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Gastric Stump Cancer (잔위암)

  • Oh Young Seok;Kim Young Sik;Sin Yeon Myung;Lee Sang Ho;Moon Yeon Chang;Choi Kyung Hyun;Chung Bong Churl
    • Journal of Gastric Cancer
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    • v.1 no.3
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    • pp.144-149
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    • 2001
  • Purpose: Gastric stump cancer is defined as a cancer that develops in the stomach after a resection in cases of non-malignant or malignant gastric disease. The interval between the gastrectomy and the detection of gastric stump cancer must be over 5 years. Since duodenogastric reflux gastritis is a precancerous condition and one of the most important factors inducing gastric stump cancer, we compared the bile-acid content of gastric juice between gastric stump cancer patients and controls. Materials and Methods: To evaluate retrospectively the surgical treatment of patients with gastric stump cancer, we reviewed the cases histories of 1016 stomach cancer patients who had been operated on at the Department of General Surgery, Kosin University Gospel Hospital, between 1995 and 1998. The gastric juice was collected during the operations on the gastric stump cancer patients by using a needle puncture of the fundus of the stomach and during the endoscopic examinations of the control subjects. The samples were analyzed for various bile acids (gas chromatography/mass spectrometry). Results: The 6 gastric stump cancer cases accounted for $0.6\%$ of all gastric cancer patients; 5 patients were first operated on for a peptic ulcer and the remaining one for an adenocarcinoma of the stomach. All of the cases were men. The reconstruction method after the initial gastrectomy was a Billroth II in all cases. The sites of the gastric stump cancer were the anastomotic sitein 2 patients, the upper body in 2, the fundus in 1 and the cardia in 1. The operative methods were 3 total gastrectomies, 2 subtotal gastrectomies with Roux en Y anastomosis, and 1 partial gastrectomy with lymph node dissection and had a curative intention in all patients. All of the patients were still surviving at the time of this report. The gastric juices of 4 gastric stump patients showed significantly higher contents of cholic acid ($36.42{\mu}g/ml$) compared to the gastric juices of 35 control subjects ($36.42{\mu}g/ml$)(p$\leq0.0001$). Chenodeoxycholic acid and lithocholic acid were not significantly different. Conclusion: The gastric juice of gastric stump cancer patients contained a significantly higher cholic acid content. At the time of the initial gastrectomy, an operative method that prevents duodenogastric reflux may prevent or minimize the development of gastric stump cancer, and more aggressive surgical treatment may improve survival.

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Early Osteological Development and Squamation in the Spotted Sea Bass Lateolabrax maculates (Pisces: Lateolabracidae) (한국산 점농어(Lateolabrax maculatus) 자치어의 골격발달과 비늘형성)

  • Kang, Chung-Bae;Myoung, Jung-Goo;Kim, Yong-Uk;Kim, Hyong-Chol
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.45 no.3
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    • pp.271-282
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    • 2012
  • Early osteological development of the skull, vertebral column, and fins, and squamation in the spotted sea bass, Lateolabrax maculates, were studied under extensive larval rearing conditions. The first ossification during cephalic skeleton development began with the premaxillary, dentary, and parasphenoid at 6.4 mm Total length (Notochord length 6.1 mm) and was completed by 25.2 mm TL (Standard length 20.3 mm). Ossification of the cartilaginous caudal complex started simultaneously in the urostyle and two preural centra at 12.2 mm TL (10.4 mm) and it was completely ossified by 32.0 mm TL (26.4 mm). The principal caudal fin rays, with a count of 9/8, began to ossify at 11.6 mm TL (10.2 mm) and the procurrent caudal fin rays, with counts of 4 (upper) and 3 (lower), started to ossify by 12.6 mm TL (10.9 mm). Ossification of these parts was completed by 21.4 mm TL (17.5 mm). Ossification of the vertebral column was first observed in the first to fourth centra at 8.3 mm TL (7.5 mm) and was fully completed by 21.7-35.0 mm TL (17.8-29.3 mm). The pectoral girdle started to ossify by 5.6 mm TL (5.4 mm) and was completed by 26.8 mm TL (21.8 mm). Eight pectoral fin rays were ossified at 11.6 mm TL (10.2 mm) and 16-18 rays were fully ossified by 13.8 mm TL (12.0 mm). Also, the dorsal, anal, and pelvic fin rays started to ossify at 12.2 mm TL (10.4 mm) and were completed by 12.8 mm TL (11.2 mm), 23.8 mm TL (19.4 mm), and 13.8 mm TL (12.0 mm), respectively. Ossification of the anal and dorsal pterygiophores initially occurred by 12.6 mm TL (10.9 mm) and 14.3 mm TL (12.2 mm), and was completed by 21.4 mm TL (17.5 mm) and 19.3 mm TL (15.9 mm), respectively. Squamation started at three centers of differentiation: the middle region of the trunk, the anterior of the caudal peduncle, and on the caudal peduncle at 23.8 mm TL (19.4 mm). The body was covered with scales, except the snout, at 57.2-60.2 mm TL (SL 47.1-49.2 mm).

