No abstract available.
Calcinosis ; Calcium ; Calcium Gluconate ; Gluconates ; Humans ; Infant, Newborn

Purpose: This study reviewed the pathophysiological mechanisms of cellular aging caused by psychological stress and aimed to establish a biobehavioral theoretical framework for nursing interventions to promote autonomic balance based on these mechanisms. Methods: A comprehensive literature review was conducted. Results: A review of the literature showed that the stress response increases the secretion of catecholamines and glucocorticoids, resulting in a greater allostatic load. This load induces inflammatory reactions and oxidative stress, shortening telomere length and damaging mitochondrial DNA, which can lead to cellular aging. Based on this mechanism, a biobehavioral theoretical framework for nursing interventions was established. This framework focuses on delaying or inhibiting the cellular aging process by acting on the stress response stage and improving autonomic balance. Conclusion According to the proposed biobehavioral theoretical framework, stress-relieving nursing interventions may act on the mechanism of cellular aging caused by stress responses. We believe that this framework could expand our understanding of the biobehavioral aspects of stress and would facilitate efforts to use biomarkers to evaluate the effectiveness of stress-related nursing interventions at the cellular level.

PURPOSE: This study was to identify factors influencing the quality of sleep in elderly women with urinary incontinence and examine the relationship among the factors. METHODS: The study investigated 113 elderly women with urinary incontinence who were subject to the visiting care program at health centers in D-gu, D-si, South Korea. The collected data were analyzed using IBM SPSS version 19.0 along with χ²-test, t-test, ANOVA, Pearson's correlation, and multiple regression. RESULTS: The total Pittsburgh Sleep Quality Index (PSQI) of the participants was found to be 11.41±4.34. As a result of the correlation analysis, PSQI was found to have significant correlations with Female Lower Urinary Tract Symptoms (BFLUTS) (r=.32, p<.001). The Korean version of Physical Activity Scale for Elderly (K-PASE) was (r=−.34, p<.001) and the Geriatric Depression Scale Short Form (GDS-SF) was (r=.23, p=.012). Multiple regression analysis found sleeping pill use (β=−.35, p<.001) had the strongest influence on PSQI, followed by physical activity (β=−.20, p<.001), depression (β=.20, p<.001), and lower urinary tract symptoms (β=.19, p<.001). The total model explanatory power was 28.3% (F=12.07, p<.001). CONCLUSION: The study findings are expected to be useful for enhanced understanding of the quality of sleep in elderly women with urinary incontinence.
Aged* ; Depression* ; Female ; Humans ; Korea ; Lower Urinary Tract Symptoms* ; Motor Activity* ; Urinary Incontinence*

Purpose: This study translated the developmental coordination disorder questionnaire’07 (DCDQ’07) into Korean and investigated the psychometric properties of the Korean DCDQ (DCDQ-K) using validation processes. Methods: The subjects were 300 parents with typically developing children aged 5-15 years (162 girls and 138 boys, mean age 9.24 years, SD 2.59) across the country. To develop the Korean DCDQ, a forward-backward-original author feedback-panel meeting-pilot study with parents was done. The internal consistency, test-retest reliability performed two weeks apart, content validity, discriminative validity, convergent validity, and constructive validity were examined with the pre-version of the DCDQ-K. Results: Approximately 15.33% of the subjects were probably shown DCD using DCDQ-K. Significant differences in age and province were observed in the DCDQ-K total score. The reliabilities and validities were good in the DCDQ-K. Conclusion The DCDQ-K is a reasonable screening tool for DCD children.

Purpose: This study translated the developmental coordination disorder questionnaire’07 (DCDQ’07) into Korean and investigated the psychometric properties of the Korean DCDQ (DCDQ-K) using validation processes. Methods: The subjects were 300 parents with typically developing children aged 5-15 years (162 girls and 138 boys, mean age 9.24 years, SD 2.59) across the country. To develop the Korean DCDQ, a forward-backward-original author feedback-panel meeting-pilot study with parents was done. The internal consistency, test-retest reliability performed two weeks apart, content validity, discriminative validity, convergent validity, and constructive validity were examined with the pre-version of the DCDQ-K. Results: Approximately 15.33% of the subjects were probably shown DCD using DCDQ-K. Significant differences in age and province were observed in the DCDQ-K total score. The reliabilities and validities were good in the DCDQ-K. Conclusion The DCDQ-K is a reasonable screening tool for DCD children.

In the majority of cases, pediatric obstructive sleep apnea (OSA) is associated with adenotonsillar hypertrophy. Therefore, adenotonsillectomy is typically considered as the first line of treatment. However, the severity of pediatric OSA is not always directly correlated with the size of the adenoids and tonsils. Other factors, such as upper airway anatomy or obesity, may interact in a multifactorial manner to contribute to its occurrence. For these reasons, sleep apnea in obese children may resemble the condition in adults. Furthermore, in these cases, if adenotonsillar hypertrophy is present, adenotonsillectomy is likely to be prioritized. Reevaluation should be conducted 6 to 8 weeks post-surgery, and additional treatment for residual sleep apnea should be performed thereafter when necessary.

