Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 7 de 7
Filter
1.
BMC Geriatr ; 19(1): 289, 2019 10 26.
Article in English | MEDLINE | ID: mdl-31655551

ABSTRACT

BACKGROUND: Postoperative delirium (POD) is a common clinical syndrome with significant negative outcomes. Thus, we aimed to evaluate the feasibility and effectiveness of a delirium screening tool and multidisciplinary delirium prevention project. METHODS: A retrospective cohort study was conducted at a single teaching center in Korea. A cohort of patients who underwent a delirium prevention program using a simple delirium screening tool from December 2018 to February 2019 (intervention group, N = 275) was compared with the cohort from the year before implementation of the delirium prevention program (December 2017 to February 2018) (control group, N = 274). Patients aged ≥65 years who were admitted to orthopedic wards and underwent surgery were included. The incidence rates of delirium before and after implementation of the delirium prevention program, effectiveness of the delirium screening tool, change in the knowledge score of nurses, and length of hospital stay were assessed. RESULTS: The sensitivity and specificity of the screening tool for the incidence of POD were 94.1 and 72.7%, respectively. The incidence rates of POD were 10.2% (control group) and 6.2% (intervention group). The odds ratio for the risk reduction effect of the project related to the incidence of POD was 0.316 (95% confidence interval: 0.125-0.800, p = 0.015) after adjustment for possible confounders. The delirium knowledge test score increased from 40.52 to 43.24 out of 49 total points (p < 0.001). The median length of hospital stay in the intervention and control groups was 6.0 (interquartile range, 4-9) and 7.0 (interquartile range, 4-10) days, respectively (p = 0.062). CONCLUSION: The screening tool successfully identified patients at a high risk of POD at admission. The POD prevention project was feasible to implement, effective in preventing delirium, and improved knowledge regarding delirium among the medical staff. TRIAL REGISTRATION: None.


Subject(s)
Delirium/epidemiology , Delirium/prevention & control , Hospitalization/trends , Orthopedic Procedures/trends , Postoperative Complications/epidemiology , Postoperative Complications/prevention & control , Aged , Cohort Studies , Delirium/diagnosis , Female , Humans , Length of Stay/trends , Male , Orthopedic Procedures/adverse effects , Postoperative Complications/diagnosis , Republic of Korea/epidemiology , Retrospective Studies
2.
Clin Psychopharmacol Neurosci ; 17(1): 80-92, 2019 Feb 28.
Article in English | MEDLINE | ID: mdl-30690943

ABSTRACT

OBJECTIVE: This study investigated error-monitoring deficits in female college students with binge drinking (BD) using event-related potentials (ERPs) and the modified Flanker task. METHODS: Participants were categorized into BD (n=25) and non-BD (n=25) groups based on the scores of the Korean-version of the Alcohol Use Disorder Identification Test (AUDIT-K) and the Alcohol Use Questionnaire (AUQ). The modified Flanker task, consisting of congruent (target and flanker stimuli are the same) and incongruent (target and flanker stimuli are different) conditions, was used to evaluate error-monitoring abilities. RESULTS: The BD group exhibited significantly shorter response times and more error rates on the Flanker task, as well as reduced error-related negativity (ERN) amplitudes compared with the non-BD group. Additionally, ERN amplitudes measured at FCz and Cz were significantly correlated with scores on the AUDIT-K and AUQ in the whole participants. The BD and non-BD groups did not show any significant differences in error positivity amplitudes. CONCLUSION: The present results indicate that college students with BD have deficits in error-monitoring, and that reduced ERN amplitudes may serve as a biological marker or risk factor of alcohol use disorder.

3.
Metab Syndr Relat Disord ; 15(5): 240-245, 2017 06.
Article in English | MEDLINE | ID: mdl-28318405

ABSTRACT

BACKGROUND: Although several observational studies showed a relationship between various conditions of metabolic syndrome (MetS) and hearing threshold, there are no studies about longitudinal audiometric results related MetS. The aim of this study was to investigate the association between MetS and age-related hearing impairment (ARHI) through a large, average 5-year longitudinal follow-up, clinical comparative analysis. MATERIALS AND METHODS: We recruited 1381 women older than 50 years who were enrolled in 2007 and reevaluated in 2012. They had normal or symmetrical sensorineural hearing loss. For the evaluation of the independent impact of MetS on hearing, multivariate analysis was used. RESULTS: The average follow-up period was 5.0 ± 0.2 years. Subjects with MetS had higher hearing thresholds than subjects without MetS. The loss in high-frequency hearing (≥2000 Hz) progressed more rapidly in women with MetS over a 5-year period. CONCLUSION: Our analysis using longitudinal and large data revealed that MetS is associated with ARHI in women 50 years and older. High-frequency hearing loss tended to be greater in women with MetS than in those without MetS at the 5-year follow-up. Therefore, older women with MetS should be followed up closely for hearing evaluation.


