1.Computed tomographic findings of the pancreatitis
Woo Suk CHOI ; Kyung Sik CHO ; Young Tae KO ; Ho Kyung KIM ; Soon Yong KIM
Journal of the Korean Radiological Society 1982;18(1):125-131
Computed body tomography has become useful in the diagnosis of pancreatic disease. It was found to be are liable, often specific, and noninvasive method for detecting pancreatitis and extra-pancreatic extension of the pathology. Of eight hundred and seventy-two cases studied for abdominal pathology with EMI-CT 5005 whole body scanner form Oct. 1977 to August 1980, 21 cases were confirmed to be pancreatitis clinically or operatively. The authors reviewed the CT findings of the above cases and the results were as follows; 1. Among twenty-one cases, the acute pancreatitis was 12 cases and the chronic pancreatitis was 9 cases. The sex ratio as 17 males to females. 2. In acute pancreatitis, diffuse enlargement of pancreas (11/12), focal enlargement (1/12), loss of peripancreatic fat plane (9/12), thickening of anterior of pararenal fascia (6/12), and smooth margin ofpancreas (5/12) were observed. 3. In chronic pancreatitis, parenchymal atrophy (7/9), normal size (2/9), loss of peripancreatic fat plane (3/9), thickening of anterior pararenal fascia (1/9), calcification (1/9), smooth margin (2/9), and serrated margin (6/9) were observed. 4. The complications were associated with 7 cases of acute pancreatitis and 1 case of chronic pancreatitis; pseudocyst (6), abscess (2), and fat necrosis (3), The sites of the pseudocyst were lesser sac (2), anterior pararenal space (2), posterior pararenal space (1), subhepatic region (1), greater omentum (1), and intrapancreatic region (2). All of them were associated with acute pancreatitis except one in chronic pancreatitis.
Abscess
;
Atrophy
;
Diagnosis
;
Fascia
;
Fat Necrosis
;
Female
;
Humans
;
Male
;
Methods
;
Omentum
;
Pancreas
;
Pancreatic Diseases
;
Pancreatitis
;
Pancreatitis, Chronic
;
Pathology
;
Peritoneal Cavity
;
Sex Ratio
2.Current status and direction of welfare policy for people with disabilities.
Journal of the Korean Medical Association 2010;53(12):1050-1052
At the end of 2009, the number of registered disabled was 2,430,000 in South Korea. Of them, 90% originated from acquired causes such as diseases or accidents. Although disabilities are everyday problems that can be met by anybody, disabilities had been a problem that people tried to conceal. However, social recognition of the disabled has been developing with changes in the social environment. The government of the Republic of Korea has upgraded the policy on disabilities from benefaction to social security. The Korean government tries to support a variety of welfare systems for the disabled. Specifically, jobs for the disabled are going to increase from 3,400 positions in 2010 to 10,300 in 2011. The pension system for the disabled, introduced in July 2010, will be continuously supplemented. If a personal care assistance system for the disabled is introduced beginning in October 2011, the number of supporting personnel who will visit and provide nursing services to the disabled will increase from 30,000 at present to 50,000 at the end of 2011. Besides the above welfare system for the disabled, people should participate in the prohibition of discrimination against the disabled and the improvement of social recognition to the disabled. After that, social participation by the disabled will be expanded so that an integrated society based on the rights of the disabled can be realized in Korea.
Disabled Persons
;
Discrimination (Psychology)
;
Human Rights
;
Humans
;
Korea
;
Long-Term Care
;
Nursing Services
;
Pensions
;
Republic of Korea
;
Social Environment
;
Social Participation
;
Social Security
3.Effects of Dementia Knowledge, Self-Efficacy and Depression on Dementia Preventive Behavior in Elderly Couples: Dyadic Data Analysis.
