Purpose : To evaluate clinical outcomes after anterior cruciate ligament (ACL) reconstruction in middle-aged patients and determine the factors affecting the outcome. Subjects and Methods : Clinical results obtained from 60 cases (60 patients) older than 40 years of age at the time of surgery and 58 cases (58 patients) younger than 40 years of age who underwent ACL reconstruction between August 1988 to January 2002, return to sports activity, and stress radiographs using Telos instrument were compared. Results : The Lysholm knee score was improved from the preoperative score of 54.0 points to the postoperative score of 92.9 in patients older than 40 years of age and was improved from 56.2 points to 92.2 points in patients younger than 40 years of age. Clinical outcome was excellent in 51 cases $(85\%)$ and good in 9 cases $(15\%)$ in patients olde. than 40 years of age and was excellent in 47 cases $(81.0\%)$ and good in 11 cases $(19.0\%)$ in patients younger than 40 years of age. There was a significant difference in the rate of returning to preoperative sports activity between patients older than 40 years of age ($60\%$, 36 cases) and younger than 40 years ($82.8\%$, 48 cases). According to Telos stress radiography, the preoperative difference of 11.2 mm was decreased to the postoperative difference of 3.1 mm in patients older than 40 years of age and the preoperative difference of 10.7 mm was decreased to the postoperative difference of 2.9 mm in patients younger than 40 years of age. Clinical outcome did not show significant correlation with age, gender, surgery method, the presence of additional injury, and the rate of return to sports activity before receiving injury (p>0.05). Conclusion : Age didn't have a significant influence on the final outcome of ACL reconstruction and good results could be obtained with ACL reconstruction even in middle-aged patients.
Journal of the Korean Society of Food Science and Nutrition
/
v.36
no.6
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pp.735-744
/
2007
The purpose of this study was to investigate the sweets preference, food frequency, dietary habits, and nutrition knowledge of middle school students who like sweets. A survey instrument consisted of a self-administered questionnaire, a food frequency questionnaire, and anthropometric measurements. Three hundreds thirty five students aged 13 to 15 years old were divided into two groups, Sweets Liking Group (SLG) and a control group based on the subjects' scores for dietary habits, sweets preference, and food frequency. For dietary habits, the score for meal regularity was significantly lower in the SLG group compared to the control (p<0.001). In addition, the SLG group was more likely to skip breakfast (p<0.001), eat inadequate amount of meals (p<0.001), and consume yellow-green vegetables less frequently (p<0.001) than the control. The subjects' nutrition knowledge was assessed using 20 questions representing five categories, including functions of nutrients, nutrition and health, food pyramid and food groups, healthful snacking and the right dietary attitude. The total scores for nutrition knowledge indicated that the SLG had a poorer nutrition knowledge for all five categories than the control (boys p<0.05, girls p<0.01). For food frequency, the SLG consumed more sweets but less grains, cereals, fishes, beans, vegetables, and milk and milk products than the control (p<0.001). Strong positive correlations appeared between sweets preference, sweets frequency, and sweets-related dietary habits; and all were negatively correlated to nutrition knowledge. Sweets frequency was negatively related to meal regularity, breakfast consumption, meal adequacy, and balanced meals. The findings suggest that nutrition education is necessary to improve the dietary pattern, especially sweets consumption, of Korean young adolescents.
Journal of the Korea Academia-Industrial cooperation Society
/
v.13
no.5
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pp.2189-2198
/
2012
This study was designed to measure the difference in health-related quality of life (HRQOL) among social classes and explore the factors that may explain it. Study subjects were 7,992 Korean adults aged 20-69 from the 4th (2007-2009) Korea National Health and Nutrition Examination Surveys data. We described mean value of EQ-5D index as a HRQOL by class and performed hierarchical multiple regression analysis to find the factors. The result was as follows. In the distribution of EQ-5D index level among social classes, new middle class (class II) had the highest score (0.966 in men and 0.955 in women); upper and middle-upper class (class I) 0.965 in men and 0.936 in women; working class (class IV) 0.958 in men and 0.936 in women; old middle class (class III) 0.955 in men and 0.932 in women; low class (class VI) 0.941 in men and 0.908 in women; and rural self-management class (class V) the lowest score (0.918 in men and 0.866 in women). In men, chronic disease, job stress, education and income level were found to make the difference in the health-related quality of life among social classes; in women, those factors and health behavior explained the difference. In conclusion, the lower social class has lower HRQOL. Except for education and income level, chronic disease may be the major factor to explain the difference in the health-related quality of life among social classes.
