• Title/Summary/Keyword: middle-aged

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A Study on Life Changes of Oral Lichen Planus Patients by SRRS (SRRS를 이용한 구강 편평태선 환자의 생활변화에 관한 연구)

  • Ko, Myung-Yun;Park, Su-Hyeon;Ok, Su-Min;Huh, Joon-Young;Ahn, Yong-Woo;Jeong, Sung-Hee
    • Journal of Oral Medicine and Pain
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    • v.37 no.1
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    • pp.9-17
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    • 2012
  • Lichen planus is a chronic inflammatory mucocutaneous disease that affects multiple sites of the body. Often it involves the oral mucosa, but also involve other sites such as skin, genitals, scalp and nails. There is no clear cause of oral lichen planus (OLP), current data suggest that OLP is a T-cell mediated autoimmune disorder which may have an altered self-peptide triggering apoptosis of oral epithelial cells. Usually OLP appears in middle-aged women which tends to be chronic with periods of exacerbation and remission. There are many theories those causes the OLP such as psychological and environmental factors, genetic tendency, drugs and more. 60-70% of lichen planus is accompanied by oral lesions, and more than half of its cases are not able to defined by their skin. In this study, among all the possibility(possible) theories, we tried to evaluate the influence of emotional stress in exacerbating OLP. There were thirty patients with a clinical or histological diagnosis of OLP and other thirty subjects who did not show any signs of systemic disorders include OLP. They were evaluated by using modified Holmes and Rahe's Social Readjustment Rating Scale (SRRS). As a result, a significantly higher level of stress was found in the OLP patients than the control group. Therefore it could be concluded that psychological stressors play an important role in the exacerbating OLP.

A Review of Etiopathogenesis of Burning Mouth Syndrome (구강작열감증후군의 병인론과 병태생리에 대한 고찰)

  • Lim, Hyun-Dae;Kang, Jin-Kyu;Lee, You-Mee
    • Journal of Oral Medicine and Pain
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    • v.35 no.1
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    • pp.41-47
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    • 2010
  • Burning mouth syndrome(BMS) is a chronic oral pain and a symptom complex disorder usually unaccomplished by mucosal lesion or other clinical and laboratory signs of organic disease. BMS is characterized by a spontaneous burning sensation that mainly affects middle-aged and postmenopausal women. The etiology of BMS is poorly understood even though evidence for a possible neuropathic pathogenesis. BMS cause from various local or systemic factor, including nutritional deficiencies, hormonal change, local infection, dental procedure, dry mouth, medication and systemic disease including diabetes mellitus. Many studies suggest peripheral alteration in sensory of trigeminal nerve system. BMS patients with supertaster indicates pathologies of central and peripheral nerve system induced by an alteration in the taste system at the level of chorda tympani and glossopharyngeal nerve. The author discuss our current understanding of etiology and pathogenesis of BMS that refered chronic oral pain.

The Effectiveness of Mental Health Problems Screening and Treatment Linkage in Children & Adolescents : Community Based Study Focused on ADHD and Depression (소아 청소년 정신건강 선별검사 및 치료 연계 효율성에 대한 연구 : 지역사회 중심 연구)

  • Kim, Hyo-Jin;Cho, Soo-Churl;Kim, Jae-Won;Kang, Je-Wook;Shin, Min-Sup;Kim, Hyo-Won;Yun, Myung-Ju;Lee, Kyong-Young;Kang, Yun-Ju;Kim, Boong-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.20 no.3
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    • pp.129-139
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    • 2009
  • Objectives : This study evaluated the effectiveness of school-based mental health screening and treatment linkage programs, focusing on attention-deficit hyperactivity disorder (ADHD) and adolescent depression. Methods : All 11,158 children and adolescents aged 8-14 years in Seoul received a school-based mental health screening, consisting of the Korean versions of the ADHD rating scale and the Child Behavior Checklist (CBCL), for ADHD, and the Center for Epidemiological Studies Depression Scale (CES-DS) and the Suicidal Ideation Questionnaire-Junior (SIQ-JR), for depression. The high-risk children's and adolescents' diagnoses were confirmed using the Diagnostic Interview Schedule for Children-IV (DISC-IV). Treatment linkage programs were managed by the Seoul Metropolitan Community Mental Health Center (Program 1), the Seoul Metropolitan Office of Education (Program 2), or the Dongjak District Office of Education (Program 3). We estimated and compared the referral rates of the three programs. Results : Program 1 screened and referred 22.9% of ADHD youths to mental health services, Program 2, 68.8%, and Program 3, 40.0%. Program 1 screened and referred 22.8% of depressed youths to mental health services, Program 2, 53.8%, and Program 3, 88.9%. Key elements for successful screening and referral programs were an effective school/community mental health center/Office of Education network, the parents' financial support and perception of their child's mental health status as being problematic, and the teachers' active engagement. Conclusion : This is the first study investigating the effectiveness of school-based mental health screenings' linkage to treatment for primary and middle school students in Korea. An effective network for community mental health and improvements in parents' and teachers' perceptions regarding mental health are needed for more successful treatment linkage.

