• Title/Summary/Keyword: middle aged

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A Clinical Analysis on Outpatients with Sudden Sensorineural Hearing Loss of Korean Medicine Ophthalmology, Otolaryngology & Dermatology Department at Daejeon Korean Medicine Hospital - From January, 2013 to December, 2021 - (대전한방병원 한방안이비인후피부과로 내원한 돌발성 난청 환자 특성 분석 - 2013년 1월부터 2021년 12월까지 -)

  • Choi, Yoon-Young;Byun, Jung-Ah;Baek, Jong-Chan;Hwang, Mi-Lee;Ahn, Jae-Hyun;Jung, Hyun-A
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.35 no.4
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    • pp.31-46
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    • 2022
  • Objectives : The purpose of this study is to analyze outpatients who visited for treatment for sudden sensorineural hearing loss in ophthalmology & otolaryngology & dermatology clinic of Daejeon Korean medical hospital from January 1st, 2013 to December 31th, 2021. Methods : We retrospectively analyzed outpatients who visited for treatment for sudden sensorineural hearing loss in ophthalmology & otolaryngology & dermatology clinic of Daejeon Korean medical hospital from January 1st, 2013 to December 31th, 2021. according to year, season, gender, age, clinical symptoms, number of visits and initial degree of hearing loss. The statistical analysis performed using IBM SPSS 25.0 for Windows. Results : The results of analyzing the medical records of 194 patients are as follows. 1. The number of patients showed a gradual increase from 2014 to 2021 and spring was highest in season. Acc ording to gender, women visited more than men and the age group that visited the most was middle-aged, including 40s and 50s. 2. Patients experienced 13 symptoms and the average number was 4.06. In the analysis of the major symptoms according to gender, hyperacusis and headache were found to be more common in female. 3. The average of initial hearing loss was 52.54dB and was higher in male. The loss was relatively higher in 60s or older than in the younger age group. Conclusions : If treatment and management methods that reflect these symptoms are developed, it is thought that it will greatly helpful to improve the quality of life of patients with sudden hearing loss.

Effect of Mobile App-Based Cognitive Training Program for Middle-aged Women (갱년기 중년여성을 위한 앱 기반 인지훈련 프로그램의 효과)

  • Kim, Ji-Hyun
    • Journal of the Korea Convergence Society
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    • v.12 no.11
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    • pp.457-466
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    • 2021
  • This study sought to identify the effectiveness of training programs by developing mobile app-based training programs to enhance memory, attention, and language function, which is known to be vulnerable to menopause women. It was conducted on 40 Climacteric woman between 40 to 60 years complaining about cognitive function decline. The mobile app-based cognitive training was an 8 week program. There were a total of 24 sessions and each session took 20-30 minutes, three times per week. The survey was carried out including a baseline study pre and post intervention study. The research variables were objective cognitive function (overall cognitive function, memory, attention, and language function), subjective cognitive function and quality of life. The cognitive training program showed a significant increase in overall cognitive function(t=-8.688, p<.001), memory(t=-4.765, p<.001), attention : number of correct answers(t=-7.293, p<.001), language high frequency response speed(Z=-2.179, p=.036), language low frequency response speed(Z=-2.737, p=.009) and quality of life (t=-3.358, p=.002). However, there was no significant difference in the scores for subjective cognitive function. The cognitive training program was found to be an effective intervention for improving the cognitive function of Climacteric women. It could be used as a cognitive intervention tool that is accessible at home without expert help.

A Study on Silver Town Space Design Based on Visual Experience (시각적 체험을 기반으로 실버타운 공간디자인에 관한 연구)

  • Yuan, Si-Zhou;Zhang, Hui
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.281-289
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    • 2022
  • As the aging of our society gradually deepens, the quality of the elderly care environment based on the elderly care model of the Silver Town space is gradually becoming the focus of everyone's attention. This study mainly studies and discusses the visual and behavioral characteristics of the elderly. In order to pay more attention to the special needs of the elderly in order to optimize the spatial environment, the design of visual experience design in the living environment of the elderly in Silver Town is designed. explore in depth Through this, the environment of the space is optimized so that the elderly can enjoy their old age in a comfortable environment. This study is based on visual psychology, environmental psychology, gerontology and other theories. Through the collection of related literature and field research on the elderly, the function and overall combination of the living environment of the elderly in Silver Town is studied, and the environment is organized. Based on the behavioral and visual needs of middle-aged and older people, a design method was proposed to strengthen the visual connection in space. In terms of visual experience, the lighting, colors, and materials of the environment are studied. Through a combination of theory and research and experiments, it is concluded that the elderly prefer plants with warm colors, high brightness colors, and geometric patterns. The design principle and design method of the visual experience in the Silver Town space are summarized.

