• Title/Summary/Keyword: age reduction

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Successful Conversion Arterial Switch Operation after Palliative Senning Operation (고식적 심방 전환술 후 시행한 전환 대혈관 치환술)

  • Kim Joon Bum;Park Jeong-Jun;Chung Sung Ho;Park In Sook;Seo Dong Man
    • Journal of Chest Surgery
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    • v.39 no.2 s.259
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    • pp.140-144
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    • 2006
  • Six year-old female having TGA, VSD with severe PHT which was considered inoperable for anatomical correction, received palliative Senning procedure. During follow-up, she was given prostacyclin and at the age of 21, she received Senning takedown, arterial switch and VSD closure after a reevaluation of the hemodynamic status. Significant reduction in PHT was found and she is doing well without complication 3 months after the operation.

The Effect Factors on Stress in Middle-Aged Women (중년여성의 스트레스에 미치는 영향요인)

  • Park, Hyesun;Ma, Ryewon;Lim, Sunyoung
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.241-251
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    • 2019
  • Purpose : The purpose of this study was to investigate the depression, self-efficacy, and stress level of middle-aged women and to identify the factors affecting on stress, and to provide base line data for the development of nursing intervention for stress reduction of middle-aged women. Methods : Participants were 200 middle-aged women aged 40 to 60 who live in Seoul and Gyeonggi Province. Data collection period was from March 1, 2019 to April 15. In this study, the questionnaire of life events-stress, depression scale, self-efficacy was used. Data were analyzed by average, standard deviation, minimum, maximum, correlation and regression using the SPSS Program 21.0. Results : The results of this study, the correlation between depression, self-efficacy and stress in middle-aged women, depression and self-efficacy (r=-.264, p<.001), self-efficacy and stress (r=-.279, p<.001) had a significant negative correlation, depression and stress (r=.268, p<.001) had a significant positive correlation. Depression and self-efficacy were the factors affecting the stress of middle-aged women. Depression was β =.207 (p<.001) and self-efficacy β =-.222 (p=.003). Depression had the greatest influence on stress, followed by self-efficacy. Conclusion : Middle-aged women are an important time to prepare for a successful old age. Considering that the current middle-aged women are the subjects of the future aging society, their physical, psychological, and social problems are very important in preventing the elderly problems of the aging society. Therefore, effective nursing interventions should be developed that to reduce the depression and stress in middle-aged women and to improve self-efficacy and improve the quality of life of middle-aged women.

The Effects of 3-Dimensional Lumbar Stabilization Exercise have an effect on the improvement of pain and static or dynamic balance ability in 20's age group with Low Back Pain (3차원 요부안정화 운동이 20대 요통환자의 통증과 동적 및 정적 균형능력 향상에 미치는 효과)

  • Kim, Gyu-Yong;Ahn, Chang-Sik;Kim, Seong-Su
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.2
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    • pp.235-246
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    • 2011
  • Purpose: The aim of this study is to compare and assess the effects of lumbar stabilization exercise on the balance ability of young college studets with low back pain after having performed spinal stabilization exercise by using 3-dimensional air-balance system and gym ball. Methods: The subjects of this study were 34 low back patients in their early twenties. They were divided into two groups: 3-dimensional lumbar stabilization exercise group(N=17) and gym ball lumbar stabilization exercise group(N=17). The period of the intervention was for five weeks. VAS(Visual Analogue Scale) for pain test, ODI(Oswestry Disability Index) for ADL limitation test, Tetrax system for static balance test, and Air-balance system 3D for dynamic balance test were used as evaluation tools for this study. Results: Pain showed significant decrease in both groups after having performed the experiment, but ADL limitation of the groups did not show any remarkable difference between before and after the experiment. Dynamic balance ability in the 8-directional angle comparison test significantly increased in all directions except for the backward, left-backward, and right-backward directions. As for dynamic balance ability in the 8-directional postural test, 3D exercise group showed statistically significant reduction in every direction while gym ball exercise group did not(p<.05). However, when it comes to static balance ability in the weight distribution and stability test, there was not significantly change between pre and post test in both groups. Conclusion: This study shows 3-dimensional lumbar stabilization exercise is more effective in the lumbar stabilization of coordinated movement than gym ball exercise, which may imply that 3D air-balance system can be used for the therapeutic treatment of body imbalance for patients with low back pain.

