Purpose: This study aimed to identify the relationships between fatigue, psychosocial stress, and behavior of infertile males that reduces endocrine-disrupting chemical (EDC) exposure and to provide baseline data needed for nursing intervention. Methods: A total of 110 infertile males were recruited from a special fertility hospital in Gwangju city in Korea. The participants were administered a self-reported questionnaire. Results: The mean scores were as follows: for fatigue, 59.1 out of 133; for psychosocial stress, 20.3 out of 54; and for behavior that reduced EDC exposure, 52.6 out of 85. Fatigue and psychosocial stress had a positive correlation(r=0.68, p<0.001), behavior that reduces EDC exposure was negatively correlated with fatigue and psychosocial stress(r=-0.54, p<0.001; r=-0.61, p<0.001) Conclusion Fatigue and stress were higher in infertile males. Our findings suggest that a nursing intervention program should focus on reducing fatigue and stress in infertile males and induce behaviors that decrease EDC exposure.

Purpose: This study aimed to identify the relationships between fatigue, psychosocial stress, and behavior of infertile males that reduces endocrine-disrupting chemical (EDC) exposure and to provide baseline data needed for nursing intervention. Methods: A total of 110 infertile males were recruited from a special fertility hospital in Gwangju city in Korea. The participants were administered a self-reported questionnaire. Results: The mean scores were as follows: for fatigue, 59.1 out of 133; for psychosocial stress, 20.3 out of 54; and for behavior that reduced EDC exposure, 52.6 out of 85. Fatigue and psychosocial stress had a positive correlation(r=0.68, p<0.001), behavior that reduces EDC exposure was negatively correlated with fatigue and psychosocial stress(r=-0.54, p<0.001; r=-0.61, p<0.001) Conclusion Fatigue and stress were higher in infertile males. Our findings suggest that a nursing intervention program should focus on reducing fatigue and stress in infertile males and induce behaviors that decrease EDC exposure.

Thirty one infants of diabetic mothers(IDM) who had been admitted in Neonatal Intensive Care Unit at Chonnam University Hospital from January 1987 to July 1991 were studied for evaluation of their perinatal outcome and prognosis. The results were as follows; 1) The distribution of diabetic mothers according to modified White's classification was GD & class A in 12 cases(38.7%), B in 16 cases(51.6%), C in one case, D4 in one case, and R in one case. 2) Of the 31 diabetic mothers, 8(25.8%) had a history of infertility or stillbirth, 20(64.5%) had prognostically bad signs of pregnancy (PBSP), and 12(38.7%) were treated with insulin and/or oral hypoglycemic agent during pregnancy. 3) C-section rate was 32.2%, and the rates of shoulder dystocia and birth asphyxia were 35.5% and 29.0%, respectively. 4) The rates of large for gestational age were 75.0% in class GD & A, 68.8% in class B, and the rates of small for gestational age were 8.3% and, 6.3% respectively, Characteristic face with body composition was noted in all babies, hepatosplenomegaly in 90.3%, heart murmur in 41.9%, respiratory distress syndrome in 12.9%, transient tachypnea of mewborn in 19.4%, hypertrophic cardiomyopathy in 40.0%, and seizure in 6.5%. 5) Laboratory abnormalities were hypoglycemia in 77.4%, hyperbilirubinemia in 83.9%, polycythemia in 16.1%, hyperinsulinemia in 45.5%, hypercalcemia in 22.6%, and hypomagnesemia in 23.1%. 6) Birth injuries were noted in 61.3%, The most common were caput succedaneum and/or cephal-hematoma, brachial palsy, and fracture. Congenital anomalies were noted in 16.1%. The most common were musculoskeletal, cardiovascular, and gastrointestinal anomalies. 7) In the short term follow up of 19 patients, there were mild developmental delay in 2 cases, cerebral palsy in 2 cases, and epilepsy in 1 case. These results suggested that infants of diabetic mothers had greater morbidity than infants of nondiabetic mothers. Therefore, long term follow up is recommended to achieve their normal growth and development.
Asphyxia ; Birth Injuries ; Body Composition ; Cardiomyopathy, Hypertrophic ; Cerebral Palsy ; Classification ; Dystocia ; Epilepsy ; Female ; Follow-Up Studies ; Gestational Age ; Growth and Development ; Heart Murmurs ; Humans ; Hyperbilirubinemia ; Hypercalcemia ; Hyperinsulinism ; Hypoglycemia ; Infant* ; Infant, Newborn ; Infertility ; Insulin ; Intensive Care, Neonatal ; Jeollanam-do ; Mothers* ; Paralysis ; Parturition ; Polycythemia ; Pregnancy ; Prognosis ; Seizures ; Shoulder ; Stillbirth ; Tachypnea

PURPOSE: The purposes of this study was to analyze the effects of a health education program using problem-based learning on health related knowledge, behavior, and quality of life in elderly people. METHODS: The participants included 44 elders, of whom 23 took the health education program and 21 did not. All participants were over 60 yr of age and were selected from residents of nursing homes or participants in activities of social welfare facilities in Jeju Province. Elders in both groups completed pre- and post-tests. Elders in the education group participated in 5 weekly sessions, 100-120 min/session of problem-based learning on health education. Data were analyzed using SPSS WIN 12.0. RESULTS: Scores for health knowledge, health behavior, and quality of life for the education group were significantly higher than those of the control group. CONCLUSION: A problem-based learning health education program can be recommended as a method to promote the health of the elders. Indirectly, the results seem to indicate that proper assessment and support should be provided simultaneously in the management of elders' health. Finally, future study is needed to examine whether problem-based learning is more helpful compared to traditional education.
Aged ; Aged, 80 and over ; Data Interpretation, Statistical ; Demography ; Female ; *Health Education ; *Health Knowledge, Attitudes, Practice ; Humans ; Male ; Nursing Homes ; Program Evaluation ; Quality of Life

