• 제목/요약/키워드: the middle-aged

검색결과 2,781건 처리시간 0.032초

Assessment of Midpalatal Suture Maturation by Skeletal Maturity on Hand Wrist Radiographs (성장기 아동의 수완부 골 성숙도를 이용한 정중구개봉합 성숙도 평가)

  • Yu, Dayeol;Kim, Donghyun
    • Journal of the korean academy of Pediatric Dentistry
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    • 제48권1호
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    • pp.31-41
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    • 2021
  • The aim of this retrospective study was to evaluate the correlation between the midpalatal suture maturation and skeletal maturation in growing children aged 7 - 15 years and predict the maturational stages of the midpalatal suture corresponding to skeletal maturity assessed by the skeletal maturation indicators (SMI) and middle phalanx of the third finger (MP3) stages. The group of this retrospective study was consisted of randomly selected 132 male and 135 female in age from 7 - 15 years. The maturation of the midpalatal suture was evaluated by using images from cone-beam computed tomography (CBCT) while the skeletal age was assessed by hand-wrist radiography. CBCT images and hand-wrist radiographs used in this study were obtained from all subjects for orthodontic diagnosis before orthodontic treatment. The maturational stages of the midpalatal suture showed strong correlations with both SMI and MP3 stages. The correlation between the midpalatal suture maturation and SMI (Spearman's correlation coefficient, ϒS = 0.905, p < 0.05) was slightly greater than that of MP3 stages (ϒS = 0.830, p < 0.05). There was a positive significant correlation between the midpalatal suture maturation and chronological age (ϒS = 0.868,p < 0.05). CBCT for evaluation of the midpalatal suture maturational stages may be unnecessary in every pediatric patients because SMI and MP3 stages were both replaceable useful methods for assessing maturation of the midpalatal suture before orthopedic treatment. In this retrospective study, the diagnostic reliability of the SMI method for estimating midpalatal suture maturation showed better reliability than the MP3 method.

The Effects of the Expansion of Formal Home Care Services for the Elderly on Time Allocation of Family in Korea (노인 재가서비스의 확대가 가족의 생활시간에 미친 영향: 삼중차이 방법의 적용)

  • Lee, Seungho;Byun, Geumsun;Shin, Yumi
    • 한국사회정책
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    • 제23권1호
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    • pp.227-256
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    • 2016
  • This study examines whether formal home care has led to a reduction in family member's allocation of time to care of elderly and changing the allocation of other time: informal care, market work, leisure, etc. Long-term care for the elderly is not the entire burden of elderly families anymore due to the increasing of the formal home care service for elderly since mid-2000's. This study uses triple difference(DDD) methods for evaluating policy reforms when reforms are equally and nation-wide accessible and analyzes data from the 2004 and 2009 Time Use Survey Data of the National Statistical Office in Korea. The treatment group is composed of the families of the elderly who need care and low- and middle- income family. Controlling for demographic characters, the three-way interaction term has statically significant and negative impact on care time of family members in treatment group statistically significant. The results reveal that the policy changes in elderly home care service affect time allocation of family members with old adults, which decreases caregiving time in a daily life. This result becomes apparent when we limit the case of women. But the level of reduction is not enough to change other kinds of time-informal care, market work, leisure, etc. The results indicate that formal home care for the elderly can reduce the burden of caregiving in families, but only minimally.

An Epidemiological Study on the Dental Treatment Needs of Adolescents in Yangsan (양산시 거주 청소년의 치과치료 필요도에 대한 조사연구)

  • Kwon, Minsuk;Shin, Jonghyun;Kim, Jiyeon;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • 제43권4호
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    • pp.354-364
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    • 2016
  • To evaluate the oral health status and to assess the resultant dental treatment needs in adolescents, 2,062 adolescents aged 14-17 years attending middle and high schools in Yangsan were surveyed by clinical examination and questionnaires. The obtained results were as follows. In the dental caries examination based on WHO criteria, the treatment needs of 66.7% of the subjects were determined. Assessment of dental erosion by the VEDE system indicated the treatment needs in 27.8% of the subjects, while MIH examination based on EAPD criteria indicated the treatment needs in 14.7%. Assessment of malocclusion using the occlusal index showed good occlusion in 67.8%, no need for treatment in 19.7%, slight need for treatment in 6.8%, definite need for treatment in 4.5%, and worst occlusion in 1.1% of the subjects, showing 12.5% of average treatment need. The prevalence and treatment need for periodontal disease was found to be 71.2% by CPITN assessments. The assessment of temporomandibular disorders by Helkimo's anamnestic index showed no symptoms in 67.1%, mild symptoms in 13.4%, and severe symptoms in 19.5% of the examinees. The overall treatment need of TMD was 20.6%. Periodontal diseases were ranked the highest in treatment need, followed by dental caries, dental erosion, MIH, TMD, and malocclusion in order. The results of this study indicated the overall status of adolescents'oral health and dental treatment needs. These might hopefully provide fundamental data and contribute to establishing promotional projects for adolescent oral health in Korea.

