Purpose: : Interviews between the coordinator and the family of the brain dead for organ and tissue donation have a great impact on the increase in the consent rate of organ donation. It is necessary to find out empirically the factors for building a mutually respectful and reciprocal relationship in the interview between the coordinator and the family from the perspective of the research subject. Methods: : This study is a qualitative study, and data were collected through in-depth interviews with 10 coordinators of the Korea Organ Donation Agency. The collected data were analyzed by two steps of text analysis and meaning reconstruction. Results: : The relationship building factors between the coordinator and the family of the brain dead analyzed in this study include ‘establishing trust, helping the family, empathy, active listening, friendliness, non-burdening, cautious approach, and sincerity’. Coordinators conducted interviews to deliver information to the family of the brain dead, sincerely and carefully through sympathy and listening, while working for the family at the same time. In these interviews, non-verbal and quasi-verbal communication as well as verbal expressions was actively used. Conclusion : The results of this study can be used for communication training of organ procurement coordinators.

The prevalence of urinary symptoms associated with benign prostatic hyperplasia(BPH) was studied in a community-based, representative sample of 519 men over 50 years old for estimation of prevalence of BPH in Korea. Symptoms were assessed by the Korean version of International Prostatic Symptom Score(IPSS). Only 5(1%) men reported having undergone prostate surgery due to BPH and excluded from analysis. Among 514 men, nocturia and weak stream were the most prevalent symptoms and urgency was the least. Based on the IPSS, 31.7% of the men were free of urinary symptoms(IPSS 0), 45.1%, 18.7% and 4.5% of the men were minimally(IPSS 1-7), moderately(IPSS 8-19) and severely(IPSS 20-35) symptomatic, respectively. The proportion of severely symptomatic men approximately doubled with each decade of age. A good correlation was found between the total symptom score and the single disease-specific quality of life score that is included in the IPSS. Our estimation indicated that in 1995 approximately 800,000 Korean men had moderate to severe urinary symptoms that were likely to be associated with BPH. These results suggest that the prevalence of BPH in Korean men is substantially similar to Caucasian.
Epidemiology ; Humans ; Korea* ; Male ; Middle Aged ; Multiple Endocrine Neoplasia Type 1 ; Nocturia ; Prevalence* ; Prostate ; Prostatic Hyperplasia* ; Quality of Life ; Rivers

In rare cases, early gastric cancer resembles the endoscopic features of a submucosal tumor (SMT). A correct histological diagnosis is difficult with repeated biopsy specimens because they are covered with normal mucosa. Some features known to suggest malignant SMT include a size greater than 3 to 5 cm, a rapid growth rate, echoheterogeneity and irregular margins on endoscopic ultrasonography (EUS). Various techniques including US-guided biopsy, partial removal by an endoscopic snare excision, as well as EUS with a fine needle aspiration were used to enhance the diagnostic accuracy. We recently experienced a case of early gastric cancer, presenting as a submucosal tumor-like lesion, which was confirmed by endoscopic mucosal resection. We report this case with a review of the relevant literature.
Adenocarcinoma* ; Biopsy ; Biopsy, Fine-Needle ; Diagnosis ; Endosonography ; Mucous Membrane ; SNARE Proteins ; Stomach Neoplasms