• Title/Summary/Keyword: middle-aged

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Korean Guidelines for Diagnosis and Management of Interstitial Lung Diseases: Part 3. Idiopathic Nonspecific Interstitial Pneumonia

  • Lee, Jongmin;Kim, Yong Hyun;Kang, Ji Young;Jegal, Yangjin;Park, So Young;Korean Interstitial Lung Diseases Study Group
    • Tuberculosis and Respiratory Diseases
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    • v.82 no.4
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    • pp.277-284
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    • 2019
  • Idiopathic nonspecific interstitial pneumonia (NSIP) is one of the varieties of idiopathic interstitial pneumonias. Diagnosis of idiopathic NSIP can be done via multidisciplinary approach in which the clinical, radiologic, and pathologic findings were discussed together and exclude other causes. Clinical manifestations include subacute or chronic dyspnea and cough that last an average of 6 months, most of which occur in non-smoking, middle-aged women. The common findings in thoracic high-resolution computed tomography in NSIP are bilateral reticular opacities, traction bronchiectasis, reduced volume of the lobes, and ground-glass opacity in the lower lungs. These lesions can involve diffuse bilateral lungs or subpleural area. Unlike usual interstitial pneumonia, honeycombing is sparse or absent. Pathology shows diffuse interstitial inflammation and fibrosis which are temporally homogeneous, namely NSIP pattern. Idiopathic NSIP is usually treated with steroid only or combination with immunosuppressive agents such as azathioprine, cyclophosphamide, cyclosporine, and mycophenolate mofetil. Prognosis of idiopathic NSIP is better than idiopathic pulmonary fibrosis. Many studies have reported a 5-year survival rate of more than 70%.

Suggestion of Yoga Wear Prototype Design for Women Over 50s Based on Market Survey (시장 조사에 근거한 50대 이상 여성의 요가웨어 프로토타입 디자인 제안)

  • Park, Soyoung;Hong, Kyunghi;Choi, Yoonmi;Lee, Jung Soon;Lee, Yejin
    • Journal of the Korean Society of Clothing and Textiles
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    • v.43 no.2
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    • pp.243-254
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    • 2019
  • This study investigates the yoga clothing market for women over 50 years old. The study found that the target demographic felt that many brands were participating in the Yoga Wear market, but most targeted 20-30 year old women. They felt it was difficult to find brands for women over 50 years old. One common complaint by the target demographic was that they experienced discomfort when wearing Yoga Wear currently available in the market. They attributed this to the fact that even the largest sizes available were not appropriate for their body size. They also noted that there is a large variety of designs presently available in the market; however, most are too colorful and revealing for their tastes. Females in their 50s or older preferred less colorful and less revealing clothes. They noted that they reacted sensitively to fat in the forearms due to changes in body shape as they grew older and wanted looser clothes. Elasticity and hygroscopicity of material are therefore very important buying criteria for the target demographic. These criteria were used to propose a prototype yoga suit designed for women over 50 years old.

A Study about the Medical Communication Proficiency of Korean Traditional Medical Students Using Standardized Patients of Menopausal Disorder (표준화 갱년기장애환자를 활용한 한의대생의 진료 및 의사소통 수준연구)

  • Park, Kyung-Mi;Cho, Seong-Hee;Yang, Seung-Jung;Shin, Heon-Tae;Choi, Yu-Jin
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.2
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    • pp.100-118
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    • 2019
  • Objectives: The purpose of this study is to analyze clinical performance examination (CPX) ability using standardized patient (SP) in Korean traditional medical school. Methods: Standardized middle-aged female patients were used for clinical examination of 53 medical students, grade 6. The SP and professors assessed their communication skills and level of medical interviews. Results: 1. There is no statistically significant difference between SP score, communication skill score, medical skill score and inter-test score at the extracurricular activities level. 2. There is no statistically significant difference between SP score, communication skill score, medical skill score and inter-test score at number of medical service. 3. There is no statistically significant difference between SP score, communication skill score, medical skill score and inter-test score at personality type. 4. There is a statistically significant positive correlation between SP score, communication skill score and medical skill score. Conclusions: A variety of educational programs and practices should be conducted to improve the level of medical care and communication of Korean traditional medicine students.

