• 제목/요약/키워드: Over 90 years

검색결과 687건 처리시간 0.029초

관상동맥 회로술 치험 1예 (Aorto-Coronary Bypass Graft -A Case Report-)

  • 이두연
    • Journal of Chest Surgery
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    • 제12권3호
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    • pp.297-305
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    • 1979
  • Occlusive coronary artery disease presents a potential threat to a significant population in the United States. According to many case reports, the increasing incidence of coronary artery disease due to atherosclerosis is noted in Korean, recently. Operative vascular procedures have increased steadily in number over the past 20 years in the United States. There have been many isolated case reports about coronary artery surgery, but these had little clinical impact. Nowadays, major three coronary bypass surgery has developed principally at three cardiac centers in the United States since 1967. Among three coronary bypass operation, the aorta-coronary artery saphenous vein bypass graft was first demonstrated by Favolaro and Effler at the Cleveland Clinic in 1967. We experienced one case of coronary artery disease, which was treated successfully by aorta-coronary saphenous vein graft with mild hypothermia under extracorporeal circulation in May, 1977. Saphenous vein was removed from above the knee and was 2.5 mm in diameter. The left ventricle was not vented for the left ventricle was not overdistended. Temporary artificial pace-maker-Medtronic-was implanted for the prevention and treatment of post-operative arrhythmia and heart block in post-operative first day. He is a 57 year old male businessman who had been suffered from hypertension [200 mmHg in systolic pressure] since 4 years ago, who had intermittent conservative treatment at local clinic. He had been afflicted with severe chest pain with choking sensation for 50 days. This symptom was aggravated exposing cold weather, or cold water, but was respond to rest. Pre-operative ECG revealed no any other ischemic sign except sinus bradycardia. Significant S-T segment depression was noted at lead II, AVF after double 5 minutes exercise, indicating positive Master`s test. Serum cholesterol was slight elevated to 253 mg/dl. Final pre-operative diagnosis was made by coronary arteriogram, which showed about 1.0-cm segmental 90 % occlusive atherosclerotic lesion in the proximal part of right coronary artery above the origin of acute marginal artery. Left coronary artery revealed good patency and there was no collateral circulation between right and left coronary artery .Hospital course was not eventful. He was discharged with good result on the post-operative day. He has been free from chest pain for longer than 2 years. And also the arterial flow in the coronary bypass graft is auscultated with the pocket-sized ultrasonic velocity detector, which shows the patency of the coronary bypass graft good.

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유아용 당류 섭취 줄이기 교육프로그램 개발 및 효과평가 (Development and Evaluation of the Children's Sugars Intake Reduction Program)

  • 김미현;김남희;연지영
    • 한국식품영양학회지
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    • 제31권3호
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    • pp.335-344
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    • 2018
  • This study aimed to develop and evaluate a sugars intake reduction program (SIRP) that was designed to increase the knowledge, attitude, and skills of Korean children aged 5 years regarding sugars intake reduction. A total of 101 children aged 5~6 years from 6 preschools participated in SIRP. SIRP consisted of 4 sessions including 10 activities (e.g., story-telling, arts, experiment, checking nutrition facts, pledge), delivered to children at preschools by nutritionists over a one-month period. Three letters were sent to parents throughout the program to inform them of the children's activities at the preschools and to provide additional information on reducing children's sugars intake. A total of 90 children completed the program; 83 parents of these children completed the SIRP evaluation survey. The children's sugars intake reduction score was significantly increased after attending SIRP. Teachers (n=6) who participated in this program agreed to improve their students' attitudes on reducing sugars intake and to decrease students' behaviors related to sugars intake. Parents agreed to improve their children's attitude on reducing sugars intake and to decrease children's behaviors related to sugars intake. The outcome showed SIRP improved participants' attitudes towards sugars reduction and increased the skills to reduce the sugars intake of children aged 5~6 years. Future studies should examine whether SIRP reduces actual sugars intake among children.

