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An Analysis of Medical Expenses for In-patients in an Oriental Medical Hospital and Factors Affecting Them (한방병원 입원환자의 진료비와 이에 영향을 미치는 요인 분석)

  • Ko, Min-Seok;Choi, Joon-Young
    • Journal of Society of Preventive Korean Medicine
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    • v.15 no.1
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    • pp.71-87
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    • 2011
  • Objective : The present study is aimed at providing basic data to help oriental medical hospitals devise efficient operational plans by analyzing the medical expenses of in-patients in an oriental medical hospital and the factors affecting such expenses. Methods : PASW 18.0 was used to analyze the medical insurance program data of 929 patients who were discharged from a university oriental medical hospital(with 105 sick-beds) during the period from January 1 to December 31, 2010 after treatment under the coverage of health insurance and medical aid. Results : 1) Of all the patients hospitalized, 63.3% were females, their mean age was 52.73 years old, and 87.7% was covered by the health insurance program. The biggest number or 31.2% of the patients were treated by the department of acupuncture, 31.5% suffered mainly from the diseases of musculoskeletal system and connective tissues, and the average length of stay at the hospital was 19.49 days. 2) There were statistically significant differences in total medical expenses by age, clinical department in charge, principal diagnosis, and number of days hospitalized while daily average medical expenses differed depending on age, type of medical security, clinical department, principal diagnosis, and number of days staying at the hospital. 3) Total medical expenses were found significantly influenced by age, type of medical security, clinical department, principal diagnosis, and number of days hospitalized(explanatory power : 95.9%), whereas type of medical security, clinical department and principal diagnosis turned out to exercise significant influence on the daily average medical expenses(explanatory power : 26.9%). Conclusion : Oriental medical hospitals are suggested to make efforts to ensure geographical and economical accessibility for their main clients, the elderly and middle-aged, as well as to improve satisfaction of the clients with the medical service provided. They are also encouraged to work out systems to specialize in treatment with a focus on chronic degenerative and adult diseases. In addition, they are expected to try to enhance people's awareness of oriental medicine in an attempt to diversify the brackets of clients and increase frequency of their utilization.

The study on the breast types and characteristics of Chinese female adults. (Ver. 1) - Focused on the female college students in Shanghai -

  • Sohn, Hee-Soon;Cha, Su-Joung
    • Journal of Fashion Business
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    • v.13 no.3
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    • pp.118-135
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    • 2009
  • This study is done in Shanghai area by sample survey of female college students. Through direct contact survey, this study collected and analyzed information on figure to understand feature of breasts and measurements of body to provide base information to improve product of brassiere for adult female in China. Data was analyzed by using SPSSWIN 13.0 Program and SAS 9.0. 1. From a result of analysis on the body measures to understand the characteristics of the shape of the breast of the Chinese female college students(18$\sim$24 years old), the bust circumference was 83.86cm and the underbust circumference was 73.37cm and the cup size of a brassiere was 75A. 2. From a result of analysis on the bust measures to understand the relations between the front, lateral and cross-sectional proportions of the bust and the shape of the breast in the Chinese female college students, the chest height was 0.77, the bust height was 0.71 and the underbust height was 0.68 as the information of the body type that shows the location of the bust that is the measure of an item to a height as the front proportion of the bust. For the lateral proportion of the bust, the chest depth of the waist depth was 0.98, the bust depth, 1.21 and the underbust depth, 1.03. While the bust depth/waist depth is ideal when being 1.3, it was 1.21 in this study to be close to the ideal lateral shape. For the cross-sectional proportion of the bust, the area of the largest evenness was the bust followed by the waist, underbust and chest in order. 3. From a result of analysis on the correlation between measured items necessary to understand the characteristic of the shape of the breast, to set up the sizes and to produce the patterns, the underbust circumference had a relatively high correlation between the items of breadth, depth and circumference and weight as the items of basic areas.