The Clinical Study on 39 Cases of Subclinical Hypothyroidism (전현성 갑상선 기능저하증의 임상적 고찰)

  • Yu, Cheol-Jae;Ahn, Weon-Jeon;Lee, Houn-Young;Ro, Heung-Kyu
    • The Korean Journal of Nuclear Medicine
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    • v.20 no.1
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    • pp.67-73
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    • 1986
  • Subclinical hypothyroidism can be defined as an asymptomatic state in which a reduction in thyroid activity has been compensated by an increased TSH output to maintain a euthyroid state. We analysed clinical features, laboratory data, and pathologic findings in 3g cases of subclinical hypothyroidism who were diagnosed at the Dept. of Internal Medicine, Chungnam National University Hospital from Aug. 1984 to June, 1985. 1) The age distribution was from sixteen to sixty-nine and mean a9e was 34.8. Peak incidence was in the 4th decade and 3rd, 5th, 6th decade in order. 2) The sex distribution showed female preponderance with a ratio of 18.5 to 1. 3) The major presenting manifestations were nonspecific ones such as fatigue, indigestion, and anorexia. 4) Physical examination revealed diffuse goiter in 47.6%. Major abnormalities were no gross abnormality (30.9%), nodular goiter and facial edema. 5) There was no significant difference of the basal serum $T_3\;and\;T_4$ concentrations between subclinical hypothyroidism and normal controls (p>0.05). 6) The basal serum TSH concentration of subclinical hypothyroidism $(32.61{\pm}14.95{\mu}U/ml)$ was significantly higher than that of normal controls $(3.92{\pm}1.05{\mu}U/ml)$ (p<0.005). 7) Microsomal antibody was detected in 80.6% and thyroglobulin antibody was detected in 30%. 8) The pathologic findings in 26 cases revealed Hashimoto's thyroiditis in 76.9% (lymphocytic type, 34.6%; oxyphilic type, 26.9%; fibrotic type, 15.4%). The others were adenomatous goiter(15.4%), adenomatous carcinoma (3.8%) and subacute thyroiditis(3.8%).

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Effects of Nutrition Education Promoting Vegetable, Fruit, and Fish Intake on the Severity of Atopic Dermatitis in Children: Results from a One-year Follow Up Study (채소와 과일, 생선 섭취 강조 영양중재교육이 아토피 피부염 영유아의 중증도 변화에 미치는 효과)

  • Lee, Heejin;Ahn, Kangmo;Han, Youngshin;Chung, Sang-Jin
    • Korean Journal of Community Nutrition
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    • v.18 no.5
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    • pp.515-524
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    • 2013
  • Atopic dermatitis (AD) is believed to be associated with the intake of antioxidant nutrients and fatty acids due to its immunological dysfunction. The purpose of this study was to examine the effects of nutrition education promoting vegetable, fruit, and fish intake on the severity of AD in children. Children with AD aged 6 months to 5 years were randomly assigned into education and control groups, and followed for 1 year. Seventy-six children completed the study (38 for control, 38 for education). The education group received education promoting the intakes of antioxidant-rich foods (vegetables, fruits) and n-3 fatty acid foods (fish). A 24-hour food recall was collected for the diet information. After education, all vegetables (p < 0.001), fruits (p < 0.01), and fish (p < 0.05) intakes per 1000 kcal increased significantly in the education group, whereas only vegetable intake increased in the control group (p < 0.001). The SCORAD index, the severity of atopic dermatitis, decreased significantly in the education group (p < 0.05). Increased consumption of dietary vitamin E was significantly associated with reduction in the SCORAD index, after adjusting for age and gender (p < 0.05). A nutritional education program to increase vegetable, fruit, and fish intake may be effective in reducing the severity of AD, and vitamin E intake may be associated with the decreased severity of AD. More controlled studies on the relationship between these intakes and severity of AD, with intensive diet and/or supplement intervention programs, are needed to obtain conclusive results.

