1.Exploratory Study of the Prevalence of Major Chronic Disease According to Daily Water Intake and Physiological Parameters related to Dehydration in Korean Elderly: Based on the Sixth Korea National Health and Nutrition Examination Survey (2015)
Journal of Korean Biological Nursing Science 2018;20(2):67-75
PURPOSE: The aim of this study was to explore the prevalence of major chronic diseases related to daily oral water intake and to identify the physiological parameters related to dehydration in Korean elderly. METHODS: The data were collected from the sixth Korea Health and Nutrition Examination Survey (KHANES), which was a nationwide and cross-sectional survey in 2015. We analyzed 1,392 participants using t-test and logistic regression. All participants were divided into the adequate water intake (AWI) group and the non-adequate water intake (NAWI) group based on the dietary reference intakes for Koreans. RESULTS: There was a significant difference in the water intake between the AWI (6.8 cups in a day) and NAWI (2.8 cups) groups (p < .001). There was no statistically significant association between the level of water intake and any of the major chronic diseases. Blood urea nitrogen (BUN) and BUN/Creatinine (Cr) ratio were significantly higher in the NAWI group. Especially, BUN/Cr ratio shows that the NAWI group reached dehydration status. Older age (adjusted odd ratio, OR=1.07, 95% confidence interval, CI [1.04–1.10]), female gender (adjusted OR=1.56, 95% CI [1.05–2.33]), lower body mass index (BMI) (adjusted OR=1.00, 95% CI [0.92–1.00]), higher BUN (adjusted OR=1.04, 95% CI [1.01–1.08]), and higher urine specific gravity (USG) (adjusted OR=1.56, 95% CI [1.19–2.05]) were factors associated with the NAWI group. CONCLUSION: The findings suggest that the level of water intake needs to be considered in relation to age, gender, BMI, BUN, and USG. These are sensitive physiological parameters used for predicting dehydration of the elderly according to their daily oral water intake. It would be helpful to develop strategies to prevent dehydration in elderly individuals and enhance their water intake.
Aged
;
Blood Urea Nitrogen
;
Body Mass Index
;
Chronic Disease
;
Cross-Sectional Studies
;
Dehydration
;
Drinking
;
Female
;
Humans
;
Korea
;
Logistic Models
;
Nutrition Surveys
;
Prevalence
;
Recommended Dietary Allowances
;
Specific Gravity
;
Water
2.Influences of Symptom Experience and Depression on Quality of Life in Colorectal Cancer Patients with Stoma Reversal.
Journal of Korean Biological Nursing Science 2015;17(4):306-314
PURPOSE: The purpose of this study was to evaluate symptoms, depression and quality of life in colorectal cancer patients who underwent stoma reversal, and to assess the factors related to their quality of life. METHODS: A descriptive study was conducted on 125 colorectal cancer patients who underwent stoma reversal in a tertiary hospital in Korea. Data were collected using the Korean versions of the European Organization for Research and Treatment of Cancer-Quality of Life Core 30 and Colorectal Cancer Specific Questionnaire 38 (EORTC QLQ-C30 and CR38), and the Hospital Anxiety-Depression Scale. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and multiple regression analyses. RESULTS: Participants experienced sexual problems, difficulties in defecation, and nausea/vomiting. About twenty-two percent of the patients were depressed and the mean score for global quality of life was 64.40+/-19.43. The multiple regression showed that social and cognitive functioning, depression, and the location of the anastomosis were the important factors that made contributions to the quality of life in colorectal patients with stoma reversal. CONCLUSION: Our results suggest that symptom management and emotional support should be incorporated into nursing interventions to improve the quality of life in colorectal patients with stoma reversal.
Colorectal Neoplasms*
;
Defecation
;
Depression*
;
Humans
;
Korea
;
Nursing
;
Quality of Life*
;
Tertiary Care Centers
3.Pazopanib-induced Hair Depigmentation, Ulcerative Patch in a Patient with Metastatic Renal Cell Carcinoma.
