• Title/Summary/Keyword: old woman

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Case Report of Partial Endocardial Cushion Defect with Mild Pulmonary Hypertension in Old Age (경증의 폐동맥 고혈압을 동반한 고령에서의 심내막상 결손 환자 치험 1예)

  • Kim Woo-Shik;An Jae-Bum;Song Chang-Min;Kim Mi-Jung;Jung Sung-Chol;Shin Yong-Chul;Kim Byung-Yul;Kim In-Sub
    • Journal of Chest Surgery
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    • v.39 no.8 s.265
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    • pp.633-636
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    • 2006
  • The partial endocardial cushion defect including ostium primum atrial septal defect and anterior mitral leaflet cleft, presents less significant clinical symptoms than complete endocardial cushion defect. But, as mitral insufficiency develops, cardiomegaly, congestive heart failure, pulmonary arterial hypypertension appear. So, partial endocardial cushion defect has poor prognosis and is rarely seen in elderly patients. A 67 years old woman admitted at our hospital for operative treatment with partial endocardial cushion defect. She had increased pulmonary pressure of 45/22 mmHg, mean 32 mmHg. She had repair of ostium primum defect with patch, and the mitral valve was treated with valve replacement. Because advanced atrioventricular block developed postoperatively, she received permanent pacemaker.

A Study on the Households Property Increase to the Wealth Recognition of Woman's (여성의 부의 인식에 따른 가계자산증식에 관한 연구)

  • Lee, Ae-Lyeon
    • Journal of Family Resource Management and Policy Review
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    • v.13 no.3
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    • pp.181-205
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    • 2009
  • The purpose of this study is to investigate some Influencing factors related to the wealth perception and property increase of 519 women in Seoul. The research was conducted from the end of February 15 to the beginning of January 20, 2009. The figures obtained were analyzed by frequency, percentage, mean, x-test, t-test, F-test, chi-square, and Duncan's F-test with SPSS pc+ The major findings of who study are summarized as follows: l.There were significant differences between the wealth recognition (economic plan affirmative and negative perception of wealth) for women according to social and psychological variables; economic plans have a higher value for married women, older women, those who have followed a postgraduate university course, those with higher income and expenditure, higher life satisfaction, and high and middle satisfaction with their economic life. In particular, economic plans varied significantly according to expectation of wealth in old age, and future economic prospects in the middle group. 2. Increased wealth and economic according to social and psychological variables (marital status, age, education, income, expenditure, life satisfaction, satisfaction with economic life, expectation of wealth in old age, future economic prospects) were shown to be associated with the following methods of increasing property: use of savings banks (p<.001) showed a rate of deposit of 20%-40% (p<.001) saving and thrift was a practice (p<001) that was related to the cost of living; and education expenditure (p<.001) as a property preparation period was exhibited in women aged 25-30 (p<.001). 3. There were significant differences in the recognition of wealth according to strategies for increasing wealth. There were no significant differences between mean of property acquisition and point of expenditure or the property preparation period in the perception of wealth. The related variables in rate of deposits were under 20% according to economic plan and negative wealth perception. In contrast, in the middle and high group, the economic plan and negative wealth perception were 20%-40% in relation to the rate of deposits. Variables related to the action of saving and thrift and property acquisition were practiced in the low and middle group of affirmative wealth recognition and the high group of negative wealth perception. The high group for wealthrecognition and the low group for wealthnegation exhibited little savings, thrift, and property accumulation. Those variables which point an expenditure the cost of living were education expenditure in all groups of negative wealth perception. The women in the study practiced more soundness economic planning according to their increased wealth and economic strategy. This study suggests that women should have positive wealth perception in their lives.

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Acupuncture, ST-36 Electroacupuncture and Moxa Treatment of Abdominal Pain due to Bowel Obstruction in Cancer Patients : Case Report (말기 암 환자의 장폐색성 복통에 대한 침구 및 족삼리 전침 치험 2례)

