PURPOSE: The study was performed to evaluate effects of aroma therapy on the anxiety, blood pressure and pulse of uterine leiomyoma patients before surgery and to apply it as the actual nursing intervention. METHOD: From Aug. 1st to Nov. 30th, 2007, the experimental group (n=30) and the control group (n=30) were selected in 1 hospital, Busan. Lavender and Bergamot oil mixed together at a 3:2 ratio was applied to the experimental group two times at 8-9 pm the day before surgery and twice 30 minutes before the surgery. Anxiety, VAS, blood pressure, and pulse were measured to evaluate the effects of aroma therapy. The data analysis was done using the SPSS/PC 12.0 program using chi-square test and t-test. RESULTS: Hypothesis 1 was supported. The VAS of the experimental group was lower than control group after aroma therapy. Hypothesis 2 was partly supported. The systolic blood pressure and pulse of experimental group was significantly decreased, but diastolic blood pressure wasn't difference. The VAS, systolic blood pressure and pulse of control group were increased. CONCLUSION: The study verified that the aroma therapy is a very effective nursing intervention that can reduce anxiety before surgery. It is recommended to apply aroma therapy actively to patients experiencing anxiety before surgery procedure.
Anxiety ; Aromatherapy ; Blood Pressure ; Humans ; Lavandula ; Leiomyoma ; Plant Oils ; Statistics as Topic

PURPOSE: The purpose of this study was to develop an instrument that evaluated QUality Of care Through patients' Eyes for hospitalized child (QUOTE-Child), and examine the validity and reliability. METHODS: Preliminary items were reviewed through expert content validity and face validity. To test the validity and reliability of the instrument, the data were collected from 221 care givers of hospitalized children. Data were analyzed using exploratory factor analysis, Pearson correlation coefficient, Cronbach's alpha and Spearman-Brown coefficient. RESULTS: Factor analysis yielded 19 items in four factors including 1) respect, 2) explanation, 3) kindness, and 4) skillfulness, with a cumulative explanatory variance of 70.68%. For criterion-related validity, a significant positive relationship was found between quality of care and pediatric family satisfaction. For internal consistency reliability, the Cronbach's alpha was .93 (importance) and .95 (performance) for the overall instrument. The half split reliabilities were .86, .95 (importance) and .92, .97 (performance). The Cronbach's alpha of 110 data was .92 (importance) and .94 (performance). CONCLUSION: Researchers and practitioners can use this instrument to systematically assess quality of care for hospitalized children and identify areas of support for hospitalized children and their family.
Caregivers ; Child ; Child, Hospitalized* ; Humans ; Quality of Health Care ; Reproducibility of Results

Objectives: To compare the white matter microstructure alterations in schizophrenia with auditory verbal hallucinations (AVHs) with normal persons using diffusion tensor imaging. Methods: Thirty-five schizophrenia patients with AVHs and 33 normal control persons were recruited from the National Forensic Hospital in Korea. The fractional anisotropy (FA) values of arcuate fasciculus (AF), Broca’s area, and Wernicke’s area were estimated from the diffusion tensor imaging data of each subject using the Johns Hopkins University-white matter tractography atlas to determine the difference in white matter integrity between schizophrenia patients with AVH and normal persons. Results: Compared to the normal control group, the FA values of AF (t=4.349, p<0.001) were higher in the normal control group. On the other hand, there were no significant differences in Broca’s area and Wernicke’s area. Conclusion Microstructural changes of AF are certainly involved in schizophrenia patients with AVHs.

PURPOSE: Transient tachypnea of the newborn (TTN) is a disorder caused by the delayed clearance of fetal alveolar fluid. beta-adrenergic agonists such as albuterol (salbutamol) are known to catalyze lung fluid absorption. This study examined whether inhalational salbutamol therapy could improve clinical symptoms in TTN. Additional endpoints included the diagnostic and therapeutic efficacy of salbutamol as well as its overall safety. METHODS: From January 2010 through December 2010, we conducted a prospective study of 40 newborns hospitalized with TTN in the neonatal intensive care unit. Patients were given either inhalational salbutamol (28 patients) or placebo (12 patients), and clinical indices were compared. RESULTS: The duration of tachypnea was shorter in patients receiving inhalational salbutamol therapy, although this difference was not statistically significant. The duration of supplemental oxygen therapy and the duration of empiric antibiotic treatment were significantly shorter in the salbutamol-treated group. No adverse effects were observed in either treatment group. CONCLUSIONS: Inhalational salbutamol therapy reduced the duration of supplemental oxygen therapy and the duration of empiric antibiotic treatment, with no adverse effects. However, the time between salbutamol therapy and clinical improvement was too long to allow definitive conclusions to be drawn. Further studies examining a larger number of patients with strict control over dosage and frequency of salbutamol inhalations are necessary to better direct the treatment of TTN.
Absorption ; Adrenergic beta-Agonists ; Albuterol* ; Humans ; Infant, Newborn ; Inhalation ; Intensive Care, Neonatal ; Lung ; Methods ; Oxygen ; Prospective Studies ; Tachypnea ; Transient Tachypnea of the Newborn*

