To evaluate the efficacy of pelviscopic surgery in gynecologic patient, we have reviewed 1196 patients treated pelviscopically from June 1992 to November 1996. The results of this study were summarized as follows; 1. The common indication were ectopic pregnancy(44.6%), ovarian cyst(14.0%), and myoma uteri(10.5%). 2. The major types of surgery were salpingectomy(24.8%), cystectomy(12.6%), salpingostomy(9.9%), adhesiolysis(6.5%),and myomectomy(5.8%). 3. The age of the patients ranged from 15 to 79 years and the mean age was 30.8 years. 4. the mean parity of the patients was 1.24. 5. The mean duration of hospitalization was 3.2 days. 6. The most common complication was hemorrhage at the trocar site, but it was controlled without difficulty.
Female ; Hemorrhage ; Hospitalization ; Humans ; Myoma ; Parity ; Surgical Instruments

OBJECTIVES: The purposes of this study are to examine the sociodemographic factors that increase the prevalence of insomnia, as well as to identify the relationship between the prevalence of insomnia and health conditions by navigating through the prevalence rates of insomnia in two different geographical regions with different socioeconomic structures. METHODS: A survey was conducted targeting 937 residents of Guri-si and Yangpyeong-gun in Gyeonggi Province, Korea. The Insomnia Severity Index was used to verify whether a respondent was experiencing insomnia. The Abbreviated Self-Rated Korean version of the Mini-International Neuropsychiatric Interview was used in diagnosis of mental diseases. Chi-square test was performed to determine the unique relationship between sociodemographic characteristics and the prevalence of insomnia. Multivariate logistic regression analysis was performed to examine the association of prevalence of insomnia with categorized relevant factors. RESULTS: The overall prevalence rate of insomnia for all respondents was 9.26%. The prevalence rate for Yangpyeong-gun was 11.75%, marking a significantly higher figure compared with the prevalence rate for Guri-si, which was 6.87%. Advanced age, female, other marital statuses than married, lower education, lower income, non-existence of private health insurance, and unemployment were risk factors for insomnia. The prevalence of insomnia showed strong association with physical and mental conditions, particularly with mental disorders, urologic diseases, and risk of injury from fall. CONCLUSION: The prevalence rates of insomnia in those two surveyed regions showed a meaningful difference even after controlling for sociodemographic characteristics. These findings suggest that such regional differences merits further attention and additional nationwide epidemiologic studies are needed.
Surveys and Questionnaires ; Diagnosis ; Education ; Epidemiologic Studies ; Female ; Gyeonggi-do* ; Humans ; Insurance, Health ; Korea* ; Logistic Models ; Marital Status ; Mental Disorders ; Mental Health ; Prevalence* ; Risk Factors ; Sleep Initiation and Maintenance Disorders* ; Unemployment ; Urologic Diseases

PURPOSE: To evaluate the efficacy, stability and complications of implantation of anterior chamber phakic intraocular lens (Phakic 6H) in myopic eyes. METHODS: We retrospectively analyzed 97 myopic eyes of 56 patients who were treated for moderate or high myopia with the implantation of Phakic 6H. Manifest refraction (MR), uncorrected (UCVA) and best corrected visual acuity (BCVA), intraocular pressure, cornea endothelium, possible complications, and subjective symptoms were evaluated. RESULTS: The mean patient age was 26.2 years (2.94 SD; range, 20 to 40 years). There was a statistically significant reduction in the spherical equivalent from -10.91D+/-3.07 (range -5.75D to -21.0D) to -0.96D+/-0.89 (range +0.75D to -2.5D) (p<0.001) at postoperative 6 months. The percentage of patients who had an UCVA of 0.6 better was 78.35%, and 34.02% had an UCVA of 1.0 or better at postoperative 6 months. Mean endothelial cell density was 2714+/-164 cell/mm2 prior to operation, with a-1.85% at 6 months. Glare and halo were observed in eight eyes (8.25%). Other complications were: oval pupil (2.06%), hyphema (2.06%), decenterated IOL (9.28%), temporary increased IOP (6.17%). CONCLUSIONS: The anterior chamber phakic intraocular lens showed encouraging results in treating high myopia. However, additional patients and longer follow-up periods are needed to detect the long-term efficacy and safety of this refractive lens.
Anterior Chamber* ; Cornea ; Endothelial Cells ; Endothelium ; Follow-Up Studies ; Glare ; Humans ; Hyphema ; Intraocular Pressure ; Myopia ; Phakic Intraocular Lenses* ; Pupil ; Retrospective Studies ; Visual Acuity

