• Title/Summary/Keyword: thirty years old

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A Case of Bronchial Obstruction due to Occult Aspiration of a Tooth (치아흡인에 의한 기관지 폐쇄 1예)

  • Chang, Jung-Hyun;Kim, Se-Kyu;Chung, Kyung-Young;Min, Dong-Won;Shin, Dong-Hwan;Lee, Hong-Leoyl;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.4
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    • pp.442-448
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    • 1993
  • Foreign body aspiration, although not an uncommon problem in children, is unusual in adults and is overlooked as a cause of airway obstruction. Small foreign bodies that lodge in the peripheral airway are often asymptomatic initially and can result in respiratory symptoms several years later. Especially in the cases of otherwise healthy subjects, even though manifested overt respiratory symptoms, diagnosis can be delayed due to lack of history of aspiration or unnoticed aspiration. A 57-year-old male was admitted to Yonsei University College of Medicine Severance hospital due to left upper chest pain for five months. on the past history he had been diagnosed as bronchiectasis about 20 years ago. He showed radiologically bead-like bronchostenosis and a calcific density protruding into the lumen of left upper lobar bronchus. Bronchoscopically broncholith was revealed with the finding of endobronchial obstruction of each upper and lingular division of left upper lobar bronchus due to mucoid impaction and surrounding inflammed bronchial mucosa. The preoperative diagnosis was broncholithiasis due to chronic inflammatory process. Lung perfusion scan shows absence of perfusion in left upper lobe. So left upper lobectomy was performed. But from the pathologic specimen an incisor tooth was emerged. Later a history of tooth extraction thirty years ago at dental clinic was found. We report a case of bronchial obstruction due to occult aspiration of a tooth with a review of the literatures.

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Quality of Life and Related Factors in Patients with Chronic Hepatitis B* (만성 B형 간염환자의 삶의 질과 제요인)

  • Kim, Keum-Soon;Yi, Myung-Sun;Choi, Eun-Ok;Paik, Seung-Woon;Kwak, Sang-Man;Kwon, So-Hi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.3
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    • pp.331-339
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    • 2007
  • Purpose: This study aimed to investigate LDQOL (Liver Disease Quality of Life) and its related factors of patients with Hepatitis B. Method: A cross-sectional descriptive study. The LDQOL was formally translated to Korean and reliability was examined. One hundred thirty eight patients following gastroenterology outpatient clinic of S. hospital in Seoul, Korea participated. Results: The mean age of the patients was 45.43 years and 87.7% were men. The mean score of LDQOL was 77.34, and mean scores of subscale were followed; symptom of liver disease (SxLD) (82.12), effect of liver disease (ELD) (25.50), concentration (Conc) (84.47), memory (Mem) (83.24), health discomfort, (HD) (75.18), sexual function (SFun) (75.71), sexual problem (SProb) (84.70), Loneliness (85.50), Hopeless (67.43), and stigma of liver disease (SLD) (91.64). Women had a lower LDQOL score for Loneliness (p=.034), and over 45 year-old patients had a lower LDQOL overall score (p=.000). Patients who were HBV carriers, or who had Chronic Hepatitis B or Liver Cirrhosis reported lower QOL respectively(p=.032). Conclusion: Although the liver disease itself seemed to be stable, patients with HBV experienced poor QOL in ELD, SProb, SFun, and Hopeless. Therefore nursing interventions in these aspects are needed.

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Assessing the Prevalence of Recurrent Neck and Shoulder Pain in Korean High School Male Students: A Cross-sectional Observational Study

  • Koh, Min-Jung;Park, Sun-Young;Woo, Young-Sun;Kang, Sung-Hyun;Park, Sang-Hoon;Chun, Hye-Jung;Park, Eun-Jung
    • The Korean Journal of Pain
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    • v.25 no.3
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    • pp.161-167
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    • 2012
  • Background: Neck and shoulder pain (NSP) is fairly common in adolescents, which is associated with a high prevalence of NSP found during adulthood as well; therefore, its significance during adolescence should not be underestimated. We surveyed the prevalence of recurrent NSP, lifestyle, and risk factors in Korean high school students, and examined the influence of recurrent NSP on the quality of life. Methods: Nine hundred thirty one male students (16-19 years old) from two academic high schools in Seoul were included in this study. The survey consisted of a questionnaire to assess the prevalence of recurrent NSP, with questions regarding having an occurrence more than once a week, characteristics of NSP, activity and lifestyle of the students, and the risk factors for recurrent NSP. A 36-item Short Form questionnaire was also examined. Results: We found that 44.3% of the high school students surveyed had recurrent NSP (more than once a week) and the overall prevalence of NSP was 79.1%. The average sitting time was $10.2{\pm}2.7$ h/day. 59.0% did not sit straight, 14.7% used assisting devices during reading, and 11.9% answered that they stretched regularly. Found from their self assessed health, frequent fatigue and frequent depressed mood presented significant associations with the higher prevalence of recurrent NSP. Conclusions: Korean high school students had a high prevalence of recurrent NSP. Clinical attention is needed for the prevention and resolution of recurrent NSP found in high school students.

