BACKGROUND: The purpose of this study was to survey hygiene behavior of healthcare personnel according to the Hygiene Inventory 23 (HI23) and to use the results in education and research for promoting hygiene behaviors. METHODS: We sampled a total of 400 people with 50 from each job category. The sample was obtained through convenient sampling among 8,200 employees working at a tertiary-care hospital with 2,600 beds in Seoul. The HI23 consisted of 5 subscales and 8 questions on general hygiene, 3 on household hygiene, 3 on food-related hygiene, 5 on hand hygiene methods, and 4 on personal hygiene, resulting in a total of 23 questions. The researcher also added 14 questions on the general characteristics of the subjects. The self-administered questionnaires were distributed on October 2009 and analyzed blindly. RESULTS: The average total score for hygiene behavior was 3.04+/-0.44 (maximum of 4). In the subcategory of hygiene behavior, the mean score was 3.20+/-4.24 for general hygiene, 3.07+/-0.68 for household hygiene, 3.07+/-0.68 for food-related hygiene, 2.91+/-0.69 for hand hygiene methods, and 2.97+/-0.48 for personal hygiene. When factors affecting the level of hygiene behavior were identified through multivariate regression analysis, independent factors were found to be gender (female), job category (food-related job), experience in hand hygiene education, and experience in teaching hand hygiene or general hygiene. CONCLUSION: Programs and education adapted to the characteristics of each job category in hospitals are needed to promote hygiene behaviors such as general hygiene, hand hygiene methods, household hygiene, food-related hygiene, and personal hygiene.
Delivery of Health Care ; Family Characteristics ; Hand Disinfection ; Hand Hygiene ; Humans ; Hygiene ; Surveys and Questionnaires

No abstract available.

DSA(Digital Subtractin Angiography) is a valuable diagnostic imaging method in many clinical fields, includingranal-related conditons. Sixty four renal DSA examinations were performed in 59 patients with renal-relateddiseases from Jan. 1984 to Dec. 1985. Summary of these were as follows: 1. Intraarterial (IA)-DSA is performed in6 cases, intravenous(IV)-DSA in 58 cases. In 58 Examinations of IV-DSA, diagnostic image quality is obtained in 51cases(88%). 2. In investigations of a possible renovascular etiology of hypertension, IV-DSA,is a safe, sensitiveand accurate method. On screening for evaluation of renovascular hypertension, RSP should be replaced with IV-DSA,because IV-DSA is moe sensitive and accurate and can detect not only anatomic change of renal arttery but alsofunctional hemodynamic change. 3. IV-DSA is valuable in diseases with morphologic changes of vessels. Incharacterization of a known renal mass, and evaluation of hematuria, suspected aneurym and renal trauma, IV-DSA isvery useful diagnostic imaging modality. 4. In evaluation of potential renal donors, IV-DSA is an accurate andsafe method with 82.4% of accuracy. IV-DSA also is useful in follow-up of allograft recipients. 5. Ininvestigation of diabetic nephropathy, glomerulonephritis, pyelonephritis, IV-DSA is little helpful. 6. Theadvantages of DSA are well known, particularly post-procedure process using computer programs is helpful forobtaining informations of hemodynamic change or time-sequence-curve of density etc. More technical improvementwith this modality is required for improvement of the image quality and resolution. And more accumulation ofclinical experience is required in order to increase the diagnostic accuracy.
Allografts ; Angiography, Digital Subtraction ; Diabetic Nephropathies ; Diagnostic Imaging ; Follow-Up Studies ; Glomerulonephritis ; Hematuria ; Hemodynamics ; Humans ; Hypertension ; Hypertension, Renovascular ; Mass Screening ; Methods ; Pyelonephritis ; Tissue Donors

No abstract available.
Lymphangioleiomyomatosis* ; Tuberous Sclerosis*

Infantile myofibromatosis is the most common of the juvenile fibromatoses and an unusual mesenchymal disorder characterized by the proliferation of tumors in the skin, muscle, bone and viscera. There are two forms of the disease: solitary and multicentric. A benign course with spontaneous regression is seen in most patients, but poor prognosis can be associated with the multicentric form, in which visceral organs may be involved. It usually presents in early childhood. We report a case of infantile myofibromatosis arising in the left sole of a female new born. Physical examination showed a firm, red colored 2x4cm sized tumor. Histological examination revealed a spindle cell tumor in the dermis with fascicles of plump spindle cells with a whorled arrangement.
Dermis ; Female ; Fibroma ; Humans ; Myofibromatosis* ; Physical Examination ; Prognosis ; Skin ; Viscera

