1.The Relationship among Powerlessness, Social Support and Life Satisfaction in the Elderly People.
Journal of Korean Academy of Community Health Nursing 2006;17(1):65-73
PURPOSE: The purpose of this study was to identify the correlation between the feeling of powerlessness, social support and life satisfaction in the elderly. METHODS: The subjects were 158 old people aged over 65 who were attending one of one college and three settlement houses for senior citizens located in B city. RESULTS: The relationship between the feeling of powerlessness and life satisfaction was in a moderate negative correlation with each other (r=-.433, p=.000). The relationship between social support and life satisfaction was in a moderate positive correlation with each other (r=.410, p=.000). It was found that the higher social support was, the higher life satisfaction was. There was remarkable difference in the form of family (F=2.69, p=.023), the form of residence (F=5.29, p=.002), whether to belong to a group (F=2.26, p=.025). CONCLUSION: For the reasons stated above, as the feeling of powerlessness is lower and social support is higher, life satisfaction is higher. The results clearly show that in order to improve life satisfaction of the elderly, we need to ease their feeling of powerlessness and enhance social support to them. Therefore, it is necessary to develop a nursing intervention program to reduce powerlessness and to improve social support for the elderly.
Aged*
;
Humans
;
Nursing
2.Echocardiographic Analysis of Left Ventricular Function in Hypertensive Patients.
Jong Seong KIM ; Kyung Soon LEE ; Ki Hyun KIM
Korean Circulation Journal 1986;16(1):49-59
The echocardiographic results obtained from normal group(910 cases), borderline hypertention group(78 cases), define hypertension group(182 cases) and hypertensive heart disease group(55 cases) in Heart Center, Paik Hospital, Inje Medical College, Pusan, Korea between September 1985, were as followings; 1) LVDeD, 5.94+/-1.07cm in hypertensive heart disease group was significantly increased compared with 4.93+/-0.64cm in normal group, 4.92+/-0.73cm in borderline hypertension group and 4.90+/-0.64cm in define hypertension group. LVSeD, 4.86+/-0.98cm in hypertensive heart disease group was significantly increased compared with 3.24+/-0.58cm in normal group, 3.21+/-0.52cm in definite hypertension group. 2) LVDeV/s, 180.26+/-84.76ml/m2 in hypertensive heart disease group was significantly increased compared with 86.13+/-37.34ml/m2 in normal group, 86.26+/-41.02ml/m2 in borderline hypertension group and 83.78+/-30.86ml/m2 in definite hypertension group, and LVSeV/S, 97.51+/-55.67ml/m2 in hypertensive heart disease group was significantly increased compared with 25.28+/-13.25ml/m2 in normal group, 23.68+/-14.62ml/m2 in borderline hypertension group and 24.02+/-14.36ml/m2 in definite hypertension group. 3) There was no significant differance of SV/S, between 61.50+/-26.02ml/m2 in normal, 63.98+/-30.86ml/m2 in borderline, 63.06+/-22.96ml/m2 in definite hypertension group and 61.82+/-30.67ml/m2 in hypertesive heart disease group. E.F. 44.06+/-9.94% in hypertensive heart disease group was significantly reduced comparing with 71.08+/-8.89% in normal group, while 74.35+/-8.26% in borderline and 73.28+/-8.49% in definite hypertensive was significantly increased. F.S., 17.02+/-5.18% in hypertensive heart disease group was significantly reduced comparing with 34.44+/-6.81% in normal, while 35.64+/-7.62% in borderline and 36.87+/-7.26% in definite hypertension group was significantly increased. 4) VSTh, 1.24+/-0.32cm in hypertensive heart disease group, 1.17+/-0.12cm in definite hypertension group and 1.16+/-0.41cm in borderline hypertension group are significantly increased comparing with 0.99+/-0.21cm in normal group. LVPWTh, 1.01+/-0.27cm in hypertensive heart disease group and 0.90+/-0.21cm in definite hypertension group was significantly increased comparing with 0.79+/-0.16cm in normal group. 5) VSTh was increased in 13.3% of borderline hypertension group, 32.8% of definite hypertension group and 31.6% of hypertensive heart disease group. LVPWTh was increased in 4.4% of borderline hypertensive group, 26.9% of definite hypertension group and 30.2% of hypertensive heart disease group. Symmetrical septal hypertrophy was noted in 5.1% of borderline hypertension group, 20.1% of definite hypertension group and 32.1% of hypertensive heart disease group. Total septal or left ventricular posteior wall hypertrophy was noted in 17(21.8%) of 78 borderline hypertension group, 154(89.8%) of definite hypertension group and 51(93.9%) of 55 hypertensive heart disease group.
