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Experiences of Depression in Low Income Elderly Women (저소득 여성노인의 우울 경험)

  • Kim, Jeung-Im;Son, Haeng-Mi
    • Women's Health Nursing
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    • v.22 no.4
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    • pp.241-253
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    • 2016
  • Purpose: The purpose of this qualitative research was to understand the meaning of the depression in low income elderly women. Methods: Participants were 15 elderly women, aged between 60 and 80 who were registered in two senior welfare centers in Seoul. Data were collected from June to December, 2012 after having obtained consent from participants. In-depth interviews were done with open-ended questions about their depression experiences, which were audio-taped and transcribed with verbatim. Data were analyzed using qualitative content analysis to discover the categories considering their relationships and abstractness. Results: Depressions of aged women were a part of the their life throughout their long lived hardship and was implied unhealed wounds within the relationship. Participants did not know how to manage with depression symptoms that they tried to overcome individually but due to decreased activities and interpersonal relationships, their depressions were tended to continue. They have tried to get out from depressive symptoms, but it still remains unseen shadow of mind. Conclusion: This results suppose that social support and aged welfare policy included reliving the economical difficulty and improving relationships will be provided to manage the depression for low income elderly women.

Review of Medical Dispute Cases in the Pain Management in Korea: A Medical Malpractice Liability Insurance Database Study

  • Kim, Yeon Dong;Moon, Hyun Seog
    • The Korean Journal of Pain
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    • v.28 no.4
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    • pp.254-264
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    • 2015
  • Background: Pain medicine often requires medico-legal involvement, even though diagnosis and treatments have improved considerably. Multiple guidelines for pain physicians contain many recommendations regarding interventional treatment. Unfortunately, no definite treatment guidelines exist because there is no complete consensus among individual guidelines. Pain intervention procedures are widely practiced and highly associated with adverse events and complications. However, a comprehensive, systemic review of medical-dispute cases (MDCs) in Korea has not yet been reported. The purpose of this article is to analyze the frequency and type of medical dispute activity undertaken by pain specialists in Korea. Methods: Data on medical disputes cases were collected through the Korea Medical Association mutual aid and through a private medical malpractice liability insurance company. Data regarding the frequency and type of MDCs, along with brief case descriptions, were obtained. Results: Pain in the lumbar region made up a major proportion of MDCs and compensation costs. Infection, nerve injury, and diagnosis related cases were the most major contents of MDCs. Only a small proportion of cases involved patient death or unconsciousness, but compensation costs were the highest. Conclusions: More systemic guidelines and recommendations on interventional pain management are needed, especially those focused on medico-legal cases. Complications arising from pain management procedures and treatments may be avoided by physicians who have the required knowledge and expertise regarding anatomy and pain intervention procedures and know how to recognize procedural aberrations as soon as they occur.

Pre and Post Surgery Management and Practicality of Prosthesis for Patients with Lower Limb Amputation (하지 절단환자의 수술 전후 관리와 의지의 실용성에 대한 연구)

  • Ahn, Wang-Hun;Lee, Kang-Noh;Choi, Yoo-Jung
    • Journal of Korean Physical Therapy Science
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    • v.12 no.4
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    • pp.89-97
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    • 2005
  • Objective: The purpose of this study was to access quality of life and evaluate pre and post surgery management for persons with lower limb amputations. Method: This study was designed as a telephone survey. The subjects were patients who underwent their lower limb amputation between January 1994, and February 2005 at Asan Medical Center in seoul. sixty one of 203 subjects had granted consent and were studied. Results: The major cause of below knee amputations was vascular disease. Traumatic injuries were more common among subjects with above knee amputations. 93.4% of subjects were in use of prosthesis and 70.1 days were required to fit the prosthesis. 68.4% of subjects were able to ambulate with single point cane or without assistive devices. 80.3% of subjects complained phantom pain. Most subjects expressed the unsatisfactory result regarding the functional usage of prosthesis and education from hospital. Conclusion: Pre and post surgery rehabilitation program will benefit to promote better functional status and quality of life for persons with lower limb amputations.