OBJECTIVE: To examine inter-rater reliability of the Korean version Gross Motor Function Measure (K-GMFM-88) and the Gross Motor Performance Measure (GMPM) based on the video clips. METHOD: We considered a sample of 39 children (28 boys and 11 girls; the mean age=3.50+/-1.23 years) with cerebral palsy (CP). Two pediatric physical therapists assessed the children based on video recordings. RESULTS: For the K-GMFM-88, the intraclass correlation coefficient (ICC3, 1) ranged from .978 to .995, and Spearman's correlation coefficient ranged from .916 to .997. For the GMPM, ICC3, 1 ranged from .863 to .929, and Spearman's correlation coefficient ranged from .812 to .885. With the gross motor function classification system classified according to the functional level (GMFCS I-II vs. III-V), the ICCs were .982 and .994 for the K-GMFM-88 total score and .815 and .913 for the GMPM total score. There were good or high correlations between the subscales of the two measures (r=.762-.884). CONCLUSION: The K-GMFM-88 and GMPM are reliable tools for assessing the motor function of children with CP. These two methods are highly correlated, which adds more reliability on them. Thus, it is advisable to use K-GMFM-88 and GMPM for children with CP to assess gross motor function.
Cerebral Palsy ; Child ; Humans ; Physical Therapists

Purpose: The purpose of the study was to re-evaluate Florence Nightingale’s achievements celebrating the 200 th anniversary of Nightingale’s birth and to reflect on her legacy. Methods: We conducted an extensive literature review with key words in Korean and English using 9 electronic databases, related data, books, articles, websites, and secondary literature. Results: As a result of this study, the five legacy of Nightingale as a social reformer were examined. First, founding nursing in response to social needs. Second, reform of the health care system. Third, a practical social activist who promoted social change for the public good. Fourth, first adoption of health statistics. Fifth, emancipation of women. Nightingale’s legacy as a social reformer has had an considerable influence on our society so far. Conclusion Nightingale was a pioneer in nursing, but she was a social reform activist who successfully transformed the medical systems and even the whole social system based on her keen insight, religious vocation, profession vision, and personal competency. In the middle of World’s chaos and uncertainty due to the COVID-19 pandemic, it seems more necessary than ever to embody the legacy of Nightingale as a social reformer, and put it into practice.

BACKGROUND: High-intensity focused ultrasound (HIFU) treatment has recently emerged in response to the increasing demand for noninvasive procedures for skin lifting and tightening. OBJECTIVE: This study was aimed at evaluating the clinical efficacy of and patient satisfaction with HIFU treatment for wrinkles and laxity in seven different areas of the face in Asian skin. METHODS: Twenty Korean patients with facial wrinkle and laxity were analyzed after a single session of HIFU treatment. Two independent, blinded clinicians evaluated the clinical improvement in seven areas of the face by comparison of standardized photographs obtained before, and at 3 and 6 months after treatment. Assessment of subjective satisfaction and adverse effects of treatment were done by using questionnaires. RESULTS: The physicians' evaluation and patients' satisfaction with the clinical effects of HIFU in each area were similar regardless of the number of treatment shots. The jawline, cheek, and perioral areas were the sites where HIFU was most effective, in decreasing order. The adverse effects included erythema and swelling in six cases, and purpura and bruising in two cases. However, the adverse effects were mild and transient. CONCLUSION: HIFU could be a safe, effective, and noninvasive procedure that can be used to improve facial wrinkles and skin laxity in Asian skin. It is particularly effective for clinical improvement in the jawline, cheek, and perioral areas.
Asian Continental Ancestry Group ; Cheek ; Erythema ; Humans ; Lifting ; Patient Satisfaction ; Purpura ; Skin* ; Ultrasonography*

Background and Objectives: Chronic rhinosinusitis with nasal polyposis (CRSwNP) is one phenotype of the diffuse type. In spite of surgical and medical treatment, the polyp recurrence rate is high. Recently biologics are concerned as a therapeutic option of it. To figure out adverse events associated with the dupilumab injection in adult patients with CRSwNP.Subjects and Method Retrospective chart review of patients that were treated with dupilumab from January 2022 to December 2022 for CRSwNP was performed. Results: Of 40 patients (23 of male and 17 of female), 8 patients (20.0%) experienced 9 patients (22.5%) adverse events. The most common adverse event was skin reaction (3 patients, 7.5%), followed by 2 of pruritis, 2 of epistaxis. Three patients quit dupilumab after the adverse events, 4 patients continued, and 1 patient hold the next injection. Conclusion Dupilumab is reported to be relatively safe medication. However, physician should notice that adverse events including skin rash can occur after dupilumab injection.