PURPOSE: This study was conducted to compare health-related characteristics and self-care behavior between a controlled group and a non-controlled group of hypertension patients in a customized home visiting health service. METHODS: This study was conducted as cross-sectional research. The subjects were 1,317 hypertension-controlled patients and 555 non-controlled ones. Data were collected using a structured questionnaire and analyzed by descriptive statistics, chi2-test, and t-test using the SPSS WIN 15.0 program. RESULTS: Socio-demographic characteristics and self-care behavior were not significantly correlated between the groups. According to health-related characteristics, the health status was significantly higher in the hypertension-controlled group than in the non-controlled group. The cholesterol level was significantly lower in the hypertension-controlled group than in the non-controlled group. CONCLUSION: Attention should be paid to patients who are not in good health status in order to control their hypertension. Also, it is necessary to educate the patients in order for them to manage their hypertension and cholesterol.
Cholesterol ; Health Services* ; House Calls* ; Humans ; Hypertension* ; Self Care* ; Surveys and Questionnaires

PURPOSE: This study was conducted to test the effect of a 12-week exercise program on body composition, blood pressure, blood glucose, blood lipid and bone mineral density for middle-aged and aged women in rural areas. METHODS: The subjects were 33 women at the age of 40-75. For statistical analysis, descriptive statistics and paired t-test were used with SPSSWIN 16.0. RESULTS: The results were summarized as follows. First, body weight, BMI, % body fat, abdominal adipose, and waist circumference of the women decreased significantly after implementing the 12-week exercise program. Second, diastolic blood pressure, serum cholesterol, triglyceride, and LDL decreased significantly, and the HDL level increased significantly after the 12-week exercise program. Third, bone mineral density did not increase significantly after the program. CONCLUSION: These results suggest that the exercise program has an effect in decreasing body composition, and improving blood pressure, blood glucose, and blood lipid in middle-aged and aged women.
Adipose Tissue ; Blood Glucose ; Blood Pressure ; Body Composition ; Body Weight ; Bone Density ; Cholesterol ; Female ; Humans ; Triglycerides ; Waist Circumference

PURPOSE: The purpose of this study was to identify effects of a strengthening program for the lower back in older women with chronic low back pain. METHODS: The research design was a nonequivalent control group pretest-posttest experiment. The experimental group consisted of 16 older women and the control group, 14, all of whom had experienced low back pain for at least 3 months. The strengthening program for the lower back included lumbar stabilization exercises and education on pain management in daily living. For an 8 week period, exercises were done 3 days a week and on one day education was also given. RESULTS: Pain and disability scores decreased significantly in the experimental group compared to the control group. Flexibility, life satisfaction and lumbar muscle strength scores increased significantly in the experimental group compared to the control group. CONCLUSION: Low back pain and disability can be relieved, and flexibility, muscle strength, and life satisfaction increased through a program to strengthen the lower back. It is suggested that a program to strengthen the lower back would be an effective nursing intervention for older women with low back pain.
Activities of Daily Living ; Aged ; Chronic Disease ; Exercise Therapy ; Female ; Humans ; Low Back Pain/*therapy ; Middle Aged ; Muscle Strength ; Pain Measurement ; Patient Education as Topic ; Patient Satisfaction ; Range of Motion, Articular

