The purpose of this study was to determine relationships between job satisfaction and burnout experience. The subjects were 225 nephrology nurses in Pusan, and Kyung Sang Namdo and Kyung Sang Bukdo. The data were collected from Nov. 20 to Dec. 3, 1996 using questionnaires method. Job satisfaction measured job satisfaction tool by Slavitt et al, and burnout experience measured burnout experience scale by Pines et al. The questionnaire consisted of question regarding job satisfaction scale(44 items 5 point scale) and burnout experience scale(21 items 7 point scale). The reliability of this instrument was that the hob satisfaction was Cronbach's alpha=0.8298 and the burnout experience was Cronbach's alpha=0.8960. The data were analyzed with the SPSS program using mean, standard deviation, frequency and percentage, t-test, ANOVA and Pearson's Correlation Coefficient. The results of this study were as follows : 1. In the demosociographic characteristics showed the highest level was as follows : 26-30 years old group(40.2%), married(56.4%), graduated junior college of nursing(87.6%), non the religious(35.6%), the effect of religion upon life is not effected(35.6%). In the characteristics related to nursing profession showed the highest level was as follows : Hospital style is secondary hospital(that have above 450 beds) (53.3%), staff nurse(72.9%), the length of clinical experience at hemodialysis room is less than 2 years(39.1%), number of patient was assigned a nephrology nurses is 5(40.4%), work in two shift(55.6%), the nurses professional motivation is family recommended(33.8%), the nurses intention to stay is until for needed(58.2%), the chance for professional growth is not enough(44.9%), degree of satisfaction with nursing is moderate(43.2%). 2. The mean score of the total hob satisfaction is 3.06 of 5 point Likert-type scale. Task requirements(3.51) among the component factors of the job satisfaction was the highest value and then the interaction among fellow nurses(3.34), job prestige/status(3.33), autonomy(3.27), organizational requirement(2.55), and pay(2.39) was the lowest 3. The mean score of the total burnout experience is 3.20 of 7 point Likert-type scale. Physical exhaustion(3.36) among the component factors of the burnout experience was the highest value and then emotional exhaustion(3.20), and mental exhaustion(2.95) was the lowest. 4. Job satisfaction according to demosociographic characteristics of the subjects showed significant differences in the effect of religion upon one's life(F=3.268, p=0.013). Job satisfaction according to characteristics related to nursing profession of the subjects showed significant differences in the hospital type(F=3.479, p=0.033), position(F=3.165, p=0.044), number of patient was assigned a nephrology nurses(F=2.552, p=0.040), nurses intention to stay(F=7.153, p=0.001), the chance for professional nursing growth(F=3.735, p=0.006), the degree of satisfaction with nursing(F=12.680,p=0.000). Burnout experience according to characteristics related to nursing profession of the subjects showed significant differences in the position(F=3.247, p=0.041), number of patient was assigned nephrology nurses(F=4.220, p=0.003), shift(F=3.148, p=0.045), nurses intention to stay(F=9.911, p=0.000), the degree of satisfaction with nursing(F=13.234, p=0.000). 5. Job satisfaction and burnout experience was signigicant negative correlation(r=-.5466, p<.001).
Busan ; Humans ; Intention ; Job Satisfaction* ; Motivation ; Nephrology* ; Nursing ; Renal Dialysis ; Surveys and Questionnaires

Health services on industrial noisy environment have been provided only for noise-induced hearing loss management until now. But gradually, modern diseases and death have come to be related to stress and mental health deeply, therefore noise-induced mental disorder, like a stress became very important. In this point, the purpose of this study was to analyze the relationship between noise exposure level in worksite and workers' stress symptoms. This study included a survey of 786 manual workers selected from 89 worksites in 21 factories in Puchon. The results were as follows: 1. For demographic characteristics, most of the workers were males(80.8%), the 20~29 years old were 34.5% and those who graduated from high school were 65.3%. The workers whose monthly income ranged from 500,000 to 800,000 won were 37.5% and who have a religion were 47.9%. 2. For occupational characteristics, workers who had worked 1~5 years in the factories were 33.0%. Those who felt much for them workload were 43.9% and who worked more than 8 hours a day were 73.9 %. Those who were dissatisfied with their job and pay were 31.9% and 50.6%. The workers who responded ventilation condition of their worksites were bad were 51.9% and the dissatisfied with working environment of their wofksites were 45.9%. 3. Workers who were suffering from tinnitus were 53.3% and those who perceived hearing loss were 50.l%. Persons who reported they always wore earplugs at work were 35.4%. Those who felt earplugs bigger than their ears were 30.6% and those who experienced eardiseases caused by earplugs were 25.6%. 4. For the noise exposure level in worksite, workers who were exposed to 80-90dB were 30.3%, 90-100dB were 26.4% and 50~70dB were 19.2%. 5. workers' stress symptoms were significantly related to marital status and their monthly income p< 0.05). Workers who were single and had lower monthly income showed higher PSl (Psychiatric symptom Index) scores than those who were married and had higher monthly income. Higher PSl scores were also significantly related to l~2 days night-work per week, much for them workload, dissatisfaction with their job, and bad relationship with their bosses and coworkers. 6. Higher PSl scores were significantly related to severe tinnitus and perceived hearing loss p<0.001). Workers who felt the earplugs they use did not fit their ears showed significantly higher PSl scores(p<0.01). Workers who reported that they did not feel they need earplugs showed significantly higher PSl scores(p<0.05). Increased experience of eardisease caused by earplugs that did not fit were also significantly related to higher PSl scores(p<0.001). 7. The higher noise exposure level in worksite from 80dB was, the more severe stress symptoms including PSl subparts were reported; Anxiety, Anger, Depression, and cognitive disorder(p<0.001). 8. According to the results of stepwise multiple regression analysis, factors affecting workers' PSl scores were perceived hearing loss(R2=0.160), noise exposure level jn worksite(R2=0.110), relationship with coworkers, amount of workload, monthly income and relationship with bosses orderly and the total R2 of this 6 factors was 0.371. 9. The most significant factors that have impact on manual workers' stress symptoms were perceived hearing loss and noise exposure level in worksite, especially noise exposure level in the worksite was the most affective factor on the depression symptom.
Anger ; Anxiety ; Depression ; Ear ; Ear Protective Devices ; Gyeonggi-do ; Health Services ; Hearing ; Hearing Loss ; Hearing Loss, Noise-Induced ; Humans ; Marital Status ; Mental Disorders ; Mental Health ; Noise* ; Tinnitus ; Ventilation ; Workplace*