Objectives : This study is to examine the influence of exorcise program to body shape and body composition of women. Exercise program is composed muscular resistance exercise and aerobic exorcise with 70min/time, 5day/week for 4weeks and designed for the reinforcement of muscular strength and the decease the decrease of obesity. Methods : The subjects of this study are 26 females who are from twenty until thirty-nine years old and are divided into two groups according to Obese Rate. normal weight group is 18 females under a BMI of 23 and overweight group is 8 females over a BMI of 23. we measured body compositon and body shape with body composition analyzer(inbody 3.0) measured body compositions are body weight, Lean body mass, base metabolic rate, body fat, %body fat, waist hip ratio, body mass index. measured 6body shade are upper arm circumference, chest circumference, waist circumference, hip circumference, thigh circumference. the measurements had been taken before exercise of each group, after 4 weeks, after 8 weeks, after 12 weeks. Body compositon and body shape of the measured data were analyzed by two-way repeated ANOVA followed by Dunnett's Post hoc test using SPSS. Differences were considered significant at p<0.05. Results and Conclusions : The weight was reduced at a significant level in overweight group after 4 weeks. Body fat percent was reduced at a significant level in normal group alter 4 weeks and overweight group after 8 weeks. Waist-hip ratio was reduced at a significant level in normal and overweight group after 4 weeks. Lean body mass and body metabolic rate were reduced but did not satisfy statistical significance. Circumference of all body parts showed an decrease after 12 weeks exercise program. Upper Arm, Chest, Waist, Hip Circumference were reduced at a significant level in overweight group after 4 weeks, but In normal group only Waist Circumference was reduced at a significant level after 4 weeks. Aerobic and Circuit weight training for 12 weeks reduced body weight and body fat percent, waist circumstance statistically significant without loss of lean body mass and body metabolic rate. Also these change was more effective in overweight group than in normal group.
Journal of the Korea Academia-Industrial cooperation Society
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v.17
no.6
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pp.278-290
/
2016
The purpose of this study is to investigate the association of total cholesterol levels (TC) and the incidence of hypercholesterolemia in response to changes in BMI. The subjects included a total of 28,249 industrial workers (25,548 male and 2,701 female) aged 30-69 years old who had received regular medical check-ups at least once per year from 2002 to 2012 (over 11 years). Data from this period were categorized into a first term (2002-2005), middle term (2006-2009), and last term (2010-2012). Then, the average TC was stratified by BMI, which was obtained from the initial examination results of each individual. In addition, average changes in TC were analyzed by stratifying with changes in BMI over 10 years (starting in 2002). The annual occurrence rates of hypercholesterolemia stratified by BMI were further assessed in patients with normal ranges of TC. In all three terms, the average TC was significantly elevated in the obese group ($25.0kg/m^2$) compared to the low weight group ($18.5kg/m^2$) and the normal weight group ($18.5-25.0kg/m^2$). Similarly, the group with higher BMI presented elevated rates of hypercholesterolemia compared to the groups with low BMI. In addition, increased BMI over the 10 year period significantly influenced TC. Consequently, it is suggested that evaluation and intervention for obesity control may be needed in order to manage the risk of high serum lipid levels.
Journal of the korean academy of Pediatric Dentistry
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v.36
no.1
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pp.114-118
/
2009
Sialolithiasis is the formation of calcific concretions within the ductal system of major or minor salivary glands. The submandibular gland is most involved because of its high viscosity of the saliva and the long, curved duct. It may occur at any age but, it is most common in middle-aged adults and rare in childhood. Clinical symptoms in sialolithiasis are variable but, swelling is the most common, followed by the pain. Clinical examination and radiographic examination(panoramic and mandibular occlusal radiographs, sialography, intraoral-, extraoral- ultrasound, CT scan, MRI and sialoendoscopy) can help to confirm a diagnosis and localize a stone. The treatment is surgical intervention, either removal of the sialolith or sialoadenectomy. However, non-invasive techniques including shock-wave lithotripsy, $CO_2$ laser and endoscopic treatment used in selected cases. A 5-Year-old girl referred from private practice for evaluation of a yellowish mass on the floor of the mouth. She complained that it had became three times bigger than four months ago when it was found for the first time and she had some pain on submandibular gland area occasionally. On physical examination, a firm and yellowish mass could be seen at the orifice of the submandibular duct. Diagnosis is the submandibular sialolithiasis in the anterior Wharton`s duct. Under local anesthesia, stone was removed.