  • Kim, So Yeon;Choi, Jun Yong;Park, Seong Ha;Kwon, Jung Nam;Lee, In;Hong, Jin Woo;Han, Chang Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.2
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    • pp.238-242
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    • 2014
  • Here we described 2 cancer patients treated by acupuncture for abdominal pain as a complication of bowel obstruction. The patient 1, 43-year-old man was treated with surgery, radiotherapy and chemotherapy for rectal cancer. Two years after surgery, he complained of acute abdominal pain due to small bowel adhesion band. Bowel obstruction and symptoms were not improved by conservative therapy like as fasting, keeping Levin tube, and fluid therapy. 4 months later, he could eat a little rice water, but ileus and abdominal pain persisted despite of applying opiod drug and patch. Got started on acupuncture, electroacupuncture(ST-36) and moxa treatment, pain was relived gradually. He could stop opioids 1 month later and ileus was improved after acupuncture therapy for 2 months. The patient 2, 65-year-old woman got hepatectomy, cholecystectomy, and chemotherapy with cholangiocarcinoma. 6 months after surgery, she got laparotomy again for biopsy of new mass around ascending colon. She started eating after gas passing, but felt abdominal distension. Diffuse paralytic ileus was diagnosed by abdominal X-ray, and she got started conservative therapy. During ST-36 electroacupuncture therapy, symptoms like abdominal pain and distension were improved and could stop opiod patch. But eating aggravated ileus again and clinical finding of mechanical bowel obstruction was appeared. Based on these cases, acupuncture and moxa therapy could be helpful for improving abdominal pain and ileus, but possibility of malignant bowel obstruction should be considered especially in cancer patients.

The Post Occupancy Evaluation of the Universal Design Project on Geonjisan Forest Trail Jeonju City, South Korea (전주시 건지산 숲길 Universal Design 사업 이용후 평가)

  • Park, Sun-A;Lee, Myung-Woo
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.6
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    • pp.60-69
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    • 2012
  • The project on Geonjisan Universal Design Forest Trail in Jeonju City was designed and constructed by an NGO called 'Jeonbuk Forest for Life' which was a winner for the '2008 Open Competition by the 'Committee for Greening Society' established in Korea Land Corporation. The purpose of this study is to evaluate the design satisfaction of UD forest trail. Post Occupancy Evaluation (POE) method was applied to measure the user satisfaction and the total number of users. The main result of the study were as follows: the major users of the Geonjisan UD forest trail were people aged over 60 years old(37%) and the main purpose of trail usage were to 'walk and rest'(51.5%) and to 'exercise and rehabilitation' (40.6%). Furthermore, the overall user rating for the UD forest trail design was "satisfied"(3.91 point in 5-point Likert Scale). The three most influencing factors of the overall user satisfaction were facility management, user conflict, and trail width and slope. About forty-five people were found to be End-user in the UD forest trail while six people were found as End-user in non-UD trails. Most importantly, the number of End-user observed on the UD forest trail was greater than the number found in non-UD forest trail. The result implies that the UD forest trail attracts more End-users and provides opportunity for gathering and interaction with the other users. Moreover, the satisfaction rate for the UD forest trail landscape is found to be high in Likert scale, which we can assume that the well-grown existing trees and topographic features as well as appropriately designed wood-paths influence the high satisfaction rate of the users. The POE of UD forest trail revealed the importance of universal design concept due to its convenient uses of the handicapped, old, weak, pregnant woman or children.

Two Cases of Bilateral Diffuse Cystic Lesion (양측성 미만성 소낭포성 병변 2예)

  • Lim, Dong-Jun;Lee, So-Young;Hong, Chang-Kyun;Song, So-Hyang;Kim, Chi-Hong;Moon, Hwa-Sik;Song, Jeong-Sup;Park, Sung-Hak
    • Tuberculosis and Respiratory Diseases
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    • v.49 no.2
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    • pp.246-252
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    • 2000
  • Lymphangioleiomyomatosis(LAM) is a rare disease of unknown etiology that occurs mainly in woman in her reproductive age. We recently experienced two cases of bilateral diffuse cystic lesion of the lung on chest X-ray and HRCT. The first case, a 26-year-old female, who had been diagnosed with tuberous sclerosis by the presence of clinical manifestation such as mental retardation, bilateral renal angiomyolipoma, adenoma sebaceum and generalized seizure, was admitted due to a recently developed hemoptysis. Chest PA showed diffuse ground-glass opacity with radiolucent cystic lesions of various sizes on both lung fields. HRCT showed innumerable small cystic lesions with suspicious diffuse ground-glass opacity on both lung fields The second case, a 30-year-old fema1e was admitted due to dyspnea and spewing of blood-tinged sputum for 2 weeks, shortly after delivery. Chest PA showed diffuse reticular and ground-glass opacities on both lung field. HRCT showed multiple well-defined and relatively uniform size air cysts with a uniform wall thickness on entire both lung fields, with small amount of right pleural effusion. By thoracoscopic lung biopsy she was diagnosed with pulmonary lymphangioleiomyomatosis. We report these cases with a brief review of the literatures.

