From March 1987 to July 1989, six patients (five dadults and one child) with lung abscess (size, 5-13cm in diameter) were treated with percutaneous aspiration and drainage. In each case, the puncture was made where the wall of the abscess was in contact with the pleural surface. An 8 to 10 Fr catheter was inserted for drainage. Five of 6 had a dramatic clinical response within 24 hours of the drainage. Percutaneous drainage was successful with complete abscess resolution in four and partial resolution in one patient. No response was seen in the rest one. The duration of drainage ranged from 7 to 18 days (average, 15.5days) in successful cases. One case of the failure in drainage was due to persistent aspiration of the neurologically impaired patient. In one patient, the abscess resolved after drainage but recurred after inadvertent removal of the catheter 7 days after insertion. In two patients, concurrent pleural empyema was resolved completely by the drainage. Computed tomography provided anatomic details necessary for choosing the puncture site and avoiding a puncture of the lung parenchyma. Percutaneous catheter drainage is a safe and effective method for treating patients with lung abscess.
Abscess ; Catheters* ; Drainage* ; Empyema, Pleural ; Humans ; Lung Abscess* ; Lung* ; Methods ; Punctures

PURPOSE: The purpose of this study was to identify the relationship between self-esteem and meaning of life in higher grade elementary school students. METHODS: Four hundred eighty four elementary school students in their 4 ~ 6th-grade at S, G and C City were recruited by convenient sampling. Data were collected from August to October, 2008 using a self-reported questionnaire. The collected data were analyzed by the SPSS/WIN 12.0 program with mean, standard deviation, t-test, ANOVA, Duncan's test, and Pearson's correlation. RESULTS: The average score of meaning of life was 3.07 +/- 0.38 and that of self-esteem was 3.43 +/- 0.62. There were significant differences in self-esteem according to variables region and religion, and in meaning of life scores according to variables region, grade, sex and religion. There was a significant positive correlation between self-esteem and meaning of life. CONCLUSION: Self-esteem and meaning of life should be considered as important factors for healthy development in the elementary school period. Self-esteem should be considered as a main content in developing programs for finding meaning of life for higher grade elementary school students.
Humans ; Religion and Sex ; Self Concept ; Surveys and Questionnaires

No abstract available.
HIV-1* ; Humans* ; Tumor Necrosis Factor-alpha*

PURPOSE: The purpose of this study was to describe the components and content of nursing intervention studies on mother-infant interactions and to present strategies for future studies. METHODS: Four electronic databases in the Korean language were searched to identify studies done between January 1998 and December 2011. The search yielded 145 articles. From these articles, 19 studies met the inclusion criteria. RESULTS: Mother-infant interactions in these studies were found to include verbal and non-verbal communication basic for optimal growth and development of the child. Six kinds of interventions for mother-infant interactions were identified as follows: sensory stimulation, education program, whole body massage, kangaroo care, visiting support, and music therapy. CONCLUSION: Further studies with well designed clinical trials need to be done in the area of child nursing to provide evidence based data for the development of strategies to promote positive mother-infant interactions.
Child ; Education ; Growth and Development ; Humans ; Clinical Trial* ; Macropodidae ; Massage ; Mother-Child Relations* ; Music Therapy ; Nursing* ; Parent-Child Relations

The purpose of this study is to explore and describe the lived experience of adolescents with physical handicap by means of the Colaizzi's phenomenological method. The participants were 15 adolescents, 10-19 years old, who were experiencing physical handicap. Significant statements from data were extracted. From these formulated meanings, 27 themes, 10 clusters of theme and 4 categories were constructed. Major theme clusters that were emerged from the analysis are 'denial', 'despair', 'social isolation', 'being despised', 'not being treated as a member of society', 'getting the power in love around people', 'accepting the physical handicap', 'feeling the joy and one's life worth living', 'depending on the religion', and 'the feeling of achievement by the effort and the service'. In order to help the adolescents with physical handicap overcome their difficulty and cope to the social environment, nurses need to understand the essential theme clusters of the experience of adolescents with physical disability.
Adolescent* ; Humans ; Love ; Social Environment ; Child Health

The purpose of this study is to explore and describe the lived experience of adolescents with physical handicap by means of the Colaizzi's phenomenological method. The participants were 15 adolescents, 10-19 years old, who were experiencing physical handicap. Significant statements from data were extracted. From these formulated meanings, 27 themes, 10 clusters of theme and 4 categories were constructed. Major theme clusters that were emerged from the analysis are 'denial', 'despair', 'social isolation', 'being despised', 'not being treated as a member of society', 'getting the power in love around people', 'accepting the physical handicap', 'feeling the joy and one's life worth living', 'depending on the religion', and 'the feeling of achievement by the effort and the service'. In order to help the adolescents with physical handicap overcome their difficulty and cope to the social environment, nurses need to understand the essential theme clusters of the experience of adolescents with physical disability.
Adolescent* ; Humans ; Love ; Social Environment ; Child Health

PURPOSE: This study is to identify the present situation of children's hospice and to find the developing strategies for child hospice system in Korea. METHOD: The data was collected from both literatures and the recent data provided by the government. The direction of future of children's hospice cared in Korea was predicted based on the literature analysis and the report and policy of government. RESULT: In Korea, the system of the child hospice is not processing. There are the importance differences between children and adult in that the characteristics and approach of the hospice care. All medical personnel and the people related to hospice care including children and their family should be recognized the necessity of the children's hospice care. The following strategies is needed for setting up the child hospice: the principles and standards, recognizing of the necessities, developing of educational program for the specialist and the systemic children's hospice program, and the organization of child hospice. CONCLUSION: Directions suggested from this study have the importance of child hospice to establish and develop well in Korea for both children with life-threatening disease and their families.
Adult ; Child ; Hospice Care* ; Hospices* ; Humans ; Korea* ; Specialization ; Child Health

