PURPOSE: This study was done to investigate factors influencing successful aging in middle-aged women. METHODS: A convenience sample of 103 middle-aged women was selected from the community. Data were collected using a structured questionnaire and analyzed using descriptive statistics, two-sample t-test, one-way ANOVA, Kruskal Wallis test, Pearson correlations, Spearman correlations and multiple regression analysis with the SPSS/WIN 22.0 program. RESULTS: Results of regression analysis showed that significant factors influencing successful aging were post-traumatic growth and social support. This regression model explained 48% of the variance in successful aging. CONCLUSION: Findings show that the concept 'post-traumatic growth' is an important factor influencing successful aging in middle-aged women. In addition, social support from friends/co-workers had greater influence on successful aging than social support from family. Thus, we need to consider the positive impact of post-traumatic growth and increase the chances of social participation in a successful aging program for middle-aged women.
Aging* ; Diagnostic Self Evaluation* ; Female ; Humans ; Social Participation

PURPOSE: This study was done to examine the relation of uncertainty, uncertainty appraisal, and self-management in patients undergoing hemodialysis, and to identify factors influencing self-management. METHODS: A convenience sample of 92 patients receiving hemodialysis was selected. Data were collected using a structured questionnaire and medical records. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlations and multiple regression analysis with the SPSS/WIN 20.0 program. RESULTS: The participants showed a moderate level of uncertainty with the highest score being for ambiguity among the four uncertainty subdomains. Scores for uncertainty danger or opportunity appraisals were under the mid points. The participants were found to perform a high level of self-management such as diet control, management of arteriovenous fistula, exercise, medication, physical management, measurements of body weight and blood pressure, and social activity. The self-management of participants undergoing hemodialysis showed a significant relationship with uncertainty and uncertainty appraisal. The significant factors influencing self-management were uncertainty, uncertainty opportunity appraisal, hemodialysis duration, and having a spouse. These variables explained 32.8% of the variance in self-management. CONCLUSION: The results suggest that intervention programs to reduce the level of uncertainty and to increase the level of uncertainty opportunity appraisal among patients would improve the self-management of hemodialysis patients.
Adult ; Aged ; Female ; Humans ; Kidney Failure, Chronic/*psychology ; Male ; Middle Aged ; Quality of Life ; Regression Analysis ; Renal Dialysis ; *Self Care ; Spouses ; Surveys and Questionnaires ; *Uncertainty

In order to nursing practice of the patient in Oriental medicine, it is suggested that the fundamental recognition of Oriental medicine should be preceded. It is, however, difficult that we comprehend Oriental medicine generally since it is different from Western medicine in the point of th symptom. We have thought that is to be carried out to select and analyze a disease by the sense of Oriental medicine for the establishment of Oriental medical nursing. So we have tried out the analysis of Tae-Yang. In view of the results so far achieved, it has been suggested that Tae-Yang Symptom applies to the first step of Sanghan Yug Kyung Symptom and consists of Palsy, Sanghan, Onbyung, Dropsy, and Congestion. In the Oriental medicine, Tae-yang Symptom is recognized to be concerned with a common cold and the respiratory, renal and hepatic diseases. In the points of Orintal medicine, it is noticed that Tae-Yang Symptom is caused by the wind and cold evil, is related to human resisting force, and is fused with each other. And the treatment of Tae-Yang Symptom is various by the cause and the pathological mechanism. In the points of Western medicine, it is difficult to comprehend that various disease germs revolving each disease are implied by identical symptom. The summary of this study are as follows ; 1. In the outer-caused diseases, so called Tae-Yang Symptom, it is an important index to the patient's resisting force and the type of a disease whether he sweats, chills and the pulse is tense or not. 2. the treatments are various according the body's resisting force and the type of symptoms ; harmonizing Yung & Wee to Weakness of surface, soporifics flourishing of evils, and antifebriles to On-byung. 3. If Tae-Yang Symptom is not cured, it progresses to develop complications ; Dropsy & congestion, the former brings about renal diseases and the latter hepatic diseases. According to the results mentioned above, we have come to the conclusion that the Oriental - medical nursing must emphasis the body's sesiting force and the type of symptoms rather than the name of a disease.
Chills ; Common Cold ; Edema ; Estrogens, Conjugated (USP) ; Humans ; Medicine, East Asian Traditional ; Nursing* ; Paralysis ; Sweat ; Transcutaneous Electric Nerve Stimulation ; Wind

