• Title/Summary/Keyword: the disease of the aged

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Clinical characteristics of acute lower respiratory tract infections according to respiratory viruses in hospitalized children without underlying disease during the last 3 years (최근 3년간 기저질환이 없는 소아 입원 환자에서 호흡기 바이러스에 따른 급성 하기도 감염의 임상적 특징)

  • Seo, Min Hae;Kim, Hyung Young;Um, Tae Min;Kim, Hye-Young;Park, Hee-Ju
    • Journal of Yeungnam Medical Science
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    • v.34 no.2
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    • pp.182-190
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    • 2017
  • Background: Respiratory viruses play a significant role in the etiology of acute respiratory infections and exacerbation of chronic respiratory illnesses. This study was conducted to identify the epidemiological and clinical characteristics of children with acute viral lower respiratory infections. Methods: This study investigated 1,168 children diagnosed with acute viral lower respiratory tract infections (RTIs) between January 2012 and December 2014. Specimens of respiratory viruses were collected using a nasopharyngeal swab and analyzed by reverse transcriptase polymerase chain reaction. We retrospectively reviewed the medical records and analyzed the clinical features of children hospitalized for acute lower respiratory infections. Results: Respiratory syncytial virus (RSV), the main cause of infection in children aged <5 years, was the most commonly detected pathogen in children with bronchiolitis and pneumonia, and resulted in high proportions of children requiring oxygen treatment and intensive care unit admission. Rhinovirus was preceded by RSV as the second most common cause of bronchiolitis and pneumonia, and was detected most frequently in the children aged ${\geq}6$ years. In addition, asthma was predominantly caused by rhinovirus in children aged ${\geq}6$ years, whereas croup was mostly caused by parainfluenza virus in those aged <5 years. Rhinovirus infection (p<0.001) and history of asthma (p=0.049) were identified as significant risk factors for readmission within a month. Conclusion: We identified the epidemiological and clinical characteristics of respiratory viruses in children with acute lower respiratory infections during the last 3 years. Our findings may provide useful clinical insight to comprehend the acute viral lower RTIs in children.

Supplement Dose and Health-Related Life Style of Vitamin-Mineral Supplement User among Korean Middle-Aged (중년기의 비타민ㆍ무기질 보충제 사용량과 건강관련 생활습관 조사)

  • 김윤정;문주애;민혜선
    • Korean Journal of Community Nutrition
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    • v.9 no.3
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    • pp.303-314
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    • 2004
  • We studied daily micronutrient intake from vitamin-mineral supplements, health-related life style, clinical case of diseases and food frequency of the Korean middle-aged (40-59 yr, n = 404) to compare the characteristics of non-user (n = 270) and user (n = 134) of vitamin-mineral supplements. Rate of supplement use of the middle-aged was 33.2% and there was significant difference in education level (p = 0.0084) and family income (p = 0.0476) of user and nonuser. Smoking habit (p = 0.0844) and drinking frequency (p = 0.0606) tended to be lower in a supplement user than a non-user. The medical history of a case was significantly higher in users (67.9%) than in non-users (44.4%) (p = 0.001), which suggests that medical history is one of the important motivations of supplement use. Supplement users had the medical history of digestive disease (34.1%), anemia (11.0%) and hypertension (9.9%) in order. Vitamin C was the most frequently supplemented nutrient (81.3%) among vitamin-mineral supplement, and the next orders were vitamins E (73.1%), B$_2$(68.7%) and B$_{6}$ (60.4%). Mean intakes of vitamin B$_1$, iron, selenium, vitamin E, and vitamin C from supplement was 4,260%, 4,030%, 1,660% and 1,330% of RDA, respectively. The supplement users tended to consume most food items including milk & milk products (p < 0.01), rice (p < 0.01), grains (p < 0.05) and cookies (p < 0.01) less frequently than non-users. Conclusively, nutrient intake of vitamin B$_1$, iron, selenium, vitamin E, and vitamin C from supplement was excessively high compared to RDA. We suggest that the toxic effect of excessive supplementation should he informed to supplement user and nutritional education should be focused on the optimal supplement dose.e.

A Cross-Sectional Study on the Association of Fiber Intake and Large Bowel Function (대장기능과 섬유질 섭취와의 상관성에 대한 단면적 조사연구 -서울지역 성인을 대상으로-)

  • 이상선
    • Journal of Nutrition and Health
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    • v.26 no.9
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    • pp.1085-1097
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    • 1993
  • Recently, as korean eating habits have been westernized, the incidence of large intestinal disease, which has been recognized as western diseases until now, has been increasing. This study was conducted to find the association of fiber intake and large bowel function. This was a cross-sectional survey, the data were obtained by self-administering questionnaire and study population was adults aged more than 18 years old in Seoul(N=1200). The response rate was 81.8%. The results were summarized as followed: 1) The factors associated with bowel function was sex, habits of defecation such as regularity and frequencies of defecation, fecal form, gastrointestinal diseases, psychological scores, self-assessment of physical status, exercise and alcohol drinking. 2) The association between the amount of fiber intake and bowel function was significant. This association was still significant, when the confounders such as disease of upper digestive system and alcohol drinking were controlled.

