Pseudohypoaldosteronism type 1 is a genetic renal tubular disease of salt wasting, presenting in young infants. Tubular unresponsiveness to elevated endogenous and exogenous aldosterone is the suggested pathogenetic mechanism. Oral sodium chloride supplementation relieve the clinical symptoms and electrolyte distrubances. We experienced 2 cases of PHA type 1 in 38-day and 45-day old male infants who were presented with failure to thrive, vomiting and/or dehydration. Laboratory data showed hyponatremia, hyperkalemia, hypochloremia and metabolic acidosis. Renal and adrenal functions were normal. Plasma renin activity and plasma aldosterone concentration were markedly elevated. Under the diagnosis of pseudohypoaldosteronism type 1, oral supplementation of NaCl and/or kayexalate improved the clinical states of the patients.
Acidosis ; Aldosterone ; Dehydration ; Diagnosis ; Failure to Thrive ; Humans ; Hyperkalemia ; Hyponatremia ; Infant ; Male ; Plasma ; Pseudohypoaldosteronism* ; Renin ; Sodium Chloride ; Vomiting

PURPOSE: The purpose of this study was to identify factors affecting problem drinking in male nursing students. METHODS: This study was conducted using a cross-sectional survey. A total 126 male nursing students completed a self-report questionnaire to assess alcohol consumption,motives for drinking, and self-efficacy in drinking refusal self-efficacy. The participants were divided into 2 groups, moderate and problem drinkers. Multivariate analysis was used to identify factors affecting problem drinking in these nursing students. RESULTS: Problem drinkers was found to be related to young age (adjusted OR=0.83, 95% CI [0.71, 0.96], coping motives (adjusted OR=1.19, 95%CI [1.00, 1.42], and drinking refusal self-efficacy (OR=0.96, 95% CI [0.93, 0.99]). CONCLUSION: The findings highlight the important role that coping motives and drinking refusal self-efficacy play in the problems in the drinking behavior of male nursing students
Alcohol Drinking ; Cross-Sectional Studies ; Drinking Behavior ; Drinking* ; Humans ; Male* ; Motivation ; Multivariate Analysis ; Nursing* ; Students, Nursing*

PURPOSE: This study was done to identify the influence of clinical learning environment and attitude toward physician-nurse collaboration on professionalism in nursing students. METHOD: The sample consisted of 317 nursing students. Data were collected from October 10 to December 20, 2014 and were analyzed using t-test, ANOVA, Pearson correlation and multiple linear regression with IBM SPSS statistics version 19. RESULTS: The mean score for clinical learning environment was 3.15 out of 5. The mean score on the Jefferson scale attitude toward physician-nurse collaboration (JSAPNC) was 3.31 out of 4. The mean score for professionalism was 3.70 out of 5. The predictors of professionalism were major satisfaction, 'care vs cure' for the JSAPNC and 'patient relationship', 'student satisfaction' for clinical learning environment. CONCLUSIONS: Based on these results, educational programs to improve attitude toward physician-nurse collaboration and clinical learning environment should be developed.
Cooperative Behavior* ; Education, Nursing ; Humans ; Learning* ; Linear Models ; Methods ; Nursing* ; Professionalism* ; Students, Nursing*

Purpose: The purpose of this study was to investigate the relationship between social network characteristics, flow in class, communication skills, and problem-solving skills of nursing students in simulation. Methods: For this study a descriptive survey design was used. Participants were 100 nursing students who attended in 2 university and completed the self-report questionnaire. Data were collected from October 14 to December 6, 2019 and were analyzed with SPSS 26.0, AMOS 21.0 and Netminer 4 evaluation version. Results: It was confirmed that the task advice network centrality of nursing students fully mediates their communication skills and affects their problemsolving skills and that friendship network centrality completely mediates flow in class and communication skills, and affects problem-solving skills. Task advice network centrality, friendship network centrality, flow in class, and communication skills were found to explain problem solving skills by 51.8%. Conclusion In order to increase the problem-solving skills of nursing students in simulation nursing education, a strategy to improve their flow in class and communication skills is essential and it suggests the need to make it part of the curriculum. In addition, in order to increase the communication skills of nursing students, it is necessary to be careful when making a team to minimize the team members isolated within the team so that smooth interaction can occur.

