• 보건의료산업학회지
• /
• 제9권2호
• /
• pp.57-68
• /
• 2015

This study investigated factors that affect stress recognition, depression, suicidal thoughts and health-related quality of life for diabetics over 50 years of age. Five hundred one diabetics were surveyed who participated in the 4th Korea National Health and Nutrition Examination Survey 2009. The data were analyzed with multiple regression analysis and Structural Equation Model to determine the factors. The results are as follows. Men, older and lower income groups, those not involved in economic activities, smokers, and drinkers showed a lower quality of life (p<0.001). There was no correlation with moderate-intensity exercise. Stress recognition (t=-4.229, p<0.001), depression (t=-2.156, p<0.05), and suicidal thoughts (t=-3.274, p<0.001) had significant effects on the quality of life (p <0.001, $R^2=0.25$). The most important of these factors is stress. Being diagnosed as a diabetic changes the lives of patients, who come under stress from controlling their blood sugar level. Societal support should be developed to help patients cope with the challenges of diabetes.

• 한국안전학회지
• /
• 제24권1호
• /
• pp.50-59
• /
• 2009

Korea reached an aging society in 2000, and it is progressed quickly now. Government forecasts that the number of aged people over 65 years old will increase from 7.2%(2000) to above 14.3% among total population in 2018. Workers over fifty years old are increasing in construction field every year. These aged workers are exposed to various construction accidents, and also their accident rate is very high because of physical and psychological changes by aging. Specially, a disaster of aged workers more than 50 years old is fronted at the serious situation in the construction industry which has variable working environment. Thus, the purpose of this study is to suggest the precaution by analysing disaster characteristics of aged construction workers. Also, this study aims to present a basic counter-plan according to important safety management list which is abstracted from the work, aged construction workers' accident rate is high.

• 대한영양사협회학술지
• /
• 제22권2호
• /
• pp.106-117
• /
• 2016

Osteoporosis is a major health problem that can lead to mortality. This study was conducted to estimate the prevalence of osteopenia and osteoporosis separately and to assess the risk factors associated with osteopenia/osteoporosis in Korean men aged 50 years and over. A total of 1,136 subjects were analyzed among the participants of the Korea National Health and Nutrition Examination Survey (KNHANES) 2010~2011 by using SPSS statistics complex samples (windows ver. 23.0). The prevalence rates of osteopenia and osteoporosis were 46.3% and 7.3%, respectively, and the mean ages of both osteopenia and osteoporosis risk groups were significantly higher than that of the normal group. The mean values for lifetime tallest height and bone mineral density in whole body, total femur, femoral neck, and lumbar spine were significantly lower in the risk group(osteopenia/osteoporosis) than in the normal group, whereas the mean values for height, body weight, BMI, waist circumference, alkaline phosphatase, parathyroid hormone, fasting blood glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglycerides of the two groups showed no significant differences. The intakes of energy and carbohydrates were significantly higher in the risk group than in the normal group. The results of multiple logistic regression showed that being underweight and having hypercholesterolemia were significantly related with the prevalence of osteopenia/osteoporosis, whereas health habits such as smoking and exercise, chronic diseases such as obesity and hypertension, and nutrient intakes were not. These findings suggest the need for further studies to examine osteopenia/osteoporosis risk factors and outcomes specificly focused on Korean men.

• 대한치과기공학회지
• /
• 제23권2호
• /
• pp.61-74
• /
• 2002

This experiment was to find out the complacency of wearing dentures and the linkage to the quality of life style of oldsters 60 years old and over. 122 numbers of oldsters who came to aid to the health center were put to survey. This was taken place within the areas of Deajun, Koonsan, Mooju and Jinahn, thus procured the following result. 1. The length of edentulous period of 1-6years of oldsters aged around 60s showed 26.0%. The oldsters with edentulous period of over 7years aged in the 70s showed 26.1 % and 56.0% on oldsters aged in the 80s. This shows that as the age increases the edentulous period lengthens. (P<0.05) The length of time of using the denture shows. llyears or over on women 41.9%, less than 6years on men 71.4% as the highest rate. 11 years or over on towns/subcounty show 57.5%, small and medium cities more than 1 year 63.6%, less than six years also 63.6% and Kwangyuk city 47.6%. 2. The complacency on medical treatment of dentures was highest in Kwangyuk city of 61.3%, compared to towns/subcounty of 50.8% and small and medium cities of 33.3%. (P<0.05) 3. The complacency on mastication and pronunciation appears, 2.74% in Kwangyuk city, 3.10% in towns/ subcounty which is higher than the small and medium cities showing 1.09% on average. Satisfaction rate tends to be higher as the length of time of using the denture is longer. 4. Inconvenience on eating habits caused by dentures were felt by women. Wanting to get a new denture was 25.6% by women showing much higher rate than that of men which is 2.8% by men. (P<0.05) 5. The complacency of change in their life style after wearing the dentures were higher in Kwangyuk city of 64.5% whereas it showed 27.0% in towns! subcounty and 16.7%in small and medium cities. (P<0.05)