Sexual Behavior, Health Risk Behaviors Related to Reproductive Health, and Sexual Experiences among Korean College Students (한국 대학생의 성행동, 생식건강 관련 건강행위, 성경험 특성 실태)

  • Shin, Kyung-Rim;Park, Hyo-Jung;Bae, Kyung-Eui;Cha, Chi-Young
    • Korean Journal of Adult Nursing
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    • v.22 no.6
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    • pp.624-633
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    • 2010
  • Purpose: The purpose of this study was to describe the sexual behavior, health risk related to reproductive health, and characteristics of sexual experience among college students in Korea. Methods: Six thousands college students were selected through proportional quota sampling based on region, college, and gender. Structured questionnaires were used for data collection. Descriptive statistics and chi-square test were used to describe the data. Results: Thirty eight percent (N=2,285) of the participants reported sexual intercourse. The mean age of first time sexual intercourse was 19.3 years old. Respondents reported the following health risks such as smoking, drinking, not exercising, no regular meal patterns, chronic disease status, and weight loss over 10 kg in the past three months showed significant differences by sexual intercourse experience (p<.01). Among those who had sexual intercourse experiences, 7.1% of them reported having a history of STDs and 11.6% reported a pregnancy or pregnancy of one's partner. Conclusion: The findings of this study reflect the current trends of sex behaviors among college students and correlations between health risks related to reproductive health and sexual intercourse experiences. Developing reproductive health education programs based on the findings and providing the programs to college students through a school nurse is suggested.

The Historical Lesson of the Team 10's Break Away from the CIAM (Team 10의 CIAM 탈퇴가 오늘 우리에게 주는 역사적(歷史的) 교훈(敎訓))

  • Lee, Hee-Bong
    • Journal of architectural history
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    • v.7 no.3 s.16
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    • pp.137-149
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    • 1998
  • The purpose of this study is to learn from a lesson of the historical fact, the Team 10's break away from the CIAM, which is selected as the most important event in the whole 20th century architecture by author as a historian. The CIAM, organized in 1928 by leading European architects in order to propose new architecture in the industrial era, expanded to the world, met almost annually with an idea of economic efficiency, new functional order, and industrial production for thirty years. Young architects had conflicted with old established group from 6th congress, and after 10th congress they met independently in 1959; the CIAM was disappeared and the Team 10 was born. Main issue of the break-away was human aspect. The Team 10 started from real man, concept of 'human contact', 'sense of community', and 'belonging' instead of abstract functional order. Although CIAM did not suggest inhumane architecture, their biological criteria with sunlight, air, sufficient site became physical determinism. Critique against the Team 10, unsuccess for making humane architecture leads to underestimation like a generational hegemony struggle. However, architect is not specialist of life but form. Historical reevaluation for Team 10 should be that they are the first group to raise an human issue in architecture. Success or not to solve the problem belongs to another domain. After 1960, modern architecture was attacked from the common people, not clients but 'users'. Academic circle tried to solve the problem with behavioral approach through a clear process, 'design method' and with phenomenological approach on real human experience. However practice became reactionary tendency, to make form a little complex, they became post-modern and deconstruction form. Failure of the Team 10's form proved that a complex form does not necessarily make a good life of people. In the Korean historic situation of colony ruling, confusion of liberation, and the War, we did not know the existence of both CIAM and Team 10. After 1970s' economic development, we have just copied Western form from Modern via Post-Modern to Deconstruction. If we make architecture people mattered, we should start from the basic, learning from the Team's break-away, instead of copying.

