• Title/Summary/Keyword: Older Korean-American

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Age-related Outcome of Arthroscopic Repair of Isolated Type II Superior Labral Anterior to Posterior Lesions

  • Kwon, Jieun;Kim, Yeun Ho;Yeom, Tae Sung;Oh, Joo Han
    • Clinics in Shoulder and Elbow
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    • v.18 no.1
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    • pp.36-42
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    • 2015
  • Background: Repair of superior labral anterior to posterior (SLAP) lesion in patients older than 40 years is controversial. The purpose of this study was to evaluate clinical outcomes of arthroscopic repair of SLAP lesions between younger and older patient groups. Methods: We reviewed 50 patients with isolated type II SLAP lesions who underwent arthroscopic repair. Patients were divided into 2 groups: group 1 included 20 patients aged <40 years, and group 2 included 30 patients aged ${\geq}40years$. Functional outcome at the final follow-up was assessed using a visual analog scale for pain and satisfaction, American Shoulder and Elbow Surgeons form, Constant score, University of California at Los Angeles score, and periodic change in range of motion (ROM). Anatomical outcome was evaluated using computed tomography (CT) arthrography at least 1 year after surgery. Results: No significant differences in functional scores or postoperative ROM were observed between the 2 groups. In group 2, later recovery of ROM (forward flexion, p=0.025; internal rotation, p=0.034) and lower satisfaction score (p=0.06) were observed for atraumatic patients (n=16) compared to patients with traumatic injury (n=14). Fifteen patients in group 1 (15/17, 88%) and 21 patients in group 2 (21/26, 81%) demonstrated a healed labrum on postoperative CT arthrography, and this difference was not significant. Conclusions: The results of this study suggest that arthroscopic repair of type II SLAP lesions can yield good functional and anatomical outcomes regardless of age, if patient selection is adequate. However, the delay in ROM recovery and lower satisfaction, particularly in older patients without traumatic injury, should be considered.

Research on Health and Health Care of the Korean American Elder Population in the United States (미국 내 한국계 노인의 건강 및 의료서비스 이용과 관련한 연구문헌 고찰)

  • Koh, Chin-Kang
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.42-55
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    • 2007
  • 미국의 65세 이상 노인인구의 구성을 보면, 민족이 더욱 다양화되고 있는 추세이다. 다양화 되고 있는 민족 가운데 한국계 미국인의 수는 급속히 증가하고 있으나, 그들의 건강문제에 대한 정보는 매우 부족한 실정이다. 연구목적: 연구의 목적은 한국계 미국 노인의 건강에 대한 현재까지의 연구를 정리하고, 이를 바탕으로 앞으로의 연구방향에 대해 논의하는 것이다. 연구방법: 컴퓨터 데이터베이스를 이용한 검색과 수작업에 의한 검색을 통해 수집된 21개의 자료를 분석하였다. 결론 및 제언: 21개의 자료는 네 개의 항목으로 나눠 정리하였다. 기존의 연구는 주제의 다양성이나 각 주제별 연구의 수에 있어서 매우 미흡하였다. 중요한 주제임에도 다뤄지지 않고 있는 분야에 대한 관심이 요구되며, 또한 각 분야에 대한 심도 있는 연구가 이루어져야 할 것이다.

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Consumers' Purchasing Intentions toward Sustainable Apparel in US

  • Lee, Seung-Hee
    • Journal of Fashion Business
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    • v.14 no.3
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    • pp.146-153
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    • 2010
  • The purpose of this study was to examine understanding consumers' purchasing intention toward sustainable apparel regarding buying experience, majors, and age. A random sample of 172 undergraduate students completed a questionnaire that contained measures of demographic information, past sustainable buying experiences, and purchasing intentions toward sustainable apparel. Based on literature review, three research questions were proposed. For data analysis, descriptive statistics and t-test were used. Based on these results, this research provided acceptable information based upon the consumer's purchasing intentions toward sustainable apparel, after being placed into groups of buyers and non-buyers. Buyers had more willing to purchase sustainable apparel than non-buyers. Also the results revealed that fashion majors hold a higher level of significance than non-fashion majors and their intentions to purchase sustainable apparel. Finally, older students (over 21 years old) have more purchasing intentions toward sustainable apparel than younger students (under 21 years old). Based on these results, some implications for educators and marketers would be suggested.

