PURPOSE: This research was for checking the effect of meridian massage on the reduction of pain and subjective symptoms of myofascial pain syndrome. METHOD: The method of the research was interruptive time series design. The research objects are 25 hospital workers with myofascial pain syndrome at B hospital in Busan from July 22. 2002 to August 18, 2002. SPSS Win 10.0 was used for data analysis, paired t-test and repeated measures ANOVA for hypothesis test. RESULT: The recipients of meridian massage felt less pain than before(F=12.587, p=.000). The recipients of meridian massage felt less often than before (F=6.705, p=.001). The recipients of meridian massage got lower score on subjective symptoms of myofascial pain than before(F=12.857, p=.000). The recipients of meridian massage had lower blood pressure than before(systolic blood pressure: t=4.697, p=.000, diastolic blood pressure: t=3.426, p=.002). The recipients of meridian massage did not get the lower number of pulse than before(t=0.33, p=.744). CONCLUSION: The above results show that meridian massage is effective on the reduction of pain and subjective symptoms of myofascial pain syndrome and makes stable the blood pressure. Therefore meridian massage can be apply as the effective intervention for the reduction of pain and subjective symptoms of myofascial pain syndrome.
Blood Pressure ; Busan ; Massage* ; Myofascial Pain Syndromes* ; Statistics as Topic

No abstract available.
Liver*

Expert systems emerged during early 1970s have become one of the most important innovations in computer science. They actively work in various areas and achieve a big success especially in medical domain. It is to be difficult to obtain reliable recognitions about each diagnosis that has common characteristics and to manage data about over 140 nursing diagnoses by using existing Nursing Diagnosis System with artificial neural network. But a rule-based approach has been studied to automate diagnosis and is more effective that nursing diagnosis depends on objective data and has more common characteristics. In this paper, Nursing Diagnosis System was built with a rule-based approach due to the above reasons. Nursing Diagnosis System is implemented by using rules of production system, a kind of knowledge representation technique based on standardized nursing care plans. The ten nursing diagnoses, found most frequently from the patients on medical-surgical wards were determined to develop Nursing Diagnosis System. To verify the usefulness of Nursing Diagnosis System was tested with 80 patient's data. A diagnosis was judged correct if the system and the nursing experts agreed on diagnosing. The nursing experts evaluated 100 percents of the system's diagnosis was deemed correct. Judging from the results given above, the system seems highly reliable. In this work, I show that it can contribute to clinical application of nursing process as another nursing tool.
Diagnosis ; Expert Systems* ; Humans ; Nursing Diagnosis* ; Nursing Process ; Nursing* ; Patient Care Planning

With growing need in the field, the application of computers in nursing has been frequently studied to improve the quality of nursing care in Korea. But the development of useful clinical programs has not received adequate alternatives. The aim of this study is to compare of two Nursing Diagnosis Systems - Neutral Network and Expert System. The simulated output of each Nursing Diagnosis System and the Judgment from the researcher and two professors of nursing were comparatively examined. The misdiagnosis rate of Nursing Diagnosis System using the Neural Network was nine percent, while the Nursing Diagnosis System using the Expert System showed consistency with those three experts in every aspect. Accordingly, the result of this study demonstrated the possibility of application of a nursing diagnosis system as another nursing tool.
Diagnostic Errors ; Expert Systems* ; Judgment ; Korea ; Nursing Care ; Nursing Diagnosis* ; Nursing*

PURPOSE: The study aim was to compare nursing service satisfaction, hospital commitment and revisit intention between patients on general care units and comprehensive nursing care units. METHODS: Participants were 201 hospitalized patients in a WHO tertiary hospital and a general hospital. Data were analyzed using SPSS/WIN 23.0 program. RESULTS: There was a significant difference in the satisfaction with nursing service between patients on general care units and comprehensive nursing care units (t=14.73, p < .001). There was a significant difference in the hospital commitment between general care units and comprehensive nursing care units (t=7.52, p < .001). There was a significant difference in the revisit intention between patients on general care units and patients on comprehensive nursing care units (t=6.01, p < .001). There were significant relationships among nursing service satisfaction, hospital commitment and revisit intention. CONCLUSION: The findings reveal that patients on comprehensive nursing care units were more satisfied with the nursing service, hospital commitment, and revisit intention compared to general care unit patients. Nursing service satisfaction and hospital commitment were factors affecting hospital revisit intention. Therefore, these results are important data for complementing and expanding the comprehensive nursing service system to improve satisfied with nursing service and hospital commitment to increase hospital revisit intention.
Complement System Proteins ; Hospitals, General ; Humans ; Intention ; Nursing Care ; Nursing Service, Hospital ; Nursing Services ; Nursing ; Patient Care ; Tertiary Care Centers

