ABSTRACT
Gouty ulcer can be caused by the accumulation of clumps of uric acid in body tissues that lead to acute or chronic inflammation at sites of accumulation. Furthermore, tophi-inhibiting granulation tissue may form a canal that channels microbial infection from the underlying involved joint space, and thus, presents the risk of osteomyelitis development. Accordingly, gouty ulcer must be treated appropriately. In this case, refractory wounds on gouty ulcers at the left shin and left radial ankle were treated by surgical debridement. Negative-pressure wound therapy was used successfully to prevent post-operative delayed wound healing.
Subject(s)
Ankle , Debridement , Gout , Granulation Tissue , Inflammation , Joints , Negative-Pressure Wound Therapy , Osteomyelitis , Ulcer , Uric Acid , Wound Healing , Wounds and InjuriesABSTRACT
BACKGROUND: Considering the importance of human resource management of the long-term care workers, this study is to propose a political and practical intervention approach. The approach is based on the analysis of research on the influe nce of long-term care workers' health awareness on their life satisfaction. METHODS: The participants of this study include 600 long-term care workers working at Nursing homes and Nursing facilities located in Seoul. The data collected from the participants are analyzed with Multi Regression Analysis. RESULTS: The participants of this study include 600 long-term care workers working at Nursing homes and Nursing facilities located in Seoul. The data collected from the participants are analyzed with Multi Regression Analysis. Results: As a result of T-test and analysis of variance, statistically significant parameters to the subjective awareness of health are as follows: marriage, education, religion and work places. And as the minor parameters that influence the rate of life satisfaction the positive relationships between the emotional health (beta=0.178, p<0.01) and the intellectual health (beta=0.281, p<0.001) is statistically significant. CONCLUSION: The results of analysis indicate as follows: there is a positively significant relationship between social demographic characteristics, health awareness and life satisfaction; the higher participation in social activities, more women than men, and the higher income, the higher health awareness. The findings point out the importance of emotional and intellectual health and efforts to promote better health and demand for a societal change in health awareness. This study provides the baseline data for a practical intervention measure and political suggestion by examining how the individual characteristics and health awareness influence life satisfaction of long-term care workers, and by analyzing the effect of the interactions between them.
Subject(s)
Female , Humans , Male , Education , Long-Term Care , Marriage , Nursing , Nursing Homes , Seoul , WorkplaceABSTRACT
The occurrence of acute ischemic stroke in childhood is rare. The etiology of childhood ischemic stroke is different from that of an adult, and coagulation abnormalities are suspected to be related. Protein S is a vitamin-K-dependent plasma protein that inhibits the coagulation system by serving as a cofactor for activated protein C, and the clinical manifestations of its deficiency are virtually identical to those of protein C deficiency. We reported the case of a child who presented with right side weakness and who was diagnosed as having a cerebral infarction associated with protein S deficiency as the cause of stroke.