• 제목/요약/키워드: Longevity Risk

검색결과 42건 처리시간 0.02초

임플란트-지지 고정성 보철물의 임상적 상태에 대한 평가 (Clinical Evaluation of Implant-Supported Fixed Prostheses)

  • 박찬용;윤미정;허중보;정창모;전영찬
    • 구강회복응용과학지
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    • 제29권4호
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    • pp.317-326
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    • 2013
  • 임플란트-지지 고정성 보철물의 누적 생존율을 구하고, 생존율에 영향을 미치는 요소와 요소 간 상관관계를 평가하여, 임플란트-지지 고정성 보철물의 예후를 예측하는 데 도움을 주고자 한다. 2000년에서 2007년까지 부산대학교 치과병원에 내원한 환자 중 임플란트를 식립하고 임플란트-지지 고정성 보철물을 제작한 환자를 대상으로 임플란트-지지 고정성 보철물과 관련한 종합적인 임상적 상태를 조사 평가하여 다음과 같은 결과를 얻었다. 1. 전체 임플란트-지지 고정성 보철물의 추정 수명은 11.7년이었고, 고정성 보철물에 문제가 발생되는 추정 시점은 9.5년이었다. 2. 나이와 성별에 따른 수명의 차이는 나타나지 않았다(P>.05). 3. 치아 발거 원인은 임플란트-지지 고정성 보철물의 수명에 영향을 미쳤다(P<.05). 치아 우식증의 경우 고정성 보철물의 수명은 10.0년, 치주 질환의 경우 9.0년이었다. 4. 악골에 따른 수명의 차이는 나타나지 않았으나(P>.05), 전후방 위치에서는 소구치부 보철물의 수명이 11.0년으로 수명이 길었고, 대구치 부위 보철물의 수명이 8.8년으로 짧았다(P<.05). 5. 임플란트-지지 고정성 보철물의 크기는 보철물의 수명에 영향을 미치지 않았다(P>.05). 6. 대합치 조건별 임플란트-지지 고정성 보철물의 수명은 차이가 없었다(P>.05). 7. 임플란트-지지 고정성 보철물의 합병증은 식편 압입(40.5%), 도재 파절(25.8%), 나사 풀림(23.6%) 순이었다. 식편 압입은 임플란트 위치와 상관관계를 보였고, 나사와 관련된 문제는 임플란트 위치와 보철물 종류에 영향을 받았다(P>.05).

제1대구치 기성금속관 생존율에 관한 후향적 연구 (Retrospective Study on the Survival Rate of Preformed Metal Crowns in Permanent First Molars)

  • 오나영;남순현;이제식;김현정
    • 대한소아치과학회지
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    • 제47권2호
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    • pp.140-147
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    • 2020
  • 이 연구는 영구 제1대구치 기성금속관에 있어서 장기간 생존율을 후향적으로 평가하고 생존율에 영향을 미치는 요소를 분석하고자 하였다. 10년 동안 수복된 115개의 제1대구치 기성금속관을 후향적으로 분석하였으며, 제1대구치 기성금속관의 5년 생존율 82.8%로 나타났으며 원심와동, 하악 치아에서 생존율이 유의하게 낮게 나타났다. 이 연구를 통해서 임상적으로 기성금속관 성공률에 영향을 미치는 요인들을 확인하였으며, 성공률을 높이기 위한 치료지침을 확립하는데 도움이 될 수 있으리라 생각된다.

효용 최적화를 통한 종신연금 계획의 가치 추정 : Money's Worth 비율과의 비교를 중심으로 (Evaluation of Life Annuity Plans Based on Utility Maximization : Focused on Comparison with Money's Worth Ratio)

  • 양재환;여윤경
    • 경영과학
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    • 제27권1호
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    • pp.45-60
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    • 2010
  • This study evaluates life annuity plans based on two different types of measures : financial benefit and utility on consumption. The financial benefit is measured by Money's Worth (MW) ratio and return on annuity. For the measure of utility, an optimization problem is formulated with the objective of maximizing utility on consumption. To solve the optimization model, we use Dynamic Programming (DP) technique. The both types of measures are applied to cases of Korean pre-retirees at age 40 with different accumulation years of annuity (i.e. level of annuity asset at the age of retirement) and different timings of annuitization. Our results generally indicate that the utility based optimization model is superior to the financial measures in terms of providing a better evaluation of an annuity plan due to its capability to consider an individual's financial situation during his/her retirement period. Also, they suggest that the level of annuity asset is an important factor when an individual determines the optimal annuitization timing.

