This is a retrospective clinical analysis of 27 cases of pancreatic pseudocysts that were treated at the Department of Surgery, Chung Goo Sung Sim Hospital, from 1988 to 1996. The results are as follows:1) The ratio of males to females was 12.5 :1, and the highest incidence was in the 4th decade. 2) Acute & Chronic Pancreatitis was most frequently associated with pancreatic pseudocysts (72.4%). 3) The most frequent symptom of patients with a pancreatic pseudocyst was abdominal pain (92.5%), and the most common site of the pancreatic pseudocyst was the tail of the pancreas (55.6%). 4) Of the 7 cases involving pseudocysts of less than 5 cm, 6 cases were managed conservatively and 1 case surgically . In the 15 cases with sizes from 5 cm to 10 cm, percutaneous catheter drainage was performed in 7 cases, with sizes larger conservative management in 5 cases and surgical management in 4 cases. In the 5 cases with sizes larger than 10 cm, percutaneous catheter drainage was performed in 3 cases and surgical management in 1 case. 5) Cases involving conservative management and percutaneous drainage (average:31 & 34 days), respectively had shorter hospital stays than surgical menagement (42 days). 6) Complications of pancreatic pseudocysts, such as intra-abdominal abscesses, cutaneous fistulas, pulmonary complications, wound infection, leakage or rupture, etc, were relatively common after surgery. In conclusion, we propose that conservative management and percutaneous catheter drainage are first-line treatment modalities for pancreatic pseudocysts if the clinical conditions of the patient can tolerate them.
Abdominal Abscess ; Abdominal Pain ; Catheters ; Cutaneous Fistula ; Drainage ; Female ; Humans ; Incidence ; Length of Stay ; Male ; Pancreas ; Pancreatic Pseudocyst* ; Pancreatitis, Chronic ; Retrospective Studies ; Rupture ; Wound Infection

Background: Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information. It should be considered to make appropriate health education. The aims of this study were to develop the new diabetes education material using storytelling for improving health literacy and to determine the education effects. Methods: A new storytelling based education material was developed using ADDIE (Analyze, Design, Develop, Implement and Evaluate) teaching model. The content was compiled using Korean traditional fairy tales by researchers and a storytelling writer. For determination on effectiveness of education, non-equivalent control group experimental design was used. The participants were 49 rural elders who visiting elderly welfare center;experimental group (25) received education using the new developed material and control group (24) received education using the existing material. The measurement variables for education effectiveness were diabetes health literacy, diabetes knowledge, diabetes self-efficacy and diabetic self-care behaviors. Data were analyzed with SPSS/WIN 21.0 program for mean comparison between two groups. Results: Diabetic health literacy, diabetic self-efficacy, and diabetic self-care behaviors scores were higher in the experimental group than the control group except diabetes knowledge score. Conclusions Based on research findings, the new education material using storytelling was considered to be easier and more interesting than existing materials for rural elderly to be educated, which improved health literacy more. Using storytelling in health education might be more effective for rural elderly.

No abstract available.
Humans ; Infant, Newborn* ; Membranes* ; Rupture*

No abstract available.
Decompression* ; Ossification of Posterior Longitudinal Ligament*

Congenital cystic adenomatoid malformation and Extralobar Pulmonary sequestration are very rare congenital anomalies. We experienced a 4 year-old female patient who had Congenital cystic adenomatoid malformation in her lower lobe of left lung. We accidently found extralobar pulmonary sequestration associated with Congenital cystic adenomatoid malformation at operation field. The resection of the left lower lobe and the extralobar pulmonary sequestration were performed. The arterial supply of the extralobar pulmonary sequestration was one anomalous artery arised from the thoracic aorta. The Venous drainage of expralobar pulmonary sequestration was intercostal vein into the azygous vein. The patient was discharged without any problem.
Aorta, Thoracic ; Arteries ; Bronchopulmonary Sequestration* ; Child, Preschool ; Cystic Adenomatoid Malformation of Lung, Congenital* ; Drainage ; Female ; Humans ; Lung ; Veins

PURPOSE: The purpose of this study was to identify whether self-directed fundamental nursing practice using a smart phone affected self-efficacy, practice satisfaction, and skill competency of nursing students. METHODS: This was a nonequivalent control group pretest-posttest quasi-experimental design. The participants were 40 children in the experimental group and 40 in the control group. In experimental group, self-directed fundamental nursing practice using a smart phone was given to nursing students. Data for this study was collected from 25 March 2015 to 10 April 2015. The data were analyzed using SAS 21.0. RESULTS: In self-efficacy and skill competency, there were no statistically significant differences between the experimental group and control group. In practice satisfaction, there were statistically significant differences between the experimental group and the control group. CONCLUSION: The results indicate that self-directed fundamental nursing practice using smartphone video is effective in practice satisfaction. Therefore, this intervention can be utilized in nursing practice education as an effective educational device.
Child ; Education ; Humans ; Nursing* ; Smartphone* ; Students, Nursing