Development of Compression Wear Tops for Men in Their Forties Based on Muscle Locations (인체 근육 위치에 기초한 40대 남성을 위한 컴프레션 웨어 상의 개발)

  • Lee, Junghwa;Jun, Jungil;Choi, Kuengmi
    • Journal of the Korean Society of Clothing and Textiles
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    • v.39 no.2
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    • pp.271-286
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    • 2015
  • This study presented functional designs for development of functional compression wear for men in their forties based on body muscles as well as designed 2D patterns using 3D standard body form data of men in their forties. Patterns with an optimal stretch rate were proposed through a comfort evaluation. Different material was used for different areas such as the sports ability strengthening areas including body parts that often move for sports (such as the shoulders, abdomen and lower arm), areas that require ventilation for perspiration (such as the chest and back center, and armpits), and stable form areas (such as the chest, waist and elbows). The front and back surface areas of the developed pattern was an average 102.4% size compared to the body surface area. The results indicated that the 90% reduction pattern showed changes in pressure value according to area of movement, had the best breathability when worn, and had the best, most comfortable fit compared to the other subjects. The clothing pressure values of the pattern were around 22.1-23.4mmHg for the arm area (which has a big movement range and has many muscles) and 10.4-11.8mmHg for chest and abdomen areas related to major organs and breathing, indicating appropriate clothing pressure. A compression wear top pattern with pressure appropriate to the target age range and excellent appropriateness for the body form will be developed for men in their forties. A study method will be proposed to develop design technology for ergonomic compression wear tops with excellent fit and comfort.

The Incidence of Venous Thromboembolism Following Shoulder Surgery: A Pilot Study

  • Cho, Chul-Hyun;Jang, Hyung-Gyu;Park, Ui-Jun;Kim, Hyoung Tae
    • Clinics in Shoulder and Elbow
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    • v.20 no.1
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    • pp.18-23
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    • 2017
  • Background: To assess the incidence of venous thromboembolism (VTE) following shoulder surgery and to evaluate the role of postoperative duplex ultrasonography. Methods: The study comprised a total of 224 patients who underwent shoulder surgery, including 180 shoulder arthroscopic surgeries, 28 shoulder arthroplasties, and 16 plate fixations for proximal humerus fracture between January 2014 and December 2014. The mean age of patients was 59.0 years, and there were 81 men and 143 women. Clinical data, including body mass index, blood tests, metabolic work-up for liver and renal function, previous, and present medical history, were evaluated. Duplex ultrasonography in the operative arm was performed on 2 to 4 days after surgery. Results: The overall incidence of VTE following shoulder surgery was 0.45% (1/224). One patient with open reduction and plate fixation for proximal humerus fracture had asymptomatic deep vein thrombosis that showed complete remission after anticoagulant medication during a 2-month period. Four patients had asymptomatic superficial cephalic vein thrombosis and complete remission without any treatment. There was no case of pulmonary embolism. Conclusions: The incidence of VTE following shoulder surgery was extremely low in Asians. Duplex ultrasonography may be not considered a routine follow-up of shoulder surgery and can be selectively performed in high-risk or symptomatic patients for VTE.

Vibration Characteristics of Corrugated Fiberboard Boxes for Packages of Pears (배 골판지 포장상자의 진동특성)

  • 김만수;정현모
    • Journal of Biosystems Engineering
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    • v.27 no.5
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    • pp.391-398
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    • 2002
  • During handling unitized products, they are subjected to a variety of environmental hazards. Shock and vibration hazards are generally considered the most damaging of the environmental hazards on a product and it may encounter while passing through the distribution environment. A major cause of shock damage to products is drops during manual handling. The increasing use of unitization of pallets has been resulted in a reduction of the shock hazards. This has caused an increasing interest in research focused on vibration caused dam age. Damage to the product by the vibration most often occurs when a product or a product component has a natural frequency that falls within the range of the forcing frequencies of the particular mode of transportation being used. Transportation vibration is also a major cause of fruit and vegetable quality loss due to mechanical damage. This study was conducted to determine the vibration characteristics of the corrugated fiberboard bones for packages of pears, and to investigate the degree of vibration injury of the pears in the boxes during the simulated transportation environment. The vibration tests were performed on an electrohydraulic vibration exciter. The input acceleration to exciter was fixed at 0.25 G for a single container resonance test and 0.5 G for the vertical stacked container over the frequency range from 3 to 100 Hz. Function generator (HP-33120A) was connected by wire to the vibration exciter for controlling the input acceleration at a continuous logarithmic sweep rate of 1.0 octave per min. The peak frequency and acceleration on the single box test were 22.02 Hz, 1.5425 G respectively, and these values on the vertical stacked boxes were observed from the bottom box 19.02, 18.14, 16.62 and 15.40 Hz and 2.2987, 3.7654. 5.6087, and 7.9582 G, respectively. The pear in the bottom box had a slightly higher damage level than the fruit packed in the other stacked boxes. It is desirable that the package and transportation system has to be so designed that 15∼20 Hz frequency will not occur during the transportation environment.