No abstract available.
Acute Coronary Syndrome* ; Blood Platelets* ; Glycoproteins*

Scleredema is a rare scleradematosis of unknown cause involving the face, neck, upper portion of the trunk, and proximal upper extremities. The clinical features of the disease are nonpitting indurated edema or stiffness of the neck, which may be sudden or insidious in onset. Diabetes mellitus and its complications have been frequently described to be associated with this disease. We present a case of scleredema developed on the nape, upper portion of the back and shoulder in 60-year-old man who had been suffered from diabetes mellitus for the past ten years.
Diabetes Mellitus ; Edema ; Humans ; Middle Aged ; Neck ; Scleredema Adultorum* ; Shoulder ; Upper Extremity

For the reconstruction of skin defects after remoral of cutanous tumors in the nasal area, local flaps or full-thickness skin grafts can be utilized depending on the size and site of the defectg. Burows graft, which is, variant of the full-thickness skin graft, makes use of the skin nearby as the donor site, minimizes deformity of the recipient site, maximizes ireservation of skin, easily aligns relaxed skin tension line, and is thus one of the methods with a good esultant color and texture match. A pigmented basal cell carcinoma on the nasal bridge in a 51-year old male was remaved by 4 serial sections of Mohs micrograplic surgery and was then successfully enstructed using a Burows graft.
Carcinoma, Basal Cell* ; Congenital Abnormalities ; Humans ; Male ; Middle Aged ; Mohs Surgery* ; Skin ; Tissue Donors ; Transplants*

BACKGROUND: Pilots should maintain optimal state of physical and psychological well-being for preventing aircraft accidents. Major cause of aircraft accidents was human factors, and physical well-being are closely related to psychological health. Thus, we evaluate psychological stress status of pilots to manage and promote psychological well-being of pilots in Republic of Korea Air Forces. METHODS: A self-administered questionnaire was designed. It dealt with demographic, medical utilization and health habit variables. The section of psychological stress was the 60-item version of Goldberg's general health questionnaire(GHQ-60). From September 1996 to October 1996, 896 questionnaires were distributed to the pilots. RESULTS: The degree of stress were statistically significant in the age, marital status, educational attainment, annual income, hospital admission, hours of sleep, having breakfast, regular exercise, smoking and alcohol drinking variables; (a) pilots in younger, unmarried, and low-income group had more stress; (b) pilots have hospital admission in a recent month including his family member had more stress; (c) pilots in sleeping 9 and over hours, having breakfast sometimes, no regular exercise, smoking and frequent alcohol drinking group had the highest level of stress. In potential distress group, hospital admission including his family member( adjusted OR = 2.15, 95% CI : 1.15-4.02), lack of sleeping( adjusted OR = 2.78, 95% CI : 1.57-4.94), irregular exercise(adjusted OR=2.42, 95% CI: 1.40-4.18) and frequent alcohol drinking(adjusted OR=2.79, 95% CI: 1.05-7.41) were estimated as risk factors. CONCLUSIONS: This study suggested that we should give a special attention to manage the stress of pilots in younger age and, in potential distress group, pilot had hospital admission including his family member, lack of sleeping, irregular exercise and frequent alcohol drinking in relation to maintain and promote psychological health of pilots in air forces.
Aircraft ; Alcohol Drinking ; Breakfast ; Humans ; Marital Status ; Republic of Korea ; Risk Factors ; Single Person ; Smoke ; Smoking ; Stress, Psychological* ; Surveys and Questionnaires

Simple reaction time, digit span, digit symbol, Santa Ana dexterity test, Benton visual retention test, and pursuit aiming of the WHO NCTB (neurobehavioral core test battery) were administered to the 96 males occupationally non-exposed to neurotoxic chemicals. All subjects do not have any disease and head trauma and do not take medicine recently. Multiple regression analysis was done for establishing predict equation to estimate normal ranges of tests for males. Age was main independent variable affected all tests except for simple reaction time. Digit symbol was affected by educational level. Santa Ana dexterity, non-preferred hand was affected by alcohol drinking. Santa Ana dexterity, preferred hand and wrong dot of pursuit aiming were affected by smoking.
Alcohol Drinking ; Craniocerebral Trauma ; Hand ; Humans ; Male* ; Occupations* ; Reaction Time ; Reference Values ; Smoke ; Smoking