Hyeon-Cheol Jeong

Effects of a Randomized Controlled Recurrent Fall Prevention Program on Risk Factors for Falls in Frail Elderly Living at Home in Rural Communities

Background Falling can lead to severe health issues in the elderly and importantly contributes to morbidity, death, immobility, hospitalization, and early entry to long-term care facilities. The aim of this study was to devise a recurrent fall prevention program for elderly women in rural areas. Material/Methods This study adopted an assessor-blinded, randomized, controlled trial methodology. Subjects were enrolled in a 12-week recurrent fall prevention program, which comprised strength training, balance training, and patient education. Muscle strength and endurance of the ankles and the lower extremities, static balance, dynamic balance, depression, compliance with preventive behavior related to falls, fear of falling, and fall self-efficacy at baseline and immediately after the program were assessed. Sixty-two subjects (mean age 69.2±4.3 years old) completed the program – 31 subjects in the experimental group and 31 subjects in the control group. Results When the results of the program in the 2 groups were compared, significant differences were found in ankle heel rise test, lower extremity heel rise test, dynamic balance, depression, compliance with fall preventative behavior, fear of falling, and fall self-efficacy (p<0.05), but no significant difference was found in static balance. Conclusions This study shows that the fall prevention program described effectively improves muscle strength and endurance, balance, and psychological aspects in elderly women with a fall history.

The acute effect of smoking a single cigarette on vascular status, SpO2, and stress level.

Background Tobacco use is a major cause of cardiovascular and respiratory disease and cancer. It is controversial whether smoking helps relieve stress. This study investigated the acute effect of smoking a single cigarette on vascular status, SpO2, and stress level. Material/Methods 38 non-smokers and 29 smokers were selected as subjects to measure BVOP (Blood Vessel Output Power), BVT (Blood Vessel Tension), RBV (Remained Blood Volume), BVAL (Blood Vessel Aging Level), SpO2, resistance to stress, and stress score. Pre- and post-experiment changes were recorded during a 20-min interval, with smokers being recorded 5 min after smoking for the post-experiment. Results The smoker group showed a significant decrease in vascular status (BVOP, RBV, BVAL) compared with the non-smoker group. SpO2 showed no difference between the smoker group and the non-smoker group. Smoking showed no effect on stress reduction compared to non-smoking. Conclusions The results of the study indicate that smoking causes a negative effect on vascular status and is not beneficial to stress reduction. Therefore, quitting smoking is encouraged for better physical and mental health.

Study of the health promotion behaviors of immigrant women by marriage and the relationship between their Korean language ability and health status

This study examined the correlation among the Korean language ability, health promotion behaviors and health status of immigrant women by marriage. Data on the subjects of 148 immigrant women were collected from September to December, 2013. Constructed self-administered questionnaires were used to gather information on the general characteristics of the immigrant women, their Korean language ability, health promotion behaviors and emotional health status. The health examination results of the subjects were used for information on their health status. There were significant differences in the Korean language reading ability, drinking habits, total cholesterol and body mass index between the diseased group and the intact group. An analysis of the relationship between the Korean language ability and health conditions revealed a significant positive correlation between the total cholesterol and neutral fat, but negative correlations between the density of hemoglobin and the total cholesterol, the neutral fat and body mass index. There was a significant negative correlation between the Korean language ability and the level of stress. Based on these results, a program was suggested and developed to decrease the rate of drinking, cholesterol and body mass index of immigrant women and to promote their ability to understand health information and express their diseases properly in the Korean language.

Effects of a Stroke Primary Prevention Program on Risk Factors for At-Home Elderly

Background To prevent stroke from occurring, stroke risk factors in at-risk subjects should be controlled and the diseases causing stroke should be managed. This study evaluated a nursing intervention to prevent stroke in at-risk elderly living at home. The program consisted of stroke and nutrition education as well as exercise guidance. Material/Methods This study targeted 93 elderly people living at home residing in E province with 1 or more stroke risk factors, including high blood pressure, diabetes, hyperlipidemia, obesity, smoking, or drinking alcohol. The 12-week program included a stroke education class once a week, a nutrition management class once a week, and exercise guidance 3 times a week. Each session lasted 50–70 min. Each disease education and nutrition management session lasted for 20 min and each exercise session lasted for 30–50 min. Results The experimental group’s body mass index (BMI) (t=8.27, p<.001), systolic blood pressure (t=2.39, p=.021), fasting blood sugar (t=0.39, p=.700), total cholesterol (t=4.18, p<.001), triglyceride levels (t=2.50, p=.016), and depression scores (t=5.48, p<.001) were significantly reduced and high-density phospholipid protein levels increased significantly by the end of the program (t=−2.94, p=.005). Conclusions Based on the results of this study, participating in a stroke prevention program enabled at-risk elderly participants who lived at home in rural areas to perform health-promoting behaviors. This program may reduce the incidence of stroke by reducing risk factors and managing stroke precursor diseases.

Study on the Effect and Experience of the Flipped Learning

This phenomenological study is designed to observe experience of nursing students who completed the course of “Flip Learning”. Participants comprised of seven nursing students without prior learning experience in “Flip Learning” selected from the present batch at the department of S university. The method of research was to make students watch a video of lesson about 10 to 15 minutes long on the cyber-lecture before the class. To understand the participants’ experiences of the program, focus group interviews were conducted. Data were analyzed by applying the Colaizzi phenomenological method. The simulation participation experience tended to be clustered into six categories and twenty-one sub-themes. The six areas were “Efficient lecture method”, “Enhancement in understanding of a lesson “Utilization of multimedia materials”, “Inadequacy in adapting the new learning system” “Deficiency of technological support”, “Psychological Strain”. The participants showed a very positive attitude to the overall effectiveness of the “Flip Learning”, although it was unfamiliar as it was preparation beforehand the class on cyber environment.

A Study of the Human Anatomy and Physiological Function in the Theory of Intelligent Design

Intelligent Design is an academic discipline that describes the origin of universe and all creation in terms of the notion ‘theory of creation’. The The design also utilizes the layouts of universe and nature as an evidence. The study desires to discover intelligent design with the use of cases where human body’s frame work and organ structure is handled in Anatomy Physiology Classroom. Among human being’s protective function, ribs completed with solid brain skull and cartilage, cerebrospinal fluid(CSF)’s buffer action, and highly elastic vessel help’s one to identify the scientific theory and norm. Moreover, Among human being’s support function, the bone, vertebral curve, and foot arch also helped one to identify the scientific theory and norm. Also the proofs of intelligent design were discovered in liquids that protects frictions showing safety functions of human being, location of artery and vein, structure of esophagus, epiglottis, and heart valve. Furthermore, lens, surfactant inside alveolar, and capillary showed how efficiently human body is well structured. In conclusion, all these aforementioned structure and functions of human Received (May 15, 2015), Review Request(May 18, 2015), Review Result(June 02, 2015) Accepted(June 23, 2015), Published(August 31, 2015) 139-742 Dept. of Theology, Sahmyook Univ. Hwarang-ro 815, Nowon-gu, Seoul, Korea email: khlee@syu.ac.kr (Corresponding Author) 139-742 Dept. of Nursing, Sahmyook Univ., Hwarang-ro 815, Nowon-gu, Seoul, Korea email: love2hc@syu.ac.kr A Study of the Human anatomy and physiological function in the Theory of Intelligent Design Copyright c 2015 HSST 208 being can be well applied as an important in-class material in Anatomy Physiology Classroom when teaching intelligent design to students.