1.Interdisciplinary Approach Between Health Centers and Private Hospitals/Clinics.
Journal of the Korean Medical Association 2004;47(12):1140-1143
No abstract available.
2.A Study of the Relationship between Adolescent's Self Reported Cigarette Smoking and Urine Cotinine Level.
Journal of Korean Academy of Adult Nursing 1997;9(3):495-504
This descriptive study was conducted to investigate the factors related to adolescent's smoking and to find out relationship between their self reported cigarette smoking and urine cotinine level. The subjects for this study were 68 adolescents attending in a technical high school located in Seoul. The data was collected from April 1 to June 13, 1996 using a questionnaire and their urine was collected simultaneously for the cotinine analysis. The data were analyzed using descriptive statistics, t-test, GLM, Pearson Correlation using SAS program. The results of the study can be summarized as follows: 1. Those subject who spend more than 2 hours each day with smoking friends, who spends more than 30,000 won from their parent's stipends each month, two recognize their smoking behavior can be accepted by their parents, who drink alcohol, smokes significantly mor than those subjects who spend less than 2 hours each day with smoking friends, have less than 30,000 won from their parent's stipends each month, recognizes their parents will be very upset for their smoking behavior, who do not drink alcohol( self report: 94, p=.004; t=3.875, p=.003; t=4.46, p=.003; t=4.08, p=.006, urine cotinine; t=2.678, p=.009; t=33.229, p=.002; t=2.84, p=.005; t=3.29, p=.003). 2. There were positive correlation between their self report of cigarette smoking and urine cotinine level in all groups regardless of ; having religion, level of satisfaction to school, length of time spent with smoking friends, amount of stipend each month, parent's response to their smoking behavior, drinking habits. However there was no relationship between their self report of cigarette smoking and urine cotinine level in a group who smoke more than 11 cigarettes each day. The findings of this study reveals that adolescents can provide fairly honest self reports of their cigarette smoking if trusting relationships can be established between the researcher and the subjects.
Adolescent
;
Cotinine*
;
Drinking Behavior
;
Friends
;
Humans
;
Parents
;
Self Report*
;
Seoul
;
Smoke
;
Smoking*
;
Tobacco Products*
;
Surveys and Questionnaires
4.Experimental induction of the two-host life cycle of Sarcocystis cruzi between dogs and Korean native calves.
Sung Hwan WEE ; Sung Shik SHIN
The Korean Journal of Parasitology 2001;39(3):227-232
Eight dogs were experimentally infected with Sarcocystis by oral inoculation of cardiac muscle from naturally infected cattle. The infected dogs commenced discharging of sporocysts in the feces after 10 to 12 days of inoculation, and continued until 20 and 35 days after inoculation. Three dogs were reinfected with cardiac muscle from the naturally infected cattle. Sporocysts reappeared in the feces on 12 to 13 days after reinfection. Sarcocystis sporocysts collected from the experimentally infected dogs were fed to each of the two 30-day-old Korean native calves. The infected calves remained clinically normal, except for the high fever (> or = 40 degrees C) and decreased hematocrit values on day 30 to 40 post inoculation. Muscular cysts of Sarcocystis were found from infected calves on day 40 post inoculation. Proliferative forms of Sarcocystis were also observed in the muscle of infected calves. These results suggest that the Sarcocystis cruzi found in Korean native cattle has a 2-host life cycle with dogs as the definitive host and Korean native calves as the intermediate host.
Animals
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Cattle
;
Cattle Diseases/*parasitology
;
Dog Diseases/*parasitology
;
Dogs/*parasitology
;
Host-Parasite Relations
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Korea
;
*Life Cycle Stages
;
Sarcocystis/*growth & development/isolation & purification
;
Sarcocystosis/*parasitology/*veterinary
5.Evaluation of Nutritional Status of Inpatients with Medical Health Problems.
