No abstract available.
Female* ; Humans

The spine is the most common site of skeletal tuberculosis. It is still common disease in our country althoughrecet advanced theraphy developed with the many preventive medicine. 49 cases of tuberculous spondylitis, provedat the Chosum University Hospital, during period of Aug. 1973 to Aug. 1979, were reviewed. 1. The sex ratiobetween male and female was 1:1.4. Age distrubution showed that the group below 10 years was 12%. 2. The ratiobetween urban and rural was 1:5. 3. The most frequent site of the involvement was lumbar spine(40.8%). The nextwas thoracic(28.6%), thoracolumbar(10.2%), lumbosacral(8.2%), sacroiliac(8.2%), cervical (2.0%), and sacral(2.0%).4. 51.0% was associated with pulmonary tuberculosis and 56.0% of them reveal active pulmonary tuberculosis. 5. Themajor roentgenographic finding were remarkable with destruction of the intervertebral body (91.1%), narrowing ofhte intervertebral space(81.6%), kyphosis(75.5%), collapse of the vertebral body(77.6%), cold abscess (65.3%),calcification of the adjacent area(18.4%), formation of the osteophyte(18.4%). 6. There was no relationshipbetween the duration of the disease and the degree of the involvement of the vertebral body.
Abscess ; Female ; Humans ; Male ; Preventive Medicine ; Spine ; Spondylitis ; Tuberculosis ; Tuberculosis, Pulmonary

The purpose of this study was to determine the effects of an rehabilitation educational program on anxiety, health compliance and quality of life of the patient with cardiac valve replacement. The 80 Subjects for the study were surveyed at the outpatient clinic in S medical center in Buchon City in Korea. Among them. 40 patients had been taught about the cardiac rehabilitation education program and 40 patients had not been taught while they were in the hospital. Those 2 groups of patients were surveyed with the instruments of Spilberger's anxiety scale. and the questionnaire of health compliance and quality of life. The data were analyzed by using chi-test, t-test, Pearson's correlation. The results of this study were as follows: 1. Anxiety in educated group was significantly decreased(t=-2.60, p=.011) comparing to uneducated group. 2. The health compliance in educated significantly increased (t = 2.09, p=.040) comparing to uneducated group. 3. The quality of life of the' two groups of patients was not different significantly group was (t=1.83. p=.072). 4. The correlation between anxiety and health compliance was significantly reversed (r=-.461, p= .000). The correlation between anxiety and quality of life was significantly reversed(r=-.654, p= .000). The relationship between health compliance and quality of life revealed significant (r=.438. p=.000) Considering above results. the cardiac rehabilitation educational program for the patients with the cardiac valve replacement was strongly recommended to be used.
Ambulatory Care Facilities ; Anxiety* ; Compliance* ; Education ; Heart Valves* ; Humans ; Korea ; Quality of Life* ; Surveys and Questionnaires ; Rehabilitation*

PURPOSE: This study is a correlative study to assess the relationships of fatigue, stress, and burnout among the pregnant nurses in hospital. METHODS: The subjects in this study were 103 nurses aged between 22 and 40 who were confirmed as pregnant by the OBGY (Obstetrics and Gynecology) hospital and working at medical facilities located in J-province of G city during the period of July 15 through September 15, 2010. RESULTS: The level of fatigue of pregnant nurses showed an average of 5.60 out of 10 points, and the level of stress showed an average of 25.91. In terms of burnout, the average was 2.72 out of 5 points. The results of the correlative study to assess relationships among fatigue, stress and burnout showed significant positive correlation between burnout and fatigue (r=.47, p<.001) and stress (r=.53, p<.001) and between stress and fatigue (r=.58, p<.001). Therefore, the results show that increased level of fatigue and stress leads to increased level of burnout. CONCLUSION: The results of the study showed that higher level of fatigue and stress led to higher level of burnout. Therefore, to minimize the burnout of pregnant nurses, many efforts are required in the hospital policy and for the strategies to reduce burnout.
Aged ; Fatigue ; Humans

The purpose of this study was to understand and describe experience of the persons with colostomy using ethnographic method. Nine patients were interviewed by authors to explore the experience of the persons with colostomy. The data were collected using informal and in-depth interview, field notes, and medical records. The results were as follows : 1. The ostomates had experienced various physical and psychososcial difficulties in daily life. 1) The physical difficulties include the problems in the management of pouch, a formation of gas, skin irritation, diet control, sexual life, the loss of the sense of defecation, and fatigue. 2) The psychosocial difficulties were anxiety, a sense of disability, a feeling of shame being unable to accept the colostomy, a change in dressing, an economic burden, a withdrawal from social life, a burden of colostomy care, and a burden of sexual life. 2. The process of coping with these difficulties includes positive attitude to colostomy, the acceptance of colostomy care, and the mastery of colostomy care. 1) The positive attitude to colostomy was accomplished through personifying colostomy and positive thinking. 2) The acceptance of colostomy care was accomplished through physical recovery, passive acceptance, and a sense of independence. 3) The mastery of colostomy care was accomplished through diet control, acquirement of self care skills of colostomy. The results of the study might help nurses and other health care workers develop effective nursing interventions for ostomates by understanding ostomates' problems and their coping strategies.
Anxiety ; Bandages ; Colostomy ; Defecation ; Delivery of Health Care ; Diet ; Fatigue ; Humans ; Medical Records ; Nursing ; Self Care ; Shame ; Skin ; Thinking

