PURPOSE: The aim of this study was to investigate the effects of chronic musculoskeletal pain and depression on health-related quality of life (HRQoL) according to gender in community-dwelling older adults. METHODS: The subjects of this study were 209 elderly individuals who were receiving visiting nursing services from a public health center located in Gangwon-do. Data were collected using a structured questionnaire from March to April, 2008. SPSS/WIN 13.0 was used for data analysis. RESULTS: Depression and HRQoL showed a significant difference between male and female subjects. There was a negative correlation between chronic musculoskeletal pain, depression, and HRQoL. In the male elderly, depression was the most significant predictor of HRQoL, while in the female elderly, chronic musculoskeletal pain was the most significant predictor of HRQoL. CONCLUSION: The study showed that chronic musculoskeletal pain was the variable with the highest explanatory power for HRQoL in the female elderly. Therefore, chronic musculoskeletal pain needs to be assessed and managed first in nursing interventions to improve HRQoL of the female elderly.
Adult* ; Aged ; Depression* ; Female ; Gangwon-do ; Humans ; Male ; Musculoskeletal Pain* ; Nursing ; Nursing Services ; Public Health ; Quality of Life* ; Statistics as Topic ; Surveys and Questionnaires

PURPOSE: Burch colposuspension has been used for the treatment of stress urinary incontinence (SUI) with effectiveness. The purpose of this retrospective study was to compare the efficacy among abdominal, transvaginal and laparoscopic Burch colposuspension. We also compared the clinical course and complications after each procedure. MATERIALS AND METHODS: Sixty seven patients underwent Burch colposuspension were evaluated according to their approach methods. All patients were assessed for detailed history, physical examination, urodynamic study, transperineal ultrasonography, operative time, catheter indwelling period, hospital stays, success rate, and complications. RESULTS: The success rates of abdominal, transvaginal and laparoscopic Burch were 90, 86 and 76% respectively, at 26 months follow up. There was no significant complication except for a case of bladder injury in the laparoscopy group. Laparoscopic Burch operation had advantages of less invasive approach, less morbidity, shorter hospital stays and provided successful outcomes in patients with stress urinary incontinence. CONCLUSIONS: With these results, we could conclude that open, transvaginal or laparoscopic Burch operations were effective and safe for SUI with no significant differences of efficacy according to approach methods.
Catheters ; Follow-Up Studies ; Humans ; Laparoscopy ; Length of Stay ; Operative Time ; Physical Examination ; Retrospective Studies ; Ultrasonography ; Urinary Bladder ; Urinary Incontinence ; Urodynamics

The effects of Clonorchis sinensis, Hymenolepis nana and Toxocara canis infection on fat absorption in the intestine were studied. For this purpose, I131-Triolein was given to the animals which were infected by those parasites, and amounts of the excretion in the feces were counted and following results were obtained. In the Clonorchis sinensis infected group, the excretion of Triolein was increased to 4. 10~4.49% compared with that of the control group. In the Hymenolepis nana infected group, the excretion of Triolein was increased to 4~5% compared with that of control group. In the Toxocara canis infected group, the excretion was about twice as much as that of the control group. It is concluded that parasite infection in digestive system diminishes fat absorption in gastrointestinal tract of the host.
Animals ; Fats/*metabolism ; Feces/analysis ; *Intestinal Absorption ; Intestinal Diseases, Parasitic/*metabolism ; Iodine Radioisotopes/diagnostic use ; Rats ; Triolein/diagnostic use

PURPOSE: The aim of this study was to investigate the status of visiting nurse's assessment and management of chronic musculoskeletal pain in older adults. METHODS: The subjects of this study were 285 visiting nurses working at 24 public health centers located in Seoul, Gyeonggi-do, and Gangwon-do. Data were collected using a structured questionnaire from June to July, 2008. The SPSS/WIN 13.0 program was used for data analysis. RESULTS: Of the visiting nurses, 195 (77.4%) reported lack of pain education for nurses. The education of exercise (83.3%) was used most frequently by nurses as a pain intervention. Barriers to effective pain management were inadequate pain management guidelines and lack of pain education for nurses. CONCLUSION: It is necessary to develop evidence-based nursing interventions for pain management and to develop systematic educational programs for visiting nurses management of chronic musculoskeletal pain.
Adult* ; Education ; Evidence-Based Nursing ; Gangwon-do ; Gyeonggi-do ; Humans ; Musculoskeletal Pain* ; Nurses, Community Health ; Nursing Care ; Pain Management ; Pain Measurement ; Public Health ; Seoul ; Statistics as Topic ; Surveys and Questionnaires