• Clinics in Shoulder and Elbow
• /
• 제8권2호
• /
• pp.88-96
• /
• 2005

Purpose: To compare and analyze the outcome of primary clavicular lateral end resection method and conventional acromioclavicular (AC) joint reduction method in type III AC dislocation patients over 45 years. Materials and Methods: This study was performed on selected 24 cases of type III AC dislocation patients, over 45 years of age, operated at our hospital from 1998 to 2002. Group I consist of 12 patients who underwent primary clavicular lateral end resection methods (average age: 54.3 years$(45{\sim}72)$). Group II consist of 7 patients using Bosworth methods and 5 patients using Phemister methods (average age: 54.4 years$(45{\sim}71)$). Clinical outcome was evaluated by Weaver and Dunn method. Radiological results were compared by measuring coracoclavicular distance between normal and injured side. Results: As clinical outcome, good was 10 cases(83%); fair 2(17%) in Group I, and good 6(50%); fair 3(25%); poor 3(25%) in Group II. In contrast, the difference of coracoclavicular distance was not statistically significant between two groups before or after surgery, and last follow up. At the last follow up, there was no special correlation between the difference of coracoclavicular distance and clinical outcome. Conclusion: We considered that primary clavicular lateral end resection may be effective for prevention of arthrosis in AC joint in type III AC dislocation patients over 45 years.

• Clinical and Experimental Pediatrics
• /
• 제50권3호
• /
• pp.262-267
• /
• 2007

목 적 : A형 간염 유병률은 그 지역의 생활환경과 위생상태와 밀접한 관계가 있으며 시간 및 지역에 따라 다양한 양상을 보인다. 최근에 들어와 A형 간염 유병률의 변화에 대하며 많은 이들이 보고하여 왔다. 이에 본 연구는 부산 지역에 거주하는 소아과 성인을 대상으로 A형 간염 항체 유병률을 측정하였다. 방 법 : 부산시에 거주하고 2004년 10월부터 2005년 3월까지 메리놀병원에 입원한 472명을 대상으로 하였으며 전 연령층의 혈청으로부터 면역방사계수 측정법을 이용하여 항 A형 바이러스 IgG 항체 유무를 측정하였다. 결 과 : 1) A형 간염 IgG 항체 양성률은 총 472명 중 108명에서 항체가 검출되어 22.8%이었고, 2-5세가 1.7%, 6-10세가 1.7%, 11-20세가 0%, 21-30세가 40.5%, 31-40세가 82.1%, 41-50세가 94.7%, 51세 이상이 100%로 조사되었다. 2) 각 연령군 모두에서 남녀간의 항체 양성률(P=0.2)간에 유의한 차이는 없는 것으로 나타났다. 결 론 : 우리 나라에서는 최근 경제발전과 더불어 생활환경이 향상되어 A형 간염 항체 양성률이 지난 20년 전보다 현저하게 감소되었다. 현재 소아 연령에서 A형 간염 항체 보유율이 매우 낮아 이들이 성인이 되는 경우 현증 A형 간염의 유행이 초래될 가능성이 높아지고 있다. 따라서 개인위생 및 생활환경을 개선하고, 고위험군을 대상으로 수동면역 및 능동면역을 시행하여 바이러스의 전파를 막아 A형 간염의 발생을 적극적으로 예방하여야 하겠다.

