Vibrio parahaemolyticus is a gram-negative halophilic organism commonly associated with outbreaks of acute gastroenteritis which also sometimes causes serious wound infection. It is an uncommon cause of bacteremia. We have experienced a case of bacteremia due to Vibrio parahaemolyticus in a 59-year old man who initially presented with edema and dyspnea. He was diagnosed as liver cirrhosis, gastric cancer, and hepatoma. On hospital day 13, Vibrio parahaemolyticus was isolated from blood culture. The isolate showed typical cultural and biochemical characteristics such as salt tolerance and did not ferment lactose. The isolate was intermediate to ampicillin but susceptible to other agents.
Ampicillin ; Bacteremia* ; Carcinoma, Hepatocellular ; Disease Outbreaks ; Dyspnea ; Edema ; Gastroenteritis ; Humans ; Lactose ; Liver Cirrhosis ; Middle Aged ; Salt-Tolerance ; Stomach Neoplasms ; Vibrio parahaemolyticus* ; Vibrio* ; Wound Infection

BACKGROUND: Recent data suggest that the colonization rate of group B streptococci(GBS) in pregnant women and the incidence of neonatal infections by GBS is increasing trend in Korea, but the antimicrobial susceptibilities and serotypes in pregnant women have not been reported in Korea. So, we studied to define the antimicrobial susceptibility patterns and frequency of serotypes of GBS in pregnant women. METHODS: The susceptibility and serotyping of 60 GBS isolates from 27 pregnant women and four isolates from their two neonates were tested by an agar dilution method and agglutination test, respectively. The typing sera used in this study were Ia, Ib, II, III, IV, and V. RESULTS: Minimal inhibitory concentration range of 60 GBS from pregnant women were penicillin G 0.015-0.12 microgram/ml, vancomycin 0.5-2 microgram/ml, clindamycin 0.015-4.0 microgram/ml, chloramphenicol 2-4 microgram/ml, erythromycin 0.015-2 microgram/ml, tetracycline 0.5-256 microgram/ml, cephalothin 0.12-0.25 microgram/ml, ceftriaxone 0.03-0.12 microgram/ml, respectively. The resistance rate of GBS were 6.7% to clindamycin, 0% to erythromycin, and 98.3% to tetracycline. Most of GBS serotypes from pregnant women in decreasing order were Ib(48.3%), Ia(24.1%), III(20.7%). CONCLUSION: All GBS strains isolated from pregnant women are highly susceptible to commonly used antimicrobial agents with the exception of tetracycline. The low prevalence of severe neonatal GBS infections in Korea is not due to the absence of serotype III, but probably due to a low genital carriage rate of GBS by pregnant women.
Agar ; Agglutination Tests ; Anti-Infective Agents ; Ceftriaxone ; Cephalothin ; Chloramphenicol ; Clindamycin ; Colon ; Erythromycin ; Female ; Humans ; Incidence ; Infant, Newborn ; Korea ; Penicillin G ; Pregnant Women* ; Prevalence ; Serotyping ; Tetracycline ; Vancomycin

No abstract available.
Female ; Female* ; Humans ; Menarche* ; Menstruation*

Purpose: This descriptive study aimed to determine the mediating effect of self-efficacy on symptom experience and health-related quality of life in patients with chronic obstructive pulmonary disease. Methods: Data were collected between November 7 and November 20, 2023, from patients receiving outpatient treatment at the pulmonology department of a tertiary general hospital in Jeonju City, following a diagnosis of chronic obstructive pulmonary disease. Hayes’s PROCESS macro 3.5 was utilized to verify the significance of the indirect effect of the mediator. Results: Symptom experience had a significant negative effect on self-efficacy (β=-.50, p<.001), with the model explaining 22.2% of the variance. Additionally, symptom experience negatively impacted health-related quality of life (β=-.20, p=.032), while self-efficacy positively influenced health-related quality of life (β=.33, p<.001), with the model explaining 52% of the variance. The indirect effect of symptom experience on health-related quality of life, mediated by self-efficacy, was significant (Indirect effect=-0.17, 95% Boot confidence interval=-0.33~-0.03). Conclusion To improve health-related quality of life in patients with chronic obstructive pulmonary disease, it is essential to assess symptom experience and self-efficacy levels. Developing and implementing nursing strategies that incorporate collaborative self-management to enhance self-efficacy is crucial.