Busan
;
Echocardiography*
;
Heart
;
Heart Diseases
;
Humans
;
Hypertension
;
Hypertrophy
;
Korea
;
Ventricular Function, Left*
3.Quantitative Evaluation of Dysphagia Using Scintigraphy.
Seok Gun PARK ; Jung Keun HYUN ; Seong Jae LEE
Korean Journal of Nuclear Medicine 1998;32(3):276-289
PURPOSE: To evaluate dysphagia objectively and quantitatively, and ta clarify the effect of neck position and viscosity changes in patients with aspiration and laryngeal penetration. MATERIALS AND METHODS: We studied 35 patients with dysphagia and 21 normal controls using videofluoroscopy and scintigraphy. Videofluoroscopy was performed with barium with three different viscosity, and scintigraphy was done, with water, yogurt, and steamed egg mixed with Tc-99m tin colloid. 1f aspiration was found during videofluoroscopic examination, patients neck position was changed and study repeated. Videofluoroscopy was analyzed qualitatively. We calculated 7 quantitative parameters from scintigraphy. According to the videofluoroscopic findings, we divided patients into 3 subgroups; aspiration, laryngeal penetration, and no-aspiration group. RESULTS: The result of videofluoroscopy revealed that the most cornmon finding was the delay in triggering pharyngeal swallow. Pharyrigeal transit time (PTT) and pharyngeal swallowing efficiency(PSE) in patients with aspiration were significantly different from other groups. After neck position change, aspiration could be reduced in all of 7 patients, and laryngeal penetration reduced hy about 82%. PTT ancl PSE were also improved after position change. Aspiration and laryngeal penetration occurred more frequently in thin liquid swallowing than in thick liquid and solid swallowing. CONCLUSION: PTT and PSE were useful for the evaluation of dysphagia. Aspiration and laryngeal penetration could be reduced when appropriate position assumed, We could decrease the chance of aspiration by changing the patient diet consisIency. Scintigraphy might be useful tool to quantitate and follow up these changes.
Barium
;
Colloids
;
Deglutition
;
Deglutition Disorders*
;
Diet
;
Evaluation Studies as Topic*
;
Follow-Up Studies
;
Humans
;
Neck
;
Ovum
;
Radionuclide Imaging*
;
Steam
;
Tin
;
Viscosity
;
Water
;
Yogurt
4.Tuberculosis Cutis Orificialis of the Tongue.
Kee Yang CHUNG ; Seong Hyun PARK ; Seung Hun LEE
Korean Journal of Dermatology 1987;25(6):802-805
A tender, non-healing ulcer of 3 months' duration developed on the tongue tip of a 51-year-old male with active pulmonary tuberculosis. Acid-fast bacilli were grown in the tissue and sputum cultures. The patient was anergic to PPD skin test before the treatment and IL-2 productivity was significantly decreased. Sections from the tongue tip showed ulceration, infiltration of neutrophils and tuberculoid granulornas accompanying caseation necroses in the dermis. The ulcer healed after administration of anti-tuberculosis medication for 2 months.
Dermis
;
Efficiency
;
Humans
;
Interleukin-2
;
Male
;
Middle Aged
;
Necrosis
;
Neutrophils
;
Skin Tests
;
Sputum
;
Tongue*
;
Tuberculosis*
;
Tuberculosis, Pulmonary
;
Ulcer
5.Luque Instrumentation
Se Il SUK ; Goo Hyun BAEK ; Choon Seong LEE
The Journal of the Korean Orthopaedic Association 1984;19(5):893-898
Luque introduced new posterior spinal instrumentation by segmental sublaminar wiring for spinal deformity in 1976. This system initially developed for the treatment of paralytic scoliosis, but now its application was extended to treatment of other types of scolisis, spinal fractures and spondylolysthesis. Advantages of this system in scoliosis are better correction force and secure internal fixation enabling early ambulation without external support. Disadvantages include longer operation time, possibilities of epidural bleeding and dural laceration. Luque instrumentation in thoracic and lumbar spine fracture is an effective means of obtaining following goals: provide reduction, maintenance of alignment, restoration of stability, prevention of deformity, low pseudarthrosis rate and early mobilization without external support. Luque instrumentation were carried out in 5 cases at Dept. of O.S. at SNUH from Oct. 1983 to Feb. 1984 with excellent results. The average follow-up period was 7.4 months and there was no complication. Two cases of unstable thoracic and lumbar spine fractures were treated with Luque instrumentation with fusion. The use of double sublaminar wiring with Luque rods, two levels above and two levels below on area of fracture provided early stabilization to allow rehabilitation without external immobilization. Three cases of paralytic scoliosis underwent Luque instrumentation by a modification of the Galveston technique with fusion. Average preoperative curve was 110°(ranged from 101° to 126°). Immediate postoperative correction was 58.7°(46.6%) and average 7 months-following result was 56.3°(48.3%). Operation time averaged 6hr 7min and blood loss was averaged 12 pints. Those patients required instrumentation from the pelvis to middorsal segment, in an effort to control the curve and associated pelvic tilting. In early follow-up the author obtained remarkable correction in paralytic curves, and the pelvic obliquity were well corrected with a pelvis and provid ing with better sitting balance.