PURPOSE: This study was to determine the effects of foot reflexomassage on constipated college women for the treatment of constipation. METHOD: The researcher sampled nursing students attending a college of nursing science in Gyeonggi-Do, and checked if they were affected by constipation in reference to the Rome II criteria & CAS. They were randomly divided into an experimental group(15 subjects) and a control group(15 subjects). Foot reflexomassage was applied to the experimental group 10 times in 2 weeks : each time lasted 40 minutes. The frequency of defecation and severity of constipation by CAS were measured. The collected data was analyzed using the SPSS 11.5 program. RESULT: The CAS score of the experimental group was significantly lower after foot reflexomassage than those of the control group (p=.000). CONCLUSION: Foot reflexomassage can be considered an effective alternative treatment for constipated young women.
Complementary Therapies ; Constipation ; Defecation ; Female ; Foot* ; Gyeonggi-do ; Humans ; Nursing ; Students, Nursing

No abstract available.
Child* ; Humans ; Pheochromocytoma*

PURPOSE: The purpose of this study was to investigate the level of cultural competency of visiting nurses and community health practitioners and explore factors that are related with their cultural competency. METHODS: The subjects of this study were 113 visiting nurses and 103 community health practitioners working in Gangwon-do. Data were collected using a structured questionnaire on May 24, 2011. The SPSS/WIN 17.0 program was used for data analysis. RESULTS: The average score for cultural competency of visiting nurses was 2.76+/-0.60 and that of community health practitioners 2.91+/-0.51. Most of subjects received no multicultural education (78.0% for nurses, 85.7% for community health nurses). Factors influencing cultural competency were number of service experience for multicultural clients and participation of multicultural education. CONCLUSION: It is necessary to develop systematic educational programs to enhance the cultural competency of nurses.
Community Health Nursing ; Cultural Competency ; Surveys and Questionnaires

The study consists of an analysis of 39 cases of all kinds of granulomatous lesions in the colon observed at our X-ray department during 3year period between Jan. 1960. and the end of. 1962. Of these 39, 13 cases were Crohn's disease of the colon and 15 cases were tuberculous colitis. The remaining 11 cases were due to ulcerative colitis 3, amoebic colitis 4, and non-specific pericolitis 4. 17 males and 22 females were seen and, the peak incidence was from 40 to 49 years of age. The diagnosis of each granulomatous lesion was confirmed by tissue examination obtained by exploratory celiotomy or by biopsy. Crohn's disease and tuberculos colitis were more frequently encountered in the large bowel rather than in the ileo-cecal region. Granulomatous lesions in the colon must be differentiated from a number of causes of large bowel pathology e. g. carcinoma or lymphoma. The diseases with which it is more commonly confused are ulcerative colitis, tuberculous colitis, Crohn's disease and amoebic colitis. X-ray features of each of these granulomatous lesions are presented in detail and the points of differential diagnosis are discussed.
Adult ; Colonic Diseases/*diagnosis ; Diagnosis, Differential ; Granuloma/*diagnosis ; Human ; Middle Aged

No abstract available in English.
Urinary Incontinence*

STATEMENT OF PROBLEM: When veneering composite resin-metal restoration is prepared, the fact that bond strength between Ti and composite resin is relatively weak should be considered. PURPOSE: The purpose of this study is to evaluate the shear bond strength between the veneering composite resin and commercial pure (CP) Ti / Ti-6Al-4V alloy according to the method of surface treatment. MATERIAL AND METHODS: The disks were cast by two types of metal. Their surfaces were treated by sandblasting, metal conditioner, TiN coating and silicoating respectively. After surface treatment, the disks were veneered by composite resin (Tescera(TM), Bisco, USA) which is 5 mm in diameter and 3 mm in thickness. The specimens were stored in water at 25degrees C for 24 hours, and then evaluated for their shear bond strength by universal testing machine (STM-5(R), United Calibration, USA). These values were statistically analyzed. RESULTS: 1. All methods of surface treatment were used in this study satisfied the requirements of ISO 10477 which is the standard of polymer-based crown and bridge materials. 2. The metal conditioner treated group showed the highest value in shear bond strength of CP Ti, silicoated group, TiN coated group, sandblasted group, in following order. 3. The silicoated group showed the highest value in shear bond strength of Ti-6Al-4V alloy, metal conditioner treated group, sandblasted group, TiN coated group, in following order. CONCLUSION: Within the limitations of this study, all methods of surface treatment used in this study are clinically available.
Alloys ; Calibration ; Collodion ; Crowns ; Tin ; Titanium ; Water