PURPOSE: The purpose of study is to develop a home nursing care project model suitable for Korea's heath care system and policy directions for expansion and establishment of home nursing care. METHOD: The first, status of home nursing care program in medical institution and public health center was evaluated respectively in view of structure, process and performance. And then, issues of the program were analyzed in view of accessibility, safety, and sufficient supply. The second, demand projection of home nursing care according to income level and technical level of service that is needed to the subject was tried. In addition, the level of supply for home nursing care at present was estimated. The third, home nursing care program in advanced countries (Japan and U.S.A.) was examined. RESULT AND CONCLUSION: Community-based home nursing care program is developed into public-operation model and private-operation model from above the sub-subject result. Functional network for referral system among related institutions is built up to meet various needs, regardless of accessibility to distance and economy. And prior settlements and policy directions for expansion and establishment of home nursing care are suggested.
Home Nursing* ; Public Health ; Referral and Consultation

In korean books, letters are arranged either in horizontal lines or in vertical rows. Comparison has been made by the authors regarding the speed of reading in these arrangements. Subjects were divided into the following five groups: primary school pupil, junior and senior high school boy, College student of liberal arts, college student of natural science and middle-aged people. With the chinese letters, the speed of reading was faster when letters are arranged vertically only in high school boy. In others, the speed of reading showed no significant difference regardless of the arrangement of letters. This fact probably be due to the small number of observations and insufficient number of letters.
Asian Continental Ancestry Group ; Humans ; Male ; Natural Science Disciplines ; Pupil

To determine relationships of supposed risk factors to positives for HBsAg and Anti-HBs and also relationships of subjective symptoms to positives for HBsAg and Anti-HBs, study of 658 people working in the hospital, university, bank and other office was performed. Positive rate for HBsAg was about 7.9% and positive rate for Anti-HBs was about 20.0%. Odds ratio of HBsAg was high and significant in individuals who are married and who have previous hepatitis B(P<0.001), medical personnel in family, more than 4 people in a room.(0.01 Odds ratio of Anti-HBs was also significant in individuals who have previous hepatitis B, liver disease in family, more than 4 people in a room.(0.01 Epidemiologic Studies* ; Hepatitis ; Hepatitis B ; Hepatitis B Surface Antigens* ; Humans ; Liver Diseases ; Odds Ratio ; Risk Factors ; Vaccination

No abstract available.
Hydrocortisone* ; Prolactin*

PURPOSE: Objectives of the study is to examine the effectiveness of aromatherapy massage among middle aged women with abdominal obesity. METHOD: AB/BA crossover design of random blind assignment was applied. Aromatherapy and placebo massage were given to Group(A), Group(B), each groups applied each massages for 2weeks alternatively. Weight, abdominal circumference and appetite were compared for results check among the subjects. RESULT: The apparent effectiveness of Aromatherapy Massage in reducing weight, abdominal circumference and appetite was noted. CONCLUSION: On the basis of results, they strongly support the facts of reduction of abdominal obesity by applying aromatherapy massage for middle aged women.

BACKGROUND: Angioleiomyoma of the skin is a rare smooth muscle tumor and may develop anywhere in the body. Comprehensive clinicopathological analysis of angioleiomyomas developed in Korean has not been reported in domestic dermatological journals. OBJECTIVE: The purpose of this study was to evaluate the clinical and pathological characteristics of angioleiomyoma and the relationship between the tumor and the nerve with immunohistochemical stains. METHODS: Fifty nine cases of angioleiomyoma were reappraised from the files of the pathology of Seoul National University, Green Cross Reference Laboratory Center and Korea Veterans Hospital. Brief clinical histories of all cases were examined and microscopic findings in 35 cases were classified according to subtypes. Paraffin blocks were recut and stained in 16 cases for desmin, smooth muscle actin and S-100 protein. RESULTS AND CONCLUSION: 1. Male to female ratio was 1:1.27. 2. The age of the patients was mostly over 20 years and the mean age was 51 years in men and 40 years in women. 3. Tumors occurred most frequently in the lower extremity(38 cases), and followed by upper extremity(18 cases), head(2 cases), and trunk(1 case). Women had predominance of the legs in location site and men showed equal distribution in the lower and upper extremities.
Actins ; Angiomyoma* ; Coloring Agents ; Desmin ; Female ; Hospitals, Veterans ; Humans ; Korea ; Leg ; Male ; Muscle, Smooth ; Paraffin ; Pathology ; S100 Proteins ; Seoul ; Skin ; Smooth Muscle Tumor ; Upper Extremity