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Evaluation of the Quality of Case Reports from the Journal of Korean Medicine Based on the CARE Guidelines (CARE 지침에 따른 대한한의학회지의 증례보고에 대한 질 평가)

  • Choi, Sung Youl
    • The Journal of Korean Medicine
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    • v.41 no.2
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    • pp.122-136
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    • 2020
  • Objectives: A case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient. The purpose of this study is to evaluate the quality of case reports from the Journal of Korean Medicine by the CARE (CAse REport) Guideline. Methods: Case reports published in the Journal of Korean Medicine from January 2016 to March 2020 were searched from Oriental Medicine Advanced Searching Integrated System (OASIS). We assessed the quality of reporting based on CARE (CAse REport) guideline as 'Sufficient', 'Not-Sufficient' and 'Not-Report'. Results: A total of 22 case reports were finally included for the assessment. The reporting items were reported as of reporting quality. After checking the result, there was a deviation in the sub-item reporting rate by a maximum 89.29%, a minimum 66.67% and a median 82.14% in case reports. Also after checking the quality in case reports by 28 detailed items in CARE guidelines, there were not reported 77% or more in the 5 sub-items 'Intervention adherence and tolerability', 'Informed consent', 'Adverse and unanticipated events', 'Diagnostic challenges', 'Patient perspective'. Conclusion: There is a need to improve the quality of case reports in the journal of Korean Medicine based on various studies using CARE guideline.

The Differential Impact of Bulk Text Message Advertising on Consumer Attention

  • MAKUDZA, Forbes;MASIYANISE, Leonard;MTISI, Edmore
    • The Journal of Industrial Distribution & Business
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    • v.11 no.7
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    • pp.7-17
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    • 2020
  • Purpose: The purpose of this study was to identify factors that enhance the effectiveness of bulk text message advertising on consumer attention in the telecommunications industry in Zimbabwe. Research design, data and methodology: The study collected data using structured questionnaires. The study attracted 293 responses from consumer subscribers of the Zimbabwean telecommunications industry. Data was analysed using SPSS and measures of association, direction, strength and significance were used. Results: The study found out that the examined variables of bulk text messaging (Simplicity, Frequency and Informativeness) had a positive significant impact on consumers' attention (β= 0.645; p-value < 0.05). The study examined four bulk text advertising determinants, namely frequency, simplicity, informativeness and credibility. Only credibility was found to be statistically insignificant (p-value > 0.05), whilst frequency had an inverse effect on consumer attention. Simplicity of bulk text advertisements recorded a high positive and significant impact whilst informativeness was also positively, and significantly affecting consumer attention. Conclusions: The study concluded that for bulk text advertising to be effective, text messages should be informative, easy to understand and dispatched less frequently. It was further concluded that bulk text advertising should follow permission marketing where consumers consent before hand to be recipients of commercials.

Effects of Palm Angles in Sculling on the Variation of Underwater Weighting (스컬링 수행 시 손바닥 각도에 따른 수중에서의 체중 변화)

  • Lee, Hyo-Taek;Kim, Yong-Jae
    • Journal of Fisheries and Marine Sciences Education
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    • v.25 no.2
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    • pp.405-409
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    • 2013
  • In this study, the researcher tried to analyse the effects of various palm angles in sculling on the variation of underwater weighting. An experiment was conducted on the study subjects of 14 males with life guard licences issued by the Korean Red Cross, living in B district with their spontaneous consent after explaining the purpose and method of this study sufficiently. The effects of various angles in sculling on underwater weighting is as follows; The underwater weighting in sculling gradually decreased with the increasing angle of the palm from $0^{\circ}$ to $45^{\circ}$ during sculling(p<.001). Overall, it is concluded that the optimal efficiency of sculling can be achieved at the angles $30^{\circ}$ and $45^{\circ}$. But, it is a little limited that we generalize the result drawn from variation of underwater weighting depending on the angles as an actual lift and drag value, which warrants further studies on the measuring of overall swimming movement of rotary kick of our lower body as well as sculling, along with various subjects.

Drinking-related knowledge, attitude and drinking behaviors of female college students (간호대 여학생의 음주관련 지식, 태도 및 음주행위에 관한 연구)

  • Park, Gyung;Choi, Soon-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.13 no.1
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    • pp.23-32
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    • 2012
  • Purpose: This study was to investigate the relationships between drinking-related knowledge, attitude and drinking behaviors of 244 female nursing college students in G city. Methods: This is descriptive research design. Data were collected from September 27th to October 10th, 2010 after obtaining the informed consent from the participants and analyzed using t-test, ANOVA, scheffe' test and pearson's correlation coefficients. Results: The drinking-related knowledge scores were significant differences by grade and club activities. The drinking-related attitude scores were significant differences by source of income. Drinking behaviors were significant differences by school record and club activities. Regarding the relationships between variables, there was a positive relationship between drinking behaviors and drinking-related knowledge or attitude. Conclusion: The drinking-related knowledge score of freshmen or the students involved in club activities was the lowest, and the higher the drinking-related knowledge and attitude were, the higher the drinking behaviors were. Therefore, appropriate drinking prevention education need to be implemented to freshmen or in middle and high school repeatedly.

