• Title/Summary/Keyword: urinary incontinence

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Frailty and its Related Factors in the Vulnerable Elderly Woman by Urinary Incontinence (지역사회 거주 여성노인의 요실금 유무에 따른 허약정도와 허약 영향요인)

  • Park, Jin Kyoung
    • 한국노년학
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    • v.37 no.4
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    • pp.893-907
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    • 2017
  • This study aimed to investigate factors affecting frailty by urinary incontinence groups among the vulnerable elderly woman in Korea. In this secondary analysis, data were collected from records for 3,251 elders registered in the Visiting Health Management program of Public Health Centers in 2012. body mass index, waist circumference, timed up & go, depression, self rated helath, walking exercise, flexibility exercise, strengh exercise and frailty were assessed. Data were analyzed using $x^2$-test, t-test, ANOVA, Pearson's correlation and stepwise regression to determine the associated factors of frailty by urinary incontinence. Depression, walking exercise, timed up & go and age were found to be factors significantly associated with frailty among the elders with incontinence(F=38.321, p<.001). Age, depression, walking exercise, self rated health and tined up & go were found to be factors associated with frailty in the elders without incontinence(F=265.666 p<.001). The findings show that frailty of elders and associated factors were different by urinary incontinence, and common factors affecting frailty were depression, walking exercise, timed up & go, age. Thus, these factors should be considered in the development of intervention program for care and prevention of frailty and program should be modified according to urinary incontinence.

A Convergence Study of the Research Trends on Stress Urinary Incontinence using Word Embedding (워드임베딩을 활용한 복압성 요실금 관련 연구 동향에 관한 융합 연구)

  • Kim, Jun-Hee;Ahn, Sun-Hee;Gwak, Gyeong-Tae;Weon, Young-Soo;Yoo, Hwa-Ik
    • Journal of the Korea Convergence Society
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    • v.12 no.8
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    • pp.1-11
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    • 2021
  • The purpose of this study was to analyze the trends and characteristics of 'stress urinary incontinence' research through word frequency analysis, and their relationships were modeled using word embedding. Abstract data of 9,868 papers containing abstracts in PubMed's MEDLINE were extracted using a Python program. Then, through frequency analysis, 10 keywords were selected according to the high frequency. The similarity of words related to keywords was analyzed by Word2Vec machine learning algorithm. The locations and distances of words were visualized using the t-SNE technique, and the groups were classified and analyzed. The number of studies related to stress urinary incontinence has increased rapidly since the 1980s. The keywords used most frequently in the abstract of the paper were 'woman', 'urethra', and 'surgery'. Through Word2Vec modeling, words such as 'female', 'urge', and 'symptom' were among the words that showed the highest relevance to the keywords in the study on stress urinary incontinence. In addition, through the t-SNE technique, keywords and related words could be classified into three groups focusing on symptoms, anatomical characteristics, and surgical interventions of stress urinary incontinence. This study is the first to examine trends in stress urinary incontinence-related studies using the keyword frequency analysis and word embedding of the abstract. The results of this study can be used as a basis for future researchers to select the subject and direction of the research field related to stress urinary incontinence.

Prevalence Rate and Associated Factors of Urinary Incontinence among Nursing Home Residents (노인요양시설 거주노인의 요실금 유병률과 관련요인)

  • Kim, Moon-Sil;Lee, Seung-Hee
    • Journal of Korean Academy of Nursing
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    • v.38 no.1
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    • pp.92-100
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    • 2008
  • Purpose: The aim of this study was to estimate the prevalence of urinary incontinence among nursing home residents and to identify the factors associated with this condition. Method: The data were collected from 618 subjects (146 males and 472 females; mean age $79.9{\pm}8.4$ yr; range 65-102 yr) of 30 nursing homes in Seoul, Gyeonggi-do and Gangwon-do in this cross-sectional study. The data were analyzed by chi-square test, t-test, and multiple logistic regression by using the SPSS/PC ver 12.0 program. Results: The prevalence of UI was 64.7% (64.6% in women; 65.1% in men). After adjustment for each of the variables considered in this study, six potential factors were strongly associated with UI: activities of daily living, comorbidity, age, cognition, specialty of the facility, and a bladder training program. Conclusion: Our finding suggests that it is necessary to develop a program for promotion of activities of daily living and to provide a bladder training program to prevent urinary incontinence among nursing home residents.

