• Title/Summary/Keyword: poor elderly

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Research on Development Strategy Based on Domestic Sleep Industry Survey

  • Yu, Tae Gyu
    • International Journal of Internet, Broadcasting and Communication
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    • v.12 no.2
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    • pp.59-65
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    • 2020
  • The domestic sleep industry is rapidly increasing in market size as it is linked to sleep apnea in the longterm care insurance for the elderly and domestic IT technology. In addition, due to the aging society, the government's support policy is also increasing, and many domestic companies are focusing on the sleep industry. Therefore, this study intends to examine the development strategies of the domestic sleep industry due to the increased social interest and corporate activities. To this end, a survey of 108 domestic companies was conducted by means of a Frequency Analysis, revealing some problems, such as poor sleep companies, insufficient resources for technology development, and limitations in distribution channels. As a result, it was found that for the development of the domestic sleep industry, strategies to strengthen the ecosystem, such as softening strategies through the sleep technology culture, strengthening ecosystems such as revitalizing industrial connections, and reforming laws and regulations, are urgent.

Evaluation of Balance Capability in Facilities Maintenance Workers using Screening Tools (스크리닝 도구를 이용한 건물관리업 종사자의 균형감각능력 평가)

  • Choi, Hyung Jin;Kim, Jung Soo
    • Journal of the Korea Safety Management & Science
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    • v.16 no.3
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    • pp.81-88
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    • 2014
  • A number of screening tools have been developed to evaluate the human balance capability. Many of them were designed to identify the elderly with falling risk. Three different screening tools, which have been well used many clinical fields, were used in this study. The purpose of this study was to evaluate balance capability in facilities maintenance workers in korea. There were no statistical significance between male and female when evaluated with three different screening tools. However, significant differences were found among the age groups irrespective of gender when evaluated with three different screening tools. The results of three different screening tools in korea showed poor values compared with previous results. These results revealed that facilities maintenance workers faced more critical falling risk in korea.

$DaVinci^{TM}$ S robot-assisted esophagectomy in a 83-year-old patient with esophageal cancer (고령의 식도암 환자에서 다빈치 S 로봇을 이용한 식도 절제술)

  • Haam, Seok-Jin;Park, Seong-Yong;Paik, Hyo-Chae
    • Korean Journal of Bronchoesophagology
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    • v.14 no.2
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    • pp.53-56
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    • 2008
  • The postoperative respiratory complications such as pneumonia and ARDS, are poor prognostic factors after esophagectomy in patients with esophageal cancer. To avoid these complications, there have been attempts to use minimally invasive approach. Recently introduced daVinciTM S surgical system is used in esophagectomy because of its advantages of minimal invasiveness, clear 3-dimensional imaging and precise handling of robotic arms. We report a 83-year-old esophageal cancer patient who underwent daVinciTMS robot-assisted esophagectomy, laparoscopic stomach mobilization followed by cervical esophagogastrostomy.

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Two cases of Herpes Zoter Oticus (이성 대상포진 증례 보고 2례)

  • Park, Hye-seon;Joe, Soo-hyun;Oh, Eun-young;Jee, Seon-young
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.14 no.2
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    • pp.125-133
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    • 2001
  • Herpes Zoster Oticus is a reactivation of latent varicella-zoster infection associated otalgia, facial nerve palsy, sensorineural hearing loss and vertigo. Facial nerve palsy is rapid in onset, usually severe degree, and poor is prognosis. And pain in the form of acute neuritis and postherpetic neuralgia is by far the most frequent and most debilitating complication of Herpes Zoster. The pain of Herpes Zoster may severe, but it is usually transitory. Some patients, with the elderly at particular risk, go on to develop postherpetic neuralgia. In the two cases, pain (especially postherpetic neuralgia) which is often severe and, unfortunately, refractory to most forms of treatment was reduced using herbal medicine and acupuncture but facial nerve palsy was not improved.

