PURPOSE: This study was to examine the effect of postpartum exercise on mental health. Mental health comprises a 9 symptom dimension of Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Anxiety, Hostility, Phobic anxiety, Paranoid Ideation, and Psychoticism. METHOD: A non-equivalent pre-test, post-test control group study was conducted. Fifty-two puerperal women who were admitted to a postpartum ward of a mother-baby clinic in Pusan were recruited; 26 women were assigned to the experimental group and 26 women to the control group. Postpartum exercise was applied to the experimental group from postpartum day 3 for a period of 8 weeks while no exercise program was applied to the control group. Mental health with SCL-90-R was measured before and after exercise. Data was analyzed using mean, x2-test, t-test, and ANOVA by SPSS 10.0. RESULT: The mental health status in the exercise group did not show a statistically significant decrease when compared to that of the control group. CONCLUSION: There is no effect of postpartum exercise on women's mental health during the first 8 weeks of the postpartum period. Further studies are needed for randomized clinical trials with a larger sample size.
Anxiety ; Busan ; Depression ; Female ; Hostility ; Humans ; Mental Health* ; Postpartum Period* ; Sample Size

Purpose: : In this study, we aimed to identify the factors affecting nurses’ competency in delirium care in an intensive care unit at a tertiary general hospital. Methods: : The participants were 149 nurses in the intensive care unit. Collected data were analyzed using independent t-tests, ANOVA, Sheffé test, Pearson correlations coefficients, and multiple regressions using the SPSS 28.0 program. Results: : The factors that significantly influenced the participants’ competency in delirium care were delirium nursing confidence (β=.44, p ＜.001) and intensive care unit clinical career (β=.25, p =.002). These factors explained 32.5% of the total variance outcomes regarding the competency in delirium care (F=12.87, p ＜.001). Conclusion : The study results indicated that the higher the confidence in delirium care and the more extensive intensive care unit experience, the higher the competency in delirium care. Moreover, these results suggested that various policy strategies should be implemented to enable intensive care unit nurses to work for a long time and to develop educational programs to increase confidence in delirium care.

Purpose: : In this study, we aimed to identify the factors affecting nurses’ competency in delirium care in an intensive care unit at a tertiary general hospital. Methods: : The participants were 149 nurses in the intensive care unit. Collected data were analyzed using independent t-tests, ANOVA, Sheffé test, Pearson correlations coefficients, and multiple regressions using the SPSS 28.0 program. Results: : The factors that significantly influenced the participants’ competency in delirium care were delirium nursing confidence (β=.44, p ＜.001) and intensive care unit clinical career (β=.25, p =.002). These factors explained 32.5% of the total variance outcomes regarding the competency in delirium care (F=12.87, p ＜.001). Conclusion : The study results indicated that the higher the confidence in delirium care and the more extensive intensive care unit experience, the higher the competency in delirium care. Moreover, these results suggested that various policy strategies should be implemented to enable intensive care unit nurses to work for a long time and to develop educational programs to increase confidence in delirium care.

Purpose: : In this study, we aimed to identify the factors affecting nurses’ competency in delirium care in an intensive care unit at a tertiary general hospital. Methods: : The participants were 149 nurses in the intensive care unit. Collected data were analyzed using independent t-tests, ANOVA, Sheffé test, Pearson correlations coefficients, and multiple regressions using the SPSS 28.0 program. Results: : The factors that significantly influenced the participants’ competency in delirium care were delirium nursing confidence (β=.44, p ＜.001) and intensive care unit clinical career (β=.25, p =.002). These factors explained 32.5% of the total variance outcomes regarding the competency in delirium care (F=12.87, p ＜.001). Conclusion : The study results indicated that the higher the confidence in delirium care and the more extensive intensive care unit experience, the higher the competency in delirium care. Moreover, these results suggested that various policy strategies should be implemented to enable intensive care unit nurses to work for a long time and to develop educational programs to increase confidence in delirium care.

Purpose: : In this study, we aimed to identify the factors affecting nurses’ competency in delirium care in an intensive care unit at a tertiary general hospital. Methods: : The participants were 149 nurses in the intensive care unit. Collected data were analyzed using independent t-tests, ANOVA, Sheffé test, Pearson correlations coefficients, and multiple regressions using the SPSS 28.0 program. Results: : The factors that significantly influenced the participants’ competency in delirium care were delirium nursing confidence (β=.44, p ＜.001) and intensive care unit clinical career (β=.25, p =.002). These factors explained 32.5% of the total variance outcomes regarding the competency in delirium care (F=12.87, p ＜.001). Conclusion : The study results indicated that the higher the confidence in delirium care and the more extensive intensive care unit experience, the higher the competency in delirium care. Moreover, these results suggested that various policy strategies should be implemented to enable intensive care unit nurses to work for a long time and to develop educational programs to increase confidence in delirium care.

Drug-induced thrombocytopenia and purpura have boon developed by many various agents. Rifampin and Pyrazinamide have been known as bactericidal antituberculous drugs, but, the above side effects have been a problem. Especially, hematologic side effects art fatal to patients occasionally. Rifampin-induced thrombocytopenia and purpura have been well known, also, pyrazinamide-induced thrombocytopenia have been reported. A new quilonone agent Ciprofloxacin, has been commonly used in clinics now, but it's side effects are not known well. So, we report a case of a 23-year-old female with thrombocytopenia and purpura after taking Rifampin, Pyrazinamide, and Ciprofloxacin as antituberculous agents.
Ciprofloxacin* ; Female ; Humans ; Purpura* ; Pyrazinamide* ; Rifampin ; Thrombocytopenia* ; Young Adult

