No abstract available.
Adrenal Hyperplasia, Congenital*

The purpose of the study was to investigate the characteristics of the clients registered in the department of home health care nursing in a hospital and to analyze nursing intervention activities recorded in charts by application of Nursing Intervention Classification (NIC) system. For the descriptive survey study, data were collected by reviewing charts of 572 home health care clients between May, 1997 and July, 2000 at K hospital in Seoul. The average age of the clients was 66 years and the number of clients in their 70s ranked first with 28.2 percent(158 people). The mean length of home care service was 47 days with the highest frequency of less than four weeks (56 %). With regard to medical diagnosis, cancer showed the highest frequency (48%, 271 people), followed by cerebrovascular disease (19%), and pulmonary disease (6.9%). According to analysis of nursing interventions by the NIC system, the most frequently used nursing interventions in level 1 were interventions in the Physiological: Complex domain which were used 3,663 times (33%) among 11,107 total interventions. The Safety domain was the second most frequently used intervention, followed by the Physiological: Basic, and the Behavioral domains. In level 2, the Risk Management class was the most frequently used interventions with 3,108 interventions (27.9%), followed by Drug Management, and Tissue Perfusion Management classes. In level 3 interventions, Vital Sign Monitoring was the most frequently used intervention, 569 times (5.1%), followed by Health Screening, and Neurological Monitoring interventions. In sum, half of the clients in the study had cancer and were in their 70s. The most frequent reason for ending home care was death (40%), followed by readmission (28%). These findings represent clients with severe conditions referred to the home care nursing department as it was a University teaching hospital. Further research on analyzing nursing interventions performed in each institution needs to be conducted to develop a standardized list of nursing interventions to use in home health care settings.
Classification ; Delivery of Health Care* ; Diagnosis ; Home Care Services ; Home Health Nursing ; Hospitals, Teaching ; Lung Diseases ; Mass Screening ; Nursing* ; Perfusion ; Risk Management ; Seoul ; Vital Signs

No abstract available.

The fashion of vascular anastomosis, end-to-end or end-to-side (E-to-S), are depended upon surgeon's preference or surgical situations. In E-to-S anastomosis two different methods of arteriotomy are applicable but it has been suggested the type, either elliptical or slit arteriotomy, play a different role in the flow hemodynamics. We thought that the difference is more considerable in microvascular surgery. This study examines the effects of elliptical versus slit arteriotomy on morphologic vessel patency. Twenty male Sprague-Dawley rats were divided into two groups of ten rats each. Both carotid arteries were selected as a experimental model. During the procedures the rat brain was tolerable to ischemia and all animals were survived after operations. The morphologic analysis of anastomosis site was through resin-casting method with scanning electromicroscopic examination. The results showed notable difference between two groups in three-dimensional morphology at two-month of operation. This difference may affect the flow hemodynamics and long-term vessel patency. In microvascular anastomosis, the mortpologic difference of the elliptical arteriotomy is worse than slit arteriotomy which compromises the vessel circumference.
Animals ; Brain ; Carotid Arteries ; Hemodynamics ; Humans ; Ischemia ; Male ; Models, Theoretical ; Rats ; Rats, Sprague-Dawley

The purpose of this research was to develop an information system for diagnostic tests regarding their purpose, method. and notification, and to provide people in the field with easy access to information by using CD-ROM title or data communication. The Joint Application Design Method which is popular in developing information systems was used. First the user requirements for the target system were gathered and analyzed through a survey of patient and nurses in a number of hospitals. Thus. the functions which were to be included were analyzed in details. A list containing all the required tests and their content was defined to be used as the database in the system. Focusing on making the searching procedure easy to use. the researchers defined the input and the output of the system to have for a user-friendly user interface. Searching functions using not only, a name of the test category or a test name itself, but also a disease name were added. Furthermore, the function of maintaining an updated database in an efficient way was also included. This system is useful in that it provides an efficient and effective way to search for any necessary information about diagnostic tests and an easy way to keep the updated database. Based on user and system requirement analysis. user-friendly interface. and the well-defined database. all of which were designed and implemented in this research. it is expected that an Internet-based diagnostic test information system can be developed in a near future.
Access to Information ; CD-ROM ; Diagnostic Tests, Routine* ; Humans ; Information Management ; Information Systems* ; Joints

The Carneys complex is a multisystemic tumorous disorder that features myxoma(heart, skin, and breast), spotty skin pigmentation(cutaneous and mucocutaneous), endocrine tumors(adrenal, testicular, and pituitary) and peripheral nerve tumors. The criteria far diagnosis of the complex is the presence of two or more of the above conditions. The condition is transmitted as an autosomal dominant trait. The most serious components of the syndrome are cardiac myxoma and psammomatous melanotic schwannoma. The cutaneous manifestations are a major clue in the disorder. We report a case of Carneys complex in a 19-year-old woman. She had spotty pigmentation on her face, left atrial myxoma, and myxoma on her right nipple. Her mother and sister had left atrial myxoma.
Diagnosis ; Female ; Humans ; Mothers ; Myxoma* ; Neurilemmoma ; Nipples ; Peripheral Nervous System Neoplasms ; Pigmentation ; Siblings ; Skin ; Young Adult

