This study was conducted to investigate the use of medical equipment in patients receiving home care service. The subjects of this study were 88 patients cared by seven home care nursed who were registered in the Seoul Nurses Association. Data was collected from Aug. 1, 1998 to Dec. 30, 1998. The findings are as follows. 1. The sample was found to be 55.7% female : 51.7% over 65 years old. 75% with neurologic disease including CVA, brain tumor, ICH, Parkinsonism & Spinal stenosis and 78.4% living in Seoul. The Clinical experience of the home care nurses was greater than five years. 2. Medical equipment which the patients port sensed were folly catheters(61.4%), L-tubes(59.1%) and tracheostomy tubes(51.1%). 3. Technical difficulties in use of medical equipment were related to home care ventilators(60.0%), L-tubes(3.8%) and tracheostomy tubes (2.2%) 4. Most of the medical equipment were obtained from the hospital where they had been admitted previously or from medical equipment companies. 5. Complications from the use of this equipment were infection through invasive techniques Including wound drainage tubes(50%), and IV injections(22.2%), The complications were resolved through referral to the doctor of the hospital where they were previously admitted or through community health centers. 6. Most of the equipment was disposable, and equipment was disinfected by using various methods including boiling and soaking in antiseptic solutions. These findings suggest that consistant policy on the management of medical equipment is necessary for the safety of home care patients.
Aged ; Brain Neoplasms ; Community Health Centers ; Drainage ; Female ; Home Care Services* ; Humans ; Parkinsonian Disorders ; Referral and Consultation ; Seoul ; Spinal Stenosis ; Tracheostomy ; Wounds and Injuries

Although many reports have been published about Legg-Calve-Perthes disease, developmental dysplasia of hip, it is difficult to gain a satisfactory results in treatment. We experienced 9 year-old girl with ipsilateral neglected DDH combined with contralateral LCPD, and treated with Klisic operation for DDH and femoral valgus osteotomy for hinged abduction of LCPD. We gained satisfactory results and report this rare case.
Child ; Female ; Hip ; Humans ; Legg-Calve-Perthes Disease ; Osteotomy

STATEMENT OF PROBLEM: More than 70% of patients who need the implant supported restoration are parially edentulous. The principles of design for implant supported fixed partial denture in mandibular posterior region are many and varied. Jurisdiction for their use is usually based on clinical evaluation. There are several areas of interest regarding the design of implant supported fixed partial denture in mandibular posterior region. 1) Straight and tripod configuration in implant placement, 2) Two restoration types such as individualized and splinted restorations. PURPOSE: The purpose of this study was to compare the amount and distribution of stress around the implant fixtures placed in the mandibular posterior region with two different arrangements and to evaluate the effects of splinting using the photoelastic stress analysis. MATERIALS AND METHODS: 1) Production of study model: Mandibular partially edentulous model was waxed-up and duplicated with silicone and two models were poured in stone. 2) Fixture installation and photoelastic model construction: Using surveyor(Ney, USA), 3 fixtures(two 4.0x13 mm, one 5.0x10 mm, Lifecore, USA) were installed in straight and tripod configurations. Silicone molds were made and poured in photoelastic resin (PL-2. Measurements group, USA). 3) Prostheses construction: Four 3-unit bridges (Type III gold alloy, Dongmyung co., Korea) were produced with nonhexed and hexed UCLA abutments and fitted with conventional methods. The abutments were tightened with 30 Ncm torque and the static loads were applied at 12 points of the occlusal surface. 4) Photoelastic stress analysis: The polarizer analyzer system with digital camera(S-2 Pro, Fujifilm, Japan) was used to take the photoelastic fringes and analysed using computer analysis program. RESULTS: Solitary hexed UCLA restoration developed different stress patterns between two implant arrangement configurations, but there were no stress transfer to adjacent implants from the loaded implant in both configurations. However splinted restorations showed lesser amount of stresses in the loaded implants and showed stress transfer to adjacent implants in both configurations. Solitary hexed UCLA restoration with tripod configuration developed higher stresses in anterior and middle implants under loading than implants with straight configurations. Splintied 3 unit fixed partial dentures with tripod configuration showed higher stress development in posterior implant under loading but there were no obvious differences between two configurations. CONCLUSIONS: The tripod configuration of implant arrangement didn't show any advantages over the straight configuration. Splinting of 3 unit bridges with nonhexed UCLA abutments showed less stress development around the fixtures. Solitary hexed UCLA restoration developed tilting of implant fixture under offset loads.
Alloys ; Denture, Partial, Fixed ; Fungi ; Humans ; Prostheses and Implants* ; Silicones ; Splints ; Torque

