• Title/Summary/Keyword: the elderly man

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Necrotizing Bronchial Aspergillosis - A case report- (괴사성 기관지 국균증 -1예 보고-)

  • 이인호;김대현;김수철;김범식;조규석;박주철;김윤화
    • Journal of Chest Surgery
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    • v.36 no.11
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    • pp.874-877
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    • 2003
  • Necrotizing bronchial aspergillosis usually occurs in the immumocompromised host. Aspergillus invades bronchial epithelium and forms endobronchial mass or endobronchial stenosis. A 78-year-old male patient with diabetus mellitus complaining of dyspnea and cough was admitted to our hospital. Plain chest X-ray and chest computed tomogram showed a large endobronchial mass and total collapse of left upper lobe of the lung. Bronchoscopic biopsy of the endobronchial mass revealed chronic inflammation. To confirm the endobronchial mass, we performed sleeve lobectomy of left upper lobe of the lung. Histologically the mass was diagnosed as necrotizing bronchial aspergillosis. We report a case of necrotizing bronchial aspergillosis in an elderly man who has diabetus mellitus with review of the literature.

Acellular Dermal Matrices and Paraffinoma: A Modern Tool for a Nearly Obsolete Disease

  • Grassetti, Luca;Torresetti, Matteo;Scalise, Alessandro;Lazzeri, Davide;Di Benedetto, Giovanni
    • Archives of Plastic Surgery
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    • v.44 no.3
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    • pp.234-237
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    • 2017
  • Paraffinoma is a destructive complication of paraffin oil injection, usually associated with massive tissue destruction, thus requiring radical surgery and subsequent complex reconstruction. Although breast and penile paraffinomas have been widely described and their management is quite standardized, paraffinomas of the knee are still rare and only few case reports or small case series are available in the current literature. We describe the case of a 77-year-old man with a large paraffinoma of the right knee that occurred after self-injection of paraffin oil, 58 years before. He underwent wide surgical resection of the soft tissues overlying the knee and subsequent two-stage reconstruction by using acellular dermal matrix and, after 20 days, split-thickness skin grafts. Follow-up after 16 months showed no signs of skin ulcerations or inflammation, with an overall improvement in function. Even though conventional flap reconstructions may be still useful, the authors believe that acellular dermal matrices represent a safe, reliable, and less invasive alternative for challenging soft tissue reconstructions even in elderly patients with multiple medical problems.

The Research & Trend Analysis for Korean Clothing and Textiles Area Against Old Ages - 1995~2005 - (국내 의류학 분야의 노년기 남녀를 대상으로 한 연구 경향분석 - 1995년부터 2005년까지 -)

  • Lee, Eun-Jung
    • Fashion & Textile Research Journal
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    • v.8 no.4
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    • pp.407-412
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    • 2006
  • In order to check ordinary trend of a research for old ages, it was collected and analyzed against old ages. Out of a research papers from 1995 to 2005 issued for 6 scientific journals in clothing and textiles areas which were listed on KOREA RESEARCH FOUNDATION. The results were as follows. First, the research papers for 11 years from surveyed scientific journals were totally 5,711 papers, and It were only 71 papers for old ages to be reviewed and surveyed, which slightly occupied 1.24% from whole papers. Second, yearly ranges of research paper against old ages were shown to be down-trend, as it recorded 2.75% in 1995, however it falls on 0.77% in terms of the increasing aspect of clothing and textiles research paper numbers. Third, a paper for each research areas ranged in turn, as clothing construction, fashion merchandising socio-psychology of clothing, etc. If we see in detail area, the research for somatotype and role occupied 37.4% from all researches against old ages. Accordingly it needs more various kinds of study. Fourth, The Koreav Society of Clothing and Textiles paper occupied 40.8% from whole scientific journals, which was obviously shown. Fifth, each sex distribution for researched old ages noted almost old women (77.5%), but cover 9.9% for old men. Therefore it required much more researches for old men, we thought.

