In the 21st century, the number of elderly population will reach 10% of Korean's total population, As the elderly population are increasing, the anticipation of the elderly with chronic health problem are also increased. They feel social isolation, alienation because of pain, and psychological flinching such as depression, but they can not control appropriately their chronic pain. Therefore, this study is an attempt to expose a group reminiscence therapy effect to decrease pain and depression, increasing self-esteem of the elderly as effective therapeutic nursing intervention This study is conductcd for 5 weeks from July 28 to August 31, 1997. The Subjects of this study consisted of 33 the elderly women having ronic pain. 17 of 33 residents S nursing home were ontrol group in C city. 16 of 33 resident E nursin home were experimental group in M city. The study design was a nnneqi.uivalent nontrol group with a pretest-posttest design. As for the tool for this study, Visual An logue Scale and Discriptive rating Scale were u ed to measure the pain, Zung's Depression Status nventory(DSI) which was translated by Yang S k Ha was used to measure the depression, and self-esteem scale which was translated by Byung Jae Jeon was used Lo measure self-esteem. As for the process of the study, demo raphic variables, pain, depression, self-esteem were tested with both the experimental and control grou prior to the group reminiscence. The ezperimental group was divided into 3 subgroup and a total of 4 ession of the group reminiscence therapy was performed to the experimental group for an hour at a time once a week from the first to the fourth week. Analysis of this study was computerized by using SPSS/PC. and the homogeneity which may be affected by various bariables was verifie with Chi-square and t-test, the reliablity of th tools with Cronbach's alpha, the comparison of pre and post-test with t-test in the Pain, Depression, and Self-Esteem among the experimental group and control group. The Pearson Corelation Coefficient was for analysis the relation of the Pain, Depression and Self-esteem. The results of the study can be summarized as follows ; 1. The first hypothesis, the degree of pain will be decreased on the experimental group which performed group reminiscence therapy than that of control group, was supported. VAS(t = -2.35, p=.025), DRS(t= -2.11, p=O.43). 2. The second hypothesis, the degree of depression status of the experimental group which has perfomed group reminiscence therapy will be reduced than control group was supported(t= -2.53, p= .017). 3. The third hypothesis, self-esteem of the experiinental group which has performed group reminiscence therapy will be increased than that of control group was not supported(t=1.34, p= .191). 4. The fourth hypothesis, the correlation with pain, depression, self-esteem was to appeared highly. The significance of this study through the above results shows that the Group Reminiscence Therapy is an effective nursing intervention for the elderly with chronic pain and depression.
Aged* ; Chronic Pain* ; Depression* ; Emigrants and Immigrants ; Female ; Humans ; Nursing ; Nursing Homes ; Social Isolation

PURPOSE: This study was to test some effects on pain, depression and ego integrity of the elderly by adapting group reminiscence therapy with mugwort fragrance to the elderly with chronic pain. METHOD: The research was executed from April 2001 through September 2001, and research participants were male and female olderly people randomly assigned from 3 environmentally similar day care centers. They were divided into experimental group A and B, and a control group; The control group was divided into a daily care group and a regularly visiting group, and the experimental group A was for group reminiscence therapy with mugwort fragrance inhalation and the group B for group reminiscence therapy. RESULT: The group reminiscence therapy with mugwort fragrance inhalation showed significant effects on decrease of pain and depression, and improvement of ego integrity, and for 2 weeks after the treatment proved its continuous effect. CONCLUSION: The result above explains the fact the mugwort fragrance stimulates reminiscence and shows curing effects. In further researches, it is necessary to adapt various health problems of the elderly, not only to the aged with chonic pain.
Aged* ; Artemisia* ; Chronic Pain* ; Day Care, Medical ; Depression* ; Ego* ; Female ; Humans ; Inhalation* ; Male

V.parahaemolyticus or V.alginolyticus infections are usually associated with consumption of raw or undercooked shellfish, contaminated food, and exposure of wounds to warm seawater. V.parahaemolyticus causes gastroenteritis(the most common syndrome), wound infections, and septicemia. V alginolyticus occasionally causes extraintestinal infections in humans. so far, the authors have not found the report of V.parahaemolyticus and V.alginolyticus isolation from a patient. So, we report a case of concurrent isolation of V.parahaemolyticus and V.alginolyticus from a patient who had a history of intestinal diarrhea and vomiting.
Diarrhea ; Humans ; Seawater ; Sepsis ; Shellfish ; Vibrio alginolyticus* ; Vibrio parahaemolyticus* ; Vibrio* ; Vomiting ; Wound Infection ; Wounds and Injuries

V.parahaemolyticus or V.alginolyticus infections are usually associated with consumption of raw or undercooked shellfish, contaminated food, and exposure of wounds to warm seawater. V.parahaemolyticus causes gastroenteritis(the most common syndrome), wound infections, and septicemia. V alginolyticus occasionally causes extraintestinal infections in humans. so far, the authors have not found the report of V.parahaemolyticus and V.alginolyticus isolation from a patient. So, we report a case of concurrent isolation of V.parahaemolyticus and V.alginolyticus from a patient who had a history of intestinal diarrhea and vomiting.
Diarrhea ; Humans ; Seawater ; Sepsis ; Shellfish ; Vibrio alginolyticus* ; Vibrio parahaemolyticus* ; Vibrio* ; Vomiting ; Wound Infection ; Wounds and Injuries

No abstract available.
C-Reactive Protein* ; Chorioamnionitis* ; Female ; Humans ; Membranes* ; Pregnancy ; Rupture*

No abstract available.
Biopsy* ; Humans

No abstract available.

