Journal of The Korean Geriatrics Society最新文献_第10页

A Case of Thyroid Papillary Carcinoma With Pulmonary Tumor Embolism 甲状腺乳头状癌合并肺肿瘤栓塞1例

Journal of The Korean Geriatrics Society Pub Date : 2013-09-01 DOI: 10.4235/JKGS.2013.17.3.143

Jung Gyu Lee, Dong Shin Kwak, Jae-Ha Kim, Y. Yeo, Sang-Heon Kim, J. Sohn, H. Yoon, D. H. Shin, Sung Soo Park, H. Kwak

引用次数: 0

Adalimumab Induced Acute Exacerbation of Rheumatoid Arthritis Related Interstitial Lung Disease 阿达木单抗诱导的类风湿关节炎相关间质性肺疾病急性加重

Journal of The Korean Geriatrics Society Pub Date : 2013-09-01 DOI: 10.4235/JKGS.2013.17.3.134

W. Park, Youn Sun Lee, Sam Won, Hye Reen Kim, Jeong Hun Lee, K. Lee, Jong Hyun Kim

引用次数: 0

Life Course Approach on Health Disparities in Older Adults 老年人健康差异的生命历程分析

Journal of The Korean Geriatrics Society Pub Date : 2013-09-01 DOI: 10.4235/JKGS.2013.17.3.111

S. Jang

引用次数: 4

A Case of Vertebral Osteomyelitis With Epidural Abscess Caused by Mycobacterium intracellulare in a Rheumatoid Arthritis Patient 类风湿性关节炎患者由细胞内分枝杆菌引起的椎体骨髓炎合并硬膜外脓肿1例

Journal of The Korean Geriatrics Society Pub Date : 2013-09-01 DOI: 10.4235/JKGS.2013.17.3.138

H. Kim, Jieun Kim, J. Choi, H. J. Yoon, Jae-Ha Kim, You Shin Kim, Dong Shin Kwak, Jung Kyu Lee, Seunghun Lee, H. Pai

引用次数: 2

A Case of Hemiballism in Elderly Stroke Improved by Conventional Rehabilitation Therapy and Low Dose Quetiapine 常规康复治疗加低剂量喹硫平治疗老年脑卒中偏瘫1例

Journal of The Korean Geriatrics Society Pub Date : 2013-09-01 DOI: 10.4235/JKGS.2013.17.3.157

Jun Hwan Choi, S. Im, E. Han, Bo Ryun Kim, So Young Lee

引用次数: 0

Potentially Inappropriate Medications in Elderly Outpatients by the 2012 Version of Beers Criteria: A Single Tertiary Medical Center Experience in South Korea 2012年版Beers标准对老年门诊患者潜在不当用药的影响:韩国单一三级医疗中心的经验

Journal of The Korean Geriatrics Society Pub Date : 2013-09-01 DOI: 10.4235/JKGS.2013.17.3.126

Il-Young Jang, Young Soo Lee, M. Jeon, Hyun Cho, Jin Sun Oh, Yunkyoung Lee, Hyungchul Park, Soo Han Kim, Eunju Lee

{"title":"Potentially Inappropriate Medications in Elderly Outpatients by the 2012 Version of Beers Criteria: A Single Tertiary Medical Center Experience in South Korea","authors":"Il-Young Jang, Young Soo Lee, M. Jeon, Hyun Cho, Jin Sun Oh, Yunkyoung Lee, Hyungchul Park, Soo Han Kim, Eunju Lee","doi":"10.4235/JKGS.2013.17.3.126","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.3.126","url":null,"abstract":"Background: The American Geriatric Society released the 2012 updated version of the Beers criteria with intentions to improve care of older adults by reducing their exposure to potentially inappropriate medications (PIMs). However, there have been no reports on the prevalence of PIMs prescriptions according to the 2012 version of Beers criteria in South Korea. Methods: This is a retrospective study using medical records and code analysis of each PIM to survey the prevalence of PIMs prescriptions and common PIMs used for elderly patients. Locating the PIMs was carried out in all outpatients who visited Asan Medical Center from May 2012 to April 2013. Selection of PIMs was based on the 2012 updated version of the Beers criteria. Results: A total of 652,192 outpatients older than 65 years visited our medical center during the study period and were analyzed. Among them, 33,810 (5.19%) received at least one PIM and 125,498 cases of PIM prescriptions were written. The percentage of the patients who received at least two kinds of PIMs concurrently was 33.14%. Common PIMs were tramadol (24.15%), clonazepam (11.51%), ibuprofen (10.02%), megesterol (9.80%), and amitriptyline (9.51%). Conclusion: Our study investigated the prevalence of PIMs prescription for Korean elderly outpatients in a single tertiary medical center. Compared to previous reports using the older version of the Beers criteria, our study showed a change in the priority of common PIMs.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114488846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

A Case of Renal Tubular Acidosis Associated With Graves’ Disease 肾小管酸中毒合并Graves病1例

Journal of The Korean Geriatrics Society Pub Date : 2013-09-01 DOI: 10.4235/JKGS.2013.17.3.147

E. Sim, Y. Shin, M. Park, C. Yeo, J. Kang, Sung-Oon Youn, K. Lee

引用次数: 0

A Case of Severe Aortic Stenosis Patient With High Operative Risk Treated by Transcatheter Aortic-Valve Implantation 经导管主动脉瓣植入术治疗重度主动脉瓣狭窄高危患者1例

