Journal of The Korean Geriatrics Society最新文献_第5页

Outcomes of the Holmium Laser Enucleation of the Prostate for Patients With Prior Benign Prostatic Hyperplasia Surgery 钬激光前列腺去核术治疗既往良性前列腺增生患者的疗效

Journal of The Korean Geriatrics Society Pub Date : 2014-12-01 DOI: 10.4235/JKGS.2014.18.4.199

Kyung Young Moon, Dae-young Kim, J. Yoon, W. Na, Jong Bouk Lee

{"title":"Outcomes of the Holmium Laser Enucleation of the Prostate for Patients With Prior Benign Prostatic Hyperplasia Surgery","authors":"Kyung Young Moon, Dae-young Kim, J. Yoon, W. Na, Jong Bouk Lee","doi":"10.4235/JKGS.2014.18.4.199","DOIUrl":"https://doi.org/10.4235/JKGS.2014.18.4.199","url":null,"abstract":"Background: To assess the functional outcomes and morbidity in patients undergoing holmium laser enucleation of the prostate (HoLEP) with and without previous transurethral prostate surgery. Methods: Patients were stratified into two groups, 558 patients who underwent primary HoLEP (group I) and 50 patients who underwent ‘secondary-HoLEP’ with prior transurethral prostate surgery (group II). Results: There were no significant differences in the preoperative parameters (median age, International Prostate Symptom Score [IPSS], prostate-specific antigen [PSA], prostate volume, maximum urinary flow rate [Qmax], and postvoid residual urine volume [PVR]). No significant intraoperative differences were noted in the use of total energy, resected volume, enucleation time, resection efficiency, and mean catheterization time. There were significant improvements in Qmax, PVR, and IPSS in both groups. Complications in groups I and II included 19 (3.1%) and 1 (2.0%) bladder injuries, 25 (4.4%) and 2 (4.0%) recatheterization for transient voiding difficulty, 20 (3.5%) and 2 (4%) cases of severe hematuria requiring additional treatment, and 5 (0.8%) and 0 cases for remorcellation due to remaining adenoma. Transient incontinence was the most common complication for both groups I and II, 30 cases (5.4%) and 3 cases (6.0%) respectively. Urinary tract infection showed improvement subsequent to antibiotic treatment. During the 6 month follow-up period, urethral stricture occurred in 7 cases (1.3%) for group I and in 1 case (2.0%) for group II. Conclusion: There were no significant differences in functional outcomes and morbidity between the two groups. ‘Secondary-HoLEP’ seems to be effective and safe for patients with prior BPH surgery.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"55 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114136179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Embolization of Inferior Epigastric Artery for Treatment of Rectus Sheath Hematoma Caused by Insulin Injection During Anticoagulation and Antiplatelet Therapy 腹壁下动脉栓塞治疗抗凝、抗血小板治疗中胰岛素致直肌鞘血肿

Journal of The Korean Geriatrics Society Pub Date : 2014-12-01 DOI: 10.4235/JKGS.2014.18.4.256

Y. Park, M. Kim, Jeong Woon Park, Chan Wook Lee, S. Hong, Young Soo Lee, J. Ryu, J. Choi, K. Kim, Jin Bae Lee

引用次数: 1

Diagnostic Characteristics of Geriatric Patients With Ureterolithiasis in Emergency Center 急诊中心老年输尿管结石患者的诊断特点

Journal of The Korean Geriatrics Society Pub Date : 2014-12-01 DOI: 10.4235/JKGS.2014.18.4.205

Hyun Suk Sim, H. S. Choi, J. S. Lee, H. Hong, Y. Ko

{"title":"Diagnostic Characteristics of Geriatric Patients With Ureterolithiasis in Emergency Center","authors":"Hyun Suk Sim, H. S. Choi, J. S. Lee, H. Hong, Y. Ko","doi":"10.4235/JKGS.2014.18.4.205","DOIUrl":"https://doi.org/10.4235/JKGS.2014.18.4.205","url":null,"abstract":"Background: Incidence rate of ureterolithiasis has been increasing worldwide in general, with an especially rapid increase in the elderly, over 65 years of age. Therefore, the characteristics of geriatric patients diagnosed with uureterolithiasis in an Emer- gency Center were examined. Methods: A total of 613 consecutive patients who were diagnosed with ureterolithiasis through computed tomography from January 2012 to March 2014 were analyzed retrospectively. The patients were divided in two groups: the geriatric group and nongeriatric group. Results: Among the 613 patients, there were 64 geriatric patients (≥65 years, 10.4%) and 549 nongeriatric patients (<65 years, 89.6%). In the geriatric patients, 13 patients (20.3%) appeared without any pain or with atypical types of pain, while 39 of the nongeriatric patients (7.1%) had no pain or atypical symptoms, presenting a statistically significant difference (p<0.001). Gastrointestinal symptoms such as nausea and vomiting were more common in geriatric patients than in nongeriatric patients (42.2% vs. 29.9%, p=0.044), while lower positive rate of microscopic hematuria was reported (78.1% vs. 90.5%, p=0.002). Furthermore, in geriatric patients, the positive rate of costovertebral angle tenderness was lower and distal ureter stones were found to be more common, while urine pH and serum creatinine levels were higher. Conclusion: In comparison to nongeriatric patients, geriatric patients with ureterolithiasis showed lower rates of renal colic and hematuria, while showing higher rates of having gastrointestinal symptoms such as nausea and vomiting. Thus, diffe- rences between these two groups should be considered in evaluating geriatric patients to prevent complications which may be caused from the late diagnosis of ureterolithiasis.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126590248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pulmonary Cryptococcosis in Rheumatoid Arthritis Patient Treated With Leflunomide 来氟米特治疗类风湿关节炎并发肺隐球菌病

