• 정신신체의학
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• 제31권2호
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• pp.89-99
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• 2023

연구목적 본 연구는 일 대학병원에 입원하여 정신건강의학과로 협진 의뢰가 된 65세 이상의 노인 입원 환자들을 연소노인, 고령노인, 초고령노인으로 분류하여, 각 연령대별로 초조(agitation) 양상에 기여하는 요인 및 차이, 초조 양상의 심각도에 대한 차이를 알아보기 위해 시행되었다. 방 법 2021년 7월 1일부터 2021년 12월 31일까지 인하대병원에 입원한 환자 중, 정신건강의학과에 협진 의뢰된 65세 이상 환자들의 의무기록을 후향적으로 검토하였다. 연령, 성별, 입원경로, 의뢰과, 의뢰 사유, 치료방법, 내외과적 질환여부, 혈액학적 검사자료 등을 조사하였다. 결 과 65-74세의 연소노인은 외과계열 협의진료 의뢰(OR 4.833, 95% CI 1.533-15.234, p=0.007), 높은 CRP수치(OR 2.111, 95% CI 1.007-4.426, p=0.048)에 해당될 경우, 75~84세의 고령노인은 외과계열 협의진료 의뢰(OR 3.568, 95% CI 1.334-9.544, p=0.011), 치매(OR 5.503, 95% CI 1.164-26.026, p=0.031), 저나트륨혈증(OR 0.344, 95% CI 0.149-0.791, p=0.012)에 해당될 경우, 85세이상의 초고령노인은 치매(OR 9.728, 95% CI 1.151-82.242, p=0.037)에 해당될 경우 초조와 유의한 관련성이 있었다. 또한 RASS 평균점수의 경우 65-74세의 연소노인은 1.22점, 75-84세의 고령노인은 1.54점, 85세이상의 초고령노인은 1.79점(F=5.368, p=0.005)으로 연령대 간의 초조 양상의 심각도에 대한 차이가 있었다. 결 론 연령대가 증가함에 따라 초조 양상의 심각도가 높게 나타났고, 초조 양상에 기여하는 여러 관련 요인들도 연령대 별로 차이가 있었다. 따라서, 고령 환자 진료시 연령대에 따라 초조에 영향을 미칠 수 있는 인자에 대한 주의가 필요하다.

• 대한지리학회:학술대회논문집
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• 대한지리학회 2004년도 춘계학술대회
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• pp.30-30
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• 2004

본 연구는 우리나라에서 85세 이상(초고령 노인) 비율이 65세 이상(노인인구) 비율 가운데 가장 높은 장수지역이라 할 수 있는 전라도 4군의 남녀 각각 60명 총 120명을 직접 방문하여 면접 조사한 것이다. 본 조사연구는 전반적으로 초고령 노인의 특성을 발견하는 것과 더불어 성별간 차이 및 장수요인을 규명하는 것을 목적으로 시행되었다. 조사분석에서 발견된 초고령 노인의 주요특성과 성별차이 및 장수요인은 다음과 같다. (중략)

• 대한지리학회:학술대회논문집
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• 대한지리학회 2004년도 춘계학술대회
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• pp.31-31
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• 2004

본 연구는 장수벨트에 거주하는 노인 중 90세 이상과 89세 이하의 노인간에 생활습관과 식생활에 차이가 있는 지를 알아봄으로써 장수에 영향을 미치는 식생활 인자를 찾고자 실시하였다. 장수벨트에 거주하는 60세 이상 89세 이하의 일반노인 164명(남 61명, 여 103명)과 90세 이상의 장수노인 91명(남 26, 여 65)을 대상으로 건강습관, 식습관, 맛의 기호도, 주당 식품군 섭취횟수 등의 식생활 실태와 1끼 식사의 칭량을 포함한 24시간 회상법을 통하여 산출한 영양소 섭취실태 조사 결과는 다음과 같다. (중략)

• Journal of Chest Surgery
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• 제28권12호
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• pp.1174-1177
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• 1995

We experienced one case of TAPVC patient who was 39 years old man with mild dyspnea on exertion and easy fatigability. He was the oldest patient among TAPVC which was reported in Korea. Preoperative echocardiogram, cardiac catheterization and angiogram revealed supracardiac type TAPVC drained through left innominate vein. An anastomosis between common pulmonary venous trunk and left atrium, pericardial patch closure of ASD and ligation of left vertical vein were performed with extracorporeal circulation. The postoperative course was uneventful and discharged with excellent general condition and has been well during 8 months follow-up.

• 대한지역사회영양학회지
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• 제14권4호
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• pp.451-461
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• 2009

The purpose of this study was to investigate the age-related changes of cardiovascular disease risk factors and inflammatory markers in non-obese Korean women. Subjects were 112 women over 20 years old with body mass index (BMI) less than $30 kg/m^2$ and were divided into 3 groups (< 40 years, $40{\sim}59$ years, ${\ge}60$ years). Mean weight and BMI in the oldest group were significantly higher than those in the other 2 younger groups (p < 0.05). Mean total cholesterol, triglyceride, LDL-cholesterol and apolipoprotein B/apolipoprotein A1 ratio (BAR) in the oldest group were significantly higher than those in the youngest group (p < 0.05), and mean HDL-cholesterol of the oldest group was significantly lower than that of the youngest group (p < 0.05). The older-aged group showed significantly higher mean values of atherogenic index (AI) and LDL/HDL ratio (p < 0.05) than the respective younger-aged group, and AI was significantly correlated with age, nitric oxide and thiobarbituric acid reactive substances (p < 0.01). In addition, mean vascular cell adhesion molecule-l (VCAM-1) tended to be higher in the older-aged group than the younger group. Tumor necrosis factor-${\alpha}$, a proinflammatory maker, was significantly positively correlated with serum homocysteine, a cardiovascular disease risk factor (p < 0.01). In addition, a significantly positive correlation was observed between C-reactive protein and BAR (p < 0.01). Overall results suggested that the aging might affect the increase of cardiovascular disease risk factors including the serum lipid profiles, weight and BMI, and age-related increases of weight and BMI might play a role in changes in certain biomarkers of inflammation. (Korean J Community Nutrition 14(4) : 451${\sim}$461, 2009)