Outcome of Gastric Cancer Surgery in Elderly Patients

  • Kim, Min Sung;Kim, Sungsoo
    • Journal of Gastric Cancer
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    • v.16 no.4
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    • pp.254-259
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    • 2016
  • Purpose: Owing to increased life expectancy, the number of elderly patients with gastric cancer has increased. This study aimed to identify the outcomes of gastric cancer patients aged 80 years or older through comparison of their clinicopathological characteristics, surgical outcomes, and oncologic outcomes. Materials and Methods: Between January 2006 and December 2013, the records of 478 patients who underwent surgery for gastric cancer were retrospectively evaluated. Patients were divided into two groups: patients <80 years old (n=446) and patients ${\geq}80$ years old (n=32). Results: There were no significant differences in sex, body mass index, length of hospital stay, duration of surgery, depth of invasion, nodal metastasis, histologic type, or tumor size between the two groups. However, significant differences were found for the American Society of Anesthesiologist score and the serum albumin level between the two groups. Postoperative morbidity, mortality, disease-free survival, and recurrence rate did not differ between curatively resected patients in the two groups. Conclusions: In elderly patients with gastric cancer, active treatment including radical gastrectomy is necessary.

Observation Research on Preschoolers' Play Behavior for the Design Plan for the Indoor Play Area of Day Care Centers - Focusing on Preschoolers of Day Care Centers between Korea and US - (어린이집 실내놀이 영역 계획을 위한 유아의 놀이행위 관찰 연구 - 한국과 미국의 어린이집 이용 유아를 대상으로-)

  • Jang, Sang-Ock;Shin, Kyung-Joo
    • Korean Institute of Interior Design Journal
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    • v.19 no.6
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    • pp.214-223
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    • 2010
  • As the population of preschooler increases with the increment of employed women today, the physical environment of day-care center is becoming an important factor for the preschooler as well as home environment. In order to create a suitable and desirable day-care environment for preschoolers, the using behavior of the preschoolers, who are the main users, needs to be applied to the spacial design. In this research, play preference area of Korea and United States which have different physical environments are analyzed. Child behavior observation analysis technique, interview with the teacher in charge, floor plan and furniture arrangement plan of the day-care centers and photography were performed for this research. The subjects were 63 preschoolers of 50 months old who are using Korean and American day-care centers and play of five minutes per preschooler was filmed for 3 days. Total 01 189 motion pictures were analyzed for this research. As a result, the physical environment, programs, preference area and finally the similarity and difference according to the gender were clarified for each countries' day-care center. The Korean preschoolers preferred the block area most, the second most favorite area being art for the younger class and language for older class. According to the gender, girls preferred language area while boys chose block area. On the other hand in American preschoolers' case, due to the large variety of play area, the play preference was distributed among various area except several high preference area. Based on this research, when designing indoor play area of day care centers, the area of block, language, and art which are popular play preferences should be considered firsthand, and gender preference is also needed to be thought of. These results may be used as an important data for planning the day care center play area in the future.

Housing Satisfaction of 55+ Single-Person Householders in U.S. Urban Communities (미국 도심에 거주하는 55세 이상 독신가구의 주거만족도에 관한 연구)

  • Lee, Sung-Jin;Ahn, Mira;Kwon, Hyun Joo;Kim, Suk-Kyung
    • Journal of the Korean housing association
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    • v.26 no.5
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    • pp.27-35
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    • 2015
  • This study aims to analyze the housing satisfaction of 55 years and older (55+) single-person householders in U.S. urban communities with the 2011 American Housing Survey Data. Single-person householders younger than 55 years of age (55-) were used as a reference group. Housing Adjustment Theory was used to develop a research framework to depict the relationships of housing satisfaction (dependent variable) with demographic and housing variables (independent variables). The regression analysis revealed that age, health status, government income, race, gender, age of house, housing quality, neighborhood, structure type, and tenure status had a significant effect on housing satisfaction levels of both those aged 55- and 55+. However, for the cohort of 55+, education, census region, housing affordability, and structure size also affected their housing satisfaction. Neighborhood satisfaction had the strongest effect on housing satisfaction of both groups. These variables were discussed in terms of resources and constraints contributing to their housing satisfaction. This study highlights the present and future housing trends and challenges of U.S. single householders in U.S. urban communities.