A Case of Blastoid Mantle Cell Lymphoma Occurring in the Parotid Gland (이하선에 발생한 아구양 외투세포 림프종 1예)

  • Beag, Moon Seung;Moon, Seong Kyu;Lee, Mi Ji;Kim, Seung Woo
    • Korean Journal of Head & Neck Oncology
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    • v.37 no.1
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    • pp.23-27
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    • 2021
  • Mantle cell lymphoma (MCL) is a rare subtype of B-cell neoplasm and it accounts for about 3~6% of all non-Hodgkin's lymphomas. It occurs mainly in middle-aged or elderly man, involving the extra-nodal sites such as gastrointestinal tract, bone marrow and Waldeyer's ring. The incidence of the MCL in salivary gland is about 3%. The blastoid MCL is a rare variant and it has a very aggressive clinical course. It is extremely rare to be arising from the parotid gland. To our knowledge, similar case has not been reported in domestic literature, one case has been described in English literature. We experienced a rare and unique disease entity and report it with brief literature review.

A Retrieved Sparganum of Spirometra erinaceieuropaei from a Korean Man during Mechanical Thrombectomy

  • Hwang, Yang-Ha;Son, Wonsoo;Kim, Yong-Won;Kang, Dong-Hun;Chang, Hyun-Ha;Goo, Youn-Kyoung;Hong, Yeonchul;Chung, Dong-Il
    • Parasites, Hosts and Diseases
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    • v.58 no.3
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    • pp.309-313
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    • 2020
  • Human sparganosis is a zoonotic disease caused by infection and migration of the plerocercoid of Spirometra spp. Although sparganosis were reported from most parts of the body, the sparganum parasitizing inside cerebral artery is remarkably uncommon. We report a case of cerebral intravascular sparganosis in an elderly patient with acute ischemic stroke who was diagnosed by retrieving sparganum during mechanical thrombectomy. Finally, the parasites were identified as Spirometra erinaceieuropaei using multiplex PCR and cox1 gene sequencing.

Drug Use in the Elderly (노인의 약물 사용 실태 조사)

  • Park, Mi-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.2
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    • pp.195-205
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    • 2008
  • Purpose: This study was conducted to identify drug use by elders. Method: There were 304 participants age 65 or older included in this study. Data were collected using a questionnaire about drug use in the past 4 weeks. The questionnaire, a modification of Uhm's (2005), Lee's (2001), and Ellor and Kurz's (1982) tools, consisted of 17 questions on general and health characteristics, 17 on drug usage and 9 on behaviors related to drug misuse. Results: 85.5% of participants reported laking at least one type of prescription or non-prescription drug. 26.0% of participants reported taking only prescription drugs, 3.9% reported taking only non-prescription drugs, and 55.6% reported taking both prescription and non-prescription drugs. 17.1% of participants reported side effects from the drugs. The mean score for behaviors related to drug misuse was 7.53. Elders taking only non-prescription drugs showed more drug misuse than elders taking only prescription drugs or both. Women used more prescription, non-prescription drugs or both than man. Elders in rural areas used more non-prescription drugs than those in urban areas. Conclusion: Even though pharmacies were separated from medical practices in 2000, most older adults continue to use and misuse prescription and non-prescription drugs.

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Age-related Deficits in Response Characteristics on Safety Warning of Intelligent Vehicle (지능형 자동차의 안전 경고음에 대한 고령운전자의 반응 특성)

