Journal of The Korean Geriatrics Society最新文献_第4页

Septic Knee Arthritis Caused by Staphylococcus lugdunensis After Intraarticular Injection Therapy 关节内注射治疗后葡萄球菌所致脓毒性膝关节炎

Journal of The Korean Geriatrics Society Pub Date : 2015-06-01 DOI: 10.4235/JKGS.2015.19.2.95

C. Song, K. Sohn, Yong-bum Joo, Min Seong Kim, Shinhye Cheon, Y. Kim, S. Koo

引用次数: 1

The Effects of Occupational Therapy and Music Therapy on Patients With Mild Cognitive Impairment: A Pilot Study 职业治疗和音乐治疗对轻度认知障碍患者的影响:一项初步研究

Journal of The Korean Geriatrics Society Pub Date : 2015-06-01 DOI: 10.4235/JKGS.2015.19.2.71

E. Lim, D. Yang, Y. Shim, B. Yoon, Y. Hong, Myoung Sung Moon

{"title":"The Effects of Occupational Therapy and Music Therapy on Patients With Mild Cognitive Impairment: A Pilot Study","authors":"E. Lim, D. Yang, Y. Shim, B. Yoon, Y. Hong, Myoung Sung Moon","doi":"10.4235/JKGS.2015.19.2.71","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.2.71","url":null,"abstract":"Background: Patients with mild cognitive impairment (MCI) are at an increased risk for developing dementia, especially Alzheimer disease; and pharmacological therapy for MCI is limited. As a result, nonpharmacological mediums have been considered to complement standard drug therapy. In this study, we evaluated the effects of nonpharmacological therapies, occupational therapy and music therapy, on cognitive functions and depressive mood in MCI patients. Methods: We enrolled patients with MCI from the Mapo Dementia Center and divided them into two groups, group A (n=14) who participated in a cognitive program for 12 months and group B (n=15) who did not participate in a cog- nitive program. We compared the baseline and followed-up scores of the Korean-version of Mini-Mental State Exami- nation (K-MMSE), the Seoul Neuropsychological Screening Battery (SNSB), and the short version of geriatric depres- sion scale (sGDS) between the two groups. Results: Group A showed improvements in total and language scores in the K-MMSE and digit span backward scores in the SNSB and sGDS. In contrast, group B showed a decline in the Seoul Verbal Learning Test recognition score in the SNSB. Additionally, there were significant intergroup differences in the total and language scores in K-MMSE, the digit span backward score, and the Rey Complex Figure Test-delayed recall scores and depression scores. Conclusion: Occupational therapy and music therapy may help to improve cognitive functions and depressive mood in patients with MCI.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129162164","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: 2

Stress Cardiomyopathy due to Misuse of Transdermal Fentanyl Patches in an Elderly Patient 老年患者误用透皮芬太尼贴剂导致的应激性心肌病

Journal of The Korean Geriatrics Society Pub Date : 2015-06-01 DOI: 10.4235/JKGS.2015.19.2.99

Ji Eun Song, J. Rhew, J. Lim, S. John, J. Park, Dong-yob Lee

引用次数: 0

Pneumonia Observed in a Geriatric Hospital 在老年医院观察到的肺炎

Journal of The Korean Geriatrics Society Pub Date : 2015-06-01 DOI: 10.4235/JKGS.2015.19.2.80

Chul Hee Kim, S. Kwak, I. Song

{"title":"Pneumonia Observed in a Geriatric Hospital","authors":"Chul Hee Kim, S. Kwak, I. Song","doi":"10.4235/JKGS.2015.19.2.80","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.2.80","url":null,"abstract":"Background: In 2026, the elderly population (age≥65 years) in Korea is projected to be 20.8% of the total population. Along with this rise will be the rise in need for medical care in geriatric hospitals. Geriatric inpatients are vulnerable to infections because of functional disabilities and comorbidities. We investigated the clinical features of pneumonia in the elderly at these facilities. Methods: We performed a retrospective study based on medical records looking at pneumonia, which was identified in 63 inpatients >65 years admitted to a geriatric hospital from October 2013 to December 2014. Results: In-hospital mortality was 31.7% (20/63) and the 30-day mortality was 17.5% (11/63) of the total number of patients. Median age was 83 years (range, 67-94 years). Univariate analysis showed that the following factors were significantly different between survivors and nonsurvivors, number of comorbidities, history of antibiotics therapy in preceding 90 days, clinical improvement in 72 hours, alteration of mentality, respiration rate, serum albumin level, and peripheral blood leukocyte count. Multivariate analysis showed that the independent factors for predicting increased mortality were number of comorbidities ≥4 (odds ratio [OR], 9.803; p=0.030), failure to improve clinically in 72 hours (OR, 6.150; p=0.046), respiration rate≥30/min (OR, 9.370; p=0.021), and serum albumin level≤3.0 g/dL (OR, 32.022; p=0.010). Conclusion: When elderly inpatients with pneumonia have factors such as comorbidities greater than 4, failure to improvement clincally in 72 hours, tachypnea (≥30/min), and hypoalbuminemia (≤3.0 g/dL), escalation of empiric antibiotics or transfer to an acute care setting is necessary to reduce mortality.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129571099","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: 3

