• Title/Summary/Keyword: old-old women

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Female Middle-Aged Householders' Experiences in Preparation for Old Age: With Focus on Career Female Householders (중년 여성가구주의 노후준비 경험: 직업이 있는 여성가구주를 중심으로)

Congenital bronchoesophageal fistula without esophageal atresia in adults-report of 5 cases- (성인에서 발생된 선천성 식도기관지루 수술 치험: 5례 보고)

  • 김주현
    • Journal of Chest Surgery
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    • v.16 no.3
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    • pp.381-385
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    • 1983
  • Congenital bronchoesophageal fistula without esophageal atresia is very rare and often has an insidious clinical course that occasionally persists into adult life. Here are presented five cases of congenital bronchoesophageal fistula without esophageal atresia in adults treated successfully in the Seoul National University Hospital. The patients included two women and three men in the range of 16 and 45 years old. [mean age: 32 years old] Three of five cases could be diagnosed preoperatively by esophagogram and bronchogram but two of them could only be found in operative field. Cineesophagogram is recommended, on review of the literature, to be the most rewarding diagnostic procedure.

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Cost-Effectiveness Analysis of Breast Cancer Screening in Rural Iran

  • Zehtab, Nooshin;Jafari, Mohammad;Barooni, Mohsen;Nakhaee, Nouzar;Goudarzi, Reza;Zadeh, Mohammad Hassan Larry
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.609-614
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    • 2016
  • Background: Although breast cancer is the most common cancer in women, economic evaluation of breast cancer screening is not fully addressed in developing countries. The main objective of the present study was to analyze the cost-effectiveness of breast cancer screening using mammography in 35-69 year old women in an Iranian setting. Materials and Methods: This was an economic evaluation study assessing the cost-effectiveness of a population-based screening program in 35-69 year old women residing in rural areas of South east Iran. The study was conducted from the perspective of policy-makers of insurance. The study population consisted of 35- to 69-year old women in rural areas of Kerman with a population of about 19,651 in 2013. The decision tree modeling and economic evaluation software were used for cost-effectiveness and sensitivity analyses of the interventions. Results: The total cost of the screening program was 7,067.69 US$ and the total effectiveness for screening and no-screening interventions was 0.06171 and 0.00864 disability adjusted life years averted, respectively. The average cost-effectiveness ratio DALY averted US$ for screening intervention was 7,7082.5 US$ per DALY averted and 589,027 US $ for no-screening intervention. The incremental cost-effectiveness ratio DALY averted was 6,264 US$ per DALY averted for screening intervention compared with no-screening intervention. Conclusions: Although the screening intervention is more cost-effective than the alternative (noscreening) strategy, it seems that including breast cancer screening program in health insurance package may not be recommended as long as the target group has a low participation rate.

Correlation Between Stress, Coping Patterns and Physical Symptom of Cancer Patient's Caregiver (입원한 암환자 가족원의 스트레스, 대처방법 및 신체증상간의 상관관계)

  • Kim, Hee-Seung
    • Korean Journal of Adult Nursing
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    • v.13 no.2
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    • pp.317-326
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    • 2001
  • The purpose of this study was to identify correlation of stress, coping patterns and physical symptoms in cancer patient's caregiver. The stress was measured by VAS(Visual Analogue Scale). The coping methods were measured using the modified Ways of Coping Questionnaire by Yang (1998) and the actual physical symptoms were investigated. The phases of patient illness consisted of 1st (initial) stage, and 2nd (recurred) stage and 3rd (terminal) stage based on literature (Lewandowski & Jones, 1988). The data were collected by a survey conducted from March to July, 2000 and which included 196 cancer patients' caregivers from two hospitals in Seoul. The data were analyzed using paired t-test, unpaired t-test, ANOVA, Scheffe test and Pearson correlation coefficient. The results were as follows: 1. The average of caregivers' stress scores was 62.5. Problem-focused coping methods were significantly used more than emotion-focused coping methods by the cancer patients' caregiver. The mean number of caregivers' physical symptom was 1.03. 2. There were significantly high level of stress in women, those who were more than 60 years old, those who had a low education level, those who had no job, those who are patients' wives' and those who are terminal patients' caregiver. There were significantly low levels of coping in women, those who were more than 60 years old, those who had low education levels, those who had no job and those who are patients' wives. There were significantly higher number of physical symptoms in women, and those who have no job. 3. Caregivers' stress was significantly correlated to problem-focused coping methods (r=-.21, p=.006), and physical symptom (r=-.28, p=.0001). In conclusion, attempts to develop nursing interventions for cancer patients' caregiver in women, those who are more than 60 years old, with a low education level, have no job, and are cancer patients' wives could have an improvement on positive coping methods and provide relaxation from stress in the patients' experience.

