• The Korean Journal of Medicine
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• 제94권1호
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• pp.96-106
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• 2019

목적: 급성 심근경색증 환자에서 성별의 차이가 임상 경과에 미치는 영향은 잘 알려져 있다. 이전의 연구들은 여성 심근경색증 환자의 임상 경과가 남성에 비하여 비슷하거나 더 좋지 않았다고 보고되었으나, 급성 심근경색증을 가진 고령 환자에서 성별에 따른 예후의 차이에 대한 보고는 많지 않다. 방법: 2011년 11월부터 2015년 6월까지 한국인 급성 심근경색증 등록 연구 사업에 등록된 75세 이상의 고령인 환자 2,953예(80.2 ± 4.2세, 남자: 48.2%)를 대상으로 하였다. 결과: 여성 환자는 1,529 (51.8%)였으며, 평균 나이는 남성보다 유의하게 많았다(80.7 ± 4.4 years vs. 79.6 ± 4.0 years, p < 0.001). 심혈관질환의 위험인자인 고혈압은 고령 여성에서 남성에 비하여 유의하게 많았다(74.8 vs. 60.3%, p < 0.001). 흡연과 협심증, 심근경색증, 뇌졸중 등 과거력은 고령의 남성에서 여성과 비교하여 유의하게 많았다. 고령의 여성 환자는 남성에 비하여 응급 의료 서비스 이용 빈도가 유의하게 낮았다(11.5 vs. 15.4%, p < 0.001). 고령 여성의 PRU 값이 남성보다 유의하게 높았으나, 항 혈소판 제제 사용에는 유의한 차이가 없었다. 관상동맥중재술의 성공률은 고령 여성이 남성에 비하여 낮았다(p = 0.049). 병원내 사망률은 성별 간에 유사하였으며(7.1 vs. 8.4%), 단변량 콕스 회귀분석 결과 1년 추적 관찰 기간 동안 주요 심장 사건은 고령의 여성에서 고령의 남성보다 유의하게 낮았다(HR 1.19, 95% CI 1.00-1.41, p = 0.045). 주요 심장 사건에 영향을 주는 독립적인 인자는 나이, 흉통, 호흡곤란, Killip class, 심부전증 등이었다. 다변량 분석 결과 1년 추적 관찰 기간 중 주요 심장 사건 발생의 독립적인 인자는 고령의 남성(HR 1.37, 95% CI 1.14-1.65, p < 0.001), 연령, Killip class, 당뇨병 및 심부전증이었다. 결론: 심근경색증을 가진 고령의 환자에서 성별 간에 병원내 사망률과 시술 주위 합병에서는 유의한 차이가 없었다. 그러나 1년 추적 관찰 기간 동안 고령의 여성에서 남성보다 더 양호한 예후를 보였다.

• Journal of Trauma and Injury
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• 제33권3호
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• pp.186-190
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• 2020

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been increasingly used in recent years as a resuscitative adjunct for trauma patients with life-threatening non-compressible torso hemorrhage. By blocking the aorta temporarily with an inflated balloon, REBOA preserves cerebral and coronary perfusion while diminishing exsanguination below the balloon, thereby providing time for resuscitation and definitive bleeding control. When determining the occlusion zone during the REBOA procedure, factors such tortuosity of the aorta, co-occurring minor chest injuries, and the severity of shock must be considered, as well as the main injury site. This paper describes a case of high Zone I REBOA in an elderly patient with a tortuous aorta who had concomitant injuries of the chest and pelvis.

• 한국임상약학회지
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• 제24권1호
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• pp.39-44
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• 2014

Purpose: To investigate adverse drug reactions (ADR) and causative drugs in the elderly 65 years of age or older, using Korean spontaneous reporting adverse events reporting database from June 2009 to December 2010. Methods: We estimated the association between ADRs and implicated medications by calculating a proportional reporting ratio (PRR), reporting odds ratio (ROR), and information component (IC). We reexamined the most frequently implicated medications and ADRs, and the seriousness of ADRs. Then, we assessed reports and concordant rate of ADRs due to medications designated as "high-risk" in elderly by 2012 healthcare effectiveness data and information set (HEDIS) or "potentially inappropriate" by 2012 American Geriatrics Society updated Beers criteria for potentially inappropriate medications (PIMs). Results: Among 15,484 elderly reports, data-mining analysis by PRR, ROR and IC showed that 421 drug-ADR pairs were detected as signals (3,189). The most frequently reported ADR and causative drug were urticaria (470) and contrast media agents (647), respectively. One hundred eighty nine ADR cases were graded as serious. Twenty-two kinds of high-risk medications were shown to be implicated in only 0.9% of ADRs. Only thirty-nine cases were consistent with 2012 Beers criteria or HEDIS. Conclusion: These results suggest that management of the other medications including contrast media agents as well as close monitoring of PIMs are necessary for reducing ADRs in the elderly.