A Study on the Variations of the Trunk Temperature and the Clinical Test for the Diabetics by the Artemisia Extract Moxibustion Method (약쑥엑스제 쑥뜸방식에 의한 체간 온도 변화와 당뇨병 임상에 관한 연구)

  • Yoon Dong-Eop;Jo Bong-Kwan;Bae Jong-Il;Gu Ja-Sung;Kim Jong-Won;Lee Hyun-Min;Jo Hoon-Seuk;Shin Woo-Jin;Seu Sang-Ho;Park Dong-Il;Hong Sang-Hoon
    • The Journal of Korean Medicine
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    • v.27 no.1 s.65
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    • pp.165-183
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    • 2006
  • Objectives : We implemented the Artemisia Extract Moxibustion Method and had the clinical tests for the diabetes with it. Methods : We implemented Artemisia extract made by extracting the vasodilator and antioxidant compounds from Artemisia-CH2C12 fraction and the moxibustion method constructed with DC Power supply, controller, Artemisia pad. single and multiple heating terminal with PTC(Positive Temperature Coefficient) thermistor. And we performed to estimate the efficiency on the questionnaire and the clinical tests with 23 cases of the diabetics. Results : We have estimated the improvement over 60% the symptoms that were the upper and lower limbs pain, frequent urination, spontaneous perspiration, thirst, decrease of body weight, and malaise after the moxibustion treatment on 5 cases among 23 cases. And the 19 cases took the biochemical check-up after the moxibustion treatment. From the results of biochemical check-up, the average HbAlc of before treatment was 8.400%, and after treatment 7.632%. The average HbAlc was decreased significantly after treatment (P<0.001). And the average urinary blood of before treatment was 0.73 and after treatment 0.27. The average urinary blood was decreased significantly after treatment (P<0.001). In addition the average FBS before treatment was 182.64 mg/dl, after treatment 161.77 mg/dl. Conclusions : We could estimate that our proposed moxibustion method was a significant treatment method for the diabetes.

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Correlations of Abnormal Involuntary Movements with Blood Glucose, Lipid Levels in Chronic Schizophrenics (만성정신분열병 환자들에서 비정상적 불수의 운동과 혈당, 지질과의 상관관계)