No abstract available.
Impetigo*

PURPOSE: The purpose of this study was to determine the effects of auricular acupressure on menstrual pain, difficulties in daily life, negative feelings and autonomic nervous responses among college students. METHODS: A Randomized Controlled Trial design was used. The treatment group A (n=12) receivedauricular acupressure therapy on the first or second day of their menstrual period. Treatment group B (n=18) regularly received an auricular acupressure therapy once a week for a month. The control group (n=19) received no auricular acupressure therapy. An independent t-test was used to examine pre-post test differences in the group. The ANOVA and Scheffe test were used to examine pre-post test differences among the group. RESULTS: Subjects in treatment group A showed significantly less menstrual pain, difficulties in daily life, and negative feelings than the control group did. The participants in treatment group B also showed significantly less difficulties in daily life and negative feelings than the control group. CONCLUSION: The findings support that auricular acupressure therapy on menstrual periods is effective in controlling menstrual pain, difficulties in daily life, and negative feelings. As the method is simple, it would be useful for female students to learn to use this method to alleviate the symptoms related to menstruation through self care.
Acupressure* ; Complementary Therapies ; Dysmenorrhea* ; Evaluation Studies as Topic ; Female ; Female* ; Humans ; Menstruation ; Self Care

PURPOSE: This study was done to develop standards for educational equipment in fundamental nursing practice courses in BSN programs. METHOD: The participants in this study were 30 professors who taught fundamental nursing in colleges or departments of nursing. The data were gathered between December 2002 and May 2003 using a questionnaire on the present state of fundamental nursing practice and the educational equipment list for fundamental nursing practice. RESULT: There was variety in the content of the courses of fundamental nursing practice in BSN programs, and the environment for fundamental nursing practice was in diverse setting. A standard for educational equipment was developed consisting of 93 pieces of equipment for fundamental nursing practice. CONCLUSION: The standard for educational equipment for fundamental nursing practice in BSN programs provides the basics for fundamental nursing practice. Of these 72 were selected and the authors suggests establishing an educational committee of fundamental nursing practice and holding a workshop on educational equipment for fundamental nursing practice in BSN programs every 5 years.
Education ; Nursing* ; Questionnaires

No abstract available.
Scalp*

No abstract available.
Humans ; Internship and Residency*

STATEMENT OF PROBLEM: Porcelain restorations are widely used in restorative dentistry with a high degree of general success. However, porcelain is brittle and may fracture intraorally. Sometimes a repair may be attempted using composite resin and bonding system available. Color stability of porcelain repair resins affects esthetics and prognosis of prosthesis, so that provides important criteria for the choice of porcelain repair resins. PURPOSE: The purpose of this study was to investigate the color stability of composite resins used widely as porcelain repair system. MATERIALS AND METHOD: Composite resins used for this study were Carisma(Kulzer, Germany), Tetric ceram(Ivoclar, Liechtenstein), Filtek Z250(3M, USA), and Arabesk Top(VOCO, Germany). Thirty disc-shaped specimens(10x2mm) were fabricated from each composite resin. Color changes of specimens after treatment using thermocycling system(KD-TCS30, Kwang-duk F.A. Korea) and after immersion in methylene blue(0.05% by Wt) were measured with colorimeter(Model Tc- 6Fx, Tokyo Denshoku Co.) and obtained data were analyzed. RESULTS AND CONCLUSION: The results obtained from this study were as follows. 1. The color change of Filtek Z250 was lesser than those of Tetric ceram and Arabesk Top after thermocycling (12000 times). 2. All of the composite resins in this study showed increase of color change according to increase of thermocycling frequency. 3. After treatment with methylene blue, the color change of Arabesk Top was greater than those of Carisma and Tetric ceram, and Tetric ceram was more stable than others.
Composite Resins ; Dental Porcelain* ; Dentistry ; Esthetics ; Immersion ; Methylene Blue ; Prognosis ; Prostheses and Implants

Traditionally, schizophrenia is considered to be a result of dopaminergic hyperactivity while dopaminergic deficiency underlies Parkinson’s disease (PD). This opposing pathophysiology makes comorbid schizophrenia and PD seemingly impossible; however, they do coexist rarely in clinical practice. We present four patients with paranoid schizophrenia diagnosed in their youth who developed parkinsonian symptoms on a stable regimen of quetiapine or clozapine after several years. The diagnosis of comorbid schizophrenia and PD was made mainly according to clinical observation. In addition, dopamine transporter (DAT) imaging with 18F-FP-CIT PET was done in two patients, which showed normal DAT density. It is believed that dopaminergic dysfunction in distinct dopaminergic pathways may explain the coexistence of these two disorders