• 대한한의학회지
• /
• 제21권3호
• /
• pp.149-165
• /
• 2000

As recent developments of Immunology and Nuclear medicine, serum IgE and IgG values are helpful in the diagnosis and evaluation of the therapeutic effects of nasal allergies. But in Korea, air pollution and the increased use of food additives have become leading factors in nasal allergies, It seems to be induced by environmental change, especially industrialization and urbanization, so allergic rhinitis in our environment has changed in accordance with the changes made in the living environment. Therefore this study is attempted in order to observe a clinical analysis which places more importance on allergic rhinitis. We studied 200 patients who had visited Kyunghee Oriental Medical Center with allergic rhinitis from January 1, 1999 to December 31, 1999 The results were as follows: 1. The sex distribution was 114 males(57%) and 86 females(43%). In age distribution, the average age was 25. In males, ages ranged from 3 to 66 years old and the average was 23.81. In females, ages ranged from 4 to 67 years old and the average was 28.57. The peak age was 30～39 years old(24%); under 9 years old and 10～19 years old were each 18%; 20～29 years old was 22%; 40～49 years old was 11 %; over 50 years old 6.5%. The gulf between males and females showed a statistically significant difference(P<0.025). 2. In the age of onset, male' s maximum was 62.5, minimum was 0.25; female s maximum was 59.5, minimum was 0.2. Under 9 years old was the most with 34%(male 24%, female 10%), 10～19 years old was 18%, 20～29 years old was 22.5%, 30～39 years old was 13.50%, over 40 years old was 12%, The gulf between males and females were showed statistically significant difference.(p<0.014) 3. The average duration of the disease was 5.67 years. In male and female, the maximum was 30, the minimum was 0.05; under 5 years old was the most with 62%(male 34.50%, female 27.50%); 6～10 years old was 23%. So, under 10 years old was 85%. There was no statistically significant difference in the duration of disease. 4. Regarding type of residence, 47.50% of patients with allergic rhinitis lived in apartments, 52.50% lived in houses. In males, 29.50% lived in apartments, 27.50% lived in houses. In females, 18% lived in apartments, 25% lived in houses. There was no statistically significant difference in the residence by T-test and chi-test. 5. In the distribution of season, spring is the most with 29.5% of patients, winter 28%, fall 25.5%, and summer 17%. But there was no statistically significant difference. 6. After observing 200 patients with allergic rhinitis, classifying main symptoms into 5 types, sneezing was the main symptom in 177cases(88.50%), nasal obstruction in 176cases(88%), rhinorrhea in 169cases(84.5%), post nasal discharge in 87cases(43.50%), and itching in I04cases(52%). The Cumulus ration is 98.50% and symptoms overlapped with an average 3.57±0.1 times but in an analysis of variance of these symptoms, the gulf between males and females was not recognized as statistically significant by T-test and ANOVA. 7. Patients whose families have allergic diseases account for 90 cases(45%) : 49cases(24.50%) male and 41cases(20.50%) female. There were 4 cases (71.11 %) whose families have allergic rhinitis, 9cases(10%) of asthma, and 7.78% with allergic dermatitis. There were 61 (67.80%) cases of patients whose parents have allergic diseases; cases wherein the patient s child had allergic diseases numbered 13 (14.45%); and cases with a sibling with allergic diseases totalled 16cases (17.80%). There was no statistically significant difference in allergic disease regarding sex, parents, or siblings by chi-test. 8. Blood type: For males, type A is the most common, with 37cases(18.5%), followed by type B with 32cases(16%), type O 28cases(l4%) and type AB 13cases(6.5%). For females, type B is the most common, with 30cases(15%), followed by type O with 23cases(l1.5%), type A with 18cases(9%) and type AB with 13cases(6.5%). There was no statistically significant difference in blood type by chi-test. 9. In the selection of prefered food, most patients prefer cool food, with 98 such cases(49%), tepid food in 54cases(27%) and warm food in 48cases(24%). These showed a statistically significant difference in the selection of prefered food between males and females by chi-test(p<0.009). 10. The state of Past History was classified into II types. chronic hypertrophic rhinitis is the most common with 11cases (18.64%), tonsil and adenoid hypertrophy is 8cases(l3.56%), sinusitis is 6cases(10.17%), nasal septum deviation is 4cases, nasal polyp is 2cases, others are 10cases(l6.95%). No statistically significant difference in past history between males and females was shown, but a statistically significant difference was shown when males and females were compared with total cases by T-test(p<0.002, P<0.0008). 11. Regarding complications, 37 patients (28.91%) had sinusitis: 22cases(17.19%) in male, 15cases(11.72%) in female. Chronic hypertrophic rhinitis was found in 15cases(11.72%). Others are under 10%. There was no statistically significant difference in the type of complications between males and females, but a statistically significant difference was shown when males and females were compared with total cases by T-test(P<0.00l, P<0.007). 12. In the treatment, medication was used 1691 times, an average of 2.58 times. No.34 was used 370 times for 124 cases, an average of 2.98 times. No. 152 was used 318 times for 106 cases, an average of 3.00 times. No.151 was used 307 times for 97cases, an average of 3.16 times. No. 31 was used 117 times for 33 cases, an average of 3.55 times. No 25 was used 116 times for 33 cases, an average of 3.52 times. 13. In the duration of treatment, the most frequent is 1 week(69cases, 34.50%), the maximum is 20weeks, and the minimum is 1week. A treatment period of 2～3 weeks accounted for 32% of cases, a period of 4～5weeks accounted for 13.5%. The gulf between males and females showed a statistically significant difference in the duration of treatment.(p<0.01). There was a statistical significance when the males were compared with total cases by ANOVA(P<0.03). 14. A comparison between before-treatment and after-treatment showed a statistically significant difference in treatment by T-test (p<0.01) and F-test (p<0.0058).

