PURPOSE: The purpose of this study was to investigate the effect of stress, social support and self-efficacy on the mental health of female undergraduate students. METHOD: Three hundred ninety-nine undergraduate students were conveniently selected from a university in Seoul. The instruments used in this study were stress, social support, self-efficacy, and mental health scales. ANOVA, t-test, Pearson correlation coefficients, and stepwise multiple regression with SPSS Win 16.0 Version were used to analyze the data. RESULTS: Mental health was significantly influenced by stress, social support, self-efficacy, and monthly expenditures. These variables accounted for 44.2% of the variance in mental health. CONCLUSION: The important factor that was found to affect the mental health of undergraduate female students was stress. Therefore, future studies need to be pursued to develop various strategies, such as stress relief programs, for mental health promotion of female undergraduate students.
Female ; Health Expenditures ; Humans ; Mental Health ; Weights and Measures

PURPOSE: The purpose of this study was to investigate perceived stress and dietary habits of female college students and define the relationships between them. METHOD: A convenient sampling method was used at a university based in Seoul. Finally, 412 students participated in the study from May 1 to June 10, 2008. The questionnaires administered consisted of a Stress Scale for college students and Dietary habit scale questionnaires. The students filled out the questionnaires by themselves. The collected data was analyzed with the SPSS Win 14.0 statistics program, which was used to calculate the frequencies, percentages, ANOVA, and Pearson's correlation of the variables. RESULT: The major findings of this study were as follows; In general, female students were mostly stressed by 'schooling.' Stress scores were significantly different in accordance with religion. Overall, dietary habits of study participants were normal. Significant differences were observed in the dietary habits between type of residence, major, and spending money per month. There was a significant relationship between perceived stress and dietary habits. CONCLUSION: Stress management for female college students should be developed and nutritional education programs should be reinforced.
Female ; Food Habits ; Humans ; Surveys and Questionnaires

PURPOSE: The purpose of study was to explore the frequency of irritable bowel syndrome(IBS) among female university students and identify self-esteem, depression, and physical health. METHOD: The secondary analysis was performed. A total 401 university female students were recruited from 1 university in Korea. IBS was diagnosed based on the Rome III criteria. The questionnaires included Rosenberg's self-esteem scale, Center for Epidemiological Studies-Depression (CESD) scale, and physical health questionnaire developed by Lee. The collected data was analyzed with SPSS Win 15.0 statistics program using frequencies, percentages, ANOVA, and the Pearson's correlations of the variables. RESULT: The frequency of IBS was 26.7 % in students. All women had mixed constipation and diarrhea subtype of IBS. Compared to the women without IBS, those with IBS reported significantly lower scores on self-esteem and higher scores of CESD and on the physical health questionnaire. CONCLUSION: Nursing interventions targeting female students with IBS should be developed in order to reduce the depression and physical health problem and improve self-esteem.
Constipation ; Depression ; Diarrhea ; Female ; Humans ; Irritable Bowel Syndrome ; Korea ; Surveys and Questionnaires ; Rome

The purpose of this study was to investigate the cause of eruption disturbance in the maxillary central incisor and establish the effective treatment plan by analyzing the vertical distance, angulation of long axis and root development of the tooth with eruption disturbance using the cone-beam CT.The average age of 134 patients diagnosed with unilaterally impacted maxillary central incisor was 7.9 years old and the male was 2.1 times higher than the female. The most common cause of eruption disorder was physical obstruction, especially mesiodens and odontoma. Of the teeth with unilateral eruption disorder, 78 cases erupted spontaneously and 56 cases erupted non-spontaneously after removal of physical obstruction.The possibility of spontaneous or non-spontaneous eruption in the unilaterally impacted maxillary central incisor depended on several factors, such as vertical distance, angulation of long axis and root development of unerupted tooth. The spontaneous eruption of the impacted maxillary cental incisor was most frequent at the angulation of long axis of 50 to 90 degrees, which is similar to the angulation of long axis of the normally erupted maxillary central incisor. In addition, the spontaneous eruption period of impacted maxillary central incisor was more influenced by the vertical distance than the angulation of long axis and the root development. Most of the teeth that showed non-spontaneous eruption had orthodontic traction, and these teeth were usually erupted within about 12 months. The period treated with orthodontic traction was no statistical significance with the vertical distance, the angulation of long axis, and the root development.This study will provide information on the cause of unilaterally impacted maxillary cental incisor and help to establish the future treatment plan.
Cone-Beam Computed Tomography ; Female ; Humans ; Incisor ; Male ; Odontoma ; Tooth ; Tooth, Impacted ; Tooth, Unerupted ; Traction

