Effects of Positive Psychological Capital, Reward on Retention Intention of Hospital Nurses / 간호행정학회지

Purpose@#This study is conducted in order to identify a positive psychological capital and rewards as variables in relation to the retention intention of hospital nurses. @*Methods@#The participants were consisted of 350 nurses with 6 months or more of total work experience in 1 senior general hospital and 2 general hospitals in Incheon and individual data were collected from July 22 to August 10. 2019. Collected data was analyzed by t-test, ANOVA, Pearson's Correlation Coefficient, and Multiple Regression Analysis using IBM SPSS statistics 24.0. @*Results@#It was confirmed that the factors affecting the retention intention were never had any resignation impulse' in the past year (β=.11,p=.023), positive psychological capital (β=.43, p<.001), privileged rewards (β=.25, p<.001), monetary rewards (β= -.20, p=.001), and job rewards (β=-.15, p=.039) and the explanatory power of the model was 27.8%. @*Conclusion@#Based on the result of this study, it is suggested to develop educational and training programs whose aim is to enhance the positive psychological capital. Moreover, it will be to promote retention intention of nurses and to extend the tenure through the proper reward system that meets the duty and ability, by which nurses realize that they are rewarded.

Effects of Positive Psychological Capital, Reward on Retention Intention of Hospital Nurses / 간호행정학회지

Purpose@#This study is conducted in order to identify a positive psychological capital and rewards as variables in relation to the retention intention of hospital nurses. @*Methods@#The participants were consisted of 350 nurses with 6 months or more of total work experience in 1 senior general hospital and 2 general hospitals in Incheon and individual data were collected from July 22 to August 10. 2019. Collected data was analyzed by t-test, ANOVA, Pearson's Correlation Coefficient, and Multiple Regression Analysis using IBM SPSS statistics 24.0. @*Results@#It was confirmed that the factors affecting the retention intention were never had any resignation impulse' in the past year (β=.11,p=.023), positive psychological capital (β=.43, p<.001), privileged rewards (β=.25, p<.001), monetary rewards (β= -.20, p=.001), and job rewards (β=-.15, p=.039) and the explanatory power of the model was 27.8%. @*Conclusion@#Based on the result of this study, it is suggested to develop educational and training programs whose aim is to enhance the positive psychological capital. Moreover, it will be to promote retention intention of nurses and to extend the tenure through the proper reward system that meets the duty and ability, by which nurses realize that they are rewarded.

Long-term Observation of 87 Cases with Chronic Idiopathic Thrombocytopenic Purpura in Adult / 대한혈액학회지

BACKGROUND: Information about the natural history of chronic idiopathic thrombocytopenic purpura (ITP) is still vague and far from complete due to a lack of studies. The purpose of the present study is to define ultimate outcome of adults with chronic ITP by long-term observation of patients. Method : We retrospectively analyzed eighyty-seven ITP patients diagnosed at the Department of Internal Medicine, Kyungpook National University Hospital and Taegu-Hyosung Catholic University Hospital and Taegu-Fatima Hospital between March 1986 and March 1998. RESULTS: Median age was 36 years (range 15 to 74) at the time of diagnosis and median follow-up duration was 46 months (7 to 133). Female to male ratio was 4 : 1. Twenty-four patients who were asymptomatic with stable disease or a platelet count over 50,000/microliter were managed on a wait and see basis. A total of 63 patients received an initial treatment with prednisone (1 mg/kg/day for 1 month). Refractory or relapsed cases underwent splenectomy and/or other therapeutic modalities. An initial complete or partial response to prednisone was observed in 79%. A sustained complete remis- sion (CR) lasting more than 6 months was attained in 11%. Thirty-two refractory or relapsed patients underwent splenectomy. Twenty-two patients (69%) had a CR, with twenty-one (66%) achieving a sustained CR. 5 other cases obtained a partial remission (PR). Long-lasting responses were observed in 3 other case (12 %) following alternative treatment. Five deaths were recorded, but only one was due to thrombocytopenia and the remaining four deaths were unrelated to ITP. Two patients had laboratory features and a clinical history consistent with an autoimmune disease. CONCLUSION: The majority of patients who undergo splenectomy can have a CR for many years. The therapeutic modalities tried as supplements or alternatives to splenectomy all produced some transient remissions but few prolonged recoveries. But the long-term prognosis of chronic ITP is benign even in refractory cases and the development of overt autoimmune diseases is relatively uncommon.