Three hundred ninety potentially curative resections for an adenocarcinoma of the stomach were performed in the Surgical Department of Chonbuk National University Hospital between 1991 and 1995. Eighty-nine patients were over 65 years of age, and three hundred-one patients were under 65 years of age. Pre-operative risk factors were statistically common in the over 65-years-old group(p<0.0044). Among the risk factors, pulmonary dysfunction was the most common pre-operative risk factor in both age groups, but diabetes mellitus was statistically significant factor in the under 65-years-old group. The incidence of post-operative complications revealed no statistical difference between two groups, and diarrhea was the most common complication in both groups. The incidence of complications increased when the disease was in an advanced stage and we did an extended operation, including a gastrectomy and a lymphadenectomy, but there was no statistical difference between the two age groups. The 3-year survival rate was higher when we did a curative resection with a subtotal or a total gastrectomy with a D2 lymphadenectomy than when we did non-curative resection, but there was no statistical difference between the two age groups. Hence, a curative resection including a radical gastrectomy with a D2 lymphadenectomy, if it is indicated, is reasonable approach for improving the survival rate in patients with an adenocarcinoma of the stomach, even elderly patients over 65 years of age.
Adenocarcinoma ; Aged* ; Diabetes Mellitus ; Diarrhea ; Gastrectomy ; Humans ; Incidence ; Jeollabuk-do ; Lymph Node Excision ; Risk Factors ; Stomach ; Stomach Neoplasms* ; Survival Rate*

PURPOSE: To investigate the clinical features and treatment outcomes between methicillin-sensitive Staphylococcus epidermidis (MSSE) and methicillin-resistant Staphylococcus epidermidis (MRSE) keratitis groups. METHODS: A retrospective analysis of case series was conducted of all patients with keratitis caused only by Staphylococcus epidermidis from January 1997 through December 2008. Sex, age, history of trauma, systemic disease, previous ocular history, antibiotic sensitivity test results, and treatment outcomes were evaluated. Patients were categorized into two groups as MSSE and MRSE according to methicillin-sensitivity result, and a comparative analysis was performed. RESULTS: There were no significant differences in clinical features, such as risk factors or size or location of keratitis between the two groups. All MSSE and MRSE isolates were sensitive to vancomycin, moxifloxacin, and levofloxacin. All MSSE and 17%, 50%, 52%, and 57% of MRSE isolates were sensitive to cephalothin, norfloxacin, ciprofloxacin, and erythromycin, respectively (p < 0.05). There was no significant difference in visual acuity between the two groups. CONCLUSIONS: All MSSE and MRSE isolates were sensitive to vancomycin and to third- or fourth-generation fluoroquinolones In addition, approximately 50% of MRSE isolates were sensitive to norfloxacin and ciprofloxacin. There were no significant differences in clinical features of keratitis caused by MSSE versus those of MRSE isolates. Both keratitis groups had relatively good visual prognoses.
Aza Compounds ; Cephalothin ; Ciprofloxacin ; Epidemiologic Studies ; Erythromycin ; Fluoroquinolones ; Humans ; Keratitis ; Methicillin Resistance ; Norfloxacin ; Ofloxacin ; Prognosis ; Quinolines ; Retrospective Studies ; Risk Factors ; Staphylococcus ; Staphylococcus epidermidis ; Vancomycin ; Visual Acuity

PURPOSE: The purpose of this study were to investigate the health status, the currency of rehabilitation therapy, and the patient learning needs on hospital with disabilities. METHOD: The subjects consisted of 87 disabled adults on hospital. Data was collected from February until to June 2005, where they asked structured questionnaires. A descriptive survey design was used and the SPSS 12.0 program was used for data analysis, which included t-test, ANOVA and Duncan's multiple comparison test. RESULT: There are a lot of patient through the transfer from the general hospital and the rehabilitation hospital. Their heath status changed good after hospital admission. Patients took exercise therapy the most, which is one of the rehabilitation therapy. But they need to enough physical therapy because patients have limited time for treatment. The education-need-level was high on hospital with disabilities, especially the need of support and care are the highest on the subscale of patient learning need. There are significant patient learning need differences in income and admission location (p< .05). CONCLUSION: Disabled persons on hospital needs to help and learning exercise by nurses. There should be rehabilitation programs for patients who are ready to leave the hospital. After discharging, there needs to be various rehabilitation services, support and care for the community based rehabilitation.
Adult ; Disabled Persons ; Exercise Therapy ; Hospitals, General ; Humans ; Learning ; Patient Education as Topic ; Surveys and Questionnaires ; Rehabilitation* ; Statistics as Topic