• 대한지역사회영양학회지
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• 제14권6호
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• pp.699-709
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• 2009

In order to identify valuable factors for improving dietary quality of Korean rural elderly, the consumption frequency of food groups, dietary habits and health behaviors related to nutrient intakes of the elderly over 85 of Sunchang County were studied. The 171 subjects (61 males and 110 females) were chosen from Sunchang Province by stratified sampling. Among food groups, the consumption frequency of meat and fish groups influenced significantly on their nutrient intakes than the other groups. The subjects consuming more than 4 times per week of meat or fish had significantly higher nutrient intakes level than the other groups. The group consuming milk and milk products everday was higher in vitamin $B_2$ intake level than the other groups. Among dietary habits, the groups with good appetite and regular mealtime compared with the groups with low appetite and irregular mealtime had significantly higher nutrient intake levels. The family type was the determining factor of nutrient intakes. The subjects living with family members consumed higher nutrient intakes than the subjects living alone. The smoking and the alcohol consumption themselves did not affect nutrient intakes, but the subjects having alcohol consumption frequently more than once a day had lower nutrient intakes than the others. The group with dentures did not differ significantly from the without denture group in nutrient intakes; however, those who had chewing problems showed the lower nutrient intakes compared to those who did not have chewing problems. The subjects with more than two kinds of clinical symptoms had lower nutrient intakes than the subjects with less than two kinds of clinical symptoms. These results indicate that the identifying factors for desirable nutrient intakes of rural elderly were characterized as appropriate consumption frequencies of meat and fish, good appetite, living with family, regular mealtime, chewing without difficulty, and low incidence of chronic disease.

• 한국산학기술학회논문지
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• 제15권11호
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• pp.6884-6889
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• 2014

읍지를 통해 파악할 수 있는 조선시대 읍치시설의 배치 양상을 공간적으로 명확히 파악하기 위해서는 상세한 지도 자료와의 비교 검토가 요구된다. 특히 일제강점기에 작성된 지적원도의 필지구조 파악이 필수적이다. 본 연구는 일제강점기에 작성된 현존 최고(最古)의 천안군 지적원도를 대상으로 조선시대 각종 읍치시설이 배치되었을 것으로 추정되는 천안군 중심부의 필지구조에 대한 복원적 고찰을 행하는 것을 목표로 하였다. 본 연구의 결과는 향후 천안군 읍치시설의 배치상황을 비정해 볼 수 있는 단초가 될 것으로 기대된다.

• 건축역사연구
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• 제19권6호
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• pp.61-78
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• 2010

Old Russian Legation(1890) has been attracted public attention in terms of politics and foreign affairs than architectural style because of conditions of location and historical incident. Though it was heavily damaged during the Korean war, and only the tower has been restored, it is very important in architectural history in Korea, because it is the oldest western style brick building which is existing with the old bishop's house in Myeong-Dong. But it has been impossible to reveal exactly the original form as there has been few reliable materials(picture, drawing, document) and it's remains were nearly destroyed owing to development of the surroundings. Recently the decisive document(site outline map) was found, and new research on the architect Sabatine was studied. So I can get into close with the original form by the results. In this study, I tried to conjecture the original form of the old Russian legation(the size, style, plan and indoor space, arrangement of attached facilities) and I checked the location and structure of the room where King Gojong stayed when he took refuge, and the use of the passage in the basement.

• 지역사회간호학회지
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• 제30권2호
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• pp.141-149
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• 2019

Purpose: The purpose of this study is to identify risk factors of accidental falls by age in the Korean elderly. Methods: The study subjects included 10,242 community-dwelling elders aged 65 or over. The data were analyzed by logistic regression analysis. Results: The risk factors of accidental falls in the younger old group (aged 65~74) include fear of falling (OR=16.28, 95% CI: 12.03~22.03), depression (OR=1.24, 95% CI: 1.06~1.44), and hearing impairment (OR=1.20, 95% CI: 1.01~1.43). The risk factors of accidental falls in the older old group (aged 75~84) include fear of falling (OR=11.54, 95% CI: 7.04~18.93), muscle strength (OR=1.36, 95% CI: 1.15~1.60), number of chronic disease (OR=1.65, 95% CI: 1.09~2.50), and presence of spouse (OR=1.27, 95% CI: 1.06~1.51). The risk factors of accidental falls in the oldest old group (aged 85 years old or older) include fear of falling (OR=8.05, 95% CI: 1.85~34.98) and exercise (OR=2.91, 95% CI: 1.36~6.24). Fear of falling is defined as a common factor in the all age groups. Conclusion: Different strategies should be developed for age groups to prevent elderly falls with understanding of contributing factors of falls in each group.

• 대한치과의사협회지
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• 제19권3호통권142호
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• pp.269-274
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• 1981

Several patients of trigeminal neuralgia were observed pathologically. The results were as follows. 1. Three of five were female and two of five were male. The oldest was 76-year-old man and the youngest 49-year-old woman. The average age was 59.4 years. 2. The main division of involvement was third branch and two cases were combined with infra orbital nerve. 3. There was no constant pathologic changes in nerve tissue, but capillary proliferation were observed in perineural connective tissue in two cases. In one case, there was microneuromatic lesion and mild schwann cell proliferation. But in general, there were nonspecific pathological changes in nerve fiber.