A Study on Empathic Development in Korean Children (아동의 공감발달 및 관련변인)

  • YON, Jin Young
    • Korean Journal of Child Studies
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    • v.9 no.2
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    • pp.29-59
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    • 1988
  • Empathy was defined in this study as the vicarious affective response of a person to the perceived experience of another. The purpose of this study was to study the relationship between empathic development of children and intimacy with parents, socio-economic status, and children's empathic response to specific affective situations happy, sad, angry and fearful. The subjects for this study were 8-, 10-, and 12-year-old children attending an elementary school located in Seoul. Among the subjects, 158 boys and 149 girls lived with their parents, and 20 boys and 35 girls were reared in orphanges. They were from a residential area with higher, middle, and lower class families. The instruments consisted of two modified empathy measures and two questionnaires developed by the researcher. One of the empathy measures was based on Feshbach & Roe's affective situation test for empathy. In order to determine the eight themes, 20 children were interviewed individually about situations that made them "happy, sad, angry, and afraid". From the pool of responses, eight themes representing happy, sad, angry and fearful situations were selected. Each story consisted of a series of three pictures accompanying narration. Another modified empathy measure was developed by the researcher based upon Bryant's empathy scale. This measure consisted of 17 statements describing happy, sad, angry and fearful situations. The items in this scale were selected from a pilot study. The two questionnaires developed by the researcher were to test children's intimacy for their parents and feminity. The data was analyzed with T-test and F-test. Children's intimacy with their parents, particularly, son's intimacy with their mothers, was a significant variable in empathic development. Children living with their parents had higher scores on Feshbach & Roe's Empathy Test than those brought up in orphanages. In general, the older the children the higher the empathy score. Girls were more empathic than boys on Bryant's scale. The subjects showed their highest empathy score in the sad, and the lowest in the fearful situation. The older the children the higher the empathy score in the sad and angry situations. These results reflected children's life experiences and cultural differences. Particularly, mother-son intimacy found in this study contrasts with the mother-daughter intimacy found in American studies.

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National perioperative outcomes of flap coverage for pressure ulcers from 2005 to 2015 using American College of Surgeons National Surgical Quality Improvement Program

  • Tran, Bao Ngoc N.;Chen, Austin D.;Kamali, Parisa;Singhal, Dhruv;Lee, Bernard T.;Fukudome, Eugene Y.
    • Archives of Plastic Surgery
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    • v.45 no.5
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    • pp.418-424
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    • 2018
  • Background Complication rates after flap coverage for pressure ulcers have been high historically. These patients have multiple risk factors associated with poor wound healing and complications including marginal nutritional status, prolonged immobilization, and a high comorbidities index. This study utilizes the National Surgical Quality Improvement Program (NSQIP) to examine perioperative outcomes of flap coverage for pressure ulcers. Methods Data from the NSQIP database (2005-2015) for patient undergoing flap coverage for pressure ulcers was identified. Demographic, perioperative information, and complications were reviewed. One-way analysis of variance and Pearson chi-square were used to assess differences for continuous variables and nominal variables, respectively. Multivariate logistic regression was performed to identify independent risk factors for complications. Results There were 755 cases identified: 365 (48.3%) sacral ulcers, 321 (42.5%) ischial ulcers, and 69 (9.1%) trochanteric ulcers. Most patients were older male, with some degree of dependency, neurosensory impairment, high functional comorbidities score, and American Society of Anesthesiologists class 3 or above. The sacral ulcer group had the highest incidence of septic shock and bleeding, while the trochanteric ulcer group had the highest incidence of superficial surgical site infection. There was an overall complication rate of 25% at 30-day follow-up. There was no statistical difference in overall complication among groups. Total operating time, diabetes, and non-elective case were independent risk factors for overall complications. Conclusions Despite patients with poor baseline functional status, flap coverage for pressure ulcer patients is safe with acceptable postoperative complications. This type of treatment should be considered for properly selected patients.