Under the assumption that people go through stages in making dietary behavior change, this study was attempted to apply the stages of a change model for fat intake by examining the associations of social psychological variables with stages of change in dietary fat reduction. Derived from social psychological theories, 10 social psychological variables on motivational beliefs(6), social influence(3) and self-efficacy(1) related specifically to selecting every day diets low in fat were constructed. Fat and energy intakes were assessed by a short form semi-quantitative food frequency questionnaire. The associations of stages of change with motivational beliefs, social influence, and self-efficacy variables and energy and fat intakes were assessed in 333 female adults from large cities in Korea. Dietary stage groups differed significantly on most of the social psychological variables in ways predicted by theory. Motivational factors that lead to a psychological state of readiness to take action were important in the early stages of the dietary change process. Social influences were more important in the stages as people decide to take action. Self efficacy and motivational beliefs, particularly, reduction of perceived barriers were important in maintaining fat reduction behavior. The results of our study indicate differences in stages of change in fat reduction behavior in terms of nutrient intakes and social psychological correlates and suggests that adding a time dimension to social psychological models increases our understanding of dietary change, which assist us in designing nutrition education interventions that are more appropriately targeted by stage of change.
Adult* ; Diet ; Dietary Fats ; Education ; Female* ; Humans ; Korea ; Models, Psychological ; Psychological Theory ; Self Efficacy ; Surveys and Questionnaires

A murime monoclonal antibody (mAb) specific for the envelope glycoprotein gp120 of human immunodeficiency virus type-I (HIV-1) was chemically coupled to pokeweed antiviral protein (PAP) from Phytolacca americana. The immunotoxin was purified by FPLC using 5200 colum. The purified immunotoxin efficiently bound to HIV-infected T cells as evidenced by fluorescence-activated cell sorter analysis. The immunotoxin selectively killed human T lymphoid lines infected with HIV-lIIIB at less than 250 pM of the immunotoxin cells, while PAP or mAb alone did not have any significant effect on infected cells. The uninfected control T cell lines were not affected. Human cells infected with HIV-2 or other HIV-1 strains were not killed, suggesting that the killing depends completely on the antibody used for coupling. These in vitro results suggest that the PAP-mAb conjugate may be used to selectively remove cells expressing viral antigens from individuals infected with HIV.
Antigens, Viral ; Cell Line ; Glycoproteins ; HIV ; HIV-1 ; HIV-2 ; Homicide ; Humans* ; Immunotoxins ; Phytolacca americana* ; T-Lymphocytes*

To understand the molecular mechanism of hemorrhagic tendency represented in hemorrhagic fever with renal syndrome (HFRS), the effect of Hantaan virus (HTNV) on the von Willebrand factor (vWF) was observed in human umbilical vein endothelial cells (HuVECs). An immunofluorescence assay (IFA) showed a significant reduction of the vWF in the cytoplasm of HTNV-infected HuVECs. The amount of vWF protein in HTNV-infected HuVECs was reduced to 86, 49, 67, and 42% of those in control HuVECs at 1(st), 3(rd), 5(th), and 7(th) days of post infection (d.p.i.), respectively. However, there were no significant differences in the vWF mRNA expression in both groups at all time courses by reverse transcriptase polymerase chain reaction (RT-PCR). The amounts of secreted vWF in the culture supernatants of the HTNV-infected HuVECs were 79, 87, 83, and 82% of those in control HuVECs at 1(st), 3(rd), 5(th), and 7(th) d.p.i., respectively. These results indicated that the reduction of vWF by HTNV was regulated at post-transcriptional level and this might delay the coagulation process on the site of HTNV infection, thus leading to hemorrhage in HFRS.
Cytoplasm ; Endothelial Cells ; Fluorescent Antibody Technique ; Hantaan virus* ; Hemorrhage ; Hemorrhagic Fever with Renal Syndrome ; Human Umbilical Vein Endothelial Cells* ; Humans* ; Reverse Transcriptase Polymerase Chain Reaction ; RNA, Messenger ; von Willebrand Factor*

Since the 1970s, the average life expectancy of Koreans has been increasing. Our concerns are not simply about longevity, but also about disability-free life. lately, Sasang constitutional medicine has attracted public attention, especially with respect to the elderly. The purpose of this study was to investigate the food habits, nutrients intake, and disease distribution among the elderly, according to their Sasang constitutions. The results are as follow : The distribution of constitutions of the subjects were Tae-eum 48.8%, So-yang 27.4%, So-eum 22.6%, and So-yang + So-eum 1.2%. In both elderly men and women, body weight, percent ideal body weight, and diastolic pressure of the Tae-eum were significantly higher than those of other constitutions. In both men and women, the level of hemoglobin in the Tae-eum was significantly higher than those of other constitutions. The level of LDL-cholesterol was higher, and the level of HDL-cholesterol was lower in the So-eum elderly women. Food habits of the So-eum were the most irregular, and nutrients intake of the So-eum was lower than that of other constitutions in both elderly men and women. In elderly men, the incidence of hypertension was the highest in the Tae-eum, and the incidence of gastritis was the highest in both So-yang and So-eum. In elderly women, the incidence of fatty liver was the highest in the Tae-eum and So-yang, and gastritis and hypertension were the highest in the So-eum. In the elderly, obese and anemic persons were significantly more in the Tae-eum and the So-eum, respectively. The results of this study showed that there were significant differences of physical, characeristics, food, habits, and distributions of disease for the subjects according to each Sasang constitutions. Intake of nutrient was poor, regardless of Sasang constitutions, in both men and women.
Aged* ; Blood Pressure ; Body Weight ; Constitution and Bylaws* ; Fatty Liver ; Female ; Food Habits* ; Gastritis ; Humans ; Hypertension ; Ideal Body Weight ; Incidence ; Life Expectancy ; Longevity ; Male