Background: The purpose of the study was to examine associations between depressive symptoms and work-related musculoskeletal symptoms, and health-promoting behaviors in Korean Coast Guards who are exposed to a vulnerable working environment. Methods: A cross-sectional correlational study was conducted with 271 Korean Coast Guards in Gangwon-do. Depressive symptoms were measured using the Korean version of Center for Epidemiologic Studies Depressive Scale-Revised. Work-related musculoskeletal symptoms were measured using the KOSHA (Korea Occupational Safety and Health Agency) GUIDE H-9-2012. Health-promoting behaviors were measured using the Health Promoting Lifestyle Profile-II. Results: Of all the Korean Coast Guards, 17.3% represents the risk of clinical depression, and 43.5% reported work-related musculoskeletal symptoms in any body parts. The average score of health-promoting behaviors were 2.4 (range, 1-4 scores). Depressive symptoms and work-related musculoskeletal symptoms were significantly negatively associated with health-promoting behaviors, respectively. Depressive symptoms were significantly negatively associated with the spiritual growth, interpersonal relationship, physical activity, and stress management in subscales of the Health Promoting Lifestyle Profile-II. Work-related musculoskeletal symptoms were significantly negatively associated with the physical activity and stress management in subscales of the Health Promoting Lifestyle Profile-II. Conclusions Among Korean Coast Guards, health-promoting behaviors were significantly associated with depressive symptoms and work-related musculoskeletal symptoms. Therefore, nursing strategies to promote health-promoting behaviors may be enhanced psychological health and physical health outcome of Korean Coast Guards.

Background: The purpose of the study was to examine associations between depressive symptoms and work-related musculoskeletal symptoms, and health-promoting behaviors in Korean Coast Guards who are exposed to a vulnerable working environment. Methods: A cross-sectional correlational study was conducted with 271 Korean Coast Guards in Gangwon-do. Depressive symptoms were measured using the Korean version of Center for Epidemiologic Studies Depressive Scale-Revised. Work-related musculoskeletal symptoms were measured using the KOSHA (Korea Occupational Safety and Health Agency) GUIDE H-9-2012. Health-promoting behaviors were measured using the Health Promoting Lifestyle Profile-II. Results: Of all the Korean Coast Guards, 17.3% represents the risk of clinical depression, and 43.5% reported work-related musculoskeletal symptoms in any body parts. The average score of health-promoting behaviors were 2.4 (range, 1-4 scores). Depressive symptoms and work-related musculoskeletal symptoms were significantly negatively associated with health-promoting behaviors, respectively. Depressive symptoms were significantly negatively associated with the spiritual growth, interpersonal relationship, physical activity, and stress management in subscales of the Health Promoting Lifestyle Profile-II. Work-related musculoskeletal symptoms were significantly negatively associated with the physical activity and stress management in subscales of the Health Promoting Lifestyle Profile-II. Conclusions Among Korean Coast Guards, health-promoting behaviors were significantly associated with depressive symptoms and work-related musculoskeletal symptoms. Therefore, nursing strategies to promote health-promoting behaviors may be enhanced psychological health and physical health outcome of Korean Coast Guards.

