Purpose: Diabulimia is a serious problem that can cause a variety of complications in adolescents with type 1 diabetes. The purpose of this study was to evaluate the effectiveness of Internet-based cognitive behavioral therapy program for adolescents with diabulimia. Methods: A randomized controlled trial was conducted on 38 adolescents aged between 13 and 18 years with type 1 diabetes who scored 20 or higher on the Diabetes Eating Problem SurveyRevised (DEPS-R). The experimental group received eight sessions of an Internet-based cognitive behavioral therapy. Results: Immediately after the intervention and four weeks later, the experimental group demonstrated significant reductions in automatic thoughts, depression,and diabetic eating disorder behavior with an increase in body satisfaction compared to the control group. Conclusion The Internet-based cognitive behavioral therapy for adolescents with diabulimia used various techniques to find dysfunctional thoughts that could induce negative emotions and behaviors based on actual experience. When delivered via the Internet, it provided participants with unrestricted access in terms of both time and location.

Purpose: To investigate effects of a stepwise combined biofeedback training program (SCBT) including physiological response-focused training and brainwave change-focused training based on the Reflection and Reflexion model on attention and self-control of male high school students. Methods: This research employed a non-equivalent control group pretest-posttest design. A total of 54 students from two cities in South Korea were divided into experimental, comparison, and control groups. The training consisted of ten sessions over five weeks. The experimental group participated in the SCBT, while the comparison group only engaged in physiological response-focused training. Physiological attention rate and span were used in this study to quantify attention. These measures were calculated using physiological responses. Self-control was assessed using a self-report questionnaire and changes of brainwaves in the experimental group. Data were analyzed using the statistical software SPSS/WIN 25.0. Results: Physiological attention rate, physiological attention span, and self-control scores were significantly different across the three groups. Furthermore, in the experimental group, there was a significant increase in the mean amplitude of the alpha and SMR wave while high-beta waves exhibited a notable drop. Conclusion The present study reveals that the SCBT can serve as a distinct nursing intervention to enhance attention and self-control among high school students.

Purpose: Diabulimia is a serious problem that can cause a variety of complications in adolescents with type 1 diabetes. The purpose of this study was to evaluate the effectiveness of Internet-based cognitive behavioral therapy program for adolescents with diabulimia. Methods: A randomized controlled trial was conducted on 38 adolescents aged between 13 and 18 years with type 1 diabetes who scored 20 or higher on the Diabetes Eating Problem SurveyRevised (DEPS-R). The experimental group received eight sessions of an Internet-based cognitive behavioral therapy. Results: Immediately after the intervention and four weeks later, the experimental group demonstrated significant reductions in automatic thoughts, depression,and diabetic eating disorder behavior with an increase in body satisfaction compared to the control group. Conclusion The Internet-based cognitive behavioral therapy for adolescents with diabulimia used various techniques to find dysfunctional thoughts that could induce negative emotions and behaviors based on actual experience. When delivered via the Internet, it provided participants with unrestricted access in terms of both time and location.

Purpose: To investigate effects of a stepwise combined biofeedback training program (SCBT) including physiological response-focused training and brainwave change-focused training based on the Reflection and Reflexion model on attention and self-control of male high school students. Methods: This research employed a non-equivalent control group pretest-posttest design. A total of 54 students from two cities in South Korea were divided into experimental, comparison, and control groups. The training consisted of ten sessions over five weeks. The experimental group participated in the SCBT, while the comparison group only engaged in physiological response-focused training. Physiological attention rate and span were used in this study to quantify attention. These measures were calculated using physiological responses. Self-control was assessed using a self-report questionnaire and changes of brainwaves in the experimental group. Data were analyzed using the statistical software SPSS/WIN 25.0. Results: Physiological attention rate, physiological attention span, and self-control scores were significantly different across the three groups. Furthermore, in the experimental group, there was a significant increase in the mean amplitude of the alpha and SMR wave while high-beta waves exhibited a notable drop. Conclusion The present study reveals that the SCBT can serve as a distinct nursing intervention to enhance attention and self-control among high school students.

Purpose: Diabulimia is a serious problem that can cause a variety of complications in adolescents with type 1 diabetes. The purpose of this study was to evaluate the effectiveness of Internet-based cognitive behavioral therapy program for adolescents with diabulimia. Methods: A randomized controlled trial was conducted on 38 adolescents aged between 13 and 18 years with type 1 diabetes who scored 20 or higher on the Diabetes Eating Problem SurveyRevised (DEPS-R). The experimental group received eight sessions of an Internet-based cognitive behavioral therapy. Results: Immediately after the intervention and four weeks later, the experimental group demonstrated significant reductions in automatic thoughts, depression,and diabetic eating disorder behavior with an increase in body satisfaction compared to the control group. Conclusion The Internet-based cognitive behavioral therapy for adolescents with diabulimia used various techniques to find dysfunctional thoughts that could induce negative emotions and behaviors based on actual experience. When delivered via the Internet, it provided participants with unrestricted access in terms of both time and location.