골목일대(榾木一代)의 표고버섯 발생량(發生量)에 대(對)한 연구(硏究) (A research on productivity of Cortinellus edodes (Berk) Ido et Imai cultivated on timber bed)

  • 정대교
    • 한국산림과학회지
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    • 제3권1호
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    • pp.23-27
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    • 1963
  • A research was made through a experimental cultivation during a period of 7 years (1956~1962) to determine the yearly yield, the total gross yield over 7 year's period and the maximum availability of stock timbers used as the germination bed of cortinellus edodes (Berk) Ido et Imai. The results are summarized as follows : (1) Research and plot scheme: Two experimental plots were established-plot "A" in the experimental forest of this college; plot "B" in the campus woods, 400 timber beds were furnished in each. The kinds of timbers used are : Quercus Serrata Thumb 140. Quercus acutissima Carr. 140, Quercus crispula BI 120. The environmental condition in plot "A" was better then that in plot "B" and the former showed greater yield than the latter. (2) yield : In plot "A" the total yield was 58.875kg and some of the timbers was still continuing germ in this seven after closing of the plot. In plot "B" the total yield was 56.90kg and after the sixth year no more germination was observed. In conclusion, plot "A" showed greater yield and longer germination than plot "B". (3) Germination efficacy and the kinds of timber: The best result was abserved on Quercus serrata, thumb Quercur acutissima Carr, stood next and then came Quercus crispula BI. Betula platyphylla was tried, but the result was worst. (4) Availability limits of timber beds: Quercus serrata Thumb with diameter 12~15cm had the longest availability more than (6~7 years) and Quercus acutissima Carr with diameter 12~15cm showed 6~7 year's availability. The shortest availability was found in Quercus crispula with diameter 6~9cm. Any kinds of timber with diameter 6~9cm had only 4~5 years of availability (5) In the table showing the yearly germination quantity, the figure of December and Jaunary of the 4th and 5th year shows the yield obtained in the semi-cellar paper house. This tells that there is good promise of winter cultivation of cortinellus edodes (Berk) Ido et Imai on matured timber beds.

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Depressive Symptoms on the Geriatric Depression Scale and Suicide Deaths in Older Middle-aged Men: A Prospective Cohort Study

  • Yi, Sang-Wook
    • Journal of Preventive Medicine and Public Health
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    • 제49권3호
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    • pp.176-182
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    • 2016
  • Objectives: Prospective evaluations of the associations between depressive symptoms and suicide deaths have been mainly performed in high-risk populations, such as individuals with psychiatric disorders or histories of self-harm. The purpose of this study was to prospectively examine whether more severe depressive symptoms assessed using the Geriatric Depression Scale (GDS) were associated with a greater risk of death from suicide in a general-risk population. Methods: A total of 113 478 men from the Korean Veterans Health Study (mean age, 58.9 years) who participated in a postal survey in 2004 were followed up for suicide mortality until 2010. Results: Over 6.4 years of follow-up, 400 men died by suicide (56.7 deaths per 100 000 person-years). More severe depressive symptoms were associated with greater risk of suicide death (p for trend <0.001). The unadjusted hazard ratios (HRs) in comparison to the absence of depression were 2.18 for mild depression, 2.13 for moderate depression, 3.33 for severe depression, and 3.67 for extreme depression. After adjusting for potential confounders, men with a potential depressive disorder had an approximate 90% higher mortality from suicide (adjusted HR, 1.92; 95% confidence interval [CI], 1.38 to 2.68; p<0.001) than men without depression. Each five-point increase in the GDS score was associated with a higher risk of death by suicide (adjusted HR, 1.22; p<0.001). The value of the area under the receiver operating characteristics curve of GDS scores for suicide deaths was 0.61 (95% CI, 0.58 to 0.64). Conclusions: Depressive symptoms assessed using the GDS were found to be a strong independent predictor of future suicide. However, the estimate of relative risk was weaker than would be expected based on retrospective psychological autopsy studies.

고속도로 길어깨 구간의 잡초발생 억제 시험에 관한 연구 (Experimental Study for Weed Control on the Shoulder of Expressway)