Early and Mid-term Changes of the Distal Aorta after Total Arch Replacement for Acute Type A Aortic Dissection

  • Choi, Chang Hu;Park, Chul Hyun;Jeon, Yang Bin;Lee, So Young;Lee, Jae Ik;Park, Kook Yang
    • Journal of Chest Surgery
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    • 제46권1호
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    • pp.33-40
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    • 2013
  • Background: Total arch replacement (TAR) is being more widely performed due to recent advances in operative techniques and cerebral protective strategies. In this study, the authors reviewed the relationship between TAR and early- and mid-term changes of the false lumen after TAR in acute type A aortic dissection. Materials and Methods: Twenty-six patients (aged, $54.7{\pm}13.3$ years) who underwent TAR for acute type A dissection between June 2004 and February 2012 were reviewed. The relationship between the percentage change in the aortic diameter and the false lumen patency status was assessed by examining the early and late postoperative computed tomography imaging studies. Results: There were two in-hospital mortalities, one late death, and three follow-up loses. The mean follow-up duration for the final 21 patients studied was $54{\pm}19.0$ months (range, 20 to 82 months). The incidence of false lumen thrombosis within 2 weeks of surgery in the proximal, middle, and distal thoracic aorta, and the suprarenal and infrarenal abdominal aorta were 67%, 38%, 38%, 48%, and 33%, respectively, and 57%, 67%, 52%, 33%, and 33% for those examined at a mean of $49{\pm}18$ months after surgery, respectively. The false lumen regressed in 11 patients (42.3%). The aortic diameters were larger in the patients with a patent false lumen than those with a thrombosed false lumen at all levels of the descending aorta (p <0.05). Conclusion: TAR and a more complete primary tear-resection can be accomplished with a relatively low-risk of morbidity and mortality. Enlargement of the distal aorta significantly correlated with the false lumen patency status.

The Prevalence of Urinary Incontinence of The Women in Daegu (대구지역 성인 여성의 요실금 유병률에 관한 연구)

  • Park, Sung-Chul;Koh, Min-Whan;Lee, Tae-Hyung;Youn, Hyeon-Sook
    • Journal of Yeungnam Medical Science
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    • 제21권1호
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    • pp.60-66
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    • 2004
  • Background: The aim of this study was to estimate the prevalence of urinary incontinence and its correlation to the underlying diseases of women in Daegu. Materials and Methods: Urinary incontinence questionnaire regarding age, body weight, height, body mass index (BMI), parity, delivery mode, menopausal status, history of hormonal replacement therapy, abortion history, and any underlying diseases were administered from May to November, 2001 to 412 women over 20 who had been randomly selected from the Outpatient Department of Obstetrics and Gynecology of Yeungnam University. The clinical characteristics of women who experience, and those who do not experience urinary incontinence were compared by means of the Student's t-test for continuous variables and by the Pearson's Chi-square test or Fisher's exact test for categorical variables. A p value of <0.05 was considered statistically significant. Results: The mean age of the urinary incontinent group (N=193) was 44.2 years. There was a significant increase in the prevalence of incontinence with the increase of age (p=0.000). The prevalence of urinary incontinence was significantly related to the number of deliveries and the mode of delivery (p=0.007, p=0.001) No significant relationship was demonstrated between urinary incontinence and BMI (body mass index); the number of abortions; hormonal status; or any underlying diseases such as thyroid disease, diabetes mellitus, and chronic respiratory disease. Also, most of the urinary incontinent women didn't recognize their incontinence as pathological and consequently, didn't consult a physician. Conclusion: Our study indicates that the prevalence of urinary incontinence is significantly correlated to age, parity, and the mode of delivery. Most of the middle-aged women who suffered from urinary incontinence didn't recognize their incontinence a pathological. Those results suggest that women in this age group need more information and more education about urinary incontinence.