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A Study on Verification of the Profile of Mood States(POMS) for Korean Elders (노인의 기분측정을 위한 도구(Profile of Mood States, POMS)의 타당화에 관한 연구)

  • 신윤희
    • Journal of Korean Academy of Nursing
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    • v.26 no.4
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    • pp.743-758
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    • 1996
  • This paper was done to verify the use of the Profile of Mood States (POMS) which was developed by McNair, Lorr, and Droppleman(1992) with modifications so that it is appropriate for Korean elders. Through the modified tool, it is possible to examine the mood of Korean elders and to contribute to the welfare of elders. The subjects were 370 elderly persons over 60 years old and the data for 319 persons(86%) were analyzed. The research tool was the POMS translated by Yun(1993) and corrected by the researcher. Data were collected between February 12 and April 9 in 1996 and analyzed using the SAS package. The result are as follows 1. Items with low Cronbach coefficient alpha which means low correlation with total items were removed. The items were removed : friendly, tense, considerate, relaxed, sympathetic, resentful, good-natured, rebellious, trusting, carefree. 2. Overlapped or ambiguous items were discussed by colleagues and elders through verification of con-tent-validity and were removed. Five items were removed in tense-anxiety, seven, in depression-dejection, three, in vigor-activity, three, in fatigue-inertia, two, in confusion-bewilder-ment, five, in friendliness, and six, in anger-hostility. Thirty four items remainined : angry, clear-headed, lively, confused, sorry, shaky, list-less, peeved, sad, active, blue, hopeless, spiteful, uneasy, unable to concentrate, fatigued, helpful, nervous, lonely, cheerful, bitter, exhausted, anxious, ready to fight, sluggish, helpless, alert, deceived, efficient, worthless, forgetful, terrified, vigorous, and uncertain about things. 3. Factor analysis was done in order to confirm construct validity and three factors were obtained from the result. The first factor, 'anxiety-depression' included 21 items, the second factor, 'vigor' included eight items, and the third factor, 'anger' included five items. Cronbach coefficient alpha for the 34 items was. 95. Based on the result, the following is suggested : 1. a contribute to elder's welfare can be made by examining Korean elder's mood in life. 2. there is a need to develop tools appropriate to Korean culture which can be used to examine elders' mood. 3. The modified POMS tool needs to be reverified with appropriate age groups and settings.

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Clinical comparison of resorbable and nonresorbable Barrier in guided tissue regeneration of human intrabony defects (흡수성 차폐막을 이용한 조직유도재생술의 임상적 효과)

  • Hur, Yin-Shik;Kwon, Young-Hyuk;Lee, Man-Sup;Park, Joon-Bong;Herr, Yeek
    • Journal of Periodontal and Implant Science
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    • v.29 no.1
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    • pp.193-207
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    • 1999
  • The purpose of this study was to compare the clinical results of guided tissue regeneration(GTR) using a resorbable barrier manufactured from an copolymer of polylactic acid (PLA) and polylaetic-glycolic acid(PLGA) with those of nonresorbable ePTFE barrier. Thirty two patients(25 to 59 years old) with one radiographically evident intrabony lesion of probing depth ${\geq}$6mm participated in a 6-month controlled clinical trial. The subjects were randomly divided into three independent groups. The first group(n=8) received a ePTFE barrier. The second group (n=12) received a resorbable PLA/PLGA barrier. The third group (n=12) received a resorbable PLA/PLGA barrier combined with an alloplastic bone graft. Plaque index (PI), gingival index(GI), probing depth(PD), gingival recession, clinical attachment level(CAL), and tooth mobility were recorded prior to surgery and at 3, 6 months postsurgery, Statistical tests used to analyze these data included independent t-test, paired t-test, one-way ANOVA. The results were as follows : 1. Probing depth was significantly reduced in all groups at 3, 6 months postsurgery and there were not significant differences between groups. 2. Clinical attachment level was significantly increased in all groups at 3, 6 months postsurgery and there were not significant differences between groups. 3. There were not significant differences in probing depth, clinical attachment level, gingival recession, tooth mobility between second group (PLA/PLGA barrier) and third group (PLA/PLGA barrier combined with alloplastic bone graft) 4. Tooth mobility was not significantly increased in all groups at 3, 6 months postsurgery and there were not significant differences between groups. In conclusion, PLA/PLGA resorbable barrier has similar clinical potential to eP'IFE barrier in GTR procedure of intrabony pockets under the present protocol.

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Effects of 4 Weeks Bridging Stabilization Exercise Using Swiss Ball and Whole Body Vibration on Balance and Gait Function in Elderly Women (4주간의 스위스 볼과 전신진동기를 이용한 교각안정화 운동이 노인 여성의 균형과 보행에 미치는 효과)