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Improvements in the Physical Properties of Agglomerated Milk Protein Isolate/Skim Milk Powder Mixtures Via Fluidized Bed Agglomeration

  • Seo, Chan Won
    • Journal of Dairy Science and Biotechnology
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    • v.40 no.3
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    • pp.134-142
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    • 2022
  • Protein-enriched dairy powder is widely consumed to promote muscle synthesis. Recently, in Korea, elderly people have also begun consuming protein powder products to prevent muscle loss. However, these protein-enriched powders have poor flowability and hydration properties because of the fine particles of spray-dried milk protein powder. Therefore, in this study, the fluidized bed agglomeration process was used to solve these problems. The rheological and physical properties of milk protein isolate (MPI)/skim milk powder (SMP) mixtures were effectively improved via fluidized bed agglomeration. The particle size of the MPI/SMP mixtures significantly increased from 35.7-58 ㎛ to 118-136 ㎛, the flowability level improved from fair (21.4-26.3) to good (15.7-16.3), and the cohesiveness level changed from intermediate (1.27-1.36) to low (1.18-1.19) after fluidized bed agglomeration. In addition, the wetting time of the agglomerated MPI/SMP mixtures was effectively reduced to 4.67-58.3 s by fluidized bed agglomeration. These findings may be useful for manufacturing protein-enriched dairy powders with good instant properties.

A Hybrid Intervention for Post-infarction Papillary Muscle Rupture with Severe Mitral Regurgitation: A Case Report

  • Nakamae, Kosuke;Oshitomi, Takashi;Uesugi, Hideyuki
    • Journal of Chest Surgery
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    • v.55 no.3
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    • pp.239-242
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    • 2022
  • Papillary muscle rupture with severe acute mitral regurgitation is a rare complication of acute myocardial infarction (AMI) that causes pulmonary congestion and cardiogenic shock. Moreover, it has a poor prognosis. Surgical intervention, including revascularization, is indicated; however, surgical mortality remains high. We report the case of an 85-year-old woman with cardiogenic shock from severe acute mitral regurgitation, in whom a hybrid intervention, combining percutaneous coronary intervention with mitral valve replacement via minithoracotomy, was performed after post-infarction papillary muscle rupture. She was discharged in a favorable clinical condition. We describe a novel hybrid intervention for treating a rare complication of AMI, which could minimize surgical invasion in elderly patients, prevent disuse syndrome after the intervention, and improve prognosis. However, mitral valve surgery via minithoracotomy for emergency cases requires technical proficiency, as well as collaboration with other healthcare professionals, and the choice to perform this procedure requires careful consideration.

Current understanding of angiosarcoma: disease biology and evolving treatment

  • Woo Ju Kim;Han Koo Kim
    • Archives of Craniofacial Surgery
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    • v.24 no.5
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    • pp.203-210
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    • 2023
  • Angiosarcoma is a very rare soft tissue sarcoma that originates from endothelial cells and typically has a poor prognosis. It is most commonly found in elderly white men and can occur anywhere in the body, particularly in the head, neck, and scalp. Patients who have undergone previous radiation treatment or who have chronic lymphedema also face an elevated risk of this condition. Various genetic changes are suspected to contribute to the development of angiosarcoma, and these changes have been identified as potential targets for treatment. For localized disease, wide surgical resection is often the prudent course of action. A multidisciplinary approach, which may include surgery, radiotherapy, systemic chemotherapy, or immunotherapy, is typically the most effective way to achieve favorable outcomes. In this review, we discuss the general understanding of angiosarcoma and its management, with a particular focus on the current evolving treatments for the disease.

A review of chronic pectoralis major tears: what options are available?

  • Joshua R. Giordano;Brandon Klein;Benjamin Hershfeld;Joshua Gruber;Robert Trasolini;Randy M. Cohn
    • Clinics in Shoulder and Elbow
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    • v.26 no.3
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    • pp.330-339
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    • 2023
  • Rupture of the pectoralis major muscle typically occurs in the young, active male. Acute management of these injuries is recommended; however, what if the patient presents with a chronic tear of the pectoralis major? Physical exams and magnetic resonance imaging can help identify the injury and guide the physician with a plan for management. Nonoperative management is feasible, but is recommended for elderly, low-demand patients whose functional goals are minimal. Repair of chronic tears should be reserved for younger, healthier patients with high functional demands. Although operative management provides better functional outcomes, operative treatment of chronic pectoralis tears can be challenging. Tendon retraction, poor tendinous substance and quality of tissue, muscle atrophy, scar formation, and altered anatomy make direct repairs complicated, often necessitating auto- or allograft use. We review the various graft options and fixation methods that can be used when treating patients with chronic pectoralis major tears.

