PURPOSE: This study was conducted to identify the influencing factors of job stress, self-efficacy, and organizational culture to presenteeism in clinical nurses. METHODS: A descriptive correlation research design was used for the this study. The subjects were 245 nurses working at the hospital in S, A and C City, from August 1st to October 30th 2014. Data were analyzed using t-test, ANOVA, Scheffe's test, stepwise multiple regression by SPSS 21.0 program. RESULTS: Job impairment indicated a significant positive relationship to job stress (p=.009), health problem (p<.001), and indicated significant negative relationship to self-efficacy (p<.001), innovative-oriented (p<.001), affiliative-oriented (p=.002), task-oriented (p=.026) in organizational culture. Significant factors of influencing to presenteeism were self-efficacy (p<.001, beta=-.363), culture of task-oriented (p<.001, beta=-.248) in organizational culture, and health problem (p=.002, beta=.187). CONCLUSION: Self-efficacy was defined as a variable to influence on presenteeism, and developing of strategies and program to strengthen self-efficacy and task-oriented of organizational culture in nursing is helpful to reduce the presenteeism of clinical nurses.
Nursing ; Organizational Culture ; Research Design

This study was undertaken to evaluate the effects of general and epidural anesthesia for cesarean section on newborn Apgar scores prospectively. Forty patutients for elective cesarean section were divided into two groups. One group(I) of parturients was anesthetized with general anesthesia. The other group(II) was anesthetized with epidural anesthesia. Then, Apgar scores of group I were compared with that of group II. The results were as follows: 1) For elective cesarean section under general anesthesia, prolongation of induction-delivery time wasnt related to lowering of Apgar scores because all of that intervals were below 10 minutes. 2) For elective cesarean section under epidural anesthesia, there was no more neonatal depression accompanied by prolongation of local anesthetic injection-delivery time. 3) General anesthesia rather than epidural anesthesia had a low Apgar score. Therefore, we wish to recommand epidural rather than general anesthesia when prolongation of induction-delivery time such as repeat-cesarean section and/or lowering of Apgar score such as premature will be expected.
Anesthesia, Epidural* ; Anesthesia, General ; Apgar Score ; Cesarean Section* ; Depression ; Female ; Humans ; Infant, Newborn* ; Pregnancy ; Prospective Studies

PURPOSE: Predicting life expectancy of terminally ill cancer patients is very important. In many studies, ferritin is detected at higher levels in the sera of cancer patients, and higher ferritin level correlates with aggressiveness of disease and poor outcomes of patients. This study evaluated a prognostic role of serum ferritin levels in terminally ill cancer patients. METHODS: This study enrolled 65 terminally ill cancer patients from March through June 2012. We assessed routine laboratory findings including serum ferritin levels as well as demographic and clinical characteristics of the patients. To examine the association between serum ferritin levels and patient's characteristics, we used Spearman's correlation analysis, Wilcoxon's rank sum test or Kruskal-Wallis test, as appropriately. For multivariate analysis, Cox's proportional hazard regression model was used to evaluate significance of serum ferritin levels as a prognostic factor. RESULTS: A negative correlation between serum ferritin levels and survival time was found. After adjusting for sex, age, performance status, creatinine levels and white blood cell counts, serum ferritin levels were significantly associated with survival time. CONCLUSION: Even at the very end of life of terminal cancer patients, serum ferritin levels were an independent prognostic factor for survival.
Creatinine ; Ferritins* ; Humans ; Leukocyte Count ; Life Expectancy ; Multivariate Analysis ; Prognosis ; Terminally Ill*

MR findings of early infectious spondylodiscitis are non-specific and may be confused with those of other conditions. Therefore, it is important to recognize early MR signs of conditions, such as inappreciable cortical changes in endplates, confusing marrow signal intensities of vertebral bodies, and inflammatory changes in paraspinal soft tissues, and subligamentous and epidural spaces. In addition, appreciation of direct inoculation, such as in iatrogenic spondylodiscitis may be important, because the proportion of patients who have undergone recent spine surgery or a spinal procedure is increasing. In this review, the authors focus on the MR findings of early spondylodiscitis, atypical findings of iatrogenic infection, and the differentiation between spondylodiscitis and other disease entities mimicking infection.
Bone Marrow ; Discitis* ; Epidural Space ; Humans ; Magnetic Resonance Imaging* ; Spine