  • Kim, Man-Ho;Lee, Yong-Tae;Son, Joon-Woo;Jang, Chee-Hwan
    • Journal of the Korean Society for Precision Engineering
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    • v.26 no.12
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    • pp.131-137
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    • 2009
  • Recent technological advances made a vehicle more intelligent to increase safety and comfort. An intelligent vehicle provides drivers with safety warning information through audible sounds, visual displays, and tactile devices. However, elderly drivers have been known to decrease the physical and cognitive abilities such as muscular strength, hearing, eyesight, short term memory, and spatial perception. Therefore, possible age-related deficits should be considered to design an effective warning system. This paper aims to evaluate the impact of advancing age on response performance on audible safety warnings which are widely used for alerting driving hazards. In order to understand the effect of age-related hearing loss and movement slowing, three sound characteristics (frequency, intensity, and period) and three age groups (younger, middle, and older) are considered. Data was drawn from 38 drivers who drove a simulated rural road in a driving simulator. Experimental results show that age influences driver's response performance. In conclusion, the appropriate range of a warning sound is suggested.

Gastric Adenocarcinoma Secondary to Primary Gastric Diffuse Large B-cell Lymphoma

  • Sakr, Riwa;Massoud, Marcel Antoine;Aftimos, Georges;Chahine, Georges
    • Journal of Gastric Cancer
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    • v.17 no.2
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    • pp.180-185
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    • 2017
  • Despite the decreasing incidence and mortality from gastric cancer, it remains a major health problem worldwide. Ninety percent of cases are adenocarcinomas. Here, we report a case of gastric adenocarcinoma developed after successful treatment of prior primary gastric diffuse large B-cell lymphoma (DLBCL). Our patient was an elderly man with primary gastric DLBCL in whom complete remission was achieved after R-CHOP (cyclophosphamide, adriamycin, vincristine, prednisolone plus rituximab) chemotherapy. Helicobacter pylori infection persisted despite adequate treatment leading to sustained chronic gastritis. The mean time to diagnose metachronous gastric carcinoma was seven years. We believe that a combination of many risk factors, of which chronic H. pylori infection the most important, led to the development of gastric carcinoma following primary gastric lymphoma. In summary, patients who have been successfully treated for primary gastric lymphoma should be followed up at regular short intervals. H. pylori infection should be diagnosed promptly and treated aggressively.

Bilateral Elastofibroma Dorsi of the Shoulder - Case Report - (견갑부에 발생한 양측성 배부 탄성섬유종 - 증례 보고 -)

  • Lee, Woo-Seung;Kim, Taik-Seon;Kim, Young-Bae;Kang, Jong-Woo
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.241-245
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    • 2007
  • We report a case of an 86-year-old man diagnosed with bilateral elastofibroma dorsi who was managed conservatively after a two year follow-up. An elastofibroma dorsi is a benign, slow-growing tumor that is most often located in the inferior periscapular area in elderly patients. It should be considered to differentiate them from other soft tissue tumors located at the inferior periscapular region. Increased awareness of these characteristics will decrease the incidence of a misdiagnosis of elastofibroma dorsi as a malignancy and avoid unnecessary surgery.

Combined Korean Medicine Treatment of a Rare Case of Burst Fracture in an Elderly Patient with Kissing Spine

  • Park, Eun-Young;Choi, Jong-Ho;Jo, Hoo-In;Lee, Soo-Kyung;Lee, June-Haeng;Kang, Sun-Woo;Won, Yoon-Jae;Choi, Sung-Ryul;Cho, Yu-Jin
    • Journal of Acupuncture Research
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    • v.38 no.2
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    • pp.165-169
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    • 2021
  • A burst fracture refers to the fracture of the anterior and middle vertebral columns which are moving into the spinal canal causing neurological impairments, generally requiring surgical treatment. We herein report a rare case of burst fracture with kissing spine in a 90-year-old man who had severe lower back pain that worsened during back extension. Considering the surgical treatment risk, he was hospitalized at a Korean medicine hospital for 85 days and underwent combined Korean medicine treatments including pharmacopuncture, herbal medicine, chuna, deep-fascia meridian therapy, walking practice, and abdominal breathing. Based on patient-reported scales, his pain was alleviated, and his physical function improved. Furthermore, his range of motion and walking time increased. This case report suggests that combined Korean medicine treatments could be an effective alternative for patients with burst fracture who have surgery risks.