Convergence analysis of Depression managing Program for Menopausal Women in Korea (한국 갱년기 여성을 대상으로 한 우울 감소 프로그램의 융합적 분석)

  • Bang, Yun Yi
    • Journal of the Korea Convergence Society
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    • v.10 no.4
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    • pp.257-264
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    • 2019
  • The purpose of this study was to investigate the main results of the nursing intervention program for reducing depression in menopausal women in Korea and to investigate the effects of systematic review of literature. Research methods were searched for RISS, KMbase, KoreaMed and KISS as domestic databases and limited to domestic papers published in last 10 years from 2006 to 2015. The analysis of 14 articles showed that exercised therapy among the various nursing intervention programs provided significant effects on reducing depression. The intervention methods provided oral education, demonstration training, and practical training, 6 sessions, 60 sessions per session, 5~10 weeks for intervention, and 6~12 weeks for intervention. Depression in menopausal women is not a temporary or short-term emotional state. So it is necessary to provide appropriate exercises that can be applied for their own, regardless of daily life.

Effect of Ultramarathon on the Anterior Pituitary and Thyroid Hormones (울트라마라톤이 뇌하수체 전엽 및 갑상선 호르몬에 미치는 영향)

  • Shin, Kyung-A;Kim, Young-Joo
    • The Korean journal of sports medicine
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    • v.36 no.4
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    • pp.214-220
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    • 2018
  • Purpose: The purpose of this research is to study changes in pituitary hormone in anterior lobe and thyroid hormone before, after, and during recovery time in severe 100 km ultramarathon. Methods: Healthy middle-aged runners (age, $52.0{\pm}4.8$ years) participated in the test. Grade exercise test is done, and then blood is taken from those participants before and after completing 100 km ultramarathon at the intervals of 24 hours (1 day), 72 hours (3 days), and 120 hours (5 days) to analyze their luteinizing hormone (LH), follicle-stimulating hormone (FSH), thyroid stimulating hormone (TSH), triiodothyronine (T3), thyroxine (T4), and free thyroxine (Free T4). Results: For LH, it decreased more significantly at 100 km than pre-race. However, after 1 day result increased more than that of 100 km. At 3 days, it was significantly higher than pre-race and 100 km, recovering at 5 days. In terms of FSH, it decreased at 100 km, 1 day, and 3 days more than pre-race but recovered at 5 days. TSH was higher at 1 day and 5 days compared to pre-race. T3 was only higher at 100 km than pre-race. T4 was higher till 5 days at 100 km than pre-race. Free T4 increased more significantly at 100 km than pre-race. Conclusion: In terms of severe long distance running, LH and FSH which belong to hormone from anterior lobe as well as T3, T4, and Free T4 which belong to thyroid hormone showed their variation within the standard range. However, TSH showed abnormal increase from enhanced concentration of blood after marathon becoming hyper-activation even during the recovery period.

A Comparative Study of Men and Women on the Preparation of Retirement Life

  • Lim, Ahn Na
    • International journal of advanced smart convergence
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    • v.10 no.3
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    • pp.113-121
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    • 2021
  • This study was conducted on 1,174 retirees in their 50s and 60s nationwide using the 7th data of the National Pension Service's National Elderly Security Panel Survey. We were able to confirm the following results through the SPSS WIN 18.0 program.. First, men showed a higher level of education than women. From these results, it is expected that men will be better prepared for retirement. Second, men had spouses and two or more household members than women. According to previous studies showing that men are better prepared for retirement if they have a spouse, it is expected that men are better prepared for retirement. Second, 38% of men and 62% of women were voluntary retirees. Third, both men and women responded that their own and spouses should play the main role in preparing for retirement. Fourth, both men and women had very low rates of preparation for old age, economic independence, and public and private pensions. Among them, women were lower than men. Fifth, economic problem solving, health, and medical care were the priority as parts to be done for retirement in oneself and society. Based on these results, the directions for preparing retirees for retirement are as follows. First, education on wage peak system, retirement age extension and financial management for involuntary retirees is required, and guidance and management methods on health care and disease should be provided to address needs for health and health care. Women had more voluntary retirees than men, and they need to know why. Second, when both men and women are very poor at preparing for retirement, there should be job creation measures to ensure that they and their spouses are fully prepared for retirement.

The Effect of Transition to Living with Chronic Diseases on Depressive Symptoms (만성질환 진단이 노인의 우울수준에 미치는 영향: 주요 5대 만성질환의 초기 진단기를 중심으로)

  • Park, Min Kyoung;Cho, Kyuyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.354-361
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    • 2021
  • This study explored whether the transition to living with a chronic disease changes the level of depression symptoms among middle-aged and older adults in South Korea. We hypothesize that the transition to living with chronic disease leads to a higher level of depressive symptoms. A nationally representative sample (N = 6,284) of adults 45 years and older from the Korean Longitudinal Study of Ageing (KLoSA) was analyzed. Multi-regression modeling was used to examine the association between the diagnosis of chronic disease and the level of depressive symptoms in patients. The findings highlight the need for policy makers, clinicians, as well as patients and their caregivers to become more aware of mental health risks in patients diagnosed with chronic diseases, particularly first-time patients. This study contributes to encouraging greater psychosocial support, including monitoring the level of depressive symptoms of patients who develop chronic conditions and providing appropriate treatments for those at the highest risk.

