• Title/Summary/Keyword: Over 90 years

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Clinical Results of Cardiovascular Surgery in the Patients Older than 75 Years

  • Kim, Dong Jin;Park, Kay-Hyun;Isamukhamedov, Shukurjon S.;Lim, Cheong;Shin, Yoon Cheol;Kim, Jun Sung
    • Journal of Chest Surgery
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    • v.47 no.5
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    • pp.451-457
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    • 2014
  • Background: The balance of the risks and the benefits of cardiac surgery in the elderly remains a major concern. We evaluated the early and mid-term clinical results of patients aged over 75 years who underwent major cardiovascular surgery. Methods: Two hundred and fifty-one consecutive patients, who underwent cardiac surgery at Seoul National University Bundang Hospital between July 2003 and June 2011, were included in this study (mean age, $78.7{\pm}3.4$ years; male:female=130:121). Elective surgery was performed in 112 patients, urgent in 90, and emergency in 49. Results: Early mortality was 12.7% (32/251). Follow-up completion was 100%, and the mean follow-up duration was $2.8{\pm}2.2$ years. Late mortality was 24.2% (53/219). There were 283 readmissions in a total of 109 patients after discharge. However, the reason for readmission was related more to non-cardiac factors (71.3%) than to cardiac factors. The overall survival estimates were 79.2% at the 1-year follow-up and 58.4% at the 5-year follow-up. Patients who underwent elective surgery had a lower early mortality rate (elective, 4.5%; urgent, 13.3%; emergency, 30.6%) and better overall survival rate than those that underwent urgent or emergency surgery (p<0.001). Conclusion: The timing of cardiac surgery was found to be an independent risk factor for early and late mortality. Thus, earlier referral and intervention may improve operative results. Further, comprehensive coordinated postoperative care is needed for other comorbid problems in aged patients.

Thermal Characteristics of Electric Wiring for Halogen Warm Lamp Group and Automatic Waterer Group at Stable (우사(牛舍)에서의 할로겐보온등군(群) 및 자동급수통군에 대한 전기배선의 열적 특성)

  • Kim, Doo-Hyun;Yoo, Sang-Ok;Kim, Sung-Chul
    • Journal of the Korean Society of Safety
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    • v.29 no.4
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    • pp.48-53
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    • 2014
  • This study is analyzed for electrical fire danger by electric equipments through surveys of stable owners and the field investigation at 64 stable. Also, an experiment is performed to analyze the thermal characteristics of 4 types electric wiring according to the number of operating halogen warm lamp group and automatic waterer group in Beon-young stable in the Cheongwon location. The survey is done to investigate the occurrence of electrical fire, electric equipment, causes and dangerous equipment. As a result, halogen warm lamp group and automatic waterer group are found to have dangerous loads. In the field investigation, the mode of load capacity of the halogen warm lamp group and automatic waterer group was investigated. The mode of load capacity of halogen warm lamp group (over 3 years) is found 17A and that of the auto waterer group (10 years) is 16A. In this experiment, the halogen warm lamp group aged at least 3 years showed $109^{\circ}C$ while that aged less than 1 year appeared $83^{\circ}C$, showing the max gap of $26^{\circ}C$. The automatic waterer group aged 10 years showed $90^{\circ}C$ while that aged less than 1 year appeared $68^{\circ}C$, showing the max gap of $22^{\circ}C$. These findings indicate that the mode of load capacity needs to be considered in selecting and installing wiring for the electric equipment construction of halogen warm lamp group and automatic waterer group in stable.

Survey on Present Use and Future Demand for the Convenience Food in the Elderly Group (노인세대의 편의식 이용현황과 요구도 조사)

  • Park, Ji-Young;Kim, Ji-Na;Hong, Wan-Soo;Shin, Weon-Sun
    • Korean Journal of Community Nutrition
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    • v.17 no.1
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    • pp.81-90
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    • 2012
  • This study is to research the use and the demand of the elderly generation that pursue economic ability and active lifestyle. The composition of the meals were "homemade meals" 65.3%, "homemade & convenience meals" 26.7% overall. For the "never miss a meal" category, 70-74 years old was 48.3%, over 80 years old was 60.0%. The elderly under 70 years old showed a high frequency in the use of alternative meals (p < 0.05) and the elderly with higher education used the alternative meals more frequently (p < 0.01). The rice-cakes, bread, tuna cans, Korean side-dishes, beverages, meat, cup-noodles and seafood as alternative meals are in the order of most frequency. Also, 96.0%, 59.0% and 46.5% of the elderly had experience in using "Ready to eat (RTE)", "Ready to heat (RTH)" and "Ready to cook (RTC)". The oldest group surveyed, the elderly at the age of 80 years old and above showed lower preference for "completely cooked state" but showed highest results in the "half-cooked state". This shows the difference between people's perception and the behavior that showed high frequency of 96.0% in the experience with "RTE". This can be inferred that the elderly needs the development of convenience food that is moderately packaged according to the newer lifestyle where the elderly live independent from their children. Moreover, there is a higher demand in the healthy convenience food, which means that there is a need for development in the quality of the convenience food that will allow more faith in convenience food by the elderly.