PURPOSE: This study aims to compare health status and health behavior among the hypertension group, the DM group, and the hypertension-DM group for aged clients of customized home visiting health care services. METHODS: This study was conducted as cross-sectional research. The subjects of this study were 2,235 aged people over 65 living in J City. Data were collected using structured questionnaires and measurements. The collected data were analyzed using the SPSS/WIN 12.0 program, and descriptive statistics, chi2 test, t-test and ANOVA were used for the analyses. RESULTS: BP and glucose control showed a significant difference among the groups. BMI and waist circumference were significantly higher in the hypertension-DM group than in the other groups. Stroke, arthritis, and perceived health status were significantly different among the three groups. Depression was high, but not significantly different among the groups. Smoking and drinking were not significantly different among the groups. Physical activity was very low, especially in the hypertension group. Medication was high, especially in the hypertension-DM group. CONCLUSION: It is necessary to consider care plans for the hypertension-DM group, and educate the group for care management. Also, depression and physical activity programs are needed for the aged.
Arthritis ; Delivery of Health Care ; Depression ; Diabetes Mellitus ; Drinking ; Glucose ; Health Behavior* ; Home Care Services* ; House Calls ; Hypertension* ; Motor Activity ; Nurses, Community Health* ; Smoke ; Smoking ; Stroke ; Waist Circumference ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to identify the conceptual structure of stressors experienced by nursing students during clinical practice. METHODS: Ten men and 10 women nursing college students were interviewed. The results were 208 ideas. By synthesizing and editing these ideas, the final statement was trimmed down to 39 questions. The next step was to have the participants classify these 39 final questions. They were asked to rate stress scores using a five-point scale. Through multidimensional scaling analysis and hierarchical cluster analysis yielded dimensions and clusters. RESULTS: Results of the study showed 2 dimensions which were classified as 'interpersonal relationship-practice system' and 'identity-practice environment'. It also yielded 8 clusters which were classified as 'role confusion', 'gender discrimination', 'attitudes of medical personnel and patients', 'comparison between fellow students', 'difference between theory and practice', 'disestablishing the role of practice guide', 'interference with training', and 'problems of the practice environment'. Further, stress factors and stress levels were differentiated depending on the gender of the student. CONCLUSION: The results of the study indicate that educators who are developing clinical practice programs and clinical practitioners should consider stressors during clinical practice and the educational implications to nursing students.
Female ; Humans ; Male ; Nursing ; Students, Nursing*

PURPOSE: To examine the results of PBL classes for sophomore nursing students during one semester. METHOD: Self-reflection journals and class evaluation questionnaires were collected from 121 nursing students and analyzed. Results of class evaluation questionnaires were analyzed using mean scores, SD, frequencies and percentages. Significant statements were derived by repeated review of the self-reflection journals by the researchers. RESULTS: The statements, 'Understanding of PBL', 'Improvement of human relationships', 'Expansion of nursing knowledge', 'Excellency in nursing class and application of nursing skills in nursing practices' and 'Improvement of learning ability and attitude during classes' were derived from the self-reflection journals. Analysis of class evaluation questionnaires showed the following scores: prerequisite of PBL (3.0/4), role of facilitator (3.48/4) and satisfaction with PBL learning (3.31/4). Also some complaints such as lack of adequate references in the library, and confusion in at the beginning of PBL were noted. CONCLUSION: PBL was effective. Using the results of the study for planning a more effective PBL class syllabus is recommended.
Humans ; Learning ; Problem-Based Learning ; Surveys and Questionnaires ; Students, Nursing

We report a cases of solid and papillary neoplasm of the pancreas, which is a rare pancreatic tumor. we described clinical characteristics, sonographic, computed tomographic and pathologic finding. The tumors had a smooth, enhanced capsule and variable architecture. The tumor was distributed tail of pancreas without local invasion. the origin of the tumor is probably from a multipotential stem cell of the pancreas. Neoplasm usually behave like a very low grade malignancy, so that complete removal is the treatment of choice for the tumor arising anywhere in the pancrease. This unusual tumor should be considered in the differential diagnosis of a young female with pancreatic mass.
Diagnosis, Differential ; Female ; Humans ; Pancreas* ; Pancrelipase ; Stem Cells ; Ultrasonography

