Background: Nasal bone fractures are the most common type of facial bone fracture, but are under-studied in adults above 65 years of age. Therefore, we investigated the epidemiology and patterns of nasal bone fractures among older adults in comparison to different age groups. Methods: This retrospective study included 2,321 nasal bone fracture patients who underwent surgery at our hospital from January 2010 to December 2017. The patients were classified by age as preschoolers, school-age children, young and middle-aged adults, and the elderly. We performed pairwise comparisons between elderly patients and each other age group in terms of sex, cause of injury, and fracture type. Results: The 2,321 nasal bone fracture patients included 76 elderly patients (50 men [65.8%] and 26 women [34.2%]). In these patients, the two most common injury causes were falling or slipping down (n= 39; 51.3%) and road traffic accidents (n= 19; 25.0%). According to the Stranc and Robertson classification, the most common force vector was lateral, and plane 2 fractures with lateral forces predominated. Conclusion: The elderly showed similar patterns of nasal bone fractures to those observed in young and middle-aged adults, but significant differences from preschoolers (in the injury vector and plane of fracture) and from school-age children (in the sex ratio and plane of fracture). However, elderly patients presented significantly different epidemiological characteristics compared to the other three groups. Therefore, it is necessary to improve the quality of life of the elderly and prepare for the upcoming super-aged society by taking steps to reduce the incidence and severity of fractures. Possible options for doing so include strengthening individual-level safety factors and expanding the social safety net for the elderly.
Journal of the Korea Academia-Industrial cooperation Society
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v.13
no.8
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pp.3561-3569
/
2012
This study investigated the effect of mulberry fruit extract(MFE) on antioxidant and anti-inflammatory activities of middle aged women with rheumatoid factor (RF). Thirty two middle-aged subjects were divided into two groups which were normal middle-aged group (NMG) and abnormal middle-aged group whose serum RF level were > 10 u/mL (AMG). All groups had consumed MFE (100 mL/day) for 4 weeks. Anthropometric measurements, serum inflammatory factors, serum oxidative stress markers analyses were performed at baseline and then at 4 weeks following the study. There were no significant differences in anthropometric measurements, including BMI, WHR and body fat composition between two groups. But after 4 weeks MFE consumption, serum levels of C-reactive protein (CRP), ferric-reducing ability of plasma (FRAP), serum TNF-${\alpha}$, IL-2, IL-4 had significantly decreased (p<0.05) in AMG. These findings suggested that the MFE consumption as food may be protective against oxidation and inflammation like RA.
Urinary incontinence is defined as the involuntary and inappropriate loss of urine to failure to emit normal responses as the bladder fills, or inability to reach the bathroom in sufficient time. This study was undertaken to estimate the incidence of urinary incontinence and to determine the correlates of urinary incontinence among women. Subjects of this survey consisted of 408 women, 26 to 83 years old in Incheon. The results of this study are as follows. 1. Of the subjects 50.7% reported urine loss once or twice per year and 28.5% reported incontinence on a regular basis at least once per month. 2. 40.5% of women reported small volume accidents of only 1 to 2 drops, 31.4% ; 1 t-spoon, 16.9% : 1 T-spoon, while 10.1% of women couldn't estimate the volume of urine loss. 3. The volume of urine loss was great enough to require a change of garment (undergarments or outer garments) in 73%. But only 3.8% of those used some type of pads. 4. 56.5% of incontinent women didn't talk about their urinary incontinence with other persons because they felt that urinary incontinence was shameful(38.4%), was not a disease(31.6%), was incurable in spite of treatment(27.4%) and was fearful of being uncured (2.6%). 5. Only 15.5% of urinary incontinent women had sought treatment. 6. The incidence of urinary incontinence was significantly higher in women who had more pariety and uterine-ovarian disease, older age, worrying about where toilets were when they visited new places or voiding anxiety, nocturia and frequency, but was significantly lower in women who had coffee intake. The incidence of urinary incontinence was not related to smoking and enuresis. The results indicate that urinary incontinence is common among young and middle-aged women. That few seek treatment for urinary incontinence suggests a need for more information about women's attitudes toward urinary incontinence and more attention to this problem by health care providers.
It is a general trend in the world that female workers are drastically increasing due to the facts that highly developed capitalism requires women's job, women are inspired to work, housewives can shorten their working hours for house-keeping and save their energy from their routine works, educational expenses of their children become larger, large among of modities has stimulated purchasing desire. Since the International Treaty on Prohibition of Female's Night Labor was agreed at the Bern's Conference in 1906, the International Labor Organization (I.L.O.) established after the World War II, has adopted innumerable international labor treaties. According to the laws of the advanced countries, the first priority of their protection has been placed on juvenile and female workers. The legal protection of female workers and equal treatments such as wage and promotion between men and women have become important world problems. In this thesis, the great principle of the Labor Standard Law, protection regarding working house, risk and harm in performance of jobs, protection of mother-workers, protection of women workers in advanced countries and the present status of welfare facilities for women workers in our country will be studied. The most important points this thesis has placed stress and appealed, are as follows : 1. The scope and variety of women workers' jobs should be broadened. 2. Opportunity for promotion should be guaranteed for women workers based upon the ability and capacity of individual woman worker. 3. Equal wage principle between men and women workers, should be established based upon the idea that men and women should be equal. 4. The age limit or marriage limit of employment applied only to female workers, should be abrogated. 5. The ability of middle and old aged women workers should be developed and utilized to the maximum extent. 6. Welfare facilities for women workers, should be urgently secured and guaranteed.
