• 제목/요약/키워드: age reduction

검색결과 1,314건 처리시간 0.026초

Quality of Breast Cancer Early Detection Services Conducted by Well Woman Clinics in the District of Gampaha, Sri Lanka

  • Vithana, Palatiyana Vithanage Sajeewanie Chiranthika;Ariyaratne, M.A.Y.;Jayawardana, P.L.
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권1호
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    • pp.75-80
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    • 2013
  • Background: Breast cancer is the most common cancer diagnosed in females in Sri Lanka and early detection can lead to reduction in morbidity and mortality. Aim: To evaluate selected aspects of breast cancer early detection services implemented through well woman clinics (WWCs) in the Gampaha District. Methods: The study consisted of two components. A retrospective descriptive arm assessed clinical breast examination (CBE) coverage of target age group women (TGW) of 35-59 years in all the WWCs in Gampaha district over 2003-2007. A cross sectional descriptive study additionally assessed quality of breast cancer early detection services. The Lot Quality Assurance Sampling (LQAS) technique was used to decide on the lot size and threshold values, which were computed as twenty and six clinics. Checklists were employed in assessing coverage, physical facilities and clinic activities. Client satisfaction on WWC services was assessed among 200 TGW attending 20 WWCs using an interviewer-administered questionnaire. Results: CBE coverage in the Gampaha district increased only from 1.1-2.2% over 2003-2007. With regard to physical facilities, the number of clinics that were rated substandard varied between 7-18 (35-90%). The items that were lacking included dust bins, notice boards, stationary, furniture and linen, and cleanliness of outside premises and toilets. With regard to clinic activities, punctuality of staff, late commencement of clinics, provision of health education, supervision, CBE and breast self-examination (BSE) were substandard in 7-20 clinics (35-100%). Client satisfaction for WWC services was 45.2% (IQR: 38.7-54.8%) and only 11% had a score of ${\geq}70%$, the cut off set for satisfaction. Conclusions: Breast cancer early detection service coverage in the Gampaha district remained low (2.2%) in 2007, 11 years after commencing WWCs. All 20 clinics were substandard for overall CBE and BSE.

Atmospheric CO2 Uptake by Pinus densiflora and Quercus mongolica

  • Jo, Hyun-Kil;Ahn, Tae-Won
    • 한국환경과학회지
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    • 제12권8호
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    • pp.853-860
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    • 2003
  • Plants sequester atmospheric CO$_2$, a major agent of climate change, during the growing periods and mitigate its rising accumulation in the atmosphere. Pinus densiflora and Quercus mongolica are the native tree species dominant in the temperate forests of Korea. This study quantified the annual CO$_2$ uptake by the two species at forest sites in Chuncheon in the middle of the country. The quantification was based on seasonal measurements of CO$_2$ exchange rates under natural conditions by an infrared gas analyzer over the growing season (1999). The monthly CO$_2$ uptake per unit leaf area ranged from 1.6-6.7 mg/d㎡/h for P. densiflora and from 3.7-8.9 mg/d㎡/h for Q. mongolica, with a maximum in mid-summer. An equation for each species was generated to estimate easily the annual CO$_2$ uptake by total leaf area per tree, which subtracted the CO$_2$ release (i.e. respiration) by leaves and woody organs from the gross CO$_2$ uptake (diurnal uptake and release by leaves). Annual CO$_2$ release by leaves and woody organs accounted for 58-73% of the gross CO$_2$ uptake across tree specimens. Annual CO$_2$ uptake per tree increased with increasing dbh (stem diameter at breast height) for the study diameter range, and was greater for Q. mongolica than for P. densiflora in the same dbh sizes. This was mainly associated with a greater total leaf area in the former. For example, the annual CO$_2$ uptake by one tree with dbh of 25 cm was 35.6 kg/yr for P. densiflora and 47.9 kg/yr for Q. mongolica. The results from this study can be applied to evaluate an atmospheric CO$_2$ reduction of woody plants by forest type and age class.

