There are about sixty to seventy diseases which develop dementia until now. These include degenerative disease, vascular disease, infectious disease, hydrocephalus, toxic condition, head trauma, tumor , metabolic disease, and demyelinating disease etc. 20% of dementing illness is reversible to treatment. Treatment strategies of dementia can be classified as disease-specific treatment, pharmacotherapy with neurocognitive activators or psychopharmacologic agents, and nonpharmacologic intervention such as neurocognitive rehabilitation, reminiscence therapy, occupational or physical therapy, and psychosocial approach. But medical approach is necessary to prevent disability stemming from pneumonia, dehydration, malnutrition, decubitus ulcer, and other complication. These treatment strategies must be administered comprehensibly due to characteristics of the dementia patients.
Alzheimer Disease* ; Communicable Diseases ; Craniocerebral Trauma ; Dehydration ; Dementia ; Demyelinating Diseases ; Drug Therapy ; Humans ; Hydrocephalus ; Malnutrition ; Metabolic Diseases ; Occupational Therapy ; Pneumonia ; Pressure Ulcer ; Rehabilitation ; Vascular Diseases

PURPOSE: The purpose of this study was to understand nursing students' experience process of reducing prejudices against people with mental illness. METHODS: Participants were 9 nursing students who showed positive changes in prejudices against people with mental illness. Data were collected from September 2014 to February 2015 through in-depth interviews. Data were analyzed following Colazzi (1978) phenomenological method. RESULTS: Analysis showed that for the students' lived experiences of reducing prejudice, there were 47 constructed meanings as 17 subjects in 6 groups: fear, terrifying, relaxation, pitifulness, realization, and sense of kinship. Fear included harm, unpredictability, and wackiness, while terrifying included handshakes without facial expression and unfocused eyes. For relaxation, the content included doing things together, receiving consideration, and being helpful, while for pitifulness it was feeling pathetic, sorry, and anger instead concern for patient. The content for surprise included tenderness, awareness of reality, self-assertiveness, and excellent ability, and for sense of kinship, the same as me and doing with me. CONCLUSION: Clinical practice instructors or field leaders should provide enough opportunities for students to understand and express their feelings about mental illness. Providing proactive education and programs to reduce prejudices about mental illness before the mental health nursing practicum are also suggested.
Anger ; Education ; Facial Expression ; Humans ; Mental Health ; Mentally Ill Persons ; Nursing* ; Prejudice* ; Relaxation ; Students, Nursing*

PURPOSE: This study was conducted to generate a grounded substantive theory of the adaptation process of mothers-in-law of Vietnamese women married to Korean husbands. METHODS: Thirteen women who had Vietnamese daughters-in-law were interviewed. Data were transcribed verbatim and analyzed using a grounded theory method. RESULTS: Eight categories with 19 sub-categories were extracted from 268 concepts. The identified phenomenon was 'overcoming differences' and the core category was 'trying one's best to live together with daughter-in-law'. The 9 categories were grouped into 3 stages for the adaptation process: encountering, struggling, and living together. CONCLUSION: The results indicate that when individuals from different cultural and personal backgrounds have to live together there is a continuing negotiation process towards meeting each other's needs. Health professionals can assist this adaptation process by providing these women with insights into various ways of meeting each other's need while they are struggling.
Asian Continental Ancestry Group* ; Female ; Health Occupations ; Humans ; Male ; Methods ; Negotiating ; Spouses

Purpose: The purpose of this study was to identify the experience of smoking cessation of university students who successfully quit smoking for more than six months. Methods: Data were collected through in-depth individual interviews Oct 7, 2019-Dec 22, 2019 and analyzed with Colaizzi's phenomenological methodology. Results: The result was a collection of 5 theme-clusters from 14 themes, and the theme-clusters were 'recognition', 'warning', 'painstaking', 'awareness' and 'maturity'. Participants were aware of the possibility of re-smoking and the endurance of re-smoking. And they faced the temptation to smoke and actively managed it to abstain from re-smoking. Conclusion Smoking cessation is not the end of the addiction treatment, but a new beginning that requires nursing interventions. Finally, the success of smoking cessation is a painful growth process that reflects on life and changing lifestyles.

An asymptomatic 26-year-old man was initially admitted with a suspicious mediastinal mass. On the basis of the contrast-enhanced chest CT findings, aneurysm formation involving the left cervical aortic arch associated with subaortic left innominate vein was diagnosed. The aneurysm was confirmed by MR angiography and DSA. The arch aneurysm was surgically removed. We describe this case, and review the literature.
Adult ; Aneurysm* ; Angiography ; Aorta, Thoracic* ; Brachiocephalic Veins* ; Humans ; Tomography, X-Ray Computed

PURPOSE: This study was to identify the stop-out experiences of female nursing students. Stop-out is defined as the withdrawal temporarily from enrollment at a university. METHODS: Data was collected through in-depth individual interviews from February 2013 to February 2014 (N=8) and analyzed with Colaizzi's phenomenological methodology. The participants were interviewed once or twice, for 30minutes to 1hour per interview. RESULTS: Five theme-clusters were identified from 14 themes. The theme-clusters were 'Craving for self-directed life', 'Anxiety about leaving regular orbit', 'Responsibility for selection of the stop-out', 'Reinvention of self and nursing major', and 'Making of mental power'. CONCLUSION: The results showed that the stop-out experience of female nursing students in this study has positive aspects in craving for self-directed life and challenges to live a new life. Therefore research is needed on various angles in studying stop-out experience as well as balance quantitative and qualitative research methods. Also it is suggested that continuous managements should be given to the students during stop-out period.
Female ; Humans ; Nursing ; Qualitative Research ; Students, Nursing*

