• Title/Summary/Keyword: older adults

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Growth of Copepod $Acartia$ $hongi$ Nauplii in Kyeonggi Bay, Korea

  • Youn, Seok-Hyun;Choi, Joong-Ki
    • Korean Journal of Environmental Biology
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    • v.29 no.4
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    • pp.379-387
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    • 2011
  • Copepod nauplii plays an important role as a linker between the microbial food web and classical food chain in marine ecosystem and is an essential food source for early stage of many larval fishes. Study on the influencing factors on the growth of copepod naupliar stages has been rarely carried out in despite of these ecological significances. Many studies have shown that food availability and temperature are major factors to influence copepod growth. However, due to the complicated environment parameters in coastal ecosystem, the relationships between growth of copepods and influencing factors are still unclear under the natural condition. Growth rates of the copepod $Acartia$ $hongi$ nauplii were measured in Kyeonggi Bay from February to December 2001. $Acartia$ $hongi$ is numerically abundant and widespread predominant species in the coastal regions of the Yellow Sea and occurs continuously throughout the year, with a maximum peak in late spring. The naupliar growth rates of $Acartia$ $hongi$ by the artificial cohort method varied from 0.03 to 0.18 $day^{-1}$, with a mean of 0.09 $day^{-1}$. The overall naupliar growth rates showed a significantly positive relationship with the variation in water temperature. However, Previous study reported that the growth rates of adult $Acartia$ $hongi$ were primarily influenced by the variation in chlorophyll-$a$. Therefore, these differences demonstrated that the influencing factors of growth did not correspond with the developmental stages. The results of this study suggest that the dissimilarity of growth between nauplius and adult female resulted from the size-dependant difference in food availability and the growth of older developmental stages containing adults are more food-dependent than juveniles.

Awareness, Treatment, Control, and Related Factors of Hypertension in Gwacheon (과천시민의 고혈압 인지, 치료, 조절과의 관련요인)

  • Choi, Youn-Hee;Nam, Chung-Mo;Joo, Mi-Hyun;Moon, Ki-Tae;Shim, Jee-Seon;Kim, Hyeon-Chang;Suh, Il
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.3
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    • pp.263-270
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    • 2003
  • Objectives : To identify the factors related to awareness, treatment, and control of hypertension in a Gwacheen population. Methods : This study surveyed 1,176 Gwacheon residents older than 40 years, and measured blood pressure using a standardized guideline in 1999. The study subjects were 473 adults (175 males, 295 females) with hypertension defined as a systolic blood pressure $\geq$140 mmHg, diastolic blood pressure $\geq$90 mmHg or reported treatment with antihypertensive medication. Information on awareness, treatment, and control of hypertension, and sociodemographic and health-related factors .was collected through person-to-person interviews with a structured questionnaire. Results : Overall, 252 (53.3%) of hypertensive subjects were aware of their condition, of whom as many as 193 (76.6%) were being treated, and 81 (42.0%) had their blood pressure controlled at the recommended level (<140/90 mmHg). However, of the 473 subjects found to have hypertension, only 40.8% were being treated, and 17.1% were under control. There were no significant differences in the proportions of awareness, treatment, and control of hypertension. In multiple logistic regression models, awareness of hypertension was positively associated with age and family history of hypertension in females. Control of hypertension was also positively associated with haying a partner and marital status in females.. Conclusion : These findings demonstrate that much greater efforts on improving awareness, treatment, and control of hypertension are needed, even in urban community settings, considering related factors such as a9e, family history, and marital status. However, these factors should be further investigated for their causal relationship.