Journal of the Korea Academia-Industrial cooperation Society
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v.14
no.2
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pp.655-664
/
2013
This study aims to identify forecasting factors of baby boomer's social participation desire. For this purpose, I utilized Hyun-Jung Kang(2012)'s data whose 1,115 sample were collected based on residential area and gender. The major findings are as follows; First, 77.7% of baby boomers are actually participating in economic activities. 27.0% in volunteering activities and 79.3% in leisure activities. 80.9% of baby boomers have intention to participate in economic activities after retirement, 76.7% in volunteering activities after retirement and 82.2% in leisure activities after retirement. Second, looking at the relationship between current social activity participation and intention to participate after retirement, those who are currently having social activities turn out to have higher intention to participate social activities after retirement. Those who wish to participate in social activities, although they don't participate in social activities currently, turn out to be 55.8% for economic activities, 70.6% for volunteering activities and 66.5% for leisure activities. Third, whether they are currently participating in social activities turns out to be most compelling forecasting factor for the desire on social participation after retirement. These results were discussed in terms of the continuity theory. and proposed that you need from the preparation of Middle - aged to activate the participation of important social variables known as old age life satisfaction.
Journal of the korean academy of Pediatric Dentistry
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v.28
no.1
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pp.95-105
/
2001
The present study was designed to compare morphological and structural relationships between basicranial measurements such as MCF angulation (Ar-SE-ptm), saddle angle (N-S-Ba, N-S-Ar) and facial structures including types of malocclusion. Twenty six children with Class III whose longitudinal headfilms were available from 7 to 12-year-old, and also 26 cross-sectional headfilms at each ages of 8, 9, 10 and 11 with Class I were selected for the investigation. Cephalometric measurements such as Ar-SE-ptm, N-S-Ba, N-S-Ar, N-SE-Ar, SNA, SNB, N-S/PM vert, CP/PM vert, $\underline{1}/FH$ plane, and $N-perp/\underline{1}$ were measured. Morphologic relationships and pattern of changes in facial structures in relation to the changes of MCF and saddle angle in both malocclusion types were analysed statistically employing ANOVA, t-test and Pearson correlation. Results suggest that the MCF rather than the saddle angle in children with Class I and III is more closely related with various facial structures and with their changes. It may be, therefore, suggested that the MCF be one of the biologically meaningful measurements in determining structural relationships between cranial base and facial complex including types of malocclusion. In addition, the MCF and its correlated facial structures in children with Class III, interestingly, showed somewhat marked changes between the ages of 9 and 11.
Journal of the korean academy of Pediatric Dentistry
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v.29
no.4
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pp.581-585
/
2002
Focal epithelial hyperplasia(FEH) is Human papilloma virus - induced, localized proliferation of oral squamous epithelium. FEH usually occurs in the childhood, but occasionally affects the young and middle-aged adults. Sites of the greatest involvement include the labial, buccal and lingual mucosa, but lesions of gingiva or tongue have also been reported. This disease is typically characterized by multiple soft, non-tender flattened papules and plaques. Occasional lesions show a slight papillary surface change. Individual lesions are small, discrete and well demarcated. The histopathologic hallmark of FEH is acanthosis of the oral epithelium. Cells demonstrating viral cytopathic changes including koilocytes or mitosoid cells may be present. The 5-year-old female of this case visited Department of Pediatric Dentistry, College of Dentistry, Yonsei University with a chief complaint of exophytic lesions on gingiva. Sessile papillary papules were detected by clinical examination on buccal gingiva at the maxillary left and right second deciduous molars. The patient did not complain of pain by palpation. An excisional biopsy was carried out for a histological examination and acanthosis was observed. The lesions were diagnosed as FEH. FEH would regress spontaneously after several months or years. Conservative excision may be performed for diagnostic or esthetic purpose. The risk of recurrence after this therapy is minimal, and there is no malignant transformation.
This paper aims to describe the rapid growth of the one-person households in terms of the socio-economic demographic perspectives during the period of 1995-2005 and to analyze the spatial distribution patterns based on different characteristics of one-person households. The increase in the divorce ratio in the middle-aged, the growth of unmarried people the young generation, and the increase of life expectancy in the old generation are explanatory factors for the rise and diversification of one-person households in Korea. The rapid increase of one-person households is accompanied by a diversification in their age, gender, marital status, education level. Uneven distribution of one-person households depends on their age, level of education and dwelling type. Highly educated young adults residing in their own apartment are generally concentrated in major cities, whereas senior citizen with their own single house who lives alone are mostly in rural area. One-person households of the highly educated young adults are significantly polarized in the light of their the living standards. In particular, metropolitan area or big cities are mixed with those who have their own apartment and are financially capacity and with those who rent in a detached single house. As such, one-person households have considerably heterogeneous characteristics. Therefore, each local government will face different economic and social problems based on which group of one-person households are increasing and where they are concentrated in. To this extent, the local government should have differentiated welfare policy according to its own respect.
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