We report the case of a 42-year-old male who was admitted to the hospital with progressive dyspnea. Cardiomegaly and diffuse pulmonary edema were visible on chest X-ray and multiple oral and genital ulcers on physical examination. On admission, echocardiography revealed mitral valve prolapse (MVP) predominantly involving a basal portion of the posterior leaflet, with severe mitral regurgitation. A successful mitral valve replacement with St. Jude #29 was performed, after pre-treatment with prednisolone for 2 weeks. Fifteen months following the operation, the patient expired from severe pulmonary edema and secondary pneumonia. This case demonstrates, for the first time in the literature, an unusual feature of mitral prolapse in the basal portion with severe mitral regurgitation in a patient with Behcet's disease. As suggested by this case, we should consider an atypical type of MVP as a possible inflammatory involvement of the heart in patients with Behcet's disease.
Adult ; Behcet Syndrome ; Cardiomegaly ; Dyspnea ; Echocardiography ; Heart ; Heart Valve Prolapse ; Humans ; Inflammation ; Male ; Mitral Valve ; Mitral Valve Insufficiency ; Mitral Valve Prolapse ; Physical Examination ; Pneumonia ; Prednisolone ; Prolapse ; Pulmonary Edema ; Thorax ; Ulcer

Purpose: This study was conducted to identify the influence of patient safety culture and nursing work environment on fall prevention activities among hospital nurses. Methods: The participants were 177 nurses working at eight hospitals including clinics, general hospitals, and tertiary care hospitals located in B city. Data were collected using self-report questionnaires and analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffé test. Pearson’s correlation coefficients, and hierarchical multiple regression with SPSS/WIN 26.0. Results: Fall prevention activities were positively correlated with nursing work environment (r=.25, p=.001) and patient safety culture (r=.49, p<.001). Fall prevention activities were found to be significantly affected by patient safety culture (β=.47, p<.001) and being a training hospital (β=.21, p=.006). Conclusion The findings from this study suggest that patient safety culture is associated with fall prevention activities. In order to raise fall prevention activities, it is important to improve patient safety culture. Additionally, the health care organization should develop programs to raise fall prevention activities.

Purpose: This study aimed to identify the influence of effort-reward imbalance and job satisfaction on turnover intention among hospital nurses. Methods: Data were collected from January 28 to February 10, 2022, from 237 nurses from five hospitals including clinics, general hospitals, and tertiary care hospitals located in B city. The collected data were analyzed using descriptive statistics, t-test, ANOVA, the Scheffé test, Pearson’s correlation coefficients, and multiple linear regression analysis, using SPSS/WIN 26.0. Results: The average of the effort-reward ratio, an indicator of effort-reward imbalance, was 1.67±0.66, and 86.5% of the participants had a value of 1 or more. The mean job satisfaction and turnover intention were 3.32±0.48 and 3.69±0.89 on a 5-point scale, respectively. Multiple regression revealed that factors affecting turnover intention among hospital nurses included effort-reward imbalance (β=.30,p<.001) and job satisfaction (β=-.32, p<.001), and these variables explained 29.0% of turnover intention. Conclusion These findings indicate that effort-reward imbalance and job satisfaction are associated with turnover intention. Therefore, to decrease the turnover intention of hospital nurses, interventions and policies should be prepared to resolve the nurse's effort-reward imbalance and increase job satisfaction at regional or national level hospitals.

Purpose: This study’s purpose was to identify the influence of retirement expectations and readiness on retirement anxiety among middle-aged nurses. Methods: The participants were 216 middle-aged nurses working at nine locations including hospitals, long-term care hospitals, general hospitals, and tertiary hospitals in B city. Data were collected from April 25 to May 13, 2022 using self-report questionnaires and analyzed using t-tests, one-way ANOVAs, Scheffé́ tests, Pearson’s correlation coefficients, and multiple regression with SPSS/WIN 28.0. Results: The mean scores for retirement expectations, retirement readiness, and retirement anxiety were 3.49±0.38, 3.21±0.59, and 2.48±0.51, respectively. Retirement anxiety was found to be significantly affected by new beginnings (β=-.31, p<.001) for retirement expectations and life design readiness (β=-.27, p=.002) and, leisure readiness (β=-.27, p<.001) for retirement readiness. These variables accounted for 33.0% the retirement anxiety among middle-aged nurses. Conclusion To reduce retirement anxiety among middle-aged nurses, it is necessary to adopt an organizational approach enhancing their perceptions and using a policy alternative to make use of older nurses' extensive knowledge and experience.

No abstract available.
Tissue Expansion Devices*

No abstract available.
Pemphigus

No abstract available.
Free Tissue Flaps* ; Lower Extremity*

No abstract available.
Drainage* ; Lung Abscess* ; Lung* ; Pneumothorax* ; Suppuration*

No abstract available.
Myelitis, Transverse*

The purpose of this study was to investigate effects of nutrition education program and pamphlet for the lower grades elementary students focused on individual daily needed food exchange units using Food Exchange System. Program consisted of four lessons (40 min/lesson), "5 major nutrients & function", "6 food group and sources", "daily needed food exchange units for normal body weight", and "smart snack choice and exercise". Pamphlet as activity book was developed for the program. The subjects were 3rd grade elementary students (educated group, 31 vs. non-educated group, 31). Educated group were lessoned as group and/or individual. We examined the differences in nutrition knowledge, dietary attitudes, dietary intakes and satisfaction of the program and pamphlet. In educated group, there were positive improvements on nutrition knowledge score "function and foods of 5 nutrients" and on dietary attitudes "type of breakfast and snacks". In the evaluation of dietary intakes according to KDRI, there were positive improvements on intakes level of riboflavin, vit. C, folate, Ca, P, Fe and Zn in educated group. In satisfaction with the program and pamphlet, contents, font size, visual, figure, difficulty and program curriculum were over 2.90/3.0. It showed that the developed nutrition education program and pamphlet focused on individual daily needed food exchange units using Food Exchange System improved nutrition knowledge, dietary attitudes and nutrients intake level in the lower grades elementary students.
Breakfast ; Curriculum ; Folic Acid ; Humans ; Pamphlets ; Riboflavin ; Snacks