Eun Sook HWANG ; Ju Sung KIM ; Jae Shin SHIN
Korean Journal of Rehabilitation Nursing 2003;6(1):14-25
PURPOSE: To investigate nutritional status of inpatients by using subjective. and objective evaluation methods and to find the relationship between them. METHOD: The subjects were 101 inpatients with medical health problems at a university hospital. Nutritional status was evaluated by the Subjective Global Assessment (SGA) and physical assessment including percentage of weight loss, serum albumin, hemogloin, and hematocrit. Data were analyzed using frequency, percentage, mean, Kendall's tau. RESULTS: Grouping by the SGA, 61.4% were classified as severe malnutrition group. When applying the objective methods{physical assessment). 1.9~42.6% were diagnosed as malnutrition each item. The percentage of weight loss during previous 1-6month(r=.43~.54. P=.0001), serum albumin(r=-.26, P=.0003), hemoglobin of male(r=-.38, P=.0001), and hematocrit of male(r=-.34, P=.0001) were significantly correlated with SGA score. The coincidence rate of nutrition evaluation between the objective methods and SGA were 27.7 35.6%, 20.8%, 47.5%, 58.4% in percentage of weight loss, albumin, hemoglobin, and hematocrit. CONCLUSION: These findings showed a majority of inpatients were exposed to the risk of malnutrition. We recommend to evaluate inpatients' nutritional status periodically and to develop nursing intervention to solve their nutritional problems.
Hematocrit
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Humans
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Inpatients*
;
Malnutrition
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Nursing
;
Nutritional Status*
;
Serum Albumin
;
Weight Loss
6.Relationship between the Discomfort of Tinnitus and the Quality of Life in Tinnitus Patients.
Mi Ok PARK ; Ju Sung KIM ; Jae Shin SHIN
Korean Journal of Rehabilitation Nursing 2003;6(1):40-50
PURPOSE: To investigate audiometery and characteristics related to tinnitus in tinnitus patients. and to understand the relationship between the discomfort of tinnitus and the quality of life. Methods: The subjects were 110 patients with tinnitus. The data were collected using tinnitus handicap questionnaire. quality of life, and pure tone audiometry, which measured hearing level in dB and frequency in Hz matching of tinnitus. RESULTS: Majority of tinnitus patients (75.5%~81.8%) had normal auditory sensation. but 82.7% of patients indicated that they have heard tinnitus frequently. or always, and the major sounds of tinnitus were wing, wung, wang, The matching sounds of tinnitus had various range in hearing level(dB) and frequency(Hz). Tinnitus patients reported moderate levels of the discomfort of tinnitus and the quality of life, and there were negative correlation between the discomfort of tinnitus and the quality of life(r=-.314, p .00l). CONCLUSION: These findings suggest that special attention is needed for tinnitus patients because the physical. psychological. and social impacts of tinnitus could be decrease their quality of life, Specialized nursing intervention considering specific conditions related to tinnitus is required to solve various health problems of tinnitus patients.
Audiometry
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Hearing
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Humans
;
Nursing
;
Quality of Life*
;
Surveys and Questionnaires
;
Sensation
;
Social Change
;
Tinnitus*
7.Pulmonary coccidioidomycosis Diagnosed in an Immigrant.
Jae Seung SHIN ; In Sung LEE ; Chol SHIN ; Aeree KIM
Tuberculosis and Respiratory Diseases 2001;51(5):448-452
Coccidioidomycosis is a common infectious disease in southwestern North America, which is caused by the soil fungus, Coccidioides immitis. Due to the mobility of the modern population, increasing numbers of cases are being diagnosed outside the endemic areas. Moreover, diagnosis in non-endenmic areas may be delayed or confused due to its rarity. Here we report a case of pulmonary coccidioidomycisis in an immigrant. The patient presented with unexplained pulmonary symptoms. A history of recent travel to or immigration from an endemic area may suggest coccidioidomycosis. In addition an early tissue biopsy is helpful in establishing this diagnosis.
Bacterial Infections and Mycoses
;
Biopsy
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Coccidioides
;
Coccidioidomycosis*
;
Communicable Diseases
;
Diagnosis
;
Emigrants and Immigrants*
;
Emigration and Immigration
;
Fungi
;
Humans
;
Mycoses
;
North America
;
Soil
8.Effects of Environmental Sea Water Factors on the Isolation of Vibrio vulnificus in the Western Coastal Area of Korea.