No abstract available.
Copper* ; Humans* ; Milk, Human* ; Zinc*

PURPOSE: It is important to identify problems in elders' health through health examination as a part of health service for elders and to execute health education so that elders have appropriate abilities to manage and protect themselves. This study was attempted to assess the need of health education in the elderly and to analyze factors affecting the need of health education. METHOD: The participants in this study were 354 elderly people living independently in the Jeju Special Self-Governing Province of Korea, and a questionnaire survey was conducted through personal interviews from June 25 to July 26, 2007. The methodology was a descriptive study. Data were collected and analyzed using SPSS Win 12.0. RESULTS: As for the contents of education, elders preferred most the area of 'prevention and management of elderly diseases.' Detailed education contents preferred by elders were the prevention of accidents, diet habits, exercise and weight management, mental health and stress management, complementary and alternative therapies, management of drinking and smoking, etc. CONCLUSION: According to elders' concerns and needs, systemic health education for the elderly should provide right health knowledge, health maintenance, health promotion and setting of appropriate health education.
Aged* ; Complementary Therapies ; Drinking ; Education ; Food Habits ; Health Education* ; Health Promotion ; Health Services ; Humans ; Korea ; Mental Health ; Smoke ; Smoking ; Surveys and Questionnaires

No abstract available.
Gestational Age* ; Mortality

PURPOSE: The purpose of this study was to compare nursing students before using problem-based learning and after the experience in: class satisfaction, tendency to critical thinking, learning attitude and motivation. METHOD: The data were collected on March 20 and June 5, 2008. The PBL study was given for 15 weeks from March through June involving 216 junior nursing students. To test effects of PBL, a one group pretest-posttest design was used. Statistical analysis was performed with SPSS 13.0. Paired t-test, chi-square-test, and Pearson correlation coefficient were performed. RESULTS: The results are summarized as follows: Following PBL, the students scored significantly higher on the class satisfaction (t=-3.321, p= .001), tendency to critical thinking (t=-2.218, p= .034), learning attitude (t=-2.910, p= .004) and motivation (t=-4.407, p<.001). The Pearson correlation coefficients among the three variables were significantly positive. CONCLUSION: This study contributes to our understanding of outcomes from the PBL approach. The students undertaking PBL showed that they developed a more positive attitude with their educational experience. Also, students' tendency to think critically improved through the use of the PBL approach.
Humans ; Learning ; Mortuary Practice ; Motivation ; Problem-Based Learning ; Students, Nursing ; Thinking

PURPOSE: We investigated whether in utero exposure to magnesium sulfate is associated with lower incidence of neonatal mortality, morbidity, and neurodevelopmental abnormalities in very low birth weight infants. METHODS: We evaluated 172 infants with birth weight less than 1,500g. According to the maternal receipt of magnesium sulfate, we divided into two groups. We reviewed the medical records of mothers and their babies to evaluate clinical outcome. RESULTS: Of 172 infants, 58(GA 30.0+/-2.3weeks, BW 1,20+/-2221g) received magnesium sulfate prior to delivery for tocolysis or preeclampsia(study group). The remaining 114(GA 29.6+/-2.3weeks, BW 1,220 +/-198g) served as the control group. Neonatal mortality was not significantly different between the two groups(12.5% vs 26.0%). There was no significant difference between the two groups in neonatal complications' RDS(52.4% vs 67.6%), BPD(16.7% vs 29.6%), apnea(52.4% vs 67.6%), IVH(23.8% vs 31.0%), PVL(4.8% vs 11.3%), NEC(7.1% vs 7.0%), ROP(26.8% vs 41.2%), and neal infection(33.3% vs 54.9%). The duration of ventilator therapy(10.9+/-7.3 vs 14.2+/-10.6 days), oxygen administration(20.2+/-20.0 vs 24.3+/-19.9 days) and admission(51.5+/-16.9 vs 54.6+/-16.7 days) were not different. Among 64 patients in whom follow up evaluation was possible more than 1 year, the incidence of cerebral palsy or developmental delay was not different(12.0% vs 12.8%). CONCLUSION: Maternal receipt of magnesium sulfate does not seem to be associated with an appreciably reduced risk of neonatal mortality, morbidity, and neurodevelopmental abnormalities in very low birth weight infants. (Abbreviations. GA, gestational age, BW, birth weight; RDS, respiratory distress syndrome; BPD, bronchopulmonary dysplasia, IVH, intraventricular hemorrhage; PVL, periventricular leukomalacia; NEC, necrotizing enterocolitis; ROP, retinopathy of prematurity)
Birth Weight ; Bronchopulmonary Dysplasia ; Cerebral Palsy ; Enterocolitis, Necrotizing ; Follow-Up Studies ; Gestational Age ; Hemorrhage ; Humans ; Incidence ; Infant ; Infant Mortality* ; Infant* ; Infant, Newborn ; Infant, Very Low Birth Weight* ; Leukomalacia, Periventricular ; Magnesium Sulfate* ; Magnesium* ; Medical Records ; Mothers ; Oxygen ; Tocolysis ; Ventilators, Mechanical

No abstract available.
Teratoma*