Purpose: This descriptive study aimed to determine the mediating effect of self-efficacy on symptom experience and health-related quality of life in patients with chronic obstructive pulmonary disease. Methods: Data were collected between November 7 and November 20, 2023, from patients receiving outpatient treatment at the pulmonology department of a tertiary general hospital in Jeonju City, following a diagnosis of chronic obstructive pulmonary disease. Hayes’s PROCESS macro 3.5 was utilized to verify the significance of the indirect effect of the mediator. Results: Symptom experience had a significant negative effect on self-efficacy (β=-.50, p<.001), with the model explaining 22.2% of the variance. Additionally, symptom experience negatively impacted health-related quality of life (β=-.20, p=.032), while self-efficacy positively influenced health-related quality of life (β=.33, p<.001), with the model explaining 52% of the variance. The indirect effect of symptom experience on health-related quality of life, mediated by self-efficacy, was significant (Indirect effect=-0.17, 95% Boot confidence interval=-0.33~-0.03). Conclusion To improve health-related quality of life in patients with chronic obstructive pulmonary disease, it is essential to assess symptom experience and self-efficacy levels. Developing and implementing nursing strategies that incorporate collaborative self-management to enhance self-efficacy is crucial.

Purpose: This descriptive study aimed to determine the mediating effect of self-efficacy on symptom experience and health-related quality of life in patients with chronic obstructive pulmonary disease. Methods: Data were collected between November 7 and November 20, 2023, from patients receiving outpatient treatment at the pulmonology department of a tertiary general hospital in Jeonju City, following a diagnosis of chronic obstructive pulmonary disease. Hayes’s PROCESS macro 3.5 was utilized to verify the significance of the indirect effect of the mediator. Results: Symptom experience had a significant negative effect on self-efficacy (β=-.50, p<.001), with the model explaining 22.2% of the variance. Additionally, symptom experience negatively impacted health-related quality of life (β=-.20, p=.032), while self-efficacy positively influenced health-related quality of life (β=.33, p<.001), with the model explaining 52% of the variance. The indirect effect of symptom experience on health-related quality of life, mediated by self-efficacy, was significant (Indirect effect=-0.17, 95% Boot confidence interval=-0.33~-0.03). Conclusion To improve health-related quality of life in patients with chronic obstructive pulmonary disease, it is essential to assess symptom experience and self-efficacy levels. Developing and implementing nursing strategies that incorporate collaborative self-management to enhance self-efficacy is crucial.

BACKGROUND: Group B streptococci (GBS) are the most common cause of sepsis and meningitis in newborns in the United States and Europe, and maternal colonization rate of GBS is the most important factor of group B streptococcal neonatal infections. But, in Korea, studies on the maternal colonization rate of GBS are rare due to low incidence of neonatal group B streptococcal infections, particularly, data on colonization rate of GBS during first trimester is nearly absent. The aim of this study was to establish the rates of maternal carriage of GBS and the distribution of GBS serotypes in first trimester of pregnancy. METHODS: During the period of June to December 1997, we studied women attending private clinic. A total of 309 women in first trimester were enrolled in the study. Cotton swab specimens from vagina and cervix were placed to new Granada tube medium. The new Granada tube medium with specimen swab was incubated in 5% CO2 atmosphere at 35degreesC. For the identification of GBS, the colonies showing orange color on new Granada tube medium were tested with Streptex group B Streptococcus reagent (Wellcome Diagnostics, UK). Serotyping was done by Hemolytic Streptococcus Group B Typing Sera (Denka Seiken, Japan). The typing sera used in this study were Ia, Ib, II, III, IV, and V. RESULTS: Of the pregnant women in first trimester, 2.3% (7/309) were colonized with GBS, and all seven women who colonized GBS were positive in vagina and cervix at the same time. Frequency of serotype III and Ib were 71.4% (5/7) and 29.6% (2/7), respectively. Serotypes Ia, II, VI, and V were absent. CONCLUSIONS: Maternal carriage rate of GBS in first trimester of pregnancy was 2.3%, and serotype III was the most common serotype. Serotypes Ia, II, VI, and V were absent.
Atmosphere ; Cervix Uteri ; Citrus sinensis ; Colon* ; Europe ; Female ; Humans ; Incidence ; Infant, Newborn ; Korea ; Meningitis ; Pregnancy ; Pregnancy Trimester, First* ; Pregnancy* ; Pregnant Women ; Sepsis ; Serotyping ; Streptococcal Infections ; Streptococcus ; Streptococcus agalactiae ; United States ; Vagina