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Two Cases of Iatrogenic Pneumothorax after Intra-Muscular Stimulation (IMS) Therapy (근육 내 자극 요법 후 발생한 의인성 기흉 2예)

  • Son, Jun Gwang;Oh, In Jae;Jeong, Jong Pil;Kim, Soo Ok;Ju, Jin Yung;Lim, Jung Hwan;Cho, Gye Jung;Chae, Dong Ryeol;Kim, Kyu Sik;Kim, Yu Il;Lim, Sung Chul;Kim, Young Chul
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.5
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    • pp.444-448
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    • 2007
  • Recently, intra-Muscular Stimulation (IMS) therapy is being increasingly used for musculoskeletal pain. This procedure is generally regarded as a safe procedure for the general public. Some cases of iatrogenic pneumothorax caused by acupuncture have been reported in the medical literature. However, a case of an IMS therapy associated pneumothorax has not reported. We experienced two cases of iatrogenic pneumothorax after IMS therapy. A 62 year-old man received IMS therapy on the right shoulder due to posterior neck pain. After IMS therapy, acute dyspnea and chest discomfort developed. The other patient was a 74 year-old woman who also received IMS therapy. This patient experienced a nonproductive cough and acute dyspnea after the treatment. As the popularity of this form of alternative medicine increases, we might expect to see more cases of iatrogenic pneumothorax. Physicians should be aware of the adverse events associated with IMS therapy.

Two Cases of Fractured and Embolized Implanted Central Venous Chemoports in Lung Cancer (폐암환자에서 발생한 피하매몰 중심정맥포트 골절 및 색전증 2예)

  • Ju, Jin Yung;Cho, Jae Yeong;Lim, Jung Hwan;Cho, Gye Jung;Chae, Dong Ryeol;Oh, In Jae;Kim, Kyu Sik;Kim, Yu Il;Lim, Sung Chul;Kim, Young Chul;Song, Sang Yoon;Na, Kook Ju;Kim, Yun Hyun;Kim, Jae Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.5
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    • pp.449-453
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    • 2007
  • Totally implanted central venous access devices for chemotherapy (chemoport) are being used increasingly in lung cancer patients. Vascular catheters are associated with various complications including infection, thrombosis as well as spontaneous fractures and embolization of the catheter, which is known as 'pinch-off syndrome'. 'Pinch-off syndrome' refers to the compression of a subclavian central venous catheter between the clavicle and first rib resulting in an intermittent or permanent obstruction, which can lead to tears, transection, or embolization. We report two cases of fractured and embolized implanted subclavian venous catheters in which the fragments were removed percutaneously. A 62-year-old man presented with back pain with a duration of a few weeks. The chest radiograph revealed complete transsection and embolization of the catheter into the right atrium. In addition, a 47-year-old woman with a chemoport had a grade 3 pinch-off sign in a chest radiograph demonstrating complete transsection and embolization of the catheter into the pulmonary artery. Both cases were managed by retrieving the embolized distal fragment percutaneously and removing the proximal section of the catheter.

A Study on managing Electric Application in Family-Mainly Refrigerator- (가정의 전기기기 관리에 관한 연구)

  • 문숙재;이재희
    • Journal of Families and Better Life
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    • v.1 no.2
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    • pp.43-57
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    • 1983
  • The purpose of the study, was to investigate Housewives behavior on how to buy refrigerators and how to use them. Besides, their knowledge and keeping ability of electricity and refrigerator is estimated according to regional differences, their ages, their educational courses, and their income. In the report, W e can see if it is related to the years of married life, numbers of the family, having jobs or not, and numbers of marketing a week. The subjects were 675 mothers of the students in the selected schools, at Seoul, Cheongjoo, and Kwesan gun. They answered to the questionnaire devised for the study. their answers were analyzed in percent to grasp their general trend of electricity and electric Appliance. Chi-square test and F-test are chosen to grasp the Cor-relationships between the related variables. The results are as follows: 1) The average rate of possesing the refrigerators is 84.06%. It shows us that the housewives in Seoul possess the more refrigerators than those in other areas. At ages, form 30 to 40 aged women gave the most refrigerators than any other ages women. It reveals us the high income and high educational housewives have high rate of possessing refrigerators. 2) They answered that they purchased the refrigerators by necessity. we can see their motivation of purchasing them is very reasonable. However, we can see that they do not manage the refrigerators well, because the rate of using them during four seasons is only 12.34%, An age of 20year old housewives mostly purchased the refrigerators at the time of marriage. The women who bought them after marriage answered that they mostly took a consultation with their husbands when they bought the refrigerators. They regarded the trade marks of the manufactures and size of the refrigerators, as they bought them. And most of them bought the refrigerators for cash. 3)At homes in Seoul, the kinds of retained foods in the refrigerator are more than those of the house in the city and in the agricultural town. The high income and high educational housewives tend to retain the more kinds of foods. But there are no significant differences between the essential variables such as the numbers of the family, the housewives having jobs or not, and the numbers of marketing. 4)Generally their knowledge on electricity and the refrigerator is very low. However, it shows the statistically significant differences. the housewives in Seoul have more information about refrigerator than the housewives in agricultural town. At ages , the women less than 29 years old have more information about the refrigerator, and the woman who had university education and high income tend to know much about the refrigerator. 5) The keeping ability of the refrigerator is very good, and there are no significant differences among variables. And also it shows that there is no correlationship between their knowledge and their keeping ability.