• 성인간호학회지
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• 제20권4호
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• pp.573-587
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• 2008

Purpose: The purpose of this study was to identify the factors affecting sleeping patterns among hospitalized elderly. Methods: A descriptive correlational study was conducted. Participants were 121 hospitalized elderly in a hospital located in a county. A structured questionnaire was used for data collection. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression. Results: Almost a half of hospitalized elderly in this study suffer from sleep disturbances. As results of univariate analyses, physical symptoms, anxiety, depression, and environmental factors disturbed sleep among hospitalized elderly. However, the result of stepwise multiple regression analysis identified that anxiety and environmental factors were significant predictors of sleeping patterns for hospitalized elderly and these two factors accounted 32.5% of variance of sleeping patterns among hospitalized elderly. Conclusion: Sleep assessment should be conducted on admission to identify sleep difficulties and thereby to improve quality of nursing care. Nurses and other health care personnels should make efforts to decrease anxiety and to eliminate environmental barriers of sleep among hospitalized elderly. Educational programs for nursing staff that offer information about sleep and sleep promoting interventions for the elderly patients are critical. Moreover, sleep promotion intervention program should be developed, applied and evaluated.

• 사물인터넷융복합논문지
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• 제6권1호
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• pp.65-72
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• 2020

본 연구는 이용시설노인들을 대상으로 차문화 융합 프로그램을 실시하여 의사소통 향상에 미치는 효과를 살펴보고자 하였다. 연구 대상은 H시 S복지관 내 노인주간보호센터를 이용하는 7명을 주 1회 60분씩 3개월 간 차문화 융합프로그램을 진행하였다. 차문화 융합 프로그램의 각 회기별 노인들이 차문화 융합 프로그램에 참여하는 연구대상자들에 대한 회기별 의사소통과 관련된 심리 및 행동 변화를 기록하여 비교하였다. 차문화 융합 프로그램이 이용시설 노인들의 의사소통과 관련된 행동 및 태도에 긍정적인 효과를 주는 것으로 나타났다. 사전과 사후의 행동 및 태도를 분석한 결과 차문화 융합 프로그램이 노인들에게 정서적, 사회적 지지의 역할을 함으로써 의사소통에 긍정적인 변화를 가져왔다. 이러한 연구 결과는 차문화 융합 프로그램이 이용시설 노인들의 의사소통을 증진시키는 효율적인 프로그램임을 보여 준다는 점에서 노인들에게 차문화 융합 프로그램은 심리사회적으로 꼭 필요한 프로그램이라는 점을 시사한다.

• 한국의류산업학회지
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• 제14권6호
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• pp.1010-1017
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• 2012

This study examined the clothing wearing comfort of elderly women by electroencephalogram (EEG) and electrocardiogram (ECG) analyses. This study utilized 7 elderly individuals aged 65 or more. Two kinds of clothing ensemble (control and prototype) were used as experimental clothing. The control consisted of a general clothing ensemble and the prototype consisted of clothing that added an extra gap. Subjects wore the control or prototype from 9:00 to 21:30 and EEG and ECG signals were measured in the last 30 minutes. The EEG analysis showed that relative band power of a and ${\alpha}$/high ${\beta}$ were higher when they wore the prototype rather than the control. The ECG analysis showed that absolute band power of HF was higher; however, absolute band power of LF and LF/HF was lower when they wore the prototype rather than the control. Subjects felt less stressful and more comfortable when they wore the prototype. The results demonstrate the necessity to develop clothing in consideration of the body changes in elderly women. It is significant that the assessment of wearing comfort was aided by the use of EEG and ECG analysis in the field of clothing and textiles.

