• Title/Summary/Keyword: 50 years of age

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Comparing Endoscopy and Upper Gastrointestinal X-ray for Gastric Cancer Screening in South Korea: A Cost-utility Analysis

  • Chang, Hoo-Sun;Park, Eun-Cheol;Chung, Woo-Jin;Nam, Chung-Mo;Choi, Kui-Son;Cho, Eun;Cho, Woo-Hyun
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2721-2728
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    • 2012
  • Background: There are limited data evaluating the cost-effectiveness of gastric cancer screening using endoscopy or upper gastrointestinal x-ray in the general population. Objective: To evaluate the cost-effectiveness of population-based screening for gastric cancer in South Korea by decision analysis. Methods: A time-dependent Markov model for gastric cancer was constructed for healthy adults 30 years of age and older, and a deterministic sensitivity analysis was performed. Cost-utility analysis with multiple strategies was conducted to compare the costs and effects of 13 different screening alternatives with respect to the following eligibility criteria: age at the beginning of screening, screening interval, and screening method. The main outcome measurement was the incremental cost-effectiveness ratio. Results: The results revealed that annual endoscopic screening from ages 50-80 was the most cost-effective for the male population. In the females, biennial endoscopy screening from ages 50-80 was calculated as the most cost-effective strategy among the 12 screening alternatives. The most cost-effective screening strategy may be adjustable according to the screening costs and the distribution of cancer stage at screening. The limitation was that effectiveness data were obtained from published sources. Conclusions: Using the threshold of $19,162 per quality-adjusted life year on the basis of the Korean gross domestic product (2008), as suggested by the World Health Organization, endoscopic gastric cancer screening starting at the age of 50 years was highly cost-effective in the Korean population. The national recommendation for gastric cancer screening should consider the starting age of screening, the screening interval, and the screening modality.

Lung function tests in preschool children (5세 미만의 폐기능 검사)

  • Park, Yong-Mean
    • Clinical and Experimental Pediatrics
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    • v.50 no.5
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    • pp.422-429
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    • 2007
  • Measurement of lung function is an integral component of respiratory physiology and of clinical assessment of lung diseases in school age children and adults. Pulmonary function test of infants and children under the age of 2 years have now been standardised and are being used both in research and as an adjunct to clinical management. By contrast, until recegntly, children of preschool age, i.e. between 2-6 years represented a major challenge for pulmonary function test assessment, this particular period commonly being referred to as the 'dark ages' of Pediatric Pulmonology. Measurement of lung function in preschool-aged children is now feasible. However, much work remains to be done in standardizing how these tests are performed, and in understanding the most appropriate role for the various tests in the study of growth and development of the respiratory system and in the clinical management of children in this age group. As the field develops and the knowledge of respiratory physiology in this age group expands, investigation of different and more appropriate algorithm use in preschool children, together with development of more appropriate reference data, may result in improved disease discrimination.

The Effects of Hip Fracture on the Mortality and Activity of Daily Living (고관절 주위 골절이 사망률 및 일상생활 동작에 미치는 영향)

  • Kim, Ho-Bong;Choi, Yong-Own
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.2
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    • pp.125-131
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    • 2009
  • Purpose:This study performed to evaluate the effect of hip fracture among persons over 50 years old, in Jeju-do, Korea, on mortality, activity of daily living(ADL). Methods:Three hundred eighteen patients over to 50 years of age who lived in Jeju-do and sustained a hip fracture from January 1st 2003 to December 31th 2004 were recruited. The information collected from the hospital records for each patient included age, sex, date of onset, and patients investigated activity grade, ADL, outdoor walking aid on 3month, 6month and 12month. Results:The incidence was 12.5/10,000 for total patients(female 17.0/10,000, male 6.3/10,000) in population over 50 years old. Patients who had lower activity grade and ADL level, showed higher mortality, and patients using outdoor walking aid showed higher mortality. Conclusion:The activity grade, ADL level, Using of outdoor walking aid affect mortality, so more programs about ADL must be developed for the life span and quality of life.