Effects of Malathion on the Ultrastructure and the Acetylcholinesterase Activity of the Developing Spinal Cord in Chick Embryos (Malathion이 발생중(發生中)인 개배(鷄胚) 척수(脊髓)의 미세구조(微細構造)와 acetylcholinesterase 활성(活性)에 미치는 영향(影響))

  • Kim, Wan-Jong;Deung, Young-Kun;Choe, Rim-Soon
    • Applied Microscopy
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    • v.18 no.1
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    • pp.60-76
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    • 1988
  • Chick embryos which have received a single injection of the organophosphate compound, malathion (0.1 mg/0.05 ml, 0.5 mg/0.05 ml, 1.0 mg/0.05 ml or 2.0 mg/0.05 ml) via the yolk sac at certain times (2 days, 4 days or 6 days after incubation) have been investigated. After 9 days of incubation, chick embryos were harvested to examine the effects of malathion on the ultrastructure and the acetylcholinesterase(AChE) activity of the developing spinal cord. The effects of simultaneous injection of malathion and nicotinamide were also compared. On ultrastructural findings, neurons in the ventral horn of spinal cord showed to be inhibited in their differentiation by malathion; nuclear irregularity, separation of nuclear membranes, reduction of ribosomal distribution, and cytoplasmic vacuoles were observed. In the younger embryos treated with relatively high doses of malathion, nucleus and cytoplasmic organelles of neurons were severely destroyed, and the neurons were shown to be necrotic. On cytochemical study of AChE by electron microscope, the positive reaction products of AChE were localized at the membranes of nucleus and endoplasmic reticulum of neurons. Inhibition of AChE activity was severe in groups treated with relatively low doses of malathion. Nicotinamide (5.0 mg/0.05 ml) alleviated malathion-induced morphological alterations. In conclusion, it is suggested that malathion changes the ultrastructure and reduces. AChE activity in differentiating neurons, and the severity of which is consistently dose- and age-dependent.

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The Development of a Life Planning Program for Retired Elderly People (은퇴자의 생활설계를 위한 교육 프로그램의 개발)

  • Choi Bo A;Chi Young Sook
    • Journal of Families and Better Life
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    • v.22 no.6 s.72
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    • pp.47-61
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    • 2004
  • The purpose of this study is to develop a life planning program for retired elderly people. This program is not a preparation program for elderly people prior to their retirement but a readjustment and re-planning their life after retirement. This program help retired elderly people to solve the life problem and set up a affirmative ones future image. Also this program pay regard to social, home backgrounds of this generation. The program consists of four session curriculums session 1 is entitled to &Make my future by oneself&, session 2 is &Enjoy healthy life as much as one can&, session 3 is &Have a heart for family& and session 4 is &Set up a mature old age&. A fled study has been conducted with ten retired elderly people who want to participated in the program voluntarily. 4 sessions each of which consists of 2 hours were performed at Korean Association of Retired Persons. Field test for program evaluation is designed to three steps: pre-test, post-test and one month follow-up test to measure the effectiveness of the program. According to evaluation results, the program shows a significantly positive effect on the improvement of elderly people's understanding about elderly life. At the one month follow-up assessment, the effect of program is still remained strongly even though there is a Partial slight increase or reduction which is not statistically significant. Most of the program participants have expressed high level of satisfaction with the program. For further study, we need various contents which are suited to larger group with diverse socio0-demographic backgrounds. At the same time, the program has diverse instruction methods which are pertinent to levels of participants. Also, the program needs to continuous adjustment to the next generation with their social, home backgrounds.