• Title/Summary/Keyword: years of activity restriction

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Relationship between Psychological and Physical Disability and Nutrient Intake in the Elderly -The 8th Korea National Health and Nutrition Examination Survey- (고령자 심리 및 신체장애와 영양소 섭취와의 관계 -제 8기 국민건강영양조사 자료 이용-)

  • Jeong-Mi Park;Dah-Sol Kim;Nami Joo
    • Journal of the Korean Dietetic Association
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    • v.29 no.4
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    • pp.248-260
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    • 2023
  • This study provides basic data when planning nutrition support for healthy aging by revealing the relationship between various symptoms in the elderly and nutrient intake. From the 8th National Health and Nutrition Examination Survey, data from senior citizens aged 65 years or older in 2021 were used, and answers on the depression prevalence, activity restrictions, complaints of discomfort when chewing, and nutrient intake were analyzed through SPSS multiple logistic regression analysis. In the case of depression, there was a significant effect on the intake of four of the 20 nutrients (water, protein, cholesterol, and vitamin E). When experiencing activity restrictions, the intake of eight of the 20 nutrients (phosphorus, magnesium, vitamin A, vitamin D, beta-carotene, retinol, thiamine, and niacin) was affected. When experiencing chewing discomfort, the intake of three of the 20 nutrients (fat, magnesium, and vitamin E) was affected. Elderly people who suffer from depression, activity restrictions, and discomfort with chewing are at risk of various nutrient deficiencies, and related studies need to be conducted.

Housing Tenure Choice Decisions of Older Households - With Focus on the Physical Features of the Householders - (고연령가구의 주택점유형태 결정요인 분석 : 가구주의 활동제약을 중심으로)

  • Jung, Bo Seon;Cho, Young Kyung;Lee, Sang Youb
    • Korea Real Estate Review
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    • v.28 no.1
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    • pp.39-52
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    • 2018
  • The purpose of this study was to analyze the housing tenure choice decisions of older households, with focus on the activity constraints of the householders. For analysis, the probit model based on the data of the householders over 55 years of age from the 2015 KLIPS data was implemented. The research findings indicate that the ownership choice probability decreases when the head of the household has activity or social activity constraints. If there is an activity restriction, it is considered that the possibility of self-residence will be low due to the increase in medical expenses, the possibility of participation in economic activities will be low, the possibility of early retirement will be high, and the income will decrease. Therefore, if the head of the household has a personal or social activity constraint, such case is more likely to be categorized as falling under the poor residential group. This result suggests that the activity constraint can be utilized as a useful index for the housing welfare policy considering physical vulnerability.

Traction Apophysitis of Medial Malleolus (Two Cases Report) (경골 내과에 발생한 견인 골단염(2예 보고))

  • Park, Hong-Gi;Kwak, Ji-Hoon;Wang, Il-Whan
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.4
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    • pp.240-242
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    • 2011
  • 9 and 10 years old boys presented with pain and swelling without history of trauma around medial malleolar right and left ankle. The swelling was diffuse with tenderness on anterior aspect of medial malleolus. The X-rays revealed fragmented accessory ossification center of medial malleolus an symptomatic side. Traction apophysitis was diagnosed because MRI revealed multiple foci of hypointensity in T1 and T2 weighted images of symptomatic medial malleolus apophysis. Patient was treated in conservative treatment by short leg cast for three or four weeks with restriction of sports activity and improved symptoms.

Treatment of Port Wine Stain with Nodular Change (결절성 변화를 동반한 포도주색 반점의 치료)

  • Kim, Yu Jin;Lee, Jeong Min
    • Archives of Craniofacial Surgery
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    • v.9 no.1
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    • pp.27-30
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    • 2008
  • Purpose: It's difficult to treat port wine stain with nodular change in Laser therapy, and many patients with port wine stain suffer from restriction in social activity in case that port wine stain located on face. We present our experience in excision of port wine stain and skin graft in two patients who had port wine stain with nodular change on their faces. Methods: After excision of discolorized skin and nodular changed lesion of port wine stain, thick split thickness skin graft was done. Results: There was no recurred nodular hypertrophy for 3 months and 3 years of follow up periods. Conclusion: Surgical treatments of port wine stain with nodular change can lead significant improvement of lesion and social intercourse.

