• 제목/요약/키워드: middle-aged

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중년 여성의 갱년기 증상과 우울에 관한 연구 (An Analysis of the Realtionship between Menopausal Symptoms and Depression)

  • 권숙희;김영자;문길남;김인순;박금자;박춘화;배정이;송애리;여정희;정은순;정향미
    • 여성건강간호학회지
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    • 제2권2호
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    • pp.270-283
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    • 1996
  • This study was done for the purpose of analyzing the relationship between menopausal symptoms and depression. Data were collected by a questionnaire from November 28 to December 30, 1995. The subjects were 134 women between 40-61 years of age. The instruments used for this study were The Menopausal symptom scale by Neugartom and Depression scale by Zung. The results of the study were as follows. 1. Mean score of menopausal symptoms was 1.59. Mean score orders of experienced symptoms were "Rack pain and joint pain"(2.02), "General weakness"(1.98), "Nervousness"(1.96). The most serious menopausal symptom was psychosomatic symptom.(1.88) Total score orders of experienced symptoms was 27.9 and over 90.3% of women complained menopausal symptom. 2. Mean score orders of depression was 39.13. It was normal range of depression. 85.1% of the women were normal range of depression and 14.2% of women mild depression. 3. The relationship between menopausal symptoms and depression was statistically significant(r=0.5307, p=0.000). When the relationship among three dimensions of menopausal symptoms were explored the psychosomatic symptom(r=0.4090, P=0.000), Physical symptom(r=0.319, P=0.000), Physical symptom(r=0.319, P=0.000) were statistically significant. 4. General characteristic variables were significantly related to the level of menopausal symptoms as follows ; environment of living(F=2.89, p=0.038), religion(F=4.18, P=0.007), times of birth(F=2.66, p=0.043). The analysis of this study have implication for management of middle aged women's health, to solve the nursing problems, and to prevent and relieve climacteric symptoms.

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Plummer-Vinson 증후군 1례 (A Case of Plummer-Vinson Syndrome)

  • 전경진;장병익;김태년;정문관;이현우
    • Journal of Yeungnam Medical Science
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    • 제11권2호
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    • pp.381-387
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    • 1994
  • 저자틀은 53세 여자로써 연하곤란, 철 결핍성 빈혈, 구각순증, 설염, 스푼형 조갑과 경부식도 막양구조를 특징으로 하고, 내시경적 풍선확장술에 의한 막양구조의 제거와 경구 철제 투여 후 현저한 증상의 호전을 보인 전형적인 Plummer-Vinson 증후군 환자를 경험하였다. 병력상 연하곤란이 나타나기 전부터 빈혈이 발견되었고, 철제 투여 후 피부와 점막의 병변도 호전된 점등을 고려해 볼 때 철 결핍이 본 질환의 발생에 중요한 역할을 한 것으로 추측할 수 있었다.

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베체트병 환자에서 저용량 스테로이드 사용과 관련하여 발생한 중심성장액맥락망막병증 (Central serous chorioretinopathy associated with low dose systemic corticosteroid treatment of Behcet's disease)

  • 차성욱;김경진;권성민;이신애;민병철;김은성;이정욱
    • Journal of Yeungnam Medical Science
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    • 제34권1호
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    • pp.111-114
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    • 2017
  • Central serous chorioretinopathy may induce poor eyesight and serous retinal detachment. However, its exact cause has not been well established thus far. It can be associated with systemic high-dose corticosteroid treatment mainly for young and middle-aged men and may spontaneously regress or recur after withdrawal from corticosteroid. After corticosteroid administration for Behcet's disease, it is necessary to identify any ocular symptoms. Behcet's disease can lead to the development of ocular complications, such as uveitis, hypopyon, retinal vasculitis, optic neuritis, angiogenesis, secondary cataract, and glaucoma. It is possible to diagnose any of these complications via optical coherence tomography and digital indocyanine green angiography. It is easy to neglect an ocular symptom that may appear after a low-dose corticosteroid treatment as an ocular complication in patients with Behcet's disease. Thus, we report on a case concerning high-dose corticosteroid treatment with a literature review.