CT has becom increasingly important diagnostic method as the inital examination in the diagnosis of subarachnoid hemorrhage with direct detection of extravasated blood inbasal cistern and cortical sulci. Furthermore, CT provides better and exact visualization of the presence, localization, extent and degree of intracerebral, intraventricular and subdural hemorrhage, infarction, hydrocephalus and rebleeding which may be associated wtih subarachnoid hemorrhage, and also could detect the causative lesions with contrast enhancement inmany cases. The purpose of the paper is to describe the CT findings of subarachonid hemorrhage due to various causes and to evalute the diagnostic accuracy of CT in subarachonoid hemorrhage. Authors analysed a total of 153 cases with subarachnoid hemorrhage confirmed by lumbar puncture at Seoul National University Hospital from March 1979 to April 1981, with special emphasis on CT findings.All of the cases took CT scan and 125 cases of the mangiography. The results are as follows; 1. Most prevalent age group was 4th to 6th decades (78%). The ratio ofmale to female was 1.1:1. 2. Of all 125 with angiography, aneurysm was a major cause (68%). Others were arterio-venous malformation (9.6%), Moya-moya disease(4%) and unknown (18.4%). 3. Of all 153 cases with CT scan,hemorrhage was demonstrated in 98 cases (64.1%); SAH in 72 cases (47.1%), ICH in 65 cases (42.5%), IVH in 34 cases(22.2%) and SDH in 1 case(0.7%). SAH combined with ICH was a major group (34.7%) in SAH. Detecton rate of SAH was68.3% within the first 7 days and 5.8% after 7 days. 4. In aneurysms, SAH was detected in 60 of 85 cases (70.6%);88.1% within the first 7 days and 5.6% after 7 days. Anterior communicating artery was the most common site of theaneurysms(40%), in which detection rate of SAH was 100% within the first 7 days. SAH was combined with ICH in38.3%. 5. On CT, SAH of unilateral Sylvian fissure was pathognomonic for ruptured MCA aneurysm and ICH of corpuscallosum for ACA aneurysm. 6. The detection rate of aneurysm itself on CT was 20%(17/85) and its size was variablefrom 5 to 25mm. 7. Infarction was demonstrated in 9 cases (6%) and there was no significant correlation between infarction and angiospasm, 8. Hydrocephalus was detected in 65% cases(42.5%), and 21 cases (32.3%) were demonstrated within the first 3 days.
Aneurysm ; Angiography ; Arteries ; Diagnosis ; Female ; Hematoma, Subdural ; Hemorrhage ; Humans ; Hydrocephalus ; Infarction ; Methods ; Seoul ; Spinal Puncture ; Subarachnoid Hemorrhage ; Tomography, X-Ray Computed

PURPOSE: This study was conducted to examine the effects of an individualized cardiac rehabilitation education program on knowledge about coronary artery disease (CAD), compliance of sick role and vascular health status in patients with percutaneous coronary intervention (PCI). METHODS: Quasi-experimental design-based nonequivalent control group pretest-posttest design was employed. Using convenience sampling, data were collected from 60 patients who underwent PCI at S Hospital in S City from September 2014 to February 2015. For examining the effects of an individualized cardiac rehabilitation education program, knowledge about CAD, compliance of sick role and vascular health status were measured. RESULTS: The experimental group showed statistically significant differences in knowledge about CAD (t=24.21, p<.001), compliance with sick role (t=20.81, p<.001) and vascular health status (t=15.07, p<.001) compared to the control group. CONCLUSION: The individualized cardiac rehabilitation education program is effective in improving knowledge about CAD, compliance of sick role and vascular health status in patients who underwent PCI. Based on the findings of this study, nursing intervention programs focusing on individualized approach will be useful for patients undergoing PCI.
Compliance ; Coronary Artery Disease* ; Coronary Vessels* ; Education* ; Humans ; Nursing ; Percutaneous Coronary Intervention* ; Rehabilitation* ; Sick Role*

PURPOSE: The purpose of this study was to identify influencing factors on health behavior adherence in middle and old aged men who underwent percutaneous coronary intervention. METHODS: With a convenience sampling, data were collected from 140 middle and old aged men who underwent percutaneous coronary intervention at two general hospitals. A structured questionnaire was used to measure husband-wife harmony, self-efficacy, and behavior adherence. Data were analyzed by descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression. RESULTS: Health behavior adherence was significantly correlated with husband-wife harmony (r=.59, p<.001) and self-efficacy (r=.54, p<.001). There was also a significant correlation between husband-wife harmony and self-efficacy (r=.48, p<.001). Overall, approximately 43.7% of the variability in health behavior adherence was explained by these two variables in this study (F=54.85, p<.001). CONCLUSION The findings suggest that husband-wife harmony and self-efficacy could be important factors affecting health behavior adherence in middle aged men who underwent percutaneous coronary intervention. Therefore, nursing interventions for them should focus on increasing husband-wife harmony and self-efficacy.

No abstract available.
Leiomyosarcoma* ; Myosarcoma* ; Rhabdomyosarcoma*