1.Inflammatory Bowel Disease Required Operative Treatment.
Byung Ok JUNG ; Hyeong Rok KIM ; Dong Yi KIM ; Young Jin KIM ; Shin Kok KIM
Journal of the Korean Society of Coloproctology 1998;14(3):531-540
Twelve patients with inflammatory bowel disease had been operated at the department of surgery, Chonnam University Hospital during the period from March 1988 to February 1997. In this study, we report on the operative cases regarding age, sex, symptoms, duration of disease, location of disease, preoperative diagnosis, operative indication, frequency of operation, histopathologic findings and follow up. The results were as follows: 1) The male to female ratio in ulcerative colitis was 1 : 1, and the mean age was 54.5 years. In Crohn's disease, male to female ratio was 2.3 : 1 and the mean age was 42.1 years. 2) The mean duration of symptoms in ulcerative colitis was 39 months and in Crohn's disease was 13.9 months. The common symptoms in ulcerative colitis were abdominal pain, bloody diarrhea, indigestion, weight loss and in Crohn's disease abdominal pain, palpable mass, weight loss, indigestion. Extraintestinal symptoms in Crohn's disease were cholelithiasis like symptom, anal fistula, anal fissure. 3) The involvement site in ulcerative colitis was large bowel only, but in Crohn's disease small bowel (50%), large bowel (20%), small and large bowel (30%) were involved. 4) Preoperative diagnosis in ulcerative colitis was accurate, but in Crohn's disease accurate diagnosis was made only in 20% and the other cases were operated under the impression of different diseases or conditions (intestinal tuberculosis (50%), bowel perforation (20%), mechanical ileus (10%)). 5) The indication of surgery in ulcerative colitis was intractability to medical treatment, on the other hand, in Crohn's disease most operative cases were made under the emergentconditions (bowel perforation, bowel obstruction, enterocutaneous fistula, abdominal mass). The frequency of operation in ulcerative colitis were two times in one case, three times in one cases. In Crohn's disease half of cases experienced two or three times of surgery. The method of operation in ulcerative colitis was total proctocolectomy with J-pouch ileoanal anastomosis. In Crohn's disease resection of diseased bowel segment was performed.
Abdominal Pain
;
Cholelithiasis
;
Colitis, Ulcerative
;
Colonic Pouches
;
Crohn Disease
;
Diagnosis
;
Diarrhea
;
Dyspepsia
;
Female
;
Fissure in Ano
;
Follow-Up Studies
;
Hand
;
Humans
;
Ileus
;
Inflammatory Bowel Diseases*
;
Intestinal Fistula
;
Jeollanam-do
;
Male
;
Rectal Fistula
;
Tuberculosis
;
Weight Loss
2.A Case of Cysticercosis Treated with Praziquantel.
Jong Yuk YI ; Chun Wook PARK ; Yung Hwan KIM ; Hyung Ok KIM ; Chung Won KIM
Korean Journal of Dermatology 1986;24(1):123-126
We have recently experienced a case of cysticercosis treated with praziquantel. The patient, 22-year-old female, with 43 cystic masses had marked clinical response to the administration of praziquantel (75 mg/kg/day) for 7 days. It seems that praziquantel, anticestodal agent, might be a safe and effective therapy for this infection.
Cysticercosis*
;
Female
;
Humans
;
Praziquantel*
;
Young Adult
3.A Case of Granulomatous Reaction to Tattoo Pigment.
Kun Bock LEE ; Jong Yuk YI ; Hyung Ok KIM ; Chung Won KIM
Korean Journal of Dermatology 1988;26(4):554-559
A 48-year-old woman, who had had tattoo on her eyebrows, was seen with pruitic erythematous indurated plaques on the tattooing sites. The skin react ion was begun to observe about 4 weeks after getting tattoo. Skin biopsy specimens from the indurated lesions showed granulomatous reactions. Intradermal tests by means of multiple pricks and patch test were done on her low back with the same tattoo dye and also 4 others available in Korea. Serial punch biopsy specimens were obtained from the sites of intradermal test at 2nd, 7th, 28th, and 56th day after intradermal test. Granulomatous reactions were found in the spiecimens taken at the 28th and 56th day.
Biopsy
;
Eyebrows
;
Female
;
Humans
;
Intradermal Tests
;
Korea
;
Middle Aged
;
Patch Tests
;
Skin
;
Tattooing
4.Assessment of IgE Detecting Methods in Cord and Maternal Serum.
