• Title/Summary/Keyword: Elder age

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A Study on the Meaning of Gongjindan - Based on the 『Donguibogam』 - (공진단(拱辰丹) 방의(方義)에 대한 고찰 - 『동의보감(東醫寶鑑)』의 내용을 중심으로 -)

  • Lim, Seok-hyeon;Jeong, Chang-hyun;Jang, Woo-chang;Zou, Mian;Baik, Yousang
    • Journal of Korean Medical classics
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    • v.33 no.4
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    • pp.107-130
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    • 2020
  • Objectives : This paper aims to lay out the meaning of Gongjindan, its indications and mechanisms based on relevant contents in the 『Donguibogam』, for better clinical application. Methods : First, Gongjindan related contents were searched in the medical classics database. Next, contents from the 『Shizhaibaiyixuanfang』 and the 『Donguibogam』 were analyzed. Finally, the properties of the Gongjindan ingredients were examined based on the 『Donguibogam』 and the 『Zhongyaodacidian』. Results & Conclusions : Examination of its indications according to the 『Donguibogam』 in terms of applicable age and viscera/bowels, Gongjindan could be applied to children with constitutional insufficiency and elder generations, but it could not be said to be most appropriate for older generations. In regards to viscera/bowels, Gongjindan sends water upwards into fire in the water-rising-fire-descending mechanism, which makes it applicable to symptoms of anxiety and fear by tonifying the consumed Jing and Blood caused by Liver deficiency. To summarize, those who would most benefit from Gongjindan are young adults in weak, fearful and lethargic conditions.

The oral status of the elderly in some states difference between oral health-related quality of life (일부 노인의 구강내 상태에 따른 구강건강관련 삶의질 차이에 관한 연구)

  • Park, Jong-Hee
    • Journal of Technologic Dentistry
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    • v.36 no.1
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    • pp.51-62
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    • 2014
  • Purpose: Recently our country is rapidly aging population is growing. In the oral cavity of the elderly status of oral health-related quality of life to evaluate any impact. Methods: The survey used structured self administered questionnaires from April to May in 2011 in Daejeon and Chungcheong provinces to 277 people, analysis of the general characteristics of a frequency analysis method, the difference between the quality of life T/F test, whether oral self-according to the quality of life healthy oral health effects of the multiple regression analysis. Results: Award comes on the number of residual value, lower age all the more, smaller monthly income was small, but significant difference between them was no difference between gender. Residual value according to the number of differences in the quality of life of physical pain upper, physical disability, the lower the physical pain, physical disability, psychological disability were significant differences in degradation. Depending on oral maxillary prosthesis fitted to physical pain, psychological discomfort, physical disability, the lower the functional limitation, physical pain, there was a significant difference in physical disability. Conclusion: Status of the oral cavity of the elderly factors affecting the quality of life remaining in the lower dimensions, upper and lower prosthetics, self-aware state of oral health in order to improve the quality of life of elderly oral health education to be strengthened to increase the residual value, reducing their own prosthetic perceived oral health is health, so they feel it should be for the development of health education programs for the elderly should be.

Primary Thyroid Lymphoma: Multi-Slice Computed Tomography Findings

  • Li, Xu-Bin;Ye, Zhao-Xiang
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.3
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    • pp.1135-1138
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    • 2015
  • Background: The objective of this study was to investigate the MSCT characteristics of PTL in order to enhance the awareness of this uncommon entity among both clinicians and radiologists. Materials and Methods: The clinicopathological data and MSCT images of 27 patients with PTL were retrospectively reviewed. The MSCT appearances were classified into three types: type 1, solitary nodule surrounded by normal thyroid tissue; type 2, multiple nodules in the thyroid, and type 3, enlarged thyroid glands with a reduced attenuation with or without peripheral thin hyperattenuating thyroid tissue. Results: The patients were enrolled in the study with a mean age of 68 years (range, 51-86years) and compression symptoms or enlarged cervical lymph nodes at diagnosis. Hashimoto's thyroiditis was in 20 patients. All patients had non-Hodgkin lymphoma of B-cell in origin, including 22 cases of diffuse large B-cell lymphoma (DLBCL) and 5 of low-grade B-cell lymphoma of mucosa-associated lymphoid tissue (MALT). For MSCT appearance, type 1 pattern was observed in 2 patients, type 2 in 8, and seventeen type 3 in 17. The lesions occurred in more than one lobe with a mean maximal transverse diameter of 6.9 cm and an ill-defined margin. Most tumors showed a homogeneous attenuation equal to that of surrounding muscles before contrast and obvious enhancement after contrast. Cervical lymph node involvement and invasion of the trahea and (or) esophagus were mainly observed in patients with DLBCL. Conclusions: PTL should be clinically considered in elder patients presenting with a history of Hashimoto's thyroiditis and cervical lymphadenopathy. The MSCT characteristics of PTL includes a mass diffusely affecting more than one thyroid lobe, isointense to muscle and obvious enhancement before and after contrast. DLBCL, the most common histological subtype of PTL, is associated with a higher invasive tendency.

