Cutaneous protothecosis sometimes poses diagnostic and therapeutic problems. Isolation of the causative organism may not be successful and spores may be mistaken for other skin diseases unless the characteristic sporangia are detected in tissue sections. Because there are few cases, the optimal therapy is still being debated. On Liebs crystal violet staining we found charateristic purplish dots in Prototheca spores; these correspond to the amyloplasts or dense bodies found under electron microscopy. The isolated organisms were inhibited in vitro by itraconazole, amphotericin B, ketoconazole, and amorolfine and we were able to successfully treat two patients with itraconazole.
Amphotericin B ; Gentian Violet* ; Humans ; In Vitro Techniques ; Itraconazole* ; Ketoconazole ; Microscopy, Electron ; Plastids ; Prototheca ; Skin Diseases ; Sporangia ; Spores

Purpose: This study is descriptive research to examine the effects of the clinical nurse’s character and nursing informatics competencies of nurses working at veterans hospitals on their nursing performance. Methods: Data were collected from 192 nurses with over one year of clinical experience working at three veterans' hospitals in B, D, and G Metropolitan from September 6 to September 30, 2021. The collected data were analyzed with the SPSS 25.0 program in descriptive statistics, an independent t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression. The Scheffé test was used as a post hoc test. Results: Nursing performance had a statistically significant positive correlation with the clinical nurse’s character (r=.69, p<.001) and nursing informatics competency (r=.73, p<.001). The study results showed that nursing informatics competency (β=.49, p<.001) and the clinical nurse’s character (β=.41, p<.001) significantly affected nursing performance. The total explanatory power of these variables was 62.4% (F=32.26, p<.001). Conclusion The above results of this study show that the most significant factors in nursing performance are nursing information competency and the clinical nurse’s character exhibit better nursing performance. Programs for improving nursing informatics competency and implementation methods need to be developed to improve nursing performance. It is also necessary to apply an effective clinical nurse’s character program to enhance the level of the clinical nurse’s character.

Purpose: This study is descriptive research to examine the effects of the clinical nurse’s character and nursing informatics competencies of nurses working at veterans hospitals on their nursing performance. Methods: Data were collected from 192 nurses with over one year of clinical experience working at three veterans' hospitals in B, D, and G Metropolitan from September 6 to September 30, 2021. The collected data were analyzed with the SPSS 25.0 program in descriptive statistics, an independent t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression. The Scheffé test was used as a post hoc test. Results: Nursing performance had a statistically significant positive correlation with the clinical nurse’s character (r=.69, p<.001) and nursing informatics competency (r=.73, p<.001). The study results showed that nursing informatics competency (β=.49, p<.001) and the clinical nurse’s character (β=.41, p<.001) significantly affected nursing performance. The total explanatory power of these variables was 62.4% (F=32.26, p<.001). Conclusion The above results of this study show that the most significant factors in nursing performance are nursing information competency and the clinical nurse’s character exhibit better nursing performance. Programs for improving nursing informatics competency and implementation methods need to be developed to improve nursing performance. It is also necessary to apply an effective clinical nurse’s character program to enhance the level of the clinical nurse’s character.

Purpose: This study is descriptive research to examine the effects of the clinical nurse’s character and nursing informatics competencies of nurses working at veterans hospitals on their nursing performance. Methods: Data were collected from 192 nurses with over one year of clinical experience working at three veterans' hospitals in B, D, and G Metropolitan from September 6 to September 30, 2021. The collected data were analyzed with the SPSS 25.0 program in descriptive statistics, an independent t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression. The Scheffé test was used as a post hoc test. Results: Nursing performance had a statistically significant positive correlation with the clinical nurse’s character (r=.69, p<.001) and nursing informatics competency (r=.73, p<.001). The study results showed that nursing informatics competency (β=.49, p<.001) and the clinical nurse’s character (β=.41, p<.001) significantly affected nursing performance. The total explanatory power of these variables was 62.4% (F=32.26, p<.001). Conclusion The above results of this study show that the most significant factors in nursing performance are nursing information competency and the clinical nurse’s character exhibit better nursing performance. Programs for improving nursing informatics competency and implementation methods need to be developed to improve nursing performance. It is also necessary to apply an effective clinical nurse’s character program to enhance the level of the clinical nurse’s character.

