BACKGROUND: The purpose of this study was to examine the frequency and characteristics of needlestick/sharps injuries (NSIs) in nursing students in Korea. METHODS: The study was based on a survey of questionnaires completed by 341 nursing students who had sustained at least one NSI during clinical practice in hospitals. RESULTS: The NSI incidence rate was 36.4%. Approximately half of the students reported two to four NSIs. Most (90.2%) of the NSIs occurred on the fingertips and were caused by a hollow-bore needle (46.8%) or lancet (45.8%). Some students were exposed to used needles contaminated with unknown pathogens (37.3%), HBs Ag (2.3%), Venereal Disease Research Laboratory (VDRL) (0.8%), or HIV (0.6%). Students cited the reason for injury as carelessness, inexperience, hastiness, or recapping. Almost two-thirds of students who reported having experienced an NSI knew about post-exposure treatment. However, only one-third of the students with NSIs completed an official report. CONCLUSION: Korean nursing students lack knowledge about injury prevention, report procedures, and treatment after NSI. A revised educational approach with emphasis on occupational risk, skill development, and injury reporting is necessary to prevent NSI and to ensure that students obtain post-exposure prophylaxis.
Dietary Sucrose ; HIV ; Humans ; Incidence ; Korea ; Needles ; Needlestick Injuries ; Post-Exposure Prophylaxis ; Sexually Transmitted Diseases ; Students, Nursing ; Surveys and Questionnaires

This is case report of true class III malocclusion with macroglossia is corrected by glossectomy in 13 years female patient. After orthodontic treatment, the patient is bound to glossectomy because the corrected condition is relapsed to the previous condition due to relatively enlarged tongue compared with the original dental arch. By the interpretation of the cephalogram and model analysis, it is approved that the growth pattern and direction are normal range and mandible is located anterioly to the cranium. The results are follows: 1. We could treat the true Cl III malocclusion. 2. We could prevent the relapse of the treated condition by the surgical intervention, such as partial glossectomy. 3. Sensory, speech, swallowing and so other functions after the operation have been with in normal limit without any serious complications or seguellae.
Deglutition ; Dental Arch ; Female ; Glossectomy ; Humans ; Macroglossia* ; Malocclusion* ; Mandible ; Recurrence ; Reference Values ; Skull ; Tongue

No abstract available.
Blood Platelets*

A clinical observation was made on 13 cases of pediatric urolithiasis admitted to the Department of Urology. Han Il Hospital during the period from Jan., 1971 to Dec., 1975, and the following results were obtained. 1) Among 78 cases of pediatric in-patient, 13 cases were pediatric urolithiasis, 10 cases were male and 3 cases were female. 2) Age distribution was between 2 and 13 years, showing the highest incidence in 7yrs (23.0%). 3) The etiology of urinary tract stone: 2 cases in congenital anomaly, 8 cases in idiopathic, 1 case in foreign body, 1 case in immobilization, 1 case in recurrent infection. 4) Locational distribution of urinary tract stone was 5 cases in ureter, 4 cases in bladder, 3 cases in urethra, 2 cases in kidney. 5) The largest stone extracted was 2.0cm in size. 6) The common clinical manifestation of upper urinary tract stone included flank pain (71.4). hematuria (57. 1%) and lower urinary tract stone included painful urination (85. 7%), frequent urination (71.4%). 7) The most frequent method of treatment was lithotomy(57%). 8) The results of chemical analysis of 9 urinary calculi showed ca. oxalate in 33.3%, cal. Phosphate + oxalate in 33.3%.
Age Distribution ; Female ; Flank Pain ; Foreign Bodies ; Hematuria ; Humans ; Immobilization ; Incidence ; Kidney ; Male ; Ureter ; Urethra ; Urinary Bladder ; Urinary Calculi ; Urination ; Urolithiasis* ; Urology