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Factors in Managing Hyperlipidemia in Middle-aged Adults (중년기성인의 고지혈증관리 요인)

  • Jeong In Lee
    • Journal of Industrial Convergence
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    • v.22 no.1
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    • pp.163-168
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    • 2024
  • This study was attempted to identify factors for managing hyperlipidemia in middle-aged adults. The research method is a secondary analysis study analyzing the 2018 data from the Korean Medical Panel Survey. The subjects of the study were 622 adults aged between 40 and 65 who were diagnosed with hyperlipidemia. As a result of the study, it was found that there was a correlation between the level of education and the presence or absence of hyperlipidemia management (𝒳2= 7.285, p = .026), and that there was a correlation between the subject's subjective health status and the presence or absence of hyperlipidemia management (𝒳2= 7.295, p =.026). Middle age is a time when the physical aging process begins in earnest, and there is a high possibility of developing chronic diseases, and hyperlipidemia is an early disease that causes chronic diseases. Accordingly, active health management is necessary, and in particular, the development of differentiated programs for hyperlipidemia management tailored to the subject's education level and health status is required.

Clinical Study of Sogunjung-tang Granules in 30 Cases of Heartburm (가슴쓰림 환자 30례에 대한 소건중탕 과립제의 임상적 고찰)

  • Lee, Da-eun;Jang, Hye-yeon;Lee, Yu-lim;Lee, Young-su
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1193-1201
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    • 2019
  • Objectives: This study aimed to assess the clinical characteristics of patients who complained of heartburn and to report the effects of Sogunjung-tang granules on heartburn. Methods: Observation was carried out on 30 patients with heartburn who were treated in Dongshin University Oriental Medicine Hospital from 1 October 2018 to 3 July 2019. For relieving heartburn, an oriental medical therapy of Sogunjung-tang granules was administered. To evaluate the effect of treatment, the visual analog scale (VAS) was used. Results: Females predominated among the patients (86.7% of the total). The patients were mostly aged in their 50s and the average age was 56.8 years. In the medical histories of the patients, other diseases (neuropsychiatric disease, cardiovascular disease, cerebrovascular disease, urologic disease, uterine disease etc.) were the most common (34.7%) and gastrointestinal disease was the second most common (22.4%). The patients took Sosiho-tang granules plus Sogunjung-tang granules for a maximum of 282 days. The number of patients who took medication within 10 days of experiencing heartburn was the highest and the number of patients who took medication more than 30 days of experiencing heartburn was the lowest. The scores on the visual analog scale (VAS) were significantly improved after treatment, the average decreasing from 7.0 to 3.1. Before taking the granules, the average rate of improvement for patients who recorded less than VAS 6 was 80%. Six out of seven inpatients showed more than two VAS changes on 3.8 day of taking medicine, and 23 outpatients showed more than two VAS changes on the second visit. Conclusions: This study suggests that Sogunjung-tang granules is probably effective in the treatment of heartburn.

Effects of Aerobic Exercise on Middle-aged Male Smokers' Blood Vessel Health (유산소 운동이 중년흡연남성의 혈관건강에 미치는 영향)

  • Kim, Jong-In;Jeong, Hae-Cheon;Won, Jun-Yeon;Ka, Sung-Soon;Oh, Bok-Sil
    • Journal of Digital Convergence
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    • v.12 no.4
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    • pp.349-356
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    • 2014
  • This research is aimed to prove if harmful effects of smoking, as the main reason for recently elevated blood vessel disease, could be reduced by aerobic exercise, and identify the positive effects of the aerobic exercise on smokers' blood vessel health(blood pressure, pulse pressure, and blood vessel elasticity. Experiments were performed on 40 male smokers aged between 40 and 55, which was equally divided into two groups of Aerobic Exercise Group (AEG) and Non Exercise Group (NEG). After measuring each group's blood pressure, pulse pressure, and blood vessel elasticity, AEG practiced aerobic exercise program for 50 minutes for each trial, three times a week, sustaining 12 weeks while NEG continued daily-life patterns without any special treatment. In 12 weeks, blood pressure, pulse pressure, and blood vessel elasticity of both groups were measured as the same way. As a result, the difference of systolic blood pressure between the two groups was not significant, while that of diastolic blood pressure was meaningful. The difference of pulse pressure between the two groups was meaningful, and that of blood vessel elasticity was also meaningful in all measuring points including left hand, right hand, left foot and right foot. As a consequent, it was found that aerobic exercise had positive effects on middle aged male smokers' blood vessel health.

