• Title/Summary/Keyword: Middle and elderly

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Intermuscular Hematoma in Esophagus : without Tearing (식도 혈종)

  • 윤용한;김해균;강정신
    • Journal of Chest Surgery
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    • v.32 no.4
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    • pp.404-407
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    • 1999
  • Spontanous hematoma of the esophagus is a rare condition affecting middle aged or elderly women. We experienced one case of esophageal hematoma which attracted our attention due to its confusing presentation clinically. The pathogenesis has been in dispute so far. The diagnosis has traditionally been made by barium esophagogram. We proved the diagnosis of spontaneous hematoma of the esophagus by utilizing CT scan and MRI. This condition led to conservative treatment and full recovery ultimately, but we performed the surgical correction because the filling defect persisted and the dysphagia got worse on the 20th day of hospital stay. Hematoma was located between the inner layer of circular muscle and the outer layer of longitudinal muscle which we considered as intermuscular hematoma of the esophagus.

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Studies on Intestinal Trematodes in Korea XX. Four Cases of Natural Human Infection by Echinochasmus japonicus (한국의 장흡충에 관한 연구 XX. Echinochasmus japonicus의 인체간염 4예)

  • 서병설;이순상
    • Parasites, Hosts and Diseases
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    • v.23 no.2
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    • pp.214-220
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    • 1985
  • Four cases of human infection by Echinochasmus japonicus (Trematoda; Echinostomatidae) were proven by the recovery of adult worms after a treatment with praziquantel (10mg/kg in single dose) and purgation in February 1984 in Korea. The patients were 3 middle-aged men and 1 elderly woman residing in a riverside village of Kangjin-gun (Tamjin river), Jeonranam-do, an ever-known endemic area of metagonimiasis. The treatment revealed numerous M. yokogawai worms together with 1-43 (total 54) specimens of E. japonicus and/or a few number of other kinds of trematodes or cestodes. The patients had gastrointestinal troubles such as indigestion and abdominal discomfort, probably due to these fluke infections. They have been eating some raw flesh of fresh water fishes such as cyprinoid ones or sweet fish caught from the river. This is the first record of human E. japonicus infection in the literature.

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Postanesthetic Cerebral Infarction Following Neck Dissection -A case report - (경부청소술 마취 후 발생한 뇌경색 -증례 보고-)

  • Park, Chang-Joe;Lee, Jong-Ho;Kim, Myung-Jin;Kim, Hyun-Jeong;Yum, Kwang-Won
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.3 no.1 s.4
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    • pp.34-37
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    • 2003
  • Postoperative stroke is uncommon even in elderly patients, who have a higher incidence of all types of postoperative complications. The mechanism of postoperative stroke is not certain, but can be explained by intravascular clottings originated from thrombus or embolus or by intracranial hemorrhage. In a 66-year-old male patient with current hypertension medication, who underwent both neck dissection for malignancy metastasis under general anesthesia, the left hemiparesis and delayed emergency were found postoperatively. After transferred to intensive care unit, he got the thrombolytic therapy and then the therapies to decrease the swelling of the brain on the diagnosis of cerebral infarction in the vascular distribution of the middle cerebral artery. A brain MRI definitely showed the midline deviation to the left of the right brain hemisphere due to the progressing edematous changes. As he got worse, the emergency neurosurgical operation was proposed but rejected by his family. He died at postoperative 3 days. In this hypertensive patient. perioperative stroke could be originated from the surgical stimuli on major vessels, which were inevitable in neck dissection during the operation. We report this case of the postoperative stroke, which could be highly possible to be associated with extensive head and neck surgery.

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An interdisciplinary approach to Esthetic anterior restorative treatment with clear aligner orthodontics (전치의 심미치료를 위해 투명교정장치를 사용한 다각적 진료접근법)

  • Dohoon KIM
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.32 no.2
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    • pp.36-45
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    • 2023
  • The aesthetic appearance of the incisors is essential for a natural and healthy smile, and it is also an important factor for confidence in interpersonal relationships. If there is crowding or protrusion of the anterior teeth, root canal treatment and excessive tooth removal are often required to resolve it in a short period of time. However, it is difficult to achieve sustainable aesthetic results. In this case, orthodontic treatment will be necessary to preserve the remaining tooth structure as much as possible. Middle-aged and elderly patients are often aware of the need for orthodontic treatment, but they are hesitant to use the traditional orthodontic treatment method using brackets because of the social gaze. In this case, clear aligners can be a good option. So, in this article, a case in which aesthetic needs were resolved with clear aligners alone and another case in which satisfactory results were obtained through restorative treatment following clear aligners application are reported.