PURPOSE: This study aims to identify the role and function of the RNP (rehabilitational nurse practitioner) expected by nurses and doctors. METHOD: This study was a survey. The data were collected 188 nurses and 21 doctors who worked for disabled patients in the rehabilitation hospital during months of June, 2004 and August, 2005. RESULTS: 98.4% of nurse and 61.9% of doctors agreed at opening of RNP course. The major role of RNP expected by nurses were educator, counsellor and case manager. The major role of RNP expected by doctors were direct care, self care promoter & exercise and emotional care. There was a significant difference about the need for opening of RNP course and major role and function of RNP between the group of nurses and doctors. CONCLUSION: The results of this study showed that the need for opening of RNP was identified and the major role of RNP was educator, counsellor, case manager and direct care. So there is a need for further research about major role of RNP related to various setting including rehabilitation hospital, nursing home, home care etc.
Home Care Services ; Humans ; Nurse Practitioners* ; Nursing Homes ; Rehabilitation* ; Self Care

OBJECTIVES: Epidemiological studies have supplied growing evidence of an association between the prevalence of psychiatric disorders and the urban/rural division. We investigated the prevalence and risk factors of the main psychiatric disorders in two areas of Gyeonggi Province of South Korean with different levels of urbanization. METHODS: A survey was conducted of the adult population (over 40 years of age) in Yangpyeong-gun (lower level of urbanization ; n=639) and Guri-si (higher level of urbanization ; n=335) in Gyeonggi Province. The Korean version of the Mini-International Neuropsychiatric Interview (K-MINI) was used as a structured psychiatric diagnostic interview instrument. Major depressive disorder (MDD), suicidality, alcohol dependence, alcohol abuse, generalized anxiety disorder (GAD), somatoform disorder, bipolar disorder, and schizophrenia were selected as the 8 main psychiatric problems. RESULTS: The prevalence of the 8 main psychiatric disorders in Guri-si (25.6%) was higher than those of Yangpyeong-gun (15.1%, p<0.05). In particular, the prevalence of MDD, suicidality, and GAD, which are thought to be strongly influenced by psychosocial factors, were significantly higher in Guri-si (p<0.05). CONCLUSION: A greater prevalence of almost all major psychiatric disorders is associated with higher levels of urbanization, exceptions being somatoform disorders and bipolar disorder. This urban.rural difference may be related to environmental risk factors.
Adult ; Alcoholism ; Anxiety Disorders ; Bipolar Disorder ; Depressive Disorder, Major ; Epidemiologic Studies ; Humans ; Prevalence ; Risk Factors ; Schizophrenia ; Somatoform Disorders ; Urbanization

OBJECTIVE: The purpose of this study was to investigate the effect of dietary soluble fibers added to nasogastric tube-fed formulas and to compare the difference of the degree of diarrhea according to the amount of dietary soluble fibers in stroke or traumatic brain injury patients for comprehensive rehabilitative management. METHOD: Fifty-two stroke or traumatic brain injury patients fed by nasogastric tube due to dysphagia were included. They received fiber-free formulas for the first 30 days and then they were randomly assigned to three groups, including the control (fiber-free) group, moderate fiber (3.5 gm fiber/L) group and high fiber (7 gm fiber/L) group. Each group received their respective formulas for the next 30 days. We compared diarrhea score and frequency. RESULTS: In the control group, the degree of diarrhea was not changed with time. In the moderate and high fiber groups, daily diarrhea score and monthly diarrhea frequency were low compared to the control group (p<0.05). Also, the incidence of pseudomembraneous colitis was low in fiber groups. CONCLUSION: We concluded that adding dietary soluble fibers to nasogastric tube-fed formulas may be helpful to reduce the diarrhea and the development of pseudomembraneous colitis. The proper fiber amount will be determined through the following more case studies.
Brain Injuries* ; Colitis ; Deglutition Disorders ; Diarrhea* ; Humans ; Incidence ; Stroke*

Background: Limited data are available on hepatitis C virus (HCV) infection in persons who inject drugs (PWID) in South Korea. The present study aimed to investigate the seroprevalence of HCV antibodies, risk factors for HCV seropositivity, and HCV treatment status in PWID between January 2012 and May 2022. Methods: We retrospectively reviewed the medical records of 418 drug users who underwent HCV antibody testing in three hospitals caring for 90% of known PWID in South Korea, of whom 373 were PWID. Results: The HCV seroprevalence was 39.7% (148/373) in PWID vs. 6.7% (3/45) in noninjection drug users (P < 0.001). Age ≥ 40 years, hospital type (58.2% in the prison hospital vs. 34.0% in the private hospital), and enrollment year (68.2% in 2012–2014 vs. 30.0% in 2021–2022) were independently associated with HCV seropositivity. Among the HCVseropositive PWID, 90.5% (134/148) were diagnosed with HCV infection; however, only 6.8% (10/148) received HCV treatment. The hepatitis B virus surface antigen and human immunodeficiency virus antibody positivity were 4.0% (14/352) and 1.9% (6/317) in tested PWID, respectively. Conclusion The HCV seroprevalence in PWID was 39.7% with a very low treatment rate, which prompts active measures to test and treat PWID for HCV infection in South Korea.