  • 박종철;전기성;허영진;김경훈
    • 한국환경복원기술학회지
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    • 제23권6호
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    • pp.43-55
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    • 2020
  • The study was performed in order to derive the management methods of revegetation space on embankment upper in the shoulder of expressway. The pilot study was conducted in 2013 on the test road section of the Jungbu Inland Expressway (Smart Highway) and continues to be monitored until 2020. In the test, three commonly used methods for weed control were applied. In the early two to three years, most of the methods were effective in controlling weeds. However, at the end of six years, weed suppression effects were different for each treatment. Vegetation coverage was 90% in the untreated control, 70-80% wood chip mulching method, 50-60% solidification method, and 20% sheet mulching method. The sheet method was found to be the most effective given the low vegetation coverage was effective in controlling weeds. The wood chip mulching method is promoting weed growth over time, and weeds are invading as the effect of soil hardening is reduced in the place where the soil hardener is treated. Among the methods applied in the test, mulching the sheet is the most effective, but it is important to use a durable sheet. In the future, it is necessary to find ways to control weeds on road shoulders, considering both economic and environmental aspects. For the proper management in the shoulder of expressway set target zone is needed. Clear standards for weed control on expressway should be established. And the technology to be applied must be durable for 3 years or more and must be able to suppress the amount of weeds to a level of 20% or less.

Status of Environmental Life Cycle Assessment (LCA): Case study of South Korea

  • Odey, Golden;Adelodun, Bashir;Kim, Sang Hyun;Choi, Kyung Sook
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2021년도 학술발표회
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    • pp.455-455
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    • 2021
  • The Life Cycle Assessment (LCA) as an environmental impact assessment tool has received increasing attention over the years. Unlike the water footprint (WF) and carbon footprint (CF) assessments whose focus is only on a single environmental aspect, the LCA systematically analyzes the different impacts along the entire life cycle, making possible the identification of potential environmental tradeoffs. In Korea, LCA has drawn much attention from both industry and academia since the mid-90s. However, the level of Korea-related LCA studies with respect to different sectors in the past 20 years has not been analyzed. This study, therefore, sought to assess the status of environmental Life Cycle Assessment (LCA) studies in Korea, with a view to understanding the current level of sustainability reporting and identify potential research gaps. Online searches of English written articles published between 2000 and 2019 were conducted on Google, Google scholar, Scopus, and Web of Science databases using the Keywords "life cycle assessment", "lca", and "Korea." At the end of the search, about 88 LCA related studies were identified for Korea within the study period. Majority of these studies focused on the construction (49%) and energy (31%) sectors with fewer environmental studies on the transportation (9%), manufacturing (8%), agriculture (2%), and information and communication (1%) industries. Based on publication trend, results show that LCA studies in Korea have been on the rise in the past 20 years, even though the number of publications has not followed a constant pace. In comparison with the economic sectors of the country, reports show an inadequacy in the coverage of major industries of growing economic relevance like the tourism, health, and agriculture, suggesting a need to further increase and improve LCA related studies in these sectors.

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Association between hearing loss and high-sensitivity C-reactive protein: the Kangbuk Samsung Cohort Study

  • Jihoon Kim;Yesung Lee;Eunhye Seo;Daehoon Kim;Jaehong Lee;Youshik Jeong;Seonghyun Kwon;Jinsook Jeong;Woncheol Lee
    • Annals of Occupational and Environmental Medicine
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    • 제35권
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    • pp.38.1-38.10
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    • 2023
  • Background: Hearing loss (HL) is linked to an elevated risk of cardiovascular diseases (CVDs). The pathogeneses of HL and CVD commonly involve inflammatory responses. Previous studies investigated elevated levels of inflammatory biomarkers in subjects with HL, however, their findings did not demonstrate statistical significance. In our cross-sectional and longitudinal study, we investigated the correlation between HL and increased high-sensitivity C-reactive protein (hsCRP) levels to determine how HL is associated with CVDs. Methods: We conducted a cross-sectional study with workers aged over 18 years who underwent health check-ups at our institution between 2012 and 2018 (n = 566,507), followed by conducting a longitudinal study of workers aged > 18 who underwent health checkups at least twice at our institution between 2012 and 2018 (n = 173,794). The definition of HL was as an average threshold of ≥ 20 dB in pure-tone air conduction at 0.5, 1.0, and 2.0 kHz in both ears. The incidence of increased hsCRP levels throughout the follow-up period was defined as a level exceeding 3 mg/L. Logistic regression and generalized estimating equations were performed to estimate the risk of increased hsCRP levels according to the occurrence of HL in groups stratified by age. Results: In the cross-sectional study, the multivariate-adjusted odds ratio (OR) was 1.17 (95% confidence interval [CI]: 1.02-1.34); the OR was 0.99 (95% CI: 0.80-1.22) in those under 40 and 1.28 (1.08-1.53) in those over 40. In the longitudinal study, the multivariable-adjusted OR was 1.05 (95% CI: 0.92-1.19); the OR was 1.10 (95% CI: 0.90-1.35) in those under 40 and 1.20 (1.01-1.43) in those over 40. Conclusions: This cross-sectional and longitudinal study identified an association between HL and increased hsCRP levels in workers aged over 40 years.