Asset Effects on Depression among Older Adults: Focusing on the Mediation Effects of Social Activities (노인의 자산이 우울에 미치는 영향: 사회활동의 매개효과를 중심으로)

  • Kang, Sion;Han, Chang-Keun
    • 한국노년학
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    • v.37 no.2
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    • pp.415-430
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    • 2017
  • This study aims to examine whether assets matter for depression among older adults and whether the relationship between assets and depression is mediated by social activities. The research questions are based on asset effect theory, stakeholder theory, and activity theory. This study used the 5th wave of KLoSA data which is a nationally representative data in Korea. Research findings are summarized as follows: First, we found the negative relationship between assets and depression of older adults. Second, The relationship between assets and depression was partially mediated by social activities of older adults. The findings suggest that older adults with assets are more likely to participate in social activities and accordingly their depression is likely to decline. Based on the empirical findings, we can propose that asset-building programs targeting older adults should be developed and that the financial education and saving chances should be given to middle-aged adults who need to prepare old age in the long-term perspective.

The Influence of Learning Commitment and Interest by Repetitive Education Activities of Adult Learners on Satisfaction in Online Learning Using Flip Learning Pedagogy (플립러닝을 활용한 온라인 학습에서 중·장년층 학습자의 반복학습에 따른 학습몰입과 흥미가 학습만족도에 미치는 영향)

  • Kang, Tae-Gu;Lim, Gu-Won
    • Journal of Industrial Convergence
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    • v.19 no.3
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    • pp.27-34
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    • 2021
  • In the era of the 4th industrial revolution, the age of artificial intelligence, the development of ICT technology is having various effects on the online and offline educational environment. The universal access of online education changes the educational paradigm and converts it to a learner-centered service. At the time when a new educational environment is required to change, interest in flip learning is increasing. Even adult learner's online learning needs is also shown very high. The purpose of this study was to investigate how repetitive learning activities through flip learning for middle-aged online learners of K-Cyber University has a relationship and structural relationship between the effects of learning immersion and learning interest on learning satisfaction. Through this study, there is significance in research to suggest direction for learning satisfaction based on flip learning. For further studies, if a model of analysis of various factors that can be measured is specified and applied, it can be used as a research background that can maximize learning satisfaction based on flip learning.

Lower Nutrient Intakes and Periodontitis: Findings from the Korea National Health and Nutrition Examination Surveys

  • Lee, Min-Sun;Han, Dong-Hun;Kim, Mi-Sun
    • Journal of Korean Dental Hygiene Science
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    • v.4 no.1
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    • pp.39-51
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    • 2021
  • Background: Limited information is available regarding the associations of various nutrients and periodontitis in Korea. Furthermore, these associations have been controversial in previous studies. Therefore, the present study aimed to evaluate the associations between several nutrients and periodontitis. Methods: Pooled data from the 2007~2010 and 2012 Korea National Health and Nutrition Examination Surveys (KNHANES) were used for the present study. Periodontitis was defined using the World Health Organization (WHO) Community Periodontal Index. All participants completed the Food Frequency Questionnaire (FFQ), which was analyzed using CAN-Pro 4.0. Vitamins A, B1, B2, and C, iron, phosphorus, calcium, and protein were selected for analysis. Multiple logistic regression analyses were used to estimate the odds ratios (ORs) for periodontitis. Results: Lower intake of phosphorus (adjusted odds ratio [AOR] = 1.86), calcium (AOR = 1.25), and protein (AOR = 1.52) were associated with periodontitis in males, and lower intake of vitamins A (AOR = 1.32), B1 (AOR = 1.21), B2 (AOR = 1.24), and C (AOR = 1.21), iron (AOR = 1.25), phosphorus (AOR = 1.33), and protein (AOR = 1.27) showed significant relationships with periodontitis in females. In the sociodemographic, somatic, and health behavior-adjusted models, lower phosphorus (AOR = 2.68) and protein (AOR = 1.68) intake in younger males, and lower vitamin A intake (AOR = 1.37) in middle-aged females were significantly associated with periodontitis. Conclusions: The results of the present study demonstrated a significant association between periodontitis and nutrient intake. To avoid an insufficient nutrient supply for a patient with periodontal disease, the patient's diet should be closely monitored.