• Journal of the Korea Convergence Society
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• v.8 no.10
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• pp.273-279
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• 2017

Purpose: This study was conducted to identify factors associated with cataract and age-related macular degeneration in elders. Methods: In total, 341,588 men(44.18%,) and women(61.887%), aged over 60, were recruited from Korean National Health Insurance Service-Senior(2002-2013). We also analysed the factors which determine the prevalence of contract (ICD-10: H25) and age-related macular degeneration(ICD-10: H353) using Cox proportional hazard regression model Results: The subjects who were women, in older age, the group of higher income level, with hypertension, with heart disease, and with diabetes, the prevalence of both contract and age-related macular were increased(p<0.0001). Conclusion: The prevalence of contract and age-related macular degeneration were higher in old age of Korean who has chronic diseases such as hypertension, heart disease, and diabetes. The management of chronic diseases are essentially required in elderly for more healthy eye in aged society.

• Proceedings of the Korea Contents Association Conference
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• 2012.05a
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• pp.179-180
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• 2012

향후 21세기는 지금껏 경험해 보지 못한 고령화 사회로서, 골다공증은 심혈관 질환 및 당뇨병에 이어 가장 중요한 노인 질환으로 대두 되어질 것이다. 그러므로 골다공증에 대한 조기 진단과 예방을 위한 진단방법은 매우 중요하나 잘못된 진단으로 조기발견을 놓칠 수 있게 된다. 여러장비 중 Radiographic Absorptiometry는 단순 X선 촬영을 통해서 피질골(손의 metacapal bone)의 두께를 측정하는 방법으로 간단하지만 약간의 오류를 갖고 있어 검사부위의 변환을 통해 결과값을 연구하고자 한다.

• The Korean Journal of Food And Nutrition
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• v.27 no.5
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• pp.872-880
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• 2014

This study was conducted to assess the characteristics and satisfactions related with facility foodservice for the elderly in the Northern Gyeonggi-do area (Republic of Korea). To accomplish this, a survey was conducted to investigate the general characteristics of the elderly, health information, and satisfaction with the foodservice of a welfare facility in the area. The main sources of health information for both the male and female elderly included 'health professionals' (49.0, 45.7%) and the 'mass media' (34.4, 33.5%), and they were revealed to trust the information from 'health professionals' (65.6, 59.5%), more so than the 'mass media' (19.8, 20.8%). The principal diseases of the elderly were 'hypertension' (27.1%), 'diabetes' (21.9%), 'palsy' (19.8%) in males, and 'hypertension' (32.4%), 'diabetes' (24.9%), 'arthritis' (15.0%) in females. Most male and female elderly indicated the main reasons for skipping a meal to be 'no appetite' (37.5, 53.8%) and 'indigestion'(19.1, 17.3%), respectively. The facility foodservice was used by the male elderly for the reasons of 'irritating to cook' (28.1%), 'to meet a friend' (26.0%), and 'economic' (14.6%), while the female elderly used it for the reasons of 'economic' (25.4%), 'to meet a friend' (23.1%), and 'irritating to cook' (23.1%). The reasons for satisfaction with the facility were subject to 'meal supply' (28.0, 37.2%), 'social exchanges' (20.0, 22.3%), and 'good facilities' (18.7, 18.2%). Regarding the officers and nurses of the facility, 13.3% and 9.3% of males and 8.3% and 12.4% of females indicated satisfaction, respectively. The satisfaction with foodservice influenced the welfare facilities, and providing a successful environment for foodservice requires strengthening of the education of facilities employees to become friendlier. Based on these results, greater efforts should be made to provide meaningful information regarding the facility foodservice for the elderly related to the silver service industry in the Northern Gyeonggi-do area as soon as possible.

