The coronavirus disease-2019 (COVID-19) pandemic has significantly impacted adolescent health, highlighting the need for effective health promotion strategies. This qualitative study analyzed adolescent health concerns during the pandemic and explored management strategies through focus group interviews (FGIs).FGIs were conducted on November 23 and 25, 2023, with six secondary school nutrition teachers, six educational supervisors, and six adolescent students. Semi-structured questions were used to explore five key domains: health behaviors, factors contributing to health problems, social support, perceived health beliefs, and health education. The FGI recordings were transcribed, and Braun and Clarke’s (2006) thematic analysis method was applied to classify and categorize the data. To ensure the reliability and validity of the study, all processes were meticulously documented, and member checking and triangulation were conducted. The analysis revealed that adolescents faced reduced physical activity, irregular eating habits, school lunch disruptions, social isolation, worsening obesity, mental health challenges, and decreased engagement in health-promoting behaviors. Nutrition teachers and educational supervisors emphasized the importance of the food environment in schools and policy support, whereas adolescent students. highlighted motivation and accessibility as the key factors for adopting healthy behaviors. Based on these findings, strengthening social support, expanding health education, and establishing a national support system are essential for improving adolescent health. This study has implications for policy and education to address adolescent health challenges during a pandemic and serves as a foundation for future health promotion strategies.

The coronavirus disease-2019 (COVID-19) pandemic has significantly impacted adolescent health, highlighting the need for effective health promotion strategies. This qualitative study analyzed adolescent health concerns during the pandemic and explored management strategies through focus group interviews (FGIs).FGIs were conducted on November 23 and 25, 2023, with six secondary school nutrition teachers, six educational supervisors, and six adolescent students. Semi-structured questions were used to explore five key domains: health behaviors, factors contributing to health problems, social support, perceived health beliefs, and health education. The FGI recordings were transcribed, and Braun and Clarke’s (2006) thematic analysis method was applied to classify and categorize the data. To ensure the reliability and validity of the study, all processes were meticulously documented, and member checking and triangulation were conducted. The analysis revealed that adolescents faced reduced physical activity, irregular eating habits, school lunch disruptions, social isolation, worsening obesity, mental health challenges, and decreased engagement in health-promoting behaviors. Nutrition teachers and educational supervisors emphasized the importance of the food environment in schools and policy support, whereas adolescent students. highlighted motivation and accessibility as the key factors for adopting healthy behaviors. Based on these findings, strengthening social support, expanding health education, and establishing a national support system are essential for improving adolescent health. This study has implications for policy and education to address adolescent health challenges during a pandemic and serves as a foundation for future health promotion strategies.

The coronavirus disease-2019 (COVID-19) pandemic has significantly impacted adolescent health, highlighting the need for effective health promotion strategies. This qualitative study analyzed adolescent health concerns during the pandemic and explored management strategies through focus group interviews (FGIs).FGIs were conducted on November 23 and 25, 2023, with six secondary school nutrition teachers, six educational supervisors, and six adolescent students. Semi-structured questions were used to explore five key domains: health behaviors, factors contributing to health problems, social support, perceived health beliefs, and health education. The FGI recordings were transcribed, and Braun and Clarke’s (2006) thematic analysis method was applied to classify and categorize the data. To ensure the reliability and validity of the study, all processes were meticulously documented, and member checking and triangulation were conducted. The analysis revealed that adolescents faced reduced physical activity, irregular eating habits, school lunch disruptions, social isolation, worsening obesity, mental health challenges, and decreased engagement in health-promoting behaviors. Nutrition teachers and educational supervisors emphasized the importance of the food environment in schools and policy support, whereas adolescent students. highlighted motivation and accessibility as the key factors for adopting healthy behaviors. Based on these findings, strengthening social support, expanding health education, and establishing a national support system are essential for improving adolescent health. This study has implications for policy and education to address adolescent health challenges during a pandemic and serves as a foundation for future health promotion strategies.

