• 지역사회간호학회지
• /
• 제33권1호
• /
• pp.63-73
• /
• 2022

Purpose: The purpose of this study was to identify the predictors influencing fear of falling in community-dwelling elderly women with mild cognitive impairment (MCI). Methods: A secondary data analysis was performed using data of 65 years or older elderly women with MCI participating in the 7th Korea Longitudinal Study of Ageing of the Korea Employment Information Service. The study subjects included 368 elderly women with MCI. For data analysis, descriptive statistics and logistic regression with complex samples were performed using IBM SPSS ver. 23.0. Results: 89.9% of the elderly women with MCI had fear of falling. There were significant factors such as religion (OR=8.85, 95% CI: 3.39~23.15), restriction of activity (OR=6.84, 95% CI: 2.14~21.90), depression (OR=0.75, 95% CI: 0.62~0.90), and MMSE (OR=1.30, 95% CI: 1.03~1.63), predicting fear of falling in community-dwelling elderly women with MCI. Conclusion: Differentiated strategies should be developed for elderly women with MCI to decrease fear of falling and prevent falls with understanding of contributing factors. This study will provide fundamental information on programming and a policy proposal related to fear of falling for elderly women with MCI.

• Archives of Plastic Surgery
• /
• 제50권2호
• /
• pp.177-181
• /
• 2023

Digital extensor hypoplasia (DEH) is a rare malformation that presents with loss of active finger extension at the metacarpophalangeal (MCP) joints. Descriptions of optimal treatment and outcomes in this population are sparse. We describe successful operative treatment of a child with DEH involving the extensor digitorum communis, extensor digiti minimi, and the extensor indicis proprius tendons. The 5-year-old male patient was referred for severe limitation on bilateral finger extension since birth. He had been previously diagnosed with arthrogryposis and managed conservatively. Due to lack of improvement, magnetic resonance imaging was done evidencing hypoplasia/aplasia of the extensor tendons. The patient underwent successful tendon transfers using extensor carpi radialis longus to the common extensor tendons, and one hand required an additional tenolysis procedure. 2 years postoperatively, his MCP position and finger extension are markedly improved, and he is able to grip objects without limitation or difficulty. The patient returned to full activity without restriction.

• 지역사회간호학회지
• /
• 제29권4호
• /
• pp.520-529
• /
• 2018

Purpose: The purpose of this study is to identify factors influencing activities-specific balance confidence in community-dwelling older adults. Methods: This is secondary analysis of data from an intervention study for improving cognitive function. The data were collected from March 2 to September 30, 2017 at a senior center. Data of 131 older adults were included for this secondary analysis, and were analyzed by using t-test, ANOVA, and multiple regression. Results: The mean score of activities-specific balance confidence is 65.08 out of a possible range of 0-100. The significant factors affecting activities-specific balance confidence among old adults include 'more than 85 years old', 'waist circumference', 'depressive symptoms', 'activity restriction due to fear of falling', and 'self-rated health' which explained 52.8% of the variance. Conclusion: The study results indicate that psychologic factors as well as physical condition should be considered for interventions to increase activities-specific balance confidence.

• 한국융합학회논문지
• /
• 제12권5호
• /
• pp.345-354
• /
• 2021

본 연구는 경제활동여부에 따른 노인의 삶의 질 영향 요인을 파악하고자 시행되었다. 본 연구대상자는 제 7기 국민건강영양조사 대상자 중 65세 이상 노인 5,991명이다. 본 연구의 변수는 인구사회학적 특성, 신체적·심리적 요인으로 구성되었으며, 자료 분석은 IBM SPSS 25.0 프로그램의 복합표본 분석을 이용하였다. 본 연구결과 경제활동을 하는 노인의 삶의 질에 영향을 준 요인은 성별, 연령, 외래이용횟수, 관절염, 활동제한, 주관적 건강, 스트레스이었고 이들의 설명력은 34.2%이었다(p<.001). 경제활동을 하지 않는 노인의 삶의 질에 영향을 준 요인은 성별, 연령, 입원 횟수, 고혈압, 관절염, 청각장애, 저작불편감, 활동제한, 주관적 건강과 스트레스이었고 이들의 설명력은 35.5%이었다(p<.001). 본 연구결과는 노인의 삶의 질 중재 시 경제활동에 따른 삶의 질 영향요인에 대한 기초자료를 제공할 수 있을 것이다. 경제활동여부에 따른 노인 삶의 질 향상 중재가 요구된다.