Subject(s)
Hearing Loss, High-Frequency/epidemiology , Metabolic Syndrome/epidemiology , Presbycusis/epidemiology , Age Factors , Aged , Auditory Threshold , Female , Follow-Up Studies , Hearing , Hearing Loss, High-Frequency/diagnosis , Hearing Loss, High-Frequency/physiopathology , Humans , Linear Models , Metabolic Syndrome/diagnosis , Middle Aged , Multivariate Analysis , Presbycusis/diagnosis , Presbycusis/physiopathology , Republic of Korea/epidemiology , Risk Factors , Sex Factors , Time Factors
4.
Korean J Radiol ; 9(6): 559-62, 2008.
Article in English | MEDLINE | ID: mdl-19039274

ABSTRACT

We report an extremely rare case of a diffuse hepatic hemangiomatosis without extrahepatic involvement in an adult. The imaging findings of this tumor were similar to those of a hepatic hemangioma and included contrast enhancement with a centripetal filling pattern of the entire hepatic tumor on the delayed phase of a dynamic CT and inhomogeneous diffuse uptake of the entire tumor on blood-pool images obtained five hours later on a 99mTc-labeled red blood cell scan. Despite its rarity, diffuse hepatic hemangiomatosis can be suggested in adult patients with diffusely involved hepatic tumors showing the radiological findings of a hepatic hemangioma.


Subject(s)
Hemangioma/diagnosis , Liver Neoplasms/diagnosis , Adult , Female , Gated Blood-Pool Imaging , Hemangioma/diagnostic imaging , Hemangioma/pathology , Humans , Liver Neoplasms/diagnostic imaging , Liver Neoplasms/pathology , Tomography, X-Ray Computed , Ultrasonography
5.
Cyberpsychol Behav ; 11(6): 735-7, 2008 Dec.
Article in English | MEDLINE | ID: mdl-18954290

ABSTRACT

The objective of this study was to evaluate the biogenetic temperament and character profiles in Korean adolescents with problematic Internet use. Six hundred eighty-six high school students completed the Internet Addiction Test (IAT), Junior Temperament and Character Inventory (JTCI), and Conners/Wells Adolescent Self-Report Scale: Short Form (CASS: Short). The problematic Internet use group showed higher scores in the Self-Directedness and Cooperativeness profiles and lower scores in the Novelty Seeking and Self-Transcendence profiles of the JTCI, compared with the nonproblematic Internet use group, after controlling for the ADHD symptoms. The results of this study suggest that temperament/character patterns should be considered in accounts of the etiology of problematic Internet use.


Subject(s)
Asian People , Attention Deficit Disorder with Hyperactivity/ethnology , Attention Deficit Disorder with Hyperactivity/genetics , Behavior, Addictive/epidemiology , Character , Internet/statistics & numerical data , Temperament , Adolescent , Asian People/genetics , Asian People/psychology , Asian People/statistics & numerical data , Cross-Sectional Studies , Depression/epidemiology , Depression/psychology , Female , Humans , Male
6.
Depress Anxiety ; 25(11): E142-6, 2008.
Article in English | MEDLINE | ID: mdl-17937382

ABSTRACT

The objective of this study was to examine the associations between symptoms of attention-deficit/hyperactivity disorder (ADHD), depression, and suicide in Korean female adolescents. It was hypothesized that the relationship between ADHD symptoms and suicidal ideation would be mediated by the level of depressive symptoms. Seven hundred and eighty-eight high school girls completed the Conners/Wells Adolescent Self-Report Scale: Short Form, Children's Depression Inventory, and Reynolds Suicidal Ideation Questionnaire. Path analyses were conducted using the statistical program, AMOS version 4.0, to determine the best fitting model. The conduct, cognitive, and hyperactivity problems of the ADHD symptoms in each domain were associated positively with the depressive symptoms, with the depressive symptoms being associated with suicidal ideation. This initially proposed model represented an acceptable fit to the data (root mean square error of approximation, RMSEA=0.077; normed fit index, NFI=0.998; non-NFI, NNFI=0.990; comparative fit index, CFI=0.998). The inclusion of a direct path from the conduct problems of ADHD symptoms to suicidal ideation significantly improved the model fit (RMSEA=0, NFI=1, NNFI=1, CFI=1). The results of our study suggest that depressive symptoms partially mediate the relationship between ADHD symptoms and suicidal ideation, and that the conduct problems of ADHD symptoms are associated with suicidal ideation both directly and indirectly via the depressive symptoms in Korean female adolescents.


Subject(s)
Asian People/statistics & numerical data , Attention Deficit Disorder with Hyperactivity/epidemiology , Depressive Disorder, Major/epidemiology , Suicide/statistics & numerical data , Adolescent , Attention Deficit Disorder with Hyperactivity/diagnosis , Attention Deficit Disorder with Hyperactivity/psychology , Depressive Disorder, Major/diagnosis , Depressive Disorder, Major/psychology , Female , Humans , Surveys and Questionnaires
7.
Cardiovasc Intervent Radiol ; 30(2): 324-7, 2007.
Article in English | MEDLINE | ID: mdl-17031726

ABSTRACT

We present a case of iatrogenic aorto-cisterna chyli fistula that developed during percutaneous transluminal aortoplasty in a 16-year old girl with Takayasu's arteritis. The aorto-cisterna chyli fistula was angiographically confirmed and treated using a stent-graft, which successfully occluded the fistula. Her claudication then improved, although follow-up CT angiography at 10 months revealed mild recurrent aortic stenosis.


Subject(s)
Angioplasty, Balloon/adverse effects , Aortic Diseases/etiology , Takayasu Arteritis/therapy , Thoracic Duct/pathology , Vascular Fistula/etiology , Adolescent , Aorta, Abdominal/abnormalities , Aorta, Abdominal/surgery , Aortic Diseases/surgery , Arterial Occlusive Diseases/therapy , Blood Vessel Prosthesis Implantation , Female , Humans , Iatrogenic Disease , Lymphatic Diseases/etiology , Lymphatic Diseases/surgery , Stents , Thoracic Duct/surgery , Vascular Fistula/surgery
SELECTION OF CITATIONS
SEARCH DETAIL
...