• Title/Summary/Keyword: Normal elderly

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Frenectomy for improvement of a problematic conventional maxillary complete denture in an elderly patient: a case report

  • Al Jabbari, Youssef S.
    • The Journal of Advanced Prosthodontics
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    • v.3 no.4
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    • pp.236-239
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    • 2011
  • Maxillary labial and buccal frena are considered as normal anatomic structures in the oral cavity. However, they may exist intraorally as a thick broad fibrous attachment and/or become located near the crest of the residual ridge, thus interfering with proper denture border extension resulting in inferior denture stability, retention and overall patient satisfaction. This case report highlights the importance of clinical examination and treatment planning which may mandate preprosthetic surgery prior to fabrication of a new conventional complete denture. Adequate patient satisfaction with conventional complete dentures can be significantly increased after frenectomy.

A Case of Atypical Fibroxanthoma (비전형적 섬유황색종 1례)

  • Park, Hye June
    • Archives of Plastic Surgery
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    • v.32 no.1
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    • pp.139-142
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    • 2005
  • Atypical fibroxanthoma(AFX) is a tumor that occurs as a solitary and ulcerative nodule on actinically damaged or radiation damaged skin of the head and neck in the elderly. AFX is a pleomorphic spindle cell neoplasm of the dermis, which is a clinically benign reactive lesion despite of apparently malignant histologic features. We report a case of AFX which developed on the nasal root area of a 23-year-old man. This case is very unusual in terms of site(less sun-damaged area), overlying skin feature(grossly normal skin) and age(too young). This tumor was completely removed with surgical excision and remained free of recurrence for a period of about 1 year follow-up.

Aberrant phosphorylation in the pathogenesis of Alzheimer's disease

  • Chung, Sul-Hee
    • BMB Reports
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    • v.42 no.8
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    • pp.467-474
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    • 2009
  • The modification of proteins by reversible phosphorylation is a key mechanism in the regulation of various physiological functions. Abnormal protein kinase or phosphatase activity can cause disease by altering the phosphorylation of critical proteins in normal cellular and disease processes. Alzheimer' disease (AD), typically occurring in the elderly, is an irreversible, progressive brain disorder characterized by memory loss and cognitive decline. Accumulating evidence suggests that protein kinase and phosphatase activity are altered in the brain tissue of AD patients. Tau is a highly recognized phosphoprotein that undergoes hyperphosphorylation to form neurofibrillary tangles, a neuropathlogical hallmark with amyloid plaques in AD brains. This study is a brief overview of the altered protein phosphorylation pathways found in AD. Understanding the molecular mechanisms by which the activities of protein kinases and phosphatases are altered as well as the phosphorylation events in AD can potentially reveal novel insights into the role aberrant phosphorylation plays in the pathogenesis of AD, providing support for protein phosphorylation as a potential treatment strategy for AD.

The Effects of Excercise Program on Health of the Elderly in Senior Citizen's Center (규칙적인 운동프로그램이 경로당 이용 노인의 건강에 미치는 효과)

  • Choi Sun-Ha
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.38-56
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    • 1997
  • A great deal of attention has been paid to the quality of life in citizens due to the increased number of long term life expectancy. reported as effective in the health promotion of the senior citizens. In this study, the principal investigator developed an exercise program for the senior citizens, which could be educated and managed by nursing staff. This kind approach may support the need of exercise program on regular base via the social organization, which may mean the intentional change of life style. The exercise program consisted of exercise, health education, and a direct the population of the senior A regularexercise has been nursing care. A quasi -experimental study was conducted to investigate the effects of excercise program on health of the elderly in senior citizen's center. Independent variable was a 9 weeks exercise program. Dependent variables were: 1) physical health [e.g. physical fitness(cardiopulmonary endurance, back muscle strength, grip strength, muscular tolerance, flexibility and body fat proportion), physiologic parameters(blood pressure, pulse, respiration. and blood glucose), and perceived physical health status; 2) mental health measured by depression score; and 3) cognitive perception of exercise measured by usefulness and self-efficacy. A total of 37 subjects was randomly assigned into either the control group (without the exercise program: n=18) or the intervention group(with the exercise program: n=19). The results of the study analyzed using a SAS, were as follows: 1) In physical fitness of physical health, there was a significant improvement in cardiopulmonary tolerance. back muscle strength. muscular tolerance and flexibility in the intervention group, compared to the control group, while no difference in grip strength and body fat proportion. The exercise program resulted in decreases in blood pressure, pulse, respiration and blood glucose within normal range and improvement of perceived physical health status in the intervention group. 2) There was a slight increase of mental health(depression score) in the intervention group compared to the control group. but without statistical significance. 3) There was a significant improvement in cognitive perception of exercise(e.g. usefulness and self -efficacy) in the intervention group, compared to the control group. It was concluded that the exercise program employed in this study was appropriate for women senior citizens and had a positive effect on health in general.