• 근관절건강학회지
• /
• 제21권3호
• /
• pp.195-205
• /
• 2014

Purpose: This study was conducted to identify factors that influence health-related quality of life in older adults with osteoarthritis. Methods: This study used a cross-sectional design with secondary analysis of the Korean National Health and Nutrition Examination Survey 2011. A total of 362 participants aged 65 years and older who had osteoarthritis were selected. Health-related quality of life using EQ-5D, perceived health status, body mass index, numbers of chronic illness, smoking and alcohol use, exercise, activity limitation, joint pain and stiffness, depression, and perceived stress were measured. Descriptive statistics, $x^2$-test, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression were conducted with SPSS/WIN 21.0. Results: The mean score of EQ-5D was 0.77 in older adults with osteoarthritis. The results of multiple regression analysis showed that age, income, subjective health status, restriction of activity, knee joint stiffness, depressive mood, and perceived stress significantly predicted health-related quality of life in older adults with osteoarthritis, explaining 42% of the variance. Conclusion: Older adults with osteoarthritis have low health-related quality of life. In oder to improve health-related quality of life in older adults with osteoarthritis, it is important not only to enhance physical function but also to provide emotional support.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제11권sup1호
• /
• pp.102-108
• /
• 2008

최근 소아, 청소년의 비만이 늘고 있는 추세이다. 소아 청소년의 비만치료는 섭취열량과 소비열량과의 균형을 맞추는 것이 가장 중요한 원칙이다. 소아, 청소년기는 성장과 발달이 왕성한 시기이므로 단식, 절식 등의 식이요법만으로 단시간 내에 체중을 감량하는 것은 바람직하지 않다. '몸짱'같은 건강한 몸매는 운동을 통하지 않고는 이룰 수 없다는 인식을 심어주며 성장에 지장을 주지 않는 범위 내에서 적당한 운동을 유도하는 것이 좋다. 소아는 의지가 약하고 인내심이 부족하므로 부모와 가족의 이해와 협력이 필요하며, 아동이 좋은 습관을 가질 수 있도록 아동의 수준에 맞는 적당한 운동 프로그램을 제시하는 것이 요망된다. 아동에게 억지로 운동을 강요해서는 안되며, 본인이 재미있어 하면서 충격이 심하지 않은 운동을 선택하도록 한다. 하루에 1시간 정도의 운동이 필요하지만 전혀 움직이지 않던 아동은 수시로 짬짬이 움직일 수 있는 상황을 제공해주는 것이 중요하다. 비만은 체중을 단기간에 감소시키는 것이 아니라 '평생에 걸쳐 조절하여야 하는 것'으로 인식되어야 할 것이다.

• Interdisciplinary Bio Central
• /
• 제4권3호
• /
• pp.8.1-8.7
• /
• 2012

The motor neuron degeneration 2 (mnd2) mice carry a point mutation of A to T nucleotide transversion at the serine 276 residue of high temperature requirement A2 (HtrA2), resulting in losses of an AluI restriction enzyme site (5'AGCT3') and the HtrA2 serine protease activity. Moreover, dysfunctions of HtrA2 are known to be intimately associated with the pathogenesis of neurodegenerative diseases, including Parkinson's disease. Thus, this mnd2 mouse is an invaluable model for understanding the physiological role of HtrA2 and its pathological role in neurodegenerative diseases. Nevertheless, many molecular and cellular biologists in this field have limited experience in working with mutant mouse models due to the necessity of acquired years of the special techniques and knowledges. Herein, using the mnd2 mouse model as an example, we describe easy-to-use standard protocols for web-based analyses of target genes, such as HtrA2, and a novel approach for simple and accurate PCR-AluI-RFLP-based genotype analysis of mnd2 mice. In addition, band resolution of AluI-RFLP fragments was improved in 12% polyacrylamide gel running in 1X Tris-Glycine SDS buffer. Our study indicates that this PCR-AluI-RFLP genotype analysis method can be easily applied by the molecular and cellular biologist to conduct biomedical science studies using the other mutant mouse models.