Effect of Soy Isoflavone Supplementation and Exercise on Serum Lipids in Postmenopausal Women (이소플라본 보충과 운동이 폐경 후 여성의 혈중 지질 수준에 미치는 영향)

  • Choi In-Sun;Bae Yun-Jung;Jang Sul;Lee Da-Hong;Yun Mi-Eun;Lee Haeng-Shin;Kim Mi-Hyun;Lee Sang-Ho;Sung Chung-Ja
    • Journal of Nutrition and Health
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    • v.38 no.6
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    • pp.411-418
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    • 2005
  • To elucidate the effect of soy isoflavone supplementation and exercise on serum lipids in normolipidemic and mildly hyperlipidemic postmenopausal period, 54 women residing in Seoul area were recruited. The subjects were divided into 4 groups: control group (n=13), isoflavone group (n=14), exercise group (n=14), isoflavone + exercise group (n=13). The control group was given placebo capsules, isoflavone group was given soy isoflavone supplements (90 mg/day), exercise group was given placebo capsules and exercised 3 times/week, over 30 min/time, and isoflavone + exercise group took soy isoflavone supplement and exercised. The duration of study were 8 weeks. The average age of the subjects was 57.0 years, 56.0 years, 54.4 years, and 55.2 years, respectively. There were no significant differences among the four groups in terms of height, weight, and body mass index. There were no significant differences among the four groups in terms of serum, total cholesterol, HDL-cholesterol. But the subjects indicated a significant difference in serum LDL-cholesterol (110.5 mg/day in before versus 74.6 mg/day in after) in the isoflavone + exercise group at the levels of p<0.05. In conclusion, the isoflavone supplementation and exercise may be helpful to decrease serum lipids of normolipidemic and mildly hyperlipidemic postmenopausal women.

Surgical Treatment of Coronary Artery Occlusive Disease (관상동맥 협착증의 외과적 치험 -30례의 임상적 결과-)

  • 김병열
    • Journal of Chest Surgery
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    • v.28 no.11
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    • pp.994-1000
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    • 1995
  • Thirty patients with ischemic heart disease underwent coronary artery bypass grafting [CABG from 1985 through 1994. There were 16 males and 14 females whose age ranged from 41 to 72 years old. Preoperative diagnoses were unstable angina in 13 of patients, stable angina in 8, postmyocardial infarction state in 7, and state of failed percutaneous transluminal coronary angioplasty [ PTCA in 2. The patterns of disease were single vessel involvement [ 17cases , double vessel involvement [ 7 cases , triple vessel involvement [ 3 cases , Lt main lesion including Lt. ostial lesion [ 3 cases . Saphenous vein grafts were used in 27/30 patients [ 90% , and internal mammary artery grafts were used in 6/30 patients [ 20% . The hospital mortality was 13.3% and all survivors were asymptomatic and improved over their preoperative status.

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What is the real Hormotila? (Chlorophyceae)

  • Wujek, Daniel E.;Wynne, Michael J.
    • ALGAE
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    • v.31 no.2
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    • pp.85-90
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    • 2016
  • It is shown by the heterogenous nature of Borzi’s description and illustrations that Hormotila mucigena Borzi, the generitype of Hormotila, should be redefined. Borzi’s original description and accompanying illustrations of Hormotila (constituting the protologue) correspond to a minimum of five distinct genera of green algae. Two distinct concepts of the genus have persisted over the years. The genus has become based on a combination of palmelloid and physiologically stressed forms of two of the component algae. Our understanding of the genus is further confused by the incorporation of unrelated unicellular and colonial coccoid forms. There are only one or two distinctive attributes that would allow the selection of any one of the five forms as representing the genus and species. One of Borzi’s original figures is proposed to redefine the original species of the genus, Hormotila mucigena.

