The contamination period of the sterilized pack is influenced by the storage environment such as air contamination, temperature, humidity and the quality of the wrapping material. This study was conducted to provide basic data, for the expiration date of the EO gas sterilized pack (which was wrapped with polypropylene / polyester one side and paper the other side) by investigating the storage environment and monthly contamination period. The duration of study was 12 months, from Dec. 1, 1997 to Nov. 30, 1998. A total of 144 EO gas sterilized packs were kept in six storage cabinets of storage area after selecting four Operating Room, the Central Supply Department and General Surgery Clinic of one University Hospital in Taegu city. The samples were cultured in fluid thioglycolate media 30m1 in 37degrees C incubator for 48 hours. Air microbial bioburden in the six storage area and storage cabinet was monitored by exposing blood agar plate for fit teen minutes and culture were observed at 37t incubator for 2 thours. Temperature and Humidity were investigated four times(8 am, 2, 5, & 10 pm) a day and the mean values calculated. The results of this study are as follows 1. There was no contaminations in EO gas sterilized packs for 12 months observation. 2. The mean air contamination rate of storage area and cabinet in Operating Room was 4.9 CFU and 2.4 CPU during observation period. The mean air contamination rate of storage area and cabinet was 4.2 CPU and 2.2 CPU each during observation period. The rate of air contamination in storage room was at least twice than that of storage in Operating Room. The period that showed highest air contamination was in Feb. 98 as 9.2 CPU and the lowest in Mar. 98 as 1.1 CPU. 3. The predominant microorganisms were gram post five staphylococci, gram negative staphylococci in all storage environment, gram positive bacilli, gram negative bacilli in C cabinet of Operating Room and storage area in General Surgery Clinic, Fungi in storage area of Operating Room. 4. The mean temperature was 24.9+/-0.6degrees C(mean standard deviation) in storage area and 24.8+/-0.5degrees C in storage cabinet of Operating Room. The temperature was not differentiated between storage area and cabinet of Operating Room. The mean humidity was 63.6 7.3% (mean standard deviation) in storage area, 663+/-7.9% in cabinet of Operating Room. The humidity was observed high rate in storage area than cabinet of the six area environment. There was no growth of microorganism in sterilized packs during the observation. So we concluded that the contamination period of EQ gas sterilized packs was over 12 months. The high rate of air contamination in storage area might increase the degree of contamination of sterilized packs and the infection rate of operative wound. So the methods which could reduce the air contamination should be developed.
Adolescent ; Agar ; Daegu ; Ethylene Oxide* ; Fungi ; Humans ; Humidity ; Incubators ; Operating Rooms* ; Polyesters ; Polypropylenes ; Wounds and Injuries

PURPOSE: This study was performed to develop the Fever Education Program (FEP) and evaluate its effects on the knowledge, attitudes, and nursing practice of pediatric nurses. METHODS: The quasi-experimental research strategy used a pretest-posttest nonequivalent control group design. Recruited participants were forty-seven nurses at two pediatric hospitals in G city. The research was conducted from September 1 to October 10, 2015. To test the effects of the FEP, the participants were divided into two groups, an experimental group (n=27) and a control group (n=20). Data were collected prior to and six weeks after the intervention using self-reported questionnaires. Data were analyzed using Fisher's exact test, the χ²-test, t–test, Mann-Whitney U test, and analysis of covariance (ANCOVA) with the SPSS/WIN 19.0 program. RESULTS: Following the FEP intervention, no significant differences were found in nursing practice, but significant differences were found in knowledge (t=3.62, p=0.001) and attitudes (t=4.26, p=0.000) between the experimental group and the control group. CONCLUSION: The results of this study indicate that the FEP could provide an effective nursing intervention to improve knowledge and attitudes toward fever care in pediatric nurses.
Education* ; Fever* ; Hospitals, Pediatric ; Nursing* ; Polytetrafluoroethylene

PURPOSE: The objective of the study is to analyze the review contents of reviewers for the submitted papers in the Journal of Korean Academy of Nursing in 2003. METHOD: The review contents of the 165 papers were selected 217 papers that were submitted in 2003. Among those 165 papers, the 21 papers belonged to the 'Do not publish' list and 17 papers, 'Revise manuscript and resubmit', list and the 94 papers, 'Publish if revisions are made' list. There are more than two level differences among the four levels of decision in acceptance of publication in 33 papers. RESULTS: The analysis of the review contents for the papers were suggested according to review categories : introduction, method, results, discussion and conclusion. In addition, if papers had more than two levels of review they were rated poor accord or inconsistent. CONCLUSION: For the quality of the academic journal and development of the nursing science, it is important to disseminate and publish the research paper. Therefore, review of the submitted paper is also important. Implications for the profitable review were suggested in the study.
Publishing/*standards/statistics & numerical data ; Periodicals/*statistics & numerical data ; *Nursing ; Korea ; *Bibliometrics

Correct discrimination of the first and the second twin is important. Case: (1) The first fetus, whose amnionic cavity was closest to the cervix at 19 weeks, even though its body was higher than the second fetus, was found to be closer to the cervix by 23 gestational weeks than its twin. (2) The result of the chromosomal study of dichorionic twins at 17 gestational weeks was male with 9 inversion of the presumed first, and female with trisomy 21 of the presumed second. AT 19 gestational weeks, the sex and order of the two were found to be reversed at sonography for selective termination. In diamnionic twins, the fetus in the amnionic sac closest to the cervix is nominated as the first.
Amnion ; Cervix Uteri ; Diagnosis* ; Discrimination (Psychology) ; Down Syndrome ; Female ; Fetus* ; Humans ; Male ; Pregnancy, Twin* ; Twins*

