• Title/Summary/Keyword: Old Patients

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The Risk Factors of Depression for Home Care Patients 65 Years of Age and Older (일부지역 가정간호 노인환자의 우울 요인에 관한 연구)

  • Choi, Myoung-Han
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.5
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    • pp.61-72
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    • 1998
  • The purpose of this study was to identify the risk factors affecting home care patients 65 years of age and older with symptoms of depression. The author conducted this study for 80 depressed and non-depressed who were taking home care. Data was colleted from November 1996 to October 1997. The major findings of this study were as follows. Significant mean group differences were found on age and income in old home care patients with symptoms of depression, compared with non -depressed. Old home care patients who have less than 300,000won of income, smoking, exercise, unsatisfactory of home care, living in saparateness, rent, living alone, unbalanced diet, irregular diet were statistically significant risk factors by logistic regression. Old home care patients who do not exercise, less than 300,000won of income, unsatisfactory of home care, smoking, living alone were the risk factors by final logistic regression model predicting depression.

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Description of mandibular bone quality based on measurements of cortical thickness using Mental Index of male and female patients between 40-60 years old

  • Hardanti, Sylviana;Azhari, Azhari;Oscandar, Fahmi
    • Imaging Science in Dentistry
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    • v.41 no.4
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    • pp.151-153
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    • 2011
  • Purpose : The purpose of this study was to obtain the description of the mandibular bone quality of male and female patients between 40-60 years old and their differences based on mandibular cortical bone thickness measured using Mental Index (MI). Materials and Methods : Forty digital panoramic radiographs, which consisted of twenty male and twenty female patients, 40-60 years old, were observed. Mandibular cortical bone thickness was measured using MI on both sides of the mandible. The average MI score of two groups were then assessed using t-sample independent test. Results : There were significant differences of mandibular bone quality based on mandibular cortical bone thickness measurement using MI between male and female patients (p<0.05). Conclusion : Mandibular bone quality based on cortical bone thickness measurement using MI of male and female patients indicated a significant difference.

Comparison of Factors Influencing Health-Related Quality of Life between Young-Aged and Old-Aged Patients with Cancer: Analysis of the 2015 Korea Health (노인 암환자의 건강관련 삶의 질 영향요인: 2015년 한국의료패널 자료 분석)

  • Kim, Shinmi;Lee, Insook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.27 no.2
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    • pp.156-168
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    • 2020
  • Purpose: This study aimed to examine factors influencing health-related quality of life (HRQOL) and compare them between young-aged and old-aged patients with cancer. Methods: Data of 291 patients (young-aged: 168, old-aged: 123) were obtained from the 10th wave of the 2015 Korea Health Panel Survey. The HRQOL was measured using the Korean version of Euro-QoL-5D. Independent t-test, analysis of variance, and multiple regression analysis were performed to identify factors influencing HRQOL. Results: The average HRQOL score was 0.87±0.10 and 0.82±0.15 among young-aged and old-aged, respectively. The factors differed partially between the two groups. For young-aged, the influencing factors were activity restriction, subjectively perceived health status, and smoking. For old-aged, the influencing factors were activity restriction, subjective health status, and unmet healthcare needs. Conclusion: Strategies to improve the HRQOL of elderly adults need to be developed considering the age group. Additionally, studies that include clinical factors such as symptoms are required to prepare need-based practical approaches for better quality of life of such patients.

Convergence Comparative Analysis of Young-Old and Old-Old Patients Hospitalized Owing to Injury (손상으로 입원한 전·후기 노인의 융복합 비교분석)

  • Suhn, Mi-Ohk
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.75-83
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    • 2020
  • This study aimed to understand the differences in general characteristics, principal diagnosis, injury-related characteristics, and types of transportation accidents between young-old and old-old patients who were hospitalized owing to injury based on data from the Korean National Hospital Discharge In-Depth Injury Surveys. We used a complex sample cross tabulation analysis (chi-square test) and complex sample generalized linear model (t-test). Therefore, the primary focus of healthcare professionals working with the old-old should prevent falls in the home and increase the available medical care, financial aid plans, and psychosocial support for aging. Additionally education on traffic accident prevention and road safety is particularly important for old-old patients.