Congenital Abnormalities
;
Early Ambulation
;
Follow-Up Studies
;
Hemorrhage
;
Humans
;
Immobilization
;
Lacerations
;
Pelvis
;
Pseudarthrosis
;
Rehabilitation
;
Scoliosis
;
Spinal Fractures
;
Spine
6.Transpalpebral Subperiosteal Forehead Lift.
Eun Jung LEE ; Seong Ryeol LIM ; Seong Gyun JUNG ; Chang Hyun KIM
Journal of the Korean Society of Aesthetic Plastic Surgery 1998;4(1):109-117
By the human is getting older, the factors which can the reason of the aging process in the frontal region are divided, static factor and dynamic factor. the static factor is gravity, and the dynamic factor is repeatitive competition of depressosr muscles and elevator muscles. the depressor muscles are corrugator muscle, procerus muscle and orbicularis oculi muscle and the elevator muscle is frontalis muscle. Correction methods of this aging process are divided to non-surgical and surgical method. Non-surgical method are Atecoll and fat injection, and using botulinum toxin. But the effect of these method is temporary and limited, and if the skin laxity is great, this method cannot be used. Surgical methods are laser, chemical peeling, dermabrasion, classical forehead lift which is dissected superficial to galea aponeurosis or subperiosteal plane through coronal or hairline incision, and endoscopy method that the corrugator muscle and procerus muscle are transected by using endoscope, and then the posterior elevation of forehead flap is induced. the endoscopy method is the most popular method in recent years, which has the many advantages of minimal incision, less amount of bleeding and lower complication, but expensive equipment, adaptation and training period are needed. We present the result of 10 patients from May. 1996 to Jan. 1997. After the superior orbital rim exposed through upper eyelid incision, the corrugator muscle was resected while careful attention to the supraorbital n. which was located behind the orbicularis oculi muscle. A communication was made through both sided of medial canthal area, and after the procerus muscle was resected, the fat graft was inserted between them. Finally, we made periosteal incision superiorly, and subperiosteal forehead lift was done without using endoscope.
Aging
;
Botulinum Toxins
;
Dermabrasion
;
Elevators and Escalators
;
Endoscopes
;
Endoscopy
;
Eyelids
;
Fibrinogen
;
Forehead*
;
Gravitation
;
Hemorrhage
;
Humans
;
Muscles
;
Orbit
;
Skin
;
Transplants
7.The coagulation changes in pregnancy induced hypertension.
Hyun Soo CHUNG ; Seon Kyung LEE ; Seong Bo KIM ; Bo Hun OH ; Jae Hyun LEE
Korean Journal of Perinatology 1991;2(2):75-83
No abstract available.
Female
;
Hypertension, Pregnancy-Induced*
;
Pregnancy
;
Pregnancy*
8.A study of serum and urine protein eleptrophoresis in patients with idiopathic nephorotic syndrome.
Jae Seok KIM ; Ju Il LEE ; Hyun Kuk DOH ; Seong Eun KIM ; Ki Hyun KIM ; Jong Seong KIM
Korean Journal of Medicine 1993;45(5):622-630
No abstract available.
Humans
9.A Case of Hemolytic Uremic Syndrome.
Seung Cheol LEE ; Chong Guk LEE ; Seong Hwan KIM ; Sang Woo KIM ; Hyun Soon LEE
Journal of the Korean Pediatric Society 1990;33(8):1138-1145
No abstract available.
Hemolytic-Uremic Syndrome*
10.A case of Ovarian Metastasis from Carcinoma of the Gallbladder: a rare Krukenberg Tumor.
Seong Wook CHUNG ; Joo Myeong LEE ; Kei Hyun LEE ; Sang Dae KANG ; Suk Hee LEE
Korean Journal of Obstetrics and Gynecology 2000;43(4):755-758
A wide variety of cancers metastasize to the ovaries. In a majority of instances the primary site is the gastrointestinal tract, breast, or other gynecologic organs. The best known tumor of this type is signet-ring cell adenocarcinoma. The gallbladder and bile duct are rare sources of these metastases. The authors have had an experience of a case that was presented of Krukenberg tumor metastatic from the gallbladder and report the case with brief review of literature.
Adenocarcinoma
;
Bile Ducts
;
Breast
;
Female
;
Gallbladder*
;
Gastrointestinal Tract
;
Krukenberg Tumor*
;
Neoplasm Metastasis*
;
Ovary