• 임상간호연구
• /
• 제14권1호
• /
• pp.125-137
• /
• 2008

Purpose: This study was designed as a epidemiologic study for determining priorities of nursing care in women with high risk groups of coronary heart disease(CHD) using risk factors. Method: Subjects were 1015 women who received health screenings at a hospital in Kyunggi, Korea, over one year period from January to December 2006. Results: The 37.9% of women had multiple risk factors for developing coronary heart disease. The most significant risk factors on CHD were the age older than 70 years (OR=11.45), the age between 60-69 (OR=4.65), the age between 50-59 (OR=3.20), having $HbA_1C$ over 7% (OR=2.38), high risk groups of L/H ratio (OR=1.98), and the waist to stature ratio (WSR) over 0.5 (OR=1.33). Conclusion: The findings suggest that women older than 50 years should be considered as an overt target population for CHD prevention, even in the absence of other risk factors. Also, $HbA_1C$ and WSR can be efficient indicators for CHD screening.

• Journal of Menopausal Medicine
• /
• 제24권3호
• /
• pp.176-182
• /
• 2018

Objectives: Menopause is associated with adverse metabolic changes in plasma lipoprotein and inflammation markers. Estrogens have beneficial effects on lipid metabolism and inflammation. Isoflavones (ISO) have structurally similar to estradiol. Our objective was analize the effect of soy-ISO on serum lipid and inflammatory markers (sP-selectin and sCD40L) in postmenopausal women. Methods: A 12-week randomized, double-blind, placebo-controlled intervention with soy-ISO (50 mg, twice daily) was conducted in 35 healthy postmenopausal women (55-72 years old). The women were divided in 2 groups: 20 were allocated to soy-ISO, and 15 to a placebo group. Results: The changes of total cholesterol (TC), triglycerides, low-density lipoproteins-cholesterol (LDL-C), high-density lipoprotein-cholesterol, Apo-A1, sP-selectin and sCD40L in 2 groups before and after 12-week treatment showed no statistical significance. In subgroup analysis, soy-ISO supplementation significantly decreased the levels of TC, LDL-C and sCD40L in women under 65 years old, and with null effects on serum lipid and inflammation markers in women over 65 years old. Conclusions: Soy-ISO did not significantly favorable effects on the lipid profile and inflammatory markers in postmenopausal women. However, in women under 65 years of age, soy-ISO significantly decreased the TC, LDL-C and sCD40L, whereas, no effects on lipid profile and inflammation markers in women over 65 years old were observed.

• 한국동물위생학회지
• /
• 제14권2호
• /
• pp.154-158
• /
• 1991

To investigate the Akabane antibody in the cattle with the serological test in Chung Chung Buk Do from May to Nov 1191. The result are summarized as follows. 1. Breed in cattle reacted as positive condition in Akabane antibody 76 heads(42%) in 180 cattles reacted as positive condition in Akabane antibody, 23 heads(51%) in 45 Korea native cattle reacted as positive condition in Akabane antibody. 2. During 5, 9, 10, 11 month, Akabane antibody in cattle is over 45%. 3. Less of 2 years old and over 4 years old cattle are Akabane antibody in cattle is over 40%. 4. The relation of titer of 2 folds of dilution HA and 10 folds of dilution TCID$_{50}$ was same relation.n.