{"title":"Evidence-based Prevention of Frailty in Older Adults","authors":"Yunhwan Lee","doi":"10.4235/JKGS.2015.19.3.121","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.3.121","url":null,"abstract":"The prevalence of frailty increases with age, leading to higher risk of disability, institutionalization, and mortality in late life. Approaches to prevent frailty include health risk appraisals to delay the onset of frailty (primary prevention), early detection and management of the prefrail to prevent the progression to frailty (secondary prevention), and interventions to avoid adverse outcomes of those who are frail (tertiary prevention). Accumulating evidence supports potential benefits of physical activity, nutritional supplementation, and individually tailored comprehensive geriatric assessment and management in frailty prevention. More recently, large scale multicomponent trials that combine exercise, nutritional therapy, cognitive training, and geriatric evaluation and management interventions are being conducted. However, the current evidence is insufficient to conclude which frailty preventive strategies are most effective. Promoting cohort studies and clinical trials, developing community-based preventive programs and clinical guidelines, and prioritizing national policy and initiating action plans for the prevention of frailty are urgently needed.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134463560","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}
{"title":"The Mediating Effect of Attitudes Towards Senility and Death on the Relationship Between Marital Satisfaction and Depression in Presenile Postmenopausal Women","authors":"Y. Son, Hyang Mi Kim","doi":"10.4235/JKGS.2015.19.3.130","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.3.130","url":null,"abstract":"","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124032557","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}
Jung A Koh, Seon Jae Kim, Hak-Cheol Lee, S. Chu, Y. Shin, J. Sir, Seung Min Choi, S. Joo
{"title":"Takotsubo Cardiomyopathy Associated with Chronic Psychiatric Stress in Major Depressive Disorder in an Elderly Patient","authors":"Jung A Koh, Seon Jae Kim, Hak-Cheol Lee, S. Chu, Y. Shin, J. Sir, Seung Min Choi, S. Joo","doi":"10.4235/JKGS.2015.19.3.181","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.3.181","url":null,"abstract":"Takotsubo cardiomyopathy (TC) is a transient form of acute heart failure that most often occurs in postmenopausal women, typically triggered by a preceding emotional or physical stressor. A 74-year-old woman who suffered from chronic psychiatric stress visited National Medical Center for dyspnea. Acute emotional or physical stress could not be identified despite careful history taking. An electrocardiogram showed diffuse T-wave inversions with prolonged QT interval, and the echocardiogram showed akinesia of mid and apical segments of the left ventricle with hyperkinesia at the base. There was no significant stenosis on coronary angiography. Differing from the typical case of TC, which follows acute stress triggers, our case indicates that underlying chronic psychiatric illness exacerbation can lead to TC. We suggest that cardiologists and psychiatrists be aware of this predisposition to TC, especially in the circumstances of acute heart failure.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129297917","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}
Hak Chul Lee, Jongkyoung Choi, Jung A Koh, Seon Jae Kim, S. Chu, Si-eun Kim, Seung Kyu Choi, S. Nam, H. Kwon, J. Jung, I. Jung
{"title":"Acute Pancreatitis Induced by Quetiapine in an Elderly Patient","authors":"Hak Chul Lee, Jongkyoung Choi, Jung A Koh, Seon Jae Kim, S. Chu, Si-eun Kim, Seung Kyu Choi, S. Nam, H. Kwon, J. Jung, I. Jung","doi":"10.4235/JKGS.2015.19.3.176","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.3.176","url":null,"abstract":"Quetiapine is an atypical antipsychotic that is frequently used to manage delirium in geriatric patients. Acute pancreatitis associated with quetiapine has rarely been reported. A 70-year-old male presented with severe abdominal pain a few hours after taking a dose of quetiapine prescribed for delirium. Despite the lack of risk factors of pancreatitis in his medical history, the patient had a slight increase of serum lipase and amylase levels. His general condition improved on discontinuation of quetiapine. A month later, quetiapine was readministered for the recurrence of delirium. Subsequently, the patient developed the same symptom with a significant increase in serum pancreatic enzyme levels, confirming that quetiapine induced the pancreatitis. We reported the first case of quetiapine-induced pancreatitis in Korea, together with a review of the literature.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127838028","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}
