• Journal of Oral Medicine and Pain
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• 제45권3호
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• pp.49-55
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• 2020

Purpose: This study investigated the association between the objective indicator of masticatory function assessment and the masseter muscle thickness (MMT) using ultrasound imaging. Methods: A total of 99 subjects (males: 24, females: 75, mean age: 76) were analyzed. The maximum bite force (MBF) was measured with a pressure-sensitive sheet and an image scanner. The mixing ability index (MAI) was calculated by image analysis after asking the subjects to chew a wax specimen. The MMT during rest and clenching were obtained with a diagnostic ultrasound system, and the difference in MMT during rest and MMT during clenching was defined as the difference in masseter muscle thickness (DMMT). Multiple regression analysis was performed to determine the independent variables affecting MBF and MAI. Results: The MBF showed correlation with the number of remaining teeth (β=0.346, p=0.002) and DMMT (β=0.251, p=0.011). The MAI correlated with only the number of remaining teeth (β=0.476, p<0.001). Conclusions: The DMMT reflects the state of masseter muscle contraction, and can be used as a predictor as well as the number of teeth when assessing masticatory function.

• Archives of Plastic Surgery
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• 제34권6호
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• pp.753-758
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• 2007

Purpose: Penoscrotal extramammary Paget's disease is a rare cutaneous malignancy that primarily affects the elderly. To prevent local recurrence, adequate surgical excision with its intraoperative frozen section, proper reconstruction, and careful follow-ups are required. The present study describes the treatment of patients with penoscrotal extramammary Paget's disease, focusing on the reconstruction after the ablation of lesion. Methods: Nine patients were selected who had undergone a local pedicle flap procedure due to the large defects after ablation of extramammary Paget's disease of the penoscrotal area, during the period of 1999 to 2005. Wide excision combined with intraoperative frozen sectioning was performed, and the penoscrotal wound was reconstructed with a local skin flap. Three flaps were chosen depending on the size of the defect. If the defect size was small and the scrotal tissue was adequate, scrotal flap(n=5) was enough for its reconstruction. However, as there were large defects with insufficient remnant scrotal tissue, a groin flap(n=2) or an anterolateral thigh flap(n=2) were performed. Results: There were no complications with the postoperative wound. Furthermore, no local recurrence was noted during two to six years of follow-up period (mean average 3.7 years). Conclusion: For the resurfacing the penoscrotum at large defects after ablation of extramammary Paget's disease, we performed reconstruction with a local flap. In the aspect of both function and cosmetic concerns, the results were satisfactory.　

• 한국지역사회생활과학회지
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• 제18권1호
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• pp.71-85
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• 2007

This study investigates differences by type of caregiving using data on three groups of caregivers, 177 from home stay situations, 189 from day care centers, and 138 from nursing homes. First, the result shows that characteristics of both caregivers and elders differ by type of caregiving. Second, caregivers in the home stay situation have the highest caregiving burden of the three groups. Third, from examination of the related variables, the caregiving burden of home stay caregivers is affected by family income, caregivers' health, type of job, and whether or not the elder has symptoms of dementia. Also, the study reveals that emotional services for elders reduce the aggravation of family relations and economic burden, but that instrumental services highly increase economic burden. It reveals that caregivers of elders in day care centers, especially those who are in bad health, are more likely to experience feelings of constriction, aggravation of family relations and economic burden. On the other hand, caregivers who receive more emotional services have better experiences in family relations, including relations with the elder. In case of the elders of nursing homes, if the main caregiver is a daughter-in-law, aggravation of family relations is higher than if the main caregiver is a spouse. Finally, the caregiver's burden is affected by their own health and income, and by whether the elder has symptoms of dementia or stroke.

• Journal of Chest Surgery
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• 제46권2호
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• pp.130-134
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• 2013