Surgery versus Conservative Treatment for Spontaneous Supratentorial Intracerebral Hemorrhage in Spot Sign Positive Patients

  • Kim, Hui-Tae;Lee, Jong-Myong;Koh, Eun-Jeong;Choi, Ha-Young
    • Journal of Korean Neurosurgical Society
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    • 제58권4호
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    • pp.309-315
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    • 2015
  • Objective : An advantage of surgical treatment over conservative treatment of spontaneous intracerebral hemorrhage (ICH) is controversial. Recent reports suggest that contrast extravasations on CT angiography (CTA) might serve as a crucial predictor of hematoma expansion and mortality. The purpose of this study was aimed at investigating the efficacy of surgical treatment in patients with spot sign positive ICH. Methods : We used our institutional medical data search system to identify all adult patients who admitted for treatment of ICH between January 1, 2007 and January 31, 2012. Patients were classified two groups into a surgical group (n=27) and a conservative treatment group (n=28). Admission criteria were the following: age 20-79 years, spontaneous supratentorial ICH, Glasgow Coma Score Ranging from 9 to 14, ICH volume ${\geq}20mL$, and treatment within 24 hours. Results : Fifty-five patients were analyzed. There was no significant difference in the ICU stay between the conservative treatment group ($7.36{\pm}3.66days$) and the surgical treatment group ($6.93{\pm}2.20days$; p=0.950). There was a significant difference in the in-hospital stay between the conservative treatment group ($13.93{\pm}8.87days$) and the surgical treatment group ($20.33{\pm}6.37days$; p=0.001). Overall mortality at day 90 after ICH was 36.4%; this included 16 of 28 patients (57.1%) in the conservative group and 4 of 27 patients (14.8%) in the surgical group. In univariate analysis, there was a positive effect of the surgical treatment in reducing mortality at 90 days (p=0.002), Glasgow Outcome Scale (GOS) at 90-day (p=0.006), and modified Rankin Scale (mRS) at 90-day (p=0.023). In multivariate logistic analysis, there was a significant difference in mortality (odds ratio, 0.211; 95% confidence interval, 0.049-0.906; p=0.036) between the groups at 90-day follow-up. However, there was no significant difference in GOS (odds ratio, 0.371; 95% confidence interval, 0.031-4.446; p=0.434) and mRS (odds ratio, 1.041; 95% confidence interval, 0.086-12.637; p=0.975) between the groups at 90-day follow-up. Conclusion : In this study of surgical treatment of supratentorial ICH in patients with spot sign positive in CTA was associated with less mortality despite of long duration of in-hospital stay. We failed to show that clinical outcome benefit of surgical treatment compared with conservative treatment in patients with spot sign positive ICH.

일개 시지역의 가정간호 수혜자들의 만족도 조사 (A Survey on Clients' Home Care Satisfaction in Taejon City in Korea)

