• Journal of Korean Neurosurgical Society
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• 제65권1호
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• pp.123-129
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• 2022

Objective : Chronic subdural hematoma (CSDH) is one of the most common pathology in daily neurosurgical practice and incidence increases with age. The aim of this study was to evaluate the prognostic factors and surgical outcome of CSDH in patients aging over 90 years compared with a control group of patients aging under 90 years. Methods : This study reviewed 25 patients with CSDH aged over 90 years of age treated in our department. This group was compared with a younger group of 25 patients aged below their eighties. At admission past medical history was recorded concerning comorbidities (hypertension, dementia, ictus cerebri, diabetes, and heart failure or attack). History of alcohol abuse, anticoagulant and antiplatelet therapy, head trauma and seizures were analyzed. Standard neurological examination and Markwalder score at admission, 48 hours after surgery and 1-6 months follow-up, radiologic data including location and CSDH maximum thickness were also evaluated. Results : Their mean age was 92.8 years and the median was 92.4 years (range, 90-100 years). In older group, the Markwalder evaluation at one month documented the complete recovery of 24 patients out of 25 without statistical difference with the younger group. This data was confirmed at 6-month follow-up. One patient died from cardiovascular failure 20 days after surgery. The presence of comorbidities, risk factors (antiplatelet therapy, anticoagulant therapy, history of alcohol abuse, and head trauma), preoperative symptoms, mono or bilateral CSDH, maximum thickness of hematoma, surgical time and recurrence were similar and statistically not significant in both groups. Conclusion : In this study, we demonstrate that surgery for very old patients above 90 years of age affected by CSDH is safe and allows complete recovery. Comparing two groups of patients above and under 90 years old we found that complication rate and recovery were similar in both groups.

• Journal of Medicine and Life Science
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• 제19권3호
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• pp.79-89
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• 2022

Whereas systolic blood pressure (SBP) continuously rises with age, diastolic blood pressure (DBP) gradually decreases after the age of 55 years. Therefore, hypertension in the elderly shows the pattern of isolated systolic hypertension. There is evidence on the benefits of controlling blood pressure (BP) in elderly patients with hypertension. The BP lowering effect has also been demonstrated in patients over 80 years of age with hypertension. The BP threshold for the initiation of antihypertensive drug treatment for older adults with hypertension is gradually decreasing. The antihypertensive treatment is recommended if, despite therapeutic lifestyle modifications, SBP ≥140 mmHg or DBP ≥90 mmHg in those aged 65-79 years old, and SBP ≥140-160 mmHg or DBP ≥90 mmHg in those aged ≥80 years old. Although there is no consensus on the target BP for older adults with hypertension, a target SBP of <130-140 mmHg and DBP of <80-90 mmHg are recommended. In older adults over 80 years of age with hypertension, the target SBP is <140-150 mmHg. When the dose of antihypertensive drugs is increased to reach the target SBP, DBP may decrease to less than 70 mmHg, but it should not be <60 mmHg. Thiazide diuretics, calcium channel blockers, angiotensin-converting enzyme inhibitors, or angiotensin receptor blockers can be selected as the first-line drug for older adults with hypertension. Beta-blockers may be selected in case of compelling indications.

• 한국안광학회지
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• 제15권3호
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• pp.275-280
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• 2010

목적: 의료기술의 급속한 발전으로 노인 인구가 급증하고 있는 가운데 90세 이상의 초고령 환자들의 백내장 수술 전 후 안 수치와 시력에 관한 임상상태를 알아보고자 하였다. 방법: 2007년 3월부터 2009년 2월까지 경기도 안성소재에 위치한 안과의원에서 백내장 시행 수술을 받은 90세 이상의 환자 48명, 82안을 대상으로 수술 전 후의 최대교정시력, 안축장, 전방깊이 및 동반된 안질환 등을 조사하였다. 결과: 안축장 길이는 변하지 않았으나 전방의 깊이는 연령의 증가에 따라 수정체 두께의 증가로 점차 감소하는 양상을 보였고, 남성이 여성보다 큰 경향을 보였다. 82안 중 71안 (86.6%)에서 수술 전에 비하여 교정시력의 향상을 보였으며, 43안(52.4%)은 0.5이상의 시력을 볼 수 있었다. 결론: 전신질환 및 동반된 안질환을 가진 사람은 건강한 동 연령대의 정상인에 비하여 백내장 수술 후 0.5이하의 저 시력을 나타내었으나 그 외는 0.5이상의 교정시력을 나타내어 90대의 연령에서도 백내장 수술은 필요하다고 할 수 있으며, 백내장 수술은 안질환 유 무가 교정시력에 큰 영향을 미친다고 할 수 있다.

