• Journal of Korean society of Dental Hygiene
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• v.19 no.5
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• pp.731-742
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• 2019

Objectives: To analyze the association between sleep duration and the number of remaining teeth in people aged 65 years or older in order to provide basic data for improving sleep quality and developing oral health programs for teeth maintenance. Methods: The raw data for the analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (KNHANES) dataset, conducted between 2013 and 2015. The 4,340 subjects included in the study underwent oral examinations and then proceeded to answer related questions. The collected data were analyzed using SPSS (ver 23.0) program via composite samples, with the calculations for mean, standard deviation, chi-square test, and logistic return analysis being performed. Results: An analysis of the effect of sleep duration on the number of remaining teeth among people aged >65 years old showed that if the confounding variables were not corrected for, the risk of having less than 9 hours of sleep was 1.40 times higher (95% CI: 1.06-1.86). However, this was not statistically significant in models that corrected for gender, age, and other confounding variables (p>0.05). Conclusions: The association between sleep duration among the elderly with their number of remaining teeth was confirmed. Therefore, measures to improve sleep quality and oral care practices to maintain the remaining teeth in people over 65 years old should be developed.

• Korean Journal of Clinical Pharmacy
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• v.28 no.3
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• pp.174-180
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• 2018

Objective: Clostridium difficile Infection (CDI) is one of the common nosocomial infections. As elderly population increases, the proper treatment has been emphasized. We investigated the risk factors associated with CDI unimprovement in elderly patients. Furthermore, we performed drug use evaluation of old CDI patients and oldest-old CDI patients. Methods: It was a retrospective study using electronic medical record at Kangbuk Samsung Medical Center (KBSMC) from January 2016 to December 2017. Seventy three patients aged 65 years or older, diagnosed with CDI by Clostridium difficile Toxin B Gene [Xpert] were screened and they were assessed for risk factors regarding unimprovement status. We also evaluated drug use evaluation in old patients ($65{\leq}age$<80) and oldest-old patients ($80{\leq}age$) by assessing the use of initial therapy, severity, dose, route, treatment course, days of use, total days of use and treatment outcome of initial therapy. Results: Out of 73 patients aged over 65 years, four patients were excluded because they did not receive any treatment. There were 31 improved patients and 38 unimproved patients after initial therapy. We were able to find out patients with surgical comorbidity or endocrine comorbidity (especially, diabetes mellitus) had 2.885 more risk of becoming unimproved than those patients without surgical comorbidity or endocrine comorbidity. Drug use evaluation for CDI was generally fair, but vancomycin as initial therapy is more recommended than metronidazole. Conclusion: Although age, antibiotics exposure, use of antacids are all important risk factors for CDI, our result did not show statistical significance for these risk factors. However, the study is meaningful because the number of elderly population keeps increasing and recently updated guideline suggests the use of vancomycin as drug of choice for CDI.

• The Journal of the Korea Contents Association
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• v.18 no.4
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• pp.89-98
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• 2018

Due to the increasing global prevalence of dementia, such as Alzheimer disease, there is a growing public health concern about its prevention. The purpose of this study was to conduct a systematic review for a narrative synthesis and critical appraisal of current published research related to dementia prevention programs among Koreans. To conduct a systematic review, the data bases KoreaMed, Riss4u and 9 Nursing Journals were searched using the key words dementia prevention and cognitive function. Articles published between 2000~2014 and related to dementia prevention programs were reviewed. Two hundred-fifty references were searched but only 29 studies met our inclusion criteria to review. We found that dementia prevention programs focused on: exercise, 11 studies (37.9%); multi-therapy, 9 studies (31.0%); and cognitive enhancement activity, 4 studies(13.8%). The majority of studies (n=19, 65.5%) included adults over 65 while two studies targeted adults over 75. The current literature indicates that future research is needed to develop and provide appropriate and effective dementia prevention programs among Korean older adults.