Bugeum Ahn, S. Choi, J. Park, J. Wee, Sungyoup Hong, S. Jeong
{"title":"Clinical Characteristics and Risk Factors in Severely Injured Elderly Trauma Presenting to Emergency Department","authors":"Bugeum Ahn, S. Choi, J. Park, J. Wee, Sungyoup Hong, S. Jeong","doi":"10.4235/JKGS.2015.19.3.138","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.3.138","url":null,"abstract":"This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/). ▸Received: June 16, 2015, ▸Revised: July 18, 2015, ▸Accepted: August 4, 2015 Address for correspondence: Si Kyoung Jeong, MD Department of Emergency Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, 64 Daeheung-ro, Jung-gu, Daejeon 34943, Korea Tel: +82-42-220-9115, Fax: +82-42-252-6810, E-mail: sikyoung@catholic.ac.kr 응급센터로 내원한 중증 노인 외상 환자의 임상 특성과","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121922632","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}
{"title":"Adhesive Capsulitis in the Elderly: Comparison of Magnetic Resonance Imaging Findings with Effectiveness of Hydrodilatation Treatment","authors":"Young Sook Park, Y. Park","doi":"10.4235/JKGS.2015.19.3.147","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.3.147","url":null,"abstract":"This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/). ▸Received: July 10, 2015, ▸Revised: August 17, 2015 ▸Accepted: August 18, 2015 Address for correspondence: Yun Hee Park, MD Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, 158 Paryong-ro, Masanhoewon-gu, Changwon 51353, Korea Tel: +82-55-290-1258, Fax: +82-55-290-6588 E-mail: yh0316.park@samsung.com 자기공명영상과 수압팽창술 효과의 비교를 통해 알아본","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134376761","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}
Song-Ee Park, J. Y. Ha, S. Cha, Jung Soon Jang, I. Hwang
{"title":"Risk Factors and Efficacy of Adjuvant Therapy After Surgery of Elderly Colon Cancer Patients 70 Years of Age or Older","authors":"Song-Ee Park, J. Y. Ha, S. Cha, Jung Soon Jang, I. Hwang","doi":"10.4235/JKGS.2015.19.3.165","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.3.165","url":null,"abstract":"Background: Colon cancer affects largely elderly populations. Elderly patients treated with adjuvant chemotherapy is lower than younger patients in colon cancer. We aim to evaluate the survival and prognostic factors in accordance with adjuvant chemotherapy in elderly colon cancer patients undergoing curative resection. Methods: We retrospectively reviewed 86 patients 70 years of age or older with stage II, III colon cancer who were underwent surgical resection between 2005 and 2013 at single-center. We examined demographic factors, comorbidities at the time of diagnosis, factors associated with colon cancer, and factors associated with treatment, and analyzed associations survival and these factors divided into adjuvant chemotherapy group (chemotherapy group) and the conservative treatment group (observation group). Results: Among 86 patients 70 years of age or older, 58 patients (67.4%) administered adjuvant chemotherapy and 28 patients (32%) underwent conservative treatment. There are significant differences in respect to the age of 75 in order to select conservative treatment or adjuvant chemotherapy for patients with surgery (p=0.008). There was no significant difference of median overall survival between both groups (chemotherapy group versus observation group: 20 months vs. 24 months, p=0.000). Poor ECOG PS score was independent prognostic factor for overall survival (95% confidential interval 0.016-0.205; hazard ratio, 0.58; p<0.001). Conclusion: Adjuvant chemotherapy did not affect the overall survival in stage II, III elderly colon cancer after surgical resection. There was the tendency to determine whether undergoing adjuvant chemotherapy according to chronologic age. It is thought to be necessary to perform a comprehensive geriatric assessment for decision of adjuvant chemotherapy in elderly patients.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128374874","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}