일 지역 남성 운전직 근로자들의 심뇌혈관질환 발병위험도, 예방 관련 지식, 변화단계 및 건강행위 (Incidence Risk of Cardiocerebrovascular Disease, Preventive Knowledge, Stage of Change and Health Behavior among Male Bus Drivers)

  • 김은영;황선영
    • 성인간호학회지
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    • 제23권4호
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    • pp.321-331
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    • 2011
  • Purpose: This study was designed to identify the incidence risk of cardicerebrovascular disease (CVD) among male bus drivers, and to examine and compare the predictors of their health behavior according to the level of CVD incidence risk. Methods: The convenience sample of 222 male bus drivers were recruited from a bus company located in Jeonnam province. Data were collected from self-reported questionnaires and annual medical examination records from 2010. The CVD incidence risk was calculated based on the risk criteria for industrial workers. Results: The 26.6% and 26.1% of the participants were in the moderate and high risk group, respectively. The 72% of the participants were in the precontemplation stage and reported no intention to change their unhealthy lifestyles. Stepwise multiple regression analyses showed that current smoking, excessive alcohol drinking, physical inactivity and lack of knowledge were negative predictors of good health behavior in the normal/low risk group (Adj $R^2$=.443). Heavy alcohol drinking, current smoking, physical inactivity and dyslipidemia were reported by the moderate/high risk group (Adj $R^2$=.427). Conclusion: This study suggested that targeted education and counseling are needed to modify unhealthy lifestyles such as alcohol consumption, smoking and exercise among middle aged male drivers. Especially, dyslipidemia should be managed among those who are at risk for CVD.

Chronic Pain and Its Determinants: A Population-based Study in Southern Iran

  • Zarei, Safar;Bigizadeh, Shiva;Pourahmadi, Mohammad;Ghobadifar, Mohamed Amin
    • The Korean Journal of Pain
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    • 제25권4호
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    • pp.245-253
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    • 2012
  • Background: Prevalence of chronic pain and its association with demographic characteristics have been reported by different studies from different geographical regions in the world. However, data from many Middle East countries including Iran (especially southern Iran) are scare. The aim of the present study was to demonstrate the prevalence of chronic pain and its association with demographic, psychological and socioeconomic factors in an Iranian population. Methods: In this population-based survey, the target population was comprised of subjects aged 20 to 85 years residing in Jahrom, southern Iran during 2009-2011. All eligible subjects were invited to participate in the study. Before a detailed questionnaire was given; face to face interviews were done for each individual. Results: There were 719 men and 874 women with an average age of 40.5 years at the onset of the study. Among the study population, 38.9% (620/1,593) complained of chronic pain, of whom 40.8% (253/620) were men and 59.2% (367/620) were women. Foot and joint pain were observed in 31.9%. Hip and spine pain, migraine and tension headaches, heart pain, and abdomen pain were observed in 21.5%, 15.5%, 9.5%, and 8.0% of chronic pain cases, respectively. There was a significant association among the covariables age, sex, overweight, educational level, income, and type of employment with chronic pain as the dependent variable (P < 0.0001). Conclusions: Our findings show the prevalence of chronic pain and its association with demographic, psychological and socioeconomic factors. Individuals with low incomes and less education became accustomed to pain due to a lack of knowledge.

중년 여성 환자의 견관절 통증에 대한 아로마 오일의 효과 (The Effects of Aromatic Oil on Shoulder Pain in the Middle-aged Woman Patients)

