No abstract available.
Adrenal Hyperplasia, Congenital* ; Adrenogenital Syndrome*

A study of urodynamics including simultaneous cystometry/rectal pressure/electromyography and simultaneous urethral profilometry/ electromyography on neurogenic bladder was performed in the Department of Urology, Seoul National University Hospital during the period March, 1980 through July, 1980 and the following results were obtained; 1. Of 13 cases, 2 cases were hyperreflexis and 11cases were areflexia on cystometry. On cystometry and urethral electromyography, detrusor sphincter dyssynergia was observed in 1 case of hyperreflexia and 2 cases of areflexia. In 1 case of detrusor sphincter dyssynergia having areflexia voiding cystourethrography was performed under the fluoroscopy in standing position and the site of dyssynergia could be detected. On cystometry and rectal pressure monitoring, the true detrusor pressure could be obtained through electronic subtraction (total bladder pressure minus rectal pressure.) . 2. Of 13 cases, maximum urethral closure pressure was below the normal value in 6 cases of areflexia but functional urethral length was normal in all cases on urethroprofilometry. On urethroprofilometry and urethral electromyography, it was found that the difference of the distribution existed in the urethral sphincter between the both sexes.
Ataxia ; Electromyography ; Fluoroscopy ; Reference Values ; Reflex, Abnormal ; Seoul ; Urethra ; Urinary Bladder ; Urinary Bladder, Neurogenic* ; Urodynamics* ; Urology

The purpose of this study was to analyze the relationship among the health promoting behaviors, self-reported climacteric symptoms and depression on a cross-sectional survey design. The subjects were 108 middle-aged women who were non-hystrectomized and ranged in age from 40 to 60. They were selected in Seoul and Kyoung-ki province, Korea. Data were collected from Oct. 25 to Nov. 10, 1997 by a structured questionnaire. The instrument used for this study was the revised Health Promotion Lifestyle Profile(HPLP) developed by Walker, Sechrist and Pender, revised Climacteric Symptoms Scale developed by Chi, Sung Ai, and the Beck's Depression Inventory(BID). The data were analyzed by the SPSS/PC+ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; 1. The mean score of health promoting behaviors was low(2.42+/-0.35). There were statistically significant difference in the score of health promoting behaviors according to the educational background, family income, marital satisfaction, and whether or not taking a restorative food(t=-2.07, F=2.60~7.57, p<0.05). 2. The mean score of self-reported climacteric symptoms was 1.69 ; 99% of middle-aged women had symptoms. There were statistically significant difference in the score of middle-aged women's self-reported climacteric symptoms according to the age, number of children, educational background, occupation, family income, marital satisfaction, whether or not receiving hormone replacement therapy(HRT) or consultation experience with a professional, and perceived health status(t=-2.04~3.69, F=2.87~11.63, p<0.05). 3. The mean score of depression was 10.84. There were statistically significant differences in the score of the depression according to the age, number of children, educational background, occupation, marital satisfaction, whether or not receiving menopausal treatment of consultation by a professional, and perceived health status(t=-2.25~3.00, F=3.50~9.24, p<0.05). 4. Women's degree of health promoting behaviors was a negative correlation with the degree of climacteric symptoms(r=-0.19, p=0.03) and the degree of depression(r=-0.23, p=0.01). The degree of climacteric symptoms was a positive correlation with the degree of depression(r=0.64, p=0.01). In conclusion, health promoting behavior should be considered when developing nursing strategies for middle-aged women, especially when dealing with climacteric symptoms and depression.
Child ; Climacteric* ; Cross-Sectional Studies ; Depression* ; Female ; Health Promotion ; Humans ; Korea ; Life Style ; Menopause ; Nursing ; Occupations ; Surveys and Questionnaires ; Seoul