Background: Rib fractures are the most common type of thoracic trauma and cause other complications. We explored the risk factors for pneumonia in patients with multiple rib fractures. Materials and Methods: Four hundred and eighteen patients who visited our hospital with multiple rib fractures between January 2002 and December 2008 were retrospectively reviewed. Chest X-rays and chest computed tomography were used to identify injury severity. Patients with only a single rib fracture or who were transferred to another hospital within 2 days were excluded. Results: There were 327 male patients (78%), and the median age was 53 years. The etiologies of the patients' trauma included traffic accidents in 164 cases (39%), falls in 78 cases (19%), slipping and falling in 90 (22%), pedestrian accidents in 30 (7%), industrial accidents in 41 (10%), and assault in 15 (4%). The median number of rib fractures was 4.8. Pulmonary complications including flail chest (2.3%), lung contusion (22%), hemothorax (62%), pneumothorax (31%), and hemopneumothorax (20%) occurred. Chest tubes were inserted into the thoracic cavity in 216 cases (52%), and the median duration of chest tube insertion was 10.26 days. The Injury Severity Score (ISS) and rib score had a median of 15.27 and 6.9, respectively. Pneumonia occurred in 18 cases (4.3%). Of the total cases, 33% of the cases were managed in the intensive care unit (ICU), and the median duration of stay in the ICU was 7.74 days. Antibiotics were administered in 399 patients (95%) for a median of 10.53 days. Antibiotics were used for more than 6 days in 284 patients (68%). The factors affecting pneumonia in patients with multiple rib fractures in multivariate analysis included age (p=0.004), ISS (p<0.001), and rib score (p=0.038). The use of antibiotics was not associated with the occurrence of pneumonia (p=0.28). In-hospital mortality was 5.3% (n=22). Conclusion: The factors affecting risk of pneumonia in patients with multiple rib fractures included age (p=0.004), ISS (p<0.001), and rib score (p=0.038). Elderly patients with multiple traumas have a high risk of pneumonia and should be treated accordingly.

• 한국안광학회지
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• 제9권1호
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• pp.105-115
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• 2004

선진국과 산업화된 국가에서 평균 수명은 과거 수세기를 지나면서 의미 있게 증가되어 왔다. 그 결과 이러한 국가들의 노령의 비율은 역시 건강관리 제공에서 증가된 부담으로 확대되어져 왔다. 많은 개발 도상 국가들에서 연령과 다른 눈 질환들의 문제들에 대해서 그들이 처방하는데 대한 능력의 범위를 훨씬 벗어나고 있다. 따라서 WHO는 한 제안서를 소개하고 있다. 비전 2020-2020년에는 맹을 제거하고 예방할 수 있는 대상으로서 보는 권리를 제안하였다. 이 논문은 눈의 내외적 구조에 관계하는 조건의 넓은 범위와 또한 시 기능에 대한 연령의 영향도 다시 논평해 보는 것이다. 이것은 이러한 장애들의 증가된 연구를 위한 자극을 제공할 것이고, 개선된 임상진단, 그리고 더욱 노인에 더욱 유행되는 눈병과 장애의 조기 진단, 예방, 그리고 처방에 관해서 WHO와 WCO의 객관적으로 기여하는데 높은 관심과 역할을 제공할 것이라 기대하고 있다.

• 대한물리치료과학회지
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• 제9권2호
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• pp.49-66
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• 2002

This study was designed to evaluate the effect of pelvic floor muscle strengthening exercise treatment program for the older women with stress incontinence. The researcher developed 8 weeks training program which was implemented at a social welfare center in Seoul. The exercise method followed the Kegel criteria. Verbal instructions were given to the subjects. Subjects were confirmed of the exercises and evaluated by description of the exercise method. Fourteen elderly women(mean age 75.7) with stress incontinence participated and completed this program. The training sessions were held twice a week and each session took 45 minutes ; 15 minutes for pelvic floor muscle strengthening program and 30 minutes for other physical therapy. Pelvic floor muscle strengthening exercise program was applied using verbal instruction and practice at social welfare center, twice a week and daily home exercise program were given to each individual. The results were as follows ; 1. There was significant decrease of lower urinary symptoms in the subjects (p = 0.00) 2 But there was no significant change in the sexual matters (p = 0.44) and the life style (p = 0.41) In conclusion, further study with larger sample group is suggested in order to confirm the study result. Because of limited sample size, the study results were not conclusive. But the pelvic floor muscle strengthening exercise treatment program could be a safe and effective program and is suggestive for the community residing older women with stress incontinence as a geriatric physical therapy intervention.

• 대한물리치료과학회지
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• 제7권1호
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• pp.321-331
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• 2000

The purpose of this study was to investigate the difference of body composition and IADL of between male elder and female elder. (This study consisted of elder male(n=10) and elder female(n=10),) The mean age of elder male and female was 67.20, 67.50 years. The data were analyzed with t-test, using SPSS PC+ program. Body composition was measured using Inbody 2.0(seoul, korea) of segmental multi-frequency impedance analyzer technique. IADL was measured with Philadelphia Geriatric Center IADL. The result of this study were the following: 1. The difference of Body composition 1) The %fat of elder female was significantly(p<0.05) higher than elder male by 11.48%. 2) The fat mass(kg) of elder female was significantly(p<0.05) higher than elder male by 6.28kg. 3) The free fat mass(kg) of elder male was significantly(p<0.05) higher than elder female by 9.03kg. 4) The muscle mass(kg) of elder male was significantly(p<0.05) higher than elder female by 8.63kg. 5) The WHR(%) elder female was no significantly higher than elder male by 0.03%. 6) The TBW(l) of elder male was significantly(p<0.05) higher than elder female by 6.321. The factor of significant difference of between elder male and female was %fat, fat mass(kg), free fat mass(kg), total body water(l). 2. The difference of IADL 1) IADL of elder male was no significantly higher than elder female by 1.20. As a result of this study, optimal body composition group was elder male group. Optimal body composition of elder had improved IADL. In addition to, this result of this study, it can suggested the consideration of the Health promotion program for elder.

