BACKGROUND: The value of serum lipid in children after recovery of Kawasaki disease may be important bacause of the predilection of this disease for the coronary artery. METHODS: To determine the alterations in serum total cholesterol(TC) and high density lipoprotein(HDL)-cholesterol levels in Kawasaki disease(KD), we measured serum HDL-cholesterol and TC in 35 patients(mean age 36.8+/-22.0 months, range 6 to 93 months) with Kawasaki disease(KD) during 10 days or less after the onset(group A) and 2 months later after recovery. TC and HDL-cholesterol were also measured in an acute febrile respiratory illness group(group B) and a nonfebrile respiratory illness group(group C) to compare with those of KD. RESULTS: HDL-cholesterol levels in group A were depressed(29.6+/-11.0mg/dl) compared with group B and C(47.3+/-13.3mg/dl and 45.1+/-12.4mg.dl, respectively, p<0.01). TC levels in group A(145.1+/-33.1mg/dl) were not significantly different from those of group B(146.8+/-33.4mg/dl) and C(157.1+/-29.6mg/dl). Also the level of serum HDL-cholesterol in the acute phase of KD was significantly lower when compared with that after recovery(30.2+/-13.2mg/dl vs 50.0+/-10.2mg/dl, p<0.05). In KD patients, TC levels were not significantly different between the acute & recovery phase(145.0+/-26.6mg/dl, 153.4+/-32.6mg/dl). Echo-cardiography confirmed coronary artery aneurysms in 11 patients(31.4%) and otherwise, normal findings(n=24) in the KD group. There were no significant difference in TC level(140.7+/-27.6mg/dl vs. 146.9+/-35.4mg/dl, p=NS) and HDL cholesterol level(30.1+/-12.5mg/dl vs. 29.2+/-10.7mg/dl, p=NS) between patients with and without coronary aneurysms. CONCLUSIONS: HDL-cholesterol levels were significantly depressed only in the acute phase of KD but TC levels did not change significantly. Both levels were not related to coronary artery aneurysm.
Aneurysm ; Child ; Cholesterol, HDL ; Coronary Aneurysm ; Coronary Vessels ; Humans ; Mucocutaneous Lymph Node Syndrome*

BACKGROUND: Because systolic and diastolic dysfunction frequently coexist in acute myocardial infarction(AMI), we hypothesize that a combined measure of ventricular performance using Doppler echocardiography may be more sensitive and time-saving diagnostic tool for the evaluation of patients presenting with cardiogenic chest pain. METHOD AND RESULTS: Seventy-one patients with AMI (47 male, 59+/-11 years) and 45 patients with normal coronary artery (29 male, 52+/-11 years) were included in the study for measurement of cardiac performance index and established parameters of ventricular function using conventional echo-Doppler methods. a new derived index of cardiac performance: (ICT+IRT)/ET, was obtained by subtracting ejection time(ET) from the interval between cessation and onset of the mitral inflow velocity to give the sum of isovolumic contraction time(ICT) and isovolumic relaxation time(IRT). The mean value of the index was significantly different between normal and AMI(p<0.01). The degree of inter-group overlap was smaller for the index compared to other parameters. within functional groups, the value of the index did not appear to be related to heart rate, mean arterial pressure and the degree of mitral regurgitation. CONCLUSION: cardiac performance index is a conceptually new, simple and reproducible Doppler index of combined systolic and diastolic myocardial performance, and it is useful as screening test for patients with cardiac dysfunction due to AMI.
Arterial Pressure ; Chest Pain ; Coronary Vessels ; Echocardiography, Doppler ; Heart Rate ; Humans ; Male ; Mass Screening* ; Mitral Valve Insufficiency ; Myocardial Infarction* ; Relaxation ; Ventricular Function