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Assessment of the dimensions of the pterygoid hamulus for establishing age- and sex-specific reference standards using cone-beam computed tomography

  • Mehra, Archana;Karjodkar, Freny R.;Sansare, Kaustubh;Kapoor, Ruchika;Tambawala, Shahnaz;Saxena, Vasu Siddhartha
    • Imaging Science in Dentistry
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    • v.51 no.1
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    • pp.49-54
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    • 2021
  • Purpose: This study was conducted to establish age- and sex-specific reference standards for pterygoid hamulus(PH) dimensions using cone-beam computed tomography (CBCT). Materials and Methods: CBCT scans of 1,000 patients(493 males and 507 females) were retrospectively assessed in coronal sections for length and width measurements of the PH by 3 investigators. The study data were divided into 3 age groups(group 1: <20 years, group 2: 20-50 years, group 3: >50 years). Length and width were compared using one-way analysis of variance and the t-test for age and sex, respectively. Results: The length of the PH on the right side significantly increased from group 1 (6.11±1.47mm), through group 2 (6.65±1.67 mm) to group 3 (6.99±1.79 mm) and on the left side from group 2 (6.58±1.63) to group 3 (6.98±1.70). The width of the PH significantly decreased from group 1 (1.81±0.39 mm) to group 2 (1.61±0.39 mm) on the right side, and similarly from 1.87±0.36mm to 1.67±0.37mm on the left side. PH length (7.18±1.81mm on the right side and 7.10±1.72 mm on the left side) and width (1.68±0.38 mm on the right side and 1.74±0.36 mm on the left side) were significantly greater in males than in females. Conclusion: The length of the PH increased with age, whereas width first decreased and then increased. Length and width measurements were significantly higher in males than in females. These findings will aid in the diagnosis of untraceable pain in the oropharyngeal region related to altered PH morphology.

ON THE AGE DISIRIBUTION OF OPEN CLUSTERS

  • Hong, Seung-Soo;Kim, Yong-Ha;Lee, See-Woo
    • Journal of The Korean Astronomical Society
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    • v.17 no.1
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    • pp.1-14
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    • 1984
  • Analyses of an integrated form $N(\tau)={\int}_{\tau}^{\infty}n(\tau)d{\tau}$ of the distribution of cluster ages, rather than its differential form $n(\tau)$, demonstrate that the observed distribution has clusters older than about 500 million years in a significant excess over theoretical model distributions. Considerations on cluster disruption processes show that a single disruption time-scale, frequently employed by current theoretical models, is no longer an adequate parameter for describing survival probability of clusters over wide age range, because different initial conditions of these clusters produce corresponding spreads in their lifetimes. To take into account for the spread in initial conditions, we have introduced an age-dependent disruption time, and deduced its age-dependence from the present-day age distribution of clusters. Results show a distinct two-stage variation: The newly introduced disruption time stays constant at about 50 million years for clusters younger than about 100 million years, while for clusters older than that it increases monotonically with the cluster age. This leads us to conclude that clusters experience different types of disrupting causes as they get old.

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Coffee Consumption and the Risk of Abdominal Obesity as Defined by Waist Circumference in Korean Women - Based on 2012~2016 Korea National Health and Nutrition Examination Survey - (성인 여성에서 커피 섭취와 허리둘레를 기준으로 한 비만과의 관련성 - 2012~2016 국민건강영양조사 자료를 이용하여 -)

