1.Correlations between Weight, Body Mass Index(BMI) and Risk Factors of Coronary Artery Disease in Men and Women in their Forties and Fifties.
Hee Seung KIM ; Hye Sun JEONG ; Kyung Sil HAN
Journal of Korean Academy of Nursing 1998;28(1):184-192
This study was done to examine the correlations between weight, BMI and risk factors of coronary heart disease in men and women in their forties and fifties. The subjects were 412 adults, who had regular health examinations between January and December of 1996 at S-Hospital in Seoul. The data were analyzed using ANOVA, Scheffe test, and Pearson correlation coefficient. The results are as follows : 1. The men between 50 and 59 years of age had higher levels for BMI, weight, systolic blood pressure, diastolic blood pressure, total cholesterol, LDL-cholesterol, triglyceride, fasting blood sugar, plasminogen activator-1, and hemoglobin A1C than the group of women in their forties. Yet, HDL-cholesterol was lower than in the former group. 2. In the group of men in their forties, weight was significantly correlated to diastolic blood pressure(r=.22), LDL-cholesterol(r=.20), plasminogen activator inhibitor-1(r=.35) HDL-cholesterol(r=-.19). Their BMI was significantly corrected to systolic blood pressure(r=.27), diastolic blood pressure(r=.33), total cholesterol(r=.23), LDL-cholesterol(r=.26), plasminogen activator-1(r=.36) and HDL-cholesterol(r=-.25). 3. As for the group of women in their forties weight was significantly correlated to systolic blood pressure(r=.20), diastolic blood pressure(r=.22), triglyceride(r=.32), plasminogen activator inhibitor-1(r=.30) and HDL-cholesterol(r=-.37). Their BMI was significantly correlated to diastolic blood pressure(r=.25) triglyceride(r=.47), plasminogen activator-1(r=.35), fibrinogen(r=.27) and HDL-cholesterol(r=-.47). 4. In the group of men in their fifties, weight was significantly correlated to total cholesterol(r=.32), LDL-cholesterol(r=.29), plasminogen activator inhibitor-1(r=.26). Their BMI was significantly correlated to systolic blood pressure(r=.24), diastolic blood pressure(r=.22), total cholesterol(r=.34), LDL-cholesterol(r=.32), and plasminogen activator-1(r=.25). 5. In the group of women in their fifties, weight was significantly correlated to diastolic blood pressure(r=.33), total cholesterol(r=.21), LDL-cholesterol(r=.20), plasminogen activator inhibitor-1(r=.43) and HDL-cholesterol(r=-.21). Their BMI was significantly corrected to systolic blood pressure(r=.25), diastolic blood pressure(r=.40), total cholesterol(r=.24), LDL-cholesterol(r=.24), triglyceride(r=.22), and HDL-cholesterol(r=-.30). The above findings indicate that the BMI was more predictive than weight as a risk factor for coronary artery disease for men and women in their forties and fifties.
Adult
;
Analysis of Variance
;
Blood Glucose
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Blood Pressure
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Body Weight*
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Cholesterol
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Coronary Artery Disease*
;
Coronary Disease
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Coronary Vessels*
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Fasting
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Female
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Humans
;
Male
;
Plasminogen
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Plasminogen Activators
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Risk Factors*
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Seoul
;
Triglycerides
2.Subjectivity of Leadership Behavior for Nurse Manager in Hospital.
Moon Sil KIM ; Su Jeong HAN ; Jung A KIM
Journal of Korean Academy of Nursing 1999;29(5):1072-1086
This study has been attempted using the Q methodology to clarify leader type of nurse managers that head nurses and general nurses recognize, and to clarify its relative relation. Sixty-three statements were extracted through interviews with general and professional people interested in the subject of nurse leaders to extract the Q population. Atotal of 314 Q population was formed added with 251 questions extracted from related documents. Final 32 Q samples were selected by reorganization of 314 Q population after reexamining statements through inquiry of 1 professor of the nurse department, 2 students in course of nurse science masters degree and 2 students in course of doctoral degree. The P sample selection standard of this study were 25 nurses and 30 head nurses. Examination subjects themselves filled out 32 statements classified in a measure of 9 points from agreeable items to disagreeable items, Principal component factors were analyzed using the QUANL pc program after grading the contents of the P sample. Nurses recognizing subjective structure for leader behaviors of nurse manager were analyzed to be 3 factors: vision presentation type, self-capability consideration type, relationship consideration type, and head nurses recognizing subjective structure were analyzed to be 2 types ; task pursuit leader type, and concord pursuit type. Nursing manager's leader behavior, expected by staff nurse are more complex and higher level which may combined with task pursuit leader type in concord pursuit leader of head nurse. Also according to Hersey and Blanchard theory(1977), the effectiveness of leadership becomes to be larger as the accordance rate between the behaviors of nurse leaders and followers reaction increase. Two suggestions have been made based on the conclusion. 1. Studies on creating strategies in relation to development, management, selection of nurse leaders should be made based on this study. 2. There is a need for relative study of production and degree of similarity of leadership types based on this study.