BACKGROUND/OBJECTIVES: The aim of this study was to analyze the factors related to sarcopenic obesity among the elderly in South Korea. SUBJECTS/METHODS: A total of 3,367 elderly (≥ 65 years) from the Korea National Health and Nutrition Examination Survey (2008–2011) were included in this analysis. The subjects were assessed to determine their sarcopenia and obesity status. Sarcopenia was assessed by determining their appendicular skeletal muscle mass (ASM). Obesity was defined by the waist circumference. An association of sarcopenic obesity and the related factors was analyzed using multiple logistic regression models. RESULTS: The risk of sarcopenic obesity of the subjects was decreased by active physical activity. After adjusting for age, smoking, and alcohol consumption, the risk of sarcopenic obesity in men of the highest level group (Q4) decreased by 45% (OR = 0.550, 95% CI = 0.334–0.905, P trend 0.018) compared to that in the reference group (Q1). Among the women, the risk of sarcopenic obesity in the Q3 and Q4 groups decreased by 29.0% (OR = 0.710, 95% CI = 0.512–0,984) and 56.7% (OR = 0.433, 95% CI = 0.281–0.668), respectively, compared to that in the Q1 group (P trend < 0.001). The mean daily energy intake was higher in the non-sarcopenia group than in the sarcopenia group. The risk of sarcopenic obesity in subjects not meeting the recommended intakes of energy, riboflavin, and vitamin C increased significantly by 25.4%, and 36.6%, and 32.6%, respectively, compared to that in the subjects meeting the recommended nutrient intake. CONCLUSION: Active physical activity as well as an adequate intake of energy and some vitamins might be negatively associated with the development of sarcopenia and sarcopenic obesity in the elderly.
Aged ; Alcohol Drinking ; Ascorbic Acid ; Energy Intake ; Female ; Humans ; Korea ; Logistic Models ; Male ; Motor Activity ; Muscle, Skeletal ; Nutrition Surveys ; Obesity ; Riboflavin ; Sarcopenia ; Smoke ; Smoking ; Vitamins ; Waist Circumference

Infective endocarditis involving a prosthetic valve significantly increases the risk of mortality. Extrinsic coronary compression caused by perivalvular abscess in prosthetic valve endocarditis is extremely rare. We present a case of a 40-year-old man with chest pain and fever who had undergone tissue aortic valve replacement 15 years prior. He underwent coronary angiography due to refractory chest pain. Intracoronary nitrate exacerbated symptoms and caused instability in his vital signs despite vasospastic features on coronary angiography. Intravascular ultrasonography revealed a triangular deformation of the proximal left circumflex artery. He received percutaneous coronary intervention on the left circumflex artery with a drugeluting stent, followed by a redo aortic valve replacement. Upon surgical inspection, an abscess had formed due to the prosthetic valve endocarditis was found, and was compressing his coronary artery. In patients suspected of infective endocarditis with myocardial infarction, suspicion of coronary artery compression due to perivalvular abscess should be considered. Distinctive features detected via intravascular ultrasonography can aid in diagnosis. Furthermore, we propose that percutaneous coronary intervention may serve as a bridge to valve replacement surgery, allowing time for restoration of ischemic myocardium.

Infective endocarditis involving a prosthetic valve significantly increases the risk of mortality. Extrinsic coronary compression caused by perivalvular abscess in prosthetic valve endocarditis is extremely rare. We present a case of a 40-year-old man with chest pain and fever who had undergone tissue aortic valve replacement 15 years prior. He underwent coronary angiography due to refractory chest pain. Intracoronary nitrate exacerbated symptoms and caused instability in his vital signs despite vasospastic features on coronary angiography. Intravascular ultrasonography revealed a triangular deformation of the proximal left circumflex artery. He received percutaneous coronary intervention on the left circumflex artery with a drugeluting stent, followed by a redo aortic valve replacement. Upon surgical inspection, an abscess had formed due to the prosthetic valve endocarditis was found, and was compressing his coronary artery. In patients suspected of infective endocarditis with myocardial infarction, suspicion of coronary artery compression due to perivalvular abscess should be considered. Distinctive features detected via intravascular ultrasonography can aid in diagnosis. Furthermore, we propose that percutaneous coronary intervention may serve as a bridge to valve replacement surgery, allowing time for restoration of ischemic myocardium.

Infective endocarditis involving a prosthetic valve significantly increases the risk of mortality. Extrinsic coronary compression caused by perivalvular abscess in prosthetic valve endocarditis is extremely rare. We present a case of a 40-year-old man with chest pain and fever who had undergone tissue aortic valve replacement 15 years prior. He underwent coronary angiography due to refractory chest pain. Intracoronary nitrate exacerbated symptoms and caused instability in his vital signs despite vasospastic features on coronary angiography. Intravascular ultrasonography revealed a triangular deformation of the proximal left circumflex artery. He received percutaneous coronary intervention on the left circumflex artery with a drugeluting stent, followed by a redo aortic valve replacement. Upon surgical inspection, an abscess had formed due to the prosthetic valve endocarditis was found, and was compressing his coronary artery. In patients suspected of infective endocarditis with myocardial infarction, suspicion of coronary artery compression due to perivalvular abscess should be considered. Distinctive features detected via intravascular ultrasonography can aid in diagnosis. Furthermore, we propose that percutaneous coronary intervention may serve as a bridge to valve replacement surgery, allowing time for restoration of ischemic myocardium.