No abstract available.
Gangwon-do* ; Rehabilitation*

PURPOSE: The purpose of this study was to identify the need for advanced practice nurse and explain the relationship between self-efficacy and professional self-concept among Korean nurses. METHOD: The participants were 511 Korean nurses who were recruited in hospitals or public health centers in Korea. The instruments used in this study were Sherer et al's self-efficacy instrument, Arthur's professional self-concept instrument, and a structured questionnaire on the need for advanced nurse practitioners. Cronbach alpha, mean, SD, X2, t-tests, ANOVA, Pearson correlation coefficient were used to analyze the data using SPSS PC+ ver 12.0 for Windows. RESULTS: Of the nurses, 57.9% of wanted to be advanced practice nurses. The mean of professional self-concept and self-efficacy scores for the nurses were at the medium level. Professional self-concept and self-efficacy of nurses showed significant differences according to age, working location, marital status, level of education, and length of clinical experience. A significant positive correlation was found between professional self-concept and self-efficacy. CONCLUSION: Before planning to develop the role of Advanced practice nurse, there is a need to measure self-efficacy and professional self-concept among nurses. Politically, strategies to increase self-efficacy and professional self-concept among Korean nurses will be necessary in order to prepare good advanced practice nurse.
Education ; Humans ; Korea ; Marital Status ; Nurse Practitioners ; Professional Role ; Public Health ; Questionnaires

The management of LcP disease is dependent on the prognosis yet. This may be difficult to predict for the individual child, particularly at the onset of the disease when radiological sign may be minimal. But some form of conservative treatment is generally commenced before the prognosis become apparent. The purpose of this study was to determine the validity of Catterall's grouping and value of other radiological and clinical factors in predictiong prognisis and also the correlation between the clinical and radiological results at the conclusion of the pathological precess in LCP disease. Between the clinical and radiological results at the conclusion of the pathological process in LCP disease. Between June 1986 and July 1995, 64 childrens with LCP disease were tearted in Kyungpook University Hospital, 44 hips of 40 childrens who had adequate clinical and radiological data were reviewed. The average follow-up period was 5.4 years. The results obtained were followings: 1.The mean age at first visit or diagnosis was 6.7 years. 2. Of 40 childrens, 4 childrens had bilateral involvement. Boys were more predominat. 3. The degree of uncovering of femoral head and medial joint space at the presentation seemed to be prognostic factor for the end results. 4. Catterall & lateral pillar classification seemed to be difficult at presentation of the disease but also an important guide to determine the prognosis.
Child ; Classification ; Diagnosis ; Follow-Up Studies ; Gyeongsangbuk-do ; Head ; Hip ; Humans ; Joints ; Legg-Calve-Perthes Disease ; Prognosis

Food irradiation has been steadily increasing in many countries in line with increasing international trade and concerns about naturally occurring harmful contaminants in food. Although irradiation provides an excellent safeguard for the consumer by destroying almost 100% of harmful bacteria, it is necessary to ensure the safety of irradiated foods. This study was performed to investigate the effect of an irradiated diet on lipid peroxidation in the plasma, liver, small intestinal mucosa, and lymphocyte DNA damage in mice. Eight-week old ICR mice were assigned to two groups to receive either non-irradiated or irradiated (10 kGy) diets containing 20.38% fish powder and 6.06% sesame seeds for 4 weeks. The resulting changes in the degrees of lipid peroxidation were evaluated based on the level of plasma and liver thiobarbituric acid reactive substance (TBARS), transmission electron micrograph of jejunal mucosa, and free radical-induced oxidative DNA damage in lymphocytes, as measured by alkaline comet assay (single cell gel electrophoresis). The peroxide values of the gamma irradiated diet were measured every week, and the sample for comet assay was taken at the end of the four week experimental period. There was no significant difference in food efficiency ratio between the two groups. The peroxide values of the diet were immediately increased to 35.5% after gamma irradiation and kept on increasing during storage. After 4 weeks, no differences in tissue or plasma TBARS value were observed between the two groups, but epithelial cells of jejumum showed osmiophillic laminated membranous structures, considered as myelin figures,. The oxidative DNA damage expressed as tail moment (TM) increased 30% in the blood lymphocytes of the mice fed the irradiated diet. In conclusion, the comet assay sensitively detected differences in lymphocyte DNA damage after feeding with the irradiated diet for 4 weeks. However, in order to ensure the safety of irradiated foods, it would be more useful to conduct a long-term feeding regimen using an irradiated diet and examine the level of lipid peroxidation and the state of oxidative stress in a greater range of organs.
Animals ; Bacteria ; Comet Assay ; Diet* ; DNA Damage* ; DNA* ; Epithelial Cells ; Food Irradiation ; Intestinal Mucosa ; Lipid Peroxidation ; Liver ; Lymphocytes* ; Mice* ; Mice, Inbred ICR ; Mucous Membrane ; Myelin Sheath ; Oxidative Stress ; Plasma* ; Sesamum ; Thiobarbituric Acid Reactive Substances

