The Association of Social Support and Quality of Life of Stroke Patients in a City / 農村醫學 地域保健

OBJECTIVES: The aim of this study was to investigate the association of social support and quality of life of stroke patients. METHODS: Stroke patients were interviewed by a direct contact survey among 160 person. A structured questionnaire was configured about demographic features, social support and health related quality of life (SF12). Data were collected from July to August 2009. RESULTS: Among social support, satisfaction of dependable when you need help is the highest score (5.3) and console you when you are very upset is the lowest (4.0). Vitality among health related quality of life (HRQOL) is the higest score (55.9) and general health score is the the lowest (17.4). Physical component score (PCS) is lower than mental component. The results of multiple regression analysis about the factors affecting the PCS and MCS score, disability grade and feel better variable gave effect HRQOL. CONCLUSIONS: For improvement of HRQOL, among stroke patients, community social support, specially, when patients feeling generally down-in-the dumps, the rely on to help feel better was needed.

Analysis on Risk Factors for Development of Delayed Graft Function in Living Donor Renal Transplantation / 대한이식학회지

PURPOSE: Delayed graft function (DGF) is defined as the need for dialysis during the first week after renal transplantation, regardless of urine output. The aim of this study is to determine the incidence and possible etiologic factors of delayed graft function and its impact on outcome in living donor kidney transplantation. METHODS: We selected 93 cases, which could be followed up, of living donor kidney transplantation from January 1, 1993 to June 30, 1995 at Transplantation center in Hanyang University Hospital. We analyzed multiple independent variables for DGF and graft survival such as donor and recipient age, donor and recipient sex, recipient/donor body weight ratio, the duration of dialysis before transplantation, HLA mismatch and cold ischemic time. RESULTS: The incidence of DGF was 18.3% in overall. The overall 5 year graft survival rate was 92.3%, 73.3% in DGF group and 96.8% in immediate function group. We suggested that recipient/donor body weight ratio (> or = 1.2 vs. or =1.2 group than in <1.2 group. It may be due to relatively smaller nephron mass. The graft function was poor when DGF combined to AR, we suggested that recipient/donor body weight ratio might be considered in donor selection in living donor kidney transplantation, to lower the incidence of DGF.

Splenosis with Cyclic Abdominal Pain Misdiagnosed as Ovarian Dermoid Cyst

Splenosis is defined as the autotransplantation of splenic tissue after a traumatic splenic injury or a splenectomy. It has often been mistaken as an endometriosis, an intraperitoneal carcinoma, a hemangioma and an accessory spleen. It is clinically significant in that it requires no treatment if it is asymptomatic. Here we report a case of 34 year-old woman who had a pelvic splenosis with cyclic abdominal pain for several years, which was initially misdiagnosed as ovarian dermoid cyst. At the time of exploration, a splenosis was observed in the pelvic cavity. After surgery, a multiple splenosis in the abdominal cavity was found through a Tc-99m heat denatured red blood cell scan. The removal of the splenosis in the pelvic cavity resulted in an improvement in her symptoms.