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A Study of the Halitosis at Urban Area in Dae-Gu City (대구지역 일부 주민의 구취 실태 조사)

  • Kim, Hye-Jin;Kim, Ji-Hee
    • Journal of dental hygiene science
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    • 제8권4호
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    • pp.387-393
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    • 2008
  • This study was undertaken to determine the halitosis status of urban area in Dae-Gu city. The sample of this study consisted of 332 persons who lived at Dae-Gu city. The results were as follows. 1. The persons consisted of 44.6% male and 55.4% female. The 32.5 % persons were under 38 years and 82.2% of persons were married. 2. The 26.8% persons answered the last meal time was before 1-2 hours and 63.3% persons answered middle halitosis. The 26.3% persons answered the time of worst halitosis was after breakfast and 33.1% persons answered the smell type of halitosis was nasty smell. The 11.4% persons experienced dental treatment for halitosis, and 63.9% persons required dental treatment for halitosis. 3. The 100 ppb~149 ppb concentration of halitosis was 156 persons. Over 150 ppb concentration of halitosis was 54 persons. The average of halitosis concentration was 122.76 ppb and, the 63.3% persons required halitosis management and treatment. An aged persons of the halitosis concentration was significantly increased than younger persons (p < 0.05). Higher smell preception of halitosis was significantly increased in halitosis concentration test practically (p < 0.001). Subjects who treated dental treatment for halitosis was significantly increased (p < 0.01). This study results have informed that the knowledge and management of halitosis was demand and required public relation for halitosis. The halitosis management and education program will improve the oral health. Therefore halitosis management program which based on data collection and planning will be developed and activated in further study.

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Characteristics of Affective Optimization in Elderly Koreans (정서경험 빈도와 정서조절 방향에 나타난 한국 노인의 정서최적화 특징)

  • An, Mi So;Ghim, Hei-Rhee
    • 한국노년학
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    • 제37권1호
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    • pp.201-219
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    • 2017
  • This study was performed to test the socioemotional selectivity theory (SST) with Korean adults. According to SST, perceiving their life as limited, people are motivated to enhance their mood by regulating their mood in such a way to maximize the positive emotions and weaken the negative ones. Being founded on the dialectical constructs which assume the positive and negative sides of emotional experience coexist, Korean adults were supposed to be less motivated to maximize positive emotions and weaken negative emotions. Thus the elderly koreans might regulate emotions not in the direction of maximizing the positive emotions and weakening the negative ones, but in the direction of not being highly aroused. 166 youth, middle-aged, and elderly were asked to rate the frequencies of 31 positive and negative emotions they had experienced during the last month. In addition, they were asked to judge whether they weaken / adapt / maximize their emotions after experiencing positive and negative events. The elderly experienced less positive emotions as well as negative emotions than youth. Youth experienced emotions of high arousal more often than those of low arousal, but the elderly experienced emotions of high arousal less often. The responses of weakening their negative emotions and their positive emotions were largest in the elderly group. On the other hand, the response of maximizing their positive emotions were largest in the youth group. These results show that the elderly maintains emotional stability by weakening both positive and negative emotions of high arousal.

Factors Influencing the Quality of Life (EQ-5D) of Patients with Diabetes Mellitus: Study Based on Data from the Second Annual Korea Health Panel survey (2019) (당뇨병 환자의 삶의 질(EQ-5D)에 미치는 영향 요인 : 2019년도 제2기 한국 의료패널 조사를 중심으로)