• Journal of muscle and joint health
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• v.25 no.2
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• pp.157-166
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• 2018

Purpose: This study aimed to identify the effect of the level of alcohol drinking and smoking period on the occurrence of lumbar and femoral neck osteoporosis in men aged 50 years and over. Methods: This study analyzed the data of 1,410 men based on results of a National Survey on Nutritional Health for the period 2010-2012. Complex sample multi-variate logistic regression analysis was conducted to determine whether alcohol drinking and smoking period were associated with osteoporosis in men aged 50 years older. Results: The risk of osteoporosis in the femoral neck was 3.43 times (95% confidence interval [CI]=1.15~10.29) higher in men who consumed less alcohol and smoked for a long time compared to men who smoked more than 40 years and consumed much alcohol at once. The risk of osteoporosis in the lumbar spine was 3.45 times (95% confidence interval [CI]=1.69~7.04) higher respectively. Men who consumed much alcohol at a time and smoked less than 40 years were 1.54 (1/0.65) times (95% confidence interval [CI]=0.45~0.93) more likely to be classified as normal than the men who consumed much alcohol and had a long smoking period. Conclusion: The interaction of excessive drinking and smoking has a more detrimental effect on bone mineral density.

• Journal of the Korean housing association
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• v.17 no.6
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• pp.37-44
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• 2006

By 2019, Korea is expected to be an aged society, age group of 65 and older being over 14% of the total population, considering their rapid increase today. The number of the elderly living alone or with his or her spouse will grow more and more. So this study was intended to find out the characters of elderly gathering houses in Japan through case study. The survey was taken by literatures and interview taken from the managers of the houses. It was selected the company which had branched 17 buildings all over the nation. There are three types in units in the building. One is self-supporting life house type. The other is personal care senior house type. Another is complex community house type. And the house have pointed on the participation in community. The company has attached great importance to form the co-operation network with the residents being shared same building. And it has aimed that the residents would feel being alive in their home.

• Journal of Physiology & Pathology in Korean Medicine
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• v.32 no.6
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• pp.411-417
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• 2018

Last year, the elderly population aged 65 years and over exceeded 14.2 percent of the total population, and Korea has entered the ageing society. At the same time, social interest in improving the health level and quality of life in the elderly has also increased. In particular, pain is one of the most common diseases experienced by middle-aged and elderly people and is one of the factors that closely affect the quality of life. The purpose of this study was to analyze the factors affecting the pain level and pain region of Korean medicine users and the use of Korean medicine in the Korean middle aged and elderly using the 6th Korean Longitudinal Study of Ageing (KLoSA) panel. As a result, the main influencing factors of Korean medical care were subjective factors such as gender, subjective health status, and education level. In particular, half of the middle-aged and elderly who used Korean medicine experienced back and knee pain, and generally complained of low level of pain. This study suggests the need for research and development of Korean medicine that can control and relieve the pain of the middle-aged and elderly.

• Human Ecology Research
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• v.58 no.3
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• pp.333-341
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• 2020

This study examined the trajectories of the marital satisfaction among middle and old aged couples for 8 years. This study focused on middle and old aged couples who were relatively uninterested in family research. Using the 1-5 Waves of Korean Longitudinal Study of Ageing (KLoSA) 2006-2014, the study included 635 middle and old aged couples whose husbands were 65-74 years old at baseline. First, a latent growth model indicated that a husband's and wife's marital satisfaction trajectories decreased over time. Second, a parallel latent growth model indicated that a husband's marital satisfaction trajectories decreased more quickly, when the initial level of their own marital satisfaction was higher (husband's actor-effect); in addition, a wife's marital satisfaction trajectories also decreased more quickly, when the initial level of their own marital satisfaction was higher (wife's actor-effect). Wife's marital satisfaction trajectories decreased more slowly, when the initial level of their husband's marital satisfaction was higher (husband's partner-effect); however, the husband's slope was not associated with the initial level of their wife's. The methodological value of this work shows the application of a parallel latent growth model that includes the actor and partner effect of APIM. The findings extend our understanding of longitudinal marital dynamics between couples and promote a study on the trajectories of marital satisfaction at stages of the family life cycle.