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Submentoplasty for esthetic improvement of the neck-lower facial region : Two cases report (하안면과 경부의 심미성 증진을 위한 지방흡입술을 동반한 Submentoplasty 술식: 증례보고)

  • Park, Young-Ju;Nam, Jeong-Hun;Song, Jun-Ho;Yeon, Byung-Moo;Kim, Da-Young;Ahn, Jang-Hun;Gang, Tae-In;Kang, Hae-Jin;Kim, Jun-Hyun
    • The Journal of the Korean dental association
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    • v.47 no.11
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    • pp.750-757
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    • 2009
  • Purpose : The purpose of this study is to evaluate the clinical availability of submentoplasty for esthethic improvement of the cervico-facial region of patients with obtuse chin-neck angle. Materials and methods : Case 1. We evaluate the changes of submental line length and chin-neck angle of 35-year-old woman with skeletal Class III and mandibular excess with excessive submental fat before and after surgery: Bilateral sagittal split ramus osteotomy(BSSRO) setback(5mm), Mandibular Angle Reduction, Reduction Malarplasty and Submentoplasty. In this case, It was done simultaneously with orthognathic surgery. Case 2. The changes of submental line length and chin-neck angle of 20-year-old man with skeletal class III and maxillary defiency were evaluated before surgery, at first surgery : Lefort I osteotomy(6mm posterior Impaction), BSSRO setback(9mm), Paranasal Augmentation and at second surgery: genioplasty(6mm advanced) with submentoplasty. In this case, submentoplasty and advancement genioplasty were done after 2 months post-operative periods. Results : Case 1. In case of the Skeletal Class III mandibular excess with submental fat deposit, It showed the improvement of submental angle and length of submental line after simultaneous submentoplasty. Submental angle is changed from $177^{\circ}$ (pre-op) to $151^{\circ}$ (post-op) and submental line length is changed from 8mm(pre-op) to 36mm(post-op). Case 2. The improvement of submental angle and length of submental line after delayed submentoplasty was aquired in case of the skeletal class III maxillary defiency. Submental angle is changed from $154^{\circ}$ (pre-op) to $161^{\circ}$ (first surgery) and to $153^{\circ}$ (second surgery) and submental line length is changed from 25mm(pre-op) to 19mm(first surgery) and to 23mm(second surgery). Conclusion : The results suggest that Submentoplasty is useful surgical procedure for esthethic improvement of the cervicofacial region of patients with obtuse chin-neck angle.

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A Case of Suprachoroidal Hemorrhage after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment (열공망막박리 환자에서 유리체절제술 후 발생한 맥락막상강출혈 1예)

  • Kim, Min Han;Oh, Jong-Hyun
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1082-1086
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    • 2018
  • Purpose: To report a case of a 60-year-old female with rhegmatogenous retinal detachment, presenting with suprachoroidal hemorrhage after vitrectomy. Case summary: A 60-year-old woman visited our clinic complaining of floaters, flashing, and blurred vision. Best-corrected visual acuity was 0.1 in her left eye, and fundus examination of her left eye revealed macula-involved retinal detachment with a retinal break at the superotemporal quadrant. She underwent cataract surgery, 23-gauge transconjunctival sutureless vitrectomy, and 14% C3F8 gas tamponade under general anesthesia. One hour after anesthesia recovery, she suddenly complained of severe pain in her left eye. The intraocular pressure measured after removal of the pressure patch from her left eye was as high as 58 mmHg. Her ocular pain improved spontaneously within 10 minutes, and the intraocular pressure decreased to 8 mmHg. Fundus examination of her left eye revealed a reddish-brown raised lesion, suggesting suprachoroidal hemorrhage. She was placed in a prone position with a pressure patch over her left eye. Bleeding through the sclerotomy site was observed 1 day after surgery. Subsequently, hemorrhagic choroidal detachment of her left eye continued to decrease without deterioration. Three weeks after surgery, the patient received an intravitreal injection of 100% C3F8 gas into her left eye. At 3 months after surgery, best-corrected visual acuity had improved to 0.8 in her left eye, and the retina was stable. Conclusions: Suprachoroidal hemorrhage may be suspected in a patient complaining of severe ocular pain after vitrectomy.