  • So-Hyun Kim;Sung-Hyoun Cho
    • Journal of The Korean Society of Integrative Medicine
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    • 제11권3호
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    • pp.99-114
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    • 2023
  • Purpose : The purpose of this study was to determine factors that affect the quality of life (QoL) of people with diabetes. We hope to provide a basis for intervention strategies for health promotion and related research among patients with diabetes in the field of physical therapy. Methods : We selected individuals diagnosed with diabetes who were aged 19 years or higher by using data from the 2019 Korean Health Panel survey and analyzed the results of 1,527 people. The influencing factors were sex, age, household income, marital status, age, education level, subjective health status, body mass index (BMI), smoking, drinking, regular exercise, experience of depression and anxiety, suicidal thoughts, stress, and frequency of walking (days/week). Frequency analysis, descriptive statistics, independent sample t-test, one-way analysis of variance, and multiple regression analysis were performed. Results : The EQ-5D score for QoL was .87 ± .12, with pain and discomfort being the most detrimental to the QoL of people with diabetes. In terms of patients characteristics, the QoL was lower among participants who were female, older, and separated/widowed/divorced; had an education level below middle school; had a poor subjective health status; were non-smokers and drinkers; and did not walk and exercise regularly, experienced a lot of stress, and experienced depression and anxiety; and had suicidal thoughts (p<.001). Being separated/bereaved/divorced; experiencing a lot of stress, depression, and anxiety; and having suicidal thoughts were negatively associated with QoL in people with diabetes (p<.01). On the other hand, age of 65 years or younger; graduation from high school, fair or better subjective health, regular exercise and alcohol consumption, and walking (days/week) were positively associated with QoL (p<.05). Conclusion : Regarding the QoL of patients with diabetes, intervention strategies should be formulated by considering general characteristics and disease-related characteristics. Among the various factors affecting QoL, the number of walking and regular exercise were found to be the factors that improved the QoL of patients with diabetes. These results can be used as a basis for the education and management of patients with diabetes in the field of physical therapy.

Using Photovoice A Study on the Perception of Death Readiness in Babyboomer Retirees (포토보이스를 활용한 베이비부머 은퇴자의 죽음준비 인식의 연구)

  • Chung, Ju-Young;Lee, Mi-Ran
    • Journal of Convergence for Information Technology
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    • 제12권3호
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    • pp.171-177
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    • 2022
  • The retirement of the Korean baby boomer generation has become a major factor in an aging society as a large proportion of the population has moved from the middle-aged to the elderly. In addition, after being busy working at a structured workplace for over 30 years, after retirement, they could not adapt to the unstructured environment, causing depression and leading to social problems such as the risk of suicide. research was needed. This study uses photovoice to in-depth research on the research question of how retirees' perception of death preparation, who wants to live a life prepared until death, is used. This is the purpose of this study. The study participants were 7 baby boomer retirees, the data were collected for 2 months, and the perception derived as a result of analyzing the photos, explanations, and in-depth interviews taken by the subject analysis method was used to prepare It was a necessity for education. In the discussion of this study, it is urgent to develop a death preparation education program that can help the baby boomer retirees, and I would like to suggest that the cooperation of local organizations in charge of the program is necessary. This study is meaningful in that it presents basic data in preparing social welfare policy measures for the elderly after retirement through the awareness of death preparations of baby boomer retirees.

Patterns of Ceremonial Foods for Middle-aged Residents in Ganghwa (강화 지역 중년 남.녀의 의례 음식 섭취 실태)

  • Kim, Eun-Mi
    • Journal of the East Asian Society of Dietary Life
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    • 제18권4호
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    • pp.455-465
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    • 2008
  • The data for this study were collected in a survey conducted in Ganghwa. The questionnaire was specifically designed to identify ceremonial and prohibitive foods in Ganghwa. Quantitative and qualitative data were reported as frequencies, and $X^2$ analysis was employed to assess the relationships among religious. Ceremonial foods were important on the 15th of January by the lunar calendar(87.5%), the Korean Thanks giving Day(84.4%), New Year's Day(79.8%), and the winter solstice(77.4%). A table in celebration of a baby's first birthday included baekseolgi, rice cake with Indian millet and red bean, songpyeon, injeolmi, fruits, and japchae. Women who had delivered a child ate boiled rice and seaweed soup. Birthday parties was hosted in 67.0% of the homes. The reasons for not having a birthday party were the inability to make enough time(38.2%) and difficulties with work(19.4%). Pyebaek foods were jerked beef, chicken, jujube and chestnuts. A 60th birthday anniversary was the reason for 31.4% of the respondents to eat ceremonial foods, and a Memorial Day service that carried in the eldest son was the reason in 53.4% of the families. The Memorial-Day service foods were learned by a Catholic mother(66.7%), by the husband's Buddhist mother(37.9%), or by Confucianism(54.5%)(p<0.05). Therefore, it is important to increase the understanding of celebrational foods and to enforce systematic public relations.

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