Purpose: : The study was conducted to compare the factor influencing resilience, nursing environment on turnover intention of ward and emergency room (ER) nurses for future human resource management strategies. Methods: : A structured questionnaire was used to collect data from June 15, 2019 and April 15, 2020. The participants included 237 nurses working in 4 general hospitals located in G Province. The SPSS/WIN 26.0 program was used to analyze the data; Pearson’s correlation coefficients and multiple regression were further performed. Results : Burnout(β=.38, p<.001), practice environment of nursing(β=-.29, p<.001) were found to influence turnover intention for ward nurses. Burnout(β=.45, p<.001), current departmental experience 7yr over(β=.36, p=.006), 3∼5yr(β=.34, p=.006), 1∼3yr(β=.31, p=.006), 5∼7yr(β=.30, p=.010) and age(40yr over)(β=-.24, p=.010) were found to influence turnover intention for emergency room nurse. These variables had a 37.5%(ward nurse, F=9.15, p<.001), 40.3%(ER nurse, F=9.35, p<.001) explanatory power for turnover intention. Conclusion : Continued research and intervention programs to prevent burnout are needed to reduce turnover intentions. Ward nurses need an improved nursing work environment, and emergency department nurses need a systematic division of duties based on experience and appropriate rewards for performance.

Purpose: : The study was conducted to compare the factor influencing resilience, nursing environment on turnover intention of ward and emergency room (ER) nurses for future human resource management strategies. Methods: : A structured questionnaire was used to collect data from June 15, 2019 and April 15, 2020. The participants included 237 nurses working in 4 general hospitals located in G Province. The SPSS/WIN 26.0 program was used to analyze the data; Pearson’s correlation coefficients and multiple regression were further performed. Results : Burnout(β=.38, p<.001), practice environment of nursing(β=-.29, p<.001) were found to influence turnover intention for ward nurses. Burnout(β=.45, p<.001), current departmental experience 7yr over(β=.36, p=.006), 3∼5yr(β=.34, p=.006), 1∼3yr(β=.31, p=.006), 5∼7yr(β=.30, p=.010) and age(40yr over)(β=-.24, p=.010) were found to influence turnover intention for emergency room nurse. These variables had a 37.5%(ward nurse, F=9.15, p<.001), 40.3%(ER nurse, F=9.35, p<.001) explanatory power for turnover intention. Conclusion : Continued research and intervention programs to prevent burnout are needed to reduce turnover intentions. Ward nurses need an improved nursing work environment, and emergency department nurses need a systematic division of duties based on experience and appropriate rewards for performance.

Purpose: : The study was conducted to compare the factor influencing resilience, nursing environment on turnover intention of ward and emergency room (ER) nurses for future human resource management strategies. Methods: : A structured questionnaire was used to collect data from June 15, 2019 and April 15, 2020. The participants included 237 nurses working in 4 general hospitals located in G Province. The SPSS/WIN 26.0 program was used to analyze the data; Pearson’s correlation coefficients and multiple regression were further performed. Results : Burnout(β=.38, p<.001), practice environment of nursing(β=-.29, p<.001) were found to influence turnover intention for ward nurses. Burnout(β=.45, p<.001), current departmental experience 7yr over(β=.36, p=.006), 3∼5yr(β=.34, p=.006), 1∼3yr(β=.31, p=.006), 5∼7yr(β=.30, p=.010) and age(40yr over)(β=-.24, p=.010) were found to influence turnover intention for emergency room nurse. These variables had a 37.5%(ward nurse, F=9.15, p<.001), 40.3%(ER nurse, F=9.35, p<.001) explanatory power for turnover intention. Conclusion : Continued research and intervention programs to prevent burnout are needed to reduce turnover intentions. Ward nurses need an improved nursing work environment, and emergency department nurses need a systematic division of duties based on experience and appropriate rewards for performance.