PURPOSE: This study was designed to identify whether alcohol use predicts marital stability and to investigate the mediating effects of marital communication and social support in international married Korean men who lived in a rural area. METHODS: The participants were 200 of the international married men. The data were collected during June, 2010. The instruments were Alcohol Use Disorders Identification Test (AUDIT), Marital Instability (MI), Marital Communication (MC), Social Support (SS). Data were analyzed using descriptive statistics, Pearson correlation coefficients, and stepwise multiple regression. RESULTS: The mean score for AUDIT was 9.6, and alcohol use was negatively correlated with marital stability, marital communication and social support. We also found that marital communication fully mediated the association between alcohol use and marital stability, while social support did not mediate this association. CONCLUSION: The outcomes of this study indicates a need to develop intervention strategies and education programs that include emphasis on moderate drinking and communication skills for couples in international marriages.
Drinking ; Education ; Family Characteristics ; Humans ; Male ; Marriage ; Negotiating*

Hepatoblastoma is a rare malignant liver tumor found in children. Its biological characteristics and prognostic factors have not been well known. We investigated 29 cases of hepatoblastoma, registered in university hospitals in Seoul from 1984 to 1996. By the immunohistochemical method, p53, Waf-1 (p21), bcl-2, heat shock protein 70 (hsp70), c-jun, transforming growth factor-alpha (TGF-alpha) expressions were studied. Those data were compared with clinico-pathologic features; age, sex, tumor size, tumor stage and histologic subtypes. Expression of p53 and bcl-2 were each observed separately in single cases. Expression of c-jun was more frequently noted in patients at higher stages. Expression of TGF-alpha decreased in the order of pure fetal, mixed, embryonal and small cell anaplastic subtypes. Cumulative survival rate was lower in females than in males and in patients with a higher tumor stage. According to histologic subtypes, survival rates decreased in the order of pure fetal, mixed, embryonal and small cell anaplastic subtypes. Survival rate was lower in patients with c-jun expression. Group of TGF-alpha labelling index under 19 showed a lower survival rate than that over 19. In conclusion, we found that tumor associated proteins, c-jun and TGF-alpha, are closely related to the prognosis of hepatoblastoma but p53 and bcl-2 may not be related to it.
Child ; Female ; Hepatoblastoma* ; Hospitals, University ; HSP70 Heat-Shock Proteins ; Humans ; Liver ; Male ; Population Characteristics ; Prognosis ; Seoul ; Survival Rate ; Transforming Growth Factor alpha

PURPOSE: The purpose of this study was to identify experiences of immigrant women from Philippines in child-rearing. METHODS: The study design was a qualitative research. Participants were 15 Filipino immigrant women living in rural Korea. Average age was 37 and average duration of marriage was 11 years. Data were collected through in-depth interviews and participants were interviewed once or twice between December 2009 and February 2010. Data were analyzed with Colaizzi's (1978) phenomenological methodology. RESULTS: The Four themes-clusters were identified from fourteen themes. The theme-clusters (themes) were 1) Responsibility of a mother as a foreigner (being a role-model, patience, strict upbringing); 2) Practical problems of child-rearing (parenting alone, language difficulties, financial difficulties, lack of husbands' support, cultural obstacles; 3) Worries about their children (children's emotional problems, speech disorders, maladjustment at school); 4) Hopes for the future (self-satisfaction, expectations for their children, social support). CONCLUSION: The results help in understanding the situation of immigrant women from the Philippines when they nurture their children and suggest the necessity of programs focusing on improving mother-child relationships, especially as related to mothers' limited language skills. Further comprehensive education programs to improve better father-child relationships in relating to each other should be developed.
Child ; Child Rearing ; Education ; Emigrants and Immigrants* ; Father-Child Relations ; Female ; Hope ; Humans ; Korea ; Marriage ; Mother-Child Relations ; Mothers ; Philippines ; Qualitative Research ; Speech Disorders

Anti-E and anti-c is one of the clinical significant irregular antibodies developing a delayed hemolytic transfusion reaction and hemolytic disease of the newborn. Since anti-c occurs frequently with anti-E in immunized people whosoe cells are E-and c-, it has been recommended to select blood of the patient's own R1 phenotype for transfusion, even when the presence of anti-c cannot be demonstrated in his/her serum. To determine the utility of this approach, we reviewed the blood bank laboratory records of patients identified anti-E and anti-c in his/her serum in Severance hospital over a 12 year period (1985-1996). During the 12-year period of study, 53 patients were identified with anti-E and/or anti-c; 30(56.6%) patients had anti-E alone, 6(11.3%) had anti-c, and 17(32.1%) had both. Thirty eight of forty two patients whose Rh-hr phenotypes were tested were R1R1. Of these 38 R1R1 patients, 16 patients (42.1%) presented with anti-c concomitant with anti-E. Ouru study showed that the incidence of antni-c in R1R1 patients with anti-E is similar to that of studies reported in Caucasian groups. We highly suggest the transfusion protocol of prophylactic use of c negative blood for R1R1 patients with anti-E. Furthermore, because anti-c may be present in concentrations too low to be detected, the enzyme technique is recommended in parallel with standard serologic methods for the identification of irregular antibodies.
Antibodies ; Blood Banks ; Blood Group Incompatibility ; Humans ; Incidence ; Infant, Newborn ; Phenotype