The purpose of this study was to identify the effect of the humor intervention program, administred to the hemodialysis patient as an adaptive coping mechanism. The research design was non-equivalent control group non-synchronized design. The study method had been done by investigating the experimental group and control group through the questionnaire on 36 patients who had been out patient hemodialysis room at B hospital in Pusan from August 18 to September 15, 1998. The humor intervention program consisted of 1 TV comedy, 1 home video and 1 comedy film. The humor intervention program was provided to the experimental group for 20-30 minute 3 times every other day at hemodialysis room. Dependent variables were measured by Spielberger's State Anxiety Inventory, Zung's Self Rating Depression Scale, Lefcourt & s Humor Coping Scale. The analysis of the collected data had been done for the hemogeneity test in which general characteristics of the experimental group and the control group had been tested by chi- test and the hemogeneity test had been tested by t-test before using the humor intervention program which is for anxiety, depression and coping of humor. To test the hypothesis the t-test had been given for the difference of anxiety, depression and coping of humor between the two groups. The result were summarized as follows: 1. Anxiety score in the experimental group and control group was not significant difference. 2. Depression score in the experimental group and control group was not significant difference. 3. Coping of humor score in the experimental group and control group was not significant difference. In conclusion, even though humor intervention program did not have any efficient effect on hemodialysis patients in reacting to anxiety, depression and coping humor, it caused very positive reactions from patients, and it also reducted anxiety of patients among the experimental group a little bit. If this program could be sufficiently applied according to the character of every patients with a little bit different appliences such as selection of humor intervention program, frequency and period, it will be used as an efficient the humor intervention program.
Anxiety* ; Busan ; Depression* ; Humans ; Surveys and Questionnaires ; Renal Dialysis* ; Research Design

The purpose of study was to compare body image between diabetes mellitus patients who used insulin pump therapy and didn't use insulin pump therapy. The study design was comparative survey study the subjects were 60 diabetes mellitus patients who used insulin pump therapy and 60 diabetes mellitus patients who didn't use insulin pump therapy at B hospital in Busan. The data were collected from 15th April to 20th August, 1998. The instrument used for this study were Osgood's body image scale. The collected data were analyzed frequency, percentage, chi-test, mean, standard deviation, t-test, ANOVA, Scheffe test. The results were as follows 1. Demographical characteristics between diabetes mellitus patients who used insulin pump therapy and didn't use insulin pump therapy were no significant difference. 2. Characteristics related disease between diabetes mellitus patients who used insulin pump therapy and didn't use insulin pump therapy were significant difference in paticipation of D.M. meeting. no of paticipation of D.M. meeting. 3. Body inmage score of diabetes mellitus patients was 69.08+/-18.13. In body image, diabetes mellitus patients who used insulin pump therapy were higher than that didn't use insulin pump therapy (t= 1.964. p .05) 4. In body image's each item, common-strange item. noble-humble item, competent-incompetent item, light-heavy item. diabetes mellitus patients who used insulin pump therapy were higher than diabetes mellitus patients who didn't use insulin pump therapy(p .05) 5. In body image according to economic status, marital status. occupational status were significantly difference. 6. In body image according to causes of regular hospital visiting. paticipation of diabetes mellitus class were significantly difference. In conclusion, diabetes mellitus patients who used insulin pump therapy were more positive than diabetes mellitus patients who didn't use insulin pump therapy.
Body Image* ; Busan ; Diabetes Mellitus ; Employment ; Humans ; Insulin* ; Marital Status