• 한국운동역학회지
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• 제30권1호
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• pp.121-129
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• 2020

Objective: This study was conducted with the aim of verifying the effectiveness of the duocock exercise, which is being utilized at the newly developed site to promote balance maintenance, basic physical strength and muscle strength among various age groups, in order to prevent fall and successfully age. Method: In this study, we conducted the duocock Exercise Program for 12 weeks (twice a week for an hour) for 10 senior citizens aged 65 or older (68.8±4.76 yrs, height: 15±6.00 cm) using Western-based health institutions in Daejeon, and compared the pre- and post- effects on basic physical strength and posture balance. All the data obtained from this study were used in statistical program SPSS 24 to perform paired t-test. The significance level for all statistical analyses was set at the level of p<0.05. Results: The 12 week duocock program showed statistically significant improvements in lower extremity muscle strength, equilibrium, agility, balance, and coordination in the basic fitness factors underlying successful aging (p<0.05). In addition, the trunk imbalance, which acts as a factor of falls and body balance, was statistically significant (p<0.05) and the posture balance of the sagittal plane also showed the effect of proper body adjustment. Conclusion: Based on the results of this study, duocock provides a new exercise program in the form of a sustainable sport as a two-handed exercise, and is very effective for the elderly to improve their basic physical strength as well as to control postural imbalances, strengthen and increase muscle strength.

• 한국콘텐츠학회논문지
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• 제12권5호
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• pp.256-271
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• 2012

본 연구는 노년기 부부관계가 결혼만족도 및 이혼의도에 미치는 영향을 알아보았다. 연구대상은 서울특별시에 거주하는 60세 이상의 남 여 유배우들이고 설문지는 총 550부를 배포하여 459부를 최종적으로 분석하였다. 자료분석은 SPSS 19.0을 이용하여 빈도분석, 요인분석, 신뢰도 분석, t 검정, 일원배치분산분석(one way ANOVA) 및 위계적 다중회귀분석 등을 실시하였다. 연구결과는 다음과 같다. 첫째, 결혼만족도에는 부부관계 요인의 애정생활, 여가공유, 친밀감 및 의사소통이 정(+)의 영향을 미쳤고, 경제적 갈등은 부(-)의 영향을 미쳤다. 둘째, 이혼의도에 있어서 부부관계의 경제적 갈등이 정(+)의 영향을 미쳤고, 반면에 애정생활 및 친밀감은 부(-)의 영향을 미쳤다. 끝으로 인구사회학적 특성(성별, 종교, 학력, 건강상태 및 월평균수입)에 따른 차이가 나타났으며, 이상의 결과에 근거하여 몇 가지 제언과 연구의 한계를 제시하였다.

• 한국콘텐츠학회논문지
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• 제14권10호
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• pp.124-136
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• 2014

본 연구는 세계에서 유례없이 인구의 고령화가 급속하게 진행되고 있는 우리의 현 상황 속에서, 시니어계층의 삶의 질 확보를 위한 하나의 방안으로 시니어계층 취업활성화를 위한 정책방향에 대하여 연구를 진행하였다. 이를 위하여 미국, 영국, 일본의 법적, 제도적 측면의 정책을 조사하였고, 이를 근거로 시니어계층의 취업활성화와 관련한 기존 정책의 문제점을 법규적 측면, 정책 프로그램적 측면, 사회적 환경측면으로 나누어 살펴보았다. 법규적 측면에서는 정년 나이 제한, 권고조항의 강화, 법규제정 주체의 일원화, 정책 프로그램적 측면에서는 목표설정의 방향조정, 교육프로그램의 운영기간 및 다양화 측면, 운영프로그램간의 네트워크화, 65세 이상으로 교육 대상의 확대, 사회적 환경측면에서는 민간차원에서의 적극적 정책시행 및 시니어계층을 대하는 인식의 변화와 관련한 홍보정책 등을 문제점으로 지적하였으며, 그에 대한 대책을 제안하였다.