No abstract available.
Child* ; Heart Diseases* ; Heart* ; Humans ; Mass Screening*

PURPOSE: This study was conducted to examine the effect of an individualized educational program by multidisciplinary staffs on the need for caring among patients with radiotherapy. METHODS: A quasi experimental study with one group was designed to examine the effect. A total of 48 adult patients were recruited from a university hospital in G-city, Korea from July, 2006 to June, 2007. The level of patients' need for caring during radiotherapy was assessed at the pre- and post-education by a trained research assistant. The level of patients' need for caring on radiotherapy was measured with a 20-item questionnaire. RESULTS: Paired t-test showed that the level of patients' need was reduced at the post-test compared to pre-test (t=3.40, p=0.002). The level of need was higher among the older than 65 yr (F=4.82, p=0.034), and patients who had education years less than 10 yr (F=4.40, p=0.042) and not a spouse (F=5.97, p=0.019) at the pre-test, while there were no difference according to participants' characteristics at the post-test. CONCLUSIONS: This multidisciplinary and individualized education program was effective on reducing the level of need for caring during radiotherapy. Therefore, for long-term self-management, further educational strategies based on patients' needs through multidisciplinary teamwork need to be developed and applied.
Adult ; Humans ; Korea ; Patient Education as Topic ; Surveys and Questionnaires ; Self Care ; Spouses

No abstract available.
Lipodystrophy*

Deep palmoplantar warts (Myrmecia) are frequently tender papules or plaques caused by HPV-1. Myrmecia are usually misdiagnosed as paronychia or digital mucous cysts. They occur not only on the palms and soles but also on the lateral aspects and tips of the fingers and toes. We report a rare case of deep palmoplantar wart occurring on proximal nail fold, unusual site of right 5th finger in an 11-year-old girl.
Child ; Female ; Fingers ; Humans ; Paronychia ; Toes ; Warts*

No abstract available.
Carcinoma, Non-Small-Cell Lung* ; Fingers*

PURPOSE: This descriptive study was conducted to identify the effects of hospital organizational culture and work environment on nurses' intent to stay at work. METHODS: Participants of this study were 234 nurses who have worked at a local general hospital in the Chungcheong province for at least 6 months. The data were collected from July 17 to 28, 2017, using self-reported questionnaires and analyzed with multiple regression using SPSS version 22.0. RESULTS: Clinical experience (β=.38, p<.001), institutional support (β=.33, p<.001), and relation-oriented culture (β=.24, p<.001) affected intent to stay at work among nurses. These variables accounted for 34.8% of the variance in intent to stay at work among nurses. CONCLUSION: This study confirms the effects of the work environment and organizational culture on nurses' intent to stay at work. Efforts for improving the work environment and organizational culture need for retaining nurses in a hospital. We suggest further research to identify the other factors associated with intent to stay at work among nurses.
Hospitals, General ; Intention ; Organizational Culture

No abstract available.
Hematoma, Subdural, Chronic

Purpose: Breastfeeding is the optimal method for feeding a newborn. But insufficient breast milk is the major reason why mothers give up breastfeeding. Herbal galactagogues have been used increasingly to treat postpartum hypogalactia. This study examined the effect of an herbal tea containing Chrysanthemum indicum, as the main ingredient, on milk production in lactating rats. Methods: The herbal tea contained C. indicum (27%), Foeniculum vulgare Mill (21%), Pimpinella anisum (18.2%), Carum carvi (16.1%), Urtica dioica (14.7%), and Gardenia jasminoides (3%). Sixteen lactating Sprague-Dawley (SD) rats were divided randomly into 2 groups, the normal control group (NC; n = 8), and the galactagogue herbal tea group (GHT; n = 8) for 7 days. Lactating rats were administered the decoction of an herbal galactagogue mixture by oral gavage or the same amount of distilled water and milk production was assessed by measuring the pups' weights during the suckling period. The blood concentrations of prolactin, cortisol, oxytocin levels and mammary gland tissues were examined to assess the effects of the galactagogue. Results: Milk production was 9.2% higher in the GHT group given the herbal tea than in the NC group and the difference was statistically significant. The cortisol level in the GHT group was 17.2% higher than the NC group. The herbal tea containing C. indicum increased the size of the alveoli epithelium cells and the mammary lobe. Conclusion The present study revealed the potential of herbal tea containing C. indicum to enhance milk production in postpartum SD rats.