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A Study on the Relationship Between Popularity, Social Behaviors, and Maternal Child-Rearing Practices in Korean Preschool Children (취학전 아동의 인기도와 사회적 행동 및 어머니의 양육태도간의 관계 연구)

  • Chung, Moon Ja;Ahn, Jin Seok
    • Korean Journal of Child Studies
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    • v.3
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    • pp.63-81
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    • 1982
  • The purpose of this study is to relate social behaviors and child-rearing practices to the popularity of preschool children in Korea. Specifically, four major questions were raised and studied First, the relationship between a child's popularity and his/her social behaviors was examined. Second, this relationship was explored as a function of the child's sex. Third, the relationship between a child's popularity and maternal childrearing practices was investigated. Fourth, this relationship was explored as a function of the child's sex. The subjects of this study were 113 middle class preschool aged children and their mothers. Sociometric choices and peer-perceived social behaviors were obtained from these children using Moore's (1973) Sociometric Status Test. Mothers of these children described their childrearing practices in a Q-sort format of Child-Rearing Practices Report (CRPR) developed by Block (1965). The analyses of the data using Kendall's Tau Correlation Coefficient bore the following results: 1. Patterns of social behaviors shown by either popular or unpopular children were distinct; Popular children were friendly and conformative, while unpopular children were aggressive, non-conformative and independent. 2. Patterns of social behaviors in relation to the popularity and the unpopularity differed as a function of the child's sex; Popular boys tended to be active while popular girls were likely to be unaggressive, independent and not-teasing. Unpopular boys showed a great amount of discipline their daughters by means of non-punitive punishment and to express negative reaction to the sibling rivalry among their children. These mothers tended not to enjoy their 3. Certain patterns of maternal child-rearing practices tended to be related to the popularity status of the child; The mothers of popular children as compared to those of unpopular children enjoyed their roles as mothers and didn't use non-punitive punishment. 4. Patterns of maternal child-rearing practices in relation to the child's popularity and unpopularity differed as a function of the child's sex; The mothers of popular boys unlike those of popular girls tended to emphasize on their sons' achievement and perceived that their husbands were greatly involved with their sons. The mothers of unpopular boys appeared to show negative affection toward their sons. The mothers of unpopular girls were likely to displine their daughters by means of non-punitive punishment and to express negative reaction to the sibling rivalry among their children. These mothers tended not to enjoy their roles as mothers and did not believe that their daughters would behave as they should.

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Factors affecting regular medical care utilization of cardio-cerebrovascular patients (심뇌혈관 환자의 정기적 의료이용에 영향을 미치는 요인)

  • Seo, Young-Suk;Park, Jong-Ho;Lim, Ji-Hye
    • Journal of Digital Convergence
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    • v.12 no.7
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    • pp.327-336
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    • 2014
  • This study aims to identify factors to affect regular utilization status of medical care in cardio-cerebrovascular patients. The research selected 770 cardio-cerebrovascular patients among surveyees from the Korea Health Panel 2010. We analyzed states of medical care utilization using descriptive statistics. Logistic regression analysis was used to examine the main factors associated with regular utilization status of medical care in cardio-cerebrovascular patients. In result, the significant factors associated with regular utilization status of medical care in cardio-cerebrovascular patients were age, education level, household income level. CCI, presence or absence of high risk drinking, and presence or absence of obesity. There's a high probability that patients aged between 60 and 69, equal to and higher than those of high school graduate in education level, upper middle class in household income, the higher CCI, absence of high risk drinking, presence of obesity utilize medical care services more regularly. Therefore, it is necessary to develop effective program and individualized approach for patients using lesser periodical medical care and patients with high risk drinking problem. In the future, these findings can be used an important data for healthcare policy and assessment.