Factor Influencing Health-Related Quality of Life in Korean Hypertensive Seniors with Osteoarthritis (골관절염이 동반된 고혈압 노인의 건강관련 삶의 질 영향 요인)

  • Kim, Eun-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.169-180
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    • 2021
  • This study was undertaken to determine the degree of quality of life, and factors influencing osteoarthritis in hypertensive elderly 65 years or older patients, using data from the 7th National Health and Nutrition Survey 2018. Totally, 843 subjects were included from a national sample. The SPSS WIN 26.0 program was used to analyze complex samples by applying the Rao-Scott chi-square test, t-test, and multiple regression analysis. Results indicate that quality of life of the hypertensive group with osteoarthritis is significantly lower than the group with only hypertension (t=5.07, p<0.001). Factors affecting the decrease in quality of life of the hypertensive group were age, subjective health status, and activity restrictions, and the explanatory power was 46.1% (F=12.33, p<0.001). In the hypertensive group with osteoarthritis, the effective factors included gender, cohabitation status, economic activity, subjective health status, activity restriction, body mass index, sleep time, stress perception, and depression, and the explanatory power was 44.6% (F=99.82, p<0.001). Subsequent studies showed that in order to improve the quality of life of hypertensive seniors, intervention programs are required to actively accommodate health conditions and minimize activity restrictions. In addition, for the elderly with osteoarthritis and hypertension, it is necessary to include exercise and nutrition education for body mass index management, and the development and intervention of multidisciplinary participation programs to strengthen mental health.

Reconstruction of Coraco-clavicular Ligament with Hamstring Tendon after a Failed Weaver-Dunn′s Operation - A Case Report - (Weaver-Dunn 수술 실패 후 슬근 건을 이용한 오구쇄골인대 재건술 - 증례보고 -)

  • Tae Suk-Kee;Jung Yonug Bok;Yoo Tae Yeul
    • Clinics in Shoulder and Elbow
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    • v.3 no.1
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    • pp.44-48
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    • 2000
  • Weaver-Dunn's operation for acromioclavicular injury yields satisfactory results in most cases. Although clavicular prominence can recur, it is not frequently symtomatic, but it can cause serious impairment of shoulder function in young and active patients. The authors performed reconstruction of coracoclavicular ligament with an autogenous hamstring tendon graft in a 31 years old electrician with recurrence of clavicular prominence accompanied by pain and limitation of overhead activity. The hamstring tendon and two coracoclavicular sutures looped under the coracoid process were passed through holes in the clavicle and around the clavicle in overreduced position. Even though clavicular prominence recurred somewhat, the modified UCLA score by Rockwood improved to 17 from 11/20 at 2 years after operation and the patient had no restriction in working as an electrician. Symptomatic patient with recurrent clavicular prominence after Weaver-Dunn's operation can benefit from reconstruction of coracoclavicular ligament with a hamstring tendon.

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Two Cases of Tyrosinemia; One with Hepatocellular Carcinoma and the other with Acute Liver Failure (타이로신 혈증 2례; 간암이 유발된 1례와 급성 간부전으로부터 회복된 1례의 비교)

  • Kim, Sook Za;Song, Woong Ju;Jeon, Young Mi;Levy, Harvey L.
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.13 no.1
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    • pp.48-53
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    • 2013
  • Tyrosinemia I (fumarylacetoacetate hydrolase deficiency) is an autosomal recessive inborn error of tyrosine metabolism that produces liver failure in infancy or a more chronic course of liver disease with cirrhosis, often complicated by hepatocellular carcinoma in childhood or early adolescence. We studied a 37-year-old woman with tyrosinemia I whose severe liver disease in infancy and rickets during childhood were resolved with dietary therapy. From 14 years of age, she resumed unrestricted diet with the continued presence of the biochemical features of tyrosinemia, yet maintained normal liver function. In adult years, she accumulated only a small amount of succinylacetone. Despite this evolution to a mild biochemical and clinical phenotype, she eventually developed hepatocellular carcinoma. Her fumarylacetoacetate hydrolase genotype consists of a splice mutation, IVS6-1G>T, and a novel missense mutation, p.Q279R. Studies of resected liver revealed the absence of hydrolytic activity and immunological expression of fumarylacetoacetate hydrolase in tumour. In the non-tumoral areas, however, 53% of normal hydrolytic activity and immunologically present fumarylacetoacetate hydrolase were found. This case demonstrates the high risk of liver cancer in tyrosinemia I even in a seemingly favorable biological environment. In this study of tyrosinemia I, Case 2 with negative succinylacetone accumulation and the recovery of acute liver failure was compared with Case 1. Diet restriction and NTBC treatment are crucial to prevent hepatocellular carcinoma until liver transplant can take place and cure the condition. Further studies are needed to examine cases where liver cancer did not result despite clinical symptoms/signs of tyrosinemia type I.