  • Kim, Tack-Hoon;Choi, Houng-Sik
    • Physical Therapy Korea
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    • v.18 no.3
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    • pp.49-58
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    • 2011
  • The purpose of this study was to evaluate the effects of bridging stabilization exercise on balance ability and gait performance in elderly women. The subjects of this study were thirty-one elderly women over 65 years old in HongSung-Gun Senior Citizen Welfare Hall. The subjects were randomly assigned into one of three groups (trunk stabilization exercise on the mat, whole body vibration, and Swiss ball) and participated in each exercise program three times a week for 4 weeks. Each exercise began in the bridging position. The dynamic balance and gait were measured by limit of stability area using force plate, Berg Balance Scale (BBS), and Timed Up and Go Test (TUG). The results were as follows: 1) The limit of stability in three groups increased significantly in anterior-posterior and medial-lateral lean after 4-weeks intervention (p<.05). 2) There were no significant differences in the limit of stability among three groups after 4-weeks intervention (p>.05). 3) The BBS and TUG in three groups increased significantly after 4-weeks intervention (p<.05). 4) There were significant differences among three groups in BBS. Post-hoc test showed that Swiss ball exercise group was significantly higher than the mat and whole body vibration groups. 5) There were no significant differences TUG among three groups after 4-weeks intervention (p>.05). In conclusion, this study suggested that 4 weeks of the bridging stabilization exercises were effective on balance and gait in all three groups. Particularly Swiss ball exercise group showed higher improvement than two other exercise groups (mat, whole body vibration group).

Effects of the Life Review-Narrative Group Therapy Program on Decreasing Depression and Death Anxiety in the Elderly (노년기 우울과 죽음불안 감소를 위한 생애회고적 이야기치료 집단프로그램의 효과)

  • Yeo, In-Suk;Kim, Choon-Kyung
    • Journal of Families and Better Life
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    • v.24 no.5 s.83
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    • pp.113-128
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    • 2006
  • This study was to verify the effectiveness of the Life Review-Narrative group therapy program on decreasing depression and death anxiety in the elderly. The program was organized according to a course of life from childhood to old age. The objectives were for the elderly to enhance self-worth, to become aware of their solitary existence, to accept aging and death, to accept the life: both past and present, and to make the most of experiences in overcoming difficulties. For the most part, the program used reminiscence and re-authoring of the narrative therapy as counseling techniques. Thirty-two elderly people(16 in the experimental group, 16 in the control group) aged 60 years and over were randomly selected from patients at the Daegu Metropolitan City General Welfare Center. Two groups were identified as equivalents for the study in the pre-test. The program for the experimental group was implemented twice a week for 90 minutes per session over a 6-week period(Sep. 8-Oct.14. 2005). The pre-test(Sep. 8 2005), the post-test(Oct. 14. 2005) and the follow-up test(Nov. 14. 2005) were implemented in order to verify the effectiveness of the programs. The instruments used in the study were the Geriatric Depression Scale Short Form(Korean Version) and the Death Anxiety Scale. The data were analyzed using t-testing and One-Factor Repeated Measures ANOVA. This study supplemented other qualitative research methods in order to verify the variation in the depression and death anxiety in the elderly. The findings of the study were as follows: Significant decrease in the depression and death anxiety were reported in the experimental group. The control group however did not show any significant changes in the depression and death anxiety rates. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy program has lasted effects on decreasing of the death anxiety. Nevertheless, the effects of the life review-narrative group therapy program on decreasing depression are not lasting. The study has limitations so further research is suggested.

Family Restaurant Patrons' Perception on Nutrition Information of Restaurant Menus (패밀리 레스토랑 고객의 메뉴 영양정보에 관한 인식 연구)

  • Chang, Hye-Ja;Kim, Tae-Hee
    • Journal of the Korean Society of Food Culture
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    • v.18 no.3
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    • pp.270-278
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    • 2003
  • The purposes of this study were to investigate the customers' perception on nutrition information provided on a family restaurant menu, to examine customers' intention to use the nutrition information when eating out if nutrition information would be provided, and to identify what kinds of nutrient information the customers want. A total of 265 respondents were answered. Female was sixty-six percents, and eighty-four percent of the respondents was less than thirty-five years old. The patrons' perception about nutrition information on the menu showed the level of 2.5 points out of 5 points, which pointed out that family restaurant patrons were not satisfied with receiving nutritional information related to the menu. The customers perceived that restaurants had responsibilities for providing nutritional information about menu items. Sixty-six percent of respondents showed a positive intention to the question item about how much the customer would use nutritional information provided on the menu. The customers, who were female (p<0.05), who had a good health status, who showed higher interest on weight control (p<0.01), and who were health-oriented (p<0.01), showed the higher intention to use nutritional information. Nutrient information in which the customers were interested strongly was a fat content, followed by cholesterol content and calorie information. According to the trends of eating out, preferring family restaurants, and increasing interests in a healthful menu, nutrition information demand in restaurant operations would be increased rapidly in the near future. Providing nutrition information at the point of menu choice might result in the improvement of customers' nutritional and health status by encouraging proper dietary habits of patrons as well as providing nutritional education. Therefore, it is recommended that government and restaurant firms should recognize the importance of nutrition information and make strategic plans for the future.