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Influence of Impact Angle on Deformation in Proximal Femur during Slide Falling (측방 낙상시의 충격 각도가 대퇴골 근위부의 변형에 미치는 영향)

  • 김병수;배태수;김정규;최귀원
    • Journal of Biomedical Engineering Research
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    • v.24 no.3
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    • pp.233-239
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    • 2003
  • Falling related injuries are categorized as the most serious and common medical problems experienced by the elderly, hip joint fracture, one of the most serious consequences of falling in the elderly, occurs in only about 1% of falling. Nevertheless, hip fracture accounts for a considerable part of the disability, death, and medical costs associated with falling. In this study, we considered the impact angle and displacement rate in falling as another factor affecting femoral strength. Using a fresh-frozen human femur, we developed system to simulate the falling condition and then conducted the experiments changing the impact angle (0$^{\circ}$, 15$^{\circ}$, 30$^{\circ}$) of proximal femur. Also, in order to analyze the relative risk due to falling to normal situation in proximal femur, we did the static test simulating the two-legged stance condition. The results showed that the change in impact angle affected the strain distribution in proximal femur, and that a large deformation in femoral neck than in other sites. Furthermore despite low impact velocity, a large deformation in proximal femur occurred in the impact test and different strain distribution was observed compare to the static case.

Development Of Fuzzy Logic Based Wristband For Healthcare (퍼지 논리 기반의 건강관리용 팔목 밴드 개발)

  • Hwang, Heesoo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.86-92
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    • 2017
  • As the elderly population increases, real-time personal health monitoring is gaining new ground with advances in wireless communications. Such an approach is particularly beneficial to elderly and physically challenged people, as well as those who live alone and are not be able to seek help in case of medical emergencies. The aim of this study is to implement a wearable band which monitors personal vital signs, such as the body temperature and heart rate, and assists with healthcare decisions using a fuzzy logic based decision support system. Since the vital sign data measured from sensors are imprecise and their normal variation with age is nonlinear and not crisp, a fuzzy system is employed to deal with this imprecise or uncertain information. The proposed wearable band is designed to continuously capture and transmit vital signs and healthcare decisions to suitable apps developed for smartphones. In this way, health alerts can be sent to the guardian or caregiver who is registered in the apps.

Developing a Drug Information Leaflet of Antihypertensives for Senior Citizens; Employing Performance-based User-testing (수행능력 기반 사용자 평가를 활용한 노인용 고혈압치료제 안전사용설명서 개발)

  • Kim, Jin;Lee, Iyn-Hyang
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.3
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    • pp.254-263
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    • 2016
  • Objective: Written information could be helpful for senior population to adhere to complex medication therapies, but must be well prepared and empirically assessed to achieve such end. We purposed to develop a drug information leaflet for senior citizens by applying 'performance-based user-testing.' Methods: We employed a user-testing, a mixed method to figure difficulties out with patients' leaflets from the user perspective. The cycle made of test and revision can be repeated as necessary. We recruited senior citizens with age of 65 or above who were taking antihypertensive medications at the point of participating and excluded the elderly who suffered illiteracy. We firstly rectified a drug information leaflet of antihypertensive medications for the general public distributed by the Korean authority based on focus group interviews (9 participants). The revised leaflets were tested four times with 8~12 participants in each round (40 seniors in total). We targeted to develop a leaflet which more than 80% of participants understood 10 key information. Main outcomes measures were to be able to find information and be able to understand information. This study was approved by the Yeungnam University Research Ethics Committee. Results: Focus group interviews identified difficulties with small font of words, professional language, long information, and a poor structure. The leaflet was revised and in the first round questionnaire found problems with 4/10 information points; interviews disclosed all but one (normal blood pressure range) were ill-understood. The second round questionnaire and interview found fewer problems but the comprehensiveness of participants was still poor in several points. For the third and fourth rounds we revised the leaflets in the individual-targeted manner. Finally, the fourth round showed all key information found and understood by at least 80% of participants except one question about drug name. Conclusion: The drug leaflets need to be developed in a personalized mode for the seniors. There was a limit for Korean seniors to understand nonproprietary name of their drugs because they used to producers' trade names which the Korean health system predominantly works with.

