• Title/Summary/Keyword: middle-aged

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Hookworm Infection Caused Acute Intestinal Bleeding Diagnosed by Capsule: A Case Report and Literature Review

  • Tan, Xia;Cheng, Meichu;Zhang, Jie;Chen, Guochun;Liu, Di;Liu, Yexin;Liu, Hong
    • Parasites, Hosts and Diseases
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    • v.55 no.4
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    • pp.417-420
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    • 2017
  • Hookworm infections are rare causes of acute gastrointestinal bleeding. We report a middle aged man with primary nephrotic syndrome and pulmonary embolism. During the treatment with steroids and anticoagulants, the patient presented acute massive hemorrhage of the gastrointestinal tract. The results of gastroscopy showed red worms in the duodenum. Colonoscopy and CT angiogram of abdomen were unremarkable. Capsule endoscopy revealed fresh blood and multiple hookworms in the jejunum and ileum. Hookworms caused the acute intestinal bleeding. The patient responded well to albendazole. Hematochezia was markedly ameliorated after eliminating the parasites. Hence, hookworm infection should be considered in the differential diagnosis of a patient with obscure gastrointestinal bleeding. Capsule endoscopy may offer a better means of diagnosis for intestinal hookworm infections.

The Prediction of Industrial Accident Rate in Korea: A Time Series Analysis (시계열분석을 통한 산업재해율 예측)

  • Choi, Eunsuk;Jeon, Gyeong-Suk;Lee, Won Kee;Kim, Young Sun
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.1
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    • pp.65-74
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    • 2016
  • Purpose: The purpose of this study is to predict industrial accident rate using time series analysis. Methods: The rates of industrial accident and occupational injury death were analyzed using industrial accident statistics analysis system of the Korea Occupational Safety and Health Agency from 2001 to 2014. Time series analysis was done using the most recent data, such as raw materials of Economically Active Population Survey, Economic Statistics System of the Bank of Korea, and e-National indicators. The best-fit model with time series analysis to predict occupational injury was developed by identifying predictors when the value of Akaike Information Criteria was the lowest point. Variables into the model were selected through a series of expertises' consultations and literature review, which consisted of socioeconomic structure, labor force structure, working conditions, and occupational accidents. Results: Indexes at the meso- and macro-levels predicting well occurrence of occupational accidents and occupational injury death were labor force participation rate for ages 45-49 and budget for small scaled workplace support. The rates of industrial accident and occupational injury death are expected to decline. Conclusion: For reducing industrial accident continuously, we call for safe employment policy of economically active middle aged adults and support for improving safety work environment of small sized workplace.

A CEPHALOMETRIC STUDY ON SUB-GROUPINGS IN KOREAN CHILDREN WITH CLASS I MALOCCLUSIONS : A COUNTERPART ANALYSIS (Angle 1급 부정교합 아동의 안면두개골 형태의 유형적 특징에 관한 연구)

  • Lee, Jeong-Ok;Choi, Yeong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.172-184
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    • 1999
  • The present study was performed to identify morphologic sub-groupings in Korean children with Class I malocclusions, and to find out anatomic differences between the sub-groups. Standardized lateral cephalometric radiographs of 152 Korean children, aged between 6 and 12 years, with Class I malocclusions were analyzed by the Counterpart Analysis. A statistical method, Ward's Minimum Variance Cluster Analysis, was employed to divide the sample into sub-groups those with similar morphologic characteristics. The results were as follows; 1. There appeared two facial types, Type I and Type II, in Korean children with Class I malocclusions, 48.7% and 51.3%, respectively. 2. In both sub-groups, there existed strong Class III skeletal patterns due to a counterclockwise rotation of the Middle Cranial Fossa alignment, and strong Class II skeletal patterns due to the long Posterior Maxillary vertical dimension and a clockwise rotation of the Ramus alignment. 3. There were no significant differences in Upper Anterior Facial Height between Type I and Type II, $52.6{\pm}2.92mm\;and\;52.8{\pm}3.23mm$, respectively. 4. The Lower Anterior Facial Height in Type II was longer ($66.0{\pm}4.03mm$) due to the long Posterior Maxillary vertical dimension, the clockwise rotation of the Ramus alignment, and a clockwise rotation of the Mandibular plane alignment than that of Type I ($64.2{\pm}4.15mm$).