Micrognathia, cleft palate and glossoptosis, a combination of anomalies known as Pierre Robin syndrome, causes severe respiratory and alimentary difficulties in affected infants. With appropriate care and treatment, mental development can be made normal. But about 10~25% of children become retarded. We have experienced above case in a female infant, aged 6 months. She was acmitted on account of respiratory difficulty for days. The family history was not contributory. The child was born at full term, with a normal delivery, weighing 3.8kg. Cyanotic attack was not noticed since birth. Examination on admission showed small mandile, glissoptosis, cleft palate and low set ear. On auscultation of chest wall, fine moist rales were audible over right middle lung field. Marked supra and substernal retraction during respiration were noted also. She was treared under the impression of aspiration pueumonia. But frequent cyanotic attack was noticed during the course of hospitalization in spite of prone position. 9 th hospital day, tracheostomy was perfoermed. She was expired on the 10 th hospital day.
Auscultation ; Child ; Cleft Palate ; Ear ; Female ; Hospitalization ; Humans ; Infant ; Lung ; Parturition ; Pierre Robin Syndrome* ; Prone Position ; Respiration ; Respiratory Sounds ; Thoracic Wall ; Tracheostomy

Micrognathia, cleft palate and glossoptosis, a combination of anomalies known as Pierre Robin syndrome, causes severe respiratory and alimentary difficulties in affected infants. With appropriate care and treatment, mental development can be made normal. But about 10~25% of children become retarded. We have experienced above case in a female infant, aged 6 months. She was acmitted on account of respiratory difficulty for days. The family history was not contributory. The child was born at full term, with a normal delivery, weighing 3.8kg. Cyanotic attack was not noticed since birth. Examination on admission showed small mandile, glissoptosis, cleft palate and low set ear. On auscultation of chest wall, fine moist rales were audible over right middle lung field. Marked supra and substernal retraction during respiration were noted also. She was treared under the impression of aspiration pueumonia. But frequent cyanotic attack was noticed during the course of hospitalization in spite of prone position. 9 th hospital day, tracheostomy was perfoermed. She was expired on the 10 th hospital day.
Auscultation ; Child ; Cleft Palate ; Ear ; Female ; Hospitalization ; Humans ; Infant ; Lung ; Parturition ; Pierre Robin Syndrome* ; Prone Position ; Respiration ; Respiratory Sounds ; Thoracic Wall ; Tracheostomy

The purpose of this project is to implement "Homecare Nursing Network System" using wireless network which was able to manage homecare service efficiently. Therefore, by completing the project of "Homecare Nursing Network System", the research team connected the headquarter and the local homecare service offices over the Internet, and built the database and application programs to operate the offices. Homecare nurses are using the PDA(personal digital assistant) in order to provide homecare nursing service, to record the patients' data, and to send and receive the data in real time. It results in improving the quality of the homecare service through the computerized knowledge-based assess and intervention algorithms. The team also has implemented the homepage to introduce the homecare office and to provide the homecare service information. "Homecare Nursing Network System" allows us to manage homecare nursing service under the computerized environment, to keep track of the homecare nursing document efficiently, to improve the quality of homecare nursing, and to expand its business territory.
Commerce ; Internet ; Nursing Services ; Nursing*

The purpose of this study was to investigate the factors influencing health promoting behavior and quality of life in the elderly, to provide the basic data for health promoting intervention in order to improve quality of life. The subjects of this study were 51 elderly person over the age of 65, living in Seoul, Korea, during the period from November, 1997 to January, 1998. The instruments for this study were the health promoting behavior scale developed by Walker et (1987), the quality of life scale by RoyouJa(1988), the health concept scale by Laffrey(1986), the perceived health states scale by Lawston et al. (1992), the health value scale by Walston et al.(1978), the self esteem scale by Rogenberg(1965) and self efficacy scale by Sherer(1982). The instruments of this using descriptive statistics, t-test, Person correlation coefficients ANOVA and stepwise multiple regression. The results of this study are as follows; 1. The health promoting behavior showed significant positive correlation with health concept perception of health status, self esteem, internal health locus of control, self efficacy and quality of life in the elderly. 2. The quality of life showed significant positive correlation with health concept, perception of health status, self esteem, internal health locus of control, self efficacy in the elderly. 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting behavior was quality of life. A combination of quality of life, health concept, perceived health status, self esteem, internal health locus of control, and self esteem, internal health locus, and self efficacy accounted for 46% of the variance in health promoting behavior in the elderly. 4. Stepwise multiple regression analysis revealed that the most powerful predictor of quality of life in the elderly was self esteem. A combination of self esteem. health concept, perceived health status, health promoting behavior and self efficacy account for 56% of the variance in quality of life in the elderly. From the results of the study, the following recommendations are presented as follow : 1. Development of a health promoting program to improve quality of life in the elderly. 2. In developing the health promoting, the above major influencing factors be considered. 3. It is suggested that an education specialist in practice in the community be include in the program development.
Aged* ; Analysis of Variance ; Education ; Humans ; Internal-External Control ; Korea ; Program Development ; Quality of Life* ; Self Concept ; Self Efficacy ; Seoul ; Specialization