• Title/Summary/Keyword: Elderly(>70 years)

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Clinical Features of Pulmonary Tuberculosis In The Elderly (노인 폐결핵의 임상적 특정)

  • Lee, Jae-Ho;HwangBo, Bin;Yoo, Chul-Gyu;Lee, Chun-Taek;Kim, Yeong-Hwan;Han, Sung-Koo;Shim, Young-Soo;Chung, Hee-Soon
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.4
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    • pp.334-345
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    • 2001
  • Background : Pulmonary tuberculosis(TB) is still prevalent and remains a significant clinical problem for the elderly. However, the disease presents in many ways, and there are frequent adverse drug reactions that may prevent the early diagnosis and treatment of elderly TB patients compared to the young. The purpose of this study was to determine whether or not there are any differences in the clinical feature of pulmonary tuberculosis(TB) in both the diagnosis and treatment between the young (less than 64 years) and the elderly (65 years and more). Methods : The medical records of 125 young and 70 elderly pulmonary TB patients, who were diagnosed with and treated for pulmonary TB at the Seoul Municipal Boramae Hospital from November 1991 to January 1997, were analyzed retrospectively. Results : Anorexia(12% vs. 31.4%), general weakness (20.0% vs. 54.3%), dyspnea(21.6% vs. 37.1%) and an abnormal mentality (0.8% vs. 15.7%) were more frequent presenting symptoms in elderly TB patients, whereas hemoptysis (32.8% vs. 10.0%) and fever (BT > $37^{\circ}C$, 58.4% vs. 35.7%) were more frequent in the young. The elderly had a higher number of cardiovascular and chronic obstructive pulmonary diseases as underlying illnesses. In chest PA, there were no differences in the location of the TB lesion, but the appearances were initially diagnosed more frequently as pneumonia or lung cancer (8.8% vs. 30.0%, p<0.05) in the elderly. There was no difference in the detection rate of acid fast bacilli(AFB) in the sputum between the two groups. There were no differences in the treatment response and follow-up loss. However, adverse drug reactions (13.6% vs. 45.7%, p<0.05), and changes in medication (4.9% vs. 25.7%, p<0.05) during treatment occurred more frequently in the elderly. One among the 125 young patients died from tuberculosis whereas 6 among the 70 elderly patients died from the disease. Conclusion : Because the clinical and radiological presentations were more atypical, a sputum AFB smear and culture should be done immediately in the elderly who are TB. The elderly experienced more frequent adverse drug reactions and mortality during treatment, but the response to treatment was good and rapid.

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Development of Educational Materials as a Card News Format for Milk Intake Education of the Elderly in Korea (노인 대상 우유 섭취 교육을 위한 카드뉴스 개발)

  • Kim, Sun Hyo
    • Journal of Korean Home Economics Education Association
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    • v.34 no.1
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    • pp.1-16
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    • 2022
  • This study was performed to develop educational materials in the form of card news that can be easily accessed on mobile phones or the Internet for milk intake education of the elderly based on the scientific evidence and their needs. The themes included in the card news were selected based on the literature and focus group interviews with 10 elderly individuals (78.10±6.66 years old). For the selected themes, information that elderly users most want to know was selected for the purpose of effective communication, while reflecting the eating habits, lifestyle, living environment, and nutrition and health status of the elderly in Korea. The draft of the card news was reviewed by the researcher, consulted by experts, and surveyed with 50 elderly individuals (70.44±5.16 years old). Based on the results of the review, consultations, and the survey, a final draft of the card news consisting of 12 pages was completed. The card news of the present study is expected to be an effective educational material considering the high level of satisfaction (higher than 4 on the 5-point scales) indicated by the survey respondents. Therefore this card news is expected to help increase milk intake through friendly milk education for the elderly.

A Study on the Elderly of Public Libraries in Daejeon Metropolitan City (공공도서관 고령 이용자에 대한 연구 - 대전지역 공공도서관을 중심으로 -)

  • Park, Ok-Wha
    • Journal of Korean Library and Information Science Society
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    • v.38 no.1
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    • pp.375-396
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    • 2007
  • This study examined the demographic characteristics of the elderly who use public libraries in Daejoen Metropolitan City. Their tendencies in using the library level of satisfaction about the library and how the library affects their life were also evaluated. The survey revealed there were more man than woman users. And most users being relatively healthy sixties, highly educated and belonging to the middle class were indicated. They have been using the library frequently and regularly for a long time and were highly satisfied with the services from librarians and other staffs. Also the Public library services had a positive effect on the quality of the life of the elderly. As a result, an effective program for servicing potential visitors who are in poor health, over 70 years old, having lower level of education, living in below standard conditions, and living far from the library were suggested. Elderly women also will be the potential visitors.

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The Survey of Activities and Fear of Falling in the Community Dwelling Elderly (지역사회 재가 노인들의 낙상공포에 관한 연구)

  • Sohng Kyeong Yae;Moon Jung Soon;Kang Sung Sil;Choi Jung Hyun
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.324-333
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    • 2001
  • The purpose of this cross-sectional study was to explore fear of falling in relation to activity restriction of in the community dwelling elderly. Two hundred ninety-nine community dwelling elderly residing in Seoul and Kyonggi-do were interviewed using a structured questionnaire. The results were as follows : 1. Subjects were predominantly women$(70.6\%)$, an average 72.5 years old; the incidence of falls in last one year was $45.5\%$. 2. The highest level of fear found for activity in those who say they do engage and those who do not engage in the activity was 'going out when it is slippery '(m=2.53, 2.81) and 'reach for something over your head'(m=1.66, 2.60). Fear of falling scores were significant lower for those who say they do engage in eight kinds of activities (excluded activities of given were 'go to the store', 'take a tub bath', 'get out of bed') than for those who do not engage in the activities. 3. Among those who did not perform the activity, the three activities, when it is slippy(n=80), reaching overhead(n=70), and walk outside(n=59),were most often avoided because fear alone as well as for reasons in addition to fear. 4. The significant variables associated with fear of falling were female(p=0.0000), 1 educational status(p=0.000l), poor economic condition(p=0.0007), and experience of falls in last one year(p=0.0007). Fear of falling is common in the community dwelling elderly in Korea and is associated with several demographical variables. Therefore, to prevent falls and to reduce fear of falling, further study for development of education program for the elderly is needed.