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Radiographic Classification and its Clinical Features for Metaphyseal Cortical Defect of the Distal Femur (대퇴골 원위부 골간단의 피질골 결손에 대한 방사선학적 분류 및 그에 따른 임상적 경과관찰)

  • Park, Il-Hyung;Oh, Chang-Wug;Min, Woo-Kie
    • The Journal of the Korean bone and joint tumor society
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    • v.5 no.1
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    • pp.17-22
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    • 1999
  • Over 60 cases were enlisted, but only 31 cases among 24 patients were eligible with a minimum follow-up of 1 year and complete medical documents with imaging data. There were 18 boys and 6 girls, and 7 patients had bilateral lesions. The age of the patients ranged from 2 to 20 years(mean:10.5 years). At their first visit, most lesions had a highly characteristic location and radiographic appearance of radiolucent lesion(s) ranging from 1 to 3cm, except for one case of 5.5 cm in the posteromedial comer of distal femoral metaphysis. The margins were generally well-defined, although some were ill-defined. After reviewing our cases from the viewpoint of clinical course and radiographic patterns, we divided these lesions into two types. Type I is the osteolytic lesion excavated into the posteromedial aspect of the distal femur without cortical defect; and type II is the buldged out lesion of the femur with cortical irregularity into the surrounding soft tissues. Both types have distinctive clinical courses. Type I lesions were easy to make a definite diagnosis with plain radiographs alone, but in type II, it was sometimes very difficult to differentiate it from malignant tumors or chronic localized osteomyelitis. For this lesion, Gd-enhanced MRI was the most effective method for differential diagnosis. In this study, biopsy was not necessary to confirm the diagnosis. Clinical symptoms of type I were very minor or even absent. Many of them were accidentally found after minor trauma around the knee joint. Clinical symptoms disappeared far earlier than radiographical lesions. No treatment such as restriction of activity or drugs was necessary. For type II, the clinical symptoms were more accentuated and lasted longer, and it was necessary to restrict the activity for a certain period in many cases. However, all were self-limited.

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The Survey of Activities and Fear of Falling in the Community Dwelling Elderly (지역사회 재가 노인들의 낙상공포에 관한 연구)

  • Sohng Kyeong Yae;Moon Jung Soon;Kang Sung Sil;Choi Jung Hyun
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.324-333
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    • 2001
  • The purpose of this cross-sectional study was to explore fear of falling in relation to activity restriction of in the community dwelling elderly. Two hundred ninety-nine community dwelling elderly residing in Seoul and Kyonggi-do were interviewed using a structured questionnaire. The results were as follows : 1. Subjects were predominantly women$(70.6\%)$, an average 72.5 years old; the incidence of falls in last one year was $45.5\%$. 2. The highest level of fear found for activity in those who say they do engage and those who do not engage in the activity was 'going out when it is slippery '(m=2.53, 2.81) and 'reach for something over your head'(m=1.66, 2.60). Fear of falling scores were significant lower for those who say they do engage in eight kinds of activities (excluded activities of given were 'go to the store', 'take a tub bath', 'get out of bed') than for those who do not engage in the activities. 3. Among those who did not perform the activity, the three activities, when it is slippy(n=80), reaching overhead(n=70), and walk outside(n=59),were most often avoided because fear alone as well as for reasons in addition to fear. 4. The significant variables associated with fear of falling were female(p=0.0000), 1 educational status(p=0.000l), poor economic condition(p=0.0007), and experience of falls in last one year(p=0.0007). Fear of falling is common in the community dwelling elderly in Korea and is associated with several demographical variables. Therefore, to prevent falls and to reduce fear of falling, further study for development of education program for the elderly is needed.

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Convergence Study on the Related Risk Factors of Elderly's Suicidal Ideation Based on the 6th Korea National Health and Nutrition Examination Survey (제6기 1차년도 (2013) 국민건강영양조사로 추정한 노인의 자살생각 관련 요인에 관한 융합연구)

  • Kim, Bog-Ja
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.27-35
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    • 2016
  • The study was conducted to identify related risk factor of elderly's suicidal ideation. This study used a cross-sectional design with secondary analysis of the $6^{th}$ 2013 Korea National Health and Nutrition Examination Survey (KNHANES). Data for 1,201 elderlies who aged over 65 years old from the KNHANES were included. Suicidal ideation, general characteristics, physical health, psychological health, EuroQoL, and health behavior were measured. Chi-square test, t-test, and multiple logistic regression were used to analyze this data through the SPSS win 22.0 program. In the results, 7.7% of the elderly had suicidal ideation. The odds ratios of suicidal ideation were significantly higher among those with restriction of activity (OR=1.31, CI=1.40~3.82), those with depression (OR=4.44, CI=1.66~7.40), and those with high levels of stress (OR=9.24, CI=3.48~24.5). Therefore, the activity level, depression level, and stress level need to be regularly assessed in order to prevent suicidal ideation among the elderly.