• Journal of Nutrition and Health
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• 제30권7호
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• pp.832-839
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• 1997

The purpose of this study is to survey the prevalence of obesity assessed on the basis of height and weight among students in primary and secondary schools in the metropolitan area of Seoul, Korea during the period of 1979 to 1996. The major findings are as follows ; 1) The fiftieth percentile values of BMI have increased more in mid-ranged age group than upper(16-17 years old) and lower(6-7 years old) ranged age groups. 2) The prevalence of obesity by standard weight of height was higher among male students than female students and students in the primary schools showed higher weight increase than adolescent age(12-17 years old) group. As a whole, the prevalence of obesity over last 18 years has increased 4.6 times in males and 3.2 times in females. 3) Judged on the basis of the BMI 90th, 95th percentile values of 1979 , the prevalence of obesity among male students showed higher increases than among female students. Higher increase was also observed among primary school students than among middle and high school students. Increase of weight was higher for the $\geq$95th percentile group than the 90-95th percentile group. 4) Judged on the basis of the BMI, 90th, 95 th percentile values of NHANES-I, the $\geq$95th percentile group showed higher increase in the prevalence of obesity than the 90-95th percentile group. According to the 1996 data, severe obesity group ($\geq$95th percentile) was about two times of NHANES-I in male primary school students, while the number for female middle and high school students was about 1/5 of NHANES-I.

• 대한생식의학회:학술대회논문집
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• 대한불임학회 2002년도 제43차 추계학술대회
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• pp.90-90
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• 2002

• 자원ㆍ환경경제연구
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• 제11권4호
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• pp.557-579
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• 2002

In recent days, it has been significantly suggested that the promotion of sustainable forest management will play an important role in ameliorating atmospheric carbon. In this respect, we intend to investigate the dynamic impact of the global timber market on carbon flux of forest through net carbon release into the atmosphere. For this purpose, we integrated the TSM 2000 with TCM to simulate the projection of net carbon release of the global timber market over 90 years, starting 1995. As a result, we identified that the global timber market increases the carbon dioxide concentration about l.9% over next 90 years; hence results in a positive effect on global warming. For sensitivity analysis, we performed these procedures under three different timber demand growth scenarios.

• Journal of Chest Surgery
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• 제14권1호
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• pp.17-25
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• 1981

In 1980, 416 cases of open heart surgery were done in this Department with over all operative mortality of 12.3%. 1. There were 288 congenital anomalies consisting of 174 acyanotic and 114 cyanotic varieties, which showed operative mortality of 6.9% and 25.4% respectively. 2. There were 128 cases of acquired lesions, 124 valvular disease and 3 myxoma being the main lesions. 3. There were 128 cases of valve replacement with operative mortality of 7.8%. 4. The most frequently operated anomaly was VSD, 90 pure VSD and 21 cases were associated with one or 2 cardiac anomalies. Over all operative mortality in 111 VSD cases was 8.1% but in 90 pure VSD cases it was 6.7%. 5. Tetralogy of Fallot showed the highest incidence in cyanotic group with 88 cases, consisting of 68 pure and 20 with other cardiac anomalies. Over all mortality in 88 cases was 19.3% but in pure form 16.2%. 6. In 128 valve replacement cases over all mortality was 9.4%. There were 85 mitral, 11 aortic, 2 tricuspid, 21 mitral with aortic, 6 mitral with tricuspid, 3 mitral, aortic, and tricuspid valve replacement cases. For mitral valve replacement operative mortality was 5.9%. 7. Twenty-one cases of babies under 10kg body weight were operated on with over all operative mortality of 28.6%. Sixteen cases of VSD were found with operative mortality of 25%. 8. Among 128 cases of valve replacement 7 were under the age of 15 years and 12 were between 15 and 20 years old. Five pediatric cases underwent mitral valve replacement without mortality, 9 year old boy was the youngest among them. In this Department open heart surgery for infancy and complex anomalies showed still hip operative risk which should be improved in the coming years. For open heart surgery Shiley oxygenators and 2 sets of A-O de-lux 5 head roller pump were utilized exclusively. For valve replacement Ionescu-Shiley bovine pericardial xenografts were mainly used. In pediatric and rural patients Persantin with aspirin regimen was satisfactorily administered for anticoagulation after valve replacement. Routinely Coumadin was administered for one year after valve replacement* In patients who had thrombus on valve sites, chronic atrial fibrillation, and giant left atrium Persantin-Aspirin regimen was used when one year coumadin administration was discontinued.