Chun Wook PARK ; Jong Yuk YI ; Hyung Ok KIM ; Chung Won KIM
Korean Journal of Dermatology 1986;24(2):219-224
The aim of the present work is to evaluate the most accurate technique for analysirig low levels of serum IgE. Following results are obtained from experiments by PRIST, Overnight PRIST, PRIST using RAST anti-IgE tracer and Overnight PRIST using RAST anti-IgE tracer methods with cord serum and maternal serum of 21 individuals respectively. 1) There was no statistical significance in maternal serum IgE titer using above 4 methods. However, the higher level of IgE titer was found in PRIST method when IgE was over 190 IU/ml(5 cases) estimated by PRIST method and in Overnight PRIST using RAST anti-IgE tracer method when Ig.E was below lgp IU/ml (16 cases) (p40.05). 2) In cord serum IgE titer, only Overnight PRIST using RAST anti-IgE tracer method showed statistical significance. 3) The most desirable correlation coefficient between maternal serum and cord serum IgE titer was estimated by Overnight PRIST using RAST anti-IgE tracer method than any other rnethods.
Immunoglobulin E*
5.Influence of Verbal Abuse on Job Stress for Special Unit Nurses and General Ward Nurses in General Hospitals.
Journal of Korean Academy of Nursing Administration 2017;23(3):323-335
PURPOSE: It is expected that there will be a difference in job stress between special unit (operating room, anesthesia room) nurses and general ward nurses in general hospitals, but factors influencing job stress have not been examined. This study reports on research to examine the sources of verbal abuse in the workplace. METHODS: Participants were 243 nurses (special unit 112, general ward 132) working in a hospital in I city. Data collection period was March 18 to March 25, 2016 and questionnaires were used to collect data. Comparison of differences in influence of verbal abuse on job stress between special unit and general ward nurses was analyzed with multiple hierarchical regression. RESULTS: In special unit nurses, verbal abuse from doctors and/or nurses influenced their job stress (Adj. R²=.545). In general ward nurses, verbal abuse from patients and/or care-givers influenced their job stress (Adj. R²=.241). CONCLUSION: Findings indicate a need to campaign for increase respect among nurse-doctor, nurse-nurse, and nurse-patients/care givers because verbal abuse from doctors, nurses, and patients/care-givers causes negative attitudes in nurses. General ward nurses in particular should provide sufficient explanation to patients about nursing services because verbal abuse from patients/care-givers is related to their complaints about nursing care.
Anesthesia
;
Data Collection
;
Hospitals, General*
;
Humans
;
Nursing Care
;
Nursing Services
;
Patients' Rooms*
6.Reproductive outcomes of retransferring retained embryos in blastocyst transfer cycles.
Hyun Jeong YI ; Hwa Seon KOO ; Sun Hwa CHA ; Hye Ok KIM ; Chan Woo PARK ; In Ok SONG
Clinical and Experimental Reproductive Medicine 2016;43(2):133-138
OBJECTIVE: To determine the incidence of embryo retention (ER) in the transfer catheter following embryo transfer (ET) in blastocyst transfer and investigate whether retransferring retained embryos has an impact on reproductive outcomes in patients undergoing in vitro fertilization-ET. METHODS: We retrospectively analyzed the records of 1,131 blastocyst transfers, which comprised 223 single blastocyst transfer (SBT) and 908 double blastocyst transfer (DBT) cycles. Each SBT and DBT group was classified depending on whether ET was performed without retained embryos in the catheter during the first attempt (without-ER group) or whether any retained embryos were found following ET (ER group) for the purpose of comparing reproductive outcomes in a homogenous population. RESULTS: The overall incidence of finding retained embryos was 2.8% (32/1,131). There were no retained embryos in SBT cycles. In DBT cycles, implantation rates (30.0% vs. 26.6%), positive β-hCG rates (57.2% vs. 56.2%), clinical pregnancy rates (45.3% vs. 46.9%), and live birth rates (38.9% vs. 43.8%) were not significantly different between the without-ER and ER groups. There were no significant differences in the mean birth weight (g) 2,928.4±631.8 vs. 2,948.7±497.8 and the mean gestational age at birth (269.3±17.2 days vs. 264.2±25.7 days). A total of nine cases of congenital birth defects were found in this study population. Eight were observed in the without-ER group and one in the ER group. CONCLUSION: Our results suggest that retransfer of retained embryos does not have any adverse impact on reproductive outcomes in blastocyst transfer cycles. Furthermore, our results support finding that SBT might be advantageous for decreasing the incidence of retained embryos in catheters.