  • Yeon, Jee-Young;Bae, Yun-Jung
    • The Korean Journal of Food And Nutrition
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    • v.32 no.1
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    • pp.69-78
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    • 2019
  • We investigated coffee consumption in relation to the abdominal obesity as defined by waist circumference in Korean women aged 19~64 years, using data from the National Health and Nutrition Examination Survey 2012~2016. The participants to the study were classified according to 3-in-1 coffee consumption level (none-coffee, ${\leq}1$ time/day of 3-in-1 coffee, >1 time/day of 3-in-1 coffee) by a food frequency questionnaire. The analysis was conducted by the following age groups: <50 years and $50{\leq}$ years. The 3-in-1 coffee consumption group had significantly more smokers and more alcohol consumption frequency as compared to the none-coffee group. The energy intake from the participants in the 3-in-1 coffee consumption of ${\leq}1$ time/day of 3-in-1 coffee group, and >1 time/day of 3-in-1 coffee group were 131.2 kcal/day and 123.1 kcal/day. In the 50 years or over age group, >1 time/day of 3-in-1 coffee group was at a lower risk of abdominal obesity as defined by waist circumference, compared with the non-coffee group multivariable adjustment (OR: 0.44, 95% CI: 0.25~0.77). Our findings suggest that the 3-in-1 coffee consumption may be related to abdominal obesity as defined by waist circumference in Korean females aged 50 years or over.

A Study n the 529 Children as by Sasang Constitution Analysed with PSSC-2004 (PSSC-2004를 이용한 소아 529명의 체질진단에 관한 연구)

  • Bae, Hyo-Sang;Cho, Sung-Kyoo
    • Journal of Sasang Constitutional Medicine
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    • v.18 no.2
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    • pp.50-54
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    • 2006
  • 1. Objectives The purpose of this study was to investigate the spread of Sasang constitution in $4{\sim}6$ years old. 2. Methods The voices of 529 children in $4{\sim}6$ years old were analyzed with PSSC-2004. and the result of the spread of Sasang constitution was examined. 3. Results (1) Group of total was composed with 276 boys and 253 girls. In total group, it was composed with 269 Soeumins, 32 Soyangins, and 228 Taeumins. (2) The spread of Sasang constitution according to age was composed with 72 Soeumins, 5 Soyangins, and 59 Taeumins in 4 years old. It was composed with 154 Soeumins, 17 Soyangins, and 131 Taeumins, In 5 years old. It was composed W with 43 Soeumins, 10 Soyangins, and 38 Taeumins, In 6 years old. 4. Conclusions From above result, wε observed the spread of Sasang constitution in $4{\sim}6$ years old. there is a necessary to study the spread of Sasang constitution specifically according to the age at which one's voice changes, and to conduct follow-up survey of the a age at the same child's voice changes.

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The Clinical Analysis of Flail Chest (동요흉 환자의 임상적 고찰)

  • 장재한
    • Journal of Chest Surgery
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    • v.28 no.12
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    • pp.1160-1166
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    • 1995
  • From 1980 through 1993, sixty one patients having traumatic flail chest were analysised retrospectively at the Department of Thoracic and Cardivascular Surgery, Chonbuk National University Hospital. There were 47 men and 14 women, mean age, 49.3 years, age range 4 to 82 years. The most common mode of trauma was automobile accident, common combined other organ injuries were skeletal injury [ 36 patients and neurologic injury [ 20 patients . In the mode of treatment, ventilator therapy was done in 34 cases and operative stabilization was done in 18 cases [ Kirschner or steel wire: 9 cases, Judet`s strut: 9 cases . Sixteen patients died [26 % . The main factors associated with fatal outcome were shock [ p < 0.002 , head injury [ p < 0.005 , and more than 50 years of age [ p < 0.05 . In fatal cases, 14 patients died during in ventilator therapy [ 14/34, 41 % and 2 patients died following operative stabilization of chest wall [ 2/18, 11 % .The overall cause of death was septicemia, ARDS, ARF, hypovolemic shock and hypoxic brain damage.