Composition and Distribution of Intestinal Microbial Flora in Korean (한국인의 장내 균총 조성 및 분포)

  • 지근억
    • Microbiology and Biotechnology Letters
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    • v.22 no.5
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    • pp.453-458
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    • 1994
  • Intestinal microbial flora comprise one third of the large intestinal contents in human. They play a significant effects through beneficial and harmful action on the human health. This is the first study which examined the composition of the microflora of the general population in Korea. Bacteroides, Bifidobacterium, Eubacterium, Peptostreptococcus, Lactobacillus, Streptococcus, Escherichia coli, Staphylococcus, Clostridium perfringens, total aerobic bacteria and total anaerrobic bacteria were counted using various selective and non-selective media. Among the bacteria studied the number of Bifidobacterium were greatest in breast-fed infants(30-90 days old), whereas Streptocuccus and Bifidobacterium in bottle-fed infants. In 20-40 age group Bacteroides were predominant followed by Bifidobacterium and Eubacterium. In early group(over 65 years old) Bacteroides were predominant followed by Eubacterium and bifidobacterium. The frequency and number of Cl. perfringens were highest in dlderly group. These results confirm that the microfloral pattern in large intestine change during the life cycle of humans.

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Occurrence of Akabane Disease and It's Antibody Test in Cattle Raised in Cheju-do (제주도내 축우 아까바네병 발생 및 항체 보유 실태)

  • 현관종
    • Korean Journal of Veterinary Service
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    • v.13 no.1
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    • pp.90-95
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    • 1990
  • 1) During 5 month(Oct. 1988-Feb. 1989), abortion(11 heads), stillbirth(3 heads), and congenital abnormalities(28 heads) of newborn were occurred in 42 milk cows raised in Cheju island. These cows were diagnosed with Akabane disease by clinical, pathological and serological test. 2) In May and Oct. 1989, 213 tattles at 10 farms were investigated on the actual condition of possessing Akabane antibody. The results was that 210 heads(98.6%) in 213 cattles reacted as positive condition in Akabane antibody. The antibody titer was from 4 to over 256. 3) During some years, the author suppose that the vaccination for Akabane disease will be unnecessary because of higher positive antibody reaction except the newly introduced cattle.

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A Torticollis Case Managed by Balance Appliance of FCST for the Meridian and Neurologic Balance (FCST의 음양균형장치를 활용한 후천성 사경증 증례보고)

  • Yin, Chang-Shik;Koh, Gi-Wan;Sohn, Kyung-Seok;Lee, Jong-Jin;Sohn, Il-Hoon;Lee, Young-Jun
    • Korean Journal of Acupuncture
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    • v.23 no.1
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    • pp.119-123
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    • 2006
  • Objectives : Therapeutic effect of Balance Appliance of functional cerebrospinal therapy (FCST) for meridian and neurologic yinyang balance was observed in a refractory torticollis case. Methods : A post-traumatic severe torticollis case with 18 years of duration was managed by the Balance Appliance on temporomandibular joint (TMJ), combined with acupuncture and manual medicine. Results : Assessment was made by self assessment of subjective symptoms and clinical observacon. The patient reported over-90% remission and returned to ordinary daily life after 20months of therapy, which effect was reported to maintain for 9 months. Conclusions : An impressive effect was observed and further clinical and biological research on FCST is expected.

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Applications of Near Infrared Reflectance Spectroscopy(NIRS) in Forage Evaluation (조사료 가치 평가를 위한 근적외선 분광법(NIRS)의 활용)

  • 박형수;이종경;이효원
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.24 no.1
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    • pp.81-90
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    • 2004
  • Farmers need timely information on the nutritional status of their animals and the nutritive value of pastures and supplementary feeds if they are to apply successfully this existing nutritional information. Near infrared reflectance(NIR) spectroscopy has been used over the last forty years to analyse accurately protein, fiber, and other organic components in animal foods. NIR spectroscopy is a rapid, non-destructive, and non-polluting technology. When properly calibrated, NIR spectroscopy is used successfully with both concentrate and forage feeds. NIR methods predict in vitro digestibility accurately and precisely, and can predict in vivo digestibility at least as well as conventional "wet chemistry" methods such as in vivo digestion or the pepsin-cellulase method, and much more rapidly. NIR technology has been applied to the routine monitoring (through analysis of feces samples) of the nutritional status of cattle and other grazing animals. This report reviews the use of near infrared reflectance(NIR) spectroscopy to monitor the nutritive value of animal feeds and the nutritional status of grazing animals.