• Journal of Korean society of Dental Hygiene
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• v.6 no.2
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• pp.93-102
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• 2006

This study investigated the satisfaction level of aged patients over sixty five years old or over who were treated in a dental hospital or clinic in the metropolitan area. The difference in satisfaction level by general characteristics of aged patients and characteristics related to the treatment as well as the correlation of satisfaction level by each factors with the overall satisfaction level of the treatment were analyzed, resulting as follows. 1. Satisfaction level of dentures by each factors resulted as following. Average general satisfaction level marked $3.47{\pm}0.74$, average functional satisfaction level marked $2.66{\pm}0.83$, and aesthetic satisfaction level marked $3.78{\pm}0.65$. 2. There were no significant difference in general and functional satisfaction level by each factors from the population statistic of the participants. Aesthetic satisfaction level differed by the educational background(p=0.01). 3. There were no significant difference in general and aesthetic satisfaction level by the oral health condition as well as the treatment quality. Functional satisfaction level differed by the oral health condition(p=0.01). 4. The correlation of satisfaction level by each factors with the overall satisfaction level of the treatment differed as follows. In case each factors were satisfactory, the overall result of the treatment marked satisfactory as well. However, in case each factors were dissatisfactory, the overall result of the treatment marked dissatisfactory showing difference with the above result(p=0.000). 5. Each factor showed statistically positive correlation. Functional satisfaction level and general satisfaction level showed the highest correlation(r=0.677).

• 한국노년학
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• v.30 no.1
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• pp.93-108
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• 2010

This study conducted a secondary analysis by using original data of performed by Korea Institute for Health and Social Affairs to determine factors affecting health-related quality of life for the elderly aged over 65 years living in Korea. The survey was conducted in 2005 and it evaluated totally 34,152 cases. Among them 3074 cases investigating the elderly aged over 65 years were selected for this study and finally 2036 cases were included in it by excluding cases with no answer or a wrong answer. The results were as follows. In the illness days, the average of the whole subjects was 11.05 days and it was longer when subjects were female and older, had lower educational background and lower family income, did not have spouses and jobs and were covered by medical aid as medical security. In the years of activity restriction, the average of the total subjects was 3.48 years and it was increased when they were older, had lower educational background and lower family income, did not have spouses, lived in detached houses and were covered by medical aid as medical security. Subjective health condition of the total subjects was 2.64 points out of 5 points in average. The scores were higher when subjects were male, younger, had better educational background, spouses, jobs and more family income, lived in multi-family living houses and were covered by corporate insurance as medical security. The average of total quality of life of the subjects was 2.61 points out of 3 points and it was found to be higher when subjects were male, younger, had better educational background, spouses, jobs and more family income and were covered by corporate insurance as medical security. It was decreased with higher illness days, higher years of activity restriction and lower subjective health condition. For the effects of the factors related to quality of life, subjective health condition showed the largest influence.

• Journal of Korean Academy of Nursing
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• v.38 no.5
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• pp.694-703
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• 2008

Purpose: The purpose of this study was to identify the quality of life and its predictors in low income Korean aged. Methods: This was a predictive correlational study. An accessible sample from the population of people who were 65 and over and were supported by the basic livelihood security system was 1,040. Quota sampling with strata of state division in the nation was chosen. Quality of life and its predictors in the subjects were measured. Results: The mean quality of life in the subjects was 47.0$\pm$10.7. Predictors of this study significantly explained 54.3% of the total variance of quality of life. Depression was the most significant predictor of quality of life. Health problems, district, social support, leisure activity, and health behavior had effects on quality of life. Conclusion: This finding indicates that quality of life in lower income Korean aged is different from other populations by economic status. Demographics, health status and social status were predictors of quality of life in the aged with a small income.