신체활동참여 노인의 운동손상과 운동손상유무에 따른 신체활동, 지각된 건강상태 및 운동자기효능감의 차이 (Sports injuries and the changes in physical activity, perceived health state and exercise self-efficacy according to the sports injuries of the elderly who participate in physical activities)

  • 서경희;은영;전미양
    • Journal of Korean Biological Nursing Science
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    • 제18권2호
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    • pp.102-109
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    • 2016
  • Purpose: The purpose of this study was to describe sports injuries among elderly people and to compare physical activity, perceived health status and exercise self-efficacy between elderly people who had experienced a sports injury and elderly people who hadn't. Methods: The sample of this study were 100 elderly in Korea, 51 of whom had had a sports injury. The study used questionnaires to gather data. There were 8 demographic factors, 4 factors related to physical activity, perceived health status and exercise self-efficacy of the subjects. Data were analyzed by frequencies, chi-square test, and t-test. Result: Among the sports injured elders, one occurrence of a sport injury was 86.3%. There were more outdoor than indoor sports injuries of elders (66.7%), and sports injuries of elders occurred more in the winter (82.7%). The major cause of the sports injuries was loss of balance. Ankles were frequently damaged from these injuries. The most significant change after the sports injury was reduction of physical activity (60.8%). There were significant differences between sports injured elderly and non-injured elderly for age (${\chi}^2=2.58$, p=.011) and the amount of physical activity (t=1.96, p=.050), but there was no significant difference in perceived health status and exercise self-efficacy. Conclusion: To prevent sports injuries in the elderly means to maintain a medium level of physical activity and to improve their balance.

한국인의 대사증후군에 대한 생활습관 요인의 영향 (The Effects of Lifestyle Factors on Metabolic Syndrome among Korean Adults)

  • 임미영;이영란;한숙정;조정민
    • 지역사회간호학회지
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    • 제23권1호
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    • pp.13-21
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    • 2012
  • Purpose: The purpose of this study was to estimate the effects of lifestyle factors on metabolic syndrome (MS) among Korean adults ($age{\geq}20$). Methods: A total of 7,798 subjects (weighted subjects=37,215,961) were recruited from the 2009 Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Data were analyzed by t-test, ${\chi}^2$-test, and logistic regression in consideration of strata, cluster and weight as national data using the SAS 9.1 program. Results: The prevalence of MS by definition of AHA/NHLBI and waist circumference cutoff points for Koreans was 22.4%. The mean clinical MS score for MS patients was 3.4, but the mean score for the non-MS group was 1.2 out of 5.0. Among the lifestyle factors, smoking (OR=1.024), stress ($0.546{\leq}OR{\leq}0.587$) and drinking (OR=1.005) had significant influence on the MS risk and MS scores, but exercise did not. Conclusion: The results of this study indicate that further research is necessary on the effect of lifestyle factors on MS risk and nurses should focus on effective programs about smoking, stress and drinking for the prevention and reduction of MS risk.

잔골재율이 육상모래를 사용한 고강도 콘크리트 특성에 미치는 영향 (The Effect of The sand/aggregate ratio on the High Strength Concrete with the Land Sand)

  • 박정준;강수태;김성욱;안정생;김경원;신운선
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2008년도 추계 학술발표회 제20권2호
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    • pp.329-332
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    • 2008
  • 최근 들어 국내의 골재수급문제 때문에 육상모래를 많이 사용하게 되는데 이에 이 논문에서는 잔골재율(S/a) 변화를 통하여 콘크리트에 미치는 유동성과 압축강도에 미치는 영향을 파악하고 이에 플라이애쉬 사용에 따른 영향을 추가적으로 검토하여 70MPa급 고강도 콘크리트를 제조하고자 하였다. 검토결과, 잔골재율 $37{\sim}45%$ 범위에서 잔골재율이 감소할수록 유동성이 증가하였고 S/a=39%에서 최대 강도인 77MPa를 나타내 적정 잔골재율로 판단된다. 또한 플라이애쉬를 시멘트에 대해 20%까지 치환한 경우 사용량이 증가할수록 유동성이 증가하였으며 재령 28일에서 압축강도도 플라이애쉬를 사용하지 않은 경우에 대해 동등이상의 압축강도를 나타내어 시멘트에 대해 $10{\sim}15%$ 치환한 경우가 적정 치환율로 판단된다.