No abstract available.
Cholesterol* ; Female ; Hypertension, Pregnancy-Induced* ; Lipoproteins* ; Metabolism* ; Pregnancy ; Pregnancy*

PURPOSE: The purpose of this study was to investigate the effect of the asthma management educational program given to the allergic asthmatics receiving immunotherapy due to house dust mite on the disease related to knowledge, stress, and self-efficacy. METHOD: The subjects of this study were the patients received immunotherapy to house dust mite at a week interval after being diagnosed for house dust mite allergic asthma at the respiratory center of a hospital affiliated to the university. They were divided into the experimental group of 29 patients who received asthma management education, the control group of 32 patients, and 61 patients in total. Experimental treatment, as an asthma management educational program, was the group education of one time and the reinforcement education of three times with environmental therapy and immunotherapy to house dust mite. RESULTS: The results revealed that the improvement in disease related knowledge, the improvement in self-efficacy and the decrease in stress, were significantly higher in the experimental group than the control group. CONCLUSIONS: The asthma management educational program had an effect on improving the disease related knowledge and self-efficacy, and decreasing the stress of the patients asthmatics allergic to house dust mite.
Asthma* ; Dust* ; Education ; Humans ; Immunotherapy ; Pyroglyphidae* ; Respiratory Center

A clinico-pathologic study with an immunohistochemical examination for c-erbB-2 expression in 54 cases of ductal carcinoma in situ and 16 cases of Paget's disease of the breast was performed. c-erbB-2 oncoprotein overexpression was observed in 45% (24/54) and 88% (14/16) of ductal carcinoma in situ and Paget's disease, respectively. The overexpression of c-erbB-2 oncoprotein was significantly correlated with the nuclear grade of tumors and inversely with the status of the estrogen receptor. c-erbB-2 was positive in 4 out of 5 patients with metastasis to axillary lymph nodes and 3 out of 4 patients who died of the disease. Prognostic significance of c-erbB-2 oncoprotein in ductal carcinoma in situ was highly suggested. The expression of c-erbB-2 oncoprotein in Paget's disease was well correlated with coexisting infiltrating or in situ ductal carcinoma. The high positive rate of c-erbB-2 oncoprotein in ductal carcinoma with Paget's disease could be understood with a recent hypothesis that c-erbB-2 oncoprotein is involved in promotion of cell motility and the spread of carcinoma cells.
Neoplasm Metastasis

PURPOSE: This descriptive correlation study was done to investigate adolescent behavior that promotes health and to identify factors influencing this behavior. METHOD: The participants (702) were a conveniently selected sample of second grade high school students. Data were gathered by self-administered questionnaires and the collected data were analyzed using descriptive statistics and stepwise multiple regression with the SPSS program. RESULTS: 1) The score for health-promotion behavior was 2.49 (total possible score = 4). By subcategories, emotional support was the highest (3.02). 2) Of the factors influencing health-promotion behavior, self-efficacy was found to account for 37.5% of the variance, followed by family function, social support, perceived health status and internal health locus of control. Overall, these factors accounted for 50.6% of the variance. CONCLUSION: The findings of this study showed that health-promotion behavior in adolescents was slightly above average. As self-efficacy and family function were identified as major factors in predicting health-promotion behavior, there is a need to consider interventions that will improve self-efficacy and family function.
Adolescent Behavior ; Adolescent* ; Humans ; Internal-External Control ; Statistics as Topic ; Child Health ; Surveys and Questionnaires

BACKGROUND: Currently in Korea, the blood supply for transfusion is almost covered by whole blood donation. But, because the number of participants of the plasmapheresis is limited, the supply of plasma for the production of plasma fractionations depends on a considerable amount of plasma imported. For this reason, a facilitation of plasmapheresis is in an urgent need via stable donors' participation. This survey research was conducted to improve services for donors based on their sound understandings on plasmapheresis. METHOD: The subjects were 1,132 donors who participated plasmapheresis between August and September of 1996 and agreed on the research purposes. RESULTS: Students and employees under 30 years old composed the major part of those who participated in plasmapheresis in major metropolitan areas including Seoul. The gender distribution was about 6:4. Most of the donors had a voluntary motivation to help others, but 47% of them did not know that blood donation is not related to HIV infection. Subjects responded that the environment for plasmapheresis was satisfacftory (92%). Factors that were related to unsatisfactory experience included boredom while pheresis (30%), scared feeling for the pain at the site of injection (28%), and uncomfortable feeling of blood flow (18%). 76% of the donors responded that they will participate in the plasmapheresis again, and the correlation between the level of satisfaction and intention of repeated participation was significant (p<0.01). Reasons for the refusal of repeated participation included the length of pheresis time (52%) and the pain at the site of injection (19%). 82% of the subjects thought the nurses were kind and 18% thought they were moderately kind. While 62% of the subjects who thought nurses were kind expressed their intention to participate in apheresis, while 59% of the subjects who thought the kindness was moderate said that they will not participate in apheresis. The correlation between the kindness of nurses and the level of understandig about plasmapheresis, and the level of uncomfortableness, and intention for repetitive participation were all significant (p<0.01). CONCLUSION: Based on our survey we could concluded that the followings are of great importance for the facilitation of plasmapheresis: continual promotion for the lack of relationship between blood donation and HIV infection, kindly explanation of palsmapheresis by nurses, nurses' skillful operation of plasmapheresis, improvement of audio-visual environment in order not to make donors boring during aphresis.
Adult ; Blood Component Removal ; Blood Donors ; Boredom ; Disulfiram ; HIV Infections ; Humans ; Intention ; Korea ; Motivation ; Plasma ; Plasmapheresis* ; Seoul ; Tissue Donors* ; Volunteers*

No abstract available.