Clinical features related to alcohol co-ingestion of deliberate self-poisoning patients visiting the emergency department (의도적 음독 후 응급실에 내원한 환자의 음주 여부와 관련된 임상 양상)

  • Gyu Won Kim;Woon Jeong Lee;Daehee Kim;June Young Lee;Sang Yun, Kim;Sikyoung Jeong;Sungyoup Hong;Seon Hee Woo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.20 no.2
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    • pp.58-65
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    • 2022
  • Purpose: Alcohol is one of the most commonly co-ingested agents in deliberate self-poisoning (DSP) cases presenting at the emergency department (ED). The increased impulsivity, aggressiveness, and disinhibition caused by alcohol ingestion may have different clinical features and outcomes in cases of DSP. This study investigates whether alcohol co-ingestion affects the clinical features and outcomes of DSP patients in the ED. Methods: This was a single-center retrospective study. We investigated DSP cases who visited our ED from January 2010 to December 2016. Patients were classified into two groups: with (ALC+) or without (ALC-) alcohol co-ingestion. The clinical features of DSP were compared by considering the co-ingestion of alcohol, and the factors related to discharge against medical advice (AMA) of DSP were analyzed. Results: A total of 689 patients were included in the study, with 272 (39.5%) in the ALC+ group. Majority of the ALC+ group patients were middle-aged males (45-54 years old) and arrived at the ED at night. The rate of discharge AMA from ED was significantly higher in the ALC+ group (130; 47.8%) compared to the ALC- group (p=0.001). No significant differences were obtained in the poisoning severity scores between the two groups (p=0.223). Multivariate analysis revealed that alcohol co-ingestion (odds ratio [OR]=1.42; 95% confidence interval [CI], 1.01-1.98), alert mental status (OR=1.65; 95% CI, 1.17-2.32), past psychiatric history (OR=0.04; 95% CI, 0.01-0.28), age >65 years (OR=0.42; 95% CI, 0.23-0.78), and time from event to ED arrival >6 hrs (OR=0.57; 95% CI, 0.37-0.88) were independent predictive factors of discharge AMA (p=0.043, p=0.004, p=0.001, p=0.006, and p=0.010, respectively). Conclusion: Our results determined a high association between alcohol co-ingestion and the outcome of discharge AMA in DSP patients. Emergency physicians should, therefore, be aware that DSP patients who have co-ingested alcohol may be uncooperative and at high risk of discharge AMA.

Factors Influencing the Quality of Life (EQ-5D) of Patients with Diabetes Mellitus: Study Based on Data from the Second Annual Korea Health Panel survey (2019) (당뇨병 환자의 삶의 질(EQ-5D)에 미치는 영향 요인 : 2019년도 제2기 한국 의료패널 조사를 중심으로)