Metabolic Syndrome and Insulin Resistance Syndrome among Infertile Women with Polycystic Ovary Syndrome: A Cross-Sectional Study from Central Vietnam

  • Le, Minh Tam;Nguyen, Vu Quoc Huy;Truong, Quang Vinh;Le, Dinh Duong;Le, Viet Nguyen Sa;Cao, Ngoc Thanh
    • Endocrinology and Metabolism
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    • v.33 no.4
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    • pp.447-458
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    • 2018
  • Background: Polycystic ovarian syndrome (PCOS) is one of the most common endocrinopathies among reproductive-age women. Its metabolic features often overlap with those associated with metabolic syndrome (MS) and insulin resistance syndrome (IRS). The objective of this study was to determine the prevalence and predictors of MS and IRS in infertile Vietnamese women with PCOS. Methods: A cross-sectional study was conducted at a tertiary fertility centre at Hue University Hospital from June 2016 to November 2017. A total of 441 infertile women diagnosed with PCOS based on the revised 2003 Rotterdam consensus criteria were enrolled. MS and IRS were defined based on the National Heart, Lung, and Blood Institute/American Heart Association Adult Treatment Panel III 2005 and American College of Endocrinology IRS 2003 criteria, respectively. Complete clinical and biochemical measurements of 318 women were available for analysis. Independent predictors of MS and IRS were identified using multivariate logistic regression. Results: The overall prevalence of MS and IRS in women with PCOS was 10.4% and 27.0%, respectively. We identified older age (>30 years) and obesity as independent predictors of MS and IRS. Elevated anti-$M{\ddot{u}}llerian$ hormone levels increased the risk of IRS, but not that of MS. Conclusion: MS and IRS are prevalent disorders among infertile Vietnamese women with PCOS. PCOS is not solely a reproductive problem. Screening and early intervention for MS and/or IRS based on anthropometric, metabolic, and reproductive hormone risk factors should be an integral part of fertility care.

A Study of the Epidemiological Characteristics and Related Factors in School personnel with Diabetes Mellitus (서울시 교직원 당뇨병의 역학적 특성 및 관련위험요인분석)

  • Lee, Hee-Woo;Kim, Jong-Hee;Jang, Chul-Hwan;Shin, Sun-Mi
    • Journal of the Korean Society of School Health
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    • v.17 no.1
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    • pp.71-83
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    • 2004
  • Purpose: To describe the prevalence, epidemiological characteristics, and related factors of diabetes mellitus in school personnel. Method:5,384 school personnel (2,638 males 2,746 females) received physical examinations at the Seoul School Health Center in 2002. Using the American Diabetes Association criteria, and fasting blood sugar(FBS) was classified as normal at 110>=FBS, borderline 111-125, and the diabetes group 126<=FBS. Related factors of each group were evaluated by gender. Results: In the diabetes group, there were 4.74% males and 0.8% females, and the borderline group was 6.37% males and 2.22% females. The older age group gad a higher distribution in both males and females in the diabetes group. In the diabetes group, the mean and abnormal rate of BMI, systolic hypertension, diastolic hypertension, total cholesterol, GOT, GPT, and GTP were higher than in the normal group. In life style factor, the diabetes group gad a higher distribution of meat eating and smoking more than 20 years than the normal group. The effect of FBS on BMI, BP(blood pressure), total cholesterol, GOT, GPT, and GTP were investigated after controlling for confounding variables. In the borderline and diabetes group, the mean of BMI, BP, total cholesterol, GOT, GPT, and GTP was higher in dose-response effect. In the logistic multiple regression, the related factors of the diabetes group were hypertension and abnormal GTP in males, and abnormal total cholesterol and GTP in females. In the borderline group, the related factors were meat eating, hypertension, and high GOT in males and the older age group, and hypertension, total cholesterol, and abnormal GTP in females. Conclusions: It is possible to manage all related factors of diabetes mellitus except for age. An appropriate program for health promotion is necessary.