competencies (RNC) of nurses in various types of health institutes. METHODS: The researcher developed a questionnaire consisting of 45 items based on the ARN rehabilitation nursing competency model. Subjects were 434 nurses working at general hospitals, long-term care facilities, or community health centers. RESULTS: Nurses' RNC were significantly higher among those who have higher levels of education, receive continuing education in rehabilitation nursing, and practice more frequently in rehabilitation nursing. Age and duration of nursing career were significant only for interprofessional care domain. General hospital nurses scored highest in every domain while nurses working at long-term care facilities scored lowest in every domain. Multiple regression analysis showed that practicing daily or more than twice per week in rehabilitation nursing, achieving master's degree or higher, and working at long-term care facilities were statistically significant factors with RNC. These factors explained 31.1% of the total variability in RNC in this sample. CONCLUSION: Currently, there is no official certification program for rehabilitation nurse practitioners in South Korea. The results of this study would be useful in developing RNC training programs for Korean nurses, and provide strong evidence for necessity of certified rehabilitation nurse specialists.
Academies and Institutes ; Certification ; Community Health Centers ; Education ; Education, Continuing ; Hospitals, General ; Humans ; Korea ; Long-Term Care ; Nurse Practitioners ; Nursing ; Rehabilitation Nursing* ; Rehabilitation* ; Specialization

A fourteen-year female Jindo dog showing signs of hemoperitoneum was diagnosed with hemangiosarcoma through abdominal radiography and histopathological examination. In the abdominal radiographs, a circular mass was observed on the posterior of the spleen. When the splenic mass was removed via laparotomy, it was spherical, poorly circumscribed, and showed signs of necrosis, with white spots present on the outer side of the mass. Microscopically, the mass showed that hemorrhage was widespread and extensive infiltration of neoplastic cells was found throughout. There was hypercellularity, including occasional pleomorphic cells and mitotic figures. Inflammation at the edge of the mass, along with necrosis, was also found. In this report, we describe the gross and histopathological findings of a case of canine hemangiosarcoma.
Animals ; Dental Caries ; Dogs ; Female ; Hemangiosarcoma ; Hemoperitoneum ; Hemorrhage ; Humans ; Inflammation ; Laparotomy ; Necrosis ; Radiography, Abdominal ; Spleen

PURPOSE: To evaluate the efficacy of power Doppler ultrasonography (PDUS) in depicting renal infarction inrabbits during experimental renal segmental arterial occlusion, and to compare the results with those of CTscanning. MATERIALS AND METHODS: In 28 rabbits weighing 2.5-4kg, the segmental renal artery was occluded throughthe left main renal artery by embolization with Ivalon (Nycomed, Paris, France). Power Doppler ultrasonography andspiral CT scanning were performed before and at 2, 5, 8, 15, and 24 hours, and 3 and 7 days after occlusion of thesegmental renal artery. The location of infarcted areas and collaterals, as seen on PDUS and CT scans, wasevaluated by two radiologists. RESULTS: In all cases, as seen on power Doppler ultrasonography, infaretedareas-when compared with normal parenchyma, clearly demonstrated wedge-shaped perfusion defects in the kidney. Thelocation of the lesion closely corresponded to the location seen during CT scanning. After renal arterialocclusion, transiently congested capsular arteries, which were named 'capsular sign', were seen in 63% ofrabbits in the two and five-hour groups. No significant cortical rim sign was demonstrated on power Dopplerultrasonography, though it was noted on spiral CT at 15 and 24 hours, and 3 and 7 days after renal arterialocclusion. CONCLUSION: Power Doppler ultrasonography was useful for the diagnosis of renal infarction. Congestedcapsular artery seen in the early stage of renal infarction might be a characteristic finding of this condition,as seen on power Doppler ultrasonography.
Animals ; Arteries ; Diagnosis ; Estrogens, Conjugated (USP) ; Infarction ; Kidney ; Perfusion ; Rabbits ; Renal Artery* ; Tomography, Spiral Computed ; Tomography, X-Ray Computed ; Ultrasonography* ; Ultrasonography, Doppler

Placenta increta is a life threatening complication of pregnancy, causing severe post-curettage bleeding. It is usually presented in the postpartum period with hemorrhage during difficult placental removal. It is especially rare in the 1st and 2nd trimesters, which is not easy to find and diagnose. We have confirmed a case of placenta increta after emergency hysterectomy due to severe vaginal bleeding following the dilatation and curettage during the 1st trimester of her pregnancy. So we report it with a brief case history and review of the concerned literatures.
Dilatation and Curettage ; Emergencies ; Female ; Hemorrhage ; Humans ; Hysterectomy ; Placenta Accreta* ; Placenta* ; Postpartum Period ; Pregnancy ; Pregnancy Trimester, First* ; Uterine Hemorrhage