An Elderly Patient With Prostate Cancer and Colon Cancer 10 Years After a Diagnosis of Medullary Thyroid Carcinoma 1例老年前列腺癌合并结肠癌10年后诊断为甲状腺髓样癌

Journal of The Korean Geriatrics Society Pub Date : 2015-06-01 DOI: 10.4235/JKGS.2015.19.2.89

S. K. Song, Ki Hoi Kim, C. Baek

引用次数: 0

Comparison of ‘Serial 7’s Subtraction’ and “Sam-Chun-Ri-Gang-San” Backward for Evaluation of in Primary Medicine 基础医学“七列减法”与“三春里刚散”逆向评价的比较

Journal of The Korean Geriatrics Society Pub Date : 2015-03-31 DOI: 10.4235/JKGS.2015.19.1.25

Yoon-Sung Cho, Sunyoung Kim, Hyunrim Choi, Byungsung Kim, C. Won

{"title":"Comparison of ‘Serial 7’s Subtraction’ and “Sam-Chun-Ri-Gang-San” Backward for Evaluation of in Primary Medicine","authors":"Yoon-Sung Cho, Sunyoung Kim, Hyunrim Choi, Byungsung Kim, C. Won","doi":"10.4235/JKGS.2015.19.1.25","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.1.25","url":null,"abstract":"Background: There are two variations in the attention subitem of the Mini-Mental State Exam (MMSE): ‘serial 7’s subtraction and “sam-chun-ri-gang-san” backward. At a scale of one to five, they can be used interchangeably, which inevitably brings a considerable difference in results. Thus, we compared the scores of the ‘serial 7’s subtraction’ and the “sam-chun-ri-gang-san” backward and analyzed the influence of sociodemographic factors on the differences. Methods: We administered the Korean MMSE including the two types of attention item: serial 7’s and “sam-chun-rigang-san” backward to 239 community-dwelling elderly people aged 65 or older in Kyung Hee University Medical Center and four Seoul senior centers and analyzed the difference from June 2012 to July 2012. Results: The score for “sam-chun-ri-gang-san” backward (2.5±2.1) was lower than that of the serial 7’s (3.4±1.7) by a mean point of 0.9±1.9. The score of “sam-chun-ri-gang-san” backward was zero in 31.4% of the subjects. However, only 9.6% scored zero on the serial 7’s. The ratio of the same scores between two tasks was 36.0%. Education was the primary source of variance on difference score, followed by the number of family. There was no significant effect of age or gender when the score of difference was analyzed by multiple regression. Conclusion: In this study, subjects tended to outperform the serial 7’s in general. Upon administering “sam-chun-rigang-san” backward instead of serial 7’s due to the preference of the patient, we should take into account that the score of “sam-chun-ri-gang-san” backward was 0.9 point (mean value) lower than serial 7’s to ensure appropriate interpretation of MMSE score.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129288159","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

Hyperinsulinemic Hypoglycemia Caused by Acute Reduction of Renal Function on an Eldery Patient Without Diabetes 老年非糖尿病患者急性肾功能降低所致高胰岛素性低血糖

Journal of The Korean Geriatrics Society Pub Date : 2015-03-01 DOI: 10.4235/JKGS.2015.19.1.34

J. H. Yeo, J. Kim, Eun Sik Park, J. Park, Dong Sun Kim, W. Choi, Y. Ahn, Hojae Kim, Sangmo Hong, C. Lee

引用次数: 0

Sarcopenia in Korea: Prevalence and Clinical Aspects 骨骼肌减少症在韩国:患病率和临床方面

Journal of The Korean Geriatrics Society Pub Date : 2015-03-01 DOI: 10.4235/JKGS.2015.19.1.1