PURPOSE: Purpose of this study was to investigate relationships and influence of peripheral neuropathy, sleep, and quality of life in patients with gastric cancer who are receiving chemotherapy. METHODS: Participants were 131 patients with gastric cancer being treated at a chemotherapy outpatient clinic and receiving chemotherapy. Data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression analysis with the SPSS program. RESULTS: Mean score for peripheral neuropathy was 24.66, for sleep, 6.71 and for quality of life, 67.69. Peripheral neuropathy had a significant positive correlation with sleep (r=.26, p=.003) and sleep had a significant negative correlation with quality of life (r=−.50, p < .001). The regression model explaining quality of patients' lives was significant (F=11.91, p < .001), peripheral neuropathy, sleep, and pain due to anticancer drugs and number ofneurotoxic anticancer drugs explained 25.1% of the variance in quality of life and sleep was the most important factor. CONCLUSION: To improve the quality of life for these patients, individualized nursing interventions for pain should be provided according to number of anticancer drugs in the chemotherapy. Also there is a need to identify ways to assess peripheral neuropathy and sleep disorders that are appropriate in the treatment and reduce side effects during treatment.
Ambulatory Care Facilities ; Drug Therapy* ; Humans ; Nursing ; Peripheral Nervous System Diseases* ; Quality of Life* ; Sleep Wake Disorders ; Stomach Neoplasms*

South Korea implemented interventions to curb the spread of the novel coronavirus disease 2019 (COVID-19) pandemic with discovery of the first case in early 2020. Mathematical modeling designed to reflect the dynamics of disease transmission has been shown to be an important tool for responding to COVID-19. This study aimed to review publications on the structure, method, and role of mathematical models focusing on COVID-19 transmission dynamics in Korea. In total, 42 papers published between August 7, 2020 and August 21, 2022 were studied and reviewed. This study highlights the construction and utilization of mathematical models to help craft strategies for predicting the course of an epidemic and evaluating the effectiveness of control strategies. Despite the limitations caused by a lack of available epidemiological and surveillance data, modeling studies could contribute to providing scientific evidence for policymaking by simulating various scenarios.

Purpose: This study aimed to evaluate the effects of auricular acupressure on the severity of urinary incontinence, quality of life, and sleep quality in elderly women with stress urinary incontinence Methods: This single-blind, randomized, placebo-controlled study included 53 subjects. The participants were elderly women with stress urinary incontinence. The experimental period was a total of 6 weeks, and four different acupressure sites were applied for each group; the experimental group (n=27) received auricular acupressure on the kidney, bladder, central rim, anterior lobe, whereas the placebo-control group (n=26) received acupressure on the wrist, elbow, helix 2, and helix 3. In order to examine the effects of the auricular acupressure intervention, the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), Incontinence Quality of Life (I-QOL) and Pittsburgh Sleep Quality Index (PSQI) were measured before and after the intervention. Results: The ICIQ-UI SF scores and the PSQI scores in the experimental group with auricular acupressure significantly decreased after 6 weeks (p<.001) compared with the scores of the placebo-control group. The I-QOL scores in the experimental group significantly increased after 6 weeks (p<.001) compared with the scores of the placebo-control group. Conclusion Auricular acupressure was effective for mitigating the severity of urinary incontinence and improving the quality of life and sleep after 6 weeks. Therefore, auricular acupressure can be used as a non-pharmacological nursing intervention for elderly women with stress urinary incontinence.

