PURPOSE: This study was done to identify the factors involved in ageism in nurses.METHODS: The participants in this study were 178 general hospital nurses. Data were collected in March 2019 using self-report questionnaires, and were analyzed using descriptive statistics, independent t-test, Mann-Whitney U test, one-way ANOVA, Kruskal-Wallis test, and stepwise multiple linear regression.RESULTS: The total score for ageism was 39.75±5.44 out of a maximum of 72. Ageism had a statistically significant relationship with contact experience (r=-.47, p < .001), attitude (r=.40 p < .001), and aging anxiety (r=.35 p < .001). The determining factors affecting ageism were contact experience (β=-.45, p < .001), attitude(β=.20, p=.002), work place (β=.22, p < .001), marital status (β=.21, p < .001), geriatric nursing preference (β=.18, p=.006), geriatric education (β=.17, p=.006), and aging anxiety (β=.14, p=.041). The explanation power of these variables was 39%.CONCLUSION: The results suggest that contact experience with elders had the largest influence on ageism in nurses. Therefore, it is necessary to develop tailored education programs by hospital type to increase positive contact experience and promote understanding of older patients in acute care settings. Furthermore, the importance of the perception of ageism needs to be highlighted in nursing education and continuing education for nurses.
Ageism ; Aging ; Anxiety ; Education ; Education, Continuing ; Education, Nursing ; Geriatric Nursing ; Hospitals, General ; Humans ; Linear Models ; Marital Status ; Workplace

PURPOSE: Obesity is commonly regarded as a risk factor for asthma development, poor asthma control, and poor response to asthma therapy. However, its relationships are not always consistent. Gender difference has been reported to influence asthma severity and asthma control. We investigated the contribution of obesity to airway hyperresponsiveness (AHR) and lung function before and after treatment in adult asthmatics. METHODS: The medical records of a total of 323 adult asthmatics were analyzed retrospectively. Asthma was diagnosed based on the positive result of methacholine bronchial provocation test (PC20< or =25 mg/mL) or bronchodilator test (> or =12% and 200-mL improvement in forced expiratory volume in 1 second after inhalation of a bronchodilator). Follow-up spirometry was performed in 113 patients after at least 3 months of asthma treatment with controller medication. Percent change between spirometry before and after treatment was defined as {[(value after treatment-value before treatment)/value before treatment]x100}. Body mass index (BMI, weight [kg]/height [m2]) was categorized into underweight (<18.5), normal weight (18.5-24.9), overweight (25.0-29.9), and obese (>30) according to the world health organization classification. RESULTS: BMI did not show any significant correlation with PC20 value of methacholine provocation test and each lung function parameter before and after treatment. When we divided the study subjects according to gender and age, BMI was negatively correlated with PC20 value only in female adult asthmatics under 65 years old (r=-0.024, P=0.036). CONCLUSION: Obesity is positively correlated with the intensity of AHR in female adult asthmatics. Gender seems to differentially contribute to the relationship between BMI and AHR.
Adult* ; Aged ; Asthma ; Body Mass Index* ; Bronchial Provocation Tests ; Classification ; Female ; Follow-Up Studies ; Forced Expiratory Volume ; Humans ; Inhalation ; Lung* ; Medical Records ; Methacholine Chloride ; Obesity ; Overweight ; Retrospective Studies ; Risk Factors ; Spirometry ; Thinness ; World Health Organization

We report a rare synchronous presentation of primary lung cancer and adrenal pheochromocytoma. A 59-year-old woman was diagnosed with right upper lobe non-small cell lung carcinoma measuring 2.8 cm and a right adrenal gland mass measuring 3.5 cm, which displayed increased metabolic activity on 18F-fluorodeoxyglucose positron emission tomography-computed tomography. The adrenal lesion was revealed to be asymptomatic. The patient underwent right adrenalectomy and histological examination revealed a pheochromocytoma. Ten days later, right upper lobectomy was performed for lung cancer. This case indicates that incidental adrenal lesions found in cases of resectable primary lung cancer should be investigated.
Adrenal Glands ; Adrenalectomy ; Electrons ; Female ; Humans ; Lung ; Lung Neoplasms ; Pheochromocytoma

A 73-year-old, previously healthy man presented with nausea, vomiting, diarrhea, dry mouth and febrile sensation 3 hours after eating boiled wild mushrooms. After admission, he showed progressive severe respiratory distress, pancytopenia, azotemia, hypotension, hypoxemia and consolidation of the entire left lung on chest radiography. With a preliminary diagnosis of necrotizing pneumonia, he underwent left pneumonectomy in order to remove all necrotic lung tissue. Lung histology showed extensive hemorrhagic necrosis, massive inflammatory cell infiltration, prominent proliferation of young fibroblasts and the formation of an early-stage hyaline membrane along the alveolar wall. Despite aggressive treatment, including mechanical ventilation, continuous renal replacement therapy and administration of granulocyte colony stimulating factor and broad spectrum antibiotics, he died on hospitalization day 13. Subsequently, the mushroom was identified as Podostroma cornu-damae. This is the first case of a histological evidence of lung involvement by Podostroma cornu-damae poisoning in Korea.
Agaricales* ; Aged* ; Anoxia ; Anti-Bacterial Agents ; Azotemia ; Colony-Stimulating Factors ; Diagnosis ; Diarrhea ; Eating* ; Fibroblasts ; Granulocytes ; Hospitalization ; Humans ; Hyalin ; Hypotension ; Korea ; Lung ; Membranes ; Mouth ; Mushroom Poisoning ; Nausea ; Necrosis ; Pancytopenia ; Pneumonectomy ; Pneumonia ; Poisoning ; Radiography ; Renal Replacement Therapy ; Respiration, Artificial ; Respiratory Insufficiency* ; Sensation ; Thorax ; Vomiting