  • 김선숙;소희영;이태용
    • 가정∙방문간호학회지
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    • 제5권
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    • pp.73-83
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    • 1998
  • This study enrolled one thousand five hundred twenty one clients that were receiving home care services at five health centers and a home care services center in the city of Taejon from November 17 through December 7, 1997. The purpose of this study was to analyze satisfaction levels, general characteristics and efficacies, of the client served home care. The main results were as follows; The age group of most of the subjects was 70-79 years: 76.9% of them were female and 87.3% were over 65 years. In education variables, over 90% of the clients were below primary school. In marital status variables, 63.4% of them had no spouse, 57.5% of them were widows and widowers. In living arrangement variables, alone(35.8%) was the most. In insurance status variables, medical aid(69.9%) was the most. In household income variables, below 000 won(72.6%) was the most. In hospitalization variables, 53% of the clients had no hospitalization. The satisfaction level of home care service of male and female was similar. The older the age, the higher the satisfaction level. The satisfaction level of the group having religion was higher than the group having no religion and the Christianity group had the highest satisfaction level(p<0.001). In education variables, the over high school group was the highest satisfaction level(p<0.01). In living arrangement variables, the other (sisters or neighbors etc.) group indicated the highest satisfaction level(p<0.001). In insurance status variables, the other group(except for medical aid) was the highest satisfaction level(p<0.001). In household income variables, below 390,000 won was the highest satisfaction level(p<0.001). In hospitalization variables, 'over 4 times' group indicated the highest satisfaction level (p<0.01). Home care took place more in health centers than in home care services center. In frequency of home care per month three times was the most. In opinion of home care frequency per month 82.8% of the people answered 'proper'. A lot of present illness was neuralgia, arthritis, digestive disease, hypertension & CVA. In contents of home care services variables, education & counselling was the most and medication was second. In duration of illness variables, over 10 years was the most. In place of treatment before home care service variables, hospital(57%) was the most. In illness condition after home care variables, 'moderate' was the most and 'much better'(85.5%) was second. In help of home care variables, 'much help'(71.5%) was the most and 'moderate'(28.1%) was second. In contents of counselling variables, treatment method of illness was the most. Home care services center indicated higher level of satisfaction than health center(p<0.001). In opinion of home care frequency per month variables, 'less' was the highest satisfaction level (p<0.001). In duration of illness variables, below one year was the highest and over 10 years was second(p<0.001). In place of treatment before home care service variables, health center was the highest (p<0.001). In illness condition after home care variables 'much better' was the highest and 'worse' was second (p<0.001). I n help of home care variables, 'much help' was the highest (p<0.001). In contents of counselling variables, cause of illness was the highest(p<0.001). According to the 14 items which consisted of 3 point scales the total level of satisfaction of home care service was very high, with total mean score 36. According to the above results, most clients taking home care services are satisfied. However, organization and a fund are required to support high quality home care services to those who need them. Furthermore, a follow-up survey should be accomplished to evaluate the status of clients.

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개체군 생존력 분석을 이용한 여우복원사업 방사전략 (Release Strategy for the Red Fox (Vulpes vulpes) Restoration Project in Korea Based on Population Viability Analysis)

  • 이화진;이배근;권구희;정철운
    • 한국환경생태학회지
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    • 제27권4호
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    • pp.417-428
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    • 2013
  • 여우는 한국에서 1980년대 이후로 절멸된 것으로 취급하고 있으며, 현재는 환경부에서 멸종위기 1급 동물로 지정되어 소백산국립공원에서 복원사업이 이루어지고 있다. 본 연구에서는 여우복원사업에 필요한 적정 모델링과 방사 전략을 수립하기 위하여, VORTEX 프로그램을 이용한 개체군 생존력 분석(Population viability analysis: PVA)을 수행하였다. 초기 개체군 0에서 매년 10개체(암5, 수5)를 향후 10년간 지속적으로 방사할 경우, 개체군의 이입으로 50년간 개체군 성장률은 $0.018{\pm}0.204$였으며, 절멸확률은 0.354로 나타났다. 최초 방사 후 16년차에 116.34로 최대 개체군 크기를 보였으나, 17년차부터 매년 1.22의 감소율을 나타내었다. 방사된 여우의 지속적인 성장과 절멸을 방지하기 위해서는 최초 방사 17년 이후 추가적인 방사가 필요하며, 장기적인 여우 존속을 위해서는 매년 12개체 이상을 방사하는 것이 필요한 것으로 분석되었다. 반면 연간 6개체 이하일 경우 50년 후의 절멸 확률은 80% 이상으로 나타났으며, 최소한의 개체군 성장을 위해서는 8개체 이상의 추가 방사가 필요한 것으로 나타났다. 설정된 조건값에서 매년 10개체씩 암수의 성비를 변화하여 6:4 로 10년간 방사할 경우 1:1 비율보다 안정적인 개체군 성장률을 보였으나, 암컷의 비율이 7:3이상으로 높아질 경우 부정적인 결과를 보였다. 재난요인으로 설정된 road-kill과 밀렵은 여우복원사업의 성패에 중요한 요인으로 확인되었다. 초기 적용값을 기준으로 각각의 요인이 3% 감소할 경우에는 절멸 확률은 30%로 낮아졌으며, 3% 이상 증가할 경우 50년 후의 절멸 확률은 약 90%에 이르는 것으로 분석되었다.