ABSTRACT
OBJECTIVES: This study examined the effects of nutrition education focused on personalized daily energy requirement and food units using Food Exchange System on anthropometric, biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes for overweight and obese in a public health center. METHODS: The subjects were 60 overweight/obese women based on BMI (educated 30 vs. noneducated 30, 50~64 years). Educated group was provided individual and/or group lessons (40 min/ lesson/week, 5 week), ‘Introduction: obese & health’, ‘6 nutrients and 6 food groups’, ‘My obesity & daily needed energy’, ‘Meal planning for personalized daily energy and food units using Food Exchange Systems’, and ‘Smart food choices’. After education, we examined the differences in anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes between educated group and non-educated group. RESULTS: After nutrition education, in the educated group, there were improvements on anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes in the educated group compared to the non-educated group. We observed a decrease in the mean weight, total cholesterol (TC) and the incidence of overweight/obesity and hypercholesterolemia and an increase in the mean lean body mass. The scores of nutrition knowledge, ‘Function of carbohydrate, protein, vitamin, mineral’ and ‘Food Sources of fat, vitamin, mineral’ were increased. The scores of dietary attitudes, ‘Taking a joyful meal, a leisurely meal, a balanced meal, a meal with sufficient vegetables, a meal with diversity, a meal with spicy foods, a meal with overeating’ were increased. The intakes of energy, carbohydrate, fat, protein, vitamin A, thiamin, Zn and cholesterol were decreased. The scores of INQ, protein, vitamin A, vitamin C, thiamin, riboflavin, vitamin B6, folate, Ca, P, Fe, Zn were increased. CONCLUSIONS: The nutrition education focused on personalized daily energy requirement and food exchange unit using Food Exchange System for overweight and obese may improve food behavior, dietary intakes and symptoms of overweight and obese, even in a community health center.
Subject(s)
Female , Humans , Ascorbic Acid , Cholesterol , Community Health Centers , Education , Folic Acid , Hypercholesterolemia , Incidence , Meals , Obesity , Overweight , Public Health , Riboflavin , Vegetables , Vitamin A , Vitamin B 6 , VitaminsABSTRACT
Introducción: el estudio de la calidad de vida relacionada con la salud en la mujer de edad mediana obliga a tener en cuenta su estado de salud, así como su bienestar en las distintas esferas de la vida diaria. Objetivo: adaptar el WHOQOL (abreviado) para el estudio de la calidad de vida relacionada con la salud en mujeres de edad mediana en el contexto cubano desde una perspectiva lingüística y cultural, determinar su fiabilidad y validez en tanto consistencia interna, contenido, constructo y factibilidad. Métodos: para la adaptación lingüística se contó con la participación de un grupo de siete expertos con experiencia en el tema. Estos participaron en la revisión del componente lingüístico ajustado al contexto cubano. La validación del instrumento incluyó su aplicación -en dos oportunidades- a una muestra aleatoria de 300 mujeres pertenecientes al grupo de 40 a 59 años de edad, atendidas en el Policlínico Párraga, según recomendación de la OMS. Resultados: se realizaron cambios al instrumento relativos al ajuste en virtud del sexo a quien se dirige. El instrumento es estable en tanto tiempo, al computar un Coeficiente de Spearman de 0,523 (p=0,000), y homogéneo, con un α de Cronbach global de 0,78, que fluctúa entre 0,759 y 0,797. Se corroboró una estructura multifactorial, con 7 factores, en la que predominan las dimensiones: ambiente, salud física, relaciones sociales y psicológicas. Conclusiones: el instrumento WHOQOL (abreviado) reúne los requisitos de fiabilidad y validez exigidos para su empleo en la evaluación de la mujer cubana de edad mediana(AU)
Introduction: Studying the quality of life as related with the health of average-aged women compels to consider their health status, as well as their well-being in the different spheres of daily life. Objective: Adopt the WHOQOL for studying the quality of life as related with the health of average-aged women in the Cuban context, from a linguistic and cultural perspective, determine its reliance and validity as to internal consistency, content, construct and feasibility. Methods: For the linguistic adaptation we count on the participation of a group of seven experts with experience in the topic. They participated in the review of the linguistic component adjusted to the Cuban context. The validation of the instrument included its application -in two chances-on a randomized sample of 300 women belonging to the group aged 40-59 years, cared for in Párraga Polyclinic, following WHO recommendations. Results: The instrument was presented changes related with the adjustments for the targeted sex. The instrument is stable regarding time, since a Sperman coefficient was computed as 0.523 (p=0,000), and homogenous, with global a of Cronbach of 0.78, ranging from 0.759 y 0.797. A multi-factor structure was corroborated, with 7 factors, in which the predominating dimensions are: environment, physical health, socials and psychological relations. Conclusions: The instrument WHOQOL meet the requirements of feasibility and validity demanded to be used in the assessment of the average-aged Cuban woman(AU)
Subject(s)
Humans , Female , Middle Aged , Quality of Life , World Health Organization , Feasibility Studies , Validation Studies as TopicABSTRACT
Se realizó un estudio de intervención educativa en 15 adultas mayores con cáncer de mama, pertenecientes al Policlínico "Ángel Ortiz Vázquez" del municipio de Manzanillo, provincia de Granma, desde agosto hasta noviembre del 2013, con vistas a modificar sus conocimientos sobre adherencia terapéutica mediante un programa educativo. Entre las variables analizadas sobresalieron: nivel de escolaridad, estado conyugal, conocimientos sobre cáncer de mama y conocimientos sobre adherencia terapéutica. La información se obtuvo del examen mínimo del estado mental y la encuesta. El programa educativo estuvo conformado por 10 sesiones, y permitió que las integrantes de la serie elevaran su nivel de conocimientos sobre el tema.