PURPOSE: This study examined the value and indications of repeated MRI in degenerative lumbar diseases under conservative management by comparing the primary MR and repeated MR images with respect to the symptomatic and radiological changes. MATERIALS AND METHODS: Seventy patients with degenerative lumbar disease under conservative management underwent repeat MRI. Five MRI findings, including disc, foramen, facet joint, nerve root, and ligamentum flavum, were used to examine the difference between the initial and repeat MRI. The severity was graded using a four-point scale for each item. The patients were divided into 3 groups in order to compare the radiological changes and symptomatic changes, as follows; Group I no change from the initial symptoms (38 cases), Group II aggravation of the initial pain (18 cases), and Group III aggravation of the initial neurology or the development of a new neurology (14 cases). RESULTS: The mean scores of each item the disc, foramen, facet joint, nerve root and ligamentum flavum increased from 1.76, 1.31-1.79, 1.71, and 1.47, respectively, to 1.90, 1.47, 1.80, 1.79, and 1.53, respectively. Group III showed the greatest proportion of cases with an increasing grading score (78%, 11 cases) only the disc was significant. CONCLUSION: Repeat MRI in degenerative lumbar disease under conservative management was found to be valuable only in cases with aggravated neurological symptoms, and was not relevant in cases with persistent symptoms or aggravated pain alone.
Humans ; Ligamentum Flavum ; Neurology ; Zygapophyseal Joint

Hantaviruses, members of the family Bunyaviridae, are causative agents of hemorrhagic fever with renal syndrome (HFRS) and hantavirus pulmonary syndrome (HPS). Hantaan (HTN) virus, the etiologic agent of clinically severe HFRS in Far East Asia, Russia and the Balkans, was first isolated in 1976 from lung tissues of striped-field mice (Apodemus agrarius) captured in Songnae-ri, Kyungki-do, Korea. Mitochondrial DNA (mtDNA) in vertebrates evolve very rapidly, and hence it can provide a high resolution for distinguishing between closely related organism and species. To clarify the phylogenetic relationship of HTN viruses with their natural rodent host, a part of M segment of HTN virus and 424-nucleotide region of cytochrome b gene of mtDNA were amplified and sequenced from tissues of striped-field mice by reverse transcription-polymerase chain reaction (RT-PCR) and PCR, respectively. A 324-nucleotide region of G2 glycoprotein-encoding M segment of HTN virus was amplified from lung tissues of A. agrarius mice, revealed 84-86% sequence similarity with Apodemus-borne HTN virus strains from China. The co-speciation of Apodemus-borne hantaviruses with its natural reservoir rodents, A. agrarius and A. flavicollis, be found. A. agrarius rodent population from South Korea had almost same genetic background irrespective of their geographic origin. HTN virus strains from South Korea shared a common ancestry and were evolutionarily distinct from HTN viruses kom China. We have found no evidence for the presence of phylogenetic relationship of A. agrarius-borne Korean HTN virus strains with the genetic diversity of their rodent host captured in Korea based on cytochrome b gene of mtDNA.
Animals ; Asia ; Balkan Peninsula ; Bunyaviridae ; China ; Cytochromes b ; DNA, Mitochondrial* ; Far East ; Genetic Variation ; Gyeonggi-do ; Hantaan virus* ; Hantavirus ; Hantavirus Pulmonary Syndrome ; Hemorrhagic Fever with Renal Syndrome ; Humans ; Korea ; Lung ; Mice* ; Murinae* ; Polymerase Chain Reaction ; Rodentia* ; Russia ; Vertebrates