  • Kim, Hyeong-Seob;Kim, Eung-Jo;Lee, Joo-Ho;Ji, Seong-Hak
    • Korean Journal of Biological Psychiatry
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    • v.11 no.2
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    • pp.117-126
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    • 2004
  • Objects:It has been reported that the incidence of tardive dyskinesia(TD), the remarkable abnormal involuntary movement, was higher in the schizophrenics with high blood sugar levels and that TD had been improved by small amount of insulin-injection for 90 days. And also it was generally known that the blood lipids were higher in the schizophrenics with tardive dyskinesia. Thus, we tried to replicate the correlations of abnormal involuntary movements with blood sugar levels and blood lipids in chronic schizophrenics treated with antipsychotics. Methods:Thirty-eight male schizophrenic inpatients who were stable in clinical state with medications, were included. The patients who had been already diagnosed as diabetes mellitus(DM), organic brain disorder, substance- related disorder, physical illness were excluded and also we excluded female patients to remove the hormonal effect on TD. Eleven patients who ranked higher(above five) in the Abnormal Involuntary Movement Scale(AIMS) were assigned into 2 groups, a dibenese group and a placebo group. Diabinese or placebos were administrated for 3 weeks with antipsychotics and AIMS was rechecked. Results:There were no correlations between the total AIMS scores and blood sugar and lipids levels in all subjects. The means of total and subscale scores(objective, face, and extremity) of AIMS did not reveal statistical significances between diabinese and placebo groups. However(total, jaw, face, upper arm, and objective feeling), were statistically higher in the diabinese group than those in the placebo group. And correlations of total cholesterol(TC) with fast blood sugar(FBS), weight with body mass index(BMI) and waist, total glycerol (TG) with BMI were statistically significant. Conclusion:In this study, there were statistical significances in the changes in ratings of AIMS scores between the diabinese group and the placebo group. Application of oral hypoglycemic agent might be a way of improving abnormal involuntary movements in schizophrenics with abnormal involuntary movements or TD. Althogugh it was not certain that there were correlations of abnormal involuntary movement with blood sugar and lipids, correlations of TC/TG with AIMS, of FBS with AIMS cautiously suggest that the regular check of $HbA_1C$, waist, and weight are recommended for schizophrenics.

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A Study on the Correlation Lee Jae Ma's Four Types of Essential Physical Constitution and From index - Concerning Male and Female 3rd Year High School Student in Some Urban and Rural Areas - (사상체질류형(四象體質類型)과 체격(體格) 및 신체형태지수(身體形態指數)와의 비교연구(比較硏究) - 도시(都市)와 농촌(農村)의 일부지역(一部地域) 남녀고등학교(男女高等學校) 3학년(學年) 학생(學生)을 대상(對象)으로 -)

  • Lee, Moon-Ho;Hong, Sun-Yong
    • Journal of Sasang Constitutional Medicine
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    • v.2 no.1
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    • pp.71-85
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    • 1990
  • 673 third-year students of boy's and girl's high schools in Taegu city and Kuni-gun and Youngyang-gun and Euisung-gun in Kyongbuk province were selected and investigated as the subject, of this study on the correlation between Lee Jae Ma's Four Types of Essential Physical Constitution and Physical Form index. The result of the study was found as follows. First, as for Height, the findings were not identical with the expression that "person of shaoyin(minor Yin) Type are short and small -- while person of Taiyin (major Yin) Type are tall and big," cited in classification of four different constitutions in a document named "Dong-Eu-Su-Se-Bo-Won". Comparison of persons of Shaoyang (minor Yang) - Type proved infitness due to the lack of data on Height in documents concerning Lee Jae Ma's four types of essential physical constitution. Second, as for Sitting Height, the correlation was prored between the findings of this study and the expression in the above document describing external physical characteristics of shaoyin-Type persons that "The upper part and' the lower part of the body are well balanced", but in point of Relative Sitting Height, none between the two. Third, as for Chest-Girth and Relative Chest-Girth plus Weight and Relative Weight, the expression that "Persons of Taiyin(major Yin) Type have the largest physique of the lour types of persons in the characteristics of external physical features, and that they also tend to have continental(widechest or large-scaled) character and strong nerve, that they are stoutly-built and fal." proved to have the correlation with the findings of this study. Fourth, in point of Chest-Girth and Relative Chest-Girth, this study found that its findings have the correlation with the phrase that "Chests are well developed upwar -- and sturdy and solid." in describing the characteristics of Shaoyang (minor Yang)-Type person' external physical features, and that with the phrase that "Chests are narrow" in the case of Shaoyin(minor Yin)-Type persons. Fifth, as for Weight and Relative Weight, the correlation was found between the findings and the expression that "shaoyin-Type persons have comparatively less flesh" as a sign of external physical characteristics of Shaoyin-Type persons. The above-cited findings proved that there exist some correlations between external physique of the Lee Jae Ma's four types of essential constitution and physical Form Indexes. Actually, however, in clinical classification, it is desirable that this approach should be consulted only after carefull consideration based on Lee Jae Ma's theory, and it seems imperative to continue the study of objectivization of Lee's theory.