A Study on the Refractive State of the School Children (초등학교 학생들의 굴절 상태에 관한 고찰)

  • Lee, Hark Jun;Kim, Hong Gyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.1 no.2
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    • pp.57-61
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    • 1996
  • As a result of visual acuity test of school children, the visual acuity is better girls than and more elder than younger. The Hyperopia of the Above ten aged children is decreased in boys rather than girls and Especially for who have +0.75Dt and below. The visual acuity of Ampetropia is 0.77 in +0.75 Dt and belows, 0.50 in +1.00 Dt and 0.33 in 3.00 Dt. Myopia is increased as age. Possibility of having Myopia is bigger for females than for males. Especially the -0.15 Dt and below in males and from -1.000t Dt -1.75 Dt in Females are easy to have it. The Ampetropia of the visual acuity is 0.67 in -0.75Dt and below, 0.38 in -1.00Dt, 0,28 in -2.00Dt and 0.20 in -3.00 Dt.

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Factors Influencing Successful Aging in Elders (노인의 성공적 노화와 영향요인)

  • Han, Su-Jeong;Han, Jin-Sook;Moon, Young-Sook
    • Korean Journal of Adult Nursing
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    • v.21 no.4
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    • pp.423-434
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    • 2009
  • Purpose: This study was conducted to evaluate successful aging (SA) in elderly individuals and to determine the factors that influence SA. Methods: The subjects included 207 elderly individuals from D city, Korea. The data were obtained between July 1 and August 30, 2008. The participants were assured of anonymity and confidentiality. For the evaluation, Kim & Shin's SA scale, Lawton's instrumental activities of daily living (IADL) scale, Jon's self-esteem scale, Kee's geriatric depression scale short form-Korean (GDSSF-K), and Hong's productive activities scale were used. The data were analyzed using descriptive statistics, the t-test, analysis of variance (ANOVA), and Pearson correlation coefficients; multiple regression analysis was performed using the SPSS/WIN 10.0 program. Results: The maximum score for SA was 34, and the mean score was 22.62. It was found that SA was significantly correlated to IADL, self-esteem, depression, and productive activity. Depression was the most powerful predictor of SA and it accounted for 40.6% of the total variance in SA. Self-esteem, productive activity, living situation, economic status, and age together accounted for 62.1% of the total variation in SA. Conclusion: Depression, self-esteem, and productive activity were identified as variables that influence SA. On the basis of these results, we conclude that nurses should assist elderly individuals in order to facilitate SA. Moreover, individualized nursing management strategies must be developed in order to facilitate SA.

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Health-Related Factors Influencing the Quality of Life of Rural Elderly Subjects - Activities of Daily Living, Cognitive Functions, Prevalence of Chronic Diseases and Nutritional Assessment (농촌지역 노인의 삶의 질에 영향을 미치는 건강관련 요인 - 신체기능, 인지기능, 만성질환 유병율 및 영양진단)

  • Lee, Mee Sook
    • Korean Journal of Community Nutrition
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    • v.17 no.6
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    • pp.772-781
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    • 2012
  • In order to supply the reference data to define the quality of life of the rural agricultural elderly population in the simplified steps, the data were collected by personal visits to 232 elder people over 65 (89 males and 143 females) in Sunchang area. The survey was conducted with written questionnaires concerning the quality of life, health-related habits, basic physical functions and cognitive behavior. The prevalence of the degenerative diseases were assessed by anthropometric and biochemical determinations. The averaged overall quality of life represented by EQ-5D index with Nam's model was calculated to be $0.865{\pm}0.1509$, and the percentages of people below the average were 38% (low QOL group) and 62% (high QOL group) were found to be the above the average. Generally, the subjects with male gender, higher educational background, higher self-rated health status, higher social activities were belonged to the high QOL group. The high QOL group had higher scores of daily living activities KADL and IADL, and lower risks in cognitive functions K-MMSE and depression scale GDS. There was no statistically significant correlation between biochemical indexes of blood and cognitive function and EQ-5D scores when the results were adjusted for age and gender. There were significant differences in nutritional assessment determined by the MNA between the high and low QOL groups. The low QOL group showed inferior nutritional status. The rapidly measurable factors of the quality of life of rural elderly were turned out to be physical activity scores and the simplified nutritional status measurement.

The Effects of Progressive Resistive Exercise and Aqua Exercise Program on Lower Extremity Muscle Strength and Balance in Elderly Women. (점진적 저항운동과 수중운동프로그램이 여성노인의 하지근력강화와 균형능력에 미치는 영향)

  • Lee, In-Hak;Moon, Sung-Ki;Lee, Byoung-Kwon;Lee, Jung-Woo;Kim, In-Sup
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.2 no.1
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    • pp.19-37
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    • 2004
  • The purpose of this study was to examine the effects of Progressive Resistive Exercise Program and Aqua Exercise Program on Lower extremity Muscle strength, Balance in Elderly old. The average age of elder female was 71.65 years. Subjects of the study were twenty older women living in daejon. The date were analyzed with frequency, independent t-test, paired t-test using SPSS PC(ver.10.0). The subjects were practiced with focusing on the Progressive Resistive Exercise Program and Aqua Exercise Program for 8 weeks, from 8, April 2002 to 1, June 2002. The results of this study were as follows: 1. After the Progressive Resistive Exercise Program, Balance ability by OLSTR, OLSTL was improved(p<0.05) on the soft surface with close eyes. 2. After the Aqua Exercise Program, the strength of the right knee flexors and extensors was improved(p<0.05). 3. After the Aqua Exercise Program, the strength of the left knee flexors was improved(p<0.01). 4. After the Aqua Exercise Program, Balance ability by OLSTR was improved(p<0.001) on the soft surface with open eyes, close eyes and by OLSTL was improved(p<0.05) on the hard surface with open eyes.