The association of potassium intake with bone mineral density and the prevalence of osteoporosis among older Korean adults

  • Ha, Jinwoo;Kim, Seong-Ah;Lim, Kyungjoon;Shin, Sangah
    • Nutrition Research and Practice
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    • v.14 no.1
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    • pp.55-61
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    • 2020
  • BACKGROUND/OBJECTIVES: Osteoporosis is characterized by low bone mass and results in vulnerability to fracture. Calcium and vitamin D are known to play an important role in bone health. Recently, potassium has been identified as another important factor in skeletal health. We examined the link between potassium intake and bone health among the Korean older adult population. SUBJECTS/METHODS: This retrospective, cross-sectional study included 8,732 men and postmenopausal women over 50 years old who completed the Korean National Health and Nutrition Survey (KNHANES) between 2008 and 2011. Potassium consumption was evaluated using a 24-hour recall method. Bone mineral density (BMD) was measured at three sites (total hip, femur neck, and lumbar spine) by dual-energy X-ray absorptiometry (DEXA). Multinomial logistic regression was used to examine the link between potassium intake and prevalence of osteoporosis and osteopenia, after controlling for potential confounding variables. RESULTS: The BMD of the total femur and Ward's triangle were significantly different according to the potassium intake among men (P = 0.031 and P = 0.010, respectively). Women in the top tertile for potassium intake showed higher BMD than those in the bottom tertile at all measurement sites (all P < 0.05). Daily potassium intake was significantly related to a decreased risk of osteoporosis at the lumbar spine in postmenopausal women (odds ratios: 0.68, 95% confidence interval: 0.48-0.96, P trend = 0.031). However, the dietary potassium level was not related to the risk of osteoporosis in men. CONCLUSION: Current findings indicate that higher dietary potassium levels have a favorable effect on bone health and preventing osteoporosis in older Korean women.

Effect of Dietary Fat and Genistein on Lipid Metabolism and Antioxidant Activity in Hyperlipidemic Male Rats induced High Fat Diet (고지방식이로 유도된 고지혈증 모델 흰쥐에서 지방과 제니스테인 섭취가 지질대사 및 항산화능에 미치는 영향)

  • Kim Mi-Hyun;Jang So-Young;Lee Yeon-Sook
    • Journal of Nutrition and Health
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    • v.39 no.2
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    • pp.100-108
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    • 2006
  • This study was conducted to investigate whether dietary factors, normal fat and genistein leads to beneficial improvement of lipid metabolism and oxidative stress in adult hyperlipidemic male rats. Seven wk-old male SD rats were fed high fat diet (15% fat, 1% cholesterol) for 4 wks for induction of hyperlipidemic model rat. Weight-matched rats were then assigned to four groups according to dietary fat level (7% or 15% fat) and genistein contents (0 or 320 mg/kg diet). Food intake was significantly decreased by both high fat intake and genistein supplementation compared with normal fat intake and genistein no supplementaion. But weight gain was significantly decreased by genistein supplementation in normal fat intake compared with the other groups. Total lipid, total cholesterol and triglyceride in serum and liver were significantly decreased by normal fat intake compared with high fat intake. But total cholesterol in liver was significantly increased by genistein supplementation in both high fat and normal fat intake. TBARS in serum and liver was less produced by normal fat intake compared with high fat intake but TBARS in liver was significantly increased by genistein supplementation compared with genistein no supplementation in normal fat intake. Glutathione reductase activity in erythrocytes was significantly reduced by genistein supplementation in normal fat intake compared with the other groups. Glutathione peroxidase and glutathione reductase activities in liver were significantly inhibited by normal fat intake compared with high fat intake. Catalase activity in liver was significantly increased by genistein supplementation compared with genistein no supplementation in high fat intake. Nitrite was significantly decreased by normal fat intake compared with high fat intake. These results suggest that normal fat intake has the treatment effect against risk factors related with cardiovascular disease by reducing lipid profiles, lipid peroxidation. And genistein shows action as a antioxidant replacing antioxidant enzymes but also may act as prooxidant causing the production of TBARS.

Association of Blood Pressure with Blood Lead and Cadmium Levels in Korean Adolescents: Analysis of Data from the 2010-2016 Korean National Health and Nutrition Examination Survey

