PURPOSE: The purposes of this study were to identify knowledge, health belief and compliance in patients with hypertension and to identify the most important predictors for compliance of hypertensive patient. METHOD: The participants in this study were 117 patients who were receiving treatment for hypertension at E. university hospital or one of three local clinics in D-city. Data were collected using a knowledge measurement instrument, health belief scale, and an instrument on compliance. Collected data were analyzed using chi2 test, ANOVA, multiple linear regression with PASW statistics 18.0 program. RESULTS: There were statistically significantly positive correlations between knowledge of hypertension and health belief, health belief and compliance. But there was no correlation between knowledge of hypertension and compliance. In the multiple regression analysis, perceived barriers, perceived severity, perceived benefits were significant predictors to explain compliance and accounted for 54.1% of the variance in compliance. CONCLUSION: The results of the study indicate that health belief and compliance are significantly strongly correlated. Thus it is suggested that nursing interventions to improve compliance should include nursing care plans to increase health belief, perceived severity, perceived benefit and to decrease perceived barrier.
Compliance ; Humans ; Hypertension ; Linear Models ; Patient Care Planning

No abstract available.
Humans ; Infant, Newborn* ; Streptococcus pneumoniae* ; Streptococcus*

No abstract available.
Hirschsprung Disease* ; Hypoventilation*

No abstract available.
*Carcinoma, Neuroendocrine/diagnosis/pathology ; Female ; Human ; *Liver Neoplasms/diagnosis/pathology ; Middle Aged

A study was made in the congenital anomalies in 137 babies born to 120 mothers with hydramnios, delivered at Ilsin Christian Hospital between Jan. 1st 1981 and Dec. 31th 1990. The results were as follows; 1) The incidence of hydramnios was 1.6/1000 deliveries, 120 cases in total 73, 129 deliveries. 137 infants was born and of these 71 (51.8%) had congenital anomalies. 2) Hydramnios was assiciated with a high incidence of prematurity and low birth weight infant. 3) The incience of multiple anomalies was 54.9% (39 out of 71 infants). The most common system involved with the congenital anomalies was the musculoskeletal system, 28.9% (39 cases out of 135) and the most frequent anomaly was anencephaly, 15 cases. 4) The perinatal mortality rate was 759/1000 total (104 cases) and of these 45 cases, 43.3% were associated with congenital anomalies. 53 of the live birth had congenital anomalies and of these 27 cases (50.9%) died in the neonatal period.
Anencephaly ; Humans ; Incidence ; Infant ; Infant, Low Birth Weight ; Infant, Newborn ; Live Birth ; Mothers ; Musculoskeletal System ; Parturition* ; Perinatal Mortality ; Polyhydramnios*

We have reviewed ovarian mature cystic teratomas with features of chronic thyroiditis that were diagnosed at the department of pathology, Seoul National University Hospital during 7 years, 1984-1991. Twenty three case(8%) containing thyroid tissue among 285 ovarian mature teratomas were available for histopathologic examination. Among these, 4 cases(1.4%) showed lymphocytic infiltration with lymphoid follicle formation. These four cases were examined according to the strict histologic criteria of autoimmune thyroiditis and reactive non-autoimmune thyroiditis for the purpose of differentiation of pathogenesis. Two cases were similar to autoimmune in nature and the other two cases simply seemed to reflect reactive features to adjacent stimulating elements. In conclusion, thyroid tissue present in ovarian cystic teratoma may have histologic features of chronic thyroiditis of either autoimmune or non-autoimmune origin.

BACKGROUND: This descriptive study was conducted to investigate the relations among stress of clinical practice, stress coping, ego-resilience and clinical competence in nursing students.METHODS: The participants in this study were 146 who were nursing students at D university in D city. A questionnaire was conducted to investigate the relationship between stress of clinical practice, stress coping, ego-resilience and clinical competence. Collected data were analyzed using t-test, ANOVA, Pearson's correlation with IBM SPSS Statistics 20.0 program.RESULTS: The Stress of Clinical Practice score of subjects was 60.8, Stress Coping score was 79.7, ego-resilience score was 38.8 and Clinical Competence score was 160.9. Students with high Satisfaction of major showed low clinical stress(F=12.410, p < .001) and showed high clinical performance(F=7.766, p < .001). There were statistically significantly correlations that ego-resilience showed a positive correlation with stress coping (r=.338, p < .001), and clinical competence was stress coping (r=.455, p < .001) and ego resilience (r=.373, p < .001).CONCLUSION: The results of the study indicate that stress coping, resilience, and clinical competence are significantly strongly correlated. Therefore, it is suggested that to improve the clinical competence of nursing students should be improve ego-resilience and develop stress coping ability.
Clinical Competence ; Ego ; Humans ; Nursing ; Students, Nursing