A case of Normal pressure hydrocephalus with dementia, gait disturbance and urinary incontinence (정상압 수두증 환자 1예에 대한 임상적 고찰)

  • Kim, Haeng-Jin;Kim, Seung-Jin;Jeung, Su-Mi;Ryu, Hyung-Cheon;Jeon, Sang-Yoon;Hong, Seok;Kim, Bang-Oul
    • The Journal of Internal Korean Medicine
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    • v.25 no.2
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    • pp.314-319
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    • 2004
  • Objective : This study was designed to evaluate the effects of oriental medicine therapy on a normal pressure hydrocephalus patient. Methods : The clinical data was analyzed on a patient with normal pressure hydrocephalus whose main symptoms were dementia, gait disturbance and urinary incontinence. The patient was admitted to the internal medicine department of Dong-shin University Oriental Hospital from December 7, 2002, and remaind until January 20, 2003. He was treated with herbal medicine(Yukmijiwhangtang), acupuncture and moxa therapy. Results : After treatment, improvement was seen in dementia, gait disturbance, and urinary incontinence. Conclusions : The study suggests that oriental medicine therapy is significantly effective on the treatment or normal pressure hydrocephalus.

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Measurement of Magnetic Flux and Induced Current in Magnetic Stimulation for Urinary Incontinence Treatment (요실금 치료용 자기 자극기의 자속밀도 및 유도전류 측정)

  • Han, Byung-Hee;Choi, Kyung-Moo;Cho, Min-Hyoung;Lee, Soo-Yeol
    • Journal of Biomedical Engineering Research
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    • v.30 no.4
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    • pp.318-326
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    • 2009
  • A simple method for measuring magnetic flux and induced current in magnetic nerve stimulation for urinary incontinence treatment is proposed. Unlike electric nerve stimulation, direct measurement of the induced current in magnetic nerve stimulation is impossible. Since induced currents stimulate nerves or muscles in magnetic nerve stimulation, measuring induced current is very important in validating stimulation efficacy and securing safety. The magnetic flux measuring system is composed of 6 layers with pick-up coils of 7 by 7 in each layer, and the induced current measuring system is composed of 6 layers with 7 concentric circular coils in each layer. The proposed method can be used in the design or performance test of a magnetic nerve stimulator for many clinical applications such as urinary incontinence treatment, activation of peripheral nerves, and transcranial magnetic stimulation.

Quantitative Evaluation of the Stress Urinary Incontinence using the Contraction pressure measurement at the Pelvic Floor Muscle (골반저근의 수축압력 측정을 이용한 복압성요실금의 정량적 평가)

  • Min, H.K.;Noh, S.C.;Kwon, J.W.;Min, K.S.;Choi, H.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.1 no.1
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    • pp.13-19
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    • 2007
  • In this study, diagnostic algorithm was suggested to diagnose quantitatively the degree of the stress urinary incontinence. The bio-signal measurement system was developed to measure the contraction pressure of the pelvic floor muscle and diagnostic parameters were drawn out by analyzing the contraction pressure data. Statistical evaluations were done to classify the diagnositc parameters by order that relationship is high. The diagnostic algorithm that was able to diagnose degree of the urinary incontinence as quantitatively was realized from the high relationship parameters.

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A case report of urinary incontinence improved by Gyejigabuja-tang. (계지가부자탕(桂枝加附子湯)을 이용하여 호전된 요실금 치험 1례)