  • Ahn, Jaeouk;Kim, Nam-Soo;Lee, Byung-Kook;Park, Jungsun;Kim, Yangho
    • Journal of Korean Medical Science
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    • v.33 no.44
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    • pp.278.1-278.12
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    • 2018
  • Background: We evaluated the association of blood pressure (BP) with blood levels of cadmium, lead, and cadmium and lead together (cadmium + lead) in a representative sample of adolescents from Korea. Methods: We used 2010-2016 data from the Korean National Health and Nutrition Examination Survey. This cross-sectional study enrolled adolescents aged at 10-18 years-old who completed a health examination survey and had blood measurements of lead and cadmium. The association of adjusted mean differences in diastolic and systolic BP with doubling of blood lead and cadmium were estimated by regression of BP against ${\log}_2$-transformed blood metals and their quartiles after covariate adjustment. Adjusted odds ratio for prehypertension were calculated for ${\log}_2$-transformed blood levels of lead and cadmium and their quartiles. Results: Our analysis of adolescents in Korea indicated that blood levels of lead and cadmium were not significantly associated with increased BP or risk of prehypertension. However, the cadmium + lead level was associated with prehypertension. Previous studies showed that blood levels of lead and cadmium were associated with increased BP and risk of hypertension in adult populations. We found no such association in Korean adolescents. Conclusion: We found that the cadmium + lead level was associated with prehypertension. The differences between adults and adolescents are because adolescents generally have lower levels of these blood metals or because adolescents only rarely have hypertension.

Envelope development and variation in Trachelomonas hispida (Euglenophyta)

  • Poniewozik, Malgorzata;Zieba, Emil;Sajnaga, Ewa
    • ALGAE
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    • v.33 no.4
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    • pp.305-318
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    • 2018
  • In Trachelomonas hispida, the adult envelope that surrounds the monad is oval in shape and covered with spines. Development of the lorica is an interesting, but poorly known phenomenon. We observed in detail the formation of spineless envelopes of T. hispida using light microscopy and scanning electron microscopy. The results showed that young cells formed delicate and net-like envelopes. The structure changed with age, and mature specimens had solid, thick loricae with small pores. As the loricae aged, they changed their shape, and rope-like fibres from the external layer started to unwind, progressing from the apical pore, exposing the underlying net-like structure. X-ray spectrometry showed that Fe was the major mineral component in young and mature loricae, whereas old loricae did not contain Fe salts, although they did contain a high number of Mn compounds. We also noticed a different pattern of mineralization process in the envelopes. Apart from the even distribution of mineral deposition over the entire lorica, we observed that it started from the apical pore and ended at the posterior end. There was considerable morphological variation in envelope shape and ornamentation, which had collars and folds around the apical pore and process at the posterior end. This suggested that many varieties of T. hispida should be taxonomically reappraised. We also discuss a hypothetical role for the spines on lorica surfaces in aquatic ecosystems.

Effects of the characteristics of TV and Internet Food-related Programs on Dietary Self-efficacy of Regular Viewers - focused on single household (TV 및 인터넷 음식 관련 프로그램의 특성이 고정시청자의 식이 자기효능감에 미치는 영향 - 1인 가구를 중심으로)

  • Kim, Sun Jung
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.4
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    • pp.307-313
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    • 2019
  • In 2019, Single person households became the most common in Korea. For those households, so called 'Mukbang' and 'Cookbang', the 'Food' related TV and internet programs are so popular and even became worldwide trends. This study explored how the characteristics of the food related programs on TV and internet influence the constant single person households viewers of the dietary self efficacy. The perceived usefulness and the ease of use shows meaningful influences to the dietary self efficacy in all of the generation groups. In young adult generation from 20s to 30s old, the joyfulness is also effective variables to affect the dietary self efficacy.

Effect of Salvianolic Acid B on Cardiac Muscle Damage Following Exhaustive Exercise in Rats (고강도 운동부하에 의한 흰쥐의 심장근육 손상에 대한 Salvianolic Acid B의 효능에 대한 연구)