Complementary and Alternative Medicine Use in Korea : Prevalence, Pattern of Use, and Out-of-pocket Expenditures (우리 나라 국민의 보완요법 이용률, 이용양상과 비용지출)

  • Khang, Young-Ho;Lee, Moo-Song;Koo, Hee-Jo;Kang, Wee-Chang;Hong, Chang-Gi;Lee, Sang-Il
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.4
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    • pp.546-555
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    • 1999
  • Objectives : To determine the prevalence, pattern. and out-of-pocket expenditure of complementary and alternative medicine (CAM) utilization in Korean adult population. Methods : We conducted a representative telephone survey of 2,042 persons aged 18 or older. Data about any health problem, details of their use of medical doctors(MDs) offices/hospitals/pharmacies services and CAM during the preceding 12 months were collected with structured questionnaire. Results : The utilization rate of CAM among Korean adults was 29% in one year. A total of 231 kinds of CAM was identified from this survey. Annual out-of-pocket expenditure associated with CAM use in 1998 amounted to ${\xi}{\S}1.88$ billion and was comparable to 40.8% of out-of-pocket expenditure paid for MDs offices/hospitals/pharmacies services. Among those(N=424) who paid for both MDs offices/hospitals/pharmacies services an d CAM, 35.8% paid more for CAM. CAM gave more satisfaction than western medicine to those who had experience of both types of therapy. About half of CAM users were willing to recommend CAM to others. Disclosure rate to physician among CAM users was not high(40.6%). Conclusion : CAM became a popular source of health care in Korea, Korean spent a substantial amount of out-of-pocket money on CAM without any public control. Because CAM use is likely to be increased rapidly through lay referral system, health policy makers and health professionals should pay more attention to CAM for making appropriate utilization of CAM.

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The CNS Responses of Elderly Driver due to Signal Types at the Intersection: Focused on Yellow Interval Dilemma Situation (교차로 상황에 따른 고령운전자의 중추신경계 반응: 황색신호 딜레마를 중심으로)

  • Lee, Young-Chang;Kim, Bo-Seong;Kim, Hyun-Woo;Lim, Dong-Hoon;Bak, Mi-Seon;Min, Byung-Chan;Min, Yoon-Ki
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.5
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    • pp.783-788
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    • 2010
  • This study was to examine to the CNS(Central Nervous System) responses of elderly drivers at the green, yellow, and red signal types. To examine this result, the older adults over age 65 who has more than 5 years of driving experience participated this experiment. In addition, we used audio-visual film clips as the stimulus than driving simulator, because the CNS reponses are sensitive to movement such as steering wheel. While subjects were watching one car's driving among green, yellow, or red signal types at the intersection, we measured their EEG(electroencephalogram) using monopolar electrodes from Fz, Cz and Pz sites. As a result, relative sizes of beta waves were changed due to the signal type conditions, and pre- and post-time of entering the intersection at the measured sites, separately. It suggests that the elderly drivers' CNS responses were different by the signal types.

Group Lunch Visits at the Public Health Center Improve Glycemic Control in Older Adults with Type 2 Diabetes Mellitus (보건소 중식실습교육이 제 2 형 당뇨병환자의 혈당개선에 미치는 영향)

  • 김태연;엄순희;김화영;장남수
    • Journal of Nutrition and Health
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    • v.37 no.4
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    • pp.302-309
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    • 2004
  • This study was carried out to investigate the effect of nutrition education program for diabetic patients on the glycemic control at the public health center. The study subjects, aged 61.7 $\pm$ 9.4 years, were 93 sex-and age-matched patients with type 2 diabetes mellitus. They were divided into three groups: nutrition education & diet practice group (EDG), nutrition education-only group (EG), and the control group (CG). Height, weight, and the postprandial 2 hour blood glucose (PP2) were measured at baseline, and 4, 6 and 8 week after the diabetic nutrition education program. At baseline there were no differences in height, weight, and blood glucose levels among the three groups. Nutrition education programs, especially that with group lunch practice sessions were found to be effective in lowering the blood glucose levels in patients with NIDDM patients. At 4 week blood glucose levels were decreased by 40.6% and 19.6% in EDG and EG, respectively, which was further dropped by 50.2% and 35.1% at 8 week, as compared to the CG group. For the EDG group, the total energy intake, which was 162.3% of the prescription before the diet counselling session, was decreased to 113.6% of the prescription after the lunch visit, with most decrease coming from the reduction in carbohydrate and fat intake. Multiple stepwise regression analysis revealed that the total energy intake explained 47.9% and 57% of blood glucose changes for men and women, respectively, and that percent energy intake from protein explained 15.8% for women. These results demonstrate that the public health center nutrition education programs for diabetic patients, especially that with group lunch practice sessions are very effective for the glycemic control in patients with diabetes mellitus.