A previously healthy 16-month-old Korean girl with symptoms of fever, vomiting, and generalized tonic seizure was diagnosed to have Group D non-typhoid Salmonella meningitis. The patient was treated with ceftriaxone (100 mg/kg/day) and amikin (22.5 mg/kg/day) initially and ciprofloxacin (30 mg/kg/day) was added later because of clinical deterioration and disseminated intravascular coagulation. Brain CT performed on the second day showed a well-demarcated low density lesion in the right lentiform nucleus and both caudate nuclei, without evidence of increased intracranial pressure. MRI performed on the 11th day confirmed CT scan findings as well as right subdural fluid collection, brain atrophy, and ventriculomegaly. She underwent subdural drainage and later ventriculo-peritoneal shunt operation. Despite receiving intensive treatment, she still has severe neurologic sequelae. Our case shows that infarctions of basal ganglia and thalami are not specific for tuberculous meningitis and that meningitis complicated by infarction is indicative of grave prognosis.
Basal Ganglia Diseases/radiography ; Basal Ganglia Diseases/pathology ; Basal Ganglia Diseases/complications ; Basal Ganglia Diseases/cerebrospinal fluid ; Brain/radiography ; Brain/pathology ; Case Report ; Cerebral Infarction/radiography ; Cerebral Infarction/pathology ; Cerebral Infarction/complications* ; Cerebral Infarction/cerebrospinal fluid ; Female ; Follow-Up Studies ; Human ; Infant ; Magnetic Resonance Imaging ; Meningitis, Bacterial/radiography ; Meningitis, Bacterial/pathology ; Meningitis, Bacterial/complications* ; Meningitis, Bacterial/cerebrospinal fluid ; Salmonella Infections/complications* ; Tomography, X-Ray Computed/methods

OBJECTS: The purpose of this study was to evaluate the relative usefulness of the morphologic scoring system and spectral doppler ultrasonographic analysis in differentiating between benign and malignant adnexal masses. METHODS: All patients scanned between July 1995 and June 1998 with sonographically identified and pathologically confirmed adnexal masses formed the study group. The adnexal masses were scored as benign or malignant on the basis of their sonographic appearance. Specific categories included inner wall structure, wall thickness, septal structure, and echogenicity. Women whose morphologic findings were suspicious for malignancy underwent doppler sonography. A threshold pulsatility index of 1.0 and resistance index of 0.4 were used to differentiate benign from malignant lesions. The findings were correlated with the presence of malignancy. RESULTS: Two hundred fifty one patients formed the study group; 215 patients were benign and 36 patients were malignant pathologically. Using the morphologic scoring system, 31 of the 36 malignant masses were classified as suggestive of malignant tumor, and 147 of the 215 benign masses were classified as not suggestive of malignant tumor (sensitivity, 86%; specificity, 68%; positive predictive value, 31%; negative predictive value, 97%). Doppler velocimetry was performed on a total of 62 patients, 19 patients with malignant tumors and 43 patients with benign tumors. A mean PI value of 0.85 and RI value of 0.52 for malignant tumors and mean PI value of 2.00 and RI value of 0.75 for benign tumors was shown. The PI value was significantly lower (p 0.001) in malignant than that of in benign masses, but RI value was not significant (p 0.184). The sensitivity and specificity in the detection of malignancy combined with doppler velocimetry was 86% and 67%, respectively. CONCLUSION: Doppler velocimetry studies did not add substantially to the prediction of malignancy using the morphologic scoring system.
Diagnosis* ; Female ; Humans ; Rheology ; Sensitivity and Specificity ; Ultrasonography

We performed a retrospective study on evisceration and enucleation operated at Chosun University hospital and Chonnam University hospital during the period of 10 years from January 1982 to December 1991. The total number of cases was 550. The incidence was mow common in male. The male and female ratio was 1.85: 1(Male 64.9%, Female 35.1%). The frequency of enucleation and evisceration was as follows trauma; 281 cases(51.1%), glaucoma; 76 cases(13.8%), corneal ulcer; 69 cases(12.6%), panophthalmitis; 43 cases(7.8%), tumor; 33 cases(6.0%), phthisis bulbi, 26 cases(4.7%), others; 22 cases(4.0%). The most frequent cause of the trauma whitch had been eviscerated or enucleated was traffic accident; 129 cases(45.9%), followed by violence; 73 cases(25.9%), industrial accident, 37 cases(13.2%), toy and pencil; 19 cases(6.8%), sports; 12 cases(4.3%), unknown; 11 cases(3.9%). The age-related incidence was peak in the third decades 86 cases(15.6%), followed by fifth decades 85 cases(15.5%) and fourth and sixth decades 82 cases(14.9%), respectively. The mean annual incidince rate was significantly greater among males than females: 2.33 per 100,000 population and 1.93 per 100,000 population, respectively. The overall mean annual rate was 2.13.
Accidents, Occupational ; Accidents, Traffic ; Corneal Ulcer ; Female ; Glaucoma ; Gwangju* ; Humans ; Incidence ; Jeollanam-do* ; Male ; Panophthalmitis ; Play and Playthings ; Retrospective Studies ; Sports ; Violence