PURPOSE: The purpose of this study was to identify the factors influencing quality of life of married immigrant women in Korea. METHODS: The participants included 508 married immigrant women who met the eligibility criteria and agreed to participate in the study. Participants were evaluated for subjective assessment of married immigrant-related constructs using a self-report questionnaire, for self-esteem, self-efficacy, and quality of life (QOL). The analysis was done using SPSS for Windows, version 10.1, and included stepwise regression. RESULTS: The major findings were as follows; 1) There were significant relationships between marital satisfaction (r=.39, p=.001), violence by the husband during the couple's arguments (r= -.24, p<.001), satisfaction with life in Korea (r=.39, p<.001), self-esteem (r=.16, p<.001), self-efficacy (r=.51, p<.001) and quality of life. 2) Marital satisfaction, self-efficacy, education level and satisfaction life with in Korea were significant factors, which explained 53% of the variance in quality of life (F=43.97, p<.001). Multiple regression analysis revealed that a powerful predictor of QOL for married immigrant women was self-efficacy. CONCLUSION: Developing nursing interventions to enhance self-efficacy toward improvement of QOL among married immigrant women is recommended.
Emigrants and Immigrants/*psychology ; Female ; Humans ; Marriage ; *Quality of Life ; Questionnaires ; Republic of Korea ; Self Concept ; Self Efficacy

Radiation-induced neuropathy is a rare but well recognized clinical entity although peripheral nerves are considered to be relatively resistant to irradiation. We report three patients with radiation-induced lumbosacral plexopathy, whose characteristic clinical and electrophysiological features can be summarized as follows: 1) 55-58 year old women who were previously treated with radiotherapy for uterine cervix carcinoma: 2) the latent period is to 10 from 13 years: 3)predominantly motor involvement with slowly progressive paraparesis, asymmetrical onset and worse in distal muscle group: 4) painless at onset, with variable degree of sensorv changes: 5)decreased or absent knee and ankle jerks :6)axonal damage in electrophysiologic study: 7)frequent myokymic discharges. Myokymic discharges occur in bursts at regular rate of 0.1 to 8 Hz. In myokymic bursts with more spikes, interburst interval is longer but interspike Interval is shorter.
Ankle ; Cervix Uteri ; Female ; Humans ; Knee ; Paraparesis ; Peripheral Nerves ; Radiotherapy

Primary cancer of the female urethra is a relatively rare disease. During the past 10 years, we could collect 11 cases of the female urethral cancer which were confirmed by pathological examinations. The results of clinical investigation were as followed: 1. The age distribution was from 28 years old to 72 years old and the average was 57 years old. The most common age group was 50 to 69 years (73%). 2. The intervals from onset of symptoms to admission were distributed as follows: the most common group was within 1 year (64%), the second common group was within 3 year (27%) and the third was within 3 months (9%). 3. The common symptoms were as follows: urinary frequency in 9 cases (82%), dysuria in 7 cases (64%), urethral mass in 6 cases (55%), urinary retention in 5 cases (46%), urethral bleeding in 4 cases (36%), hematuria in 2 cases (18%) and urethral pain in 2 cases (18%). 4. Histopathological findings showed squamous cell carcinoma in 5 cases (45%), adenocarcinoma in 4 cases (36%) and transitional cell carcinoma in 2 cases (18%) in order of their frequency. All of the 5 cases of squamous cell carcinoma were vulvourethral types. Among the 4 cases of adenocarcinoma, 3 cases were urethral types and 1 case was vulvourethral type. The 2 cases of transitional cell carcinomas were urethral type and vulvourethral type. 5. Clinical stages were distributed as follows: 2 cases were stage A, 3 cases. stage B, 2 cases, stage C and 4 cases, stage D. In the 7 cases of vulvourethral type, 5 cases were stage A or stage B and 2 cases were stage C or stage D, but the 4 cases of urethral type were stage C or stage D. 6. Treatment of female urethral cancers consisted of surgery and irradiation in general. 1) Local excision was performed on the 2 cases of stage A, but tumor recurrence occurred in 1 case after 1 month postoperatively. 2) In stage B, local excision and interstitial irradiation were made on 1 case, external and interstitial irradiation on 1 case and external irradiation only on 1 case. In the 1st case, tumor recurred after 1 month postoperatively and urinary retention developed after 6 months postoperatively. so suprapubic cystostomy was performed. In the second case, we couldn`t follow up, and in the last case the treatment showed no beneficial effect. 3) In stage C, anterior pelvic exenteration and Bricker`s operation were made on 1 cases. And only suprapubic cystostomy was performed on 1 case but the patient died after 14 months postoperatively. 4) It stage D, suprapubic cystostomy was performed on 3 cases. Among which 1 case died after 6 months postoperatively and 2 cases couldn`t be followed up. The other 1 case was operated with cystourethrectomy and Bricker`s operation but the metastasis to retroperitoneal lymph nodes was found in operative field. This case also couldn`t be followed up.
Adenocarcinoma ; Adult ; Age Distribution ; Aged ; Carcinoma, Squamous Cell ; Carcinoma, Transitional Cell ; Cystostomy ; Dysuria ; Female* ; Hematuria ; Hemorrhage ; Humans ; Lymph Nodes ; Middle Aged ; Neoplasm Metastasis ; Pelvic Exenteration ; Rare Diseases ; Recurrence ; Urethra ; Urethral Neoplasms* ; Urinary Retention