PURPOSE: The objective of this study was to provide an understanding of the difficulties for facing parents of children with terminal cancer. METHOD: The design of this study was an inductive and descriptive study. Thirty-one parents of children with terminal cancer participated in-depth were interviewed s. C in depth and content analysis was used for analyzing the data. RESULTS: The main categories in the findings were 'difficulties in coping', 'physical and psychological suffering of children', 'suffering of family', 'bereavement with children', 'economic problems', 'incurable situation', 'preparation of death', 'social isolation', 'coping after a child dies', 'spiritual problems', receiving active treatment', 'informing children of their condition', 'a sense of meaninglessness', 'emotional iunstability', and 'giving up hope'. CONCLUSION: The main point identified from this result in this study was that parents who have a child with terminal cancer don't never give up the hope of recovery for their child even when the child is in by the terminal stage of their children, even though and they are unwillingly to prepare for their child's death. This is a unique characteristic in the attitude of the families' attitude in child hospice care and differs from that found in adult hospice care. This result can be used as an important guide for nurses to in assessing the parents' needs in the terminal care setting.
Adult ; Child* ; Hope ; Hospice Care ; Humans ; Parents* ; Terminal Care ; Child Health

PURPOSE: The purpose of this study was to develop a tool to assess the need for child hospice care in families of children with cancer. METHOD: The research design was a methodological study. The tool was developed in 4 stages : first, preliminary items were developed based on a questionnaire about the needs for child hospice care that was given to 20 families of children with cancer; second, a panel of specialists reduced the number of preliminary items using 3 validity tests for the content; third, final items were selected from the results of a pre-test. Finally, from February to July 2004, reliability and validity were tested with a sample of 104 families who had a child with cancer. RESULTS: The final tool on the need for child hospice care consisted of 22 items and Cronbach's alpha coefficient for internal consistency was .93. Using factor analysis, 5 factors were extracted and these factors explained 69% of the total variance. CONCLUSION: The instrument, for assessing the need for child hospice care in families of children with cancer, developed in this study was identified as a tool with a high degree of reliability and validity. In this sense, this tool can be effectively utilized for implementing and improving hospice care for children with cancer.
Child* ; Hospice Care* ; Hospices* ; Humans ; Methods ; Reproducibility of Results ; Research Design ; Specialization ; Child Health ; Surveys and Questionnaires

BACKGROUND: Left ventricular hypertrophy is a major cardiovascular risk factor for sudden death, acute myocardial infarction and congestive heart failure. The left ventricle is generally thought to adapt to sustained arterial hypertension with increased total peripheral resistance by developing concentric hypertrophy. In recent years, the echocardiogrphy has been developed as a noninvasive method for evaluation of left ventricular geometry and left ventricular mass. However, left ventricular adaptation to hypertension has been shown to be more complex than expected. In fact, many patients with mild to moderate hypertension exhibit normal left ventricular mass and wall thickness, other hypertensive patients have eccentric ventricular hypertrophy that is not related to systolic dysfunction, but rather to increased cardiac output and preload and in some hypertensive patients absolute and relative wall thickness is increased with normal ventricular mass(concentric remodeling). There are differences in the hemodynamics, systolic function and diastolic function in each group. METHODS: From september 1992 to August 1994, in 144 patients with untreated essential hypertension and 50 age and gender matched normal adults studied by two-dimensional, M-mode and Doppler echocardiography. In the present study we used echocardiographically derived left ventricular mass and relative wall thickness to assess the patterns of ventricular geometric adaptation to systemic hypertension and their relations to systemic hemodynamics, left ventricular load and contractile performance. RESULTS: Hypertensive group was 144 cases(M:F=68:76), the mean age 56+/-13years. Normotensive group was 50 cases(M:F=22:28), the mean age 52+/-9years. Among hypertensive patients, left ventricular mass index and relative wall thickness were normal in 42 cases(29%), 24 cases(17%) had increased relative wall thickness with normal ventricular mass(concentric remodelin),48 cases(33%) had both increased relative wall thickness and ventricular mass(concentric hypertrophy), 30 cases(21%) had increased left ventricular mass with normal relative wall thickness(eccentric hypertrophy). Concentric hypertrophy and normal left ventricle group are more common in untreated hypertensive patients in Korea. Systemic hemodynamics showed tendency to paralleled ventricular geomety. In groups with concentric remodeling and hypertrophy, perpheral resistance was increased. Cardiac index was midly increased in eccentric hypertrophy. Diastolic dysfunction was prominent tn concentric hypertrophy. CONCLUSION: Each patterns of left ventricular geometry had different systemic hemodynamics, ventricular pressure overload and ventricular volume overload. Therefore, appropriate selection of antihypertensive agent for the patients with each patterns of hypertrophy reduce the left ventricular hypertrophy and may improve the prognosis.
Adult ; Cardiac Output ; Death, Sudden ; Echocardiography ; Echocardiography, Doppler ; Heart Failure ; Heart Ventricles ; Hemodynamics ; Humans ; Hypertension* ; Hypertrophy ; Hypertrophy, Left Ventricular* ; Korea ; Myocardial Infarction ; Prognosis ; Risk Factors ; Vascular Resistance ; Ventricular Pressure