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Comparison in Care Burden, Fatigue, and Life Contentment of Caregivers by Gender Relationship with Demented Elders (치매노인과 주부양자의 성별 관계에 따른 주부양자의 부양부담감, 피로 및 생활만족도 비교)

  • Lee, Young-Whee;Cho, In-Sook;Kim, Hwa-Soon
    • Women's Health Nursing
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    • v.15 no.3
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    • pp.196-204
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    • 2009
  • Purpose: This study was done in order to examine the differences in gender respect to care burden, fatigue, and life contentment of family caregivers of elderly with dementia. Methods: The setting of the study was a community-based dementia care center providing daycare services. One hundred ninety four caregivers were recruited for the survey. A structured questionnaire was used which included demographic information, care burden, fatigue, and general contentment scales. Caregivers were classified into 4 groups by gender relationship with care recipients. Results: The majority of the caregivers were middle-aged and elderly. More than twice as many were female rather than male caregivers. The results showed that women caregivers expressed more fatigue than men overall (p < .05). In the gender relationships, a different combination of man-woman appeared to have more burdens than that of a woman-woman group (p < .05). For fatigue, the man caregiver-woman elderly group showed a higher fatigue score than a woman-man group (p < .05). However, there was no significant difference in life contentment among groups. Conclusion: These results suggest that caregiver's gender and gender relationship with elders could be considerable factors when the nurses make a plan in the community for dementia nursing management services.

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A Verification Study on the Strengthening of Recognition of Native Cuisine - with respect to Hadong-Gun Area, Kyungsangnam-Do - (향토음식 인지도에 관한 실증적 연구 - 경남 하동군 지역을 중심으로 -)

  • Lee, Yeon-Jung;Park, Sung-Su;Choi, Soo-Keun
    • Journal of the Korean Society of Food Culture
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    • v.19 no.3
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    • pp.285-294
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    • 2004
  • Rather than focusing on the general recognition of the area and extensive preference about its native cuisine, this study carried out more practical examination on the recognition of the native cuisine by presenting the more detailed introduction of the native cuisine in Hadong area. The findings of this study can be used as basic materials to devise measures for the instillation and advertisement of Hadong area's image, the development and maintenance of its native cuisine benefiting the activation of the local economy, and the reestablishment of Hadong area's native cuisine culture. First, the overall recognition of Hadong area's native cuisine was low and more consumption needs to be boosted by merchandising its foods through the strengthening of recognition. Second, correlation between this area's native cuisine was revealed and tables need to be set and menus need to be organized with this correlation in mind. Basic materials for suggestion sale were garnered. Third, given that most outside tourists visit Hadong by word mouth of all the information sources available, it is highly likely that positive word of mouth through satisfaction with native cuisine will raise the overall recognition of the area. Fourth, precise subdivision market and target market need to be specified. Though the factors like economic costs and the time required cannot be overlooked in strengthening recognition, consistent advertisement to the middle-aged people who are over 40 and live in Kyungsang-Do area will contribute to the fast rise in the recognition of Hadong area's native cuisine, leading to the possibility of economic development in the process.

The Relationship of Caregiving Appraisal and Family Function among Senile Dementia Patients' Families using In-home Services for the Long-Term Care Insurance (노인장기요양보험 재가보호서비스를 이용하는 노인성 치매환자 가족의 돌봄평가와 가족기능과의 관계)

  • Lee, Jungeun;Ko, Il Sun
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.319-330
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    • 2018
  • The aim of this study was to identify the relationship of caregiving appraisal and family function among senile dementia patients' families using in-home services for the Long-Term Care Insurance(LTCI). The participants were 121 family caregivers of senile dementia patients using in-home services for the LTCI. The participants' mean age was $53.80{\pm}10.86years$, all middle-aged women(75.2%). When negative cognition's burden and neutral one's demand in their caregiving appraisal were low and positive cognition's satisfaction and mastery in their caregiving appraisal were high, emotional function in their family function was high. There is a need to develop nursing interventions for strengthening positive cognition's satisfaction and decreasing neutral one's demand in their caregiving appraisal to improve emotional function and communication of senile dementia patients' families.

Comparative Study of Inhabitants' Life Satisfaction in Senior Cohousing Communities between Sweden and Denmark (스웨덴과 덴마크 노인용 코하우징 주민의 생활만족도 비교)

  • Choi, Jung-Shin
    • Journal of the Korean housing association
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    • v.16 no.6
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    • pp.149-160
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    • 2005
  • There is an increasing curiosity in Nordic as well as Far East Asian countries about senior cohousing, where the middle-aged and elderly people, 55+. form a community for independent living. What are the ideas behind senior cohousins? Why are people moving to senior cohousing community? What may senior cohousing provide and mean for individuals and groups of the elderly? Is senior cohousing a sustainable idea for future generations of elderly people? There is a curiosity among elderly people looking for interesting alternatives. Municipalities and state authorities hope that senior cohousing can contribute to the welfare of the elderly as the scope far support by the public sector is decreasing. Actors in the building sector are interested In investment and meeting the demands. In Denmark and Sweden the senior cohousing concept had a revival around 1985. In Denmark there has been a vivid discussion and plenty of books have been published. In Sweden there are few evaluations but an increasing interest. From different points of view, Danish, Swedish and Nordic as well as Far East Asian countries, there is a concern to explore and compare to get more facts and deeper understanding far further actions. This is a comparative study of inhabitants' life satisfaction in cohousing communities in Denmark and Sweden. The study is based on discussions with cohousing providers, study-visits in cohousing communities and a questionnaire to residents themselves. Study-visits took place during springtime and the questionnaires were handled spring and summer of 2002. 655 seniors responded to the questionnaire from 14 seniorbofae llesskaber (rented or housing cooperatives) in Denmark, 11 seniorhus within the SABO sector (municipality owned housing with rental apartments) and 8 housing cooperatives initiated by the Seniorgarden Housing Company in Sweden. Data were analyzed by SPSS program, using frequency, percentage, cross-tab and chi-square test. This paper focused three major areas of interest; 1)characteristics of the inhabitants. 2) participation in common activities and mutual cooperation among residents and 3) evaluative outcomes from the inhabitants' points of view. Mainly the inhabitants expressed quite positive experiences of their living environment and everyday lift and a few difference was found in life satisfaction between Denmark and Sweden.