Birth Weight
;
Blastocyst*
;
Catheters
;
Congenital Abnormalities
;
Embryo Transfer*
;
Embryonic Structures*
;
Fertilization in Vitro
;
Gestational Age
;
Humans
;
In Vitro Techniques
;
Incidence
;
Live Birth
;
Parturition
;
Pregnancy Rate
;
Retrospective Studies
7.The Development of Educational CD-Program for Obesity Prevention and Management for Primary School Students.
Yi Soon KIM ; Hyeon Ok JU ; Mi Gyoung SONG ; Yoo Sun SHIN
Journal of Korean Academy of Nursing 2003;33(1):60-70
PURPOSE: The study is designed to develop an educational CD-Program for prevention and control of obesity among primary school students. METHOD: The study is conducted from June 15, 2000 to April 15, 2002. Based on the course of program development suggested by Dick and Cray (1990), the study followed the planning, development, education and evaluation of a program. RESULT: The developed CD-Program consists 2 parts each for lower and higher grades of primary school students. The introduction part of the first trial for lower grade students uses quiz to encourage their motivations, the body proceeds with motion pictures and animations to trigger their interests. The introduction part of the second trial for the lower grades consists of remembering the exhibition lecture. The first trial for higher grades of primary school students builds on the contents of the low grades. Its body part, how to determine obesity and calculate ones own obesity, puts ones own weight and height in by the mouse. For the second trial of the higher grades, the body consists of life-style, diet, and regiments. CONCLUSION: The merits of this CD-Program are that to be possible an interaction between teachers and students.
8.The Possibility of Regional Health Insurance Data in Blueprinting the Local Community Health Plan.
Sang Yi LEE ; Chul Woung KIM ; Ok Ryun MOON
Korean Journal of Preventive Medicine 1997;30(4):870-883
The health center has to play an important role in promoting community health and satisfying a variety of community health needs and demands in the decentralized Korea. The nearly enacted Community Health Act compels every health center to make its own health plans which intend to deal with local health problems and plan its future health care. This obligation is obviously a big burden to most health centers. They do not have experiences in and abilities of making local health care plans. In order to establish a systematic community health plan, health centers have to concentrate their efforts on enhancing the ability of making health care plan through gathering and analysing the local health informations. However, it is very difficult in reality. This is simply because it will take long time to accomplish these activities. It seems natural that various professionals and researchers participate in carrying out the process of making community health plan in the initial stage. No standardized methodology and analysing framework exist even in the health professional society. Nonetheless, it is common to introduce survey research methodologies in analysing consumer's health care utilization and cost, and in identifying factors influencing health behaviors. Many researchers and professionals have applied social survey methodologies in obtaining information on providers and health policy makers as well. The authors have found that few studies have ever utilized local health data stored at the self-employed medical insurance society as the data source of planning activities. The purpose of this study is to illustrate the usefulness of the data stored at the Sung-Dong Gu Self-employed Medical Insurance Society in establishing the community health plan. The major contents of this study are as follows ; 1. Frequency of utilization by age, area, sex, type of medical care institutions, and some major diseases 2. Medical treatment by type of medical care institutions, by classification of 21 diseases, by frequency of three-character categories 3. Medical treatment of major neoplasm and some chronic diseases by age, sex, and area. The conclusion of this study is that it is of great potentiality to find out the local health problems and to use them in blueprinting the community health plan through comparing the frequency of medical utilization analyzed by a variety of variables with NHI health data or the health data from survey research.
Chronic Disease
;
Classification
;
Information Storage and Retrieval
;
Delivery of Health Care
;
Health Behavior
;
Health Occupations
;
Health Policy
;
Insurance
;
Insurance, Health*
;
Korea
9.Autologous blood transfusion in oral and maxllofacial surgery.
Hyung Sik PARK ; Seung Min KANG ; Jin Ho CHOI ; In Ho CHA ; Choong Kook YI ; Hyeon Ok KIM
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1993;19(1):44-54
No abstract available.
Blood Transfusion, Autologous*
10.Autologous blood transfusion in oral and maxllofacial surgery.
Hyung Sik PARK ; Seung Min KANG ; Jin Ho CHOI ; In Ho CHA ; Choong Kook YI ; Hyeon Ok KIM
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1993;19(1):44-54
No abstract available.
Blood Transfusion, Autologous*