No abstract available.
Asbestos*

PURPOSE: The purpose of this study was to develop a Critical Pathway for Uterine Artery Embolization patients. METHOD: There were 6 steps that were taken. Step 1 was selecting a diagnosis, and Step 2 was organizing a development team consisting of 7 experts. Step 3 analyzed the medical records, and Step 4 drew up a preliminary Critical Pathway. Step 5 tested the clinical validity of the preliminary Critical Pathway, and Step 6 developed the final Critical Pathway. RESULT: The contents of the medical practices observed in the medical records were investigated in seven areas: monitoring/assessment, treatment, medication, diet, activity, consults, and education/discharge plan; and a total of 73 items was identified. The validity of the 73 items was examined by a group of specialists. 68 items were adopted, 4 items revised, 1 item removed, and 1 item was added. Using the results, a preliminary Critical Pathway was drawn up. According to the results from examining the clinical validity of the preliminary Critical Pathway with five patients for five weeks, 3 items which showed discrepancy were revised and another 3 items were added. Then, the final Critical Pathway was completed. CONCLUSION: This Critical Pathway needs to be clinically applied and continuously to measure its effects in terms of the length of stay, cost?effectiveness, and the patients' and staffs' satisfaction.
Critical Pathways* ; Diagnosis ; Diet ; Humans ; Length of Stay ; Medical Records ; Specialization ; Uterine Artery Embolization* ; Uterine Artery*

PURPOSE: This is a mixed method study to understand the experience regarding the job satisfaction of Physician Assistant (PA) male nurses. METHODS: First, factors influencing job satisfaction were analyzed using quantitative approach and job adaptation processes by qualitative research was done through interviews. Finally both of the collected data were comprehensively compared. RESULTS: The factors which had the greatest influence on job satisfaction in the regression analysis were job stress (β=-.49, p<.001) and job identity (β=.46, p<.001) and the explanatory power explaining these variables was 58% (Adj. R²=.58). The results of qualitative research were categorized using the same four variables with qualitative research variables. Five themes in job satisfaction, three themes in job identity, five themes in job stress and six themes in job value were identified by content analysis. CONCLUSION: This finding identified that the job stress and job identity were important variables related to job satisfaction. Therefore, the factors influencing job identity have to be strengthened, and a systematic management and interest to develop them are necessary.
Humans ; Job Satisfaction* ; Male* ; Methods ; Nurses, Male* ; Physician Assistants* ; Qualitative Research

No abstract available.
Animals ; Rats*

BACKGROUND: Experience of awareness with recall during general anesthesia can be most distressing for patients. The psychological sequelae of subsequent recall of intraoperative events have been highlighted recently, but the incidence of awareness with recall is uncertain. METHODS: Randomly selected 451 patients, who received elective operation under general anesthesia and were able to communicate with anesthesiologists and follow up for 5 days between December 1995 and February 1996 at Korea Cancer Center Hospital, were interviewed on the 2nd day after their operation. RESULTS: The incidence of explicit memory for events during general anesthesia has been estimated at 0.4% by interviewing patients postoperatively. Auditory perception and the sensation of paralysis were most frequently mentioned. 1.1% of patients had been dreaming during general anesthesia. CONCLUSIONS: Under the influence of anesthetic drugs, the brain is capable of limited processing of information and memory function. Everyone in the operating room must be mindful of conversations during the course of anesthesia and all patients should be given an opportunity to discuss any awareness in detail.
Anesthesia ; Anesthesia, General* ; Anesthetics ; Auditory Perception ; Brain ; Dreams* ; Follow-Up Studies ; Humans ; Incidence* ; Korea ; Memory ; Operating Rooms ; Paralysis ; Sensation

PURPOSE:We report the results of image-guided percutaneous biopsies with a biopsy gun and evaluate the clinical usefullness. MATERIALS AND METHODS: One hundred and five biopsies under ultrasonographic or fiuoroscopic guidance were performed. Various anatomic sites were targeted (liver;50, chest;22, kidney;12, pancreas;8, intraperitoneum;7, retroperitoneum; ). RESULTS:Obtained tissue was diagnostic in 98 of the 105 biopsies(93%). In each instance, representative core tissue specimens were obtained. Evaluation of the core tissue by pathologist revealed consistent, uniform specimens that contained significant crush artifact in no case. Five biopsies yielded inadeguate tissues which were too small for histopathologic interpretation or were composed of necrotic debris. Two biopsies yielded adequate tissues, but tissues were not of the target. The diagnoses were malignancy in 77 biopsies and benign disease in 21 biopsies. No complications other than mild, localized discomfort were encountered except a transient hemoptysis and pneumothorax which was observed in two patients. CONCLUSION:Cutting biopsy with a biopsy gun provided sufficient amount of target tissue for an accurate diagnosis of malignant and benign disease. It was a safe and useful procedure for percutaneous biopsy.
Artifacts ; Biopsy* ; Diagnosis ; Hemoptysis ; Humans ; Pneumothorax

No abstract available.
Animals ; Coal* ; Dust* ; Lung* ; Rats* ; Silicon Dioxide*

No abstract available.
Dilatation* ; Urethra*

PURPOSE: The purpose of this study was to review studies of Meaning-Centered Intervention (MCI) in advanced or terminal cancer patients using Whittemore and Knafl's integrative review method. METHODS: We conducted a literature search using nine English or Korean electronic databases by using the keywords ‘meaning therapy OR meaning-centered intervention OR psychotherapy’. All studies were original articles about MCI in peer-reviewed journals from inception to August 2017. A risk of bias assessment tool for non-randomized studies was used for quality assessment. RESULTS: Seventeen studies matched the criteria. Thirteen studies assessed through RoBANS had a low risk of bias in most areas. The most frequently used tools were 8 group intervention sessions around 90 or 120 minutes in length. The outcome variables used in this study were quality of life, anxiety, depression, meaning of life, and spiritual well-being. The purpose of MCI was to improve the spiritual well-being and quality of life for patients by finding meaning in life even when faced with cancer. CONCLUSION: In this study, spiritual care was identified as an important factor from the MCI applied evidence-based data. The MCI could be effective way to improve spiritual well-being for the patients with advanced or terminal cancer and their families.
Anxiety ; Bias (Epidemiology) ; Depression ; Humans ; Methods ; Nursing ; Quality of Life

Hepatic sinusoidal obstruction syndrome (SOS) is a life-threatening syndrome that generally occurs as a complication after hematopoietic stem cell transplantation or, less commonly, after conventional chemotherapy. Regarding SOS in rhabdomyosarcoma patients who received conventional chemotherapy, the doses of chemotherapeutic agents are associated with the development of SOS. Several cases of SOS in rhabdomyosarcoma patients after receiving chemotherapy with escalated doses of cyclophosphamide have been reported. Here, we report on a 9-year-old female with rhabdomyosarcoma who developed severe SOS after receiving chemotherapy consisting of vincristine, actinomycin-D, and a moderate dose of cyclophosphamide. She was treated successfully with defibrotide without sequelae to the liver.
Child* ; Cyclophosphamide* ; Drug Therapy ; Female ; Hematopoietic Stem Cell Transplantation ; Hepatic Veno-Occlusive Disease* ; Humans ; Liver ; Rhabdomyosarcoma* ; Vincristine*