Humans
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Leadership*
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Nurse Administrators*
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Nursing
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Nursing, Supervisory
3.Comparison of Epileptic Seizures between Preterm and Term-born Epileptic Children with Periventricular Leukomalacia.
Hee Jeong JEONG ; Eun Sil LEE ; Han Ku MOON
Korean Journal of Pediatrics 2005;48(11):1225-1231
PURPOSE: This study compares the first epileptic seizures between preterm and term-born children with periventricular leukomalacia and epilepsy. METHODS: From 108 cases having lesions of high signal intensity around the ventricles in T2 weighted imaging of a brain magnetic resonance study, we selected 37 cases that showed epileptic seizures two times or more and divided them into the group of preterm-born (27 cases) and term- born children (10 cases). A retrospective study was made by comparing the two groups with regard to age, type of the first epileptic seizures, EEG findings and responsiveness to anticonvulsants. RESULTS: The age of the first epileptic seizure was 22.2+/-18.3 months in the preterm-born group and 26.9+/-21.1 months in the term-born group (P=0.505). As for the first epileptic seizure, 11 out of the 27 cases in the preterm-born group had infantile spasms. Out of the 10 cases in the term-born group, 7 had complex partial seizures. In the preterm group, hypsarrhythmias were found in 11 cases, focal epileptiform discharges in 6 cases. In term-born group, focal epileptiform discharges were found in 5 cases but no epileptiform discharge was found in 3 cases. Intractable epilepsies were diagnosed in 6 cases and all of them belonged to the preterm-born group. CONCLUSION: More severe epilepsies such as infantile spasm and intractable epilepsies seem to be more common in preterm-born epileptic children with PVL as well as more severely abnormal EEG finding compared to term-born epileptic children.
Infant
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Child
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Male
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Female
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Humans
4.A Case of Epidermolysis Bullosa Dystrophica.
Soon Yol HWANG ; Jeong Sil HAN ; Gu Seok JUNG ; Sung Won KIM ; Kil HYUN ; Chung Hee CHI
Journal of the Korean Pediatric Society 1987;30(9):1049-1054
No abstract available.
Epidermolysis Bullosa Dystrophica*
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Epidermolysis Bullosa*
5.A Case of Arteriovenous Malformation of the Uterus.
In Seuk CHAE ; Jae Hong PARK ; Seong Han KIM ; Jeong Sil PARK ; Kwang Soo HA ; Koock Howan BAE
Korean Journal of Obstetrics and Gynecology 1999;42(11):2614-2618
Arteiovenous malformation of the uterus is an extremely rare and becomes one of the causes of severe uterine bleeding. Because uterine bleeding can be aggravated with diagnostic dilatation and curettage, an accurate diagnosis should be achieved before the intervention. This malformation may be congenital or acquired. In the past, the diagnosis is usually made retrospectively after hysterectomy, however, recently it may be made before management by ultrasound, doppler ultrasound, pelvic angiography, magnetic resonance imaging, etc.. We have experienced one case of arteriovenous malformation of the uterus, which is presented with a brief review of the literatures.
Arteriovenous Malformations*
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Diagnosis
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Dilatation and Curettage
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Female
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Hysterectomy
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Magnetic Resonance Angiography
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Retrospective Studies
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Ultrasonography
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Uterine Hemorrhage
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Uterus*
6.A Case of Letterer-Siwe Disease.
Suh Hong HA ; Jeong Sil HAN ; Sung Won KIM ; Kyung Tae KIM ; Kil Hyun KIM ; Chung Hee CHI
Journal of the Korean Pediatric Society 1987;30(3):335-341
No abstract available.
Histiocytosis, Langerhans-Cell*
7.The Association of Maternal Body Mass Index with Birth Weight and Cesarean Delivery.
Jae Young JOO ; Jong In BAE ; Jeong Heon LEE ; Jeong Sil PARK ; Kwang Soo HAN ; Koock Hwoan BAE
Korean Journal of Obstetrics and Gynecology 2001;44(6):1103-1108
OBJECTIVES: The aim of this study was to evaluate the correlations of pre-pregnancy maternal BMI(body mass index), and weight gain during pregnancy with Birth weight and Cesarean delivery in full term infants. METHODS: We collected data from 1086 pregnancies without complications, and analysed pre-pregnancy maternal BMI, weight gain during pregnancy, and the incidences of SGA(small-for-gestational age), LGA(large-for-gestational age), cesarean delivery. Chi-square test, T-test, and One way Anova test were performed for stastatical analysis. RESULTS: In pre-pregnancy maternal BMI <19.8kg/m2 group, the incidence of SGA was 12.2%, LGA 6.2% and cesarean delivery 14.9% respectively, but in >26.0kg/m2 group, 0%, 23.6% and 36.4% respectively(p<0.05). In under weight gain during pregnancy group, incidence of SGA was 13.4%, LGA 4.7% and cesarean delivery 15.7% respectively, but in high weight gain group, 4.8%, 19.5% and 21.0% respectively(p<0.05). CONCLUSION: There was significant correlations among pre-pregnancy maternal BMI, weight gain during pregnancy, birth weight and cesarean delivery. From these results, it is considered that antenatal maternal BMI and weight gain during pregnancy are valuable to predict birth weight and cesarean delivery.