Background: Cervical cancer is the second commonest female cancer worldwide. The 50-55 cases of cervical cancer are reported annually in the UAE. There is a scarcity of data from Middle Eastern region regarding knowledge and attitude of women towards HPV infection, cervical cancer prevention and HPV vaccine. The aim of our study was to assess the knowledge of women regarding HPV infection and vaccine in UAE. Materials and Methods: A cross-sectional survey of 640 women aged 18-50 years was conducted in Al-Ain district in UAE using convenience sampling. Women with previous diagnosis of cervical cancer, non-residents of UAE, younger than 18 or older than 50 years of age and those unable to speak Arabic or English were excluded from the study. Logistic regression analysis was performed to assess the association of HPV knowledge with independent factors like age, education etc. Results: Only 29% of our sampled women have ever heard of HPV infection. Only 15.3% women recognized it as STI. Only about 22% women have also heard of the HPV vaccine. Three quarter of the women in our study thought that cervical cancer can be prevented. About 28% recognized vaccine as a preventive measure against cervical cancer. Age (AOR 1.049, 95%CI 1.02-1.08) and husband's level of education were found to be significant (p value 0.015) after adjusting for women's age. Conclusions: The knowledge of HPV infection and vaccine is low in the UAE. Few women recognized HPV as sexually transmitted infection. Increasing age and husband's education are associated with better knowledge of HPV infection.
Purpose: This study was conducted to investigate the prevalence and related factors of metabolic syndrome in postmenopausal adult women in South Korea. Methods: Data of 678 postmenopausal adult women aged 19 to 64 were collected from the Eighth Korea National Health and Nutrition Examination Survey in 2021 and analyzed by a complex sampling design using SPSS 20.1. Results: The prevalence of metabolic syndrome in postmenopausal adult women was 25.8%. The prevalence was 1.93 times (confidence interval [CI]=1.15~3.25, p=.014) higher for high school graduates, 2.55 times (CI=1.33~4.91, p=.005) higher for middle school graduates, and 2.90 times (CI=1.36~6.15, p=.006) higher for elementary school graduates, compared to college graduates. It was found that artificial menopausal women had 2.74 times (CI=1.18~6.38, p=.020) higher prevalence than natural menopausal women. In addition, women who perceived their health as bad were 1.90 times (CI=1.14~3.16, p=.014) higher than women who perceived their health as good, and women who did not muscle exercise more than twice a week had 1.87 times (CI=1.05~3.34, p=.034) higher prevalence than women who did muscle exercise. Conclusion: Therefore, in order to effectively prevent and manage metabolic syndrome in postmenopausal adult women, a focus must be placed on vulnerable groups to manage these factors.
This study attempted to identify the effect of senescent sexual attitude and desire of 352 aged people living in institutions on coping behavior. The main findings of this study are summarized as follows: Firstly, the negative sexual attitude was higher than the positive one of the aged people, the subjects of this study, and their sexual desire and coping behavior showed a low level, falling short of the median. Secondly, as for the positive sexual attitude of aged people in the institution, the point of sexual attitude of those under age 65 appeared high. As for the negative attitude, the point was higher among those over 89 in age, that of the group who graduated from elementary and middle schools was also high, showing a U-turn curve in the order of those with an academic background of high school and above and those with no academic background. Thirdly, as for sex drive, the point of sexual attitude of those under age 65 appeared high in cases where persons engaged in the institution look at the relationship between aged men and women as good and in cases where aged people in the institution see the relationship among their fellow aged people as good. As for the desire for sexual relationship, the lower their ages were, their points were higher; and in terms of academic background, the highest were those with none, followed by those who graduated from high school and above and by those who did from elementary and middle schools, showing a U-turn curve. Fourthly, as for the problem-focused coping behavior of aged people in the institution with respect to coping behavior toward the sex, the lower their ages were lower, the higher their points were, and the points were also high in cases where persons engaged in the institution look at the relationship between aged men and women as good and in cases where aged people in the institution see the relationship among their fellow aged people as good. As for the problem-evading coping measure, the points for men at age between 66 and 75 appeared high in cases where persons. Fifthly, the higher the positive sexual attitude of aged people in the institution was, the lower their negative sexual attitude was while the higher the sex drive and the desire for sexual relationship were; and they were shown to do problem-focused coping behavior and problem-evading coping behavior well. Sixthly, the more positive their sexual attitude was, the higher the sex drive and the desire for sexual relationship were, the better they were shown to do problem-focused coping behavior
Wirawan, Gede Benny Setia;Gustina, Ni Luh Zallila;Pramana, Putu Harrista Indra;Astiti, Made Yuliantari Dwi;Jonathan, Jovvita;Melinda, Fitriana;Wijaya, Teo
