PURPOSE: This study attempted to grasp the significance of high school boys smoking experiences, and to define its structure, then utilizing the results to create effective nursing intervention in order to protect students from smoking habit. METHOD: This study is based on a phenomenological approach. A group of eight male high school students who had experience in smoking were selected as the subject of this study. Intimate interview with participatory observation were carried out from them and the resulted data were analyzed by Giorgi's method as below. Result: The male high school students' smoking experiences were found to be a direct result from the environments around them and misty curiosity, masculinity, maintenance of close relations with peers, habitualness, stress relief, and concealment from the family. CONCLUSION: The result indicates that the male high school students' smoking, especially in an aspect from its starting point, motivational perspective, attitudes, and recent increasing rate of the juvenile smoking should be recognized as one of the problems that should be resolved. Concurrently, programs for preventing and quitting smoking should be started from the early stage of childhood as possible.
Adolescent ; Exploratory Behavior ; Hand Strength ; Humans ; Male ; Masculinity ; Nursing ; Smoke* ; Smoking*

PURPOSE: This study was done to identify the level of Internet addiction among adolescents, and to examine factors affecting Internet addiction in adolescents. METHOD: The participants in were 475 high school students. Data were analyzed using multiple regression analysis to examine the factors affecting Internet addiction in adolescents. RESULT: The overall Internet addiction scale score was 63.83(+/-20.48). The differences of Internet addiction according to student characteristics were found to be significant for sex and grade. The level of Internet addiction was positively related to the level of impulsiveness and depression. The level of Internet addiction was negatively related to the level of social support. Factors such as impulsiveness and social support were examined as significant factors predicting Internet addiction in adolescents. CONCLUSION: Based upon these findings, factors affecting Internet addiction in adolescents include impulsiveness and social support. The findings provide further justification for interventions targeting key factors that influence Internet addiction in adolescents in addition to providing adolescents with necessary communication, negotiation and other life skills.
Adolescent* ; Depression ; Humans ; Internet* ; Negotiating ; Psychology* ; Child Health

This study is attempted to define risk factor of youth runaway impulse and to structure forecast model through an extensive analysis of the factors influencing the runaway impulse of youth. The subjects were 610 high school students in Seoul and Kyunggido. The collected data was analysed by SAS. The differences between the runaway impulse group and the non-runaway impulse group were subject to chi-square and t-test. Also logistic regression analysis was conducted on the basis of purposeful selection method for constructing the forecast model. The findings are as follows : the major predicting factors of youth runaway impulse are sex(odds ratio=1.886, p=.009), existence of friends of the opposit sex(odds ratio=2.011, p=.007), anti-social personality(odds ratio= 4.953, p=.000), depressive trend(odds ratio= 2.695, p=.000), family structure(odds ratio= 5.381, p=.000), marital relationship(odds ratio =1.893, p=.009) and also between parents and youth(odds ratio=3.877, p=.000), emotional abuse(odds ratio=1.963, p=.003), authoritative controlled rearing(odds ratio=2.135, p=.005) and stress from school(odds ratio=1.924, p=.008). Therefore, the forecast model will be contribute to the nursing intervention for prevention of runaway youth.
Adolescent* ; Child ; Friends ; Gyeonggi-do ; Homeless Youth* ; Humans ; Logistic Models ; Nursing ; Parents ; Risk Factors ; Seoul ; Child Health

This study is attempted to define risk factor of youth runaway impulse and to structure forecast model through an extensive analysis of the factors influencing the runaway impulse of youth. The subjects were 610 high school students in Seoul and Kyunggido. The collected data was analysed by SAS. The differences between the runaway impulse group and the non-runaway impulse group were subject to chi-square and t-test. Also logistic regression analysis was conducted on the basis of purposeful selection method for constructing the forecast model. The findings are as follows : the major predicting factors of youth runaway impulse are sex(odds ratio=1.886, p=.009), existence of friends of the opposit sex(odds ratio=2.011, p=.007), anti-social personality(odds ratio= 4.953, p=.000), depressive trend(odds ratio= 2.695, p=.000), family structure(odds ratio= 5.381, p=.000), marital relationship(odds ratio =1.893, p=.009) and also between parents and youth(odds ratio=3.877, p=.000), emotional abuse(odds ratio=1.963, p=.003), authoritative controlled rearing(odds ratio=2.135, p=.005) and stress from school(odds ratio=1.924, p=.008). Therefore, the forecast model will be contribute to the nursing intervention for prevention of runaway youth.
Adolescent* ; Child ; Friends ; Gyeonggi-do ; Homeless Youth* ; Humans ; Logistic Models ; Nursing ; Parents ; Risk Factors ; Seoul ; Child Health

Ex-utero intrapartum treatment (EXIT) is a method of securing the airway of a fetus while maintaining umbilical circulation for newborns who are experiencing life-threatening airway obstruction. Cesarean section is completed only after ensuring the neonate’s safety. However, managing the airway of a neonate while maintaining umbilical circulation is a major challenge for anesthesiologists. Anesthesiologists must understand the physiology of both the mother and fetus, and extensive discussions with obstetricians, pediatricians, otolaryngologists, and nursing staff prior to the procedure are essential. This review provides an overview of the EXIT and details of airway management for neonates.