Purpose: This study is descriptive research to examine the effects of the clinical nurse’s character and nursing informatics competencies of nurses working at veterans hospitals on their nursing performance. Methods: Data were collected from 192 nurses with over one year of clinical experience working at three veterans' hospitals in B, D, and G Metropolitan from September 6 to September 30, 2021. The collected data were analyzed with the SPSS 25.0 program in descriptive statistics, an independent t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression. The Scheffé test was used as a post hoc test. Results: Nursing performance had a statistically significant positive correlation with the clinical nurse’s character (r=.69, p<.001) and nursing informatics competency (r=.73, p<.001). The study results showed that nursing informatics competency (β=.49, p<.001) and the clinical nurse’s character (β=.41, p<.001) significantly affected nursing performance. The total explanatory power of these variables was 62.4% (F=32.26, p<.001). Conclusion The above results of this study show that the most significant factors in nursing performance are nursing information competency and the clinical nurse’s character exhibit better nursing performance. Programs for improving nursing informatics competency and implementation methods need to be developed to improve nursing performance. It is also necessary to apply an effective clinical nurse’s character program to enhance the level of the clinical nurse’s character.

A study was made in the congenital anomalies in 137 babies born to 120 mothers with hydramnios, delivered at Ilsin Christian Hospital between Jan. 1st 1981 and Dec. 31th 1990. The results were as follows; 1) The incidence of hydramnios was 1.6/1000 deliveries, 120 cases in total 73, 129 deliveries. 137 infants was born and of these 71 (51.8%) had congenital anomalies. 2) Hydramnios was assiciated with a high incidence of prematurity and low birth weight infant. 3) The incience of multiple anomalies was 54.9% (39 out of 71 infants). The most common system involved with the congenital anomalies was the musculoskeletal system, 28.9% (39 cases out of 135) and the most frequent anomaly was anencephaly, 15 cases. 4) The perinatal mortality rate was 759/1000 total (104 cases) and of these 45 cases, 43.3% were associated with congenital anomalies. 53 of the live birth had congenital anomalies and of these 27 cases (50.9%) died in the neonatal period.
Anencephaly ; Humans ; Incidence ; Infant ; Infant, Low Birth Weight ; Infant, Newborn ; Live Birth ; Mothers ; Musculoskeletal System ; Parturition* ; Perinatal Mortality ; Polyhydramnios*

PURPOSE: The purpose of the study was to investigate the effect of work engagement (WE) on organizational citizenship behaviors (OCB) and ability to control career commitment (CC) in the relationship between work engagement and OCB. METHODS: Data were collected using structured self-report questionnaires from 205 nurses currently working at three national hospitals. Data were analyzed using descriptive statistics, ANOVA, Scheffé test, Pearson correlation coefficient, and hierarchical multiple regression analysis using the SPSS 21.0 program. RESULTS: Mean scores for each variable were: WE 3.77 (on a 7-point scale), OCB 3.41 (on a 5-point scale), and CC 3.05 (on a 5-point scale). As a result, comparison showed that all research variables were higher with age, OCB was higher with total clinical career, and CC was higher with higher education level. Total clinical career, WE and CC had a significant effect on OCB, and CC had a moderate effect on work engagement and OCB. These variables had a total explanatory power of 38% for OCB. CONCLUSION: The nurses' WE had a positive effect on OCB, and the CC showed a moderating effect on the relationship between WE and OCB. Therefore, we suggest that CC is an important factor in improving nurses' OCB.
Education