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영유아기 기혼 취업모와 비취업모의 사회자본과 양육스트레스 (Social Capital and Parental Stress of Married Mothers with Young Children: Variations by Employment Status)

  • 이윤주;진미정
    • 대한가정학회지
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    • 제51권2호
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    • pp.229-239
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    • 2013
  • This study attempted to examine whether there is a relationship between parental stress and the accessible and mobilizable social capital of mothers raising young children by the mothers' employment status. The sample included 284 employed and 287 non-employed mothers who have children younger than the age of 5. Three research questions were as follows: 1) do the accessible and mobilizable social capital of mothers and parental stress differ by the mothers' employment status? 2) are the accessible and mobilizable social capital of employed mothers related to the level of parental stress? And finally, 3) are the accessible and mobilizable social capital of unemployed mothers related to the level of parental stress? The results showed that no significant difference was found in accessing social capital by the employment status of mothers. However, employed mothers were capable of mobilizing more social capital for childcare assistance than non-employed mothers. The parental stress of employed mothers was significantly lower than that of non-employed mothers. For employed mothers, their mobilizable social capital contributed to the reduction of parental stress. For non-employed mothers, their capability of accessing social capital significantly predicted lower levels of parental stress. These results indicate that the concept of social capital could be taken into consideration when explaining the parental stress of married mothers raising young children.

Conservative Treatment Using Marsupialization for Cysts Occurring in the Jaw of Adolescents: A Case Report

  • Yun, Sun-Ung;Jung, Hai-Won;Cho, Byung-Yong;Choi, Byung-Joon;Lee, Baek-Soo;Kwon, Yong-Dae;Ohe, Joo-Young;Lee, Jung-Woo
    • Journal of Korean Dental Science
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    • 제7권1호
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    • pp.31-37
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    • 2014
  • Dentigerous cyst (DC) is an odontogenic cyst associated with the crown of an impacted, embedded, unerupted, or developing tooth. It is the second most common type of odontogenic cysts, accounting for 14% to 24% of all jaw cysts. Although these cysts occur more frequently during the second and third decades of life, they can also be found in children and adolescents in the mixed dentition stage. Treatment of the odontogenic cyst involves enucleation or marsupialization/decompression methods. The latter approach is preferred for larger cysts, and it is especially helpful in adolescent patients in conserving the unerupted permanent successors. The aim of treatment for DC is the complete elimination of pathology and maintenance of dentition with minimal surgical intervention. Recently defined criteria for the selection of treatment modality include the cyst size and location of the cyst, patient age, dentition involved, stage of root development, position of the tooth involved in the jaw, and relationship with the surrounding vital structure. Marsupialization or decompression technique has been advocated by several authors for treating DCs among young patients. In this conservative technique, the creation of an accessory cavity helps relieve intra-cystic pressure and accelerate the healing of cystic lesion. This technique has been successfully performed and is indicated for growing children and adolescents. Here, we report a large cyst lesion in the mandible treated by marsupialization for conservative management. In conclusion, successful reduction in size was achieved, and intraoperative complication could be prevented.

전위된 관절 내 종골 골절의 Ollier 접근법을 이용한 치료 (Treatment of Displaced Intra-articular Calcaneal Fracture using Ollier Approach)

  • 김근우;조상기;이동연
    • 대한족부족관절학회지
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    • 제12권2호
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    • pp.174-179
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    • 2008
  • Purpose: We evaluated the clinical results of the intraarticular calcaneal fractures treated using Ollier approach by inexperienced orthopaedic surgeon. Materials and Methods: Between August 2003 and May 2007, Of the total 46 cases, 12 cases (9 patients) of displaced intraarticular calcaneal fracture who underwent open reduction and internal fixation using Ollier approach were evaluated. The means of age was 50.5 years. According to the Sanders classification, there was no type I case and 8 cases of type II, 1 case of type III, and 3 cases of type IV. We evaluated the treatment result by assessing radiologic parameters ($B{\ddot{o}}hler$ angle, Gissane angle, and calcaneal height/width) and clinical outcomes (VAS and AOFAS score). Results: The means of follow-up period was 25.3 months. The means of B.hler angle was improved from $2.4^{\circ}$ to $26.1^{\circ}$. Radiologic and clinical union was achieved in all cases without additional procedures. Excellent result were noted in 2 cases, good in 5 cases, fair in 4 cases, and poor in 1 case. We experienced 2 cases of minor complications; 1 case of mild wound infection and 1 case of hypoesthesia on foot dorsum. Radiologic findings of subtalar arthritis were present in 2 cases. Conclusion: Ollier approach seems to be helpful to inexperienced orthopaedic surgeons for the treatment of intraarticular calcaneal fractures in that it enables them to achieve considerable clinical outcomes without serious complications.

