OBJECTIVES: The study was to examine major factors that affect suicidal ideation of elderly in urban areas. METHODS: The subjects were 302 elders who voluntarily participated in the study. The instruments for this study were scale for suicidal ideation(19 items), family concord (20 items), CED-depression(20 items) and family inventor of life events and changes(FILE, 22 items). Frequency, percentage, t-test, ANOVA, Duncan test, Pearson' correlation coefficient, stepwise multiple regression with SPSS program were used to analyze the data. RESULTS: The average score of suicidal ideation was 14.88. Suicidal ideation was positively related to depression and stress, but negatively related to family concord. depression, family concord, stress and health status accounted for 86.1% of the variance in suicidal ideation. These results suggest that family concord, depression and stress can be potential risk factors for suicide of elderly. CONCLUSIONS: These findings may give useful information for developing suicidal prevention program on old age.
Aged* ; Depression ; Humans ; Inventors ; Risk Factors ; Suicidal Ideation* ; Suicide

PURPOSE: This study was conducted to develop effective timeout protocol in coordination with current practice and test its clinical effectiveness in pursuit of safety management for patients undergoing cataract surgery. METHODS: A total of subjects were 60 women, 50~65 years old, who visit C ophthalmology clinic in D city. They were assigned to 30 experimental group and 30 control group, respectively. Based on the comprehensive literature review, timeout protocol that was suitable for patients undergoing cataract surgery was developed, and then test its effectiveness by measuring blood pressure, pulse, anxiety and sense of well-being among surgical patients. RESULTS: The timeout protocol was found to reduce blood pressure, pulse, and anxiety and increase well-being among surgical patients. CONCLUSION: As a results, it is necessary to introduce an effective timeout protocol giving positive responses to surgical patients, hence it should be develop a timeout protocol and explore the effectiveness of the protocol.
Anxiety ; Blood Pressure ; Cataract* ; Female ; Humans ; Ophthalmology ; Safety Management

PURPOSE: Recently, vancomycin-resistant enterococci (VRE) have become one of the major nosocomial pathogens in Korea. However, there have been few studies on the epidemiology of VRE colonization among neonates. In this study, we investigated the prevalence of VRE colonization, risk factors for VRE, and how to control the spread of VRE infection in the Neonatal Intensive Care Unit (NICU) of Pusan National University Hospital (PNUH). METHODS: We retrospectively reviewed medical records of 192 neonates who were admitted to the NICU of PNUH from March 2006 to March 2007. Surveillance cultures from rectal swabs for detecting VRE were obtained weekly during the study period. We analyzed the prevalence of VRE and various risk factors. RESULTS: The rate of VRE colonization among NICU patients was 25% (48/192). Thirty five of these VRE colonized patients were transferred to the NICU from other local hospitals. Compared with the non-VRE group, the risk factors associated with VRE colonization were lower birth weight, congenital heart disease, applied mechanical ventilation, use of a central venous catheter, chest tubing, a history of surgery, and use of antibiotics. CONCLUSION: VRE colonization among patients admitted to the NICU is rapidly increasing. Monitoring and managing premature neonates from the beginning of the birth process, avoiding many invasive procedures, avoiding antibiotics such as vancomycin and third generation cephalosporin are important for preventing the emergence and spread of VRE colonization in the NICU.
Anti-Bacterial Agents ; Birth Weight ; Central Venous Catheters ; Colon ; Heart Diseases ; Humans ; Infant ; Infant, Newborn ; Intensive Care, Neonatal ; Korea ; Medical Records ; Parturition ; Prevalence ; Respiration, Artificial ; Retrospective Studies ; Risk Factors ; Thorax ; Vancomycin ; Vancomycin Resistance

Bezoars in infants are rare owing to their limited dietary diversity. This report presents a novel case of multiple phytobezoars in the small bowel of a 3-month-old boy following ingestion of a synbiotic, a nutritional supplement combining probiotics (bacteria) and prebiotics (fibers that promote bacterial growth), which required a surgical intervention. Given the increasing use of synbiotics, the possibility of such bezoar formation should be considered, particularly in infants with underlying risk factors, such as congenital aganglionic megacolon.

