• Title/Summary/Keyword: Aged Replacement

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A Case of Abdominal Aortic Aneurysm (복부대동맥류 1례 보고)

  • 김주이
    • Journal of Chest Surgery
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    • v.10 no.2
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    • pp.295-298
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    • 1977
  • The incidence of abdominal aortic aneurysm is very rare in this country as other disease of the aorta. Aneurysm can be cased by a variable cause but mainly by arteriosclerosis. It is the disease of aged and degeneration. So recently it may be prevalent due to increase of aged people. In general the natural course of an abdominal aortic aneurysm is very grave so surgical intervention is indicated as soon as possible after the diagnosis. Recently a case of abdominal aortic aneurysm was seen in this clinic with abdominal pain and pulsating mass on the abdomen. This case was confirmed by aortography and treated by graft replacement of the aneurysm with favorable result.

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A Study on the Purchasing Behavior and Choice Attributes of HMR Products by the Middle-Aged and Elderly Based on the Types of Food-Related Life Style: Focusing on Seoul and Gyeonggi Areas (식생활라이프스타일에 따른 중장년층과 노년층의 HMR 제품 구매행동과 선택속성에 대한 연구: 서울,경기지역을 중심으로)

  • Jeong, Yu-Bin;Hwang, Hee-Won;Jung, Hyo-Jae;Oh, Ji-Eun
    • The Journal of the Korea Contents Association
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    • v.22 no.2
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    • pp.770-781
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    • 2022
  • Korea's aging population is rapidly increasing, but there has been little research into senior-friendly foods. Therefore, this study aimed to provide basic data for the development of senior-friendly Home Meal Replacement(HMR) foods by conducting a survey among elderly and middle-aged persons highly likely to purchase senior-friendly foods in the near future. Study findings showed that the level of HMR purchase was higher among the middle-aged, many subjects preferred products requiring simple cooking, and a higher proportion of subjects purchased them offline. Five HMR selection attributes were identified, and dietary lifestyles were classified into four categories. Through a cluster analysis, 3 groups based on level of involvement were identified: high-level, mid-level, and low-level. Napping® analysis showed that subjects classified food products into HMR and meal kits, and into products with a clear broth and products with a thicker broth. The study findings are expected to help suggest a differentiating approach in developing senior-friendly HMR foods.

Mechanical versus Bioprosthetic Aortic Valve Replacement in Patients Aged 50 to 70 Years

  • Youngkwan Song;Ki Tae Kim;Soo Jin Park;Hong Rae Kim;Jae Suk Yoo;Pil Je Kang;Sung-Ho Jung;Cheol Hyun Chung;Joon Bum Kim;Ho Jin Kim
    • Journal of Chest Surgery
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    • v.57 no.3
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    • pp.242-251
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    • 2024
  • Background: This study compared the outcomes of surgical aortic valve replacement (AVR) in patients aged 50 to 70 years based on the type of prosthetic valve used. Methods: We compared patients who underwent mechanical AVR to those who underwent bioprosthetic AVR at our institution between January 2000 and March 2019. Competing risk analysis and the inverse probability of treatment weighting (IPTW) method based on propensity score were employed for comparisons. Results: A total of 1,580 patients (984 patients with mechanical AVR; 596 patients with bioprosthetic AVR) were enrolled. There was no significant difference in early mortality between the mechanical AVR and bioprosthetic AVR groups (0.9% vs. 1.7%, p=0.177). After IPTW adjustment, the risk of all-cause mortality was significantly higher in the bioprosthetic AVR group than in the mechanical AVR group (hazard ratio [HR], 1.39; 95% confidence interval [CI], 1.07-1.80; p=0.014). Competing risk analysis revealed lower risks of stroke (sub-distributional hazard ratio [sHR], 0.44; 95% CI, 0.28-0.67; p<0.001) and anticoagulation-related bleeding (sHR, 0.35; 95% CI, 0.23-0.53; p<0.001) in the bioprosthetic AVR group. Conversely, the risk of aortic valve (AV) reintervention was higher in the bioprosthetic AVR group (sHR, 6.14; 95% CI, 3.17-11.93; p<0.001). Conclusion: Among patients aged 50 to 70 years who underwent surgical AVR, those receiving mechanical valves showed better survival than those with bioprosthetic valves. The mechanical AVR group exhibited a higher risk of stroke and anticoagulation-related bleeding, while the bioprosthetic AVR group showed a higher risk of AV reintervention.