K. M. Kim, Soo Lim, K. Choi, Jung Hee Kim, S. Yu, Tae Nyun Kim, Wook Song, Jae‐Young Lim, C. Won, H. Yoo, H. Jang

引用次数: 13

Prevalence and Predictors of Postoperative Complications in Patients Older Than 80 Years 80岁以上患者术后并发症的患病率及预测因素

Journal of The Korean Geriatrics Society Pub Date : 2015-03-01 DOI: 10.4235/JKGS.2015.19.1.9

Hyun Jung Kim, S. K. Park, W. Jung, Y. Choi

{"title":"Prevalence and Predictors of Postoperative Complications in Patients Older Than 80 Years","authors":"Hyun Jung Kim, S. K. Park, W. Jung, Y. Choi","doi":"10.4235/JKGS.2015.19.1.9","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.1.9","url":null,"abstract":"Background: The number of elderly patients undergoing surgery is steadily growing. Therefore, this study was designed to determine the prevalence and predictors of postoperative complications in patients older than 80 years. Methods: The medical records of 532 patients above 80 years in age who underwent elective or emergent noncardiac surgery between June 2011 and May 2013 were reviewed retrospectively. Preoperative concomitant disease, operation site, anesthetic technique, and postoperative complications were analyzed. Results: A total of 81.4% of the patients had pre-existing concomitant diseases, while 22.9% had severe systemic diseases. The incidence of severe complications within the first month after operation was 4.1%, and the in-hospital mortality rate was 1.3%. Among the severe postoperative complications, respiratory and cardiovascular complications were commonly observed. In multivariate logistic regression analysis, the predictors of postoperative severe complications included American Society of Anesthesiologists physical status classification of 3 or greater (odds ratio [OR], 5.271; 95% confidence interval [CI], 2.019-13.758; p=0.001), neurosurgery (OR, 23.132; 95% CI, 2.528-211.707; p=0.005) and duration of operation (OR, 1.006; 95% CI, 1.001-1.012; p=0.027). Conclusion: Proper preoperative evaluation and appropriate treatment for age-related concomitant diseases are suggested for patients older than 80 years in order to reduce postoperative complications. After operation, the respiratory and cardiovascular systems should be carefully monitored.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132034996","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: 5

The Cutoff Value in Body Fat Percentage for Increased Risk of Metabolic Syndrome in Elderly People With Normal Body Weight 正常体重老年人代谢综合征风险增加的体脂百分比临界值

Journal of The Korean Geriatrics Society Pub Date : 2015-03-01 DOI: 10.4235/JKGS.2015.19.1.16

J. Moon, Jong Seung Kim

{"title":"The Cutoff Value in Body Fat Percentage for Increased Risk of Metabolic Syndrome in Elderly People With Normal Body Weight","authors":"J. Moon, Jong Seung Kim","doi":"10.4235/JKGS.2015.19.1.16","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.1.16","url":null,"abstract":"Background: In this study, we identified the cutoff value for the percentage in body fat related to metabolic syndrome in elderly people with normal body mass index (BMI). We also found the correlation between body fat percentage and metabolic syndrome. Methods: We used data from the Korean National Health and Nutrition Examination Survey conducted from 2008 to 2011. Our subjects were elderly people aged 65 or above, with BMI less than 23.0 kg/m 2 . We determined the cutoff value for body fat percentage through receiver operating characteristic analysis. Results: The cutoff value for percentage body fat related to metabolic syndrome was 19.5% for men (sensitivity 68.0%, specificity 62.9%) and 30.0% for women (sensitivity 55.1%, specificity 62.0%). Based on the cutoff value, 43.3% in men and 43.1% in women were classified into the high body fat percentage group. After adjusting for age, smoking status, alcohol consumption, and exercise status, the men with higher than normal body fat percentage had an odds ratio of 3.61 (95% confidence interval [CI], 2.10-6.22; p<0.001) for developing metabolic syndrome, whereas women had an odds ratio of 1.95 (95% CI, 1.30-2.92; p<0.001). Conclusion: The cutoff value for body fat percentage related to metabolic syndrome was lower in elderly. In the elderly with normal body mass index, high percentage of body fat percentage was associated with a high risk of metabolic syndrome.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127125115","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: 3