The purpose of this study was to test Interaction Model of Client Health Behavior(IMCHB) of Cox repeatedly and to determine the contributions of sociodemographic variables, health experiences, family functioning, intrinsic motivation, health perception, self esteem, to health behavior of highschool students. A convenient sample of 2nd grade highschool students(N=638) responded to self-report questionnaires. The IMCHB was then tested with data using SAS program by frequency, t-test, ANOVA, regression. The results were as follows 1. Health behaviors were found to be gender specific. 2. From the body's model, mother and students health affected health perception and self-esteem among a set of background variables. Health perception and self-esteem are related to health behaviors. 20% of the varience in body's health behavior are explained by health perception and self-esteem. 3. From the girls model, students health explained 13.3% of health perception varience and father's health explained 11.6% of self-esteem varience. 16% of health behavior varience are explained by health perception and self-esteem. The results indicated that there was a relatively poor fit of the IMCHB to the highschool students data. But further study using the IMCHB to define health outcome in student is needed to verify the linkage. The model generated in this study clarified the contribution of some factors such as parental and student's health status. The results also indicated that the schoolnurse has to develop the health care program for students and their parent with community resources to improve health perception and self-esteem of students for intervening health behavior of highschool students.
Delivery of Health Care ; Female ; Health Behavior* ; Humans ; Mothers ; Motivation ; Parents ; Self Concept ; Surveys and Questionnaires

Newborns with ileal atresia frequently present with abdominal distension, bilious vomiting, and failure to pass meconium. Diagnosis is usually established on plain x-ray of the abdomen by the findings of distended small bowel loops and air-fluid levels. In the period of October 1988 to February 1994, 8 patients with congenital ileal atresia were operated and the following results were obtained. 1. Eight patients were comprise of 4 males and 4 females, the ratio of male and female was 1 : 1. 2. Six patients(75%) had been admitted to our hospital during three days of life. 3. Congenital ileal atresia was in 8 cases : Type I in two(25%), Type II in two(25%), Type III a in three(37.5%), Type III b in one(12.5%). 4. There was one premature patient who was small for gestational age. 5. Overall, abdominal distension and bilious vomiting occurring in seven patients, were frequent presenting complaints. 6. Diagnosis was possible with clinical symptom and simple abdomen. 7. Operative treatment was undertaken as soon as the diagnosis was made. In seven cases a primary end-to-end anastomosis was performed after resection of dilated proximal loop. 8. A total of four associated congenital anomalies were found in one patient. 9. Postoperative complications occurred in three cases(37.5%).
Abdomen ; Diagnosis ; Female ; Gestational Age ; Humans ; Infant, Newborn* ; Male ; Meconium ; Postoperative Complications ; Vomiting

Acute mesenteric infarction is a catastrophic illness representing a diverse spectrum of pathologic conditions which ultimately lead to necrosis of the intestine and which is uniformly fatal if left untreated. Despite better understanding of the disease process, acute mesenteric infarction continues to be a lethal disorder with high mortality rate. We experienced two cases of acute mesenteric infarction due to superior mesenteric arterial and venous branch occlusion, respectively, in recent years: One case was focal segmental ischemia with normal radiologic finding including angiography, successfully treated with segmental resection of the necrotized ileum, another case was mesenteric venous thrombosis, also treated with resection of necrotized small intestine followed by second look operation.
Angiography ; Catastrophic Illness ; Ileum ; Infarction* ; Intestine, Small ; Intestines ; Ischemia ; Mortality ; Necrosis ; Venous Thrombosis

PURPOSE: Pneumonia is one of the most common infections in children who visit emergency Department(ED), but standard clinical guidelines for children with pneumonia in Korea have not been studied. This study was performed to collect and evaluate a data-base of children with pneumonia for establishing clinical guidelines in ED. METHODS: This study reviewed 304 children who were diagnosed and treated for pneumonia in the ED at one tertiary hospital between January 2003 and December 2003 retrospectively by reviewing the charts and analyzing the clinical characteristics, laboratory findings, and radiologic findings between an admission group and a discharge group. RESULTS: The 2 year-5 year age group was the top of age distribution and the peak incidence of monthly distribution was December. Two hundred forty seven(81.3 percent) children were hospitalized(admission group), and the mean length of hospitalization was 7.24+/-3.24 days. The most common indications of admission were fever, tachypnea and an age of less than three months. There was statistical differences in the outpatient department follow-up between the two groups(85.8 percent in admission group vs 35.1 percent in discharge group). CONCLUSION: More prospective studies are needed to establish clinical standard guidelines for children with pneumonia. This will be helpful in ED management and will aid the prevention of pneumonia.
Age Distribution ; Child* ; Emergencies* ; Emergency Service, Hospital* ; Fever ; Follow-Up Studies ; Hospitalization ; Humans ; Incidence ; Korea ; Outpatients ; Pneumonia* ; Retrospective Studies ; Tachypnea ; Tertiary Care Centers