Background & PURPOSE:Since the 1970's the rate of breast-feeding has decreased significantly. The Korean National Institute of Health reported that the rate of breastfeeding was 68.9% in 1982 and 14.1% in 1997. There are many influencing factors including: the lack of education and information on breast feeding, lack of faith in breast feeding, increment of the rate of working, lack of encouragement by supporters in difficult situations, and nurses' low level of knowledge about breast feeding. Such a lack of knowledge and support of breast-feeding at home by family members create another dilemma to the problem of breast-feeding. If problems arise and family members are unable to provide assistance due to the deficiency of knowledge, mothers show a tendency to abandon breast-feeding. The purpose of this research is to find out the rate of breast-feeding practice by time sequence of 1 week, 6 weeks and 12 weeks after birth and influencing factors on breast-feeding practice centered on the postpartal women who were 3discharged from one hospital, which is located in Seoul and provides simple breast-feeding education and continuous postnatal telephone consultation. Methodology: The subjects of this research were 54 women who gave birth in a hospital located in Seoul from 1 March 2000 to 31 April 2000. After birth the subjects were educated individually about breast-feeding and telephone consultations were conducted. On the 1st week, 6th week, and 12th week, the subjects were surveyed about their breast-feeding practice rates and methods by telephone. Results: 1) Complete breast-feeding rate: Within one week after birth, the subjects showed 64.2% complete breast-feeding rate. Within 6 weeks, 39.6%, and 12 weeks, 34.1%. 2)Partial breast-feeding rate: Within one week after birth, the subjects showed 32.1% partial breast-feeding rate. Within 6 weeks, 39.6%, and 12 weeks 15.1%. 3)Complete bottle-feeding rate Within one week after birth, the subjects showed 1.9% complete bottle-feeding rate. Within 6 weeks of giving birth 15.1%, and 12 weeks 17.0%. These results show that individual education about breast-feeding and continuous postnatal telephone consultation influenced on the practice of breast-feeding. On considering the reality of the hospital situation in which nurses could not operate education program due to the work-load, it is necessary to find out selectively those mothers who are unable to breast feed and provide education individually and continuous support by telephone follow up. Futhermore, the active role of lactation nurse specialist and their efficient management of breast-feeding for the successful practice is required.
Breast ; Breast Feeding ; Education* ; Female ; Follow-Up Studies* ; Humans ; Lactation ; Mothers ; Parturition ; Referral and Consultation ; Seoul ; Specialization ; Telephone*

Penile horn is a peculiar form of penile wart disclosing excessive keratosis with unknown etiology. A case of penile horn arising on the circumcised wound 2 years after circumcision is presented with review of literatures.
Animals ; Circumcision, Male ; Female ; Horns* ; Keratosis ; Male ; Warts ; Wounds and Injuries