The purpose of study was to compare body image between diabetes mellitus patients who used insulin pump therapy and didn't use insulin pump therapy. The study design was comparative survey study the subjects were 60 diabetes mellitus patients who used insulin pump therapy and 60 diabetes mellitus patients who didn't use insulin pump therapy at B hospital in Busan The data were collected from 15th April to 20th August, 1998. The instrument used for this study were Osgood's body image scale. The collected data were analyzed frequency, percentage, chi-test, mean, standard deviation. t-test, ANOVA, Scheffe test. The results were as follows 1. Demographical characteristics between diabetes mellitus patients who used insulin pump therapy and didn't use insulin pump therapy were no significant difference. 2. Characteristics related disease between diabetes mellitus patients who used insulin pump therapy and didn't use insulin pump therapy were significant difference in paticipation of D.M. meeting, no of paticipation of D.M. meeting. 3. Body inmage score of diabetes mellitus patients was 69.08+/-18.13. In body image, diabetes mellitus patients who used insulin pump therapy were higher than that didn't use insulin pump therapy (t=1.964, p .05) 4. In body image's each item, common-strange item, noble-humble item. competent-incompetent item, light- heavy item, diabetes mellitus patients who used insulin pump therapy were higher than diabetes mellitus patients who didn't use insulin pump therapy(p .05) 5. In body image according to economic status, marital status, occupational status were significantly difference. 6. In body image according to causes of regular hospital visiting, paticipation of diabetes mellitus class were significantly difference. In conclusion, diabetes mellitus patients who used insulin pump therapy were more positive than diabetes mellitus patients who didn't use insulin pump therapy.
Body Image* ; Busan ; Diabetes Mellitus ; Employment ; Humans ; Insulin* ; Marital Status

No abstract available.
Child* ; Humans ; Thyroid Gland* ; Thyroid Neoplasms*

No abstract available.
Progeria*

A case of "Follicular Occlusion Triad" associated with acne conglobata, hidradenitis suppurativa and perifolliculitis capitis abscedens et suffodiens in 40-year-old male patient is presented with brief review of literature. Widespread acne occured on the face k upper back at the age of 16. Several years later, firm & tender erythematous poorly demarcated nodules developed on the back, buttock and axilla. Also, erythematous nodules developed on temporooccipital area of the scalp. Thereafter, the skin lesions become fluctuant cystic. Some of the skin lesions healed leaving severe hypertrophic scars, and purulent materials expressed from some of persistent lesions. The patient was trested with systemic 13-cis-retinoic acid, antibiotics, corticosteroids injection and incision & drainage with considerable improvement.
Acne Vulgaris ; Adrenal Cortex Hormones ; Adult ; Anti-Bacterial Agents ; Axilla ; Buttocks ; Cicatrix, Hypertrophic ; Drainage ; Hidradenitis Suppurativa ; Humans ; Isotretinoin ; Male ; Scalp ; Skin

BACKGROUND: Peripheral nerve injury may produce a syndrome consisting of spontaneous pain, allodynia and hyperpathia. Cholinesterase inhibitors are known to have an antinociceptive effect in hot plate and tail flick tests and to be mediated by spinal muscarinic system. The purpose of the current study was to determine the effect of intrathecally (i.t.) administered edrophonium and neostigmine on the touch-evoked allodynia and to identify the antagonism of antiallodynia in a rat model of neuropathic pain. METHODS: Sprague Dawley rats were prepared with tight ligation of left L5/L6 spinal nerves with 6~0 black silk and chronic lumbar intrathecal catheters. After obtaining the baseline hindpaw withdrawal scores, edrophonium (3~100ug) or neostigmine (0.3~10ug) was administered intrathecally. Tactile allodynia was measured using von Frey filaments and allodynic threshold was calculated by updown method. Motor dysfunction was assessed by observing righting/stepping reflex responses and abnormal weight bearing. To examine the reversal of antiallod ynia, muscarinic receptor antagonist atropine (10ug) or nicotinic receptor antagonist mecamylamine (10ug) was injected intrathecally 5 min. prior to injection of edrophonium or neostigmine. RESULTS: I.t. edrophonium and i.t. neostigmine produced a dose dependent antagonism of allodynic state but had moderate to severe effect on motor weakness at doses of 3 and 10 g of neostigmine. Pretreatment with i.t. atropine yielded a complete antagonism of antiallodynia in both drugs, but i.t. mecamylamine did not significantly reverse incresed allodynic threshold. CONCLUSIONS: These experiments suggest that i.t. edrophonium or i.t. neostigmine produces a dose dependent antagonism on touch-evoked allodynia at the spinal level and this antagonism is likely due to spinal muscarinic system.
Atropine ; Catheters ; Cholinesterase Inhibitors ; Edrophonium* ; Hyperalgesia ; Ligation ; Mecamylamine ; Models, Animal ; Neostigmine* ; Neuralgia* ; Peripheral Nerve Injuries ; Rats, Sprague-Dawley ; Receptors, Muscarinic ; Receptors, Nicotinic ; Reflex ; Silk ; Spinal Nerves ; Weight-Bearing

No abstract available.
Blood Flow Velocity* ; Ductus Arteriosus* ; Humans ; Infant, Newborn* ; Ultrasonography*