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The Burden and Social Support of Mothers of Nephrotic Syndrome Patients (신증후군 환아 어머니의 부담감과 사회적지지)

  • 성미혜
    • Journal of Korean Academy of Nursing
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    • v.29 no.1
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    • pp.84-96
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    • 1999
  • This study was conducted to identity the degree of burden and social support perceived by mothers of nephrotic syndrome patients. Also, relations between burden and social support were investigated to provide basis data for their family health and nursing intervention. The study subjects were mothers of nephrotic syndrome patients whose children were hospitalized in 2 Pediatric wards of University Hospital in Seoul and 1 in Pusan from Jun. 1, 1998 to Jun. 30, 1998. Burden measurement Instrument for this study was designed by the researcher and its basis in one developed by Montgomery et al.(1985) and the reliability was .78. Also. P.R.Q. Part I, II by Brandt and Weinert(1981) was used as social support measurement instrument and the reliability .71. The data analysis was done by SPSS, t-test, ANOVA Pearson correlation. The result were as follows. 1. Burden felt by mothers shows an average value of 60.82 (Maximum 86, Standard deviation 1.244). 2. Of the mother characteristics, the score of burden was high in case of no religion and low income. Of the patient characteristics, the score burden ranked as high MCNS, doing oral therapy, injection therapy at the same time and negative perceived patients condition. 3. The mean score of support was 77.54(Maximum 96, Standard deviation 1.096). 4. The main supporters were husband (the highest), brother, sister, health speciality and the subject expressed the highest satisfaction toward supporters in chronic disease. 5. Of the patient characteristics, the higher age group and the elder group showed high support. Also, positive perceived patient's condition, high support. 6. The relationship between burden and social support is not significant. In conclusion to the above study, the researcher suggests. 1. The Qualitative research to investigate influential factors on burden of family of nephrotic syndrome patients is needed.

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BEHAVIOR MANAGMENT TECHNICS FOR AUTISTIC CHILDREN : A CASE REPORT (자폐의 정도에 따른 행동조절법의 적용 : 증례보고)

  • Chung, Saet-Byul;Choi, Yeong-Chul;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.3
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    • pp.525-532
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    • 1998
  • The autism is a complex disorder, characterized language impairment, perceptual-motor difficulties, and social disturbance. The autistic children have hyperactivity, lack of communication' lack of cooperation, inappropriate patient/dentist interaction, so they require professionally recognized behavioral management technique during dental treatment such as behavior modification, phamacological agents, and general anesthesia. A behavior management technique can be chosen by factors such as the severity of autism and possible accompanying disabilities, degree of cooperation, oral and general conditions of children. A non-pharmacological behavior modification may be selected for the autistic children who are able to communicate with dentist with mild dental caries, without compromised medical history. In case of excessively hyperactive, destructive, antisocial, and/or severe communicative disorder, a sedation technic with chloral hydrate, hydroxyzine, midazolam or nitrous oxide gas might to be performed. General anesthesia is preferred for severe communicative and/or behavioral disorder, elder age, excessive dental care need, and living a remote area.

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A Comparative Study on Spiritual Well-Being and Perceived Health Status between Above Average and tow Income for Elderly People (일반노인과 저소득층 노인의 영적안녕과 지각된 건강상태 비교)

  • Park Jeong-Sook;Lee Hae-Ran
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.11 no.1
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    • pp.92-100
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    • 2004
  • Purpose: This study was to provide basic data for comprehensive nursing care for elderly people and to compare the spiritual well-being and perceived health status between elderly people who have above average income and those who have low income. Method: The data were collected from 80 elders with above average income and 81 with low income through face-to-face interviews. An elder was defined as a person over 60 years of age. The data were analyzed using t-test, ANOVA, ANCOVA, Pearson correlation coefficients and Scheffe test. Result: The mean score for spiritual well being for elders with above average income was 2.90 of a total possible score of 4 and for elders with low income, 2.49 and the difference was significant. The mean score for perceived health status for elders with above average income was 8.93 of a total possible score of 14 and for elders with low income, 7.47 and the difference was also significant. There was a statistically positive correlation between existential well-being and perceived health status for the total sample of elderly people and for the elders with low income. Conclusion: Spiritual nursing care should be included in comprehensive health care programs for elderly people in Korea. Especially, it is important to develop nursing interventions for elders with low income that will increase their spiritual well-being and help them to develop positive thinking towards perceived health status.

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