Prevalence, Pathophysiology, Screening and Management of Osteoporosis in Gastric Cancer Patients

  • Lim, Jung-Sub;Lee, Jong-Inn
    • Journal of Gastric Cancer
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    • 제11권1호
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    • pp.7-15
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    • 2011
  • Osteoporosis in gastric cancer patients is often overlooked or even neglected despite its high prevalence in these patients. Considering that old age, malnutrition, chronic disease, chemotherapy, decreased body mass index and gastrectomy are independent risk factors for osteoporosis, it is reasonable that the prevalence of osteoporosis in gastric cancer patients would be high. Many surviving patients suffer from back pain and pathological fractures, which are related to osteoporosis. Fractures have obvious associated morbidities, negative impact on quality of life, and impose both direct and indirect costs. In the era of a >55.6% 5-year survival rate of gastric cancer and increased longevity in gastric cancer patients, it is very important to eliminate common sequelae such as osteoporosis. Fortunately, the diagnosis of osteoporosis is well established and many therapeutic agents have been shown to be effective and safe not only in postmenopausal females but also in elderly males. Recently, effective treatments of gastric cancer patients with osteoporosis using bisphosphonates, which are commonly used in postmenopausal woman, were reported.

전라도 구곡순담 장수벨트지역에 거주하는 중노년층의 체격지수와 영양소 섭취상태 (Anthropometric Index and Nutrient Intake in Korean Aged 50 Plus Years Living in Kugoksoondam Longevity-belt Region in Korea)

  • 곽충실;연미영;이미숙;오세인;박상철
    • 대한지역사회영양학회지
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    • 제15권3호
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    • pp.308-328
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    • 2010
  • As the older adult period $({\geq}65y)$ is increasing, it is needed to investigate the trend of aging-dependent anthropomeric index and nutrient intake, and establish the more specific dietary guide for the different stages of aging period. To find the difference in nutrient intake among the Koreans aged 50-64, 65-74 and 75 years and older, and also any characteristics of dwellers in longevity area, we recruited 1,083 subjects (385 male and 698 female) aged 50-95 years (mean age, 71.3 yrs) living in Kugoksoondam area (Kurye, Goksung, Soonchang and Damyang counties), known as a longevity-belt region in Jeonlaprovince, Korea. We measured some anthropometric index and collected 2 day-dietary record. Nutrient intakes were analyzed by using DW24 program. The mean height and weight of subjects aged 75 years and older were lower than Korean national reference. BMI and obesity $({\geq}25kg/m^2)$ prevalence were significantly decreasing with aging. Underweight $(BMI<18.5kg/m^2)$ prevalence was also increasing with aging, especially in males, and it was slightly higher than national average, but similar to that in some other rural area. Obesity prevalence of male subjects was lower compared to national prevalence, but abdominal obesity prevalence $(waist{\geq}80cm)$ was very high in females (about 89%). In both genders, the average proportional contribution of carbohydrate, protein and fat to energy intake was not different between 65-74 years and 75 years and older. On overall, nutrient intake and quality of diet of females were inferior to those of males so that many of females aged 75 years and older assumed to be at risk of malnourished status. Fiber, folate and vitamin E intakes were substantially higher compared to those in 2007 KNHNES and other some studies in rural area. While almost nutrient %EAR was significantly decreased with aging in females, there was no significant difference in %EAR for protein, vitamin A, $B_1$, $B_6$, $B_{12}$, niacin, Ca and Zn between 65-74 years and 75 years and older in males. Vitamin $B_2$ for male aged 50-64 years, vitamin $B_2$ and Ca for male aged 65 years and over and female aged 50-74 years, and vitamin $B_2$, vitamin C, Ca and folate intake for female aged 75 years and older were assessed to be at risk to undernutrition based on the prevalence of intake below EAR. MAR of 13 nutrients and the number of nutrients consuming below EAR were significantly decreasing with aging in both genders, however, the number of nutrients of INQ < 1 and the average mini-nutritional assessment score were not significantly different between 65-74 years and 75 years and older. Taken together, decreasing tendency of nutrients intake and the quality of diet with aging was more evident in females than in males, and it is unique that our subjects consumed substantially higher fiber, folate and vitamin E compared to not only urban but also some other rural areas.