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An Analysis of 2007 Summer Women's Street Fashion in Dalian, China (2007년 여름 중국(中國) 대련(大連)시 여성 스트리트 패션 분석)

  • Bae, Soo-Jeong;Baek, Jeong-Hyun;Choi, Yoon-Kyu;Yoo, Wha-Jung
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.11
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    • pp.1692-1703
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    • 2008
  • On 2008, China comes to be an era of opening the market for 30 years, being both the 4th economically biggest country and 2nd ranked clothing export country in the world. China plays a huge consuming market for the world, along with the competition arena for the numerous world fashion brands while more than 100 kinds of Korean fashion ones being launched into the China. By applying the analysis and investigation of preferred street style. in local area to the development of fashion items and design, the synergistic effect of university and industrial corporation might also be expected. This study aims to provide the basic resources for the development of fashion design on behalf of the Korean fashion brands launched into China and moreover to anticipate the requirement on the part of Chinese consumers by way of understanding the preferred fashion styles, through analysis and investigation of the street fashion in Dalian, northeastern area of China. Conclusively, in terms of clothing style, 80.5% of casual style and 19.5% of formal style were notified. The jean casual, and easy casual being dominant in the former, feminine style in the later. In view of the high frequency of T-shirt, sleeveless on the top, full-length pants and 7/9 length pants on the bottom. The simple and cool style seems to be favored, making them easy through the hot summer. The upper clothes exposed in body part of back, chest and shoulder, were frequently shown. In light of colours. white, black, red were preferred on top, blue and black were preferred on bottom. To deal with accessories, the shoulder bag mostly preferred among bags, the sandal, slippers, snickers in sequential order among shoes, the hair pins and rubber band(tied or, held up style), in hair accessories. Other items of hat, belt, and sunglasses, which could give a point to the summer style, were identified low frequency.

Investigation of Subsurface Structure of Cheju Island by Gravity and Magnetic Methods (중력 및 자력 탐사에 의한 제주도 지질구조 연구)

  • Kwon, Byung-Doo;Lee, Heui-Soon;Jung, Gwi-Geum;Chung, Seung-Whan
    • Economic and Environmental Geology
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    • v.28 no.4
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    • pp.395-404
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    • 1995
  • The geologic structure of the Cheju volcanic island has been investigated by analyzing the gravity and magnetic data. Bouguer gravity map shows apparent circular low anomalies at the central volacanic edifice, and the maximum difference of the anomaly values on the island appears to be 30 mgal. The subsurface structure of the island is modeled by three-dimensional depth inversion of gravity data by assuming the model consists of a stacked grid of rectangular prisms of volcanic rocks bounded below by basement rocks. The gravity modeling reveals that the interface between upper volvanic rocks and underlying basement warps downward under Mt. Halla with the maximum depth of 5 km. Magnetic data involve aeromagnetic and surface magnetic survey data. Both magnetic anomaly maps show characteristic features which resemble the typical pattern of total magnetic anomalies caused by a magnetic body magnetized in the direction of the geomagnetic field in the middle latitude region, though details of two maps are somewhat different. The reduced-to-pole magnetic anomaly maps reveal that main magnetic sources in the island are rift zones and the Halla volcanic edifice. The apparent magnetic boundaries inferred by the method of Cordell and Grauch (1985) are relatively well matched with known geologic boundaries such as that of Pyosunri basalt and Sihungri basalt which form the latest erupted masses. Inversion of aeromagnetic data was conducted with two variables: depth and susceptibility. The inversion results show high susceptibility bodies in rift zones along the long axis of the island, and at the central volcano. Depths to the basement are 1.5~3 km under the major axis, 1~1.5 km under the lava plateau and culminates at about 5 km under Mt. Halla. The prominent anomalies showing N-S trending appear in the eastern part of both gravity and magnetic maps. It is speculated that this trend may be associated with an undefined fault developed across the rift zones.

