Clinical analysis was performed on 83 ankle fractures admitted and treated at the Orthopedic Service of the 17th Army Hospital during the period from April 1966 to April 1969. 1) Fourty five cases in the right ankle and the remainder in the left. 2) Closed reduction followed by adequate external immobilization was applied in 49 cases and the other 34 cases treated by open reduction included 20 cases in which initial manual reduction was failed. 3) Results of treatment in 33 cases could be evaluated as satisfying, in which reduction followed by short leg or patella setting below knee cast was adopted. 4) Average healing period was 2 to 3 months and in 5 cases it required more than 5 months. 5) Comminuted compression fracture and those with extensive soft tissue damage posed most difficult problems with ultimate poor functional restoration. In 8 such cases it was obligatory to apply a surgical fusion from the start of treatment.
Ankle Fractures ; Ankle ; Fractures, Compression ; Hospitals, Military ; Immobilization ; Knee ; Leg ; Orthopedics ; Patella

The purpose of this study were to label nursing intervention activities performed by Korean nurses working in medical-surgical units by using Nursing Intervention Classification, and to compare nursing intervention classification in Korea with that in Iowa, and to link nursing interventions to nursing diagnoses. This research was done in two steps. At the first step, list nursing intervention activities were used by korean nurses working in medical-surgical units and categorize and label by using Nursing Intervention Classification. The 142 nursing interventions were identified. The nursing interventions had a three-tiered taxonomic structure composed 6 domains, 27 classes, and 142 nursing interventions. At the second step, 142 interventions were linked to 57 nursing diagnoses and validated by the following 27 experts: 6 nursing professors, 11 graduate nursing students who have specialty of medical-surgical nursing, 10 head nurses who have clinical experiences over 10 years. The method of expert survey used to established the content validity of linking nursing diagnoses and nursing interventions. Questionnaire was distributed to experts. In questionnaire, the intervention labels for each of 57 nursing diagnosis were listed. Exports were asked to rate each diagnosis according to the extent to which it was validated and to identify any interventions they believed needed to be deleted or added. The analysis of results indicated that the taxonomy was well developed. More than 80% of the respondents rates s wither very validate of validate on 44 nursing diagnoses. Only 13 diagnoses were rated as validate by less than 80% of respondents. Based on validity results, revisions were made by adding 60 interventions and deleting 1 intervention. Therefore, total 201 of nursing interventions for 57 nursing diagnoses were identified. The use of standardized classifications in the areas of nursing diagnoses and interventions facilitates communication and allow us to build large computerized databases which, in turn, through their accessibility will facilitate research and clinical decision making. A common nursing language will unit nurses and make nursing care an identifiable essence of health care. Also this study adds to the enhance quality of nursing care and build a unique body of knowledge in nursing.
Classification* ; Surveys and Questionnaires ; Decision Making ; Delivery of Health Care ; Diagnosis ; Humans ; Iowa ; Korea ; Nursing Care ; Nursing Diagnosis* ; Nursing* ; Nursing, Supervisory ; Students, Nursing ; Surveys and Questionnaires

No abstract available.
Blood Pressure* ; Body Mass Index*

The purpose of this study was to identify the degree knowledge of myocardial infarction(MI) among the general population and to provide a direction for developing public health education programs. The subjects for this study were 187 people who lived in Seoul or Wonju City, Korea. The data were collected by questionnaire from Nov. ito Dec.5, 1997. The questionnaire was developed by the researcher based on a literature review, It consisted of 34 items of which nine items were on .iology, ten items on preventive measures, ten items signs & symptoms, five items on pain area. Analysis the data was done using descriptive statistics, t-test and ANOVA with the SPSS PC program. The results of the study are as follows: 1. The scores for knowledge of etiology(5.94), preventive measures(7.13), signs & symptoms(5.33) and area of pain(1.62). The highest score for knowledge about MI was preventive measures. the lowest score was for area of pain. Almost half of the subjects were not aware that 'hyperglycemia'and 'fatigue'can cause a MI. Also more than half of the subjects were not aware that 'reduced high carbohydrated diet'can prevent ML So this study showed that the general population has a need for more information about the relationship of hyperglycemia to MI. Less than half of the subjects knew that 'alteration in sleep pattern(49.4%)'. 'nausea, vomiting. indigestion(36.4%)''pain in the area of radiation and not in the chest(24.2%)' are sign & symptom of MI. Most of the people are aware that pain will be College of Nursing, Yonsei University Department of Nursing, Wonju College of Medicine. Yonsei University Department of Nursing. College of Medicine. Dankook University slightly to the left of the sternum(733%) but were not aware that pain may also radiate to the shoulder or arm(74.8%), neck or teeth(90.6%) Also 35% of the subjects think there is no treatment for an MI after it has occurred. 2. In the relationship between social demographic characteristics and degree of knowledge, there were significant differences due to sex, education level, and marital status. 3. This study showed hat most subjects got their in formation about MI from T.V. and radio(62.7%), but the score for knowledge was not high. The following are suggested based on the above results 1) It is necessary to reinforce information about signs & symptoms, area of pain and treatment of MI in public education programs, because people who do not know that their symptoms represent a heart at tack will delay seeking care and medical attention, 2) Because there are significant differences between knowledge and demographic characteristic(sex. education level, marital status), it is necessary to develop effective health education programs to consider these characteristics. Also we need behavioral strategies to change lifestyle and prevent more people from entering the MI high risk group. 3) Patients are almost always frightened and fearful which can cause a fatal delay. Education should focus on the emotional reasons behind people's resistance to calling the emergency medical system. 4) Educational programs need to target the potential witnesses rather than the individuals who suffer cardiac symptoms, focusing on the independent role that family members should take in the face of cardiac symptoms. Families of high risk group members, particularly their spouses, should receive special education about handling changes in cardiac symptoms. 5) Further studies are needed to identify factors which can cause patients to delay seeking treatment and to investigate the adaptive coping strategies of MI patients & their families when they have signs & symptoms.
Education ; Education, Special ; Emergencies ; Gangwon-do ; Health Education ; Heart ; Humans ; Hyperglycemia ; Korea ; Life Style ; Marital Status ; Myocardial Infarction* ; Neck ; Nursing ; Public Health ; Seoul ; Shoulder ; Spouses ; Vomiting ; Surveys and Questionnaires

No abstract available.
Muscle, Smooth* ; Renin* ; Renin-Angiotensin System*

No abstract available.
Humans ; Knee*

We report 56 year old female with the left atrial myxoma diagnosed by M mode and 2-D Echocardiography, to be complicated with the cerebral embolism with review of literatures.
Echocardiography ; Female ; Humans ; Intracranial Embolism* ; Middle Aged ; Myxoma*

No abstract available.
Peutz-Jeghers Syndrome*

No abstract available.
Daegu* ; Humans ; Infant, Newborn* ; Sex Ratio*

No abstract available.
Kartagener Syndrome*