No abstract available.
Contracture* ; Mastectomy* ; Seroma*

Fat containing masses, except mediastinal lipomatosis, of the thorax are uncommon. In spite of uncommonoccurences, as CT can detect not only the fat content but also the presence and character of the non-fattycomponent of the mass, accurate preoperative diagnosis can usually be made in most cases of fat containingmediastinal masses. Authors report 6 cases of fat containing mediastinal masses, that were diagnosedpreoperatively by CT scan, comprising 2 cases of limpoma(combined with plexiform neurofibroma in a case), 1liposarcoma, 1 thymolipoma, and 2 cases of omental hernia through Morgagni foramen.
Diagnosis ; Hernia ; Lipomatosis ; Neurofibroma, Plexiform ; Thorax ; Tomography, X-Ray Computed

OBJECTIVE: Because endometriosis is difficult to diagnose and has a high recurrence rate after treatment, a reliable serum marker of endometriosis is necessary. Therefore, the aim of this study is to measure the serum levels of CA125 and CA19-9 in patients with endometriosis before and after treatment and during recurrence, and to assess the usefulness of these levels in the diagnosis, clinical follow up and prediction of recurrence in endometriosis. METHODS: Eighty-eight patients who visited the department of Obstetrics and Gynecology of Ewha Mokdong Hospital from January 1994 to December 1998 and were diagnosed as endometriosis by laparoscopy or explo-laparotomy were enrolled as subjects. A retrospective analysis of serum CA125 and CA19-9 levels at 1 month before and 3 to 6 months after initiation of treatment was done. RESULTS: The serum CA125 and CA19-9 levels of endometriosis group(81.0+/-252.5, 36.6+/-53.4 ; mean+/-2SD, U/ml) before treatment was significantly higher than control group(11.6+/-12.8, 9.4+/-8.6)(p<0.05). Overall sensitivity rate for CA125, CA19-9 levels and both was 53.4%, 42.9% and 64.3% respectively. The sensitivity rate for endometriosis, stage 3 and 4(85.4%, 55.0%) was significantly higher than that, stage 1 and 2(p<0.05). The serum CA125 level in endometriosis group showed a significant increment according to stages(p<0.05) while the serum CA19-9 level showed an increasing trend(p=0.055) and both levels decreased significantly after treatment(p<0.05). The serum CA125 level was also higher at recurrence after treatment(p<0.05). CONCLUSIONS: The serum CA125 and CA19-9 levels are a useful marker for diagnosing severity of disease, monitoring efficacy of treatment and predicting recurrence in endometriosis.
Biomarkers ; Diagnosis ; Endometriosis* ; Female ; Follow-Up Studies ; Gynecology ; Humans ; Laparoscopy ; Obstetrics ; Recurrence ; Retrospective Studies

Since the introduction of percutaneous mitral valvotomy(PMV) in 1984, PMV was an effecive alternative to surgical commissurotomy in selected patients with severe mitral stenosis. Also PMV was an excellent palliative strategy in such patients who were high risk for operative management or longterm anticoagulation was not feasible. We performed PMV in a patient with very tight mitral stenosis and severe pulmonary hypertension under the general anesthesia because the patient was anticipated to be uncooperative due to mental problem, who was diagnosed as schizophrenia 16 years ago. Robinol was used for premedication and i.v fentanyl was used for maintenance of anesthesia. Inoue balloon was introduced into the LV and gradual ballooning was performed with favorable results. Total anesthesia time and interval from internal jugular vein puncture to the completion of valvuloplasty were 1 hour 45 min and 40 minutes respectively. Hemodynamic variables were improved immediately after intervention and mitral valve area was increased from 0.5cm2 to 1.3cm2.
Anesthesia ; Anesthesia, General* ; Fentanyl ; Hemodynamics ; Humans ; Hypertension, Pulmonary ; Jugular Veins ; Mitral Valve ; Mitral Valve Stenosis* ; Premedication ; Punctures ; Schizophrenia*

We would like to correct the affiliation for the first author.