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THE PREVALENCE OF SENSORY DISTURBANCE AFTER IMPLANT SURGERY - RETROSPECTIVE SURVEY OF IMPLANT PRACTITIONERS (임플란트 식립후 하악 신경손상에 대한 후향적 연구)

  • Kwon, Tae-Geon;Kim, Shin-Yu;Kim, Jong-Bae
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.4
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    • pp.339-344
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    • 2004
  • The purpose of this study was to evaluate neurosensory disturbance associated with implant surgery performed by implant practitioner (n=47) composed of trained oral surgeon, periodontist, prosthodontist. The incidence, type and duration of sensory disorder were investigated. Anatomical factor of the patient and experience of operator were also evaluated. The result revealed high incidence of inferior alveolar nerve damage (45%) regardless of experience of implant practitioner. The sensory disturbance sustained within 6 months for 61% of cases, which revealed almost normal recovery of nerve function. Initial neurologic sign after nerve damage was not coincide with their consequence of recovery. Half of the practitioners tried surgical intervention to the implants such as removing the fixture, partial unscrewing or re-implant shorter fixture, of which trial regarded as effective measure for 53% of cases. The result indicates that the objective method of sensory nerve evaluation should be introduced to the implant practitioners and the importance of informed consent for possibility of nerve damage in mandibular implant fixation.

Community Based Intervention for Tobacco Cessation: A Pilot Study Experience, North East India

  • Bhagabaty, Srabana Misra;Kataki, Amal Chandra;Kalita, Manoj;Salkar, Shekhar
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.811-814
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    • 2015
  • Background: North East India has a high prevalence of tobacco consumption, but only few individuals seek help for tobacco cessation. Impact of community based tobacco cessation intervention in this part needs more research. Materials and Methods: Retrospective analysis was done on the dataset from a community-based tobacco cessation intervention pilot project conducted in Guwahati metro during 2009-10. Subjects, both male and female tobacco users, age > 15 years, permanent residents of these blocks giving consent were included in the study. Results: The sample was 800 tobacco users, of whom 25% visited any health care provider during last 12 months and 3% received tobacco cessation advice. An 18% quit rate was observed at six weeks follow up, more than the National average, with a 47% quit rate at eight months, while 52% of subjects reduced use. Conclusions: Higher tobacco quit rate and reduced tobacco use, no loss to follow up and negligible relapse was observed with this community based intervention design. Such designs should be given more emphasis for implementation in specified communities with very high tobacco consumption rates, cultural acceptance of tobacco and less motivation towards quitting.

Pre and Post Operative management of Living Kidney donor - Focus on bioethical aspect - (생체신 공여자의 수술전후 관리에 대한 연구 -윤리적인 측면을 중심으로-)

  • Kim Myung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.2 no.2
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    • pp.139-154
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    • 1995
  • The purpose of this study was presented basic data for management of living kidney donor to make bioethical decision. The research subjects were the documents and progress notes of Doctor's and Nurses in medical records related to kidney donation and nephrectomy of 20 kidney donors who received nephretomy at 4 general hospitals in Pusan. The result of this study, a desirable documents to help the living kidney donor might include following : 1st, identification of the donor and the guardian. 2nd, confirmation of the intension of kidney donor which is based on humanity or not and 3rd, a written oath about Nephrectomy. Especially it is more desirable to participate of paramedical personnels such as the religious, the social workers, the counsellors, and etc when assess the motivation of kidney donor and to use of a formulated visual educational materials about renal angiography and nephrectomy which required written consent of kidney donor. Further more, the donor should be educated sufficiently about the kidney itself and procedure for nephrectomy-the anatomical position of kidney, the function of the kidney, the operative maneaver, pre and post operative complication, the prevention of the complication, the possiblity of rejection phenomenon and loss of the transplanted kidney etc. In conclusion, medical team members for kidney transplantation must suggest not only physical problem but also psychological problem And the educated donor ought to have enough time before a making decision and all these process should be recorded in medical records

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