A Study of Pension Receipt Satisfaction According to the Preparation of the Living Cost for Aging: Focusing on Public Pensions (노후생활비 준비에 따른 연금 수급액의 만족도에 관한 연구: 공적연금을 중심으로)

  • Lee, Seung-Sin
    • Journal of Families and Better Life
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    • v.30 no.2
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    • pp.137-152
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    • 2012
  • The graying of populations is emerging as an international issue around the world, and this is a problem that is rapidly advancing in Korea as well, signaling the need for financial preparations for the aged. For this purpose, various retirement pension systems are being employed as preparatory measures for the nation's elderly. Using data from 1474 people in the 2007 panel study of National Security for the Retired, the present work attempts to look at satisfaction rates with regard to public pension receipts for the national pension and special occupational pensions according to general characteristics and factors related to the preparation for an aging society. Satisfaction with retirement pension receipts according to the type of pension was high for special occupation retirement pensions, individual retirement pensions and the national retirement pension, in that order. Looking at satisfaction rates based on the general characteristics of pension recipients, the study revealed that for the national pension, satisfaction was highest for groups with above-average physical and psychological health, groups who think appropriate living expenses for the elderly are lower, groups in which a partner also earns income, and groups who had amply prepared for their expected living expenses in later life. Regarding special occupation retirement pensions, satisfaction was high for groups over the age of 70, groups with good psychological health, and groups sufficiently prepared for their living expenses in later expenses, compared to groups for which these factors did not apply. In terms of the relative influences impacting retirement pension recipient satisfaction, satisfaction with the national pension was highest when the primary source to cover elderly living expenses was a resource other than income earned by the recipient and their partner and/or income received from children. Concerning special occupation retirement pensions, satisfaction was highest among those whose education terminated before middle school, and for those in good physical health. Based on the above results, it is vital that plans exist for preparing sufficiently for the living expenses of the elderly and for facilitating the physical and psychological health of pension recipients. Plans are also necessary to, ensure that citizens are provided with easily accessible educational programs and activities regarding general installment savings and deposits, stocks and bonds, real estate investments, individual retirement pensions, private insurance, severance pay pensions, and public pensions.

Calculations of Flat Plate Deflections Considering Effects of Construction Loads and Cracking (시공하중 및 균열 효과를 고려한 플랫 플레이트의 처짐 산정)

  • Kim, Jae-Yo;Im, Ju-Hyeuk;Park, Hong-Gun
    • Journal of the Korea Concrete Institute
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    • v.21 no.6
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    • pp.797-804
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    • 2009
  • The structural designs of RC flat plates that have insufficient flexural stiffness due to lack of support from boundary beams may be governed by serviceability as well as a strength criteira. Specially, since over-loading and tensile cracking in early-aged slabs significantly increase the deflection of a flat plate system under construction, a construction sequence and its impact on the slab deflections may be decisive factors in designs of flat plate systems. In this study, the procedure of calculating slab deflections considering construction sequences and concrete cracking effects is proposed. The construction steps and the construction loads are defined by the simplified method, and then the slab moments, elastic deflections, and the effective moment of inertia are calculated in each construction step. The elastic deflections in column and middle strips are magnified to inelastic deflections by the effective moment of inertia, and the center deflection of slab are calculated by the crossing beam method. The proposed method is verified by comparisons with the existing test result and the nonlinear analysis result. Also, by applications of the proposed method, the effects of the slab construction cycle and the number of shored floors on the deflections of flat plates under construction are analyzed.

Quality of life of Middle -Aged Persons Who have cancer (중년기 암환자의 삶의 질에 관한 연구)