Journal of Preventive Medicine and Public Health
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v.55
no.2
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pp.193-204
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2022
Objectives: The primary objective of this study was to examine the effect of women's empowerment on the immunization of Indonesian children. The secondary objective was to examine the effect of wealth as a factor modifying this association. Methods: We utilized data from the 2017 Indonesian Demographic and Health Survey (IDHS). The subjects were married women with children aged 12-23 months (n=3532). Complete immunization was defined using the 2017 IDHS definition. Multiple components of women's empowerment were measured: enabling resources, decision-making involvement, and attitude toward intimate partner violence. The primary analysis was conducted using binomial logistic regression. Model 1 represented only the indicators of women's empowerment and model 2 controlled for socio-demographic variables. Subgroup analyses were conducted for each wealth group. Results: The primary analysis using model 1 identified several empowerment indicators that facilitated complete immunization. The analysis using model 2 found that maternal education and involvement in decision-making processes facilitated complete immunization in children. Subgroup analyses identified that wealth had a modifying effect. The indicators of women's empowerment were strong determinants of complete immunization in lower wealth quintiles but insignificant in middle-income and higher-income quintiles. Conclusions: To our knowledge, this study is the first to explore women's empowerment as a determinant of child immunization in Indonesia. The results indicate that women's empowerment must be considered in Indonesia's child immunization program. Women's empowerment was not found to be a determinant in higher wealth quintiles, which led us to rethink the conceptual framework of the effect of women's empowerment on health outcomes.
Background: Development of effective educational strategies should accompany increases in public awareness and the availability of genetic testing for breast cancer (BC). These educational strategies should be designed to fulfill the knowledge gap while considering factors that influence women's interest in order to facilitate decision making. Objective: To determine the possible correlates of Saudi women's interest in BC genes testing including socio-demographics, the level of awareness towards BC genes, the family history of BC and the perceived personal risk among adult Saudi women in Al Hassa, Saudi Arabia. Subjects and methods: This cross-sectional study was carried out during the second BC community-based campaign in Al Hassa, Saudi Arabia. All Saudi women aged ${\geq}18$ years (n=781) attending the educational components of the campaign were invited to a personal interview. Data collection included gathering information about sociodemographics, family history of BC, the perceived personal risk for BC, awareness and attitude towards BC genes and the women's interest in BC genes testing. Results: Of the included women (n=599), 19.5% perceived higher risk for BC development, significantly more among < 40 years of age, and with positive family history of BC before 50 years of age. The participants demonstrated a poor level of awareness regarding the inheritance, risk, and availability of BC genetic testing. The median summated knowledge score was 1.0 (out of 7 points) with a knowledge deficit of 87.8%. The level of knowledge showed significant decline with age (> 40 years). Of the included women 54.7% expressed an interest in BC genetic testing for assessing their BC risk. Multivariate regression model showed that being middle aged (Odds Ratio 'OR'=1.88, confidence intervals 'C.I'=1.14-3.11), with higher knowledge level (OR=1.67, C.I=1.08-2.57) and perceiving higher risk for BC (OR=2.11, C.I=1.61-2.76) were the significant positive correlates for Saudi women interest in BC genetic testing. Conclusion: Saudi women express high interest in genetic testing for BC risk despite their poor awareness. This great interest may reflect the presence of inappropriate information regarding BC genetic testing and its role in risk analysis.
Purpose: Individuals suspected Middle East Respiratory Syndrome (MERS) are continuously surfacing in Korea. study the Korean public's knowledge, attitude, and preventive behaviors related to MERS as well as the factors that affect preventive behaviors for MERS. Methods: The study used a descriptive research design, and included 196 men and women aged 20 to 65 years. Data were collected through Internet surveys and self-reported questionnaires from December 1 to 30, 2017. Results: Among the participants, 88.7 percent knew cough etiquette, 84.7 percent had education about cough etiquette, and 52.6 percent had received education on MERS. The average scores for knowledge of MERS was $73.60{\pm}18.78$; attitude of MERS, $2.22{\pm}0.92$; and preventive behaviors for MERS, $62.43{\pm}16.11$. egression analysis showed that higher knowledge of MERS (${\beta}=.34$, p<.001) and higher attitude of MERS (${\beta}=.05$, p=<.001) resulted in increased preventive behaviors, people with MERS education increased preventive behaviors (${\beta}=.21$, p=.003). Conclusion: the awareness and knowledge of MERS for promoting related preventive behaviors. Therefore, education content that considers the characteristics of the target population should be organized and expanded multiple channels.
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