Computer-Assisted Instruction(CAI) improved the possibility of individualized learning by enhancing the learning efficacy related to the apptitude, competency, speed and perceptual style of each learner. The reason that I introduced the computer in teaching and learning process is based on the assumption that individual differences can be minimized by applying CAI. This has special meaning because in the current teaching and learning system we can not consider the individual differences of learners. Considering the importance of developing individualized learning program, the course of electrophysiology and pathology of K that requires typical memorization and repetition is made as a purpose to increase the efficacy of learning and thus improve the quality of nursing curriculum.
Curriculum ; Electrophysiology ; Individuality ; Learning ; Nursing ; Pathology

No abstract available.
Head* ; Orthognathic Surgery* ; Posture* ; Prognathism*

Yu-Dong-Kong exercise is to produce heat from rubbing hands and is composed of 10 different types of exercise using warmed hands. The objective of this research is to evaluate the effect of Yu-Dong-Kong exercise on physical function and emotional state in elderly. The design of research is Nonequivalent Control Group Pretest-Posttest Design. The independent variable is Yu-Dong-Kong exercise, and the dependent variables are physical function and emotional state. Subjects are 18 elderly in the experimental group and 16 elderly in control group. All of them are above 60 year old and live in I-city, Kyonggi-do. The exercise period was 4 weeks and data were collected from April to August in 1998. The exercise frequency was once a day. The exercise duration was from 10 to 20 minutes. The measurement tools are modified 1) Cornell Medical Index-Health Questionnaire and 2) Geriatric Depression Scale. Collected data were analyzed by t-test and paired t-test based on the purposes of research using SPSS-Window package. The results are summarized as follows : 1. There was no difference in pre-exercise physical function between two groups(t=-0.95, p=0.35). 2. The hypothesis that "physical function in the experimental group will be improved compared to the control group" was not supported by t-test(t=-0.925, p=0.362). However, the physical function in the experimental group showed much improvement than that in the control group. 3. The hypothesis that "emotional state in the experimental group will be improved compared to the control group" was not supported by t-test(t=-1.715, p=0.096). However, the emotional state in the experimental group showed much improvement than that in the control group. 4. The hypothesis that "physical function will be improved in the post-exercise compared to pre-exercise" was not supported by paired t-test(t=0.302, p=0.766) However, a slight improvement in the physical function was found. For the further study, it is recommended to reevaluate the effect of Yu-Dong-Kong exercise through large number of subjects and long-term study. Also, a separate study with different type of subjects is recommended. In addition, continuation and compliance this strategy for exercise should be developed.
Aged* ; Compliance ; Depression ; Gyeonggi-do ; Hand ; Hot Temperature ; Humans ; Middle Aged ; Surveys and Questionnaires

Stroke patient needs rehabilitation after receiving an acute treatment in a hospital. When stroke patient gets involved in an early discharge program, home care nurse plays a pivotal role to make them to gain a full strength and to come back to his/her prior life before he/she is sick. In spite of the importance of home care nursing intervention protocol for home care nurses to perform home care nursing autonomously, home care nursing intervention protocol for stroke patient is rarely developed. Therefore this study was conducted to develop home care nursing protocol that is applicable for stroke patients in home care nursing area. 41 home care nursing charts for stroke patients registered in home care nursing agencies from December 1st 1994 to August 31st 1999 at Y hospitals in Seoul and Won-Ju city were analyzed. 44 home care nurses who were having over three years' experience on stroke patients were participated in this study as a user validity validation group. The results of this study are as follows. 1. 28 nursing diagnoses were selected on the basis of evaluation of nursing diagnoses of stroke patients presented in a previous literature and case studies on home care nursing. 2. 17 nursing diagnoses were classified through the frequency analysis of home care nursing charts for 41 stroke patients who had received home care nursing. The order of sequence was like these: impaired skin integrity, risk for infection, nutritional deficit, impaired physical mobility, constipation, knowledge deficit, ineffective airway clearance, anxiety in family members, risk for aspiration, self care deficit, altered urinary elimination, ineffective individual coping, social isolation, risk for injury, self-esteem disturbance, impaired verbal communication, fatigue of family caregiver. 3. Based on validation on expert and user validities, 44 nursing interventions which were above ICV=0.80 were chosen. 4. Nursing intervention protocols which showed above ICV=0.90 were developed and were like these; pressure ulcer care, position change, preventive care for circulatory dysfunction, tube care : catheter, vital sign monitor, constipation /impaction management, artificial airway management, suction of airway secretion, environmental management : safety, and fall prevention.
Airway Management ; Anxiety ; Caregivers ; Catheters ; Constipation ; Fatigue ; Gangwon-do ; Home Care Services* ; Humans ; Nursing Assessment ; Nursing Diagnosis ; Nursing* ; Pressure Ulcer ; Rehabilitation ; Self Care ; Seoul ; Skin ; Social Isolation ; Stroke* ; Suction ; Vital Signs