  • 박경순;한동욱
    • 대한물리치료과학회지
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    • 제12권4호
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    • pp.11-24
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    • 2005
  • 대전에 소재하는 C 대학교 병원의 물리치료실에 2003년 5월 9일부터 2004년 10월 20일까지 내원한 환자들 중 견부 통증의 진단으로 치료를 받은 환자 가운데 중추신경계에 손상 병력이 없고, 치료사와 의사소통이 가능한 인지 능력을 가졌으며, 실험에 참가하기로 동의한 환자를 대상으로 내원한 순서에 따라 아로마 초음파군, 아로마군, 초음파군에 각각 30명씩을 배정하여 실험한 결과, 치료의 횟수가 증가함에 따라 통증의 정도를 알아보는 시각적 통증 점수가 감소하였으며(p<0.001), 군 간에 통증 감소의 정도도 차이가 있었다. 사후 검정을 보면 아로마 초음파군과 아로마군의 통증 감소의 정도가 초음파군에 비해 높았다(p<0.001). 또한 치료의 횟수가 증가함에 따라 McGill-Melzac 통증 점수 역시 감소하였으며(p<0.001), 군 간에 차이는 없었지만, 교호작용을 고려하면 아로마를 사용한 군에서 감소 폭이 더 큰 것으로 해석할 수 있다. 압통계의 역치 역시 치료의 횟수가 증가함에 따라 모든 군에서 상승하였으며(p<0.001), 군 간에 역치 증가의 정도에도 차이가 있었는데(p<0.05), 사후 검정을 보면 아로마 초음파군이 아로마군에 비해 역치 증가의 폭이 더 컸다. 따라서 압통계의 역치 증가는 아로마 보다는 초음파에 더 영향을 받는 것으로 생각할 수 있다. 이상의 결과로 볼 때 아로마 오일은 주관적이고, 정서적인 통증을 검사하는 시각적 통증 점수와 McGill-Melzac 점수에 많은 영향을 미치는 반면 조직의 회복에 의해 상승하는 압력 역치를 검사하는 압통계의 수치에는 영향을 적게 미침을 확인할 수 있었으며, 반면 초음파는 주관적, 정서적인 통증의 감소보다는 실제 조직이 회복되면서 감소하는 통증에 더 많은 영향을 미치는 것을 알 수 있었다.

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밀도법 및 피부두겹법에 의한 중년부인의 총지방량 측정 (Total Body Fat Estimated by Means of Densitometry and Skinfold Thickness Method in Middle Aged Housewives)

  • 최덕경;신효숙;황애련
    • The Korean Journal of Physiology
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    • 제2권1호
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    • pp.89-93
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    • 1968
  • Total body fat measurements were performed in 342 housewives. In 44 of them(age 38.4 yr.) both the densitometry and skinfold thickness methods were made and regression equations between skinfold and total body fat were derived. In the 298 housewives(age 35.0 yr.) skinfold thickness at four sites (arm, back, waist, abdomen) were measured and total body fat was calculated. The following results were obtained. 1. The data in 44 subjects by means of densitometry and skinfold thickness were: body weight: 51.8 kg, body length: 153.4 cm, body surface area: $1.47\;m^2$, body volume: 50.2 l, body density: 1.0334 kg/l, total body fat: 25.2% body weight, mean skinfold thickness at four sites 14.9 mm. 2. There were correlations of high degree between skinfold thickness and fat (%), fat (kg), and body density. The correlation coefficients were r=0.767, r=0.846, r= -0.765, respectively. Subsequently, the following regression equations were obtained. %fat=$0.39{\times}Mean$ skinfold thickness(mm)+19.36 Fat(kg)=$0.414{\times}Mean$ skinfold thickness(mm)+7.01 Body density=$-0.00099{\times}Mean$ skinfold thickness(mm)+1.0489 3. In 298 subjects mean skinfold thickness of four sites was 20.6mm and total body fat was calculated as 27.4% body weight from the above equation.

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사이버대학에 재학중인 중년기 여자 대학생을 대상으로 한 단축형 마음챙김 자비 명상 프로그램과 정서적 안녕감의 관련성 : 예비연구 (The relationship of short-term mindfulness and self-compassion meditation and the emotional well-being among middle aged female students in cyber university; pilot study)

  • 이우경;주세진
    • 한국산학기술학회논문지
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    • 제15권6호
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    • pp.3714-3724
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    • 2014
  • 본 연구에서는 서울시내에 있는 S 사이버대학교 상담심리학과에 재학중인 대학생을 대상으로 단축형 집단 프로그램을 실시하고 그 효과를 살펴보았다. 본 연구에서 사용된 명상 프로그램은 마음챙김 인지치료와 자기-자비 프로그램을 혼합한 프로그램으로 구조화된 집단 프로그램 형식으로 구성되었으며 참가자들의 정서적 안녕감을 증진시키는 것을 목표로 하였다. 단축형 집단 프로그램에 참여한 참가자들은 4주간의 오프라인 집단 프로그램에 참여하였다. 전체 25명의 참가자들은 프로그램 사전과 사후에 우울, 심리적 안녕감, 긍정 및 부정적 정서, 마음챙김 및 자기 자비 측정치들을 실시하였다. 본 연구는 마음챙김 및 자기 자비 명상이 상담심리 대학생들의 심리적 안녕감에 미치는 긍정적인 영향을 살펴볼 수 있는 경험적 기초를 제공해주고 있다. 향후 심리학 전공 대학생 외에 여타의 다른 전공 대학생들을 대상으로 마음챙김과 자기 자비 명상을 접목한 프로그램을 실시하여 다양한 스트레스 상황에 노출되어 있는 대학생들의 정신 건강에 이 프로그램이 어떤 영향을 미치는지 반복 검증해보는 것이 필요할 것이다.