전라도 장수지역에 거주하는 여자노인의 동거유형에 따른 생화학적 지표 및 영양섭취상태에 관한 연구 (A Study on the Blood Health Status and Nutrient Intake in Elderly Women Dwelling in Longevity Region in Jeonla Province according to Family Arrangement)

  • 오세인;곽충실;연미영;이미숙
    • 한국식품영양학회지
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    • 제27권5호
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    • pp.940-955
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    • 2014
  • The purpose of this study was to compare the degree nutrient intake, health status and other characteristics of females aged 65 years and over in a longevity area according to family arrangement. For analysis, 585 female elderly were recruited from the Kugoksoondam area (Kurye, Goksung, Soonchang and Damyang counties), known as the longevity-belt region in Jeonla province, Korea. The subjects were categorized into three groups according to family arrangement (living alone, living with spouse only and living with family). Demographic characteristics were collected, as well as information on physical measurements, blood tests for biochemical indicators, health status and health-related life style, dietary behavior, favorite food groups, consumption frequency of food groups, nutrient intake and mini nutrition assessment. In the group living with their spouse only, the highest education, physical activity, diverse food intake, frequency of eating meats and fish, energy and nutrients intake, and score on the mininutrient status assessment (MNA) were found to be significantly favorable factors. Taken together, these results demonstrated that the group living with their spouse only had relatively superior nutrient intake and the quality of diet. In contrast, the group living alone showed the lowest self-rated economic status, diversity of food intake, and physical activity, with the highest frequency of drinking, smoking and regular exercise for almost everyday compared with the other groups. On the other hand, those living with family demonstrated the lowest intake of supplements or functional foods, and levels of hemoglobin hematocrit MCH, but the highest HBA1c and blood sugar. Therefore, the group living with family was assumed to be at risk of anemia and diabetes. These results could be useful to plan effective strategies to increase the health-life expectancy of Korean elderly people living in rural areas, according to family arrangement.

Probability of Early Retirement Among Emergency Physicians

  • Shin, Jaemyeong;Kim, Yun Jeong;Kim, Jong Kun;Lee, Dong Eun;Moon, Sungbae;Choe, Jae Young;Lee, Won Kee;Lee, Hyung Min;Cho, Kwang Hyun
    • Journal of Preventive Medicine and Public Health
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    • 제51권3호
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    • pp.154-162
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    • 2018
  • Objectives: Early retirement occurs when one's job satisfaction suffers due to employment mismatch resulting from factors such as inadequate compensation. Medical doctors report high levels of job stress and burnout relative to other professionals. These levels are highest among emergency physicians (EPs), and despite general improvements in their working conditions, early retirement continues to become more common in this population. The purpose of this study was to identify the factors influencing EPs intention to retire early and to develop a probability equation for its prediction. Methods: A secondary analysis of data from the 2015 Korean Society of Emergency Physicians Survey was performed. The variables potentially influencing early retirement were organized into personal characteristics, extrinsic factors, and intrinsic factors. Logistic regression analysis was performed to identify risk factors and to develop a probability equation; these findings were then arranged in a nomogram. Results: Of the 377 survey respondents included in the analysis, 48.0% intended to retire early. Risk factors for early retirement included level of satisfaction with the specialty and its outlook, slanderous reviews, emergency room safety, health status, workload intensity, age, and hospital type. Intrinsic factors (i.e., slanderous reviews and satisfaction with the specialty and its outlook) had a stronger influence on early retirement than did extrinsic factors. Conclusions: To promote career longevity among EPs, it is vital to improve emergency room safety and workload intensity, to enhance medical professionalism through a stronger vision of emergency medicine, and to strengthen the patient-doctor relationship.

한국 노년기 자산관리의 국제비교 (Global Comparison for Personal Asset Management by Old Age People in Korea)