The effect of health related characteristics on the use of information and communication technology of older adults (노인의 정보화 수준에 영향을 미치는 건강특성 연구)

  • Koo, Bon Mi;Joo, Ik Hyun
    • 한국노년학
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    • v.40 no.4
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    • pp.729-746
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    • 2020
  • For the development and better use of information and communication technology(ICT) for promoting health and quality of life in older people, it is important to understand personal factors associated with ICT use. The aims of this study were to describe the pattern of ICT use according to health characteristics of elderly and to investigate significant factors related to ICT use among three age groups. The data of 2017 National Survey of Older Koreans was used for analysis and 10,058 of older adults aged 65 and over were included for study participants. As results, first, the young old(65~74) used more functions of ICT than the middle-old(75~84) and the old-old(85 and over). Second, ICT was more used among older people with good conditions in chronic disease, subjective health, cognition, depression, vision, hearing, walking and IADL. Third, higher prevalence of ICT use was significantly associated with age, education, household income, subjective health, depression, cognitive function, vision limitation and walking limitation. Fourth, factors influencing the use of ICT were a little different among three age groups. For the young-old(65~74), subjective health, depression, cognitive decline, walking limitation, and IADL disability were significant factors affecting on ICT use. For the middle-old(75-84), subjective health, depression, cognitive decline, vision, hearing, and walking limitation were related with their ICT use. For the old-old(85 and over), only cognitive function and depression were associated with their ICT use. Based on these results, this study suggested the need to consider multiple health conditions for developing and using ICT for older adults.

Unexpected Detachment of Solitaire Stents during Mechanical Thrombectomy

  • Kim, Sung Tae;Jin, Sung-Chul;Jeong, Hae Woong;Seo, Jung Hwa;Ha, Sam Yeol;Pyun, Hae Wook
    • Journal of Korean Neurosurgical Society
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    • v.56 no.6
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    • pp.463-468
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    • 2014
  • Objective : Unexpected Solitaire stent detachment can occur during mechanical Solitaire thrombectomy. The purpose of this study was to retrospectively evaluate the influencing factors causing unexpected Solitaire stent detachment and the clinical outcomes. Methods : Between October 2011 to December 2013, 232 cases of mechanical Solitaire thrombectomy for acute ischemic stroke were performed in 3 stroke centers. During this period, we encountered unexpected Solitaire stent detachments during mechanical Solitaire thrombectomies in 9 cases. Results : Solitaire stents unexpectedly detached in 9 cases (3.9%) during the retrieval of Solitaire stents. The median patient age was 76 years. The occlusion sites of the unexpected stent detachment were the proximal middle cerebral artery (MCA) in 7 cases and the internal carotid artery in 2 cases. The sizes of the stents that unexpectedly detached were $6{\times}30$ mm in 7 cases, $5{\times}30$ mm in 1 case, and $4{\times}20$ mm in 1 case. Four patients had unexpected detachment at the first retrieval, 1 patient at the second, 3 patients at the third, and 1 patient at the fifth. In all of the cases of unexpected detachment at the first retrieval, the stent deployment site was the proximal MCA. After detachment, a proximal marker of the Solitaire stent was observed in 3 patients. However, no marker was visible in the remaining 6 patients. Conclusion : Unexpected Solitaire stent detachment should be considered in the first instance of stent retrieval for a relatively large-diameter stent, especially in elderly patients with MCA occlusions.

Analysis on the Trends of Research Themes of the Korean Dance Using Text Mining (텍스트 마이닝을 활용한 한국무용 연구주제 동향 분석)

  • Kim, Woo-Kyung;Yoo, Ji-Young
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.215-228
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    • 2019
  • The purpose of this study is to analyze the trends of research themes of the Korean dance in recent 20 years using text mining. The study has analyzed 3,047 words in 1,468 academic papers posted in the Research & Information Services Section(RISS). TEXTOM, a big data analysis solution, has been used to refine and analyse data, and the keyword analysis and topic modeling have been adopted during the text-mining process to come up with meaningful results. First, the theme of studies has shifted from the structure of the basic Korean dance moves to the use and transmission of the Korean dance. Second, those who participate in studies of the Korean dance have changed from middle-aged women to elderly women. Third, studies on dance records have been inactivated. Fourth, studies on Choi Seung-hee have consistently been a subject of interest. Fifth, the focus of studies has turned from the Korean creative dance to the Korean traditional dance. Sixth, there are no iconic research themes that would lead the academic trends with no clear boundaries of research themes.