The nutritional status of 362 elderly men and women in Chung-bud area was evaluated in terms of their nutrient intakes, biochemical and anthrophometric measurements by interviews with questionnaires from August to October 1996. Mean intake of all nutrients except ascorbic acid did not meet the RDA for this sample. Protein, vit A, reboflavin, calcium were the most likely to be deficient on the basis of propotions of elderly consuming less than 75% of the RDA. The subjects nutrient intake was significantly affected by gender, marital status, number of family, family composition, educational level, pocket money, and region. Men in rural areas and women over 75 in urban areas were the most vulnerable groups with nutritional deficiency. According to serum biochemical indices, mean level of cholesterol, triglycerides, LDL, total protein, albumin and iron belonged to normal range but mean level of HDL showed below the normal range. More elderly men and women in urban areas showed a higher percentage of abormal level of cholesterol, triglycerides, LDL and HDL than those in rural areas. More elderly men and women in rural areas had abnormal levels of RBC, Hematocrit and hemoglobin compared to those in urban areas. Mean height and weight of elderly men was 161.4cm and 56.2Kg, respectively and 149.1cm and 50.5kg for women. The elderly in rural areas were taller than those in urban areas but had less weight, MAC, TSF, MAMC. Mean BMI of this sample belonged to normal range. However, the elderly in rural areas had a higher rate of underweight and lower for overweight than those in urban areas. The elderly in urban areas had higher blood pressure than those in rural areas.
Aged* ; Ascorbic Acid ; Blood Pressure ; Calcium ; Cholesterol ; Female ; Hematocrit ; Humans ; Iron ; Male ; Malnutrition ; Marital Status ; Nutritional Status* ; Overweight ; Reference Values ; Thinness ; Triglycerides ; Surveys and Questionnaires

A case of clear cell adenocarcinoma arising in the female urinary bladder, which is accompanied by endometriosis of the urinary bladder and the uterus, is reported. The carcinoma protruded into the vesical lumen as a fungating mass, and had a tubulocyotic pattern. The tumor cell had intracytoplasmic glycogen and electron microscopically short microvilli on their surface, resembling clear cell acenocarcinoma of the female genital tract including ovary. This is the fourth case report of clear cell adenocarcinoma complicating vesical endometriosis, and may support the view that clear cell carcinome arises from endometriosis which, in turn, from the Mullerian remnant.
Female ; Humans ; Adenocarcinoma

A case of clear cell adenocarcinoma arising in the female urinary bladder, which is accompanied by endometriosis of the urinary bladder and the uterus, is reported. The carcinoma protruded into the vesical lumen as a fungating mass, and had a tubulocyotic pattern. The tumor cell had intracytoplasmic glycogen and electron microscopically short microvilli on their surface, resembling clear cell acenocarcinoma of the female genital tract including ovary. This is the fourth case report of clear cell adenocarcinoma complicating vesical endometriosis, and may support the view that clear cell carcinome arises from endometriosis which, in turn, from the Mullerian remnant.
Female ; Humans ; Adenocarcinoma

3 cases of orbital tumors were presented, which were confined respectively as papillary adenocarcinoma, pseudotumor and mixed tumor in the histopathological findings. CASE 1: Papillary adenocarcinoma had been noticed in the left eye of a 66-year-old woman from about 4 months previously. Visual acuity was 0(O.D.), 0.3(1.2)(O.S.) and left eye ball was almost protruded out of the orbit. There was a coin-lesion, which was considered metastatic lesion from the eye, in the right upper lung field. Evisceration of the orbit which was almostly destroyed was performed successfully. No incidence of recurrence can be disclosed untill now, 16 months after surgery, and lost in follow up. CASE 2: Pseudotumor was developed in the left eye of a 33-year-old male. Visual acuity was 0.06(O.S), 1.2(O.D.). Severe choked disc and optic nerve atrophy were showed. Exophthalmometry: 24mm(0.5.), 18mm(0.D.). It was necessitated evisceration of the orbit because of the tumor was placed in the almost entire orbital space. Follow up study were impossibJe. CASE 3: In the left eye of a 51-year-old woman, mixed tumor had been developed from about 8 years previously. Visual acuity was 1.0(O.S.) and F.L.P.(O.D.), exophthalmometry: 13mm(O.U.). Surgical removal was successful and lost in follow up.
Adenocarcinoma, Papillary ; Adult ; Aged ; Atrophy ; Female ; Follow-Up Studies ; Humans ; Incidence ; Lung ; Male ; Middle Aged ; Optic Nerve ; Orbit* ; Recurrence ; Visual Acuity

