No abstract availalbe.
Severe Acute Respiratory Syndrome*

PURPOSE: This study was conducted in order to explore the factors affecting the hope in nursing students. METHODS: A total of 166 nursing students participated in the study. Data was analyzed using SPSS WIN 18.0. RESULTS: The mean scores for social support, self-efficacy, and hope were above-average level. There were significant mean differences in hope according to religion, academic achievement, and satisfaction with nursing majors. Hope correlated positively with social support and self-efficacy. The significant predictors of hope included social support and satisfaction with the nursing major. The regression model explained 12.7% of hope. CONCLUSION: To improve hope in nursing students, nursing educators should focus on promoting their social support and satisfaction with the nursing major.
Hope* ; Humans ; Nursing* ; Students, Nursing*

No abstract available.
Malaria*

We report a rare case of anti-viral agent induced hypophosphatemic osteomalacia presented with localized and radicular pain. A 51-year-old man, who had been taking adefovir for chronic hepatitis, had experienced low back pain radiating to his right thigh for 2 years. With impression of lumbar disc herniation, he underwent magnetic resonance imaging and found multi-level disc herniation with facet joint synovial cysts. He received transforaminal epidural steroid injections, however, symptoms did not improve. To find other possible causes, additional tests were performed. Blood tests revealed hypophosphatemia and increased serum alkaline phosphatase, and osteoporosis was noted in dual-energy X-ray absorptiometry with multiple hot uptakes in bone scan. After replacement of adefovir to entecavir and supplement of phosphate and vitamin D, phosphate level and the clinical symptoms were improved. This is the first to report the presentation of osteomalacia due to anti-viral agent as radicular low back pain with facet synovial cysts.

No abstract available.
Humans ; Neutrophils* ; Phagocytosis* ; Stomach Neoplasms*

Five cases of histologically proven polymorphic reticulosis were examined with computed tomography(CT). CT findings were mucosal thickening along the septal and lateral walls of the nasal cavities(n=4), obliteration of the contour of the nasopharynx(n=4), involvement of the paranasal sinuses (n=2), destruction of the nasal septum and/or sinus walls(n=3) and mass in the palate, tonsil or neck (n=1). CT examination was helpful in determining the extent of the disease in the nasal cavity and paranasal sinuses. However, lesions in the palate and tonsils could not be easily evaluated with CT. CT findings of polymorphic reticulosis are nonspecific and granulomatous diseases may show similar CT findings.
Granuloma, Lethal Midline* ; Nasal Cavity ; Nasal Septum ; Neck ; Palate ; Palatine Tonsil ; Paranasal Sinuses

PURPOSE: This study was conducted to investigate the factors that affect subjective well-being in nursing students. METHODS: A total of 236 nursing students participated in the study. Data was collected from November through December 2013 using a self-reporting questionnaire that surveyed the level of gratitude, interpersonal relationship ability, subjective happiness, and life satisfaction. Data was analyzed by descriptive analysis, t-test, ANOVA, Pearson correlation coefficients and multiple regression with the SPSS/WIN 18.0 program. RESULTS: Subjective happiness positively correlated with gratitude (r=.41, p<.001) and interpersonal relationship ability (r=.55, p<.001). Life satisfaction positively correlated with gratitude (r=.53, p<.001) and interpersonal relationship ability (r=.37, p<.001). Significant predictors of subjective happiness included gratitude (beta=.38, p<.001), interpersonal relationship ability (beta=.28, p<.001) and major satisfaction (beta=.17, p=.002). The regression model explained 39.3% of subjective happiness. Significant predictors of life satisfaction included gratitude (beta=.42, p<.001), academic achievement (beta=.15, p=.006), interpersonal relationship ability (beta=.16, p=.008) and major satisfaction (beta=.12, p=.035). The regression model explained 35.3% of life satisfaction. CONCLUSION: To improve subjective well-being among nursing students, nurse educators should develop educational intervention programs to promote gratitude and interpersonal relationships.
Happiness ; Humans ; Interpersonal Relations ; Surveys and Questionnaires ; Students, Nursing*

Automatic implantable cardioverter defibrillator(AICD) is a device that senses ventricular tarchycardia and ventricular fibrillation and responses with counter-shocks to the heart. We experienced a case of AICD implantation to prevent sudden cardiac death. A-22-year-old male was operated under O2, N2o, fentanyl, low dose enflurane anesthesia. The diagnosis was familial long QT syndrome. Lead was introduced to the right ventricular apex through left subclavian vein and generator was placed between pectoralis muscles. Then defibrillation threshold testing was performed. Ventricular fibrillation was induced with Twave shock of 3 joule and defibrillation with 5 joule terminated ventricular fibrillation successfully. After ventricular fibrillation, his blood pressure decreased to 30mmHg. When ventricular fibrillation was converted to normal rhythm, it retured to normal range. After operation, patient was transferred to the ICU and stayed there for 3 days.
Anesthesia ; Arrhythmias, Cardiac ; Blood Pressure ; Death, Sudden, Cardiac ; Defibrillators* ; Diagnosis ; Enflurane ; Fentanyl ; Heart ; Humans ; Long QT Syndrome ; Male ; Pectoralis Muscles ; Reference Values ; Shock ; Subclavian Vein ; Ventricular Fibrillation

No abstract available.
Brain Stem* ; Glioma*

PURPOSE: Kawasaki disease is notorious for coronary arterial complication which is usually developed as a febrile disease in early childhood. Increased polymorphonucleus(PMN) cell levels in acute phases may be associated with the pathophysiology of Kawasaki disease. We studied the relationship between coronary arterial dilatation and elastase activity which was excreted from PMN cell and roles as an important factor for vasculitis. METHODS: Ten patients diagnosed with Kawasaki disease in Yonsei University Medical Center were examined between November, 2001 and January, 2002. In addition, 15 patients with other febrile diseases were also examined. Echocardiography was done in patients with Kawasaki disease on the first day of admission and four weeks after the onset of the disease. At each time, venous samples were drawn and separated into plasma and leukocytes. In patients with other febrile disease, samples were drawn on admission. Elastase activities in plasma and neutrophil extracts were measured. RESULTS: The significant increased plasma elastase activity, 6.19+/-0.74 U/mL, found in Kawasaki disease patients compared with the other febrile disease patients, 4.86+/-1.17 U/mL(P<0.05). And there was no significance between the above two diseases in terms of the elastase activity in neutrophil extracts. The relationship between initial elastase activity and the coronary arterial complication which was shown in subacute phase wasn't significant. CONCLUSION: Plasma elastase activity was increased in Kawasaki disease significantly, but the initial plasma elastase activity in the acute phase could not reflect the range of coronary arterial complication.
Academic Medical Centers ; Dilatation* ; Echocardiography ; Humans* ; Leukocyte Elastase* ; Leukocytes ; Mucocutaneous Lymph Node Syndrome* ; Neutrophils* ; Pancreatic Elastase ; Plasma ; Vasculitis