Sung Wook SHIN ; Seok Don PARK
Korean Journal of Dermatology 1998;36(3):391-398
BACKGROUND: Vibrio vulnificus(V. vulnificus) is a pathogenic, marine, halophilic, Gram negative bacillus which causes fulminant infection in humans through skin wounds. or the ingestion of raw seafoods or Most cases are reported sporadically in summer in the south-western coastal area of Korea. OBJECTIVE: We studied the distribution of V. vulnificus in sea water, fishes, shellfish and sea mud from May to October in 1996 and the relationship between regional distribution and environmental factors. METHODS: We collected the sea water, sea mud, fishes and seafoods from May to October in Kunsan, Daechun, Moochangpo, Puan, Youngkwang and cultured it in Thiosulfate-Citrate-Bile salt-Sucrose(TCBS) agar, Cellobiose-Polymyxin B-Colistin(CPC) agar, and Sodium dodecyl sulfate- Polymyxin B-Sucrose(SPS) agar. At the same time we investigated environmental factors such as temperature, pH, salinity, turbidity, dissolved oxygen(DO), NO3 of sea water. RESULTS: Twelve strains(2.17%) of V. vulnificus were isolated from a total of 552 specimens. The V. vulnificas isolation rate from sea mud was higher than in sea water and shellfish. Areas where V. vulnipcus was isolated were Kunsan and Daechun. It was isolated during June, July and August. The Isolation rate was higher with CPC agar than TCBS, SPS agar. When V.vulnificus was isolated at Kunsan, the environmental factors of sea water noted were as follows: temperature, 25.3C; turbidity, 121Formazine turbidity units; salinity, 12.2%; DO, 7.3mg/L; pH, 7.37 and NO3, 1.18mg/L. CONCLUSION: CPC agar is the best medium of the three above used for the isolation of V. vulnificus from environmental samples. V. vulnificus was highly isolated in the Kunsan area because of the high water temperature and turbidity, low salinity and weak alkali state of the sea water in comparision with other areas. We suggest that high temperature and turbidity, low salinity and weak alkalinity of sea water are very important environmental factors for the growth of V. vulnificus.
Agar
;
Alkalies
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Bacillus
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Eating
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Fishes
;
Humans
;
Hydrogen-Ion Concentration
;
Jeollabuk-do
;
Korea*
;
Polymyxins
;
Salinity
;
Seafood
;
Seawater*
;
Shellfish
;
Skin
;
Sodium
;
Vibrio vulnificus*
;
Vibrio*
;
Water
;
Wounds and Injuries
9.The relationship between simple attention and clinical symptoms in schizophrenia.
Journal of Korean Neuropsychiatric Association 1992;31(2):252-257
No abstract available.
Schizophrenia*
10.Correction of the plunging nasal tip: 7CASES.
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1998;25(8):1552-1559
The primary factors determining nasal tip outline are shape and position of the alar cartilages. The relation of the alar cartilages to the upper lateral cartilages, septum, and soft tissue envelope defines the conformation of the tip-lobule complex. Plunging tip is a condition as long nose, tip drooping and becomes more accentuated with aging. Hanging columella is a prominent downward bowing of the columella. Plunging tip and hanging columella are common causes of acute nasolabial angle.Correction of the plunging tip in the long nose is usually achieved satisfactorily through shortening of the lateral walls by excising an adequate amount of cartilage from the septal, lateral, and alar cartilage. Tip rotation in a cephalic direction can be achieved commonly by resection of the cephalic portion of the lateral crura, excision of a triangular segment of the caudal margin of the septum and a cartilaginous septal transfixion incision involving excision of a superiorly based triangle of septum with cephalic rotation of the entire nasal lobule.Modification of the caudal margin of the septum is done to achieve three goals: (1) cephalic rotation of the tip, (2) shortening of nasal length, and (3) alterations in the nasolabial angle. We have elevated and rotated in a cephalic direction nasal tip by means of resection of cephalic portion of lateral crura, resection of the caudal margin of the septum and mucous membrane, and /or invagination technique for correction of the plunging tip and hanging columella. From March 1996 to February 1998, we have performed the tip-plasty in 7 patients of the plunging tip and hanging columella. We have found good cosmetic results with improved nasolabial angle.
Aging
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Cartilage
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Humans
;
Mucous Membrane
;
Nose