No abstract available.
Diabetes Insipidus, Nephrogenic*

BACKGROUND: There are significant concerns about emerging antibiotic resistance that are largely due to the inappropriate use of antibacterial agents for viral respiratory infections. We explored clinicians' attitude on antibiotic prescription for patients with respiratory tract infections (RTIs) using survey. METHODS: A random, stratified sample of physicians in Seoul, Gyeonggi, and Incheon was surveyed with a mailed questionnaire, and 353 clinicians completed information. A total of 344 were included in the final dataset after excluding incomplete data with missing information (response rate 34.4%). RESULTS: Among 344 physicians, those who would prescribe antibiotics in scenario patient were 39.2%, wait and prescribe 30.5% and not prescribe antibiotics 30.2%. Those who believed antibiotics would help treatment of acute sinusitis were 83.7%, acute pharyngitis 36%, acute tonsillitis 86.3%, acute bronchitis 64% and acute lower respiratory diseases 66.9%. In logistic regression analysis, those who were located in Gyeonggi region and those who believed antibiotics help treatment of tonsillitis and suppurative otitis media would prescribe antibiotics in scenario patient significantly more, whereas those who believe antibiotics help treatment of acute pharyngitis and lower respiratory disease prescribe antibiotics less. CONCLUSIONS: Physicians' attitude to antibiotics in respiratory disease has a significant effect on antibiotic prescription for RTIs. Interventions such as practice guidelines and patient education to optimize antibiotic prescription should take this effect into account.
Anti-Bacterial Agents ; Bronchitis ; Drug Resistance, Microbial ; Humans ; Logistic Models ; Otitis Media, Suppurative ; Palatine Tonsil ; Patient Education as Topic ; Pharyngitis ; Postal Service ; Prescriptions* ; Respiratory Tract Diseases ; Respiratory Tract Infections* ; Sinusitis ; Tonsillitis ; Surveys and Questionnaires

No abstract available.

To search biologic characteristics of gastric carcinoma, one of the most common cancer in Korea, the author examined the alterations in DNA level and the expression of Ha-ras gene and c-myc gene in 20 primary tumors. Amplification of c-Ha-ras DNA was detected in 4(40%) of 10 patients who showed histologic subtype of relatively differentiated adenocarcinoma, but rearrangement of c-Ha-ras DNA was absent. Neither augumentation nor deletion of the c-myc DNA was observed. Higher expression of the ras p21 in tumor cells was noted in more differentiated tumor cells rather than poorly differentiated cases. One mucinous carcinoma, two signet ring cell carcinomas and one papillary carcinoma did not disclose expression of p21. The expressions of c-myc oncogene product were variable and were not correspond to the expressions of ras p21. A tendency that poorly differentiated tumor cells had higher expression of c-myc oncogene was suggested.

Flow cytometric analyms was performed to investigate any relationship between DNA content and clinical outcome in 32 complete hydatidiform moles (CHMs) and 12 partial hydatidiform moles (PHMs). Twenty three and nine of the 32 CHMs were diploid and aneuploid moles, respectively. Of these 23 diploid CHMs, eight (34.8%) regressed spontaneausly and 15 (65.2%) progressed to persiatent gestatiaoal trophoblastic disease (PGTD). Among nine aneuploid CHMs studied, six (66.7%) underwent spontaneous regremion and three (33.3%) required treatment for peraistent GTI). The twelve PHMs consiated of 9 diploid and 3 aneuploid moles, Three of the rune diploid moles (33.3%) remitted complelely, while the remaining 6(66.7%) progressed to PGTD. All aneuploid PHIMs underwent spontaneous remission. The S-phase of cell cycle in the CHMs studied was more frequent in those that progressed to persiatent GTDs, while G0/G1 was more frequent in those that remitted spontanemusly. The PHMs atudied failed to show any significant relationship between the phases of cell cycle and disease prognosis. Our results suggest the potentia] use of DNA ploidy and cell cycle analysis in prerlicting clinical outcome and thus in selecting cases for prophylactic chernotherapy.
Aneuploidy ; Cell Cycle ; Diploidy ; DNA* ; Female ; Flow Cytometry* ; Hydatidiform Mole* ; Ploidies ; Pregnancy ; Prognosis* ; Remission, Spontaneous ; Trophoblasts