  • Yun, Hyo-Joong;Lee, Soong-In
    • Herbal Formula Science
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    • v.26 no.4
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    • pp.381-389
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    • 2018
  • Objective : The purpose of this case report is to offer an unprecedented target for Gyejigabuja-tang by analyzing a case in which the symptoms were improved by the herbal decoction therapy, and to accumulate a fundamental knowledge in herbal medicine therapy for urinary incontinence. Method : We studied a patient's chart with the patient's consent and displayed patient's timeline and adherence in a figure according to the CARE guideline. The progress of urination symptoms were assessed with the frequency of urination and how long the patient can stand urine. The accompanied lower limb pain was estimated with Numerical Rating Scale(NRS) Results : The patient's adherence was good during the medication period and symptoms related with urination and accompanied lower limb pain were improved with no specific side effects. NRS of the lower limb pain decreased from 7 to 2, the frequency of urination also improved from over 10 times to 6~8 times per day, and the patient can stand urine from less than 1 second to 2~3 minutes. Conclusions : Gyejigabuja-tang was effective for an urinary incontinence patient which corresponds to the provision No.20 in Shanghanlun.

Predictors of outcomes after the trans-obturator tape procedure in females with equal severity for stress and urge mixed urinary incontinence

  • Young-Joo Kim
    • Journal of Medicine and Life Science
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    • v.20 no.4
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    • pp.166-171
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    • 2023
  • Mixed urinary incontinence (UI) is common in women. This study aimed to assess the efficacy of anti-incontinence surgery in female patients with equally severe stress UI (SUI) and urge UI (UUI). All patients had equal severity of SUI and UUI. The postoperative cure rate was categorized into the cure group (CG) and failure group (FG). Postoperative satisfaction was categorized into the satisfaction group (SG) and the dissatisfaction group (DG). Statistical significance was set at P<0.05. Ninety patients (SG, 73.3%; DG, 26.7%; CG, 93.3%; FG, 6.7%) were included in the study. In the univariate analysis, body mass index (BMI), total bladder capacity, and overactive bladder symptom score (OABSS) were significantly different between the SG and DG groups. Peak urinary flow, Valsalva leak point pressure (VLPP), and OABSS were significantly different between the CG and FG groups. In the multivariate analysis, OABSS (P=0.001) and BMI (P=0.032) were independent predictors of postoperative satisfaction. VLPP (P=0.023) was the only independent factor associated with the postoperative cure rate. In equal severity of SUI and UUI, VLPP was found to be the only independent factor associated with postoperative cure rates. Higher VLPP values were associated with higher cure rates. BMI and OABSS were identified as independent predictors of postoperative satisfaction, with lower BMI and OABSS associated with higher postoperative satisfaction.

Two Cases of The Urinary Incontinence Diagnosed as Deficiency Syndrome of yang of the kidneys Treated with Samboo-tang(Sanfu-tang) (신양허(腎陽虛)로 변증된 소편빈삭(小便頻數)에 삼부탕(蔘附湯)삼기탕가부자(蔘?湯加附子) 투여 2례)

  • Yun Sang-Pil;Lee Cha-Ro;Jung Woo-Sang;Moon Sang-Kwan;Kim Tai-Kyung
    • The Journal of Internal Korean Medicine
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    • v.24 no.2
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    • pp.380-386
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    • 2003
  • Patients with neurogenic bladder undergo morphometric and functional changes of their bladder and urethra. As a result, voiding symptoms such as frequency, nocturia, urgency and incontinence appear. We experienced two cases of the urinary incontinence treated with Samboo-tang(Sanfu-tang). In the point of Differentiation of Syndrome, two cases were diagnosed as Deficiency Syndrome of Yang of the kidneys. After Samboo-tang(Sanfu-tang) administration, the frequency of the urinary incontinence were decreased and the accompanied symptoms also improved. So, we report two cases with a brief view of related literatures.

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The Development of Ultrasonic Transducer for Measurement of Urine Volume in Incontinence Preventive System (뇨실금 방지 시스템에서의 뇨량 측정을 위한 초음파 변환기의 개발)

  • Choi, Heung-Ho
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.42 no.5 s.305
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    • pp.35-42
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    • 2005
  • In this study, we designed and developed an ultrasonic transducer which can measure urine volume based on the estimation of distance between the interior-wall and posterior-wall of bladder. Measurement of urine volume is a way to help patients with urinary incontinence by detecting the amount of urine before the urine is released from the bladder. With the results of this experiment, we can measure the urine volume more accurately and also develop an incontinence preventive system. This study can help patients with urinary incontinence and enuresis to live longer, healthier lives.