Febrile ulceronecrotic pityriasis lichenoides et varioliformis acuta (PLEVA), or febrile ulcerative Mucha-Haberman disease (FUMHD) is very rare, but potentially lethal variants of PLEVA. This subtype is characterized by rapidly progressive ulceronecrotic lesions and systemic manifestations, such as high fever, gastrointestinal, neurological, cardiologic and pulmonary involvement, and rheumatologic manifestations. Several treatments with variable response have been challenged, such as systemic steroid, antibiotics, methotrexate, dapsone, cyclosporine and ultraviolet therapy. But there is no standard therapy for FUMHD to date. We report a 59-year-old woman with FUMHD, who recurred after discontinuation of systemic steroid, but successfully treated with oral cyclosporine.
Anti-Bacterial Agents ; Cyclosporine ; Dapsone ; Female ; Fever ; Humans ; Methotrexate ; Middle Aged ; Pityriasis ; Pityriasis Lichenoides ; Ulcer ; Ultraviolet Therapy

Neurologic complications associated with epidural anesthesia are rare. We describe a case of a cauda equina syndrome after continuous epidural anesthesia and analgesia for cesarean section. An epidural infusion of 0.15% bupivacaine was done at 2 mL/hr by two-day infusor. She developed lower extremities, buttocks and perineal sensory loss, bladder and bowel dysfunction after removal of epidural catheter. Improvement continued through the hospitalization with almost retum to normal bladder function before discharge about 1 month after the injury, but fecal incontinence and perineal sensory loss still remained. Although the mechanism causing such neural injuries are not fully known, it may be suspected that neurotoxicity is dose-dependent and related to the duration of drug exposure.
Analgesia ; Anesthesia, Epidural* ; Bupivacaine ; Buttocks ; Catheters ; Cauda Equina* ; Cesarean Section ; Fecal Incontinence ; Female ; Hospitalization ; Infusion Pumps ; Lower Extremity ; Polyradiculopathy* ; Pregnancy ; Urinary Bladder

Neurologic complications associated with epidural anesthesia are rare. We describe a case of a cauda equina syndrome after continuous epidural anesthesia and analgesia for cesarean section. An epidural infusion of 0.15% bupivacaine was done at 2 mL/hr by two-day infusor. She developed lower extremities, buttocks and perineal sensory loss, bladder and bowel dysfunction after removal of epidural catheter. Improvement continued through the hospitalization with almost retum to normal bladder function before discharge about 1 month after the injury, but fecal incontinence and perineal sensory loss still remained. Although the mechanism causing such neural injuries are not fully known, it may be suspected that neurotoxicity is dose-dependent and related to the duration of drug exposure.
Analgesia ; Anesthesia, Epidural* ; Bupivacaine ; Buttocks ; Catheters ; Cauda Equina* ; Cesarean Section ; Fecal Incontinence ; Female ; Hospitalization ; Infusion Pumps ; Lower Extremity ; Polyradiculopathy* ; Pregnancy ; Urinary Bladder

No abstract available.
Eosinophilia ; Eosinophils ; Folliculitis ; Mucous Membrane ; Naproxen ; Skin Diseases, Vesiculobullous

No abstract available.
Eosinophilia ; Eosinophils ; Folliculitis ; Mucous Membrane ; Naproxen ; Skin Diseases, Vesiculobullous

OBJECTIVE: Recently, the survival rate and prognosis of spontaneous intracerebral hemorrhage(S-ICH) has improved, and their enhanced survival has become associated with a consequent rise in the recurrence of S-ICH. The aim of this study is to improve the prevention of recurrent S-ICH. METHODS: Between January 1999 and March 2004, we experienced 48 cases of recurrence. We classified the patients into the two groups; a double ICH group and a triple ICH group. We investigated their brain CTs, MRIs, cerebral angiographies, and medical records, retrospectively. RESULTS: Majority of patients had the intervals at least 12 months, and most of patients underwent conservative treatment. The most common hemorrhage pattern of recurrence was ganglionic-ganglionic (basal ganglia-basal ganglia), and the second attack was contralateral side of the first attack in a large percentage of all patients. Prognosis of patients was worsened in recurrent attack. Nearly all patients had medical history of hypertension, and most patients have taken antihypertensive medication at the arrival of emergency room. CONCLUSION: In treating hypertension for S-ICH patients, we stress that blood pressure must be thoroughly controlled over a long period of time.
Blood Pressure ; Brain ; Cerebral Angiography ; Cerebral Hemorrhage* ; Emergency Service, Hospital ; Hemorrhage ; Humans ; Hypertension ; Magnetic Resonance Imaging ; Medical Records ; Prognosis ; Recurrence ; Retrospective Studies ; Survival Rate