BACKGROUND: The government staffs studied in this research has been easily exposed to excessive job stress, which can lead to a variety of psychosocial problems and poor quality of life. In this study, we examined the effect of the self reflection meditation program on the psychosocial health and stress responses of government staffs, to suggest the intervention program improving psychosocial health and quality of life in government staffs.METHODS: In this study, we measured the conditions of 36 local government staffs based on self reflection scale, psychosocial health and stress score before and after implementing the short-term intensive meditation program.RESULTS: The results showed that there were significant increase in social role performance and self confidence(p=.003), general health and vitality(p=.019) and significant decrease in stress(p=.010). This change was prominently showed in administrative officer and depression and anxiety(p=.034) also significantly decreased after program.CONCLUSION: Self reflection meditation program was effective in improving the psychosocial health and physical health of government staffs. Therefore, self reflection meditation program could be proposed as program for stress management and promotion of quality of life in government staff.
Depression ; Local Government ; Meditation ; Quality of Life

BACKGROUNDS/AIMS: Intraductal papillary mucinous neoplasm (IPMN) of the pancreas has malignant potential. Predicting invasive IPMN has proven difficult and controversial. We tried to identify predictive factors for invasive IPMN. METHODS: Thirty six patients underwent resection for IPMN from February 2001 to July 2011. Clinicopathological features including demographic, imaging, microscopic, and serological findings were retrospectively reviewed. Receiver operating characteristic (ROC) curve analysis was used to analyze sensitivity and specificity of all possible cut-off values for the diameter of the main pancreatic duct and mass size predicting invasive IPMN. Student t-test, chi-square test, and logistic regression were used for univariate and multivariate analysis. RESULTS: The mean age was 63.5+/-8.4 years. Males were more commonly affected (58.3% vs 41.7%). Pancreaticoduodenectomy was performed in 55.6% of patients, distal pancreatectomy in 36.1%, and central pancreatic resection in 8.3%. Non-invasive IPMNs were present in 80.6% (n=29), whereas invasive IPMNs were present in 19.4% (n=7). In univariate analysis, tumor location (p=0.036), Kuroda classification (p=0.048), mural nodule (p=0.016), and main duct dilatation (> or =8 mm) (p=0.006) were statistically significant variables. ROC curve analysis showed that a value of 8 mm for the main duct dilatation and a value of 35 mm for the size of the mass lesion have 80% sensitivity and 75% specificity and 100% sensitivity and 82.6% specificity, respectively. However, in multivariate analysis, main ductal dilatation (> or =8 mm) was identified to be the only independent factor for invasive IPMN (p=0.049). CONCLUSIONS: Main duct dilatation appears to be a useful indicator for predicting invasive IPMN.
Dilatation ; Humans ; Logistic Models ; Male ; Mucins ; Multivariate Analysis ; Pancreas ; Pancreatectomy ; Pancreatic Ducts ; Pancreaticoduodenectomy ; Retrospective Studies ; ROC Curve ; Sensitivity and Specificity

OBJECTIVES: Adoption of hospital information systems offers distinctive advantages in healthcare delivery. First, implementation of consolidated hospital information system in Seoul National University Hospital led to significant improvements in quality of healthcare and efficiency of hospital management. METHODS: The hospital information system in Seoul National University Hospital consists of component applications: clinical information systems, clinical research support systems, administrative information systems, management information systems, education support systems, and referral systems that operate to generate utmost performance when delivering healthcare services. RESULTS: Clinical information systems, which consist of such applications as electronic medical records, picture archiving and communication systems, primarily support clinical activities. Clinical research support system provides valuable resources supporting various aspects of clinical activities, ranging from management of clinical laboratory tests to establishing care-giving procedures. CONCLUSIONS: Seoul National University Hospital strives to move its hospital information system to a whole new level, which enables customized healthcare service and fulfills individual requirements. The current information strategy is being formulated as an initial step of development, promoting the establishment of next-generation hospital information system.
Adoption ; Confidentiality ; Delivery of Health Care ; Electronic Health Records ; Hospital Information Systems ; Information Systems ; Management Information Systems ; Quality of Health Care ; Radiology Information Systems ; Referral and Consultation

Despite epidemiological studies reporting no negative effects of mild to moderate alcohol drinking on cognitive functioning, a recent well-controlled study showed that chronic mild drinking diminished the volume of the brain and was associated with cognitive decline that worsened as a function of the amount of alcohol consumed. Animal studies have demonstrated that neural cell damage follows chronic alcohol intake and withdrawal. In addition, acute excessive alcohol intake has been shown to result in temporary impairment of memory, and chronic alcohol drinking is often related to neuronal damage and cognitive disorders. Even though a diverse spectrum of cognitive disorders can develop after sustained alcohol drinking, no definite diagnostic criteria existed before those proposed by Oslin; the availability of these criteria will provide more structured clinical and academic approaches to alcohol-related cognitive decline, including dementia. In general, diminished cognitive functioning has been related to excessive alcohol consumption, with cognitive functioning gradually recovering over time. With the exception of the administration of thiamine in Wernicke-Korsakoff syndrome, only supportive pharmacotherapies have been provided for patients with alcohol-related cognitive disorders. However, experimental trials with rivastigmine or donepezil have been conducted for special populations with persistent cognitive impairments, and these studies reported favorable outcomes. We administered memantine for alcohol-related dementia and observed improvements in verbal memory and scores on the mini-mental status exam. We anticipate that novel and appropriate therapeutic agents for various conditions in this domain will be developed based on systematic diagnostic criteria and the accumulation of neurobiological evidence about alcohol-related cognitive decline.
Alcohol Drinking ; Alcoholism ; Animals ; Brain ; Dementia ; Drinking ; Humans ; Indans ; Korsakoff Syndrome ; Memantine ; Memory ; Neurons ; Phenylcarbamates ; Piperidines ; Thiamine ; Rivastigmine