Youngil KIM ; Hyungrock KIM ; Hyunjung KWON ; Joonsoo PARK ; Hyun CHUNG ; Kyungduck PARK
Korean Journal of Dermatology 2016;54(7):581-582
No abstract available.
Carcinoma, Renal Cell*
;
Hair*
;
Humans
;
Ulcer*
4.Non-Enhancing Intradural Extramedullary Ependymoma: A Case Report
Jaemin KIM ; Hyunjung KIM ; Hyeongju KWON
Journal of the Korean Radiological Society 2021;82(5):1341-1345
Spinal ependymomas are generally located in the intramedullary compartment in adults. Intradural extramedullary spinal ependymomas are extremely rare. Spinal ependymomas show various contrast enhancements on MRI. In this study, we report a rare case of a 52-year-old female who had a pathologically confirmed intradural extramedullary ependymoma that showed no enhancement on MRI.
5.Non-Enhancing Intradural Extramedullary Ependymoma: A Case Report
Jaemin KIM ; Hyunjung KIM ; Hyeongju KWON
Journal of the Korean Radiological Society 2021;82(5):1341-1345
Spinal ependymomas are generally located in the intramedullary compartment in adults. Intradural extramedullary spinal ependymomas are extremely rare. Spinal ependymomas show various contrast enhancements on MRI. In this study, we report a rare case of a 52-year-old female who had a pathologically confirmed intradural extramedullary ependymoma that showed no enhancement on MRI.
6.The Effectiveness and Side Effects of Conscious Sedation using Chloral hydrate, Hydroxyzine, and Nitrous oxide
Gyeongmin KIM ; Jaesik LEE ; Hyunjung KIM ; Soonhyeun NAM
Journal of Korean Academy of Pediatric Dentistry 2020;47(2):109-119
This retrospective study assessed the effectiveness and side effects of conscious sedation using chloral hydrate, hydroxyzine, and N2O/O2 in the sedation of 149 pediatric patients over 188 sedation sessions, and to identify associated variables.
The effectiveness of the sedation was evaluated using the Houpt scale, and was considered effective for scale categories of excellent or good. Effectiveness and side effects were assessed every 15 minutes. The effectiveness decreased and side effects increased over time. The effectiveness of sedation during 60 minutes was 57.4%, and one or more side effects occurred in 18.1% of sessions. Effectiveness of sedation increased with body mass index (BMI). When patients were sedated at the beginning of the procedure, the effectiveness was greater. Side effects increased with patient age. When sedation was divided into two sessions, the number of sedation did not affect the effectiveness or side effects.
It can be suggested that sedation should be performed over two separate sessions, as a single prolonged session may lead to reduced effectiveness and increased side effects. To maximize effectiveness and minimize side effects, several variables such as BMI, whether to sedate at the beginning of the procedure and age should be considered thoroughly before sedation.
7.Comparison of Musculoskeletal Disorders between Pediatric Dentists and General Dentists
Gimin KIM ; Jaesik LEE ; Hyunjung KIM ; Soonhyeun NAM
Journal of Korean Academy of Pediatric Dentistry 2021;48(2):184-197
The purpose of this study was to investigate the characteristics related to the musculoskeletal disorders in pediatric dentists and general dentists. This study was conducted based on the survey results of a total of 109 dentists who have been working for the last year. Forty - three pediatric dentists and 66 general dentists were surveyed through online survey tool. Both pediatric dentists and general dentists mainly complained of musculoskeletal disorders in the neck, shoulders, wrists, and back. Most pediatric dentists usually suffered from back pain due to their unbalanced posture while giving dental treatments. Pediatric dentists in sedative treatment felt more pain in particular part of their body, such as neck and shoulder. Regular exercise and stretching for the prevention of musculoskeletal disorder have been shown to mainly relieve pain in the back but no other parts in their body.