PURPOSE: This study is a comparative evaluation of the incidence of parenteral nutrition-associated liver disease (PNALD) when administering intravenous fat emulsions containing fish oil. METHODS: The medical records of patients who were in the neonatal intensive care unit at Severance Hospital from January, 2012 to December 2015, were reviewed retrospectively. Patients who were administered either soybean oil (SO) or SMOF (containing soybean oil, medium chain triglycerides, olive oil, and fish oil) more than 14 days were included. The patients were excluded if they were administered both agents or had underlying hepatic disease. An increase in bilirubin to 2 mg/dL was defined as PNALD. RESULTS: PNALD occurred in only 8 out of a total of 77 patients: 6 out of 31 (19.4%) in the SO group and 2 out of 46 (4.3%) in the SMOF group (P=0.055). The number of patients, whose lab values, such as direct bilirubin, total bilirubin, asparate aminotransferase (AST), alanine amino-transferase, gamma-glutamyl transpeptidase, C-reactive protein, serum triglyceride, and alkaline phosphate, exceeded the normal range, were similar in both groups. The gestational age, birth body weight, and APGAR score at 1 min and 5 min were significantly higher in the SO group and the PN duration was significantly long in the SMOF group. Considering only term infants, there were no significant differences in baseline characteristics and incidence of PNALD. The number of patients whose AST exceeded the normal range was significantly higher in the SO group (P=0.034). CONCLUSION: The incidence of PNALD was similar in both groups. On the other hand, considering the tendency, there was a high correlation between the type of lipid emulsion and an increased direct bilirubin level in the SO group.
Alanine ; Apgar Score ; Bilirubin ; Body Weight ; C-Reactive Protein ; Emulsions* ; Fat Emulsions, Intravenous ; Fish Oils ; gamma-Glutamyltransferase ; Gestational Age ; Hand ; Humans ; Incidence ; Infant ; Infant, Newborn* ; Intensive Care, Neonatal ; Liver Diseases* ; Liver* ; Medical Records ; Olive Oil ; Parenteral Nutrition ; Parturition ; Reference Values ; Retrospective Studies ; Soybean Oil ; Triglycerides

PURPOSE: This study compared the effect of two oral care agents on preventing stomatitis and discomfort for acute leukemic patients. METHODS: A total of forty patients was enrolled and randomly assigned to sodium bicarbonate or chlorhexidine group. WHO oral toxicity scale was used for measuring stomatitis and Beck's subjective oral discomfort scale for evaluating oral comfort. Data was collected from August 2009 to February 2010. The data was analyzed using Chi-square test, Fisher's exact test, and Mann-Whitney test. RESULTS: Data analyzed was thirty five one. The incidence of stomatitis was 47.4%, 68.8% in sodium bicarbonate and chlohexidine group respectively. The onset of stomatitis was about the 10th and 9th day after chemotherapy initiation, and the duration was 8.0 and 8.67 day respectively. The severity of stomatitis was highest on the 21st day after chemotherapy initiation. There were no statistical differences in the status of stomatitis and the levels of oral comfort during treatment periods. CONCLUSION: Nurses should routinely assess oral cavity and encourage patients to do oral care actively from second to third week after chemotherapy initiation. Also sodium bicarbonate agent can be recommended to for preventing stomatitis.
Chlorhexidine ; Humans ; Incidence ; Mouth ; Sodium Bicarbonate ; Stomatitis

PURPOSE: This study was conducted to develop an integrated undergraduate course including a PBL based on a blended learning strategy, and evaluate learners' responses. METHODS: The learning contents of cardiovascular, respiratory, and musculoskeletal medical systems, and nursing diagnoses of 'activity and rest' domain (NANADA's classification II, 2005) were analyzed. Six clinical scenarios with the clients in different life cycles were developed for PBL. Classical lecture and group presentation with on-line self learning were implemented in addition to PBL. The developed course was implemented on 84 junior nursing students in a university for 7 weeks with 5 hours per day, two days per week. Students were asked to complete structured questionnaires including problem solving, critical thinking, and nursing diagnosis differentiation abilities. RESULTS: Learner's evaluation was positive in problem solving skills and in the differentiation ability of nursing diagnoses relevant to an 'activity and rest' functional health pattern. CONCLUSION: Development and implementation of integrated courses based on a blended learning method need to be continued to enhance students' thinking and self-directed learning abilities. Supporting strategies for individual learners should be added for successful blended learning such as individual on-line feedback and consideration of individual learning outcomes.
Classification ; Humans ; Learning ; Life Cycle Stages ; Nursing Diagnosis ; Problem Solving ; Problem-Based Learning ; Students, Nursing ; Thinking ; Surveys and Questionnaires