Birth Weight*
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Body Mass Index*
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Humans
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Incidence
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Infant
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Parturition*
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Pregnancy
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Weight Gain
8.Clinical Characteristics of Hypernatremia.
Jeong Hoon KIM ; Un Sil JEON ; Jin Suk HAN ; Jae Seok YANG ; Seo Jin LEE ; Curie AHN ; Suhnggwon KIM ; Jung Sang LEE ; Woo Seong HUH ; Jong Ho LEE
Korean Journal of Nephrology 1998;17(4):553-558
Hypematremia is a rare but important medical condition and is associated with mortality rate of 40 to 70%. However, little has been known about its prognostic factors or treatment guidlines. To evaluate the prognostic factors and the outcome following treatment, we reviewed 22 available medical records among twenty five hypernatremic patients (0.2%) in 12841 admissions at medical ward from January to December 1995. We defined hypernatremia as serum sodium concentration more than or equal to 150 mEq/L. Of these patients, two had hypematrernia at admission and the remaining patients became hypernatremic during admission. Mean peak serum sodium concentration was 158 (150-178) mEq/L and mean total body water deficit was 11.4 (6.7-21.3)%. Factors correlated with the development of hypernatremia were diverse and multiple, and the most frequent factor was diminished access to water. Mortality rate was 59%, but mortality was not correlated with age, correction rate of hyper-natremia, primary route of fluid loss, and the severity of hypernatremia or total body water deficit. Mortality rate was higher in patients whose serum sodium concentrations were below 130 mEq/L at admission (P<0.05). In our study, development of hypernatremia from initial hyponatremic state was significantly associated with poor outcome, and age, rapidity of correction, route of fluid loss, and the severity of hypernatremia or total body water deficit were not.
Body Water
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Humans
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Hypernatremia*
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Medical Records
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Mortality
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Sodium
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Water
9.Study on the Immunologic Mechanism in the Xenogenic Transplantation.
Duck Jong HAN ; Hee Man LEE ; Song Cheol KIM ; You Me WE ; Heui Yeon KANG ; Jeong Yeun KIM ; Eun Sil YU ; Song Hoe PARK
Korean Journal of Immunology 1997;19(2):277-288
Organ transplantation has become a' widely accepted treatment modality for end-stage organ disease. The shortage of allogenic donors for organ transplantation has brought about the necessity of xenotransplantation as an unlimited source of organ donation. However, organ transplantation between different species have never been successful because of hyperacute rejection. Although the mechanism of this phenomenon is not fully understood, many researchers believe that the natural antibodies present in the recipient's serum may bind to the graft and induce the activation of complement cascade triggering the process of hyperacute rejection. ...continue...
Antibodies
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Complement System Proteins
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Heterografts
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Humans
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Organ Transplantation
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Tissue and Organ Procurement
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Tissue Donors
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Transplantation, Heterologous
;
Transplants
10.Clinical Review of Primary Chest Wall Tumors.
Hyo Chae PAIK ; Jeong Han KANG ; Sung Sil CHOI ; Kyung Young CHUNG
The Korean Journal of Thoracic and Cardiovascular Surgery 2003;36(3):175-181
BACKGROUND: Primary chest wall tumors originate from soft tissue, bone or cartilage of the chest wall and it comprises 1~2% of all primary tumors. Resection of tumor is often indicated for chronic ulceration or pain, and long-term survival might be achieved after surgery depending on the histology and the surgical procedure. MATERIAL AND METHOD: Retrospective study of 125 primary chest wall tumors (86 benign, 39 malignant) operated between Sep. 1976 to Mar. 2001 were reviewed and their clinical outcomes were analyzed. Follow-up data were collected at the outpatient clinic. RESULT: All patients with benign tumors were treated by excision without recurrence or death, and most malignancies were treated by wide resection. Malignant fibrous histiocytoma and chondrosarcoma constituted 46.2% of the malignant neoplasm. There was no operative death. The overall 3-year survival for patients with primary malignant neoplasm was 76.0%, and the 10-year survival was 60.5%. All deaths were disease-related and the tumor recurred in 11 patients. There was no significant difference in survival between patients with resection margins less than 4 cm and those with resection margins greater than 4 cm. CONCLUSION: Chest wall resection offers excellent results for benign chest wall tumors and substantial long-term survival for malignant diseases. Safe resection margin of 4 cm or more did not correlate with the survival rate although the tumor recurrence correlated with poor survival.
Ambulatory Care Facilities
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Bone and Bones
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Cartilage
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Chondrosarcoma
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Follow-Up Studies
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Histiocytoma, Malignant Fibrous
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Humans
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Recurrence
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Retrospective Studies
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Survival Rate
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Thoracic Surgery
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Thoracic Wall*
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Thoracoplasty
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Thorax*
;
Ulcer