The purpose of this study was to evaluate students' satisfaction with foodservice of middle school by region in Gangwon province. Students' satisfaction concerning foodservice quality characteristics was surveyed by using importance performance analysis(IPA) technique in middle school foodsevice operations. Middle school students from four cities(Gangnung, Sokcho, Wonju, Chuncheon) were surveyed by self-developed questionnaire. Total of 1,025 questionnaires(female 521 and male 504 respectively) were analyzed using SAS program. The results of this study are summarized as follows: 1.The performance level of foodservice quality attributes was significantly different according to region. 2.The attribute of the highest performance level was taste of food. The attributes of the lower performance level were waiting time of meal service and treatment about complaints. The attributes of the higher importance level were hygiene of food and dining room and hygiene of spoon and cup and drinking water table. 3.Satisfied quality attributes identified were taste of food and variety of menu. Dissatisfied quality attribute identified was treatment about complaints. 4.The satisfaction of middle school lunch service was lower than their elementary school period. 5.The satisfied quality attributes of middle school foodservice were portion size, facility of dining room, hygiene of food, variety of menu compared with their elementary school period.
Drinking Water ; Gangwon-do* ; Humans ; Hygiene ; Lunch ; Male ; Meals ; Portion Size ; Surveys and Questionnaires

Spindle cell hemangioendothelioma was first described in 1986 by Weiss and Enzinger as a low grade angiosarcoma resr mbling a cavernous hemangioma and kaposis sarcoma. Recently, it is suggested to be non neoplastic lesion or reactive process arising from pre-existing vascular mal- formation. We report a case of spindle cell hemangioendothelioma in a 9-month-old boy. He had multiple, variable sized, colorful, cutaneous or subcutaneous nodules on the forearm and hand. The tumor first appeared on the forearm as erythematous patches at birth and grew rapidly with- in 3 months. Histopatholgical findings showed that the lesion was composed of thin walled cavernous spaces mixed with spindle cells and occasional epithelioid endothelial cells containing intracytoplasmic vacuole. Most af the endothelial cells lining the cavernous spaces and intracytoplasmic lumina, were positive for factor VIII associated antigen. But the spindle cells were negative. Atypical vascular structures resembling arteriovenous shunts were noted around the tumor suggesting a reactive proliferation due to disturbance of local blood flow. Several turnors were excised. No recurrence has been recognized in the one year- follow-up period.
Endothelial Cells ; Factor VIII ; Follow-Up Studies ; Forearm ; Hand ; Hemangioendothelioma* ; Hemangioma, Cavernous ; Hemangiosarcoma ; Humans ; Infant ; Male ; Parturition ; Recurrence ; Sarcoma, Kaposi ; Vacuoles

BACKGROUND: The inhalational anesthesia is performed by the administration of inhalational agents and fresh gases. Low and high flows have their own advantages and disadvantages. In Korea, many anesthesiologists use more than 2 L/min of fresh gas flow (FGF). This study was performed to analyze the practice and knowledge of FGF use by Korean Anesthesiologists. METHODS: A questionaire was sent to 122 anesthesiologists (15 university hospitals and 16 general hospitals) who attended the 47th Annual Autumn Meeting of the Korean Society of Anesthesiology in 2002. The questionaire covered topics dealing with inhalational agents, FGF, and safety systems for inhalational anesthesia practice. RESULTS: The most preferred inhalational anesthetic was sevoflurane (65.6%). 88.5% of respondents used more than 2 L/min of FGF. The majority of the respondents, however, did not consider the reasons for using certain levels of FGF. Only 27% of hospitals had pulse oximetry, capnogram or muti-gas analysis, fail-safe device, and a scavenging system. CONCLUSIONS: Many anesthesiologists, especially trainees, failed to consider the use of FGF during inhalational anesthesia. Therefore, special consideration should be given to the training and education of trainees about the proper of FGF.
Anesthesia ; Anesthesiology ; Surveys and Questionnaires ; Education ; Gases ; Hospitals, University ; Korea ; Oximetry