Mucocele of the appendix is uncomrnon and rarely diagnosed preoperatively. The malignant rountpart-i.e. mucinous cystadenocarcinoma--has the same grross appearance and many micro scopic features in cornmon wilhe the benign form. It rnay be associated with ovarian mucinous cystadenoma of strikingly similar microscopic appearence. A serious complication is a rupture of the mucoeele resulting in pseudomyxoma peritonei. Each case of benign and malignant mucocelr of the appendix falsely diagnosecl as an oovarian tumor before laparotxumy are presented wilh a brief rieview of the literatures.
Appendix* ; Cystadenoma, Mucinous ; Mucins ; Mucocele* ; Pseudomyxoma Peritonei ; Rupture

Over the past 30 years, there has been an increase in the incidence of multifetal pregna-ncies, primarily because of the introduction of ovarian stimulants for ovulation induction and assisted reproductive technology ( ART ) in infertile patients. It is well established that multifetal pregnancies are associated with an increased frequency of the maternal complications and gre-ater perinatal morbidity and mortyality. The adverse outcome of multifetal pregnancies is dire-ctly proportional to the number of fetuses, primarily as an consequence of prterm delivery. Re-duction in the number of fetuses in multifetal pregnancies has been proposed as a way to impr-ove the perinatal outcome in this situation. Therefore, selective fetal reduction ( SFR ) is sugges-ted as a therapeutic option for continuation of pregnancy with fetuses mature enough to survi-ve. In this paper, we report our infertility clinic experiences with 6 patients who carried mult- ifetal pregnancies including 1 quintuplet, 1 quadruplet, and 4 triplets. from January, 1991 to May, 1996, transabdominal SFR was accomplished by fetal intrathoracic KCl injection at 9~10 weeks of gestation. After the prcedure, 4 patients remained as twin pregnancies, and 2 patients as single pregnancy. There have been 3 sets of twin deliveries and the 2 sets of single delivery. One case was aborted. Two patients were delivered after 37 weeks of gestation, 2 patients were at 35 weeks, and 1 patient at 24 weeks. All babies have been healthy after birth in patients after 35 weeks gestation. There was no fetal anomaly related to the procedure in the 6 cases. We concluded that transabdominal SFR is a rather safe and useful procedure that may improve the outcome of multifetal pregnancies.
Fetus ; Humans ; Incidence ; Infertility ; Ovulation Induction ; Parturition ; Pregnancy Reduction, Multifetal* ; Pregnancy* ; Pregnancy, Twin ; Quadruplets ; Quintuplets ; Reproductive Techniques, Assisted ; Triplets ; Twins

PURPOSE: The purpose of this study was to construct and test a structural equation modeling on the reproductive health behavior of single women with sexual experiences. This study employed Ajzen's Theory of Planned Behavior (TPB). METHODS: The data were collected after receipt of consent from 250 single women with sexual experiences, and analyzed using SPSS 18.0 and AMOS 18.0. RESULTS: Model fit indices for the hypothetical model were suitable for the recommended level: x²=362.407, RMR=0.065, RMSEA=0.070, GFI=0.867. TLI=0.927, CFI=0.938, IFI=0.939, and x²/dF=2.237. Intention showed direct effect with the biggest effect being on reproductive health behavior. Attitude, subjective norm and perceived behavioral control were found to have a direct effect on intention. Among them, perceived behavioral control revealed the largest influence. CONCLUSION: This study suggests that the TPB is a suitable model in explaining the reproductive health behavior of single women with sexual experience. Strategic plans for educational and intervention programs should be aimed to encourage single women to engage in reproductive health behavior.
Female ; Humans ; Intention ; Reproductive Health* ; Single Person*