• Korea journal of population studies
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• v.30 no.1
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• pp.49-66
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• 2007

본 연구는 2001년 한국에서 사망한 60세 이상 노인들 62,000명의 사망기록 자료를 이용하여 사망원인의 다양성을 보여주는 한편 치매에 의한 사망원인을 가장 잘 예측할 수 있는 변수를 경험적으로 규명하고자 실시하였다. 이와 같은 목적을 위한 연구내용은 다음과 같다. 첫째, 노인들의 주요 사망원인에 해당하는 악성종양, 뇌혈관 질환, 심장병, 당뇨, 만성 호흡기 질환, 치매, 고혈압, 간 질환, 사고, 결핵 및 기타 질병 등 11개 사망원인에 대하여 빈도분석을 실시하였다. 둘째, 60세 이상 사망자들 가운데 치매에 의한 사망원인과 나머지 19개의 사망원인을 비교하여 치매에 의한 사망에 영향을 미치는 요인들을 다항로지스틱회귀분석을 통해 분석하였다. 그 결과, 한국의 노인인구 가운데 연령이 높을수록 치매로 인하여 사망할 가능성(우도비)이 높으며 여성이 남성에 비해 치매에 의하여 사망할 가능성이 높은 것으로 밝혀졌다. 그러나 교육수준이 높을수록 치매에 의하여 사망할 가능성이 낮은 것으로 나타났으며 거주지역은 치매에 의한 사망과 통계적으로 유의미한 관계가 있었으나 일관성은 없는 것으로 밝혀졌다. 한편 결혼지위는 치매에 의한 사망과 통계적으로 유의미한 관계가 없는 것으로 나타났다.

• 한국노년학
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• v.29 no.2
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• pp.645-656
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• 2009

The purpose of this study was to address the current status of hospital-based home care(HBHC). We analyzed the data on HBHC from national electronic data information of Health Insurance Review Agency. Beside, we surveyed 75 hospital-based home care agency. In 2006, 20,343 elderly(64.0% from all HBHC user) used 333,889 visits(76.8%from all visits). Medical diagnosis was composed of circulatory disease including cerebrovascular diseases 41.3%, endocrine system disease including Diabetes mellitus 10.4%, neoplasm 9.7%. Some of subjects used HBHC in excess of maximum covered 8 visits a month by National Health Insurance, decubitus 7.0%, the cancer 5.4%, the diabetes 2.5%, the hypertension 1.1%, and the stroke 0.9%. This results will contribute to expand the coverage of hospital-based home care by National Health Insurance. There was distribution difference in medical diagnosis and nursing intervention between HBHC and Public health center-based home care(PBHC) subjects. Therefore, HBHC subjects had more severe medical diagnosis, and were intervened more injections, examinations, than PBHC subjects. These differences must be considered to set up functional role among the three types of home visit care.

• Journal of muscle and joint health
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• v.19 no.1
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• pp.57-70
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• 2012

Purpose: This study aimed to investigate the level of physical activity and to identify factors related with physical activity for the elderly with Diabetes Mellitus (DM). Methods: The subjects were 154 diabetic outpatient at 3 hospitals located in J city. Data were collected from February 1 to 17 in 2012. Data were analysed using Chi-square test, ANOVA, and logistic regression by SPSS/WIN 18.0. Results: Mean physical activity level per week measured by International Physical Activity Questionnaire (IPAQ) was $2247.01{\pm}2533.73$ MET-minutes (minimally active). There were significant differences in the level of physical activity by age, spouse, education, job, admission, duration of DM, and DM therapy. There were significant differences in subjective health status, objective and subjective obesity, satisfaction with physical body, perception of aging, self-efficacy, perceived benefits, perceived barriers, and social support among the inactive, minimally active, and health enhancing physical activity groups. Factors influencing the level of health enhancing physical activity were spouse (OR=10.192), self-efficacy (OR=5.351), subjective obesity (OR=.114), and perceived barriers (OR=.069). Conclusions: The level of physical activity of elderly patients with DM was minimally inactive. Physical activity program enhancing self-efficacy and decreasing perceived barriers, as well as improving the correct perception of subjective obesity is recommended as a nursing intervention.

• The Korean Chronic Disease News
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• no.306
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• pp.1-30
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• 2006

안산시 단원 보건소 박영숙 소장/노인인구 급증 사회적 부담 증폭/“병원 자본조달?투자활성화 필요”/차관지원의료기관 연체금 감면 지원/의료기관평가, 관민공동참여를/“환자급식 제공실태 일제 점검”/인천시, 만성질환 관리 위해 나섰다/통합건강증진 프로그램 시범 운영/약가 포지티브 시스템 강행/Metformin은 당뇨병의 모든 키워드 함축한 약제/Metformin, 혈당개선.심혈관질환 예방“효과”/대사증후군 환자 인슐린저항성 개선...당뇨병 예방/“내당능장애 환자, 당뇨병 걸릴 위험 높다”/“Metformin, 저혈당 일으키지 않는 대단히 좋은 약제”/국내연구서 metformin 복용 인슐린 투여량 감소 입증/“Novamet GR, 폴리머 통해 약물 분비 조절한다”/새벽녘에 생기는 공복혈당 적절한 억제 기대/의료법인 단계적 수익사업 허용/고지 혈증/건강검진수가도 종별가산율 적용돼야/