A Study on Dietary Pattern and Nutritional Status of the Long-Lived Elderly People by Food Habit Index in Ganghwa-gun Area (강화도 장수 노인의 식습관 점수별 식생활태도 및 영양상태 조사)

  • Kim Myung Wha;Han Hye Kyoung;Choi Sung Sook;Lee Sung-Dong
    • Korean Journal of Community Nutrition
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    • v.10 no.6
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    • pp.892-904
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    • 2005
  • This study was carried out to assess the food habit index of the long-lived elderly who were aged over 85 years living in Ganghwa-gun. A survey was conducted during December 2003. Dietary nutrient intake data was obtained through the 24-hr recall method. The subjects were 96 (32 males, 64 females) aged people and divided into three groups based on food habit index scores. Such as group A: good $16\∼20$, group B: fair $11\∼15$, and group C: poor $5\∼10$. The three groups of the subjects were 90.7 years of age and $21.3\;kg/m^{2}$ of BMI on average. Healthy eating index scores of the subjects were $9.4\%$ in group A, $54.2\%$ in group B and $36.5\%$ in group C. Their level of education were lower and their levels of living standards tended to have been middle and lower of the middle class. The percentage of living together with their families or spouses in all groups were over $60.0\%$ and the rates of the subjects who have responsibility for their meal preparations were also very high in all groups. Most subjects tended not to drink nor smoke, and spend $8\~10$ hours for their sleep. The percent of number of diseases in group A was lower than in groups B and C. Their dietary habits such as taking three meals a day regularly have shown that they have good eating habit in general. There was a positive correlation between the eating behaviors and nutrient intakes. The protein, animal protein, fat, PUFA, vitamin E, vitamin $B_{2}$, niacin, P and K intaks in group A were significantly higher than that of the groups B and C. For group A of good food habits aged had no sufficient intake of Ca and vitamin A than the Korean RDA and long-lived elderly of group C in Ganghwa areas had worse nutrients intakes, especially Ca, vitamin A, vitamin $B_{2}$ and vitamin E. According to this research having a good eating habits could be considered as increasing of the health and nutritional status. (Korean J Community Nutrition 10(6) $892\∼904$, 2005)

Factors related to Quality of Life in the Elderly People in Long-term Care Center (장기요양시설 노인의 삶의 질에 관련된 요인)

  • Shin, Min-Woo;Ahn, Kwon-Suk;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.524-537
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    • 2017
  • This study examined the relationship between the sociodemographic characteristics, health related factors, physical functions (ADL, IADL), mental functions (CES-D, MMSE-K), oral health impact profile (OHIP-14), and the quality of life (WHOQOL-BREF) for the elderly in long-term care facilities. The research was conducted in 602 facility allowance beneficiaries authorized to be eligible for long-term care in long-term care facilities through personal interviews using a structured questionnaire from May 1 to June 30, 2016. As a result, the quality of life was lower among females than males in the group receiving government subsidies than the group whose livelihood was maintained by themselves or their children, in the group with a longer period of care, in the drinking group than the non-drinking group, in the group with irregular exercise than the regular exercise, in the group with irregular meals than regular meals, in the group with poor subjective health conditions than good subjective health condition, in the group with a smaller number of daily toothbrushing, in the group with xerostomia than no xerostomia, in the group with a lower OHIP-14, in the group with a lower ADL and IADL, and in the group with a lower CES-D and MMSE-K. In particular, the quality of life was affected more by health-related factors and CES-D and MMSE-K than by other factors. Therefore, it is necessary to make efforts to prevent depression and cognitive impairment, including health-related behavior, with the objective of improving the quality of life for the elderly in long-term care facilities.