Journal of The Korean Geriatrics Society Pub Date : 2014-12-01 DOI: 10.4235/JKGS.2014.18.4.232

C. Byon, S. Yim, J. Park, M. Roh, Sung-Won Lee, W. Chung, Sang Yeob Lee

引用次数: 0

Simultaneous Development of ST-Segment Elevation Myocardial Infarction and Pulmonary Embolism in an Healthy Elderly Woman 健康老年妇女st段抬高型心肌梗死和肺栓塞的同时发生

Journal of The Korean Geriatrics Society Pub Date : 2014-12-01 DOI: 10.4235/JKGS.2014.18.4.251

Seung-Hwan Lee, Hyeon Seok Kim, Dong seok Lee, Hong Min Park, T. Lee, Yong Kyu Lee

引用次数: 0

Comprehensive Geriatric Assessment for Elderly Orthopedic Inpatients Consulted by Geriatric Medicine in a Hospital 某医院老年内科会诊骨科住院老年患者的老年综合评估

Journal of The Korean Geriatrics Society Pub Date : 2014-12-01 DOI: 10.4235/JKGS.2014.18.4.213

GoDoh Kim, Sunyoung Kim, C. Won, H. Choi, Byung Sung Kim, Y. Cho

引用次数: 1

Strongyloides Hyperinfection in an Elderly Patient Treated for Stomach Cancer 1例老年胃癌患者的类圆杆菌过度感染

Journal of The Korean Geriatrics Society Pub Date : 2014-12-01 DOI: 10.4235/JKGS.2014.18.4.241

Young Min Rah, Su A Yun, H. Yoon, Seung Yun Lee

引用次数: 2

Gallstone Ileus in 83-Year-Old Woman 83岁高龄妇女胆石性肠梗阻

Journal of The Korean Geriatrics Society Pub Date : 2014-12-01 DOI: 10.4235/JKGS.2014.18.4.246

S. Oh, J. Jo, I. Kim, W. Kim, K. Park, M. Jung, Jong Ik Park, S. Park

引用次数: 0

Perforation of Gastrointestinal Stromal Tumor in Small Bowel on an Elderly Patient Presenting Acute Abdominal Pain 老年急性腹痛患者小肠胃肠道间质瘤穿孔1例

Journal of The Korean Geriatrics Society Pub Date : 2014-12-01 DOI: 10.4235/JKGS.2014.18.4.237

Kong Jin Oh, J. Hwang, Ho Young Lee, Sung Ik Pyeon, Jae Gyu Shin, Ho Joon Park, Chul Byung Chae

引用次数: 0

The Relationship of Long-term Care Workers' Health Awareness on Life Satisfaction 长期护理员健康意识与生活满意度的关系

Journal of The Korean Geriatrics Society Pub Date : 2014-12-01 DOI: 10.4235/JKGS.2014.18.4.221

Jung Gyu Park, H. Park

{"title":"The Relationship of Long-term Care Workers' Health Awareness on Life Satisfaction","authors":"Jung Gyu Park, H. Park","doi":"10.4235/JKGS.2014.18.4.221","DOIUrl":"https://doi.org/10.4235/JKGS.2014.18.4.221","url":null,"abstract":"Background: Considering the importance of human resource management of the long-term care workers, this study is to propose a political and practical intervention approach. The approach is based on the analysis of research on the influe nce of long-term care workers’ health awareness on their life satisfaction. Methods: The participants of this study include 600 long-term care workers working at Nursing homes and Nursing facilities located in Seoul. The data collected from the participants are analyzed with Multi Regression Analysis. Results: As a result of T-test and analysis of variance, statistically significant parameters to the subjective awareness of health are as follows: marriage, education, religion and work places. And as the minor parameters that influence the rate of life satisfaction the positive relationships between the emotional health (β=0.178, p<0.01) and the intellectual health (β=0.281, p<0.001) is statistically significant. Conclusion: The results of analysis indicate as follows: there is a positively significant relationship between social demographic characteristics, health awareness and life satisfaction; the higher participation in social activities, more women than men, and the higher income, the higher health awareness. The findings point out the importance of emotional and intellectual health and efforts to promote better health and demand for a societal change in health awareness. This study provides the baseline data for a practical intervention measure and political suggestion by examining how the individual characteristics and health awareness influence life satisfaction of long-term care workers, and by analyzing the effect of the interactions between them.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"182 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123047403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0