A Statistical Analysis of Outpatients in Dermatology of Korean Medicine at Kyung Hee University Korean Medicine Hospital in 2011-2015 (2011-2015년 경희대학교 한방병원 한방피부과 외래환자에 대한 통계적 분석)

  • Jeong, Woo-Yeol;Moon, Young-Kyun;Kang, Se-Hyun;Kim, Kyu-Seok;Nam, Hae-Jung;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.3
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    • pp.50-58
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    • 2016
  • Objectives : This study was performed to find out the characteristics of outpatients and diseases in dermatology of Korean medicine and compare to previous studies.Methods : We reviewed the medical records of total 3,041 outpatients in dermatology of Korean medicine at Kyung Hee Korean medicine hospital from January 1, 2011 to December 31, 2015. We found out demographic characteristics of outpatients and observed the diseases in order of frequency by age and sex. Then, we compared these results to previous studies performed at same hospital in 2000 and 2007.Results and Conclusions : 1. Among the total 3,041 outpatients in 2011-2015, male patients were 1,184(38.87%) and female patients were 1,857(61.07%). 2. There were 203(6.68%) patients in 0-10 years old, 455(14.96%) patients in 11-20, 918(30.19%) patients in 21-30, 582(19.14%) patients in 31-40, 359(11.81%) patients in 41-50, 265(8.71%) patients in 51-60, and 259(8.52%) patients in more than 61 years old. 3. The common diseases in 2011-2015 were seborrheic dermatitis(17.33%), eczema(13.32%), urticaria(12.89%), atopic dermatitis(12.36%), pruritus(9.90%), acne(8.85%), and alopecia(6.08%). 4. The most common diseases by age groups were atopic dermatitis(0-10, 11-20 years old), seborrheic dermatitis(21-30, 31-40, 41-50 years old), urticaria(51-60 years old), and pruritus(more than 61 years old). 5. The common diseases in male patients were seborrheic dermatitis(20.69%), atopic dermatitis(15.46%), and urticaria(12.25%) and female patients were seborrheic dermatitis(15.19%), eczema(15.13%), and urticaria(13.30%). 6. The most increasing disease in the distribution between 2004-2006 and 2011-2015 is rosacea(+462.93%), and the most decreasing disease is vitiligo(-72.05%).

Surgical Treatment of Metastatic Lung Cancer (전이성 폐암에 대한 외과적 요법)

  • 김응중
    • Journal of Chest Surgery
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    • v.18 no.1
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    • pp.86-91
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    • 1985
  • A clinical analysis was performed on 11 cases of metastatic lung cancer experienced at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital during the 15 year period from 1970 to 1984. Of the 1lpatients of metastatic lung cancer, 4 patients were male and 7 patients were female and the age ranged from 27 years to 60 years old with the average of 38.8 years old. The sites of primary tumor were uterus and ovary in 5 patients, breast in 2, sarcoma in 2, rectum in 1 and testis in l.\ulcorner Tumor free intervals in each patients were as followed; unrecognition of primary site in 2 patients, simultaneous discovery of primary tumor and metastasis in 3, 14 months in 1, 4 years in 4 and 5 years in Twelve thoracotomies were performed in 11 patients and performed procedures were as followed; pneumonectomy in 1 patient, lobectomy in 7, wedge resection in 2, decortication and wedge resection in 1 and biopsy only in 1. Of the 11 patients, 4 patients died within one year after operation, 2 patients died within 2 years and 2 patients are alive over 5 years after operations. Other 3 patients are alive 2 months, 4 months and 9 months after operation at present.

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Surgical Treatment of Patent Ductus Aretriosus: Report of 40 cases (개방성 동맥관 수술 보고 (40 예))

  • 노중기
    • Journal of Chest Surgery
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    • v.12 no.2
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    • pp.105-109
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    • 1979
  • Since 1973, 40 patients with Patent Ductus Arteriosus were operated in The Department of Thoracic and Cardiovascular Surgery, Korea University Medical College. Clinical analysis of these cases: 1. Age ranged from 8 months old to 28 years old Sex ratio was 22 females to 18 males. 2. Pulse pressure widening above 50 mmHg was appeared in 27 patients. In 31 patients, continuous machinery murmur was heard on left second and third intercostal space, but 9 patients has holosystolic murmur on left sternal border. 3. Retrograde Aortography was performed in 11 patients and right heart catheterization, 17 patients, In 8 patients, pulmonary hypertension [above 30 mmHg in` systole] was noted. 3 out of 8 patients was combined with Ventricular Septal Defect. Severe pulmonary hypertension [above 80mmHg in systole] was presented in 3 patients. 4. In 38 patients, operative method was performed with multiple suture ligation of PDA, and in 2 patients, suture closure through pulmonary arteriotomy under cardiopulmonary bypass. 5. One operative death occurred in a patient in this group. Cause of death was right heart failure after multiple suture ligation of PDA and pulmonary artery bandings.