Aortic Valve Replacement for Aortic Stenosis in Elderly Patients (75 Years or Older)

  • Sohn, Bongyeon;Choi, Jae Woong;Hwang, Ho Young;Kim, Kyung Hwan;Kim, Ki-Bong
    • Journal of Chest Surgery
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    • v.51 no.5
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    • pp.322-327
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    • 2018
  • Background: This study evaluated the early and long-term outcomes of surgical aortic valve replacement (AVR) in elderly patients in the era of transcatheter aortic valve implantation. Methods: Between 2001 and 2018, 94 patients aged ${\geq}75years$ underwent isolated AVR with stented bioprosthetic valves for aortic valve stenosis (AS). The main etiologies of AS were degenerative (n=63) and bicuspid (n=21). The median follow-up duration was 40.7 months (range, 0.6-174 months). Results: Operative mortality occurred in 2 patients (2.1%) and paravalvular leak occurred in 1 patient. No patients required permanent pacemaker insertion after surgery. Late death occurred in 11 patients. The overall survival rates at 5 and 10 years were 87.2% and 65.1%, respectively. The rates of freedom from valve-related events at 5 and 10 years were 94.5% and 88.6%, respectively. The Society of Thoracic Surgeons (STS) score (p=0.013) and chronic kidney disease (p=0.030) were significant factors affecting long-term survival. The minimal p-value approach demonstrated that an STS score of 3.5% was the most suitable cut-off value for predicting long-term survival. Conclusion: Surgical AVR for elderly AS patients may be feasible in terms of early mortality and postoperative complications, particularly paravalvular leak and permanent pacemaker insertion. The STS score and chronic kidney disease were associated with long-term outcomes after AVR in the elderly.

A Study on Climacteric Symptoms Corresponding to the Use of Complementary and Alternative Therapy in the Middle Aged Women (중년여성의 보완대체요법 이용양상에 따른 갱년기 증상에 관한 연구)

  • Park, Hyoung-Sook;Kim, Young-Hee;Lee, Yun-Mi
    • Journal of Korean Biological Nursing Science
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    • v.8 no.1
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    • pp.23-37
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    • 2006
  • Purpose: This study was performed to identify climacteric symptoms corresponding to the use of complementary and alternative therapy(CAT) in middle aged women. Method: The subjects of the study were 603women(40-64years) and were chosen by convenient sampling from 1 April to 31 July 2004. The collected data was analyzed using descriptive statics, chi-square, t-test analysis by SPSS/WIN program. Results: 1. It was shown that 63.8% of subjects have utilized one or more types of CAT. 2. It was shown that the most frequently used types are health supplement(40.5%), gold acupuncture(31.2%), acupress(24.7%), hand acupuncture(21.8%) 3. There was significant difference in the using experience CAT by religion(p=.029), job(p=.018), hormone replacement(p=.016), exercise(p=.007), health state(p=.013). 4. There was significant difference in climacteric symptoms(p=.000) corresponding to the using experience of CAT. 5. There was significant difference in climacteric symptoms(p=.028) corresponding to the using experience hand therapy of CAT. Conclusion: We found that middle aged women used CAT more than others populations. Future research examining the determinants of CAT use, incorporating attitudinal and health conditions, as well as clinical efficacy, effectiveness, and health outcome studies of specific CAT therapies are warranted.

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A Study of Pain and Psychological Well-Being in Total Knee Replacement Patients (무릎 전치환술 환자의 통증과 심리적 안녕에 관한 연구)

  • Chae, Jung-Byung;Jung, Ju-Hyeon
    • PNF and Movement
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    • v.18 no.2
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    • pp.233-244
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    • 2020
  • Purpose: The study investigated pain and falls as psychological factors in Total Knee Replacement patients and examined the relationship between these factors. Methods: Ninety-six total knee replacement patients aged 69.31±7.01 (male: 21, female: 75) participated in the study. Post-surgery pain was assessed on a visual analog scale, and fall risk scores were evaluated on fall fear and fall efficacy scales. Other psychological factors assessed included national anxiety and trail anxiety, fear prevention, Beck depression score, and psychological health measures. The data were analyzed using SPSS version 22.0. Results: A statistically significant correlation was found between pain before surgery and FES fall fear score before surgery (p < 0.05). A statistically significant correlation was found between pain after surgery and PWBS fall fear score after surgery (p < 0.05). A statistically significant correlation was found between state anxiety and PWBS, Trail anxiety (p < 0.05). A statistically significant correlation was also found between trail anxiety and BDI, PWBS (p < 0.05). State anxiety and fear avoidance before surgery were found to affect trail anxiety, and pain before surgery and fall fear score before surgery were found to affect FES. In addition, PWBS was found to affect BDI. Conclusion: The study confirms that increased pain in Total Knee Replacement patients can be a risk factor for falls. In addition, fall fears increase fear avoidance and cause psychological deterioration. This suggests that efforts should be made to reduce pain and to manage psychological factors.