IgA nephropathy is the most common glomerulonephritis in all parts of the world. It presents as asymptomatic microscopic hematuria or proteinuria or as episodic gross hematuria after upper respiratory infection or excercise. Pulmonary hemorrhage is both a rare complication and presentation of IgA nephropathy. We report a case of pulmonary hemorrhage associated with IgA nephropathy in adult. A 29-year-old woman was transferred because of gross hematuria and hemoptysis after hysterectomy. Chest X-ray showed bilateral pulmonary infiltrates in lower lobes. Renal biopsy showed mesangial expansion by mesangial cellular proliferation with mesangial staining of IgA. Her repiratory symptom and pathcy opacities on the chest X-ray disappeared spontaneously. Normal renal function of the patient maintained but she had persistent hematuria.
Adult* ; Biopsy ; Cell Proliferation ; Female ; Glomerulonephritis ; Glomerulonephritis, IGA ; Hematuria ; Hemoptysis ; Hemorrhage* ; Humans ; Hysterectomy ; Immunoglobulin A* ; Proteinuria ; Thorax

Ectopic pancreas rarely produces clinical symptoms. Most commonly reported symptoms were abdominal pain, epigastric discomfort, nausea, vomiting, and bleeding. However, presentation of specific symptoms due to its size and location, including obstructive jaundice, and pyloric obstruction are possible. Ectopic pancreas is subject to various pathological changes occurring in the pancreas itself; namely, cyst, pancreatitis, hemorrhage, necrosis, and neoplastic change. We present a case of 60-year old woman with right upper quadrant pain in whom the surgical pathologic diagnosis was ectopic pancreas of the stomach complicated by pancreatitis and pseudocyst formation.
Abdominal Pain ; Diagnosis ; Female ; Hemorrhage ; Humans ; Jaundice, Obstructive ; Middle Aged ; Nausea ; Necrosis ; Pancreas* ; Pancreatitis* ; Stomach ; Vomiting

OBJECTIVES: To gather information about the factors which influence the interest and intention of admission into charging nursing homes for the elderly(CNH), as these homes represent an important method for resolving the problems related to the rapid population aging occurring in Korea. METHODS: A face-to-face interview survey was carried out with 328(men 159, women 169) patients over 60 years old who were admitted at 2 university hospitals and 5 general hospitals in the Busan area between December 1998 and March 1999. Data were analyzed through t-test, ANOVA, correlation and multiple regression analysis. microgram/g RESULTS: The mean age and years of education of the study population was 67.8 and 7.7 years, and the types of chronic degenerative disease included musculoskeletal disorders(20.1%), cerebrovascular disease(17.1%), and diabetes(14.3%). The major forms of household living arrangement prior to admission were elderly alone(22.6%), and elderly couple(33.5%), while about half of them(55.5%) didn't want to live with their children in the future. Almost half were paying medication fees by themselves(46.6%). The level of actual intention of admission(3.07+/-1.39) into a CNH was lower than that of interest(3.22+/-1.33)(p<0.01). Multiple analysis revealed that the intention of admission increased with decreasing number of future supportive persons(beta=0.107), lower level of activity in daily life(beta=0.447), and longer years of education(beta=0.447) with 32.7% of R2. As for the factors which determined the admission into a CNH, the fee and facilities were considered to be most important, and professional nursing and physician's care were the most desired services. In nomenclature, they preferred "elderly hospital" or "elderly health center" to CNH. CONCLUSIONS: Interest in CNH is increasing recently, but existing studies about patient experiences in CHN are still limited. This study may form a basis for future examinations of the needs and uses for CNH. Active financial support and public information are considered by the authors to be important factors for the induction of welfare services for the elderly, through CNH.
Aged* ; Aging ; Busan ; Child ; Education ; Family Characteristics ; Fees and Charges ; Female ; Financial Support ; Hospitals, General ; Hospitals, University ; Humans ; Intention* ; Korea ; Middle Aged ; Nursing Homes* ; Nursing* ; Residence Characteristics