A Case of Rhabdomyolysis, Acute Renal Failure, and Acute Hepatitis Due to Carp Bile Ingestion / 대한신장학회잡지

Sevral cases of acute renal failure and acute hepatitis after ingestion of raw carp gall bladder have been reported. We experienced for the first time 1 case of acute renal failure and acute hepatitis associated with rhabdomyolysis, which has not been seen in previous studies, after ingestion of the raw carp gall bladder. Serum creatine phosphokinase, myoglobin and urine myoglobin were increased and 99mTc-MDP bone scan showed diffusely increased uptake of isotope in soft tissue of whole body. The other laboratory data corresponded to acute tubular necrosis and acute toxic hepatitis. The kidney pathology showed the recovery phase of acute tubular necrosis. Etiologic factor for rhabdomyolysis was not found except carp gall bladder. We considered that carp gall bladder was etiologic factor for rhabdomyolysis and that rhabdomyolysis acted as agravatting factor for developing acute tubular necrosis due to carp bile toxicity in this case.

Two Cases of Rhabdomyolysis Complicated with Doxylamine Overdose / 대한신장학회잡지

Doxylamine succinate is common over-the-counter sleep medication that is frequently involved in accidental poisonings and suicide attempts. Doxylamine overdose is generally directed at the anticholinergic effect including autonomic,and central nervous system effect and direct cardiac toxicity. Rarely, rhabdomyolysis has been reported with doxylamine overdose. We experienced two cases of rhabdomyolysis with overdose of doxylamine in 17-year-old and 31-year-old male. They were diagnosed with high levels of creatine phosphokinase in serum, myoglobin in serum and urine, and increased radionuclide uptake of muscles in (99m)Tc-MDP bone scan. Patients recovered without any complications with hydration and diuresis. Clinicians should be aware of the possibility of rhabdomyolysis in patients with doxylamine overdose.

Clinical Significance of Total Fibronectin in Patients with Rheumatoid Arthritis / 대한류마티스학회지

A study on fibronectin, which is synthesized in response to inflammatory process of joint destruction, can be of great value in identifying the mechanism of inflammation or disease activity of rheumatoid arthritis (RA). This study attempts to measure the concentrations of total fibronectin in synovial fluid of patients with RA and osteoarthritis (OA), and compare it with the clinical disease activity parameters of RA available. A total 68 patients suffering from knee pain and joint effusion was examined. Synovial fluids of thirty-eight RA patients and thirty OA patients were measured by using monoclonal fibronectin antibody. Cross-sectional analysis was undertaken to correlate the fibronectin levels of the RA patients with the clinical disease activity parameters available. RESULTS: 1. Mean synovial fibronectin level of RA (148.4+/-72.6 microgram/ml) was significantly higher than that of OA (39.5+/-16.9 microgram/ml)(p<0.001). 2. The fibronectin levels in RA do not seem to have significant relationship with the parameters such as disease duration, the duration of morning stiffness, Ritchie index, ESR, CRP, and rheumatoid factor. CONCLUSION: In conclusion, the synovial total fibronectin concentration can clearly distinguish RA from OA. However, it would be unlikely to be used as a parameter of disease activity.

Essential Thrombocythemia: Vascular Complications and Cardiovascular Risk Factors / 대한혈액학회지

BACKGROUND: Essential thrombocythemia (ET) is a myeloproliferative disorder characterized by absolute thrombocytosis and increased incidence of thrombosis and hemorrhage. But the risk of thrombosis or hemorrhage cannot be accurately predicted and the indications for therapy remain unclear. The purpose of this study was to determine the influence of cardiovascular risk factors, e.g. smoking, hypertension, hyperlipidemia and diabetes mellitus, upon complications of ET. METHODS: We have retrospectively analyzed the influence of cardiovascular risk factors upon vascular complications for 37 cases of ET diagnosed at Taegu between January 1987 to December 1996. The PVSG criteria was used to diagnose ET. RESULTS: The mean age of all patients was 55 years(male patients, 58 years; female patients, 53 years). The average platelet count at diagnosis was 1,308x109/L. Eighteen patients (49%) presented with thrombotic complications, and seven (19%) with hemorrhages. Disturbances of microcirculation (30%) were the most frequent thrombotic symptoms. Age and the degree of thrombocytosis did not influence the rate of vascular complications, but patients with cardiovascular risk factors had higher rate of vascular complications. Arterial complications, such as femoropopliteal and coronary artery thrombotic disease, were exclusively seen in patients with cardiovascular risk factors, especially cigarette smoking. CONCLUSION: A group of patients with cardiovascular risk factors, especially smoking have high risk for arterial thrombotic complications of ET, for whom aggressive preventive therapy of cardiovascular disease should be considered.