In order to provide bases for the control of air pollutants in Korea, the author figured out the trend on the annual increase of air pollutants emitted in the process of combustions, and estimated the amounts of air pollutants of the future years from 1975 to 1981. 1) In 1973 the consumption rate of coal was 1.2 times of that of fuel oil. The consumption rate of them would be same in 1975 and 1977. However, the rate of fuel oil would exceed that of coal in 1979. In contrast with the rate in 1979. The one of coal would be increased faster and faster to show reverse trend of consumption in 1981. 2) The estimated amounts of air pollutants emissions in the years of 1973, 1975, 1977, 1979 and 1981 were 1,561,800, 1,921,700, 2,253,300, 20769,000, and 3,145,700 tons respectively. These indicated that the amount of air pollutants in 1981 would be about 2 times of that in 1973. 3) The amounts of sulfur oxides emissions in 1981 would be 2.3 times of that in 1973, nitrogen oxides 2.2 times, carbon monoxide 1.7 times, particulate 2.0 times and hydrocarbon 2.0 times. 4) The estimated amounts of air pollutants emissions per unit area(km) in the years of 1965, 1971, 1975 and 1980 were 5.2, 14.5, 19.5 and 28.7 tons respectively. These indicated that the amount of air pollutants emissions per unit area would increase 5.5 times in 1980 comparing the one in 1965.
Air Pollutants ; Carbon Monoxide ; Coal ; Fuel Oils ; Korea* ; Nitrogen Oxides ; Sulfur Oxides

No abstract available.
Anemia, Hypoplastic, Congenital*

PURPOSE: We investigated the relationship between patient safety culture and safety care activity, and identified factors for safety care activity of entry-level nurses. METHODS: The subjects of the study were 204 entry-level nurses working at five general and advanced hospitals with over 500 beds located in C and D City. The data were analyzed using descriptive analysis, t-test, ANOVA, Pearson's correlation and hierarchical multiple regression with SPSS/WIN 18.0 program. RESULTS: Perception of patient safety culture had significant correlations with safety care activity. Multiple regression analysis showed that demographic variables of quality of nursing on patient safety and health state of entry-level nurses affected safety care activity. In addition, patient safety culture in ward and communication affected safety care activity. These factors explained 38% of variance. CONCLUSION: Based on the results of the study, patient safety culture promotion strategies to facilitate supportive work environment and effective communication are needed.
Humans ; Patient Safety

No abstract available.
B-Lymphocytes* ; Humans* ; Interleukins*

No abstract available.
B-Lymphocytes* ; Humans* ; Interleukins*

Fractures of the ankle joint that involve the tibial plafond result from axial compression and rotational forces causing variable degrees of rnetaphyseal disruption, articular damage, and malleolar displacement. Management of these fractures has been described as difficult and often discouraging. Recommended treatments have included manipulation and cast application, calcaneal traction using pins in plaster or external fixators, vertical transarticular pin fixation, percutaneous pinning of large fragments and immobilization in a plaster cast, fibular stabilization alone, limited open reduction of so-called key fragments, immediate motion with the foot in traction, primary arthrodesis, and even immediate amputation. But, the best results of treatment reported for this fracture have followed early open reduction and rigid internal fixation to restore length, reconstruction of the plafond, primary cancellous bone grafting, tibial buttress plates, early motion, and prolonged non-weight-bearing. We reviewed 40 cases of tibial plafond fractures treated at the Department or Orthopaedic Surgery, Yonsei University, Wonju College of Medicine, during 7 years from January 1980 to December, 1986. The longest duration of follow-up was 5 years and 4 months, the shortest one was 6 months, and the average was 2 years. The results were as follows: 1. Of the 40 cases, male were 32, female were 8. 2. The major causes of the injury of the ankle were fall down and traffic accident. 3. The tibial plafond fractures were classified into 5 types, according to the degree of displacement of the plafond, articular comminution, and metaphyseal disruption. Our cases were relatively in even distribution. 4. Regardless of the types of the fracture, better results were obtained by treatment with open reduction and rigid internal fixation than by any other ones. 5. Complications including superficial wound infection (4 cases), osteomylitis. (2 cases), delayed union (2 cases), non-union (2 cases) were observed. 6. This study suggest that the important variables that influenced the clinical result were the type of fracture, the method of treatment, and the quality of the reduction.
Accidents, Traffic ; Amputation ; Ankle ; Ankle Joint ; Arthrodesis ; Bone Transplantation ; Casts, Surgical ; Clinical Study ; External Fixators ; Female ; Follow-Up Studies ; Foot ; Gangwon-do ; Humans ; Immobilization ; Male ; Methods ; Traction ; Wound Infection

No abstract available.
Peutz-Jeghers Syndrome*

No abstract available.
Sturge-Weber Syndrome*

A 70-year-old woman with Parkinson disease was admitted to the emergency department with altered consciousness, fever and convulsive movements without experiencing withdrawal from antiparkinsonian medication. Six hours after the emergency department visit, the patient had a hyperpyrexia (>40℃) and a systolic blood pressure of 40 mmHg. There was no evidence of bacterial infection based on extensive workups. The patient was discharged without aggravation of Parkinson disease symptoms after treatment that included administration of dantrolene sodium, enforcement of continuous renal replacement therapy and cooling blankets. Malignant syndrome should be suspected if high fever occurs in Parkinson disease patients without evidence of a definitive infection.
Aged ; Bacterial Infections ; Blood Pressure ; Consciousness ; Dantrolene ; Dehydration ; Emergency Service, Hospital ; Female ; Fever ; Humans ; Parkinson Disease* ; Renal Replacement Therapy

Urinary retention is a common complication after abdominal surgery. Urinary retention causes infection and damage to the urinary system, prolonging hospital stays and increasing health care costs in the end. Because medical personnel tend to regard urinary retention as not being a serious problem, it is hard to find any method which decrease the postoperative urinary retention. There are few papers reporting the incidence and the factors which influence the postoperative urinary retention. The purpose of this study is to evaluate the incidence of postoperative urinary retention and to identify the factors which affect the postoperative urinary retention. We retrospectively reviewed 296 patients out of 338, who had been undergone laparotomy under spinal or general endotracheal anesthesia during a three month period from January to March 1998. We reviewed nursing, anesthetic and operative records. Among the 296 patients, male were 189(63.9%) and female were 107(36.1%). Postoperative urinary retention occurred in 71 patients(24%). The incidence rate was higher in female patients than in male (M : F=18% : 35%). Factors that in fluence the incidence of postoperative urinary retention were sex, duration of operation, the amount of fluid given the patient, preoperative history of dysuria, and preoperative insertion of a urinary catheter. Among those factors, preoperative urinary catheter insertion is the most effective preventive measure in lowering the incidence of postoperative urinary retention (Spearman correlation coefficient, r=-.462). Shortening the operation time and sparing the fluid which is infused during operation are important in preventing postoperative urinary retention. Preoperative urinary catheter insertion may be helpful in lowering urinary retention in those patients who have a possibility of postoperative urinary retention.
Anesthesia ; Dysuria ; Female ; Health Care Costs ; Humans ; Incidence ; Laparotomy* ; Length of Stay ; Male ; Nursing ; Retrospective Studies ; Urinary Catheters ; Urinary Retention*