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The Shape and the Location of Forehead Hairline of Korean Males in Their 20s & 30s (20, 30대 한국 남성의 전두부 모발선의 모양과 위치)

  • Yoon, Sung-Won;Kim, Chung-Hun
    • Archives of Plastic Surgery
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    • v.38 no.3
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    • pp.295-299
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    • 2011
  • Purpose: It is generally believed that alopecia is caused by various factors such as scars, stress, genetical factors, androgens, etc. Androgenic alopecia is one of the most common cause of alopecia and found mainly in males. Propecia (Merck & Co., USA) and Minoxidil (McNEIL-PPC, Inc, USA) were the drugs approved from FDA for treatment of androgenic alopecia. Surgical treatments such as flap, tissue expansion, scalp reduction and hair transplantation can be considered if necessary. Hair micrograft techniques were developed for natural hair shapes and minimal adverse effect. There were attempts to measure the length of the forehead of the Korean young adults. However attempts to classify the shape and location of forehead hairline were rare. This study attempted to find out standard hairlines of young adults in their 20s & 30s and the result would be the guideline of the hairline in hair replacement surgery of male patients in their 40s & 50s. Methods: 200 male adults in 20s and 30s were photographed and measured the length of 11 vertical index lines to determine hairline. The indexes are the distances from hairline to intercanthal midpoint (A), to medial canthus (B), to upper eyelid fissure (C), to lower eyelid fissure (D), to lateral canthus (E) and distance from lateral highest point to medial lowest point, if the hairline is M-shape (F). Additionally, we classified the hairlines into 4 groups, M, horizontal, inverted U and irregular shapes. Results: The most common hairline of male adults in their 20s is inverted U-shape (53.3%), followed by horizontal-shape, M-shape, irregular-shape. In their 30s, inverted U-shape (59%) is followed by irregular-shape, M-shape, horizontal-shape. The M-shape is more frequently found in males in 30s than those in 20s. The mean values of the indexes in their 20s are as follows: A (76.14 mm), B (Rt: 75.78 mm, Lt:76.41 mm), C (Rt: 69.43 mm, Lt: 69.92 mm), D (Rt: 76.92 mm, Lt:77.46 mm), E (Rt: 64.16 mm, Lt: 64.73 mm), F (4.09 mm). Those in their 30s are as follows: A (76.13 mm), B (Rt: 76.114 mm, Lt: 76.02 mm), C (Rt: 69.87 mm, Lt: 70.37 mm), D (Rt: 77.37 mm, Lt: 77.58 mm), E (Rt: 69.63 mm, Lt: 69.85 mm), F (6.14 mm). Conclusion: The knowledge about human body measurement is indispensable to plastic surgeons. In this study, inverted U shape is the most common type of hairline in 30s, and similar distribution is found in 20s. The percentage of M shape in their 30s is elevated more than 10% compared to that in their 20s. The study of hairline shapes and 11 indexes of hairlines can be useful for planning of the hair transplantation and postoperative evaluation. This study being based on photogrammetry, there may be differences between actual distance of curved face and projected distance on flat photographs.

The Study on The ischemic heart disease Explained In Nei-jing(內經) (내경(${\ll}$內經(${\gg}$)에 나타난 허혈성 심질환에 대한 연구)

