No abstract available.
Diet* ; Education* ; Humans ; Renal Dialysis*

No abstract available.
Intuition* ; Nursing* ; Philosophy*

BACKGROUND: The purpose of this study is to evaluate the evidence for the effectiveness of different isolation policies in reducing the incidence of methicillin-resistant Staphylococcus aureus (MRSA) infection in hospital in-patients. METHODS: We prospectively evaluated the effectiveness of an isolation policy on transmission of MRSA in the 745-beds hospital. First period, all patients with MRSA (March - July 2000) were not isolated Second period, strict isolation policies were performed (August 2000 - January 2002). All patients with MRSA were isolated in separated room, hand hygiene using alcohol handrub, gowning and g1oving, apply of MRSA notice sticker, criteria in isolation remove, separated disinfection and wastement. Third period, semi strict isolation policies were performed (February 2002 - August 2005). Some patients with MRSA were isolated in separated room and others were admitted in general ward for bed shortage. Only some practices were performed in hand washing and separated disinfection in general ward. RESULTS: The rates of MRSA nosocomial infection per patients during 1st, 2nd, and 3rd surveillance were reported 0.56, 0.23, and 0.42 (P<0.05). Patient-days rate of MRSA nosocomial infection during 1st, 2nd, and 3rd surveillance were reported 0.62, 0.27, and 0.38 (P<0.05). CONCLUSION: With many different isolation policies, it was possible to reduce nosocomial infection of MRSA. In this study, strict isolation policies (2nd period) were the most effective practices in reducing MRSA infection.
Cross Infection ; Disinfection ; Hand Disinfection ; Hand Hygiene ; Humans ; Incidence ; Infection Control ; Methicillin Resistance* ; Methicillin-Resistant Staphylococcus aureus* ; Patients' Rooms ; Prospective Studies

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 ; Leadership* ; Nurse Administrators* ; Nursing ; Nursing, Supervisory

The ratio of the elderly population is rapidly growing due to socio-economic development and better medical services. As the average life-span of the Korean elderly becomes longer, the proportion of the elderly is increasing. Therefore, the elderly need to sustain a high quality of life. However, all these factors, such as sensory loss, decreased endurance, mobility limitation, and a loss of independence, act to diminish the quality of life among the elderly. It is necessary for elders to adapt themselves to aging, to maintain their physical functions and especially, it is important to keep their independence in activity of daily living and self care. Therefore, this study was designed to identify the degree of activity in daily living and exercise of a self-care agency and to investigate the relationship between activity of daily living and self-care agency. Also, this research aimed to contribute to nursing interventions that maintain and promote quality of life of the elderly and to enable themselves to live independently. The subject of this study were 160 elders, over age 65, who were sampled in C city. Data were collected by observation and questionnaires from May,1999 to December, 1999. The measurement tools were Barthel Index(1979), Lawton & Brody(1969) for activity of daily living and Kearney & Fleischer(1979) for self-care agency. Data were analyzed by SAS PC+ package and included descriptive analysis, t-test, ANOVA, Pearson correlation coefficient, and Cronbach's alpha. The conclusions of this study are summarized as follows; 1. The mean of ADL and IADL was 96.09 and 16.38, respectively. The score described activity of daily living among the elders in C province as moderate. Particularly, in the items of IADL, the item of medication was the highest score. 2. The mean for exercise of self-care agency was 76.48, a moderate degree. 3. The degree of ADL and IADL according to demographic characteristics was significantly different statistically in pocket money, the presence of disease, perceived health status and in occupation, pocket money, family type, the presence of disease, and perceived health status, respectively. 4. The dagree of selt-care agency according to demographic characteristics was significantly different statistically in gender, education level, economic status, and pocket money. 5. There was a significant positive correlation between activity in daily living and self-care agency. Based on these results, further research is suggested to discover the variables influencing the activity of daily living and self-care agency to develop nursing strategies for improving self-care and activity of daily living among the elderly.
Activities of Daily Living ; Aged* ; Aging ; Education ; Gangwon-do* ; Humans ; Mobility Limitation ; Nursing ; Occupations ; Quality of Life ; Self Care* ; Surveys and Questionnaires