An Analysis of the Association between Chronic Disease Risk Factors according to Household Type for the Middle-aged: The Korea National Health and Nutrition Examination Survey (2013~2015) (국민건강영양조사(2013~2015년)를 이용한 가구유형에 따른 중장년층의 만성질환 위험요인 연관성 분석)

  • Kwak, Jung Hyun;Choi, SuBin;Ju, Da Jung;Lee, Minho;Paik, Jean Kyung
    • The Korean Journal of Food And Nutrition
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    • v.34 no.1
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    • pp.88-95
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    • 2021
  • This study compared the lifestyle patterns, dietary patterns, and health care practices of Korean middle-aged people by household type, and ultimately analyzed their relationship with different risk factors for the prevalence and severity of metabolic syndrome. We analyzed the data from 4,755 subjects who were from 40 to 64 years old, and gathered our sample from participants of the Korea National Health and Nutrition Examination Survey from 2013 to 2015. Our results showed that single-person households had lower economic income levels, lower subjective health statuses, and higher levels of food instability than households with two or more individuals. The incidence of metabolic syndrome was 1.64 times higher in single-person households than in households with two or more individuals. After adjusting for potential confounding factors (sex, age, education, household income, smoking status, health status, and dietary factors), single-person households showed 1.75 times higher hypertriglyceridemia ORs than non-single-person households. In the conclusion of our study, we suggest that middle-aged people in single-person households may be at greater risk for metabolic syndrome and hypertriglyceridemia.

Comparisons of Body Image, Depression, and Climacteric Symptoms among Middle-Aged Women with and without Thyroidectomy (갑상선절제술을 받은 중년여성과 받지 않은 중년여성의 신체상, 우울, 갱년기 증상 비교)

  • Yun, Byeong Sook;Back, Ji Eun;Lee, June Sang;Park, Mi Jeong;Lim, Young Mi
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.5-14
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    • 2008
  • Purpose: The purpose of this study was to compare body image, depression, and climacteric symptoms among middle-aged women with and without thyroidectomy. Method: The research design was a comparative descriptive study using a self-report questionnaire. A total of 102 women aged 40~59 years were recruited using a convenient sampling method. A total of 52 women out of 102 were within a year after thyroidectomy due to benign disease. The rest of the subjects were healthy women without any previous diseases in thyroid. The instruments included Body Image Concern Inventory, Climacteric symptoms, and Center for Epidemiological Studies Depression Scale. The data were analyzed by descriptive statistics, t-test, $x^2$-test, one-way ANOVA, and correlation analysis. Results: There were no significantly differences in age, education, menstruation states between women with and without thyroidectomy. The demographic characteristics of two groups were homogeneous. There were significantly statistical differences in body image (t= 8.456, p=.000), and depression (t=3.142, p=.002) between the groups. There was, however, no significantly differences of climacteric symptoms. In addition, in women with thyroidectomy, no significant associations were found among body image, depression, and climacteric symptoms. Conclusion: The findings demonstrated the need to develop an effective nursing intervention to increase body image and to reduce depression in middle-aged women after thyroidectomy.

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Fibromuscular Dysplasia of the Distal Internal Carotid and Middle Cerebral Artery (원위 속목동맥과 중간대뇌동맥에 발생한 섬유근육형성이상)

  • Kim, Ju-Hyun;Lee, Jun
    • Journal of Yeungnam Medical Science
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    • v.26 no.1
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    • pp.78-83
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    • 2009
  • Fibromuscular dysplasiais an uncommon condition of idiopathic, non-inflammatory and non-atherosclerotic disease of the musculature of arterial walls. The disease is rare, but it commonly affects young and middle aged women. Isolated intracranial cerebral fibromuscular dysplasia is extremely rare because cerebral fibromuscular dysplasia usually affects extracranial vessels. A 20-year-old woman was admitted with light hemiplegia and global aphasia. Brain MRI and MRA demonstrated acute left middle cerebral artery territory infarction with a multifocal stenosis and dilatation of the left middle cerebra artery and left internal carotid. The characteristic conventional cerebral angiographic findings demonstrated a typical string-of-beads appearance in the left distal internal carotid artery and proxiaml portion of the left middle cerebral artery, which suggested a medial type fibromuscular dysplasia. We report a case of isolated intracranial fibromuscular dysplasia with left middle cerebral artery territory infarction. Fibromuscular dysplasia should he considered as a stroke risk factors in children and young adults, especially in patients with no known cardiovascular risk factors.

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Monitoring system technology of patients' lifestyles

  • Hahn, James
    • Korean Journal of Artificial Intelligence
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    • v.2 no.1
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    • pp.4-6
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    • 2014
  • These days, aging, the aged and patients rapidly increased to produce problems, for instance, rapid increase of demand on medical service, higher medical expenses, low quality of the elderly's lives, shortage of physicians and nurses, and others [1]. These days, not only IT technology but also medical technology has taken the lead in settlement of the problems. Patients see a doctor to be given medical treatment and service when they are sick to have difficulty. The study investigated lifestyle monitoring system of chronic disease patients to indicate variation depending upon time. The health care is likely to solve problems of the elderly and chronic disease patients and to satisfy desire of better life quality by living healthy life and to diagnose diseases and give medical treatment and to give solutions in accordance with changes of paradigm of medical services.