Bezoars in infants are rare owing to their limited dietary diversity. This report presents a novel case of multiple phytobezoars in the small bowel of a 3-month-old boy following ingestion of a synbiotic, a nutritional supplement combining probiotics (bacteria) and prebiotics (fibers that promote bacterial growth), which required a surgical intervention. Given the increasing use of synbiotics, the possibility of such bezoar formation should be considered, particularly in infants with underlying risk factors, such as congenital aganglionic megacolon.

Bezoars in infants are rare owing to their limited dietary diversity. This report presents a novel case of multiple phytobezoars in the small bowel of a 3-month-old boy following ingestion of a synbiotic, a nutritional supplement combining probiotics (bacteria) and prebiotics (fibers that promote bacterial growth), which required a surgical intervention. Given the increasing use of synbiotics, the possibility of such bezoar formation should be considered, particularly in infants with underlying risk factors, such as congenital aganglionic megacolon.

Bezoars in infants are rare owing to their limited dietary diversity. This report presents a novel case of multiple phytobezoars in the small bowel of a 3-month-old boy following ingestion of a synbiotic, a nutritional supplement combining probiotics (bacteria) and prebiotics (fibers that promote bacterial growth), which required a surgical intervention. Given the increasing use of synbiotics, the possibility of such bezoar formation should be considered, particularly in infants with underlying risk factors, such as congenital aganglionic megacolon.

Bezoars in infants are rare owing to their limited dietary diversity. This report presents a novel case of multiple phytobezoars in the small bowel of a 3-month-old boy following ingestion of a synbiotic, a nutritional supplement combining probiotics (bacteria) and prebiotics (fibers that promote bacterial growth), which required a surgical intervention. Given the increasing use of synbiotics, the possibility of such bezoar formation should be considered, particularly in infants with underlying risk factors, such as congenital aganglionic megacolon.

Purpose: The elderly population in South Korea is steadily increasing, ushering in the super-aging era and emphasizing the need for oral health management. This study aimed to investigate changes in salivary flow rate, salivary buffer capacity, halitosis, oral health, and systemic diseases with age. Methods: This study was conducted retrospectively from August 2020 to May 2023, including 274 patients (66 males, 208 females; mean age 59.39±16.10 years) presenting with xerostomia or halitosis. Results: For salivary parameters, no significant differences were observed in unstimulated salivary flow rate, stimulated salivary flow rate, salivary pH, or buffer capacity across age groups (all p>0.05), contrary to expectations. Regarding halitosis, methyl mercaptan levels were significantly associated with age (p=0.049), though patients in their 20s exhibited the highest levels. Volatile sulfur compound levels showed a strong correlation with subjective halitosis (r=0.621, p<0.001). In terms of oral health, increased age was significantly associated with tongue coating (r=0.205, p=0.001). Among systemic diseases, hypertension (p=0.001) and diabetes (p=0.010) showed significant differences across age groups. The drug that showed a statistically significant correlation with increasing age was amlodipine (r=0.249, p=0.001), a widely used antihypertensive agent. Amlodipine usage was significantly associated with oral hygiene issues, sticky saliva, calculus deposition, and tongue coating (all p<0.05). The results highlight the changes in salivary parameters and other oral and systemic factors with age, along with their interrelationships. Conclusions These findings provide valuable insights to aid clinicians in developing optimal treatment plans for xerostomia and halitosis and in effectively managing oral health in the elderly population.

PURPOSE: This study was to identify how a navigation program would affect resilience, uncertainty and anxiety in patients with newly diagnosed gastric cancer. METHODS: A randomized controlled design was used with 103 participants recruited and randomly allocated in two groups. The experimental group (n=50) received the navigation program, which consisted of information provisions and psychological support, prior to treatment. The control group (n=53) received standard care with general educational intervention only prior to treatment. Collected data were analyzed using SPSS for Windows. RESULTS: Compared with the control group, patients in the navigation program group showed signicant reduction in scores for anxiety (F=5.86, p<.017). However uncertainty (F=0.22, p=.642) and resilience (F=1.06, p=.503) were not signicantly different. CONCLUSION: These results suggest that the navigation program has positive effects on anxiety in patients with newly diagnosed gastric cancer. We suggest that further studies be conducted to investigate other strategies for increasing the resilience and reducing the uncertainty of these patients.
Anxiety ; Humans ; Stomach Neoplasms* ; Uncertainty