A case of adenocarcinoma of cystic duct associated with GB empyema is presented. A 72 year old male was admitted to Kwangju Christian hospital because of abdominal pain in right upper quadrant for 4 days. He underwent explolaparotomy under the impression of GB empyema or GB cancer. For seeking causative factor of GB empyema, serial sections of cystic duct and mapping were performed. We can find adenocarcinoma of cystic duct in the specimen removed at cholecystectomy. The criteria for disgnosis of cystie duct carcinoma which was outlined by Farrar. These criteria are; 1) The growth must be restricted to the cystic duct, 2) There is no neoplastic process in the gall bladder, hepatic and common bile duct. 3) Histopathological examination must be comfirm carcinoma. Here we report a case of adenocarcinoma of cystic duct associated with GB empyema with brief review of Literature.
Abdominal Pain ; Adenocarcinoma* ; Aged ; Cholecystectomy ; Common Bile Duct ; Cystic Duct* ; Empyema* ; Gwangju ; Humans ; Male ; Urinary Bladder

PURPOSE: This study was done for the purpose of identifying the relationship between work stress and job satisfaction of nurses who were evaluating medical insurance. METHOD: The participants in the study were 154 nurses who were in charge of evaluating medical insurance in 32 hospitals in Korea. Data were collected for 1 month from April 20 to May 20, 2001. RESULT: The mean total work stress score was 93.79. In comparison with work stress scores according to the work stress factors, 'work overload'(2.95) had the highest work stress score. The mean total job satisfaction score was 69.56. The total work stress scores did not show significant differences for any of the variables. The total job satisfaction score showed significant differences for the variables of age (F=3.51, p=.01), position (F=3.16, p=.02) and reason for transfer from one department to another (F=3.40, p=.003). CONCLUSION: The total work stress score showed a inverse correlation(gamma=-.36, p=.001) with the total job satisfaction score.
Insurance* ; Job Satisfaction* ; Korea

No abstract available.
Arthroplasty, Replacement, Hip* ; Ceramics* ; Hip*

OBJECTIVES: Sedentary behavior has gradually increased and has become a public health problem. Therefore, this study investigated trends in weekday leisure-time sedentary behaviors, as well as characteristic socio-demographic and lifestyle correlates in Korean adults. METHODS: We analyzed data from 914,946 adults aged ≥19 years who participated in the Korea Community Health Survey (2011, 2013, 2015, and 2017). Leisure-time sedentary behavior was categorized as a binary variable (<4 and ≥4 hr/day). Multivariable regression analysis was used to model the prevalence of sedentary behavior and estimate odds ratios. RESULTS: The prevalence of leisure-time sedentary behavior decreased from 15.2% to 14.4% in men and from 16.6% to 16.0% in women between 2011 and 2017, respectively. However, a significant increase was observed in subjects with an education lower than high school in both genders (β coefficient=0.12 for men and 0.08 for women, p for trend <0.001). Women in the lowest household income level (β coefficient=0.08, p for trend=0.001) and with poor subjective health status (β coefficient=0.05, p for trend=0.013) showed an increasing trend. Other factors associated with sedentary behavior were age, education level, body mass index, household income, walking activity, perceived stress level, and subjective health status in both genders. CONCLUSIONS Identifying the secular trends and correlates of sedentary behavior by gender and associated factors will provide empirical evidence for developing public health campaigns and promotion programs to reduce sedentary behavior in Koreans.

Purpose: The purpose of this study was to identify the frequency and types of traumatic events experienced by intensive care unit nurses and to identify factors affecting their post-traumatic growth. Methods: A descriptive correlational study was conducted. A total of 136 intensive care unit nurses, were participated. Data were collected at two university hospitals from April 15 to 28, 2021 using questionnaires on trauma event experience, post-traumatic growth, cognitive emotion regulation, self-exposure, and emotional support. The data were analyzed by t-test, one way ANOVA, Pearson’s correlation, and multiple regression analysis. Results: The main influencing factors of post-traumatic growth in intensive care unit nurses were using adaptive cognitive emotion regulation, having higher peer emotional support, and being married, which accounted for 22.4% of the explained variance. The most common traumatic events were ‘caring for patients with abnormal behavior,’ ‘providing end-of-life and postmortem care,’ and ‘failing to resuscitate patients despite ongoing treatment.’ The most distressful traumatic events was ‘verbal or physical violence of the patient’s family’. Conclusion The intervention strategies to foster adaptive cognitive emotion regulation and to create a supportive peer environment could help intensive care unit nurses to achieve post traumatic growth after experiencing traumatic events.