8.Correction: Drug Similarity Search Based on Combined Signatures in Gene Expression Profiles.
Kihoon CHA ; Min Sung KIM ; Kimin OH ; Hyunjung SHIN ; Gwan Su YI
Healthcare Informatics Research 2014;20(2):159-159
We have noticed an inadvertent error in our article.
9.A Retrospective Study Investigating Risks of Acute Respiratory Distress Syndrome and Mortality Following Human Metapneumovirus Infection in Hospitalized Adults.
Hyunjung HWANG ; Yujin KIM ; Jeong Woong PARK ; Sung Hwan JEONG ; Sun Young KYUNG
Korean Journal of Critical Care Medicine 2017;32(2):182-189
BACKGROUND: Human metapneumovirus (hMPV) is a relatively recently identified respiratory virus that induces respiratory symptoms similar to those of respiratory syncytial virus infection in children. The characteristics of hMPV-infected adults are unclear because few cases have been reported. METHODS: We conducted a retrospective review of hospitalized adult patients with a positive multiplex real-time polymerase chain reaction assay result from 2012 to 2016 at a single tertiary referral hospital in South Korea. We analyzed clinical characteristics of the enrolled patients and divided patients into an acute respiratory distress syndrome (ARDS) group and a non-ARDS group. RESULTS: In total, 110 adults were reviewed in this study. Their mean age was 61.4 years, and the majority (n = 105, 95.5%) had comorbidities or were immunocompromised. Most of the patients had pneumonia on chest X-ray (n = 88, 93.6%), 22 (20.0%) had ARDS, and 12 (10.9%) expired during hospitalization. The mortality rate for patients with ARDS was higher than that of the other patients (36.4% vs. 5.7%, P = 0.001). The risk factor for hMPV-associated ARDS was heart failure (odds ratio, 5.24; P = 0.044) and laboratory values were increased blood urea nitrogen and increased C-reactive protein. The acquisition site of infection was divided into community vs. nosocomial; 43 patients (39.1%) had a nosocomial infection. The risk factors for nosocomial infection were an immunocompromised state, malignancy and immunosuppressive treatment. CONCLUSIONS: These data suggest that hMPV is one of the important respiratory pathogens important respiratory pathogen that causes pneumonia/ARDS in elderly, immunocompromised individuals and that it may be transmitted via the nosocomial route.
Adult*
;
Aged
;
Blood Urea Nitrogen
;
C-Reactive Protein
;
Child
;
Comorbidity
;
Cross Infection
;
Heart Failure
;
Hospitalization
;
Humans*
;
Korea
;
Metapneumovirus*
;
Mortality*
;
Pneumonia
;
Real-Time Polymerase Chain Reaction
;
Respiratory Distress Syndrome, Adult*
;
Respiratory Syncytial Viruses
;
Retrospective Studies*
;
Risk Factors
;
Tertiary Care Centers
;
Thorax
10.A Reinforced Endotracheal Tube Completely Severed by a Patient Bite and Lodged in the Right Main Bronchus.
Susie YOON ; Hyunjung CHOO ; Se Eun KIM ; Heeyeon KWON ; Hannah LEE
Korean Journal of Critical Care Medicine 2017;32(1):70-73
Reinforced endotracheal tubes (ETTs) are designed to resist kinking or compression. However, these have a potential risk of being obstructed or severed by a patient's bite. We report a case in which a reinforced ETT was severed by tube-bite while the patient was in the prone position during an intensive care unit stay. Bronchoscopic evaluation showed that the severed distal part of the tube had lodged in the patient's right main bronchus, and it had to be surgically removed. The patency of reinforced ETTs should be carefully monitored in patients intubated in the prone position.
Airway Obstruction
;
Bronchi*
;
Bronchoscopy
;
Humans
;
Intensive Care Units
;
Intubation
;
Patient Rights
;
Prone Position