Analysis of Kimchi, vegetable and fruit consumption trends among Korean adults: data from the Korea National Health and Nutrition Examination Survey (1998-2012)

  • Kim, Eun-Kyung;Ha, Ae-Wha;Choi, Eun-Ok;Ju, Se-Young
    • Nutrition Research and Practice
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    • v.10 no.2
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    • pp.188-197
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    • 2016
  • BACKGROUND/OBJECTIVES: The purpose of this study is to analyze daily kimchi, vegetable and fruit consumption by general characteristics and vegetable and fruit consumption from 1998 to 2012 by the Korean population based on the data of the KNHANES (Korea National Health and Nutrition Examination Survey). SUBJECTS/METHODS: This study is based on the 1998-2012 KNHNES. Analysis data on 54,700 subjects aged 19 years and older were obtained from health behavior interviews and the 24-hour dietary recall method. RESULTS: Daily kimchi consumption and portion size of kimchi decreased significantly from 1998 to 2012 (adjusted P for trend < 0.0001). Meanwhile, daily consumption of both non-salted vegetable and fruit with and without kimchi did not significantly change between 1998 and 2012. Reduced consumption of kimchi, non-salted vegetable, and fruit was observed for both genders as well as daily meal episodes and cooking locations. Male and female subjects with insufficient non-salted vegetable and fruit intake were increased 1.4 times and 1.3 times, respectively, in 2012 than 1998. All subjects consumed at least 400 g/day of non-salted vegetable, fruit, and kimchi in each survey year, although they consumed insufficient amounts (< 400 g/day) of non-salted vegetable and fruit without kimchi. CONCLUSIONS: Since Koreans generally consume high amounts of fermented vegetables, including kimchi, total vegetables and fruit. Consumption of these foods by the Korean adult population reached 400 g, which is the recommended intake of the WCRF/AICR. Based on this result, it is necessary to promote consumption of kimchi in the Korean population and research the development of low sodium kimchi in the future.

A healthy dietary pattern consisting of a variety of food choices is inversely associated with the development of metabolic syndrome

  • Baik, Inkyung;Lee, Myoungsook;Jun, Nu-Ri;Lee, Jae-Yeon;Shin, Chol
    • Nutrition Research and Practice
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    • v.7 no.3
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    • pp.233-241
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    • 2013
  • There are limited data on healthy dietary patterns protective against metabolic syndrome (MetSyn) development. We identified dietary patterns among middle-aged and older adults and investigated the associations with the incidence of MetSyn. A population-based prospective cohort study included 5,251 male and female Koreans aged 40-69 years. At baseline, all individuals were free of MetSyn, other major metabolic diseases, and known cardiovascular disease or cancer. Cases of MetSyn were ascertained over a 6-year of follow-up. Dietary patterns and their factor scores were generated by factor analysis using the data of a food frequency questionnaire. We performed pooled logistic regression analysis to estimate multivariable-adjusted relative risk (RR) and 95% confidence interval (CI) for associations between factor scores and MetSyn risk. Two dietary patterns were identified; (1) a healthy dietary pattern, which included a variety of foods such as fish, seafood, vegetables, seaweed, protein foods, fruits, dairy products, and grains; and (2) an unhealthy dietary pattern, which included a limited number of food items. After controlling for confounding factors, factor scores for the healthy dietary pattern were inversely associated with MetSyn risk (P-value for trend < 0.05) while those for the unhealthy dietary pattern had no association. Individuals in the top quintile of the healthy diet scores showed a multivariable-adjusted RR [95% CI] of 0.76 [0.60-0.97] for MetSyn risk compared with those in the bottom quintile. The beneficial effects were derived from inverse associations with abdominal obesity, low HDL-cholesterol levels, and high fasting glucose levels. Our findings suggest that a variety of healthy food choices is recommended to prevent MetSyn.