Purpose: This study was an experimental research study to examine the effects of aroma essential oil inhalation on autonomic nerve system response, electroencephalogram and concentration. Methods: The participants were 92 healthy adults: 32 in the experimental group, 30 in the placebo group, and 30 in the control group. In the experimental group, lemon and rosemary oil were mixed in a ratio of 4: 1, and 0.1 ml was dropped on gauze and then naturally inhaled for a total of 30 minutes. The application for the placebo group was 0.9% saline solution, and for the control group, no treatment. To determine the effects, the autonomic nervous system response was measured by applying Canopy 9 Plus 4.0 before the experiment and at 10, 20, and 30 minutes after the experimental application, and an electroencephalogram was taken using QEEG-8. The computerized neurocognitive function test for measuring concentration was given before the experiment and at 30 minutes after the treatment. Results: There were no significant differences in the homogeneity tests for general characteristics and for the dependent variables prior to the experiment. There was a significant difference in sympathetic nervous activity between the experimental group, placebo group, and control group (F=3.78, p=.027), and the experimental group had higher sympathetic nervous activity than the control group. There was no statistically significant difference on the electroencephalogram between the ⍺ and beta waves of the three groups. The Stroop Color-Word interference test (color) of the three groups for concentration measurement was significantly different between pre test and at 30 minutes after the treatment (F=7.40, p=.001), and the score for the experimental group increased compared to the control group. Conclusion The findings showed that the inhalation of aroma essential oil activated the sympathetic nervous system and partially increased the level of concentration.

We report a case of SLE with antiphospholipid antibodies presented initially with severe bleeding. A six-year-old boy was admitted due to severe nasal bleeding for 2 months. The boy showed typical malar rash. The laboratory tests indicated that his platelet count was 80,000/mm3 and the PT and the aPTT were markedly prolonged. A number of clotting factors were decreased, including factorsll<12%, Vll: 42%, lX : 38%, Xl: 41%, and Xll: 16%. Urinalysis showed hematuria and proteinuria, and 24-hour urine protein was 1.37g/day. Venereal Disease Research Laboratory (VDRL) test was false positive, Coombs test, lupus anticoagulants and anticardiolipin antibodies (IgG and IgM) were positive. His symptoms and laboratory tests fulfilled the criteria of SLE with antiphospholipid antibody. Renal pathology showed lupus nepritis (diffuse proliferative glomerulonephritis, class lV). After steroid therapy, his nasal bleeding stopped immediately, and laboratory findings became normalized. This case showed the tendency of paradoxic bleeding, instead of the expected thrombosis which can be found in this type of patient. We anticipate it is mainly due to pronounced prothrombin deficiency.
Antibodies, Anticardiolipin ; Antibodies, Antiphospholipid* ; Anticoagulants ; Coombs Test ; Epistaxis ; Exanthema ; Glomerulonephritis ; Hematuria ; Hemorrhage* ; Humans ; Hypoprothrombinemias ; Lupus Erythematosus, Systemic* ; Male ; Pathology ; Platelet Count ; Proteinuria ; Sexually Transmitted Diseases ; Thrombosis ; Urinalysis

We report a case of SLE with antiphospholipid antibodies presented initially with severe bleeding. A six-year-old boy was admitted due to severe nasal bleeding for 2 months. The boy showed typical malar rash. The laboratory tests indicated that his platelet count was 80,000/mm3 and the PT and the aPTT were markedly prolonged. A number of clotting factors were decreased, including factorsll<12%, Vll: 42%, lX : 38%, Xl: 41%, and Xll: 16%. Urinalysis showed hematuria and proteinuria, and 24-hour urine protein was 1.37g/day. Venereal Disease Research Laboratory (VDRL) test was false positive, Coombs test, lupus anticoagulants and anticardiolipin antibodies (IgG and IgM) were positive. His symptoms and laboratory tests fulfilled the criteria of SLE with antiphospholipid antibody. Renal pathology showed lupus nepritis (diffuse proliferative glomerulonephritis, class lV). After steroid therapy, his nasal bleeding stopped immediately, and laboratory findings became normalized. This case showed the tendency of paradoxic bleeding, instead of the expected thrombosis which can be found in this type of patient. We anticipate it is mainly due to pronounced prothrombin deficiency.
Antibodies, Anticardiolipin ; Antibodies, Antiphospholipid* ; Anticoagulants ; Coombs Test ; Epistaxis ; Exanthema ; Glomerulonephritis ; Hematuria ; Hemorrhage* ; Humans ; Hypoprothrombinemias ; Lupus Erythematosus, Systemic* ; Male ; Pathology ; Platelet Count ; Proteinuria ; Sexually Transmitted Diseases ; Thrombosis ; Urinalysis