3 cases of orbital tumors were presented, which were confined respectively as papillary adenocarcinoma, pseudotumor and mixed tumor in the histopathological findings. CASE 1: Papillary adenocarcinoma had been noticed in the left eye of a 66-year-old woman from about 4 months previously. Visual acuity was 0(O.D.), 0.3(1.2)(O.S.) and left eye ball was almost protruded out of the orbit. There was a coin-lesion, which was considered metastatic lesion from the eye, in the right upper lung field. Evisceration of the orbit which was almostly destroyed was performed successfully. No incidence of recurrence can be disclosed untill now, 16 months after surgery, and lost in follow up. CASE 2: Pseudotumor was developed in the left eye of a 33-year-old male. Visual acuity was 0.06(O.S), 1.2(O.D.). Severe choked disc and optic nerve atrophy were showed. Exophthalmometry: 24mm(0.5.), 18mm(0.D.). It was necessitated evisceration of the orbit because of the tumor was placed in the almost entire orbital space. Follow up study were impossibJe. CASE 3: In the left eye of a 51-year-old woman, mixed tumor had been developed from about 8 years previously. Visual acuity was 1.0(O.S.) and F.L.P.(O.D.), exophthalmometry: 13mm(O.U.). Surgical removal was successful and lost in follow up.
Adenocarcinoma, Papillary ; Adult ; Aged ; Atrophy ; Female ; Follow-Up Studies ; Humans ; Incidence ; Lung ; Male ; Middle Aged ; Optic Nerve ; Orbit* ; Recurrence ; Visual Acuity

Three hundred sixty-two(male 131, female 231) elderly aged over 65 in Chungbuk area were interviewed to determine the disease states and drug usage patterns. The prebalence of disease was 78% and women reported more chronic diseases(83%) than men(71%). Elderly who live with spouse and have an occupation have a lower rate of disease. Average number of diseases of the elderly was 1.8+/-1.1, and women(2.1+/-1.3) have significantly higher average number of diseases than that of men(1.4+/-0.7). Also the elderly in urban areas(2.1+/-1.4) have significantly higher number of diseases than that of the elderly in rural areas(1.6+/-0.9). Arthritis, hypertension, cardiovascular and gastric diseases were the most frequently listed chronic diseases in order for both men and women. Anemia and fracture of bone were relatively higher in women than in men. Particularly, the arthritis of the urban elderly have a rate of 1.5 times higher than that of the rural elderly. Fifty-two percent of the elderly were currently using drugs ; among drug users 71.2% used prescription drugs and 20.5% used nonprescription drugs. The average number taken per person was 2.1+/-1.4 and there was no sex or age difference. However, the elderly in rural areas (2.7+/-1.7) consumed a significantly higher number of drugs than those in urban areas(1.7+/-0.7). The average number of prescription drugs taken was 2.0+/-1.4 while the average of nonprescription drugs taken was 1.3+/-0.6. Analgesics and antihypertensive drugs were most commonly used. Vitamin and analgesics were the most frequently used self-prescribed drugs. It was noted that potential adverse drug interaction by concominant drug consumption for arthritis and antihypensive drug, abuse of digestants and antiacid without treatment of the underlying disease, and misuse of quick-acting bowel medications were problematic for the elderly. In addition drugs used for the elderly have some adverse effect on the digestive system. The types and composition of drugs used by the elderly were identified and presented. Medication compliance was poor and 13.5% reported adverse reactions such as edema, heartburn, nausea, and difficulty with eating. Seventeen percent of the elderly obtained drugs arranged by those other than medical staff. Also, even among those elderly who obtained drugs prescribed by a doctor, 69.1% of subjects had not receive instruction about potential adverse reactions. These results suggest that nutritional problems related to drug usage might exist and so dietitians, either individually or as members of health teams, need to have a better understanding of drug-nutrient interaction and closer supervision, and drug information/education service should therefore be provided to prevent or minimize adverse drug reaction in elderly users of medication.
Aged* ; Analgesics ; Anemia ; Antihypertensive Agents ; Arthritis ; Chronic Disease ; Chungcheongbuk-do ; Digestive System ; Drug Interactions ; Drug Users ; Drug-Related Side Effects and Adverse Reactions ; Eating ; Edema ; Female ; Gastrointestinal Agents ; Heartburn ; Humans ; Hypertension ; Male ; Medical Staff ; Medication Adherence ; Nausea ; Nonprescription Drugs ; Nutritional Status* ; Nutritionists ; Occupations ; Organization and Administration ; Prescription Drugs ; Spouses ; Stomach Diseases ; Vitamins