Biomechanical Behaviors of Disc Degeneration on Bending Loads (굽힘하중에 대한 퇴행성 추간판의 생체역학적 특성 분석)

  • Lee, Hyun-Ok;Lee, Sung-Jae;Shin, Jung-Woog
    • The Journal of Korean Physical Therapy
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    • v.13 no.1
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    • pp.1-18
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    • 2001
  • Aging has been recognized as the primary cause of disc degeneration. A biomechanical characteristics of disc degeneration has been demonstrated that intradiscal pressure is reduced. With the increasing population of elderly people, disc degeneration and associated problems of nerve entrapment are becoming more prevalent. Presently, research on reduced intradiscal pressure associated with degeneration is insufficient. In this study. we used the Finite Element Method (FEM) of computerized simulations to investigate the effects of variation in intradiscal pressure on mechanical behaviours of L4-5 intervertebral disc degeneration. Degeneration was classified using four grades based on initial intradiscal pressure; Normal (135 kPa), mild(107 kPa), moderate (47 kPa) and severe (15 kPa). The predicted results f3r bending loads were as follows; 1 . Range of motion increased progressively with severity of degeneration with flexion and lateral bending moments, but decreased with extension moments. 2. Discal bulging of posterolateral aspect was larger in lateral bending and extension moment. But bulging was increased with severity of degeneration in lateral bending and torsion(same side).3. The rate of increasing intradiscal pressure was decreased in all bending motions with severity of degeneration. In conclusion, lateral bending and extension moment yield greatest bulging in severe degeneration. In torsion, although bending load produces disc bulging, disc bulging was associated more strongly with severity of degeneration than increasing torsional moments. Clinical Implications: Discal bulging may produce nerve root impingement and irritation. The effect of loading and posture on the varying degrees of disc degeneration has important implications especially in the elderly. In the presence of disc degeneration, avoidance of end range postures, especially extension and lateral bending may help reduce discal bulging and in turn, nerve entrapment.

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The Characteristics of Adult Male Shoulder Types by according to The Slope (국내 성인 남성의 어깨기울기에 따른 유형 분류)

  • Choi, Eun-Hee;Do, Wol-Hee
    • Fashion & Textile Research Journal
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    • v.17 no.1
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    • pp.82-92
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    • 2015
  • This study classified the types of adult male shoulders through criteria which represent the characteristic of male shoulders important to jacket patterns. We selected 39 measurement items to provide information about Size Korea (2010) 3D bodice measurements. Collected data were processed with SPSS 20 for windows. Participants in the study were 1055 adult males, aged 20-60 divided into three age groups of 20-30, 40-50 and 60. Statistical tests (such as descriptive analysis and F-test) analyzed the data and ascertained the differences in ages. In a factor analysis and cluster analysis were conducted for the classification of shoulder type's adult males. The factor analysis indicates 6 factors with 82.4% of total variance. The shoulder types for adult male were divided into 3 groups, flat shoulder (14.1%), normal shoulder (72%), and slope shoulder (13.8%). A total of 19.9% of 20-30 was included in the slope shoulder type, 15.8% of 40-50 was included in the flat shoulder type and 16.1% of 60 was included in the flat shoulder type. This study classified the type of male shoulder through criteria that represent the characteristics of elderly male shoulder to neck base circumference, shoulder angle and shoulder type. The follow-up study will proceed with elderly male neck and various measurement items around the shoulder.