BACKGROUND: Helicobacter pylori(H. pylori) infection is known to be strongly associated with varied dermatoses such as rosacea, vasculitic purpura, and Sweet's syndrome. Also, many antibiotics including amoxicillin, clarithromycin, and tetracycline have been used to ameliorate chronic urticaria. This recent knowledge posed the plausibility that H. pylori infection might be an underlying causative factor of chronic urticaria. OBJECTIVE: This study was conducted to investigate the role of H. pylori infection in patients with chronic urticaria. METHODS: Sixty-five subjects with chronic urticaria were examined for H. pylori infection with enzyme-linked immunosorbent assay for IgG/M against H. pylori and rapid urease test(CLO test) for endoscopically biopsied gastric mucosa. Amoxicillin or clarithromycin combined with omeprazole as a therapy was administrated to the 44 patients with positive test results for 4 weeks. RESULTS: H. pylori infection was more frequently diagnosed in 44 of 65(67.7%) patients with chronic urticaria than in the control subjects(8.8%). After the completion of treatment for 4 weeks, specific IgG antibodies and a CLO test against H. pylori were negative in 28 of 38(73.7%) and 43 of 44(97.7%) patients respectively. At the post-treatment evaluation, 37 of 44(84.1%) patients with H. pylori-positive urticaria showed significant clinical remission of urticaria. CONCLUSION: Eradication of H. pylori in patients with chronic urticaria was accompanied by clinical remission of urtication. There is substantial evidence that unexplained causes of chronic urticaria may be associated with H. pylori infection.
Amoxicillin ; Anti-Bacterial Agents ; Antibodies ; Clarithromycin ; Enzyme-Linked Immunosorbent Assay ; Gastric Mucosa ; Helicobacter pylori* ; Helicobacter* ; Humans ; Immunoglobulin G ; Korea* ; Omeprazole ; Prevalence* ; Prospective Studies* ; Purpura ; Rosacea ; Skin Diseases ; Sweet Syndrome ; Tetracycline ; Urease ; Urticaria*

The author analyzed 169 cases of spontaneous intracerebral hemorrhages at the basal ganglia and thalamus, who had been admitted to Jeonju Presbyterian Medical Center from 1975 to 1979. Intracerebral hematoma was confirmed by angiography and the amount of hematoma was divided as small, medium or large according to the angiographic evidence. Among the 169 cases, 145 cases underwent appropriate medical or surgical treatment. 63 cases were treated conservatively and 82 cases were operated ; 22 cases of frontal approach, 51 cases of temporal approach, and 9 cases of extraventricula diainage of clot. Results obtained are as follows : 1. The common pridiection age group was from the fifth to the seventh decades, which was 90.5% of all cases. The ratio of male to female was about 2 to 1. 2. putaminal hemorrhage was 65.1%, and thalamic hemorrhage was 16.6%. 3. Angiographic evidence of arteriosclerosis was seen in 86.4%. 4. The worse prognostic factors were related to age(over 65), site and size of hematoma, and mental state on admission. 5. With conservative management 49.2% were improved, 6.3% not improved, 44.4% moribund or dead. 6. With surgical treatment 58.5% were improved, 3.7% not improved, 37.8% moribund or dead. 7. Microsurgical temporal approach proved to have the following advantages over frontal approach. (1) Better outcome was found in this approach(64.7% vs 54.4%). (2) The distance to the hematoma was closer in temporal approach, and so total removal of hematoma and complete control of bleeding sources with less surrounding structural damages were possible. 8. Early operation seems to be more effective than delayed operation in the cases of large hematoma with deteriorating neurological signs.
Angiography ; Arteriosclerosis ; Basal Ganglia* ; Cerebral Hemorrhage* ; Female ; Hematoma ; Hemorrhage ; Humans ; Jeollabuk-do ; Male ; Protestantism ; Putamen ; Putaminal Hemorrhage ; Thalamus*