  • 한윤복;노유자;김남초;김희승
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.399-413
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    • 1990
  • This descriptive study was under taken to explore relationships among the quality of life, health locus of control and perceived state of health persons with cancer to contribute theoretical understanding about these phenomenon of interest to the quality of nursing care. The subjects of this were 200 persons with cancer (100- in patients and 100- out patients), both male and female, between 30 and 59 years of age. Data were obtained using a convenience sample technique from two university hospitals in seoul from August, 1989, to June, 1990. The instruments used for this study were the Quality of life scale developed by Ro, You - Ja and the Health Locus of Control scale developed by Wallston & Wallston. Data were analyzed using a SAS program for ANOVA, t-test, Schefffe test, Pearson Correlation Coefficients and Stepwise multiple regression. The results were as follows : 1. The scores on the quality of life scale ranged from 95 to 191 with as mean of 147.85(range 47 to 235). The Mean scores(range 1-5) on the different dimensions were family relationships 3.50, relationships with neighbours 3.48, self - esteem 3.17, physical state and function 2.99, economic life 2.93 and emotional life 2.91. 2. Significantly higher scores on the quality of life and demographic characteristics were as follows : the quality of life for women(t=2.80, p= .006), for those without complications(t=2.54, p= .013), and for those who perceived their illness as mild(F=4.85, p= .009). Higher scores on quality of life were correlated with the following : 1) emotional state and the age group 50-59(F=3.43, p= .34). 2) economic life and higher income(F=6.72, p= .002), those without complications(t=2.68, p= .00), and those who perceived their illness as mild(F=3.11, p= .05). 3) self-esteem and marriage(F=3.64, p=.028), those without complications(t=2.18, p=.03), and those who perceived their illness as mild(F=7.72, p=.000). 4) physical state and funciton and the age group 30-39(F=4.65, p=.010), those without complications (t=2.00, p=.05), and those who perceived their illness as mild(F=3.38, p=.04). 5) family relationship and those who live with their spouse(t=2.82, p=.005). 3. There was a significant positive correlation between the subjects perceptions of their current state of health and the quality of life score(r=.4364, p=.0001). 4. There was no relationship between Locus of control and quality of life in this sample. 5. Stepwise multiple regression analysis showed that: 1) the perception of current health status was the main predictor and accounted for 20.11% of the total variance. 2) sex and educational level accounted for an additional 21.71% of the total variance. 6. The quality of life and the perception of their current health status of these patients with cancer were generally lower than those of healthy adults as noted in previous studies. In conclusion, the quality of life for these cancer patients was generally low especially in regard to their emotional state. The current perceived state of health, sex, complications and perceived degree of illness were important variables relatiog to quality of life.

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Spatio-Temporal Changes and Characteristics of Households Failing to Meet the New Minimum Housing Standard in Seoul Metropolitan(1995~2010) (서울시 최저주거기준 미달가구의 시.공간적 특성과 변화(1995~2010년))

  • Kim, Yongchang;Choi, Eunyoung
    • Journal of the Korean Geographical Society
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    • v.48 no.4
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    • pp.509-532
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    • 2013
  • Minimum Housing Standard is an instrument to cope with the problems of public health and community hygiene, deterioration of working class housing conditions appeared commonly in the process of capitalist industrialization and rapid rural-to-urban migration. This paper aims to examine the institutionalization of histories of minimum housing standard in the advanced countries, and analyze the spatio-temporal changes and characteristics of households failing to meet the New Minimum Housing Standard in Seoul Metropolitan since 1995. The analysis of this paper is based on the census data on population and housing. The results are as follows; Households failing to meet the New Minimum Housing Standard in Seoul are 501,000 households(1.368 million person, 14.4%). This means Seoul has overtaken the national average 11.8% for the first time and there are structurally marginal band of households who can not improve the housing conditions by themselves. In addition, the fact that the rate of Seoul households living in the marginal shelter including the basement and rooftop room is the highest in Korea means the housing quality issues of Seoul is serious. Spatial distribution of households failing to meet the standard is divided into the northeast area and the southwest area in Seoul. Main features of the households are female-headed families, middle and old-aged people, divorce families, lower educated people, under and graduate students, non-apartments, dweller in 15~20 year old houses.

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Convergence Study on the Effects of Using Peony Drinking with Combined Exercise on Serum Immunoglobulin and DHEAs in Middle Aged Women (작약섭취와 복합운동 중재가 중년여성의 혈청 면역글로불린 및 DHEAs에 미치는 효과에 관한 융합 연구)

  • Nam, Sang-Nam;Kim, Dai-Sung
    • Journal of the Korea Convergence Society
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    • v.9 no.1
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    • pp.261-268
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    • 2018
  • The purpose of this study was to investigate the changes of serum immunoblobulin and DHEAs when 8 weeks of combined exercise and peony intake have been held to women in their 40s and 50s. 15 participants were chosen, divided into three groups, and they had undergone combined exercise with the level of 1RM 60~70%, HRmax 60~70%, three times a week for 60 minutes each. For the proper intake, 6g of peony were warmed in a double boiler with water 107ml, and the crude liquid was ingested 100ml each by the participants, everyday before breakfast, for 8 weeks. The following conclusions were obtained through these objectives and procedures. First, the amount of immunoglobulin has increased in two groups, the 8-week combined exercise group and the group which undergone both the peony intake and the combined exercise, but did not show the significant difference(p>.05). Second, the results of DHEAs showed an increas in two groups, the 8-week combined exercise group and the group which undergone both the peony intake and the combined exercise, but did not show the significant difference(p>.05). Therefore, the consumption of peony and complex exercise in this study did not positively affect the immune function and dementia prevention.