• Title/Summary/Keyword: Deaths of elderly

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An Investigation of Road Crossing Behaviour of Older Pedestrians at Unsignalized Crosswalk (무신호 단일로 횡단보도에서 고령 보행자의 횡단행태조사 및 분석)

  • JANG, Jeong Ah;KIM, Junghwa;CHOI, Keechoo
    • Journal of Korean Society of Transportation
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    • v.34 no.3
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    • pp.207-221
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    • 2016
  • In Korea, older pedestrian accounted for 57% of all pedestrian deaths although a ratio of older pedestrian accidents to total pedestrian accidents was only 25.9%. Though ageing population problem becomes more challenging for road safety, little is know about the behaviour of older pedestrian's behaviour. This study aimed to identify road crossing behaviour of older pedestrian at three-lane unsignalized crosswalks using video image analysis and to compare the behaviour of older pedestrian to younger one by indicators including approaching speed, the number of walking steps and other factors. The results showed that there was a difference of approaching time at kerb, waiting time at kerb, the number of glances at kerb, and the number of glances at crossing between two groups under the situation of car approaching to crosswalks. It also showed that older pedestrian usually spent 1.16 times more than younger pedestrian to walk across the crosswalk with only 84.4% of walking speed of younger pedestrian. The number of steps of older pedestrian for road crossing was 1.12 times higher with 90% shorter steps than younger pedestrian. It was concluded that older pedestrian usually decided to walk across in case of 1.67 times longer headway than younger pedestrian's decision. These results could be applied in road and facility design for better safety of older pedestrians.

Chemoradiotherapy versus radiotherapy alone following induction chemotherapy for elderly patients with stage III lung cancer

  • Kim, Dong-Yun;Song, Changhoon;Kim, Se Hyun;Kim, Yu Jung;Lee, Jong Seok;Kim, Jae-Sung
    • Radiation Oncology Journal
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    • v.37 no.3
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    • pp.176-184
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    • 2019
  • Purpose: It is unclear whether adding concurrent chemotherapy (CT) to definitive radiotherapy (RT) following induction CT is a tolerable and cost effective treatment for non-small-cell lung cancer (NSCLC) patients aged 70 years or older with comorbidities. This study evaluated the actual clinical outcomes between concurrent chemoradiotherapy (CCRT) and RT alone following induction CT or not in patients (≥70 years) in a single institution's clinical practice. Materials and Methods: A total of 82 patients with unresectable stage III NSCLC between 2004 and 2016 were retrospectively analyzed. Their treatment tolerance and clinical outcomes such as overall survival (OS), locoregional recurrence (LRR), treatment toxicities and distant metastasis (DM) were evaluated. Early mortality rates were also evaluated as 4-month mortality after RT. Results: Fifty-four patients received CCRT and 28 patients received RT alone. Induction CT before RT was performed for 68.5% and 50.0% in CCRT and RT alone groups. Treatment tolerance was significantly worse in CCRT (p = 0.046). The median survival was 21.1 and 18.1 months for CCRT and RT alone, which was not statistically significant. LRR and DM were also not different. Most early deaths after CCRT were attributed to non-cancer-related mortality. Acute esophagitis of grade ≥2 occurred more following CCRT (p = 0.017). In multivariate analysis, a Charlson Comorbidity Index (CCI) of ≥5 and a weight loss of ≥5% after RT were associated with poor OS. The factors adversely affecting 4-month survival were a CCI of ≥5 and CCRT. Conclusion: There were no significant differences in OS, LRR, and DM between CCRT and RT alone treatment in elderly patients. However, there was a poorer tolerance and higher incidence of acute esophagitis in the CCRT group. Specifically, when the patients had a CCI of ≥5, RT alone seems to be reasonable with a low probability of early death.

Good death recognized by the elderly (노인이 인식하는 좋은 죽음)

  • Lee, Myoung-Suk;Kim, Yun-Jeong
    • The Journal of the Korea Contents Association
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    • v.13 no.6
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    • pp.283-299
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    • 2013
  • This study has been performed to identify meanings of good deaths among 350 old people aged 65 from September, 2010 until February, 2011. In this study, the subjects were asked about good meanings of death based on qualitative study of free format, and their statements were categorized into similar content areas. The results show that first, the subjects felt that the good death is a dignity death not weighing burdens to others, memorized as a good life, until th end of my life, a death receiving at home, comfortable death, a death like a sleep, with out pain, not long, a prepared process, a death after doing my best, receiving after doing my best, death after offering benevolence to others, within my beliefs, and finally a good death is after seeing good life of my descendent. These 16 free answers were also categorized into 6 meaningful areas such as considering others, at my home, comfortable scene, prepared, and death after living my wanted time.