An Analysis of the Effect of the Residential Environment of Young Single-person Households on Residential Satisfaction and Life Satisfaction (청년 1인 가구의 주거환경이 주거와 삶의 만족도에 미치는 영향: 다른 연령 집단과의 비교를 중심으로)

  • Yongwook Kim;Saehim Kim;Joonwon Hwang;Mi-Jeong Cho
    • Land and Housing Review
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    • v.14 no.2
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    • pp.19-34
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    • 2023
  • The proportion of single-person households has been steadily increasing, and the young account for the highest proportion at 35.9% among all single-person households. However, research on young single-person households has been relatively recent. Research on single-person households has mostly focused on all single-person households or elderly single-person households, and comparative research between different age groups is lacking. Therefore, this study categorizes all single-person households into young, middle-aged, and elderly groups to investigate the differences in the factors that affect their residential satisfaction and to analyze how these residential environment factors affect life satisfaction through the mediating effect of residential satisfaction. The 2020 Seoul Survey Urban Policy Index Survey data were analyzed using a structural equation model to investigate the impact of each factor. First, a finding is that various residential environment factors directly affect residential satisfaction and life satisfaction. Next, it was found that residential satisfaction directly affects life satisfaction in the models of young and middle-aged single-person households. Through this, it was confirmed that there are differences in residential environment factors that affect residential satisfaction and that residential satisfaction plays an important mediating role. Finally, it was found that the factors that affect the residential and life satisfaction of young single-person households are more diverse compared to other age groups. This study provides policy implications that age group differences should be considered first in order to improve the residential and life satisfaction of single-person households. In particular, for young single-person households, it is necessary to consider more diverse alternatives to improve their residential and life satisfaction.

Determinants for the Employment of the Disabled: Focusing on Differences by Age Group (장애인 고용의 결정변인: 연령집단별 차이를 중심으로)

  • Lee, Hyo-Sung;Ko, Greene
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.144-155
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    • 2014
  • This study aims to overcome the limitations of prior studies that have failed to take into account the impact of psycho-social factors on the employment of people with disabilities as well as the differences in employment by life stage. This study employs a research model that includes psycho-social factors along with human capital to examine how the determinants of employment differ for the disabled by life stage. The analysis in this study takes the form of logistic regression, using data from the fifth wave of the Korea Welfare Panel Survey. Analysis results show that the employment probability of young people with disabilities is significantly associated with their experience of discrimination, with their chance of employment decreasing when they have more experience of discrimination. Middle-aged people with disabilities are more likely to be employed when they have a lower level of education, a better health condition and a higher level of labor ability. For the disabled elderly, their labor ability is the only factor affecting their possibility of employment; they have a higher chance of getting a job when they have a higher level of labor ability.

After the COVID-19 Pandemic, New Tasks and Directions of Christian Education in Korean Churches (코로나 팬데믹 이후 한국교회 기독교교육의 19 새로운 과제와 방향)

  • Jeong Joon Kim
    • Journal of Christian Education in Korea
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    • v.78
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    • pp.21-55
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    • 2024
  • Purpose of study: The purpose of this study is to examine the crisis situation of Christian education experienced by Korean churches and theological education institutions after the COVID-19 pandemic, and to seek new tasks and directions that Korean churches should prepare for the recovery and growth of Christian education. Research Contents and Methods: Before reviewing the current crisis experienced by Korean churches and theological education institutions after the COVID-19 pandemic, the terms and concepts of Christian education are first reflected. In addition, the causes and phenomena of the Korean church and Christian education crisis after the COVID-19 Pandemic are examined through statistics, media, and church field data. The researcher identified the causes of the crisis experienced by Korean churches and theological education institutions as follows: 1. The influence of COVID-19 Pandemic: suspension of faith and educational activities, 2. The age of population cliffs: increase in the elderly vs. decrease in young people, 3. Neoliberalism: marketism, infinite competition, efficiency, winner-take-all, 4. post-religious era: post-Christianity, weakened communitarianism, and reduced number of Christians. The results of this study are four points as follows: 1. Crisis of church education: suspension of operation of Sunday school and feeling of failure, 2. Crisis of faith of young generation: nurturing unstable future church leaders, 3. Faith of adult generation: crisis and hope, 4. The faith of the elderly generation: light and shadow. Conclusion and Recommendations: The new task and direction of Christian education that Korean churches should pursue after the COVID-19 pandemic are as follows: 1. New conversion of Sunday school faith education: From schooling-paradigm education to faith education that integrates family and generation. 2. New conversion of theological education: From knowledge education to spirituality training. 3. Re-ignition of faith education for middle-aged adults: Activation of faith through worship and small groups, 4. New conversion of church elder education: The need to change from caring objects to creative religious life.