Diabetic ketoacidosis (DKA) is a medically fatal condition in poorly controlled hyperglycemia or newly diagnosed diabetes mellitus. Severe hypertriglyceridemia (HTG) is an uncommon complication of DKA and can be associated with acute pancreatitis (AP). We present the clinical manifestations, laboratory findings, and management of AP associated with HTG in a 14-year-old girl with DKA. The patient, with a 7-year history of type 2 diabetes presented with epigastric pain, 1 month after stopping insulin injection. DKA, severe HTG, and AP were diagnosed based on the laboratory and imaging tests. She recovered from DKA after conventional treatment for DKA, and her triglyceride (TG) level was reduced from 10,867 mg/dL to the normal range after 7 days of admission without antilipid medication. Given that her C-peptide level was not too low and considering her negative diabetes-related antibodies and high TG level, targeted gene panel sequencing was performed on the genes associated with diabetes and HTG. We identified a heterozygous mutation, c.4607C>T (p. Ala1537Val), in ABCC8 related to maturityonset diabetes of the young (MODY) 12. To our knowledge, this is the first reported case of HTG-induced AP with DKA in a patient with MODY. In addition, we reviewed the literature for pediatric cases of HTG with DKA. In patients with DKA, timely awareness of severe HTG related to insulin deficiency is crucial for improving the consequences of AP. We recommend considering AP in all DKA patients presenting with severe HTG to ensure early and proper management.

Purpose: The efficacy of the Mindful Self-Compassion (MSC) for Healthcare Communities program has not been verified. This study aims to evaluate the feasibility and efficacy of the online MSC for Healthcare Communities program on burnout, stress-related health, and resilience among surgical trainees. Methods: A single-arm pilot study was conducted at a tertiary referral academic hospital in Korea. Surgical trainees were recruited through flyer postings; therefore, a volunteer sample was used. Thus, 15 participants participated, among whom 9 were women and 11 were doctor-residents. The Self-Compassion for Healthcare Communities (SCHC) program was conducted from September to October 2021 via weekly online meetings (1 hour) for 6 weeks. The efficacy of the program was evaluated using validated scales for burnout, stress, anxiety, depression, self-compassion, and resilience before and after the intervention and 1 month later. Results: The results showed significantly reduced burnout, anxiety, and stress scores. After the program, high emotional exhaustion and depersonalization rates decreased, and personal accomplishment increased. Eight participants showed reduced anxiety postintervention, and 9 showed reduced stress. Improvements were observed between pre- and postintervention in resilience, life satisfaction, and common humanity. Changes in self-compassion predicted higher gains in resilience and greater reductions in burnout and stress. Conclusion The SCHC is a feasible and effective program to improve resilience, self-compassion, and life satisfaction and reduce stress, anxiety, depression, and burnout in surgical trainees. This study highlights the need to include specific mental health programs in surgical training to improve trainees’ well-being.

PURPOSE: To investigate the frequency and clinical significance of detected incidental lung nodules found on computed tomography (CT) simulation images for hepatocellular carcinoma (HCC) using computer-aided diagnosis (CAD) and a physician review. MATERIALS AND METHODS: Sixty-seven treatment-naive HCC patients treated with transcatheter arterial chemoembolization and radiotherapy (RT) were included for the study. Portal phase of simulation CT images was used for CAD analysis and a physician review for lung nodule detection. For automated nodule detection, a commercially available CAD system was used. To assess the performance of lung nodule detection for lung metastasis, the sensitivity, negative predictive value (NPV), and positive predictive value (PPV) were calculated. RESULTS: Forty-six patients had incidental nodules detected by CAD with a total of 109 nodules. Only 20 (18.3%) nodules were considered to be significant nodules by a physician review. The number of significant nodules detected by both of CAD or a physician review was 24 in 9 patients. Lung metastases developed in 11 of 46 patients who had any type of nodule. The sensitivities were 58.3% and 100% based on patient number and on the number of nodules, respectively. The NPVs were 91.4% and 100%, respectively. And the PPVs were 77.8% and 91.7%, respectively. CONCLUSION: Incidental detection of metastatic nodules was not an uncommon event. From our study, CAD could be applied to CT simulation images allowing for an increase in detection of metastatic nodules.
Carcinoma, Hepatocellular* ; Diagnosis* ; Diagnosis, Computer-Assisted ; Humans ; Lung ; Neoplasm Metastasis ; Radiotherapy