Over a continuous 4-year period, from January 1989 till December 1992, 7,100 infants were born in Department of Obstetrics and admitted to Nursery or Neonatal Intensive Care Unit of Department of Pediatrics of Seoul National University Children's Hospital. Among them, 126 cases were diagnosed as respiratory distress syndrome (RDS) of newborn. The total incidence of RDS among all the newborns (inborn) was 1.77%. And the incidence of RDS related to birth weight was 81.82% in infants of 500~749 g of birth weight, 68.57% in infants of 750~999 g of birth weight, 55.6% in infants of 1,000~1,249 g of birth weight, 35.71% in infants of 1,250~1,499 g of birth weight, 16.67% in infants of 1,500~1,749 g of birth weight, 9.82% in infants of 1,750~1,999 g of birth weight, 1.00%in infants of 2,000~2,249 g of birth weight, 1.29%in infants of 2,250~2,499 g of birth weight, and 0.08% in infants of more than 2,500 g of birth weight. Cumulative incidence of RDS related to birth weight was 81.82%in infants under 750 g of birth weight, 71.74% in infants under 1,000 g of birth weight, 62.39% in infants under 1,250 g of birth weight, 53.33% in infants under 1,500 g of birth weight, 39.85% in infants under 1,750 g of birth weight, 30.83% in infants under 2,000 g of birth weight, 20.42% in infants under 2,250 g of birth weight, and 13.70% in infants under 2,500 g of birth weight. The incidence of RDS related to gestational age was 83.33%, in infants under 25 weeks of gestation, 78.57% in infants at 25~26 weeks of gestation, 67.31% in infants at 27~28 weeks of gestation, 56.41%in infants at 29~30 weeks of gestation, 16.47% in infants at 31~32 weeks of gestation, 4.74% in infants at 33~34 weeks of gestation, 1.15% in infants at 35~36 weeks of gestation, and 0.05% in infants at more than 37 weeks of gestation. Cumulative incidence of RDS related to gestational age was 83.33% under 25 weeks of gestation, 80.00% under 27 weeks of gestation, 70.83% under 29 weeks of gestation, 63.33% under 31 weeks of gestation, 46.38% under 33 weeks of gestation, 27.76% under 35 weeks of gestation. Perinatal risk factors related to the incidence of RDS were analyzed by the multiple logistic regression statistical method in 595 infants, who were born under 37 weeks of gestation and under 2,500 g of birth weight in Seoul National University Hospital. The risk of RDS rose with decreasing gestational age (odds ratio=1.76, 95% CI=1.57, 1.99), with decreasing 5 minute Apgar score (odds ratio=1.23,95% CI=1.08, 1.40), while prolonged ruptrue of membranes of > 24 hours in the absence of maternal infection was highly protective (odds ratio=0.37, 95% CI=0.20, 0.70).
Apgar Score ; Birth Weight ; Gestational Age ; Humans ; Incidence* ; Infant ; Infant, Newborn* ; Intensive Care, Neonatal ; Logistic Models ; Membranes ; Nurseries ; Obstetrics ; Pediatrics ; Pregnancy ; Risk Factors* ; Seoul

No abstract available.
Infection Control* ; National Health Programs*

The purpose of this study was to investigate satisfaction and preference for current military meal service and food behaviors and food habits of some military personnel in Chunchen and Wonju of the Kwangwon area. The results are as follows. In the anthropometric survey, average height of the subjects was 175.03 +/- 5.30 cm, average weight was 69.15 +/- 7.74 kg. As a result of surveying satisfaction in the current food service, an item high in satisfaction was adequacy of serving hours, whereas an item of low satisfaction was diversity of menu. The item of food service improvement needs of the subjects were in order more variety of menu, nutrition, preference, sanitation, cooking method. As a result of surveying eating behavior of the subjects, most items were high medium response. They preferred soju and relish and also they liked the bokkum cooking method. As a result of surveying food habits of the subjects, items of good habits were regularity of meals, marginal meals, diversity of food intake, dairy and dairy products, avoiding too exciting meals and natural food diet; whereas, items of bad habits were fast food intake, alcohol, smoking, carbonated and caffeine beverages, skipping breakfast, snacks, fatty food intake, yellow or green vegetable intake and fruit and seaweed intake. Following is the result of a survey on the preference of meals by cooking method serving the current military meal service. They liked one-dish meals such as Bokkeumbap, Bibimbap, Tteokguk; whereas, they disliked curryrice, Jajangbap. In case of soup, they liked soup made from meat better than vegetable soup or soup made with fish. Also they liked pot stem better than soup. Generally they liked meals containing meat in most cooking methods. These results suggest that continuous and practical nutrition education to change food habits in military life are necessary to prevent chronic disease with increasing age.
Beverages ; Breakfast ; Caffeine ; Carbon ; Chronic Disease ; Cooking ; Dairy Products ; Diet ; Eating ; Education ; Fast Foods ; Feeding Behavior ; Food Habits* ; Food Services ; Fruit ; Gangwon-do ; Humans ; Meals* ; Meat ; Military Personnel* ; Sanitation ; Seaweed ; Smoke ; Smoking ; Snacks ; Vegetables

No abstract available.
Birth Certificates* ; Parturition*

OBJECTIVE: To evaluate a possible involvement of estrogen receptor (ER)alpha, ER beta and insulin-like growth factor binding protein related peptide-1 (IGFBPrp-1) in the growth of leiomyoma. METHODS: The relative expressions of ER alpha, ER beta and IGFBPrp-1 mRNA were analyzed by reverse transcription-polymerase chain reaction in total RNA extracted from the paired specimens of leiomyoma and adjacent myometrium from untreated patients (n=25) and from leiomyoma specimens from patients (n=10) pretreated with gonadotropin releasing hormone agonist (GnRHa)-pretreated for 3 months. RESULTS: There were no significant differences in ER alpha, ER beta mRNA expression and ER alpha/ ER beta mRNA ratio between adjacent myometrium and leiomyoma, but IGFBPrp-1 mRNA expression was significantly lower in leiomyoma than in adjacent myometrium from untreated patients. No differences in ER alpha, ER beta mRNA expressions and its ratio between leiomyoma from GnRHa-pretreated patients and leiomyoma from untreated patients. Leiomyoma from GnRHa-pretreated patients had IGFBPrp-1 mRNA expresion similar to adjacent myometrium from untreated patients and higher than large myoma (more than 150 cm3 in volume) from untreated patients. No correlations among ER alpha, ER beta mRNA expression, its ratio and IGFBPrp-1 mRNA expression were found. CONCLUSIONS: IGFBPrp-1 may be involved in the growth of uterine leiomyoma but ER may not.
Animals ; Carrier Proteins* ; Estrogen Receptor beta* ; Estrogens* ; Female ; Gonadotropin-Releasing Hormone ; Humans ; Leiomyoma* ; Mice ; Myoma ; Myometrium* ; RNA* ; RNA, Messenger