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Parental, Occupational Role Reconstruction and Psychological Well-being among Middle and Old Aged Japanese Married Men and Women (중·노년기 부모 및 직업역할 재구조화와 심리적 안녕감: 일본 기혼남녀를 중심으로)

  • Sujie Chang
    • Korean Journal of Culture and Social Issue
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    • v.16 no.1
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    • pp.81-101
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    • 2010
  • The purposes of this study were: (a) to examine the relationship between parental/occupational role reconstruction and psychological well-being in middle and old age, (b) to investigate the psychological factors to affect parental/occupational roles reconstruction. The role reconstruction was measured as the extent to obsess with parental and occupational role in transition. Mail survey was conducted on 378 Japanese married men and women in ages between 50 and 69. As results, the hypothetical pathway was identified in women as follows. The obsession with parental and occupational roles raised parental and occupational role loss anxiety. And both of role loss anxiety lower psychological well-being. For men, obsessed with the occupational role was significantly influenced by autonomy, gender role attitude, social support network. For women, gender role attitude significantly influenced on occupational and parental role obsession, and social support networks had significant impact on parental role obsession. Results of this study were discussed in terms of the importance of role reconstruction in middle and old age, gender difference in role reconstruction according to gender role socialization.

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Status of Maternal Nutrition in South and North Korea (남북한 가임기 여성의 영양상태 비교)

  • Yun, Soh-Yoon;Kwon, Young Hye;Yoon, Jihyun
    • Korean Journal of Community Nutrition
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    • v.21 no.3
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    • pp.265-273
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    • 2016
  • Objectives: This study compared the nutritional status of child-bearing age women between the Democratic People's Republic of Korea (North Korea) and the Republic of Korea (South Korea). Methods: The data presented in the DPRK Final Report of the National Nutrition Survey 2012 was utilized for the nutritional status and food intake of North Korean women. To produce the South Korean women's data comparable to those of North Korean women, the data from the 2012 National Health and Nutrition Survey were analyzed and the data presented in the 2010 Report of the Korean Agency for Technology and Standards were utilized. Results: The prevalence of maternal anemia (blood hemoglobin < 12.0 g/dL) was over 30% in all the age groups of North Korean women and 8.9%, 14.2%, 16.4% in 20-29, 30-39, 40-49 year old South Korean women, respectively. The prevalence of maternal protein-energy malnutrition (Mid-Upper Arm Circumference < 22.5 cm) was 25.2%, 21.4%, 21.8% in 20-29, 30-39, 40-49 year old North Korean women, respectively and less than 10% in all the age groups of South Korean women. Result of dietary diversity comparison showed that North Korean women consumed less food than South Korean women at all food groups: grains, fruits, vegetables, meat, and dairy. Percentage of North Korean women having consumed protein rich foods-meat and fish, eggs or dairy products-were much lower than those of South Korean women. Conclusions: The striking disparity of nutritional status between South and North Korean women indicates that nutrition support for North Korean women is essential in the process of preparation for a unified nation.

Comparison of the health behavior and nutrition status of young-old women according to the vitality in their quality of life: based on the 2019, 2021 Korea National Health and Nutrition Examination Survey (전기노인 여성의 삶의 질 중 기운에 따른 건강행태와 영양상태 비교: 2019년, 2021년 국민건강영양조사 자료를 이용하여)

  • Jiyoung Jeong;Yoon Jung Yang
    • Journal of Nutrition and Health
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    • v.56 no.5
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    • pp.496-509
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    • 2023
  • Purpose: This study aimed to identify the general characteristics, chronic diseases, health behavior, mental health, and nutritional status of young-old women based on their vitality. Methods: This study used data from the 2019 and 2021 Korea National Health and Nutrition Examination Survey (KNHANES). The subjects were 1,113 young-old women aged 65 to 74 years old. The health-related quality of life concept with an 8-item questionnaire was used to measure the quality of life. Subjects were categorized into 4 groups (always, often, sometimes, never) based on their vitality. General characteristics, chronic diseases, health behavior, dietary behavior, food intake, and nutrient intake were compared among the groups. Results: Age, education level, household income, employment, fruit intake, dietary supplements, abundance of food, and nutrition labeling recognition were associated with the vitality of the subjects. Young-old women with arthritis, diabetes, and osteoporosis displayed lower vitality. Moreover, subjective health status, exercise, activity restrictions, and average daily sitting hours were related to vitality, while no significant difference was found in vitality between smoking and drinking. In terms of mental health factors, higher vitality was associated with 6-8 hours of sleep, lower stress levels, and reduced depression. The high-vitality group exhibited a higher intake of potatoes, starch, mushrooms, fruits, meat, milk, animal oils, and beverages than the low-vitality group. Additionally, the group with higher levels of vitality showed a higher intake of protein, fat, saturated fatty acids, monounsaturated fatty acids, polyunsaturated fatty acids, n-6 fatty acids, dietary fiber, sugars, phosphorous, potassium, magnesium, iron, zinc, and riboflavin. Conclusion: This study suggests that the vitality of young-old women is related to socioeconomic factors, health behavior, mental health, and food intake. To maintain a vibrant lifestyle in elderly women, it is necessary to have social and economic stability, prevent arthritis, diabetes, and osteoporosis, exercise regularly, get sufficient sleep, maintain mental health, and have a balanced diet.