• 한국치위생학회지
• /
• 제14권6호
• /
• pp.859-869
• /
• 2014

Objectives: The purpose of this study was to examine the subjective oral health awareness, oral health knowledge, oral health behavior and OHIP-14 in industrial workers. Methods: A self-reported questionnaire was filled out by 243 workers in Jeonbuk May 7 to June 10, 2014. Except incomplete answers, 230 data were analyzed. The questionnaire consisted of general characteristics of the subjects(sex, age, career, marital status, abd family), oral health recognition characteristics(oral health attention, subjective oral health status, and oral health concern), oral health knowledge, oral health behavior, and oral health related quality of life. The instrument was 14 questions od OHIP-14 including functional restriction(2 questions), physical pain(2 questions), psychological discomfort(2 questions), physical ability decease(2 questions), psychological function decease(2 questions), social activity decrease (2 questions), and social discomfort(2 questions). Cronbach's alpha was 0.949 in this study and it was reliable. Results: Oral health interests showed that 57.8% of the workers had concern for oral health interests and 50.4% perceived that their subjective oral health was moderate status. 55.6% of the workers answered that their oral health status was very worried. Women had more knowledge about the oral health. Those who were in fifties tended to have more knowledge of oral health than the other age groups. Those who had more concern for oral health included female workers, married workers, and workers above 21 years. The concern for oral health made the workers keep good oral health. Higher score of OHIP-14 means good oral health. Conclusions: Good oral health-related quality of life is proportional to continuous management of oral health and subjective oral health status. It is necessary to develop the tailored oral health education program for the workers.

• 가족자원경영과 정책
• /
• 제12권3호
• /
• pp.23-43
• /
• 2008

This research investigates the effect of leisure activities on lifestyle satisfaction of senior citizens. The target of this research is 202 people over 60 years of age who live in Seoul. Collected data was analyzed using frequency, percentage, average, T-test, one-way ANONA, and logistic regression analysis. SPSS and the Excel PC Program were used for the analysis. The following is the summary of the result of this research. First - in terms of participation in leisure activities: more active participation is observed with the elderly who have a spouse than with those who do not in every kind of leisure activity (except for the pastime activities). Second - all of the variables indicating the level of satisfaction from activities of the seniors who have a spouse are by far higher than those of the elderly who have no spouse. Third - the leisure activities and the satisfaction from the activities prove affective variables on whether they have a spouse or not. Notably, the religious leisure activities are enjoyed more by those senior citizens who are married. Comparatively, the unmarried senior citizens participate more actively in recreational and pastime leisure activities. This study suggests various practical means to promote leisure activities to the elderly and to raise the level of satisfaction received from those activities, as well as to help those who are concerned with understanding and improving lifestyle satisfaction of the elderly population. Nonetheless, this analysis is limited due to the restriction on the number of objects and samples studied. Therefore, studies to analyze leisure activities by regions in order to account for a more balanced set of systematical tools should follow.

• 한국산업보건학회지
• /
• 제24권2호
• /
• pp.208-218
• /
• 2014

Objectives: The major objective of this study was to develop and validate a tier 1 exposure model utilizing worker exposure monitoring data and characteristics of worker activities routinely performed at construction sites, in order to estimate worker exposures without sampling. Methods: The Registration, Evaluation, Authorization and Restriction of Chemicals(REACH) system of the European Union(EU) allows the usage of exposure models for anticipating chemical exposure of manufacturing workers and consumers. Several exposure models have been developed such as Advanced REACH Tools(ART). The ART model is based on structured subjective assessment model. Using the same framework, a tier 1 exposure model has been developed. Worker activities at construction sites have been analyzed and modifying factors have been assigned for each activity. Korean Occupational Safety and Health Agency(KOSHA) accrued work exposure monitoring data for the last 10 years, which were retrieved and converted into exposure scores. A separate set of sampling data were collected to validate the developed exposure model. These algorithm have been realized on Excel spreadsheet for convenience and easy access. Results: The correlation coefficient of the developed model between exposure scores and monitoring data was 0.36, which is smaller than those of EU models(0.6~0.7). One of the main reasons explaining the discrepancy is poor description on worker activities in KOSHA database. Conclusions: The developed tier 1 exposure model can help industrial hygienists judge whether or not air sampling is required or not.