Study on Improving The Basic Occupational Safety and Health Training of the Older Workers in the Construction Industry (건설업 고령근로자의 건설업기초안전보건교육 개선)

  • Choi, Jae Deog;Lee, Seung Jae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.176-181
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    • 2019
  • According to the 2017 Industrial Accident Analysis by Age, 71.8 % of construction disaster victims and 74.9 % of the deaths were workers aged 50 years or older, highlighting the seriousness of industrial accidents among aged construction workers. In this study, 303 construction workers aged 50 or older and 178 safety managers were surveyed on ways to improve the basic occupational safety and health education for senior workers in the construction industry. According to a comparison of the safety awareness for safety education by senior workers and safety managers, the safety manager showed a higher sense of safety for education than elderly workers. Regarding the remuneration education for those who had received basic occupational safety and health education in the construction industry, 69.9 percent said that regular remuneration education was needed, and 69.9 percent of them said that basic occupational safety and health repair education in the construction industry was needed every three years after the completion of education. This study is intended to present improvement plans for repair education for those who have completed basic occupational safety and health training in the construction industry.

Data Matching Research to Use Resident Registration Administrative Data in the Population Censuses (인구총조사에 주민등록 행정자료 활용을 위한 자료매칭연구)

  • Lee, Nae-Seong
    • Survey Research
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    • v.9 no.2
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    • pp.119-149
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    • 2008
  • In this changing, complex modern society, as one-person households, dual income households and the elderly population increases and the survey environment gets worse, the past 'method' in which high costs and much time are needed, should face the environmental change. When considering the fact that developed countries in Northern Europe such as Denmark and Finland use administrative data for the Censuses, Korea should carry out further research to use resident registration administrative data in the Registration Census. Based on administrative data, the Registration Census is expected to reduce survey costs and to increase the accuracy and timeliness of surveys. Moreover, a wide variety of statistical demand will be satisfied by producing advanced statistics through the links among administrative data. The paper examines the difference when linking both resident registration administrative data and the results of 2005 Population Census, with a view to improving the Population Census method and preparing for the information age. Also this paper presents some proposals for future Population Censuses. With confidentiality given the top priority, this paper examines the link with matching value of ages and genders at Haeundae-gu, Busan and Boeun-gun, Chungbuk for pragmatic research. Hoenam-myeon, Boeun-gun, Chungbuk marks a low matching rate. Focused on Hoenam-myeon data, this research directly compares the results of 2005 Population Census with resident registration administrative data. Births, deaths, out-migrations and in-migrations from resident registration administrative data as of November 1st 2005 are used especially to increase comparison with the results of 2005 Population Census.

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A Study on Contents Activism Analysis using Social Media - Focusing on Cases Related to Tom Moore's 100 Laps Challenge and the Exhibition of the Statue of Peace - (소셜미디어를 활용한 콘텐츠 액티비즘 분석 연구 - 톰 무어의 '100바퀴 챌린지'와 '평화의 소녀상' 전시를 중심으로-)

  • Shin, Jung-Ah
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.91-106
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    • 2021
  • The purpose of this study is to define the process of leading to self-realization and social solidarity through the process of contents planning, production, and distribution as Contents Activism, and to categorize specific execution steps. Based on this, we try to analyze concrete cases to find out the social meaning and effect of the practice of Contents Activism. As for the research method, after examining the differences between traditional activism and Contents Activism through a review of previous studies, the implementation process of Contents Activism was categorized into 7 steps. By applying this model, this study analyzed two cases of Contents Activism. The first case is the 100 laps challenge in the backyard planned by an elderly man ahead of his 100th birthday in early 2020, when the fear of COVID-19 spread. Sir Tom Moore, who lives in the UK, challenged to walk 100 laps in the backyard to help medical staff from the National Health Service as COVID-19 infections and deaths increased due to a lack of protective equipment. His challenge, which is difficult to walk without assistive devices due to cancer surgery and fall aftereffects, drew sympathy and participation from many people, leading to global solidarity. The second case analyzes the case of 'The Unfreedom of Expression, Afterwards' by Kim Seo-kyung and Kim Woon-seong, who were invited to the 2019 Aichi Triennale special exhibition in Japan. The 'Unfreedom of Expression, After' exhibition was a project to display the Statue of Peace and the lives of comfort women in the Japanese military, but it was withdrawn after three days of war due to threats and attacks from the far-right forces. Overseas artists who heard this news resisted the Triennale's decision, took and shared photos in the same pose as the Statue of Peace on social media such as Twitter and Instagram, empathizing with the historical significance of the Statue of Peace. Activism, which began with artists, has expanded through social media to the homes, workplaces, and streets of ordinary citizens living in various regions. The two cases can be said to be Contents Activism that led to social practice while solidifying and communicating with someone through contents.