Analysis of Mammographic Breast Density in a Group of Screening Chinese Women and Breast Cancer Patients

  • Liu, Jing;Liu, Pei-Fang;Li, Jun-Nan;Qing, Chun;Ji, Yu;Hao, Xi-Shan;Zhang, Xue-Ning
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.15
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    • pp.6411-6414
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    • 2014
  • Background: A dense breast not only reduces the sensitivity of mammography but also is a moderate independent risk factor for breast cancer. The percentage of Western women with fat breast tissue is higher aged 40 years or older. To a certain extent, mammography as a first choice of screening imaging method for Western women of this group is reasonable. Hitherto, the frequency and age distribution of mammographic breast density patterns among Chinese women had not been characterized. The purpose of this study was to investigate the frequency and age distribution of mammographic breast density patterns among a group of Chinese screening women and breast cancer patients in order to provide useful information for age-specific guidelines for breast cancer screening in Chinese women. Methods: A retrospective review of a total of 3,394 screening women between August and December 2009 and 2,527 breast cancer patients between July 2011 and June 2012 was conducted. Descriptive analyses were used to examine the association between age and breast density. The significance of differences of breast density between the screening women and the breast cancer patients was examined using nonparametric tests. Results: There was a significant inverse relationship between age and breast density overall (r=-0.37, p< 0.01). Breast density of the breast cancer patients in the subgroups of 40-49 years old was greater compared with that of the screening women, the same in those aged 50-54 years and in those 55 years old or older, less than in the screening group. Conclusions: With regard to the Chinese women younger than 55 years old, the diagnostic efficiency of breast cancer screening imaging examinations may be potentially improved by combining screening mammography with ultrasound.

Perceived Enactment of Ethnic Socialization by Japanese Marriage Migrant Mothers of 7- to 18-Year-Old Children (일본 출신 결혼이주여성이 인지하는 자녀에 대한 민족사회화 수행 : 만 7-18세 자녀를 중심으로)

  • Yoon, Soohyun;Chung, Grace H.
    • Journal of Families and Better Life
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    • v.33 no.3
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    • pp.15-29
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    • 2015
  • The purpose of this study was to explore ethnic socialization enacted by Japanese marriage migrant women currently raising 7- to 18-year-old children in Korea. To accomplish this goal, we examined the following research questions: (1) What is the level of ethnic socialization enacted by Japanese marriage migrant mothers? (2) Does the level of ethnic socialization vary by demographic and ethnocultural factors? (3) To what extent do demographic and ethnocultural factors influence the enactment of ethnic socialization by Japanese marriage migrant mothers? The sample consisted of 243 Japanese marriage migrant women currently raising 7- to 18-year-old children in Korea. For data analysis, T-test, correlation, ANOVA, and hierarchical regression analyses were used. Also, we performed separate analyses for two subtypes of ethnic socialization in particular, namely cultural socialization and preparation for bias. Ethnocultural factors examined in this study were the level of discrimination experience, Japanese ethnic identity, and husbands' ethnic orientation in childrearing. The main results of this study were as follows. First, results showed that Japanese marriage migrant women enacted moderate levels of cultural socialization and preparation for bias. Second, Japanese marriage migrant women's cultural socialization and preparation for bias were both positively related to the levels of women's discrimination experience and Japanese ethnic identity. Also, the younger the age of the firstborn child, the more preparation for bias these women performed. In addition, women whose Korean husbands wanted to raise their children more biculturally performed more cultural socialization compared to those with Korean husbands who wanted to raise their children as Korean. Third, hierarchical regression analyses revealed that women's discrimination experience and ethnic identity positively predicted both types of ethnic socialization. Also, Korean husband's bicultural orientation towards childrearing predicted a higher level of cultural socialization by Japanese marriage migrant women. Results of this study provide basic information about ethnic socialization among multicultural families in Korea, which can be useful for promoting positive self-identity among multicultural children. Furthermore, the results suggest that husbands' support and cooperation in ethnic socialization can be crucial for marriage migrant women to socialize their children utilizing their cultural and experiential resources.