Paper Title of The Korea Academia-Industrial cooperation SocietyThe Self-care Competence and Behavior in Older Adults with Diabetes : The Mediating effect of Cognitive Function (당뇨병 노인의 자가관리 자신감과 행위와의 관계에서 인지기능의 조절효과: 우울군과 비우울군의 비교)

  • Lee, Song-Heun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.189-196
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    • 2019
  • This study identifies the moderating effects of cognition on the relationship between self-care confidence and self-care behavior in the diabetic elderly. The participants were 205 elderly subjects with diabetes, who visited a citizen health center located in D city, Korea. Data were collected from 20th April to 31st August 2015, and were analyzed by t-test and multiple regression. Our results reveal no significant differences between the depressive and non-depressive groups, when considering diabetes self-management confidence, knowledge, behavior and cognitive function. Cognitive function had a moderating effect in the relationship between self-care confidence and self-care behavior only in the depressed group. Our results indicate that it is therefore necessary to apply individual nursing intervention based on cognitive function and depression level, and to develop various programs for improving the cognitive function and depression amongst the diabetic elderly.

Dermoid cysts: Epidemiology and diagnostic approach based on clinical experiences

  • Choi, June Seok;Bae, Yong Chan;Lee, Jae Woo;Kang, Gyu Bin
    • Archives of Plastic Surgery
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    • v.45 no.6
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    • pp.512-516
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    • 2018
  • Background Dermoid cysts are congenital tumors that are benign. Dermoid cysts with intracranial extension can cause serious neurological complications. It is important, therefore, to determine whether a patient has a dermoid cyst when their chief concern at a doctor's visit is a mass in the head or neck area. In this study, we present a literature review of dermoid cysts and an analysis of the authors' experiences, with the goal of providing guidance useful for the diagnosis and treatment of dermoid cysts. Methods This study retrospectively analyzed the medical records of 62 patients who visited the two medical clinics with which the authors are affiliated. The patients were enrolled between October 2003 and January 2017. Results Of the 62 patients analyzed in this study, 32 were 0 to 5 years of age (52%) and 23 were 17 years of age or older (37%). Forty-seven patients underwent 1 or more imaging study during the process of diagnosis. Thirty-two patients were suspected to have a dermoid cyst. Forty-nine patients were analyzed to determine the depth of the cyst. Bone was seen in 43 patients through imaging tests or during actual surgery, and nine of the 43 had bony problems (21%). Conclusions This study found that dermoid cysts were present in many adults, and that a high rate of deep lesions was observed, as well as many cases in which even the bone was affected. These results suggest, therefore, that dermoid cysts should be considered, and medical professionals should actively conduct imaging studies.

The Big Vitamin D Mistake

  • Papadimitriou, Dimitrios T.
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.4
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    • pp.278-281
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    • 2017
  • Since 2006, type 1 diabetes in Finland has plateaued and then decreased after the authorities' decision to fortify dietary milk products with cholecalciferol. The role of vitamin D in innate and adaptive immunity is critical. A statistical error in the estimation of the recommended dietary allowance (RDA) for vitamin D was recently discovered; in a correct analysis of the data used by the Institute of Medicine, it was found that 8895 IU/d was needed for 97.5% of individuals to achieve values ${\geq}50nmol/L$. Another study confirmed that 6201 IU/d was needed to achieve 75 nmol/L and 9122 IU/d was needed to reach 100 nmol/L. The largest meta-analysis ever conducted of studies published between 1966 and 2013 showed that 25-hydroxyvitamin D levels <75 nmol/L may be too low for safety and associated with higher all-cause mortality, demolishing the previously presumed U-shape curve of mortality associated with vitamin D levels. Since all-disease mortality is reduced to 1.0 with serum vitamin D levels ${\geq}100nmol/L$, we call public health authorities to consider designating as the RDA at least three-fourths of the levels proposed by the Endocrine Society Expert Committee as safe upper tolerable daily intake doses. This could lead to a recommendation of 1000 IU for children <1 year on enriched formula and 1500 IU for breastfed children older than 6 months, 3000 IU for children >1 year of age, and around 8000 IU for young adults and thereafter. Actions are urgently needed to protect the global population from vitamin D deficiency.