The growing number of older adults undergoing surgery necessitates that we address the adverse effects of overt and covert perioperative stroke. Preclinical studies have suggested that anesthesia-induced preconditioning may provide neuroprotection by preserving mitochondrial function, activating cytosolic signaling pathways, and reducing neuroinflammation. However, these promising findings from animal studies have not yet translated into improved clinical outcomes. The discordance between preclinical and clinical outcomes may be due to age-related mitochondrial dysfunction and other comorbidities in older human populations, which reduce the effectiveness of anesthetic preconditioning. Mitochondria, which are central to the effectiveness of preconditioning, may be therapeutic targets to restore the neuroprotective effects of anesthetic preconditioning in the aging brain. Emerging evidence suggests that physical prehabilitation, a key component of Enhanced Recovery After Surgery programs, may influence mitochondrial function and could thus, restore anesthesia-induced preconditioning. Although further research is needed to determine the impact of physical prehabilitation on mitochondrial function and anesthetic preconditioning, incorporating physical prehabilitation into perioperative care might enhance neurological outcomes for older patients undergoing surgery.

Sugammadex, the first noncompetitive antagonist developed for the reversal of neuromuscular blockade (NMB), is one of the few drugs that has revolutionized anesthetic practice. However, the use of sugammadex for children between the ages of 2 and 17 years has only recently been approved and is currently not approved for children under the age of 2 years. Although the precision and reliability of reversal of NMB with sugammadex are of great benefit in pediatric anesthesia, several important questions remain regarding its use in our youngest patients. In this brief narrative review, we aim to provide an overview of the key considerations and potential challenges that anesthesiologists often face when using sugammadex in pediatric patients.

The growing number of older adults undergoing surgery necessitates that we address the adverse effects of overt and covert perioperative stroke. Preclinical studies have suggested that anesthesia-induced preconditioning may provide neuroprotection by preserving mitochondrial function, activating cytosolic signaling pathways, and reducing neuroinflammation. However, these promising findings from animal studies have not yet translated into improved clinical outcomes. The discordance between preclinical and clinical outcomes may be due to age-related mitochondrial dysfunction and other comorbidities in older human populations, which reduce the effectiveness of anesthetic preconditioning. Mitochondria, which are central to the effectiveness of preconditioning, may be therapeutic targets to restore the neuroprotective effects of anesthetic preconditioning in the aging brain. Emerging evidence suggests that physical prehabilitation, a key component of Enhanced Recovery After Surgery programs, may influence mitochondrial function and could thus, restore anesthesia-induced preconditioning. Although further research is needed to determine the impact of physical prehabilitation on mitochondrial function and anesthetic preconditioning, incorporating physical prehabilitation into perioperative care might enhance neurological outcomes for older patients undergoing surgery.

Sugammadex, the first noncompetitive antagonist developed for the reversal of neuromuscular blockade (NMB), is one of the few drugs that has revolutionized anesthetic practice. However, the use of sugammadex for children between the ages of 2 and 17 years has only recently been approved and is currently not approved for children under the age of 2 years. Although the precision and reliability of reversal of NMB with sugammadex are of great benefit in pediatric anesthesia, several important questions remain regarding its use in our youngest patients. In this brief narrative review, we aim to provide an overview of the key considerations and potential challenges that anesthesiologists often face when using sugammadex in pediatric patients.

Sugammadex, the first noncompetitive antagonist developed for the reversal of neuromuscular blockade (NMB), is one of the few drugs that has revolutionized anesthetic practice. However, the use of sugammadex for children between the ages of 2 and 17 years has only recently been approved and is currently not approved for children under the age of 2 years. Although the precision and reliability of reversal of NMB with sugammadex are of great benefit in pediatric anesthesia, several important questions remain regarding its use in our youngest patients. In this brief narrative review, we aim to provide an overview of the key considerations and potential challenges that anesthesiologists often face when using sugammadex in pediatric patients.