Properties of Blast Furnace Slag Cement Modified with Electric Arc Furnace Slag (전기로 슬래그를 치환한 고로 슬래그 시멘트의 특성)

  • Lee, Seung-Heun;Hwang, Hae-Jeong;Kwon, Sung-Ku
    • Journal of the Korean Ceramic Society
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    • v.43 no.7 s.290
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    • pp.408-414
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    • 2006
  • Properties of slag cement that contained 50 wt% of blast furnace slag were studied when replaced blast furnace slag powder with electric arc furnace slag powder. Electric arc furnace slag was aged for about 2 months in the air by being crushed to be 1-3 mm in size. As a result of the experiment, it was proven that the water content for obtaining the same consistency became decreased as slag is replaced with electric arc furnace slag instead of blast furnace slag. Also, the workability of mortar increased about 30% at the same ratio of water to binder when blast furnace slag was completely replaced with electric arc furnace slag. The compressive strength of mortar on the 28 days increased when a slag replacement rate became 10 wt%, however, it rather decreased when the slag replacement rate exceeded 10 wt%. The heat of hydration became higher for the first 14 h in case of the replacement of slag cement by electric arc furnace slag. Yet, it decreased when 14 h had passed. Therefore, when all blast furnace slag was replaced with electric arc furnace slag, about 15 cal/g heat of hydration decreased when it passed about 72 h.

Factors of Intention to take Hormone Replacement therapy in korean Menopausal Women (폐경기 여성의 호르몬 대체요법 선택의도에 영향을 미치는 요인)

  • Chung, Chae-Weon
    • Women's Health Nursing
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    • v.9 no.4
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    • pp.369-378
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    • 2003
  • Purpose: To identify factors influencing women's intention to take hormone replacement therapy(HRT). Method: A cross-sectional survey design was utilized. A total of 116 married women aged 40 to 60 were recruited from women's groups in communities. They completed a structured questionnaire containing demographic characteristics, Orientation to Life Questionnaire, Menopausal Symptom Checklist, Health Belief of Korean Adult, Sexrole Idea of Kim, Dong-il, chronic illnesses, and a single item measuring marital satisfaction. Result: Thirteen percents of the women were currently taking HRT and 28.4% had intention to take HRT. Education, sense of coherence, and sex role attitude were related to women's susceptibility to menopause. Hysterectomy status and the level of sense of coherence explained women's perception of seriousness regarding menopause. In addition, chronic health conditions accounted for the variances of benefits and barriers to HRT. Factors influencing women's intention to take HRT were education, menopausal symptoms, and perceived benefits of HRT. Conclusion: Women's chronic health conditions, psychosocial characteristics as well as menopausal discomforts were associated with women's choice regarding HRT. Other factors related to decision making process of women's health seeking behaviors need to be explored.

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A Study on the Operating Characteristics of the Aged ELCB according to the Overcurrent (노후화된 누전차단기의 과전류 동작 특성에 관한 연구)

  • Ye Jin Park;Sin Dong Kang;Jae-Ho Kim
    • Journal of the Korean Society of Safety
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    • v.38 no.5
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    • pp.1-7
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    • 2023
  • This study analyzes the operational characteristics of 311 aged and non-aged residual current circuit breakers (RCCBs) in low-voltage consumer contexts. It investigates the influence of external temperature and harmonics based on the rated current multiples. To simulate temperature variations, a convectional oven was used around the circuit breakers. Additionally, the generation of harmonic reference signals and data measurement for overcurrent experiments were conducted using NI SCXI, myDAQ, and LabVIEW. An observation revealed that as the ambient temperature increased, the operating time of RCCBs decreased in the time delay region. This was attributed to the faster response or bending of the bimetal, which is the tripping element. However, aged RCCBs encountered challenges with tripping outside the protective curve. The operating time of the circuit breakers exhibited an acceleration influenced by the order and content of harmonic currents, potentially leading to malfunctions. Aged RCCBs demonstrated faster operating times than their non-aged counterparts. However, the difference in operating time varied based on the manufacturer's and operating environment of the RCCBs. Frequent malfunctions of RCCBs can result in power outages. In cases where these circuit breakers fail to operate, they can lead to secondary damages, including electrical fires and shocks. Consequently, it is imperative to consider the operating environment of RCCBs and provide appropriate replacement cycles to mitigate these risks.

Technical Review on Fitness-for-Service for Buried Pipe by ASME Code Case N-806 (ASME Code Case N-806을 활용한 매설배관 사용적합성 평가 고찰)

  • Park, Sang Kyu;Lee, Yo Seop;So, Il su;Lim, Bu Taek
    • Corrosion Science and Technology
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    • v.11 no.6
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    • pp.225-231
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    • 2012
  • Fitness-for-Service is a useful technology to determine replacement timing, next inspection timing or in-service when nuclear power plant's buried pipes are damaged. If is possible for buried pipes to be aged by material loss, cracks and occlusion as operating time goes by. Therefore Fitness-for-Service technology for buried pipe is useful for plant industry to perform replacement and repair. Fitness-for-Service for buried pipe is studied in terms of existing code and standard for Fitness-for-Service and a current developing code case. Fitness-for-Service for buried pipe was performed according to Code Case N-806 developed by ASME (American Society of Mechanical Engineers).