에어로빅 운동이 여대생의 체내지질 및 Ca 대사에 미치는 영향 (The Effect of Aerobic Dancing on Lipid and Ca Metabolism in College Women)

  • 김희선
    • Journal of Nutrition and Health
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    • 제21권1호
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    • pp.23-35
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    • 1988
  • This study was designed to find out the effects of aerobic exercise on lipid and Ca metabolism in seven healthy college women, aged 20 to 22 years. Metabolic studies were conducted before and after a 10-weeks exercise period, during which subjects participated in the planned aerobic dance program every day except Sunday. The initial mean time engaged in the exercise was 28 minutes and it was gradually increased up to 45 minutes around the middle point of the exercise period. During both of metabolic study periods, the subjects ate experimental diets which supplied about 120g of protein and 600mg of Ca daily and during the rest of the experimental period they ate their usual diets. The use of alcoholic beverages and drugs were prohibited. The results were summarized as follows. 1) The effect of exercise on lipid metabolism. (1) Mean body weight decreased significantly after exercise(p<0.01) and it did not show a significant decline in skinfold thickness and total body fat contents. (2) Serum total cholesterol level decreased significantly after exercise(p<0.05) and TG level also tended to be lower than that of pre-exercise period. Exercise did not exert any influence on the level of serum HDL-cholesterol in this study. (3) Exercise did not alter total lipid content in feces and apparent lipid absorption rate. 2) The effect of exercise on Ca and P metabolism. (1) After exercise, focal Ca excretion was slightly reduced, however, urinary Ca excretion was not significantly changed. In the results, a slight increase was shown in body Ca retention after exercise. (2) Exercise tended to increase urinary P excretion, but neither P balance nor fecal excretion was significantly changed after exercise. (3) Bone mineral content was not affected by exercise. In summary, aerobic exercise decreased total cholesterol and TG level in serum and tended to increase body Ca retention. With the results, it can be concluded that the additional physical activities beyond the normal daily life in college women might prevent some degenerative diseases-suchas atherosclerosis and osteoporosis.

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Egg consumption is associated with a lower risk of type 2 diabetes in middle-aged and older men

  • Lee, Jieul;Kim, Jihye
    • Nutrition Research and Practice
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    • 제12권5호
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    • pp.396-405
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    • 2018
  • BACKGROUND/OBJECTIVES: This prospective study examined gender-specific associations between egg intake and the risk of developing type 2 diabetes using data from a large-scale cohort study. SUBJECTS/METHODS: A total of 7,002 Korean adults (40-69 years) without type 2 diabetes at baseline were analyzed. Dietary intake was evaluated by a food frequency questionnaire administered at baseline (2001-2002) and the second follow-up examination (2005-2006). Type 2 diabetes was diagnosed as a fasting glucose concentration ${\geq}126mg/dL$ or current use of glucose-lowering medications or insulin injection. Multivariate Cox proportional hazard models were used to calculate hazard ratios (HRs) with 95% confidence intervals (CIs) for incident type 2 diabetes according to egg consumption or cholesterol intake. RESULTS: During a 14-year follow up period, 857 subjects developed type 2 diabetes. In men, frequent egg intake (2- < 4 servings/week) was associated with a 40% lower risk of developing type 2 diabetes than infrequent egg intake (0- < 1 serving/week) (HR = 0.60, 95% CI: 0.37-0.97), whereas no association between egg intake and incidence of type 2 diabetes was observed in women (HR = 0.61, 95% CI: 0.27-1.37). There was no association between cholesterol intake and risk of incident type 2 diabetes in either men or women. CONCLUSIONS: Egg consumption was inversely related to the risk of incident type 2 diabetes in men, but not in women, suggesting gender differences in the relationship between diet and disease risk.