• 한국환경보건학회지
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• 제17권2호
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• pp.48-53
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• 1991

This study was carried out to investigate age, noise intensity, work period, hearing loss at frequencies, hypertension and to examine correlation of the total quantity of noise exposure(Dose) and blood pressure (Response) in the auto industry during May 1987-December 1987. To perform this study 65 workers were tested. Results of this study were as follows: 1. In frequency analysis, the CS-dip phenomenon occurred around 4000 Hz. 2. Between under of ten years group and over of ten years group, average hearing loss value was statitically significant (P < 0.05). 3. The prevalence of hypertension of 65 workers was 7.84% . 4. At 90dB(A) over and 10 years under and workers in the 20's group, the total quantity of noise exposure (Dose) and systolic blood pressure (Response) were statistically significant (P < 0.05). 5. At under 10 years of work period group, the total quantity of noise exposure(Dose) and diastolic blood pressure (Response) were statistically significant(r =0.234, P < 0.1).

• 음성과학
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• 제12권2호
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• pp.139-149
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• 2005

The purpose of this study was to propose a preliminary norm for 'Korean-Test of Articulation for Children(K-TAC)'. The K-TAC was designed to test 19 Korean consonants in various phonetic contexts through 37 words. We collected the data of 220 normally developing children aged 2;6(years;months) to 6;5. We analyzed the mean percentage of consonants correct and the age of acquisition for K-TAC. The results were as follows: first, The mean percentage was over 60% at late 2 years of age, over 80% at th age of 3, and over 90% after the age of 4. There were significant differences among age groups. Second, based on the criterion of correct production by 75% of children, Korean children acquired stops and nasals except for SF velars, glottal fricative, SF liquid and affricates by late 2 or 3 years of age. After that they acquired SF velars at the age of 4 and SI liquid at the age of 5. However, they could not acquire alveolar fricatives by the age of late 6. Third, if the distorted sounds were scored as correct, they acquired SI liquid at 4 years of age and alveolar fricatives at 5 years of age.

• 대한영양사협회학술지
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• 제19권4호
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• pp.356-372
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• 2013

This study was carried out to investigate the perception, preference and usage of Korean festival foods of women according to age in Busan. The survey was conducted from October 15, 2012 to November 30, 2012 using questionnaires and the data were analyzed with the SPSS program. In general, younger women (20~30 years old) had a lower interest in Korean festival foods than slightly older women (40~50 years old). Most of women over 40 years of age prepared Korean festival foods at home, but many who were in their 20's (45.9%) and 30's (41.1%) obtained their foods from family and relatives. Overall, 62.5% of the subjects wanted to inherit Korean festival food from family and relatives. The dissemination of information and recipes of Korean festival foods were needed for succeeding to Korean festival foods. The taste score was significantly lower for women in their 20's compared to those over 40. Women under 40 reported a lower ease of cooking compared to women over 50. Tangguk (4.93) on Seollal showed the highest perception degree in the order of Namul (4.91), Tteokguk (4.90), and Sikhye (4.90). Jeon, Yaksik, Sikhye, and Gangjeong were the most highly preferred in every group. The preference degree of Pajeon was significantly higher in women under 40 than in those over 60. Tteokguk and Tangguk were more highly preferred in women in their 30's and 40's compared to the other groups. There was a significant positive correlation between preference for festival food and education level, degree of knowledge, degree of interest, will for inheritance, and will for learning (P<0.01). In conclusion, festival foods rich in local tradition should be developed, publicized and used to educate others. The simplification of cooking methods and the development of processed foods are needed to pass on the traditional food culture of Busan.