No abstract available.
Condylomata Acuminata* ; Dermoscopy* ; Diagnosis, Differential* ; Lymphangioma* ; Vulva*

In Korea, the number of older persons has been increasing annually. The proportion of older person aged 65 and over in Korea was 6.6% in 1998 and will reach 12% in 2020. Also, the older persons who are at greates risk for chronic illness with functional dependency is growing the fastest. One of the main diseases of elderly is dementia. Caring for the elderly, in particular elderly mentally ill patients has become one of the biggest social concerns in Korean society today. The caregiver who looks after a disabled or demented elderly person is usually a woman who is either a spouse of daughter in law in Korea. Caregivef s stress leads to dysphoria and in vulnerable individuals, to depression. Hence, family caregivers of people with dementia frequently experience significant emotional, physical and financial stress. So, there is a need to develop, for the Korean family caregiver, home-based nursing interventions using computer-assisted instructions made available either on CD ROM or over the internet. The purpose of this study was to develop and to examine the effect of a caring program for the family caregivers among the Korean demented elderly. The family caregiver nursing intervention program was developed using a team approach involving nursing professors and computer professionals. The application is available on CD ROM as well as on the World Wide Web. The CD ROM program is made up of five sections: 1) definition and symptoms of dementia to support basic medical and nursing knowledge including psychological problems of the demented elderly, 2) methods for coping with the demented elderly including video techniques, 3) physical care and ADL management for the demented elderly including vido techniques, 4) stress management methods for the family caregiver including music therapy, exercise therapy, oriental acupucture technique on the hand, foot massage and paper handicraft, 5) social referral information service. To examine the effect of a CD ROM based caring program, the study was implemented by nonequivalent control group pretest-posttest design. The subjects of this study were 52 family caregivers who were composed of 22 caregivers for the experimental group and of 30 caregivers for the control group. In this study, the measuring instruments were family caregivers nursing care need assessment tool, fatigue tool for family caregiver' s physical health state, OARS for family caregiver' s psychiatric heath state and family burden scale for family caregiver' s psychological health state. The results of the analysis were as follows: 1. There was no significant difference between experimental group and control group on pretest. So two group had homogeneity. 2. There was significant difference between experimental group and control group on posttest measuring nursing care need state(t=8.55, p<0.01)and family caregivef s psychological health state(t=2.58, p<0.05). Therefore, this CD ROM based caring program was revealed the positive effect for family caregivers among the Korean demented elderly. For further research, with distributing the CD ROM, it suggests that the effective caring program to decrease family caregivef s fatigue and psychological health state as like anxiety, stress, strain will be developed.
Activities of Daily Living ; Aged* ; Anxiety ; Caregivers* ; Chronic Disease ; Computer-Assisted Instruction ; Dementia ; Depression ; Exercise Therapy ; Fatigue ; Female ; Foot ; Hand ; Humans ; Information Services ; Internet ; Jurisprudence ; Korea ; Massage ; Mentally Ill Persons ; Music Therapy ; Nuclear Family ; Nursing ; Nursing Care ; Referral and Consultation ; Spouses

We experienced a case of arteriovenous hemangioma showing Dariers sign on the forehead of a 43-year-old man. He presented with a single, 1 * 1.5cm sized, violaceous, asymptomatic nodule with a history of an intermittent wheal at the lesional site. This skin lesion showed Dariers sign clinically and proliferation of mast cells histopathologically with the punch biopsy specirnen suggesting urticaria pig- mentosa. Howerer, we could diagnose it as a arteriovenous hemangioma on complete excision, as the specimen showed arteriovenous proliferation with increased mast cells in a perivascular pattern. This case showed confusing clinical signs and showed the importance of complete excision for the diagnosis of a small skin tumor especially when a vascular proliferating tumor is suspected.
Adult ; Biopsy ; Diagnosis ; Forehead ; Hemangioma* ; Humans ; Mast Cells ; Skin ; Urticaria