• Proceedings of the KAIS Fall Conference
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• 2010.11b
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• pp.669-672
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• 2010

본 연구는 방문건강관리사업 대상자 중 취약한 노인여성과 노인증후군 관련요인에 대한 인과관계 모형을 규명하여 취약한 노인 여성의 보건의료서비스 제공 시 효율적인 방안제시를 위한 기초자료로 활용하고자 시행하였다. 연구대상자는 2008년 7월 1일부터 9월 30일까지의 기간 동안 전국 보건소에 등록된 방문건강관리사업 대상자 중 동의된 65세 이상 노인여성 1,350명을 선정하여 훈련된 조사원이 직접면담을 통해 조사하였다. 수집된 자료 중 불충분한 29명을 제외한 1,321명을 최종 분석대상으로 하였다. 수집된 자료는 SPSS 17.0 프로그램을 이용하여 빈도분석 및 카이제곱 검정, t-검정, ANOVA, 사후검정은 Tukey를 이용하였으며, 유의한 변수들을 선정하여 로지스틱 회귀분석을 이용하여 분석 하였다. 연구결과를 요약하면 다음과 같다. 첫째, 허약과 관련 있는 노인증후군위험요인은 우울, 요실금, 낙상력, 일상적 수행활동(ADL)으로 나타났다(p<0.05). 둘째, 허약에 영향을 미치는 요인으로는 연령이 75세 이상의 고령일수록, 우울과 요실금의 증상이 있을 때, 최근 낙상경험이 있을 때 허약의 증가 위험이 높은 것으로 나타났다(p<0.05). 셋째, 노인증후군의 위험요인 증가에 영향을 미치는 요인으로는 평생 동안 담배를 5갑 이상 피웠을 때, 당뇨병이 있을 때로 나타났다(p<0.05). 이상 결과를 볼 때, 취약 노인 대상으로 노인증후군, 허약의 향상을 위해서는 만성질환관리 프로그램 뿐 만 아니라 체계적인 근력강화 운동 및 정신건강관리 프로그램의 충분한 확대보급이 반드시 필요하다.

• Journal of Convergence for Information Technology
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• v.10 no.10
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• pp.253-258
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• 2020

This study analyzed, the characteristics of ambulatory care sensitive conditions(ACSCs) in patients visiting emergency departments(EDs) and compared characteristics according to two age groups (adults aged 19-64 years and, elderly people aged ≥65 years). By accessing data from the National Emergency Department Information System(NEDIS) from January 1 to December 31, 2018, we examined the proportions of different ED types and ACSCs, length of stay(LOS) in the ED, LOS hospital, and hospital admission rates. Regarding the types of EDs, we found that the proportion of local emergency medical centers was high(P<0.001). Regarding the rates of different ACSCs, 31.7% of adults were treated for gastroenteritis, a high proportion of the elderly people(48.2%) were diagnosed with and treated for pneumonia(P<0.001). The LOS in the ED was longer in elderly people for all diseases categories, except for congestive heart failure and diabetes(P<0.001). The LOS in the hospital was also significantly longer in elderly people for all ACSCs(P<0.05), and the admission rate was significantly higher in elderly people for all diseases, except for diabetes(P<0.01). Thus, analyzing the ED visits made by patients with ACSCs will need to strengthen the health-care policy to induce treatment centered on outpatient.

• Journal of the Korean Data and Information Science Society
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• v.7 no.1
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• pp.129-135
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• 1996

본 논문은 의뢰인의 Pilot Study를 상담한 것으로서 당뇨병 및 암 환자에게 효능이 있는 약으로 밝혀진 Steroid계통의 Methyl Prednisolone이 척수손상 환자에게 효능이 있는지를 알아보기 위해, 토끼를 실험대상으로 하여 얻은 반복측정자료를 분석하였다.