Journal of Korean Academy of Nursing 2013;43(2):276-286
PURPOSE: This study was done to examine actor and partner effect of dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples. METHODS: Participants were 115 couples aged 60 years or over who met eligibility criteria. All measures were self-administered. Data were analyzed using SPSS 18.0 and AMOS 18.0 program. RESULTS: Dementia knowledge in elderly couples showed actor and partner effect on dementia preventive behavior. Self-efficacy in the wife did not have direct effects on dementia preventive behavior, but showed indirect effects through dementia knowledge. Self-efficacy in the husband showed direct effects on dementia preventive behavior and indirect effects through dementia knowledge. Wife's depression had direct actor effect on dementia preventive behavior and indirect effect through self-efficacy and dementia knowledge. Husband's depression did not have direct actor effect on dementia preventive behavior, but indirect effect through self-efficacy and dementia knowledge. Effect size of wives' dementia knowledge, self-efficacy and depression on dementia preventive behavior was larger than that of husbands'. Dementia preventive behavior, dementia knowledge and depression had a mutual effect. CONCLUSION: Results indicate that to promote dementia preventive activity in elderly couples, programs should be conducted for both of the couple, but focused differently for wife and husband.
Aged
;
Aged, 80 and over
;
Dementia/*prevention & control
;
*Depression
;
Female
;
Humans
;
Knowledge
;
Male
;
Middle Aged
;
Questionnaires
;
*Self Efficacy
;
Spouses/*psychology
4.Dementia Knowledge and Related Factors in Middle-aged Adults.
Jeong Ah KIM ; Ja Kyung KO ; Suk Nam MOON
Journal of Korean Academy of Adult Nursing 2006;18(2):293-302
PURPOSE: The purpose of this study was to identify the level of knowledge about dementia and to find the related factors in middle-aged adults. METHOD: The research design was a descriptive study by using a constructive self-report questionnaire with 34 items. Data were collected from 397 middle-aged adults using structured questionnaire. Data analysis was done by SPSS/WIN Programs using frequency, range from minimum to maximum, percentage, mean, SD, chi-square-test, t-test, ANOVA, and Duncan's Multiple Range test. RESULTS: The rate of correct answer of middle-aged adults was 68.7%, showing the mid-level of knowledge about dementia. There were significant differences according to age, education, marital status, job, income, information and information sources for dementia in middle-aged adults. CONCLUSION: These results indicate that Korean middle-aged adults need more education and counseling on dementia. Further studies are needed to overcome regionalism in sampling of this study and to develop standard measuring tools for the level of knowledge about dementia.
Adult*
;
Counseling
;
Dementia*
;
Education
;
Humans
;
Marital Status
;
Research Design
;
Statistics as Topic
;
Surveys and Questionnaires
5.A case of systemic progressive sclerosis after cosmetic surgery with silicone gel.
Won KIM ; Kyung Suk LEE ; Chang Hwan LEE ; Jae Ki KO
Korean Circulation Journal 1993;23(3):474-480
Human Adjuvant Disease(HAD) is a connective tissue disease occuring after cosmetic surgery with a foreign substance. It was first reported by Miyoshi in 1964. There have been specific connective disorders such as systemic lupus erythematosus, rheumatoid arthritis, progressive systemic sclerosis and mixed connective tissue disease. Scleroderma is the single most commonly reported disease. A 55-year-old woman was seen for evaluation of dypnea. Four years previously, she underwent cosmetic surgery with silicone injected directly into eyelid, forehead, both hand and monspubis. The patient presented the classic feature of systemic sclerosis and pericardial effusion. Following pericardiocentesis, she felt somewhat better and became less dyspneic. Seventeen days later, however, she progressively deteriorated and died in spite of intensive medical therapy and supportive care.