  • So-Hyun Kim;Sung-Hyoun Cho
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.3
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    • pp.99-114
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    • 2023
  • Purpose : The purpose of this study was to determine factors that affect the quality of life (QoL) of people with diabetes. We hope to provide a basis for intervention strategies for health promotion and related research among patients with diabetes in the field of physical therapy. Methods : We selected individuals diagnosed with diabetes who were aged 19 years or higher by using data from the 2019 Korean Health Panel survey and analyzed the results of 1,527 people. The influencing factors were sex, age, household income, marital status, age, education level, subjective health status, body mass index (BMI), smoking, drinking, regular exercise, experience of depression and anxiety, suicidal thoughts, stress, and frequency of walking (days/week). Frequency analysis, descriptive statistics, independent sample t-test, one-way analysis of variance, and multiple regression analysis were performed. Results : The EQ-5D score for QoL was .87 ± .12, with pain and discomfort being the most detrimental to the QoL of people with diabetes. In terms of patients characteristics, the QoL was lower among participants who were female, older, and separated/widowed/divorced; had an education level below middle school; had a poor subjective health status; were non-smokers and drinkers; and did not walk and exercise regularly, experienced a lot of stress, and experienced depression and anxiety; and had suicidal thoughts (p<.001). Being separated/bereaved/divorced; experiencing a lot of stress, depression, and anxiety; and having suicidal thoughts were negatively associated with QoL in people with diabetes (p<.01). On the other hand, age of 65 years or younger; graduation from high school, fair or better subjective health, regular exercise and alcohol consumption, and walking (days/week) were positively associated with QoL (p<.05). Conclusion : Regarding the QoL of patients with diabetes, intervention strategies should be formulated by considering general characteristics and disease-related characteristics. Among the various factors affecting QoL, the number of walking and regular exercise were found to be the factors that improved the QoL of patients with diabetes. These results can be used as a basis for the education and management of patients with diabetes in the field of physical therapy.

A Study on the Satirical Content Plot of an Absurd Play - Focused on Lee Keun-sam's Play - (부조리극의 풍자적 콘텐츠 플롯 연구 - 이근삼 희곡 <원고지>를 중심으로 -)

  • Son, Dae-Hwan
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.73-82
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    • 2019
  • The satirical content of the absurd play, centered on Lee Keun-sam's play, represents the family image of a modern capitalist society where only duty is emphasized while the characters are lost in love with the family. They show humans becoming subordinate to economic logic as traditional relationships and family relationships change into material ones due to the rapid development of the economy. The narrator expresses the roles of the performer and the narrator together. It also presents the plot as a characteristic element of epic and absurd dramas, and directs actors as directors. It also foretells the events that will take place in the future, presents the inner consciousness of the characters in the play, and reduces and expands events and times. In terms of conflict, in order to fulfill the financial responsibility of their children, the professor translates them like a machine and the wife distributes the money they earn as they demand. The middle-aged professor and his wife are not willing to make a difference in the real world, so specific conflicts are not revealed. Therefore, no concrete conflict appears within this work. The plot of consisted of 22 epicentre compartments, consisting of a time frame from evening to the next morning. And no special events happen and show only one family's daily life. In addition, materials that show simple repetition of daily life such as newspapers, rice, birthdays, etc. are effectively showing the character of absurdity through repeated structure. The linguistic features of the absurd play focus on expressing anxiety, despair, fantasy and the sense of loss that the object's purpose has disappeared. The stage system avoids detailed portrayals of naturalist plays and creates a thoroughly simplified image that the theme of the play demands, which shows that the stage unit is also an important element that characterizes the absurdity of reflexes.

Using Photovoice A Study on the Perception of Death Readiness in Babyboomer Retirees (포토보이스를 활용한 베이비부머 은퇴자의 죽음준비 인식의 연구)

  • Chung, Ju-Young;Lee, Mi-Ran
    • Journal of Convergence for Information Technology
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    • v.12 no.3
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    • pp.171-177
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    • 2022
  • The retirement of the Korean baby boomer generation has become a major factor in an aging society as a large proportion of the population has moved from the middle-aged to the elderly. In addition, after being busy working at a structured workplace for over 30 years, after retirement, they could not adapt to the unstructured environment, causing depression and leading to social problems such as the risk of suicide. research was needed. This study uses photovoice to in-depth research on the research question of how retirees' perception of death preparation, who wants to live a life prepared until death, is used. This is the purpose of this study. The study participants were 7 baby boomer retirees, the data were collected for 2 months, and the perception derived as a result of analyzing the photos, explanations, and in-depth interviews taken by the subject analysis method was used to prepare It was a necessity for education. In the discussion of this study, it is urgent to develop a death preparation education program that can help the baby boomer retirees, and I would like to suggest that the cooperation of local organizations in charge of the program is necessary. This study is meaningful in that it presents basic data in preparing social welfare policy measures for the elderly after retirement through the awareness of death preparations of baby boomer retirees.