Purpose: The purpose of this study was to identify the frequency and types of traumatic events experienced by intensive care unit nurses and to identify factors affecting their post-traumatic growth. Methods: A descriptive correlational study was conducted. A total of 136 intensive care unit nurses, were participated. Data were collected at two university hospitals from April 15 to 28, 2021 using questionnaires on trauma event experience, post-traumatic growth, cognitive emotion regulation, self-exposure, and emotional support. The data were analyzed by t-test, one way ANOVA, Pearson’s correlation, and multiple regression analysis. Results: The main influencing factors of post-traumatic growth in intensive care unit nurses were using adaptive cognitive emotion regulation, having higher peer emotional support, and being married, which accounted for 22.4% of the explained variance. The most common traumatic events were ‘caring for patients with abnormal behavior,’ ‘providing end-of-life and postmortem care,’ and ‘failing to resuscitate patients despite ongoing treatment.’ The most distressful traumatic events was ‘verbal or physical violence of the patient’s family’. Conclusion The intervention strategies to foster adaptive cognitive emotion regulation and to create a supportive peer environment could help intensive care unit nurses to achieve post traumatic growth after experiencing traumatic events.

Purpose: The purpose of this study was to identify the frequency and types of traumatic events experienced by intensive care unit nurses and to identify factors affecting their post-traumatic growth. Methods: A descriptive correlational study was conducted. A total of 136 intensive care unit nurses, were participated. Data were collected at two university hospitals from April 15 to 28, 2021 using questionnaires on trauma event experience, post-traumatic growth, cognitive emotion regulation, self-exposure, and emotional support. The data were analyzed by t-test, one way ANOVA, Pearson’s correlation, and multiple regression analysis. Results: The main influencing factors of post-traumatic growth in intensive care unit nurses were using adaptive cognitive emotion regulation, having higher peer emotional support, and being married, which accounted for 22.4% of the explained variance. The most common traumatic events were ‘caring for patients with abnormal behavior,’ ‘providing end-of-life and postmortem care,’ and ‘failing to resuscitate patients despite ongoing treatment.’ The most distressful traumatic events was ‘verbal or physical violence of the patient’s family’. Conclusion The intervention strategies to foster adaptive cognitive emotion regulation and to create a supportive peer environment could help intensive care unit nurses to achieve post traumatic growth after experiencing traumatic events.

Purpose: The purpose of this study was to identify the frequency and types of traumatic events experienced by intensive care unit nurses and to identify factors affecting their post-traumatic growth. Methods: A descriptive correlational study was conducted. A total of 136 intensive care unit nurses, were participated. Data were collected at two university hospitals from April 15 to 28, 2021 using questionnaires on trauma event experience, post-traumatic growth, cognitive emotion regulation, self-exposure, and emotional support. The data were analyzed by t-test, one way ANOVA, Pearson’s correlation, and multiple regression analysis. Results: The main influencing factors of post-traumatic growth in intensive care unit nurses were using adaptive cognitive emotion regulation, having higher peer emotional support, and being married, which accounted for 22.4% of the explained variance. The most common traumatic events were ‘caring for patients with abnormal behavior,’ ‘providing end-of-life and postmortem care,’ and ‘failing to resuscitate patients despite ongoing treatment.’ The most distressful traumatic events was ‘verbal or physical violence of the patient’s family’. Conclusion The intervention strategies to foster adaptive cognitive emotion regulation and to create a supportive peer environment could help intensive care unit nurses to achieve post traumatic growth after experiencing traumatic events.