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Effects of Continuity of Care on Diabetes-Related Avoidable Hospitalizations among Middle- and Old-Aged Patients: Analysis of National Health Insurance Claims Data (건강보험 청구자료를 이용한 진료 연속성이 당뇨 관련 예방 가능 입원에 미치는 영향 분석: 중·고령군을 중심으로)

  • Kim, Boah
    • Health Policy and Management
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    • v.29 no.3
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    • pp.277-287
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    • 2019
  • Background: Diabetes is known as one of the most important ambulatory care sensitive conditions. This study purposed to assess the status of continuity of care (COC) and diabetes-related avoidable hospitalizations (DRAHs) of a group of middle- and old-aged patients and to observe the relationship of the two elements by the two age groups. Methods: This study utilized the National Health Insurance Service's National Sample Cohort data and the subjects are diabetes patients of 45 and over, classified into two groups of 'middle-aged'(45-64 years) and 'old-aged'(${\geq}65years$) patients. The dependent variable was DRAHs, which was defined in accordance with the definition of the Organization for Economic Cooperation and Development "Health Care Quality Indicators" project. COC, as an independent variable, is measured by the COC index in this study. Two-part model (multi-variate and multi-level analyses) was utilized. Results: Factors associated with the status and the number of DRAHs differed by each age group. Meanwhile, the two-part model showed that higher COC was associated with a lower risk of preventable hospitalizations in both middle- and old-aged groups. Conclusion: Study findings can provide health policy insights and implications in order to strengthen the primary care system for further improvement of diabetes management, especially for middle- and old-aged groups.

Clinical Investigation of Herpes Zoster and Postherpetic Neuralgia above T4 Dermatome (상흉부 이상 부위의 대상포진 및 대상포진후 신경통 환자에 대한 임상적 고찰)

  • Chung, So-Young;Shin, Sung-Yee;Yoon, Duck-Mi;Oh, Hung-Kun;Moon, Bong-Ki
    • The Korean Journal of Pain
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    • v.7 no.2
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    • pp.242-248
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    • 1994
  • Postherpetic neuralgia is frequently painful, incapacitating, mood depressing, and sometimes lifelong. We investigated the influence of duration from eruption to nerve blocks in conjunction with patients age on analgesic and preventive effect for postherpetic neuralgia. We retrospectively evaluated 50 outpatient medical records for the above T4 dermatome. Patients had been referred to pain clinic and were treated over 2weeks from Jan. 1988 to Dec. 1993. Fifty patients were divided into 4 groups as follows: Group I (a): less than 4weeks from eruption to nerve block and younger than 65 years old. Group I (b): less than 4weeks from eruption to nerve block and older than 65 years old. Group II (a): more than 4weeks from eruption to nerve block and younger than 65 years old. Group II(b): more than 4weeks from eruption to nerve block and older than 65 years old. Mean number of stellate ganglion blocks were 29.7. Tramadol, amitriptyline, nicardipine were most commonly prescribed. Group I (a): had the most improvement rate(77.8%) as compared with other group(46.6, 52.7, 56.0%). Number of patients who complained of severe pain (VAS > 5) were 0, 3(39%), 2(15.4%), 5(30%) in I (a), I (b), II (a), II (b) group respectively. In conclusion, analgesic effect was best in cases of patients younger than 65 years old whose treatment were started within 4 weeks of eruption. Patients older than 65 yrs, analgesic effect did not vary on the timing of treatment.

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Evaluation of Scopolamine Patch Pharmacotherapy for Motion Sickness in S. Korean

  • Lim, Sung-Cil;Lee, Myung-Koo;Lee, Chong-Kil;Lee, Bo-Reum
    • Biomolecules & Therapeutics
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    • v.16 no.2
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    • pp.161-167
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    • 2008
  • Scopolamine patch is an effective anticholinergic and antiemetic agent for motion sickness in S. Korea. Since this medication is Over The Counter (OTC) medication and may cause serious side effects when misused. Therefore, we evaluate the safety and efficacy for scopolamine patch in this study. We selected and surveyed total 43 patients who purchased scopolamine patch from three different pharmacies located at S and C Express Bus terminals and P Port at Seoul, Cheongju, and Busan. In the result, 11 patients (8${\sim}$15 year old:25.6%) were correctly used scopolamine patch with a children dose and 2 patients were misused. 26 (15${\sim}$60 year old: 60.4%) and 4 (over 6o year old: 9.3%) patients were correctly used with a adult dose. 33 patients (69.9%)answered that they knew the directions well how to use scopolamine patch correctly. Only 24.2% (n=8) patients learned the directions by pharmacist's consultation. Most patients (45 frequencies with duplicate counts) had some experienced side effects and among those drowsiness is the most common one. In conclusion, scopolamine patch as a non-prescription drug (OTC) should be monitored by pharmacist with correct drug consultation.