Arthritis, Rheumatoid
;
Connective Tissue Diseases
;
Eyelids
;
Female
;
Forehead
;
Hand
;
Humans
;
Lupus Erythematosus, Systemic
;
Middle Aged
;
Mixed Connective Tissue Disease
;
Pericardial Effusion
;
Pericardiocentesis
;
Scleroderma, Diffuse
;
Scleroderma, Systemic
;
Sclerosis*
;
Silicone Gels*
;
Surgery, Plastic*
6.Effects of Nurses' Incident Reporting Attitude, Perception of Importance on Patient Safety Management, and Patient Safety Culture on the Reporting of Patient Safety Events
Journal of Korean Academy of Nursing Administration 2023;29(3):309-319
Purpose:
This study’s purpose is to examine the effects of nurses' incident reporting attitudes, their perceptions of importance of patient safety management, and patient safety culture on reporting patient safety events.
Methods:
We used a cross-sectional design with a convenience sample of 192 nurses with more than three months clinical experience from five provincial hospitals. The data were collected through an online structured self-report questionnaire from September 25 to October 15, 2022. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression.
Results:
The most important influencing factors for the level of patient safety event reporting were perceptions of the importance of patient safety management (β=.24, p=.005), followed by patient safety culture (β=.23, p=.019), incident reporting attitude (β=.18, p=.016), and near miss reporting experience (β=.14, p=.022). The explanatory power of the model was 33%.
Conclusion
To increase the level of patient safety incident reporting, differentiated education and standardized work procedures are needed. Also, it is necessary to prepare policies that revitalize patient safety reporting systems at medical institutions as measures to prevent patient safety accidents and recurrences.
7.The Dental Hygienists' Perception of the National Practical Examination.
Journal of Dental Hygiene Science 2016;16(6):488-494
The purpose of the present study was to examine dental hygienists' perception of the current national practical examination. This research was performed using 199 self-reported surveys answered by professors of dental hygiene studies and clinical dental hygienist. Frequency analysis, chi-square tests, and analysis of variance were performed by using IBM SPSS Statistics ver. 20.0. The results revealed that many of the respondents consider the current national practical examination to be neutral. They did not think that the current national practical examination questions are useful for assessing occupation-centric integrated clinical practice ability and counseling techniques for patient intervention. The professors of dental hygiene studies believed that among the research tasks required as mentioned in the national practical examination questions, dental polishing and tooth brushing education are of paramount importance, whereas clinical dental hygienists believed that ultrasonic scaling is the most important (p<0.05). Most of the professors of dental hygiene studies reported that they conducted skills education for dental polishing and tooth brushing education, while most of the clinical dental hygienists reported that tasks actually performed in the clinic included impression taking, model fabrication, ultrasonic scaling, and explaining treatment precautions (p<0.05). Therefore, these tasks can be effectively carried out with the improvement of the national dental hygienist practical examination.
Counseling
;
Dental Hygienists
;
Dental Polishing
;
Education
;
Humans
;
Oral Hygiene
;
Surveys and Questionnaires
;
Tooth
;
Ultrasonics
8.A Study on the labial & buccal surface contour in Korean permanent teeth using three-dimensional laser scanning.