  • Hong, Tian-Biao;Lee, Won-Chul
    • The Journal of Internal Korean Medicine
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    • v.19 no.1
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    • pp.144-156
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    • 1998
  • This study has been carried out to investigate the cause, pathological mechanism and treatment of symptoms regarded as the ischemic heart disease in Nei-jing(內經). I've got the following conclusions. 1. From the side of xing-bi(胸痺), the ischemic heart disease(IHD) was caused by that the energy in one's heart wasn't extended in the way of Yin-xie(飮邪), namely waste matter of human body and symptoms and treatment wern't written. 2. From the side of xin-bi (心痺), HID was catched by the mechanisms that the blood vessel is blocked. or the heart's blood was deficient owing to the mutation of mo-bi(脈痺), the lack of yang-ming(陽明) and excessive thoughts and worry and others. The symptoms were feeling oppressed in one's brest, palpitating, sudden dyspnea, the dryness of thorat, frequent belching and the fear by the inverse flow of the energy(氣). The treatment was that the yin(陰) was cured immediately, but the yang(陽) mustn't be attacked. 3. From the side of xing-tong(心痛), IHD was suffered from by mechanisms that following the han-sa(寒邪), namely the cold makes a invasion on humanbody, the vessel was blocked, spasm, filled and the amount of blood flow was poor, or caused by injury of vessel, the inverse flow and the disease of shi-dong(是動病) of shou-shao-xin-jing(手少陰心經) and so on. The pain was cramped into the upper and lower back or lower abdomen or throat and accompanied with nausea, abdominal dropsy, constipation, the impending of breathing and so on. The cure was mainly that acupuncture was applied at the jin-su(筋縮) region or meridian in relation to symptoms, but if the pain were severe, acupuncture mustn't be applied. The prog nosis was worse. 4. From the side of xing-tonge(心痛), IHD was divided into zhen-xing-tong(眞心痛) and jue-xing-tong(厥心痛), but pi-xiog-tong(脾心痛) and wei-xing-tong(胃心痛) out of jue-xing-tong(厥心痛) also included the symptoms of the digestive disease.

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The Effect of Home Care Nursing Intervention in Gynecologic Cancer Patients with Combination Chemotherapy (부인암 환자의 복합항암화학요법 후 가정간호중재 효과)

  • Hwang, Moon-Sook;Song, Hyun-Joo;Chun, Na-Mi;Noh, Gie-Ok
    • Journal of Home Health Care Nursing
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    • v.14 no.1
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    • pp.31-41
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    • 2007
  • Purpose: This study was designed to evaluate the effect of home care nursing intervention with parenteral hydration and IV anti-emetic therapy on distress, nutritional status, anxiety, depression and QOL in gynecologic cancer patients who were undergoing combination chemotherapy. Methods: Quasi-experimental design was used to test the intervention. Changes of result variables were measured to evaluate effects of the intervention. variables consisted of serum lab results(auto analytic equipment for lab), symptom distress Scale(McCorkle & Young, 1978; Song et al., 2000), nutritional status(body weight, circumference of upper arm, serum protein, serum albumin, oral intake per day), anxiety(Spielberger, 1972; Kim & Shin, 1978), depression(Zung, 1965; Kim, 1995) and QOL(Padilla et al., 1983; Lee & Jo, 1996). Subjects were selected among gynecologic cancer patients(EG 15 patients and CG 15 patients) by convenient sampling. Data collection was done from June to Nov. in 2000. Data were analyzed by Chi-test and Mann-whitney U test using SPSS Win 10.0. Result: Hypothesis 1, the EG receiving this intervention equals to lab test(Hb & ANC, GOT & GPT, BUN & Cr) the CG, was supported(u=69.50 p=.074; u=94.50, p= .455; u= 89.50, p= .339; u=106.50, p= .803; u=75.00, p= .119; u=97.50, p= .523). Hypothesis 2, the EG has less symptom distress than the CG, was also supported(u=43.50, p= .004). Hypothesis 3, the EG has higher nutritional status than the CG, was partially supported on daily oral intake (u=59.00, p= .025). Hypothesis 4, the EG has less anxiety than the CG, was rejected(u=86.50, p= .280). Hypothesis 5, the EG has less depression than the CG, was rejected(u=203.50, p= .228). and the last hypothesis 6, the EG has higher QOL than the CG was supported (u=51.50, p= .011). Conclusion: Home care nursing intervention undergone in this study was found to be effective to reduce patients' symptom distress and to improve their oral intake and QOL.

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