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The Effect of Aqua Exercise on Female Patients with Knee Degenerative Arthritis (수중운동이 무릎퇴행성관절염 여성 환자에 미치는 영향)

  • Park, Jin-Sik;Yoo, Wang-Keun;Jung, Hyun-Suk;Han, Jong-Man;Yang, Kyung-Han
    • Journal of Society of Preventive Korean Medicine
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    • v.12 no.3
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    • pp.129-139
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    • 2008
  • The purpose of this study was to investigate the effect of aqua exercise on women 50 years of age or older with knee degenerative arthritis, and then examining the therapeutic value of aqua exercise in degenerative arthritis of the knee. The subjects of the study were 115 residents 50 years of age or older who had been diagnosed as degenerative arthritis of the knee by doctors from medical institutions and applied for the aqua exercise program in the Public Health Care Center in Suseong-gu in 2006 and 2007. Experiments were conducted to all the subjects with the application of the 8-week aqua exercise program (2 times a week, 50 minutes a time), designed in the study, and the differences before and after the aqua exercise were compared through questionnaires for measuring the state of the body such as the knee extension angles, weight, body fat, and abdominal obesity. The data was analyzed by t-test and the Wilcoxon method through SPSS 14.0 and the statistical significance level ${\alpha}$ was set at 0.05 and 0.01. The results of the study are as the following. First, In comparison of before and after the aqua exercise, there was improvement in the extension angle of the right knee(p<0.01), while there was some improvement in the extension angle of the left knee, it was not significant. Second, In comparison of before and after the aqua exercise there were statistically significant differences in weight(p<0.05), body fat ratio, and abdominal obesity(p<0.01). The results of this study showed that the aqua exercise program to female patients with knee degenerative arthritis significantly increased the extension angle of the knee. Therefore it is thought that aqua exercise is an effective meditating method to improve their symptoms of female patients 50 years of age or older

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The Study on Correlations of Risser Sign with the Chronological Age, Bone Age, Menarche, and Adult Height Prediction according to TW3 Method (Risser 증후와 역연령, 골연령, 초경 시기 및 성인 예측신장 (AHP-TW3)과의 관계)

  • Koo, Eun Jin;Lee, Jin Hwa;Kim, Yun Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.31 no.4
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    • pp.31-38
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    • 2017
  • Objectives The purpose of this study was to find out the clinically reliable relationships between the Risser sign and chronological age, bone age, menarche, and adult height prediction (AHP) and to evidence the reliability of the Risser sign. Methods This study had been carried out with 50 children who had their growth checked in an oriental medical hospital from January 2015 to February 2017. We investigated Risser sign in AP X-rays with iliac crest, bone age, AHP for all 50 children and the timing of menarche from the 22 girls in the study subjects. We also investigated a correlation between the Risser stage and the other indicators to analyze statistical data. Results The mean chronological ages of Risser 1, 2, 3 and 4 were 11.2, 12.6, 14.4, and 15.5 years respectively for the boys and 10.8, 12.2, 13.8 and 14.8 years respectively for the girls. The mean bone ages of Risser 1, 2, 3 and 4 were 12.3, 13.6, 15.7 and 16.5 years respectively for the boys and 11.7, 13.8, 14.3 and 14.9 years respectively for the girls. We analyzed 22 girls' Risser stages in accordance with the duration from menarche. The result showed that in the first six months after menarche, all girls were in Risser 1 and 2; in the next six months, the girls were in Risser 2 on average; in the next 12 months, all girls were in Risser 3 and 4; after more than two years from menarche, all girls were in Risser 4. The mean remaining growth height of Risser 1, 2, 3 and 4 were 27.8, 17.3, 4.4 and 1.0 cm respectively for the boys and 14.5, 5.1, 3.1 and 1.1 cm respectively for the girls. The Risser stage was correlated strongly with chronological age (Spearman's rho=0.707 (boy), 0.841 (girl)), bone age (Spearman's rho=0.869 (boy), 0.875 (girl)), duration from menarche (Spearman's rho=0.909) and remaining growth height (Spearman's rho=-0.784 (boy), -0.878 (girl)). Conclusions This study showed that the Risser sign can be useful in assessing skeletal maturity and predicting remaining growth height based on the Risser stage and the other growth indicators.