PURPOSE: The purpose of this study is to examine effects of a self-help management program at public health centers on self-efficacy, self-esteem, knowledge of stroke and family supports in stroke patients. METHODS: Based on a quasi-experimental design, 44 persons with stroke were assigned to the experimental group (n=21) or the control group (n=23). Data were analyzed through the descriptive statistics, t-test, chi2-test and Mann-Whitney test with the SPSS/WIN 18.0 program. RESULTS: The experimental group showed significant improvement in its members' self-efficacy, self-esteem, knowledge of stroke and family supports. CONCLUSION: The self-help management program can be an effective nursing intervention to help stroke patients improve their self-efficacy, self-esteem, knowledge of stroke and family supports. That program is also meaningful in that it can contribute to more effective implementation of established programs for stroke patients in public health centers.
Humans ; Nursing ; Public Health* ; Self Concept ; Self Efficacy ; Stroke*

PURPOSE: The purpose of this study was to examine the effects of aquatic exercise on pain, fatigue, physical fitness, disability in ADL, and psychological variables in women with arthritis. METHODS: With a quasi-experimental design, 46 women who has arthritis were assigned into an experimental group (n=23), or a control group (n=23). Data were analyzed with SPSS/WIN using descriptive statistics, t-test and ANCOVA. RESULTS: The mean age of the subjects was 60.9 years in the experimental group and 59.8 years in the control group. The pretest scores of theoutcome variables were similar between the two groups except fatigue and waist flexibility. After controlling fatigue and waist flexibility, the experimental group showed more improvement than the control group in Rt shoulder flexibility score (F=4.36, p=.04), sit-up score (F=32.34, p=.00), and muscle strength score (F=30.78, p=.00). The score of disability in ADL decreased in the experimental group (F=5.49, p=.02). The depression score decreased in the experimental group (F=12.01, p=.00), and self-efficacy was improved more than the other variables(F=8.88, p=.00). CONCLUSION: Aquatic exercise is likely to be an effective nursing intervention to improve physical fitness, to reduce pain, fatigue, and disability in ADL, and to enhance psychological functions in women with arthritis.
Activities of Daily Living* ; Arthritis* ; Depression ; Fatigue* ; Female ; Humans ; Muscle Strength ; Nursing ; Physical Fitness* ; Pliability ; Shoulder

Liver infarction is rare because of dual blood supply of the liver with hepatic artery and portal vein. And its occurrence as a complication of chronic pancreatitis is rarer. We present a case of chronic pancreatitis complicated by liver infarction and inferior pancreaticoduodenal artery pseudoaneurysm. A 31-year-old female with alcoholism presented with severe acute epigastric pain. Serum amylase and lipase were 203 IU/L and 78 IU/L, respectively. Initial computed tomography (CT) scan showed peripancreatic infiltration, fluid collection, right portal vein thrombosis, and a large wedge-shaped low attenuation in the right hepatic lobe. The patient has been treated with heparin. Follow-up CT scan done after 4 days of heparin treatment demonstrated a pseudocyst with internal hemorrhage and a pseudoaneurysm. Angiography revealed a pseudoaneurysm in inferior pancreaticoduodenal artery. Coil embolization of the artery was done. The patient has been discharged without complication. Follow-up CT scan showed resolution of liver infarction, portal vein thrombosis and pseudoaneurysm.
Adult ; Alcoholism ; Amylases ; Aneurysm, False* ; Angiography ; Arteries* ; Embolization, Therapeutic ; Female ; Follow-Up Studies ; Hemorrhage ; Heparin ; Hepatic Artery ; Humans ; Infarction* ; Lipase ; Liver* ; Pancreatitis ; Pancreatitis, Chronic* ; Portal Vein ; Thrombosis ; Tomography, X-Ray Computed ; Venous Thrombosis

Liver infarction is rare because of dual blood supply of the liver with hepatic artery and portal vein. And its occurrence as a complication of chronic pancreatitis is rarer. We present a case of chronic pancreatitis complicated by liver infarction and inferior pancreaticoduodenal artery pseudoaneurysm. A 31-year-old female with alcoholism presented with severe acute epigastric pain. Serum amylase and lipase were 203 IU/L and 78 IU/L, respectively. Initial computed tomography (CT) scan showed peripancreatic infiltration, fluid collection, right portal vein thrombosis, and a large wedge-shaped low attenuation in the right hepatic lobe. The patient has been treated with heparin. Follow-up CT scan done after 4 days of heparin treatment demonstrated a pseudocyst with internal hemorrhage and a pseudoaneurysm. Angiography revealed a pseudoaneurysm in inferior pancreaticoduodenal artery. Coil embolization of the artery was done. The patient has been discharged without complication. Follow-up CT scan showed resolution of liver infarction, portal vein thrombosis and pseudoaneurysm.
Adult ; Alcoholism ; Amylases ; Aneurysm, False* ; Angiography ; Arteries* ; Embolization, Therapeutic ; Female ; Follow-Up Studies ; Hemorrhage ; Heparin ; Hepatic Artery ; Humans ; Infarction* ; Lipase ; Liver* ; Pancreatitis ; Pancreatitis, Chronic* ; Portal Vein ; Thrombosis ; Tomography, X-Ray Computed ; Venous Thrombosis