An educational intervention study of 15 aged women with breast cancer, belonging to "Ángel Ortiz Vázquez" Polyclinic from Manzanillo municipality in Granma province was carried out from August to November, 2013, with the aim of modifying their knowledge on therapeutic adherence by means of an educational program. Among the analyzed variables there were: school level, marital status, knowledge on breast cancer and knowledge on therapeutic adherence. The information was obtained from the minimum exam of the mental status and from the survey. The educational program was conformed by 10 sessions, and it allowed the members of the series to elevate their knowledge level on the topic.
Subject(s)
Breast Neoplasms , Treatment Adherence and Compliance , Primary Health CareABSTRACT
Se describe el caso clínico de una paciente senil, asistida en el Hospital Oncológico "Conrado Benítez" de Santiago de Cuba, por presentar sangrado vaginal desde hacía un mes. Al examen físico ginecológico se observó un tumor que se desplazaba a través del cuello uterino, el cual fue diagnosticado como un leiomiosarcoma uterino. Se realizaron los exámenes correspondientes, incluida la biopsia, cuyos resultados confirmaron dicho diagnóstico.
The case report of a senile patient, attended in "Conrado Benítez" Oncological Hospital from Santiago de Cuba is described, for presenting vaginal bleeding for a month. During the physical and gynecological examination a tumor was observed extending through the cervix, which was diagnosed as an uterine leiomiosarcoma. The corresponding exams were carried out, including biopsy which results confirmed the diagnosis.
Subject(s)
Uterine Hemorrhage , Leiomyosarcoma , Secondary CareABSTRACT
PURPOSE: This study was done to explore the essence and meaning of the experience of 'aging,' as a process of 40's and 50's women in Korea by applying the Parse's Human Becoming theory (2002). METHODS: Data was collected from February to April, 2013, using the phenomenological research method. Data was collected through in-depth informal interview and analyzed following Colaizzi method. After IRB permission and informed consent from the participants, all interviews were recorded with MP3 recorder and transcribed for analysis. RESULTS: Data analysis revealed 112 of meanings, 33 key subject words, 8 subject phrases, and 4 categories. The main themes were elaborated as 'going down' ('Being changed of body and mind', 'Being considered on my identity'), 'going up' ('Being expanded of productive role', 'Being transcendent multi-dimensionally'), 'pausing' ('Becoming more thoughtful about family', 'Looking back'), 'going forward again' ('Age is just a number, 'Contemplating of life and death'). Experiences in aging among women in 40's and 50's enlightened with Parse's theory of Human Becoming in terms of 'going down', 'going up', 'pausing', 'going forward again' appeared simultaneously, rather than consecutively. CONCLUSION: Women in 40's and 50's require holistic nursing intervention with physical, psychological, socio-economical, and spiritual aspects, rather than focusing on problematic physical symptom relief and prevention of further conditions. It is recommended to develop various nursing intervention considering on different environment, type of experience, and level of human becoming, individually.
Subject(s)
Female , Humans , Aging , Ethics Committees, Research , Holistic Nursing , Informed Consent , Korea , Nursing , Qualitative Research , Statistics as TopicABSTRACT
Se presenta el caso clínico de una anciana de 85 años de edad, de la raza negra, quien acudió a la consulta de Cirugía del Hospital General "Joseph N. France" de Saint Kitts y Nevis, con lesión nodular en el cuadrante superointerno de la mama izquierda. Los hallazgos anatomopatológicos confirmaron el diagnóstico de un carcinoma secretor en dicha mama.
The case report of a 85 year-old woman of the black race who visited the Surgery Department of "Joseph N. France" General Hospital from Saint Kitts and Nevis, with a nodular lesion in the upper inner quadrant of her left breast is presented. The pathological findings confirmed the diagnosis of a secreting carcinoma in the breast.
ABSTRACT
The purpose of this study was to investigate the effects of weight control program on dietary habits and blood composition in obese middle-aged women. The program consisted of nutrition education, physical exercise and nutrition counseling was conducted for 12 weeks. Participants of the preliminary study were 255 obese women, among which 82 women participated in the nutrition education program. We evaluated the anthropometry, blood lipid profiles, dietary habits of obese women before and after the nutrition education. Dietary habits of the subjects were significantly improved in regularity of having breakfast (p < .05), the frequency of eating snack after dinner (p < .001), eating out (p < .01) and the speed of meal (p < .05) after the program. There was significant decrease in total cholesterol, triglyceride, LDL-cholesterol and systolic pressure of the subjects after nutrition education. Changes of atherogenic index and diastolic pressure were not significant, but had a tendency to decrease. All of the anthropometric outcomes except lean body mass such as BMI, percent body fat, fat mass, and WHR were significantly decreased after weight control program. These findings show that weight control program including nutrition education and counseling can improve dietary habits and weight control pattern, and lead the authors to recommend that public health organizations and dietetic professionals should educate obese women on practical strategies for an effective weight management.
