This retrospective descriptive study was conducted to survey the needlestick injuries(NSI) in nurses and doctors. Thc subjccts of this study wcrc 351 nurscs and 199 doctors of four teaching hospitals. Pusan. The data was gathered from March, 18 to April 9. 1988 and analyzed though SPSSWIN progra n for frequency, percentile and X2-test. According to the results of the study, 85.5% of subjects had experienced NSI (94.4% of the nurses and 73.9% of the doctors). The ratio of the experience of NSI in nurses was significantly higher than that of doctors(X2=53.54, P=.00). Most needle-stick injuries occured during the administration of intravenous injection(36.7%) in nurses, on the other hand percutaneous venipuncture for blood sampling(35.3%), suturing(27.2%) in doctors. The most ccmmon situation of these NSI was recapping contaminated needles after treatment. Only 12.0% of nurses and 38.6% of doctors reported wearing gloves when the NSI happened. 26.1% of subjects reported that they could not identify the source patient after MI. The major reason of NSI were preeeived to be carelessness%1.4%). Of these NSI, 54.6% occured in :usy or emergency situations. Among the management for NSI, exam(8.6%), mefication(9.8%) and counseling(11.7%) and reporting(2,6%. is lower than bleeding(80.3%) from the wound, deaning( 63.3%), disinfection(91.3%) and reviewing the clinical records of the patients (82.3%). In conclusion, nurses and doctors are at a high-risk of needlestick injuries but substantially they are not good at preventing and managing NSI. So efforts to reduce NSI should be directed not only at improving procedural skills for intravenous catheter insertions, but also in increasing use of barrier protection such as gloves, and so on. Also immunization and educational efforts should be made along with better designs of needles to reduce the risk of NSI. Continuing prevention and training programs for NSI are needed in order to avoid unwanted infection.
Busan ; Catheters ; Dronabinol ; Education ; Emergencies ; Hand ; Hospitals, Teaching ; Humans ; Immunization ; Needles ; Needlestick Injuries* ; Phlebotomy ; Retrospective Studies ; Wounds and Injuries

Conjoined twins occur when there is imcomplete fission of the inner cell mass later at approximately 13 to 15 days after fertilization. The earlist case in the literat.ure appears to be that of the Biddenden Maids who were born in England in 1100. since then over two hundred cases of successful separation were reported on literature. And also successful separation cases were reported by Seung et al.(1991) in Korea. Conjoined twins occur between one in 50,000 to 100,000 births but real incidence is one in 200,000 because two thirds are stillbirth or died immediately after birth. The conjoined twins are not associated with maternal age, race or family history and 70 % of them are females. We experienced a case of conjoined twins with omphalopagus and performed surgical separation. A brief review of related literatures was done.
Animals ; Continental Population Groups ; England ; Female ; Fertilization ; Humans ; Incidence ; Korea ; Maternal Age ; Murine Acquired Immunodeficiency Syndrome ; Parturition ; Stillbirth ; Twins, Conjoined*

No abstract available.
Gestational Age* ; Mortality

No abstract available.
Busan* ; Infection Control*

No abstract available.

No abstract available.
Congenital Hypothyroidism* ; Diagnosis* ; Prognosis*

No abstract available.
Sotos Syndrome*

No abstract available.
Lipodystrophy*

No abstract available.
Erythrocytes*

Neurofibromatosis is a syndrome of multiple neurofibromas, abnormal skin pigmentation and certain bony abnormalities. Sometimes the growth of plexiform neurofibromatosis on the face or trunk is centripetal and usually involves the mediastinum and skull base. However, it is very rare that neurofibromatosis involves the trigeminal ganglion. Its encroachment around the foramina of the skull base may induce facial palsy or conductive hearing loss. The guiding principle in the treatment of generalized neurofibromatosis is a radical excision with preservation of vital structures and an immediate reconstruction of the bony skeleton and soft tissue defect. The authors experienced 4 cases of neurofibromatosis involving the trigeminal ganglion. All had trigeminal symptoms for 3 to 4 years. These were severe headache and intractable trigeminal neuralgia. Tumors in all 4 cases were spread in the centripetal type from extracranial neurofibromatosis. The facial nerve was affected in 4 cases. Malignat Schwannoma occurred in 1 case. Accurate diagnosis and assessments were necessary with CT, MRI art oomputer-aided simulation design. Intraoperative bleeding was minimal with hypotensive anesthesia. Surgical approach to the middle cranial fossa involved temporary removal of the zygomatic arch and TMJ disarticulation with downward traction of the mandible. Satisfactory results have been obtained far 3 to 7 years(mean 5 years) follow-up.
Anesthesia ; Cranial Fossa, Middle ; Diagnosis ; Disarticulation ; Facial Nerve ; Facial Paralysis ; Follow-Up Studies ; Headache ; Hearing Loss, Conductive ; Hemorrhage ; Magnetic Resonance Imaging ; Mandible ; Mediastinum ; Neurilemmoma ; Neurofibromatoses* ; Neurofibromatosis 1 ; Skeleton ; Skin Pigmentation ; Skull Base ; Temporomandibular Joint ; Traction ; Trigeminal Ganglion* ; Trigeminal Neuralgia ; Zygoma