• 국제교류와 융합교육
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• 제1권2호
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• pp.1-11
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• 2021

본 연구는 고령자들을 위한 노인교육에 관한 대학의 융합교육 사례를 살펴보는데 있다. 독일 울름대학교의 학문적인 계속교육 센터(ZAWiW)의 노인주제관련 여러 전공 영역간의 연계, 세대간의 협력 모형을 분석하여 대학기관의 노인교육 다양성과 차별성을 탐색하는 데 목적이 있다. 노인학습자 참여 중심으로 학제간 연구와 노인기의 삶이 연계된 다양한 주제들이 진행되고 있다. 계절아카데미, 울름 3-세대간 대학 등을 통해 지역과 대학의 연계, 학제간 융합 등이 활발히 제공되고 있다. 본 연구를 통해 노인교육에 대한 대학의 차별화 전략을 이끌어 낼 수 있다.

• 복식
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• 제55권2호
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• pp.33-44
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• 2005

The purpose of this study Is to classify foot types of elderly women and young women and to suggest shoes size system by foot types for elderly women. The subjects were 321 elderly women and 181 young women. Their right feet were measured directly and indirectly by using scanner and digital camera. The anthropometric measurements were composed of 62 items. They were measured during the months of July and October in 2001 and November in 2002 The results and discussions of this study are as follows. First, in analyzing shape of the foot of elderly and young women, the shapes of foot were classified as N-type (high and narrow foot shape and wide toes), W-type (wider width for its length and severe alteration), L-type (low foot shape as oval). Second, the most characteristic foot type in elderly women was W-type. In this type, the width was wider for its length, the first metatarsophalangeal protrusion was severe and the toes were gathered at the center. On the other hand, young women belonged to N-type. Third, we suggested new size system of shoes for elderly women and the standard foot shape each type. The size system was based on foot length and foot types. Hopefully, understanding the shapes of foot and characteristics of each foot type will help to develop suitable shoes for elderly women.

• 한국주거학회논문집
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• 제26권6호
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• pp.83-92
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• 2015

The purpose of this study is to analyze the characteristics of exterior spaces used by the elderly of housing complex. The exterior spaces are used for going out in everyday life with the view point that the elderly have to go out from the inside home in order to prevent isolating the elderly from local community. For that Toyoshikidai housing complex in Kashiwa city of Chiba prefecture, Japan is selected and carried out questionnaire survey and field survey targeting residents. The results are following as. For spatial characteristics, the location installed benches, location occupied in one part by roof, wall, or plants, place connecting to moving flow of the aged, and an open expanse getting safety from vehicle are taken advantages for the elderly. For using benches, the elderly of 70.1% do not have experience using benches installed in all those places. The the biggest reason is that they are not tired. However, 36.8% of the elderly are using benches in order to take a rest and 20.8% of them are using benches in order to talk with the other people. Bench is ibasho of the elderly.

• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7813-7818
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• 2015

Background: Radiotherapy plays an important role as adjuvant treatment in locally advanced breast cancer and in those patients who have undergone breast-conserving surgery. This study aimed to investigate the prognostic impact of adjuvant radiation on oncologic outcomes in elderly women with breast cancer. Materials and Methods: In this retrospective study, we reviewed and analyzed the characteristics, treatment outcome and survival of elderly women (aged ${\geq}60years$) with breast cancer who were treated and followed-up between 1993 and 2014. The median follow up for the surviving patients was 38 (range 3-207) months. Results: One hundred and seventy-eight patients with a median age of 74 (range 60-95) years were enrolled in the study. Of the total, 60 patients received postoperative adjuvant radiation (radiation group) and the remaining 118 did not (control group). Patients in the radiation group were significantly younger than those in the control group (P value=0.004). In addition, patients in radiation group had higher node stage (P value<0.001) and disease stage (P=0.003) and tended to have higher tumor grade (P=0.031) and received more frequent (P value<0.001) adjuvant and neoadjuvant chemotherapy compared to those in the control group. There was no statistically significant difference between two groups regarding the local control, disease-free survival and overall survival rates. Conclusions: In this study, we did not find a prognostic impact for adjuvant radiation on oncologic outcomes in elderly women with breast cancer.