PURPOSE: This study was carried out to investigate the knowledge of obesity and exercise, attitude to dietary habits and exercise, and physical activities and exercise in elementary school children to provide basic data for obese programs. METHODS: The subjects were 850 elementary school children of grade 3-6 in C City and data were collected with a questionnaire. RESULTS: Higher grade, female and overweight children recorded a higher knowledge score than lower grade, male and normal weight children. As for attitude to dietary habit, lower grade and female children had more positive attitude than higher grade and male children. Overweight children were more aware of the seriousness of exercise than normal weight children. In physical activity, lower grade and male children were higher than higher grade and female children. The more interested the children's family were in exercise, the higher score of physical activity they showed. CONCLUSION: In planning education for preventing obesity, it should give consideration to lower grade and male children. In addition, education for changing dietary habit attitude must be extended to higher grade and male children as well. It is effective to develop and apply physical activity improvement programs in the cooperation and involvement of their families.
Child* ; Education ; Female ; Food Habits ; Humans ; Male ; Motor Activity ; Obesity* ; Overweight ; Surveys and Questionnaires

PURPOSE: User-created content (UCC) has provided a considerable amount of medical information and become an important source. We aimed to evaluate the quality and scientific accuracy of precocious puberty-related UCC on YouTube. METHODS: The keywords "precocious puberty", "early puberty", "sexual precocity", and "precocity" were searched for on YouTube during June and July 2014. More than 1,500 UCC matched the keywords. According to the information provider, UCC was classified as medical, oriental, or commercial & others. We evaluated the quality and scientific accuracy of the information provided in UCC using the DISCERN instrument and information scores, respectively. RESULTS: We selected 51 UCC, which were categorized into three types: medical (n=17), oriental (n=17), or commercial & others (n=17). The overall quality score for medical UCC (3.4) was significantly higher relative to those of oriental and commercial & others UCC (2.8 and 2.3, respectively) (P<0.001). In the assessment of scientific accuracy, the mean information score for medical UCC (30.7) was significantly higher than those of oriental and commercial & others UCC (15.9 and 5.1, respectively) (P<0.001). The mean duration of oriental UCC was the longest (P<0.001), however, it was viewed less frequently among them (P=0.086). CONCLUSION: The quality and accuracy of precocious puberty-related health information in UCC were variable and often unreliable. The overall quality of UCC regarding precocious puberty was moderate. Only medical UCC provided scientifically accurate information. As UCC becomes a popular source of health information, it is important to provide reliable, scientifically accurate information.
Puberty, Precocious

PURPOSE: Febrile convulsion is a common clinical problem in young children. In spite of their frequent occurrence, there is little information available about the value of investigation with febrile convulsion. Recent studies found a correlation between low serum sodium levels and risk of febrile convulsions. We carried out a study to evaluate the role of inappropriate ADH secretion in hyponatremia in relation to febrile convulsions. METHODS: This study used seventy cases(46 boys, 24 girls) with febrile convulsion, that were treated at the pediatric department of Korea University Medical Center Ansan hospital from Jan. 1998 to Aug. 1999. During the same period, thirty one cases(19 boys, 12 girls) with fever but without convulsion(control group I) and twenty four cases(16 boys, 8 girls) with convulsion but without fever(control group II) were evaluated in comparison with febrile convulsion group. Serum sodium, osmolality, vasopressin and urine osmolality of each group were measured on admission and analyzed by ANOVA. RESULTS: The mean serum sodium concentration of febrile convulsion group, control group I and control group II were 134.3+/-2.4mmol/L, 136.4+/-2.0mmol/L, and 136.0+/-2.2 mmol/L respectively. The serum sodium level of patient group was significantly lower than those of control group I and II(P<0.05). The case of the serum levels less than 135mmol/L was 54.3%(38/70) in patient group, 16.1%(5/31) in control group I and 12.5% (3/24) in control group II. Serum osmolality, uine osmolality of patients group were not significantly different from those of each control group. Vasopressin level of febrile convulsion group was higher than that of each control group. The risk of recurrent convulsion approaches 60%(15/25) of cases with hyponatremia less than 135mmol/L. CONCLUSION: We conclude that febrile convulsions are not mediated by hyponatremia but induce the changes in serum vasopressin and sodium level.
Academic Medical Centers ; Child ; Control Groups ; Fever ; Gyeonggi-do ; Humans ; Hyponatremia* ; Korea ; Osmolar Concentration ; Seizures ; Seizures, Febrile* ; Sodium ; Vasopressins