Analysis of Physical Status on COVID-19: Based on Impacts of Physical Activity (COVID-19에 대한 운동중재효과 분석)

  • Kim, Kwi-Baek;Kwak, Yi Sub
    • Journal of Life Science
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    • v.31 no.6
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    • pp.603-608
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    • 2021
  • The purpose of this perspective research is to discuss the potential role of exercise-interventions in COVID-19, terms of prevention and prognosis in the periods of the COVID-19 vaccine. SARCO-CoV-2. COVID-19 was detected as a new virus causing severe cardiovascular and respiratory complications. It emerged as a global public health emergency and national pandemic. It caused more than 1 million deaths in the first 6 months of the pandemic and resulted in huge social and economic fluctuations internationally. Unprecedented stressful situations, such as COVID-19 blue and COVID-19 red impact on many health problems. In healthy individuals, COVID-19 infection may induced no symptoms (i.e., asymptomatic), whereas others may experience flu-like symptoms, such as ARDS, pneumonia, and death. Poor health status, such as obesity and cardiovascular and respiratory complications, are high risk factors for COVID-19 prevention, occurrence, and prognosis. Several COVID-19 vaccines are currently in human trials. However, the efficacy and safety of COVID-19 vaccines, including potential side effects, such as anaphylaxis (a life-threatening allergic reaction) and rare blood clots, still need to be investigated. On the basis of direct and indirect evidence, it seems that regular and moderate physical exercise can be recommended as a nonpharmacological, efficient, and safe way to cope with COVID-19. Physical inactivity and metabolic abnormalities are directly associated with reduced immune responses, including reduced innate, CMI, and AMI responses. Due to prolonged viral shedding, quarantine in inactive, obese and disease people should likely be longer than physical active people. Multicomponent and systemic exercise should be considered for the obese, disease, and elderly people. More mechanism research is needed in this area.

Radiotherapy in Medically Inoperable Early Stage Non-small Cell Lung Cancer (내과적 문제로 수술이 불가능한 조기 비소세포성 폐암에서의 방사선치료)

  • Kim, Bo-Kyoung;Park, Charn-Il
    • Radiation Oncology Journal
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    • v.18 no.4
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    • pp.257-264
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    • 2000
  • Purpose: For early stage non-small-cell lung cancer, surgical resection is the treatment of choice. But when the patients are not able to tolerate it because of medical problem and when refuse surgery, radiation therapy is considered an acceptable alternative. We report on the treatment results and the effect of achieving local control of primary tumors on survival end points, and analyze factors that may influence survival and local control. Materials and Method : We reviewed the medical records of 32 patients with medically inoperable non-small cell lung cancer treated at our institution from June, 1987 through June, 1997. All patients had a pathologic diagnosis of non-small cell lung cancer and were not candidate for surgical resection because of either patients refusal (4), old age (2), lung problem (21), chest wail invasion (3) and heart problems (3). In 8 patients, there were more than 2 problems. The median age of the patients was 68 years (ranging from 60 to 86 years). Histologic cell type included souamous (24), adenocarcinoma (6) and unclassiried squamous cell (2). The clinical stages of the patients were 71 in 5, 72 in 25, 73 in 2 patients. Initial tumor size was 3.0 cm in 11, between 3.0 cm and 5.0 cm in 13 and more than 5.0 cm in 8 patients. Ail patients had taken chest x-rays, chest CT, abdomen USG and bone scan. Radiotherapy was delivered using 6 MV or 10 MV linear accelerators. The doses of primary tumor were the ranging from 54.0 Gy to 68.8 Gy (median; 61.2 Gy). The duration of treatment was from 37 days through 64 days (median; 0.5 days) and there was no treatment interruption except 1 patient due to poor general status. In 12 patients, concomitant boost technique was used. There were no neoadjuvant or adjuvant treatments such as surgery or chemotherapy. The period of follow-up was ranging from 2 months through 93 months (median; 23 months). Survival was measured from the date radiation therapy was initiated. Results : The overall survival rate was 44.6$\%$ at 2 years and 24.5$\%$ at 5 years, with the median survival time of 23 months. of the 25 deaths, 7 patients died of intercurrent illness, and cause-specific survival rate was 61.0$\%$ at 2 years and 33.5$\%$ at 5 years. The disease-free survival rate was 38.9$\%$ at 2 years and 28.3$\%$ at 5 years. The local-relapse-free survival rate was 35.1$\%$, 28.1$\%$, respectively. On univariate analysis, tumor size was significant variable of overall survival (p=0.0015, 95$\%$ C.1.; 1.4814-5.2815), disease-free survival (P=0.0022, 95$\%$ C.1., 1.4707-5.7780) and local-relapse-free survival (p=0.0015, 95$\%$ C.1., 1.2910- 4.1197). 7 stage was significant variable of overall survival (p=0.0395, 95$\%$ C.1.; 1.1084-55.9112) and had borderline significance on disease-free survival (p=0.0649, 95$\%$ C.1.; 0.8888-50.7123) and local-relapse-free survival (p=0.0582, 95$\%$ C,1.; 0.9342-52.7755). On multivariate analysis, tumor size had borderline significance on overall survival (p=0.6919, 955 C.1., 0.9610-5.1277) and local-relapse-free survival ( p=0.0585, 95$\%$ C.1.; 0.9720-4.9657). Tumor size was also significant variable of disease-free survival (p=0.0317, 95% C.1.; 1.1028-8.4968). Conclusion : Radical radiotherapy is an effective treatment for small (71 or f3 cm) tumors and can be offered as alternative to surgery in elderly or infirmed patients. But when the size of tumor is larger than 5 cm, there were few long-term survivors treated with radiotherapy alone. The use of hypefractionated radiotherapy, endobronchial boost, radisensitizer and conformal or IMRT should be consider to improve the local control rate and disease-specific survival rate.

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