  • Im, Ung-Jin;Lee, Jong-Soo
    • Journal of Korean Medicine for Obesity Research
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    • v.17 no.2
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    • pp.77-86
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    • 2017
  • Objectives: This study examined the effects of salvianolic acid B (SAB) on exhaustive exercise-induced cardiac muscle damage to rats. Methods: The study was carried out with 12-week-old young adult male Sprague-Dawley rats. Thirty-six rats were divided into 3 groups; normal (n=12), exhaustive exercise group (ExS, n=12) and exhaustive exercise with SAB (ExS+SAB, n=12). Five days before exhaustive exercise, SAB were medicated for 5 days in ExS+SAB group. Rats in ExS and ExS+SAB group were forced to swim for 150 minutes and then they were sacrificed, while rats in normal group were sacrificed at rest. After that, blood was collected and cardiac muscle tissue damage indices were analyzed. Results: Serum aspartate transaminase activity and lactate dehydrogenase activity were significantly lower in ExS+SAB group than in ExS group. Serum creatine phosphokinase activity of ExS+SAB was significantly lower than ExS group. However, the content of serum creatinine had no difference between ExS and ExS+SAB group. In the H&E stained left ventricle myocardium, ExS group showed signs of myocardial damage such as sporadic fragmentation of myocardial fibers, interstitial edema, cytoplasmic eosinophilia and neutrophils infiltration. However, ExS+SAB group alleviated the severity of the signs of myocardial damage. In the myocardial dihydroethidium staining, optical density was remarkably decreased in ExS+SAB group compared to ExS group. Furthermore, the up-regulation of Bax/Bcl-2 ratio was observed in ExS+SAB group compared with ExS group. Conclusions: The above results suggest that SAB may protect cardiac muscle damage via antioxidant activity and prevention of apoptosis.

Comparison of Risk Factors for Inducing Aging-Related Diseases according to Single and Multi-Person Households among Young Adults using the 2016-2019 Korea National Health and Nutrition Survey (젊은 성인층의 단독가구와 다인가구에서 고령호발질환유발 위험요인 비교 연구 - 2016~2019년 국민건강영양조사 활용 -)

  • Park, Eunbin;Lee, Juyeon;Kim, Myung-chul;Park, Hang-Sik;Paik, Jean Kyung
    • The Korean Journal of Food And Nutrition
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    • v.34 no.4
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    • pp.372-380
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    • 2021
  • In this study, data from the 7th (2016~2018) and 8th (2019) Korea National Health and Nutrition Examination Surveys were used, which included 5,325 subjects. Health behavior, dietary and nutrient intake status, physical measurement and biochemical characteristics, and risk factors for elderly related chronic diseases were classified and analyzed according to the changing composition of single households and other households in the current society. As a result, the ratio of current smokers and drinkers in young adult single households, walking less than 30 minutes per day, subjective health status was poor, breakfast rate less than three times per week, eating out frequency more than once a day, lipid intake ratio to total calories, saturation fatty acid intake were significantly higher. In addition, waist circumference, and diastolic blood pressure were significantly higher. However, dietary fiber intake level was significantly lower. The results for hypertension, which is the representative chronic disease that causes old age-related chronic diseases, were significantly higher in single households (ORs=1.400 (95% CI: 1.095, 1.791), p=0.007). Although young adults may not have showed particularly serious health problems yet, education is believed as important to recognize and prevent age-related disease risk factors.

Comparison of postoperative outcomes between early and delayed surgery for pediatric nasal fractures

  • Kang, Won Ki;Han, Dong Gil;Kim, Sung-Eun;Lee, Yong Jig;Shim, Jeong Su
    • Archives of Craniofacial Surgery
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    • v.22 no.2
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    • pp.93-98
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    • 2021
  • Background: Pediatric nasal fractures, unlike adult nasal fractures, are treated surgically as early as 7 days after the initial trauma. However, in some cases, a week or more elapses before surgery, and few studies have investigated the consequences of delayed surgery for pediatric nasal fractures. The purpose of this study was to evaluate the postoperative outcomes of pediatric nasal fractures according to the time interval between the initial trauma and surgery. Methods: The records of pediatric patients under 12 years old who underwent closed reduction of nasal bone fracture from March 2012 to February 2020 were reviewed. The interval between trauma and surgery was divided into within 7 days (early reduction) and more than 7 days (delayed reduction). Postoperative results were classified into five grades (excellent, good, moderate, poor, and very poor) based on the degree of reduction shown on computed tomography. Results: Ninety-eight patients were analyzed, of whom 51 underwent early reduction and 47 underwent delayed reduction. Forty-two (82.4%) of the 51 patients in the early reduction group showed excellent results, and nine (17.6%) showed good results. Thirty-nine (83.0%) of the 47 patients in the delayed reduction group showed excellent results and eight (17.0%) showed good results. No statistically significant difference in outcomes was found between the two groups (chi-square test p= 0.937). However, patients without septal injury were significantly more likely to have excellent postoperative outcomes (chi-square test p< 0.01). Conclusion: No statistically significant difference was found in the outcomes of pediatric nasal fractures between the early and delayed reduction groups. Successful surgical results were found even in patients who received delayed reduction (more than 7 days after trauma).