  • 김병준
    • 국제지역연구
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    • 제21권1호
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    • pp.221-243
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    • 2017
  • 본 연구에서는 OECD 가입국들의 국제비교의 관점에서 연금운용 및 자산축적의 과정을 통한 한국의 노년기 자산관리의 실태를 분석하고 그에 따른 정책적 시사점을 논의하였다. OECD 가입국 중 최하위에 위치한 노년기의 소득대체율은 국민연금을 비롯한 공적연금 체계, 퇴직연금의 기반 미흡, 그리고 개인연금 및 개인 금융자산 축적의 미비에 근거하고 있다. 2060년 기금자산의 고갈에 직면한 국민연금의 기금운용은 글로벌 주식투자의 비중이 아직까지 선진국에 비해 낮은 추세이고 낮은 소득상한선 설정 등 기금운용상의 문제점이 노출되고 있다. 이에 따라 국민연금 기금운용상의 전문성이 더욱 강화되어야 하고 소득상한선 확대 및 갹출료 인상이 병행하여 추진되어야 할 것으로 판단된다. 2011년 도입된 퇴직연금은 완전강제화 미실시로 인해 아직까지 선진국들에 비해 낮은 소득대체율의 원인으로 지적될 수 있으며 퇴직연금의 자산운용구성 또한 단기 금융자산의 비중이 지나치게 높아 수익률 제고가 어렵다. 이에 따라 퇴직연금의 완전강제화와 더불어 운용자산의 전문성 제고가 시급한 과제로 지적될 수 있다. 개인의 자발적인 노후대비를 위한 개인연금 및 가계금융자산의 축적확대는 공적연금에 준하는 세제상의 지원이 뒷받침될 필요가 있다고 할 수 있다. 마지막으로 최근까지 폭발적 성장세를 구가하고 있는 주택연금의 안정적 추진을 위해서는 현재 정부가 모든 예상손실을 부담하는 비대칭적 구조에서 탈피하여 점차 시장에 의한 가격위험, 장수위험 등의 위험분산기법 추진을 통한 위험분담이 바람직할 것으로 판단된다.

(구)장항제련소 주변 송림숲 등 식생지역에서의 비소오염토양 위해도 저감 조치: 안정화 공법 적용성 평가 및 사후관리 계획 (Risk Mitigation Measures in Arsenic-contaminated Soil at the Forest Area Near the Former Janghang Smelter Site: Applicability of Stabilization Technique and Follow-up Management Plan)

  • 안진성;양경;강우재;이정선;남경필
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제22권6호
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    • pp.1-11
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    • 2017
  • This study was conducted to investigate the performance of four commercial chemical agents in stabilizing arsenic (As) in soil at the forest area near the former Janghang smelter site. After amending the stabilizing agents (A, B, C, and D) into As-contaminated soil samples, synthetic precipitation leaching procedure (SPLP) and solubility bioavailability research consortium (SBRC)-extractable As concentrations significantly decreased except for agent D, which is mainly composed of fly ash and calcium carbonate. Increase of SPLP and SBRC-extractable As concentrations in four soil samples (S1, S2, S3, and J2) was attributed to desorption of As adsorbed on iron oxides due to high pH generated by agent D. It is therefore necessary to consider application conditions according to soil characteristics such as pH and buffering capacity. Results of sequential extraction showed that readily extractable fractions of As in soil (i.e., sum of $SO_4-$ and $PO_4-extractable$ As in soil) were converted into non-readily extractable fractions by amending agents A, B, and C. Such changes in the As distribution in soil resulted in the decrease of SPLP and SBRC-extractable As concentration. A series of follow-up monitoring and management plan has been suggested to assess the longevity of the stabilization treatments in the site.

Longevity of Toxocara cati Larvae and Pathology in Tissues of Experimentally Infected Chickens

  • Oryan, Ahmad;Sadjjadi, Seyyed-Mahmoud;Azizi, Shahrzad
    • Parasites, Hosts and Diseases
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    • 제48권1호
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    • pp.79-80
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    • 2010
  • This study was conducted to determine the distribution patterns and duration of stay of Toxocara cati larvae in organs of chickens and to investigate chronic phase and potential zoonotic risk of toxocariasis in chickens. Chickens were orally infected with 1,000 embryonated T. cati eggs and necropsied 240 days post-infection. Organs of the chickens were examined at gross and microscopic levels; tissues were digested to recover larvae. Peribronchiolitis with infiltration of lymphocytes, and hyperplasia of bronchiolar associated lymphatic tissues (BALT) and goblet cells, were evident in the lungs of infected chickens. There were mild hemorrhages and infiltration of lymphocytes and a few eosinophils in the meninges. Larvae were recovered from 30% of the exposed chickens. Larvae recovery indicated that T. cati larvae stay alive for at least 240 days in the chicken brain. Therefore, chickens may potentially act as a paratenic host in nature and transfer T. cati larvae to other hosts.