A study on the Correlation between Stress and Burnout Affecting Child Care Center Directors -Focusing on the Mediating Effect of turnover Intention- (어린이집 운영자에게 영향을 미치는 스트레스 및 소진과의 상관성 연구 -이직의도를 매개효과로 한-)

  • Min-Gi Jeong;On-You Jeong
    • Industry Promotion Research
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    • v.8 no.1
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    • pp.95-102
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    • 2023
  • This study identified the relationship between stress and burnout that affects turnover intention of daycare center operators in the process of childcare and operation, and analyzed the role of burnout in the correlation between stress and turnover factors in Child Care Center Directors. The research results are as follows. First, the higher the stress of the Child care center director, the higher the burnout. In particular, among the stresses, the director confirmed that the higher the stress on faculty management and administrative and financial management, the higher the burnout. Second, the higher the burnout of the director of the Child care center, the higher the turnover intention. Third, it was confirmed that the higher the stress of the Child care center director, the higher the turnover intention. Fourth, as a result of verifying the mediating effect presented in this study, it can be said that burnout has a mediating effect in the correlation between stress and turnover intention, and since the direct effect of stress on turnover intention is not significant, this mediating effect is completely mediating. can be said. In conclusion, it was confirmed that preventing job burnout is the most important issue for managing stress, which is the most important factor for turnover of Child care center Directors. Therefore, it can be said that stress and burnout have a significant correlation among job factors of childcare center directors.

Health-Related Quality of Life (EQ-5D) among Korean Adults with Metabolic Syndrome using Complex Samples Analysis (복합표본분석을 적용한 한국 대사증후군자들의 건강관련 삶의 질(EQ-5D))

  • Lim, Hyeon-Jeong;Kim, Eung-Joon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.357-365
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    • 2019
  • Purposes: This study aimed to investigate the differences in the health-related quality of life (EQ-5D) in Korean adults according to gender, age period, and the metabolic syndrome or not. Methods: The study subjects were 5,021 adults, who completed all of the KNHANES VI-2. The subjects were categorized, using life periods, into young, middle-aged, and older adults. Methods were selected based on the KNHANES VI-2. IBM SPSS 25.0 was used for a complex samples cross-tabulation, general linear model and a complex samples t-test. Results: The HRQoL (EQ-5D) was higher in male(p<.001), in the young group by age(p<.001), and in the non-metabolic syndrome group(p>.05). In condition of the metabolic syndrome by gender, the female group's EQ-5D was higher in the non-metabolic syndrome group; there was the result of the complex samples independent t-test revealed significant differences in EQ-5D(p<.01). Conclusion: The HRQoL (EQ-5D) was higher in male, young, and in the non-metabolic syndrome group. Also, in condition of metabolic syndrome in female, there was the result of the complex samples independent t-test revealed significant differences in EQ-5D.

A Study on the Method of Literacy Education that Increase Interest and Learning Effect of Elderly Learners - A Case Study of Literacy Education in Chungcheongbuk-do - (중고령층 문해학습자의 흥미 유발 및 학습 효과를 높이는 문해교육 방법)

  • Kim, Young-Ok
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.479-493
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    • 2019
  • The purpose of this study was to present a method of literacy education that would generate interest and enhance the effectiveness of literacy education from elderly literacy learners. For that end, the researcher interviewed and did participation observation with a total of 11 middle and old aged literacy teachers, operators, lifelong education teachers, and literacy students in North Chungcheong Province. According to the research, elderly literacy learners have a tendency to forget easily what they have learned and to learn properly through dictation, and have high level of competitive spirit, to make studying the top priority in their daily lives. Many playful activities for knowing meaning of writing, learning connected to real life, and dictating are effective in improving their memory and cognition. In addition, using familiar materials in everyday life, conducting role plays with comedies and poems in textbooks, utilizing large-picture fairytales, team-based games and activities, learning songs and instruments to play easily, performances and presentations on the stage, and field experiences in educational and cultural facilities can increase their interest and effectiveness in literacy. Several programmes such as presentations and joint events for sharing results, materials and materials costs, education and sharing of literacy skills for teachers at the school, annual operation of literacy education need to be supported to succeed literacy education in elderly learners. In conclusion, the research shows the need to increase literacy teachers' education, to use assistant teachers, to activate accreditation of literacy curriculum.