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노령 흰쥐의 뇌허혈 손상시 양격산화탕이 뇌해마의 신경세포 및 HSP72 발현에 미치는 영향 (Effect of Yanggyuksanhwa-tang on Pyramidal Neuron and HSP72 Expression in Ischemic Damaged Hippocampus of Aged BCAD Rats)

  • 박은경;신정원;손영주;정혁상;원란;손낙원
    • 동의생리병리학회지
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    • 제17권3호
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    • pp.791-797
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    • 2003
  • This study investigated the effect of Yanggyuksanhwa-tang on cerebral ischemia of the rats. Considering age-related impact on cerebral ischemia, aged rats (18 months old) were used for this study. Ischemic damage was induced by the transient occlusion of bilateral common carotid arteries (BCAO) under the hypotension. Yanggyuksanhwa-tang was administered twice orally. Then changes of pyramidal neurons and heat shock protein 72 (HSP72) expressions in ischemic damaged hippocampus were of observed. The BCAO in aged rats led significant decrease of pyramidal neurons in CA1 hippocampus. While the treatment of Yanggyuksanhwa-tang significantly attenuated the reduction of pyramidal neurons in CA1 hippocampus following BCAO ischemia. The BCAO in aged rats led significant increase of HSP72 expression in CA1 and mild in CA3 hippocampus. While the treatment of Yanggyuksanhwa-tang significantly attenuated the increase of HSP72 expression in CA1 hippocampus following BCAO ischemia. The extent of HSP72 expression in CA2 and DG of hippocampus was not different between the sham operated group, the BCAO ischemia control group, and the group of Yanggyuksanhwa-tang administration after BCAO ischemia. The treatment of Yanggyuksanhwa-tang significantly attenuated the increase of normalized optical density depending on HSP72 expression in CA1 hippocampus following BCAO ischemia.

Interaction between Maternal Serum Folate and the Methylenetetrahydrofolate Reductase (MTHFR) Polymorphisms on Infant Birthweight

  • Park, Hye-Sook;Kim, Young-Ju;Ha, Eun-Hee;Lee, Bo-Eun;Park, Bo-Hyun;Lee, Hwa-Young;Park, Eun-Ae;Chang, Nam-Soo;Hong, Yun-Chul
    • Molecular & Cellular Toxicology
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    • 제1권2호
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    • pp.130-136
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    • 2005
  • The purpose of this study was to evaluate whether the interactions between maternal folate deficiency and methylenetetrahydrofolate reductase (MTHFR) polymorphism increase the risk of elevated maternal serum homocysteine, short gestation and reduced infant birthweight. Healthy pregnant (n = 170; 24-28 gestational weeks; 20-40 years old) women were analyzed for the MTHFR genotype and serum levels of folate and homocysteine, and were then followed for gestational age and infant birthweight. The mean infant birthweight was highest in mothers carrying MTHFR CC and with a normal folate range, and they were followed by mothers carrying MTHFR CT or TT and a normal range of folate or a folate deficiency. Birthweight was the lowest in mothers whose carrying MTHFR CC with folate deficiency. Using two way ANOVA, we found that folate level and the MTHFR polymorphism interacted to affect birth-weight of infants (p=0.05). Among those mothers carrying MTHFR CC, those with folate deficiency showed a 543 g reduction in infant birthweight compared with those with normal folate levels. However, infant birthweight was no different for mothers, those who with folate deficiency compared to those with normal range of folate among mothers carrying the MTHFR CT or TT genotypes. This study suggests an interaction between maternal serum folate and the MTHFR polymorphisms of the mother on the risk of delivering reduced birthweight offspring. Folate supplementation of folate deficient pregnant women with the MTHFR wild type is suggested to reduce the risk of low birthweight.