Three Cases of Cough Syncope in Lung Cancer Patients (폐암환자에게 발생한 기침실신 3예)

  • Kim, Ka-Young;Cha, Seon-Ah;Kim, Young-Woon;Yu, Hyo-Kyeong;Lim, Ye-Jee;You, Si-Young;Kim, Sung-Kyoung;Kim, Chi-Hong;Kim, Hoon-Kyo
    • Tuberculosis and Respiratory Diseases
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    • v.72 no.2
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    • pp.236-241
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    • 2012
  • Cough syncope is characterized by the loss of consciousness occurring after vigorous coughings. There are approximately 90 reported cases of cough syncope within the medical literature. Most cases involving middle aged, overweight and chronic bronchitic male smokers. Although many studies have been published in the medical literature, the mechanism and pathophysiology for cough syncope has not been well established. Cough syncope is treated by correcting the underlying cause when identified, or by avoiding conditions that may cause the cough syncope. In addition, cough suppression modalities can also be used. We herein report 3 cases of cough syncope presenting in lung cancer patients.

A Study on the Patient's Right to Know - Focused on Level of Knowledge, Demand, Evaluation and Practice - (의료소비자의 알 권리에 대한 연구* - 지식, 요구, 평가 및 실행 수준을 중심으로 -)

  • 백혜란;이기춘
    • Journal of Families and Better Life
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    • v.21 no.1
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    • pp.73-89
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    • 2003
  • The goal of this study was to estimate the knowledge on the patient about treating and attitude about their right to know and how they practice. That is the study seek to find how much they claim about their right to know and how they evaluate it. Additionally describe how much the patient carry on their right to know and find out that of each level's associations. This main Purpose of the study was to increase patient's right to know during in medical services. Socio-demographic variables, personal service variables and other used variables which levels of consumers knowledge, demand, evaluation and about right to know on practice level were analyzed statistically. For this purpose, the subjects of this study were consumers who had experienced medical services. The survey was conducted on 551 Korean aged in off-line by self-administered questionnaires. Final analyzed sample sizes are 551. The regression, ANOVA, t-test and other descriptive analyses were used. The obtained results were as When the consumers were estimated the level of Knowledge, the degree of respondent's level was middle state. The level of demand showed low tendency but their practice level was relatively high. On the other hand, consumer's demand for the patient's right to know was very high. The level of knowledge, demand, evaluation have affected positively to the level of consumers practices. Based on empirical research, the statistics of consumers' knowledge level was significant to other variables and effecting highly. It was recommended consumer education should be provided effectively to increase protecting their right.

Upper Body Shape Classification and the Characteristics of Obese Women (성인 비만 여성의 상반신 체형 분류 및 유형별 특성 분석)

  • Yoon, Hye-Jun;Choi, Hyun-Sook
    • Journal of the Korean Society of Clothing and Textiles
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    • v.33 no.8
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    • pp.1262-1272
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    • 2009
  • The study is classifies the figures of obese women aged 20-50 with an over 25 BMI from the data of the fifth Size Korea in 2005. As the result of conducting the factor analysis for segmenting the shape, Factor 1, Factor 2, Factor 3, and Factor 4 are respectively derived as the factor on a volume, the factor on the size of the vertical direction, the factor on the shoulder region, and the factor on the body length balance. As the result of conducting the cluster analysis using 4 factors (scores extracted from the analysis of factor analysis) the body type of obese women was classified into four types. The name of shape was specified by combining 'P' (an abbreviation of petite) that indicated the height (smaller than 155cm) among the height names of KS standard, 'R' (abbreviation of regular) that indicated the height (155cm-165cm) and the body characteristics. Type 1 had the longest length, and normal circumference, thickness, and width but with the developed shoulder. Type 1 was classified as a robust, 'Plus-RH'. Type 2 had the middle height, the shortest length of the upper part, a relatively-long length of the lower part of body. Type 2 shows the characteristics of a small body that was classified as 'Plus-PI'. The most obese body was Type 3 that had the normal length and shoulder size but showed the longest length of the upper part of the body; it was classified as 'Plus-PO'. Type 4 as the small shape had a potbelly and showed the characteristics of the shortest body classified as 'Plus-Pb'.