Subject(s)
Female , Humans , Adipose Tissue , Anthropometry , Blood Pressure , Breakfast , Cholesterol , Counseling , Eating , Feeding Behavior , Meals , Physical Education and Training , Public Health , SnacksABSTRACT
Peritoneal desmoplastic small round cell tumor is a very rare and highly aggressive neoplasm that predominantly strikes male children and young adults. It frequently presents as a large abdominal mass with widespread peritoneal involvement at diagnosis. We report one case of desmoplastic small round cell tumors in the pelvis in a old aged woman with a brief review of literature.
Subject(s)
Aged , Child , Female , Humans , Male , Young Adult , Desmoplastic Small Round Cell Tumor , Pelvis , Strikes, EmployeeABSTRACT
PURPOSE: The purpose of this study is to survey health requirements of middle-aged women and their families and to provide guidelines for developing nursing interventions by describing the process of family health maintenance experienced by middle-aged women and its conceptual system. METHODS: To get saturated data, each of four researchers conducted two or three times of in-depth interview with eight middle-aged women aged between 40-64 years old and living in Seoul and Chuncheon from the 10th to the 30th of October 2004 and each interview was continued one or two hours. The Grounded theory adopted by Strauss & Corbin (1998) is a substantive theory that can explain the experiencing process of middle-aged women. RESULTS: We found that the casual condition of family health maintaining by middle-aged women was "confidence of health belief", and "pouring by body moving" was found to be its phenomenon. A textual condition that might respond to the phenomenon was "fatal roles acceptance", and intervening conditions that promote their family health were "retracing" and "gathering health information". These intervening conditions impacted middle-aged women's confidence in family health and led them to take actions/interactions such as "being a model of health", "adapting to circumstances", "do-it-myself", "taking-care" "harmonious mind" and "the pursuit of cleanness". These actions/interactions produced results such as "being stronger", "being unmanageable" and "being fruitful". CONCLUSIONS: Health confidence and practical health behaviors were observed in the process that the middle-aged female participants experienced unmanageable circumstances but they accepted their roles and responsibilities and recognized that they must be get stronger. The behaviors of health-together-with were divided into enthusiastic type, adaptation type and self-sacrificing type. Therefore middle-aged woman with the understanding of family health maintaining process as well as the theoretical system and practical principals needs to implement the intervention in acceptable level of family health process of preventing psychological and physical problems.
Subject(s)
Female , Humans , Family Health , Health Behavior , Nursing , SeoulABSTRACT
BACKGROUND: Hormone replacement therapy(HRT) has an established role in reducing cardiovascular risk and In preventing osteoporosis. But compliance with HRT is not good as expected. There fore, So we assessed perimenopausal womens knowledge and attitude fowards menopause and HRT to. METHOD: Questionnaires were provided to the students mothers of a high school located in Seoul from June 10th, to 15th, 1996. General characteristics and routine breast examination routine Pap smear, the knowledge and practice of high calcuim diet for preventing osteoporosis, their menstural pattern, the in formation source of HRT, in attitude for HRT, and the reasons for refusing. RESULT: Among 560 women, 362 women(64.6%) responded, and the mean age was 45.5 years. For osteoporosis prevention they knew milk(74.7%) were, anchovy(27.4%), calcium(23.6%), HRT(7.4%) were beneficial. And almost(91.8%) all sublets answered that menopause was a natural course and 40.5% of women answered that physical change after menopause could not prevent. Among 34 postmenopause, 5(14.2%) received HRT and 48(20.3%) answered that they would receive HRT, and 57 (24.1%) answered that they would not receive HRT. The reasons for refusing HRT were that menopause was a natural course, there fore deciding the need for artificial hormone therapy(22.4%), increased incidence of brew cancer(21.8%), and that lack of information for HRT(13.9%).The association was not proven between the attitude for HRT and regular Pap smear, regular breast examination, exercise, oral intake for osteoprosis prevention. CONCLUSION: Almost all of the respondents recognized that menopause was a natural course. And the effectiveness of diet and exercise in preventing osteoporosis was more well known compared to HRT.
Subject(s)
Female , Humans , Middle Aged , Breast , Compliance , Surveys and Questionnaires , Diet , Hormone Replacement Therapy , Incidence , Menopause , Mothers , Osteoporosis , Postmenopause , SeoulABSTRACT
Kerion celsi is severe inflammatory type of tinea capitis. It occurs almost exclusively in pre-pubertal children. We report a case of Kerion celsi occuring in a 79-year-old woman. Culture of infected hair on Sabouraud glucose agar showed Microsporum canis Farnily history and fungus study suggested the importance of indirect route in Microsporum canis infection.