Korean Journal of Orthodontics 2002;32(4):275-291
Of various factors indicated for effective use of straight wire appliances, there was a great lack of studies both domestic and international about the curvatures of tooth crowns. This study was performed to investigate the labio/ buccal clinical crown curvatures of Korean permanent teeth. For this study, three-dimensional laser scanning was performed on 36 dental casts with normal anatomic structures. Andrews plane and Facial axis of clinical crown (FACC) were designated as horizontal and vertical reference planes respectively. 2 or 3 lines, 1 mm apart, were drawn superior, inferior, left and right of these reference planes. A three-dimensional coordinate table was made for points formed by crossing these lines, and averages of each coordinate point on the 36 dental casts were obtained. The curvature equation was made using three-dimensional coordinate points (x,y,z) and by this curvature equation, the curve ratio of each tooth was obtained. Curve ratio changes of each section of teeth were calculated by curve ratios of simplified curves. These two dimensional curves were simplified horizontally and vertically. Conclusions for this study are as follows. 1. The basic data of labial and buccal clinical crown curvatures were obtained about Korean permanent teeth. 2. No significant difference was found between male and females. 3. Individual tooth characteristics. 1) In maxillary central incisors, the difference in the curve ratio between the gingival and incisal sides was greater than for the other teeth. And the gingival side showed a greater curve ratio. 2) Maxillary canines showed more curvatures in the mesio-occlusal surface than the other surfaces. 3) In maxillary 1st premolars, more curvatures were found in mesio-occlusal and disto-gingival surface, thus showing a twisted crown surface, but in maxillary 2nd premolars, the crown curvatures of mesial and distal ends became parallel to each other. 4) No significant difference in crown curvatures was found between mandibular central and lateral incisors. 5) Occluso-gingival curvatures of mandibular 2nd premolar turned out to be more rounded than mandibular 1st premolars or maxillary 2nd premolars. From the above conclusions, it can be deduced that the same bracket bases can be used for mandibular central and lateral incisors. But for maxillary 1st and 2nd premolars and for mandibular 1st and 2nd premolars, because crown curvatures showed significant differences, when making bracket bases there is ample reason to make bracket base curves differently for each type of tooth.
Axis, Cervical Vertebra
;
Bicuspid
;
Crowns
;
Female
;
Humans
;
Incisor
;
Male
;
Tooth Crown
;
Tooth*
9.A Clinical Study of Tibial Shaft Fracture: Using Plate Fixation on the Medial Surface of the Tibial Shaft
Hyoun Oh CHO ; Chul Eun KO ; Dae Suk SUH ; Kyung Duk KWAK ; Chan Woo LEE
The Journal of the Korean Orthopaedic Association 1987;22(3):621-626
39 patients with tibial shaft fracture had treated by open reduction and internal fixation with AO DCP and screws applying on the medial surface of the tibia, at the Department of Orthopedic Surgery, Ulsan Dongkang Hospital, from January, 1983 to December, 1985. A clinical study was done on all the 39 cases with the follow-up check over 1 year. In general, because the lateral surface of the tibia is well covered by rich soft tissue, it is popularized to apply the plate on the lateral aspect of the tibia. In our department, we applied the plate on the medial aspect of the tibia, which resulted in mimi-zing soft tissue injuries and, by inserting the screws perpendicular to the surface of the bone, increased stability of the fixation; and therefore resulted in relatively short operation time, relatively low incidences of infection and non-union; but there had been some drawbacks such as focal skin necrosis, hematoma, adhesion after fixatives removal, and cosmetic disfiguring. But there were no problems during the follow up periods. So, this is a recommandable procedure of internal fixation with the plate for the tibial shaft fractures.
Clinical Study
;
Fixatives
;
Follow-Up Studies
;
Hematoma
;
Humans
;
Incidence
;
Necrosis
;
Orthopedics
;
Skin
;
Soft Tissue Injuries
;
Tibia
;
Ulsan
10.Urinary N-Acetyl-beta-D-Glucosaminidase Activity in Essential Hypertension, Diabetes Mellitus and Renal Disease.
Jae Ki KO ; Eun Young CHOI ; Hai Kang KIM ; Kwan Hee YU ; Jin Hong KIM ; Dong Suk JANG ; Kyu Young KO ; Kyung Woo CHO
Korean Circulation Journal 1985;15(4):633-637
NAG activity has been measured in the urine of hypertension, diabetes mellitus and renal disease subjects. Results have shown significantly higher levels of Urinary NAG in hypertension, diaetes and renal disease subjects compared to normal control Subjects group(P<0.001). Urinary NAG measurement is simple and accurate and it provides a valuable information in the early detection of renal dysfunction in hypertension and diabetes subjects and also in the follow up of these patients.
Acetylglucosaminidase*
;
Diabetes Mellitus*
;
Follow-Up Studies
;
Humans
;
Hypertension*