Journal of The Korean Geriatrics Society Pub Date : 2013-06-01 DOI: 10.4235/JKGS.2013.17.2.90

H. Jo, Seung Mook Jung, Ji Won Jang

引用次数: 1

Clinical Factors Related to Frailty Estimated by the Korean Frailty Index 用韩国人的衰弱指数估计与衰弱有关的临床因素

Journal of The Korean Geriatrics Society Pub Date : 2013-06-01 DOI: 10.4235/JKGS.2013.17.2.71

H. Jeong, Dong-Wook Lee, K. Park, Yong Kook Lee, S. Bae, M. Kang, Min-Sung Shim, Chen Hsuen Teong

{"title":"Clinical Factors Related to Frailty Estimated by the Korean Frailty Index","authors":"H. Jeong, Dong-Wook Lee, K. Park, Yong Kook Lee, S. Bae, M. Kang, Min-Sung Shim, Chen Hsuen Teong","doi":"10.4235/JKGS.2013.17.2.71","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.2.71","url":null,"abstract":"Background: On the point of entering into the aged society, frailty will be recognized as a new geriatric problem in Korea. This study was conducted to identify clinical factors related to frailty in the community dwelling elderly. Methods: This was a cross-sectional study comprised of 515 participants among 834 potential subjects who were residents of three towns in Gyeong-ju and had health check-ups at a university hospital in the same region. Using the Korean Frailty Index, those with a total score of 5 or more were considered frail and those with scores 3 to 4 as prefrail. Socio-demographics, anthropometry and laboratory data were the selected clinical factors. Those younger than 65 years or with incomplete data were excluded. Finally, 447 participants were analyzed. Results: Among the participants, those identified as frail were 20 (4.5%), prefrail 72 (16.1%) and robust 355 (79.4%). By gender, the percentage of frail, prefrail and robust individuals were 3.2%, 17.4% and 79.5%, respectively, in men and 5.4, 15.2% and 79.4% in women (p=0.447). On ordinal logistic regression analysis, factors related to frailty were increased age (odds ratio [OR], 1.08; 95% confidence interval [CI], 1.01 to 1.17), functional disability (OR, 8.88; 95% CI, 4.46 to 17.68), chronic disease such as pulmonary disease (OR, 4.69; 95% CI, 1.47 to 14.99) or hypertension (OR, 2.23; 95% CI, 1.15 to 4.32), increased waist circumference (OR, 1.06; 95% CI, 1.01 to 1.11), decreased serum cholesterol (OR, 0.98; 95% CI, 0.97 to 0.99) and elevated blood urea nitrogen (OR, 1.07; 95% CI, 1.01 to 1.14). Conclusion: Clinical factors related to frailty were age, functional disability, chronic disease, waist circumference, serum cholesterol and blood urea nitrogen. Primary physicians should assess frailty when seeing elderly patients who have these factors.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133380918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Helical Tomotherapy in Elderly Prostate Cancer Patients 螺旋断层治疗在老年前列腺癌患者中的应用

Journal of The Korean Geriatrics Society Pub Date : 2013-06-01 DOI: 10.4235/JKGS.2013.17.2.79

Y. Ki, J. Nam, Wontaek Kim, D. Park, Donghyun Kim, Ju Hye Lee, H. Jeon, Dongwon Kim

{"title":"Helical Tomotherapy in Elderly Prostate Cancer Patients","authors":"Y. Ki, J. Nam, Wontaek Kim, D. Park, Donghyun Kim, Ju Hye Lee, H. Jeon, Dongwon Kim","doi":"10.4235/JKGS.2013.17.2.79","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.2.79","url":null,"abstract":"Background: Helical tomotherapy is a new form of image-guided intensity modulated radiation therapy that may improve local control and decrease radiation toxicity. The aim of this study was to evaluate if high-dose helical tomotherapy is tolerated by patients aged 75 years or older and if the side effects are comparable with those experienced by younger patients. Methods: Between January 2011 and August 2012, patients with prostate cancer who underwent helical tomotherapy without elective pelvic irradiation as definitive aim were reviewed and divided into two age groups: ≥75 years and <75 years. Acute genitourinary (GU) and lower gastrointestinal (GI) toxicities between the two groups were compared. Results: Twenty patients aged 75 years or older and 23 patients younger than 75 years were evaluated. Radiotherapy was administered to a total dose of 76−78 Gy in 38−39 fractions or 70 Gy in 28 fractions. There was no grade 3 or 4 acute toxicity and no grade 2 acute lower GI symptom, but the patients complained of grade 2 acute GU toxicity, 25.0% for the older group and 13.0% for the younger group. There was no significant difference in the rate of acute toxicity between the age groups. Hypofractionation showed a significant association with higher grade 2 acute GU toxicity (p=0.024) with the grade 2 acute GU toxicity having no significant correlation with T-stage, Gleason score, prostate specific antigen level, androgen deprivation therapy, and comorbidities. Conclusion: High-dose helical tomotherapy to the prostate without pelvic irradiation was well tolerated by elderly prostate cancer patients 75 years and older.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114473165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0