Leukoplakia is a fixed, predominantly white-lesion of the mucosa. It is most often seen on the oral and anogenital mucosa. Leukoplakia should be biopsied to determine the true histopathologic diagnosis. Verruciform xanthoma is composed of asymptomatic, usually solitary, flat plaques or warty lesions. They may vary in color from gray to pink or yellow. Its pathogenesis is still unknown and usual site is the oral cavity. Histopathologically, it is characterized by verrucous epidermal hyperplasia with aggregates of foam cells in the dermal papillae. A review of literature indicated that verruciform xanthoma presenting as a whitish plaque on the lower lip was very rare. We describe a 70-year-old woman with verruciform xanthoma who presented with a whitish plaque on her lower lip.
Aged ; Diagnosis ; Female ; Foam Cells ; Humans ; Hyperplasia ; Leukoplakia* ; Lip* ; Mouth ; Mucous Membrane ; Xanthomatosis*

Catathrenia is a rare chronic disorder characterized by expiratory groaning during sleep. Neither the origin of this sound nor the pathophysiology underpinning catathrenia is understood. Although the International Classification of Sleep Disorders, 2nd edition (ICSD-2) included catathrenia among "other parasomnias," catathrenia was classified as a respiratory disorder in the 2014 ICSD-3. Several case series of this condition have been reported, but the clinical descriptions of the sound duration and intensity, usual stage of sleep at which it occurs, and treatment response differ across cases. The possibility that catathrenia is not a single disorder has also been considered. When typical catathrenia symptoms are present, but overnight polysomnography findings do not meet the typical diagnostic criteria, a diagnosis of atypical nocturnal vocalization is given. We report a case of atypical nocturnal vocalization mimicking catathrenia that accompanied obstructive sleep apnea and improved after continuous positive airway pressure therapy.

The Korean version of Neurological Disorders Depression Inventory for Epilepsy in Table 3 was inadvertently omitted from the original publication of this article.

PURPOSE: The purpose of this study was to examine the effects of knowledge about the harmfulness of smoking and attitude toward smoking temptation for middle school students. METHODS: A survey was conducted in this study on 745 students from 12 middle schools in the Y City. Data were analyzed with SPSS/WIN 12.0 using descriptive statistics, t-test, ANCOVA, Scheffe's test and multiple regression analysis. RESULTS: There was statistically significant difference in knowledge about the harmfulness of smoking (F=2.88, p<.05) and attitude toward smoking (F=54.61, p<.001). And there was statistically significant difference in smoking temptations among tempting factors such as negative mood of individual (F=63.61, p<.001), positive mood of social situation (F=67.08, p<.001), habitualness (F=57.68, p<.001), weight control (F=33.01, p<.001), and others' smoking (F=73.13, p<.001). CONCLUSION: These results suggest that smoking-cessation programs to enhance the effectiveness of nursing interventions should be tailored to the level of smoking temptation and that educational programs should be developed for middle school students.
Humans ; Nursing ; Smoke* ; Smoking*

Many recent epidemiological studies have found the prevalence of depression and anxiety to be higher in people with epilepsy (PWE) than in people without epilepsy. Furthermore, people with depression or anxiety have been more likely to suffer from epilepsy than those without depression or anxiety. Almost one-third of PWE suffer from depression and anxiety, which is similar to the prevalence of drug-refractory epilepsy. Various brain areas, including the frontal, temporal, and limbic regions, are associated with the biological pathogenesis of depression in PWE. It has been suggested that structural abnormalities, monoamine pathways, cerebral glucose metabolism, the hypothalamic-pituitary-adrenal axis, and interleukin-1b are associated with the pathogenesis of depression in PWE. The amygdala and the hippocampus are important anatomical structures related to anxiety, and gamma-aminobutyric acid and serotonin are associated with its pathogenesis. Depression and anxiety may lead to suicidal ideation or attempts and feelings of stigmatization. These experiences are also likely to increase the adverse effects associated with antiepileptic drugs and have been related to poor responses to pharmacological and surgical treatments. Ultimately, the quality of life is likely to be worse in PWE with depression and anxiety than in PWE without these disorders, which makes the early detection and appropriate management of depression and anxiety in PWE indispensable. Simple screening instruments may be helpful for in this regard, particularly in busy epilepsy clinics. Although both medical and psychobehavioral therapies may ameliorate these conditions, randomized controlled trials are needed to confirm that.
Amygdala ; Anticonvulsants ; Anxiety* ; Axis, Cervical Vertebra ; Brain ; Depression* ; Epilepsy* ; gamma-Aminobutyric Acid ; Glucose ; Hippocampus ; Mass Screening ; Metabolism ; Prevalence ; Quality of Life ; Serotonin ; Stereotyping ; Suicidal Ideation

Halo dermatitis (Meyerson's nevus) is an inflammatory, eczematous eruption usually encircling a preexisting melanocytic nevus. Spontaneous healing occurs within several weeks or months and is never concurrent with regression of the central nevus, in contrast to halo nevus (Sutton's nevus). Although halo dermatitis is often associated with central melanocytic nevi, pathogenesis leading to the morphological change of this disorder remains obscure. Herein, we report a case of a 23-year-old female who developed an eczematous halo reaction surrounding the junctional nevi.
Dermatitis* ; Eczema ; Female ; Humans ; Nevus* ; Nevus, Halo ; Nevus, Pigmented ; Young Adult