Purpose: To investigate effects of a stepwise combined biofeedback training program (SCBT) including physiological response-focused training and brainwave change-focused training based on the Reflection and Reflexion model on attention and self-control of male high school students. Methods: This research employed a non-equivalent control group pretest-posttest design. A total of 54 students from two cities in South Korea were divided into experimental, comparison, and control groups. The training consisted of ten sessions over five weeks. The experimental group participated in the SCBT, while the comparison group only engaged in physiological response-focused training. Physiological attention rate and span were used in this study to quantify attention. These measures were calculated using physiological responses. Self-control was assessed using a self-report questionnaire and changes of brainwaves in the experimental group. Data were analyzed using the statistical software SPSS/WIN 25.0. Results: Physiological attention rate, physiological attention span, and self-control scores were significantly different across the three groups. Furthermore, in the experimental group, there was a significant increase in the mean amplitude of the alpha and SMR wave while high-beta waves exhibited a notable drop. Conclusion The present study reveals that the SCBT can serve as a distinct nursing intervention to enhance attention and self-control among high school students.

Purpose: Diabulimia is a serious problem that can cause a variety of complications in adolescents with type 1 diabetes. The purpose of this study was to evaluate the effectiveness of Internet-based cognitive behavioral therapy program for adolescents with diabulimia. Methods: A randomized controlled trial was conducted on 38 adolescents aged between 13 and 18 years with type 1 diabetes who scored 20 or higher on the Diabetes Eating Problem SurveyRevised (DEPS-R). The experimental group received eight sessions of an Internet-based cognitive behavioral therapy. Results: Immediately after the intervention and four weeks later, the experimental group demonstrated significant reductions in automatic thoughts, depression,and diabetic eating disorder behavior with an increase in body satisfaction compared to the control group. Conclusion The Internet-based cognitive behavioral therapy for adolescents with diabulimia used various techniques to find dysfunctional thoughts that could induce negative emotions and behaviors based on actual experience. When delivered via the Internet, it provided participants with unrestricted access in terms of both time and location.

Purpose: To investigate effects of a stepwise combined biofeedback training program (SCBT) including physiological response-focused training and brainwave change-focused training based on the Reflection and Reflexion model on attention and self-control of male high school students. Methods: This research employed a non-equivalent control group pretest-posttest design. A total of 54 students from two cities in South Korea were divided into experimental, comparison, and control groups. The training consisted of ten sessions over five weeks. The experimental group participated in the SCBT, while the comparison group only engaged in physiological response-focused training. Physiological attention rate and span were used in this study to quantify attention. These measures were calculated using physiological responses. Self-control was assessed using a self-report questionnaire and changes of brainwaves in the experimental group. Data were analyzed using the statistical software SPSS/WIN 25.0. Results: Physiological attention rate, physiological attention span, and self-control scores were significantly different across the three groups. Furthermore, in the experimental group, there was a significant increase in the mean amplitude of the alpha and SMR wave while high-beta waves exhibited a notable drop. Conclusion The present study reveals that the SCBT can serve as a distinct nursing intervention to enhance attention and self-control among high school students.

Chronic liver disease causes hemodynamic changes in the body depending on the degree of progression. These hemodynamic changes begin with splanchnic vasodilation, with complications beginning to appear as the hyperdynamic changes occur. As chronic liver disease progresses, increased splanchnic vasodilation and hyperdynamic changes worsen portal hypertension and help cause or worsen chronic liver disease complications, such as ascites. Ultimately, the effective plasma volume and blood pressure decrease in the terminal stage.

Objectives: The Regional CardioCerebroVascular Center (RCCVC) project was initiated to improve clinical outcomes for patients with acute myocardial infarction or stroke in non-capital areas of Korea. The purpose of this study was to evaluate the outcomes and issues identified by the Busan RCCVC project in the treatment of ST-segment elevation myocardial infarction (STEMI). Methods: Among the patients who were registered in the Korean Registry of Acute Myocardial Infarction for the RCCVC project between 2007 and 2019, those who underwent percutaneous coronary intervention (PCI) for STEMI at the Busan RCCVC were selected, and their medical data were compared with a historical cohort. Results: In total, 1161 patients were selected for the analysis. Ten years after the implementation of the Busan RCCVC project, the median door-to-balloon time was reduced from 86 (interquartile range [IQR], 64-116) to 54 (IQR, 44-61) minutes, and the median symptom-to-balloon time was reduced from 256 (IQR, 180-407) to 189 (IQR, 118-305) minutes (p<0.001). Inversely, the false-positive PCI team activation rate increased from 0.6% to 21.4% (p<0.001). However, the 1-year cardiovascular death and major adverse cardiac event rates did not change. Even after 10 years, approximately 75% of the patients had a symptom-to-balloon time over 120 minutes, and approximately 50% of the patients underwent inter-hospital transfer for primary PCI. Conclusions A decade after the implementation of the Busan RCCVC project, although time parameters for early reperfusion therapy for STEMI improved, at the cost of an increased false-positive PCI team activation rate, survival outcomes were unchanged.