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Analysis of Posture Sway during Quiet Standing in Elderly (정적직립자세에서 노인들의 자세동요 분석)

  • Lee, Kyung-Soon
    • Journal of Korean Physical Therapy Science
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    • v.18 no.1
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    • pp.69-77
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    • 2011
  • Background: The purpose of this study was to assessment of posture sway on static standing in the elderly. Methods: The participants aged 60 to 90 years, were divided into age such 60s, 70s and 80s and with a history of exercise, arthritis and hang on one's stick. Posture sway were analyzed using the computerized BPM system. Each test was repeated three times. All the data were expressed means and standard deviation by using SPSS 12.0 program. Results: The posture sway test according to sex showed that mean balance, sway number and frequency performance were significantly stable in men than in women. All direction frequency, sway area, sway path and max velocity were significantly unstable in 80s than 70s and 60s. The results of the posture sway test according to exercise group, arthritis and hang on one's stick group were showed that mean balance function was significantly stable in exercise group than arthritis and stick groups. The weight was showed significant correlation by mean balance, sway no, frequency, sway area, sway path and max velocity. Sway area and max velocity were not significant correlation by frequency of lateral and left, right anterior and posterior direction. Conclusion: In this study was showed that posture sway was effected from health condition of elderly.

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The Type of the Lower Body Shape of the Elderly Women Using the 3D Anthropometric Data -Focused on Women Aged 70-85- (3차원 계측데이터를 활용한 고령 여성의 하반신 체형 유형화 -70-85세 여성을 중심으로 -)

  • Cha, Su Joung
    • Journal of Fashion Business
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    • v.22 no.2
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    • pp.27-39
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    • 2018
  • This study analyzed the body shape of women over 70 years and classified their body shapes in order to provide basic data for the development of pants patterns that can complement the weakness of the body shape of elderly women. It were analyzed using SPSS Ver. 20.0. Five factors were extracted from the lower body: obesity and thigh thickness, lower body length, under knee thickness, ankle height, and hip sag. In type 1, the lower body was obese and the legs were thick, but the hips were not sagging. It was named 'high-hip obesity figure'. Type 2's abdomen, hip, and waist were obese, but the legs were thin and the hip were not sagging. Thus, 'bird-leg middle obesity figure' was the name. Type 3 had a long and slender lower body, but legs were thick and the hips were saggy, it was named 'strong-leg low-hip slender figure'. The elderly women showed less difference in waist, abdomen, and hip circumference. The abdominal circumference was 2-3cm more than the waist and hip circumference; hence there is a need to differentiate the shape and number of darts in the production of bottom-wear patterns for older women. In addition, the leg circumference is gradually reduced by aging compared to the size of the lower body. Therefore, it would be necessary to search for a method that can effectively design the difference between the hip circumference and the leg circumference in relation to the body shape and the aesthetics of older women.

Research and Development of Urban Health Infrastructure for Home Health Care for the Elderly (도시의 노인보건방문서비스를 위한 자원 및 모델 개발에 관한 연구)

  • Kang, Pock-Soo;Hwang, In-Soo;Kim, Chang-Yoon;Kim, Seok-Beom;Lee, Kyeong-Soo
    • Journal of agricultural medicine and community health
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    • v.21 no.1
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    • pp.47-60
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    • 1996
  • Home health care is one of the important components of health care services. Today, the need and demand for the home health care is increasing. To assess the effects of home visit health services by public health nurses in health center on the stat of health, use of medical services and quality of life by elderly people living at home, a randomized controlled trial was implemented for 65 years or more old people randomly allocated to intervention(93) and control(118) group. Intervention group received 2 visits a month over 6 months. Control group received no home visits. The data was collected in a one-year follow-up survey conducted at Kyongju before and after the intervention which composed of health risk assessment, risk factor education and health related behavior counseling. The prevalence rate of chronic illness was more decreased in intervention group than control group after intervention. The intervention group visited medical facilities less frequently than control group. And the home visit health services encouraged the elderly to practice regular exercise. After the intervention, the score of ADL(activities of daily living), LSI(life satisfaction index) and SSI(social support index) in intervention group were more increased than control group. And the increase of scores was more prominent in 70 years or more old people, female, non-smoker and non-chronic illed elderly rather than others. In conclusion, the regular home visit health services provided by public health nurses were beneficial for the elderly in terms of health promotion and quality of life.

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A Study of Functional Disability in a Rural, Community-Dwelling Elderly Population (농촌 지역사회 거주 노인의 기능장애에 관한 연구)

  • Park, Sol-Bi;Park, Kyoung-Young;Kim, Hyeon-June
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.1-9
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    • 2021
  • Purpose : The purpose of this study was to investigate functional disability for the elderly in rural Korea and to identify influencing factors of functional disability. Methods : The data were collected for 76 community-dwelling elderly in rural area and above 65 years. We assessed cognitive function, functional disability, depression using LACLS, WHODAS 2.0, SGDS-K. Data were analyzed using descriptive statistics for general characteristics of subjects, Spearman's correlation among LACLS, SGDS-K, WHODAS 2.0, age, educational levels. And multiple regression was used to find influencing factors of functional disability. Results : As a result of this study, we identified that WHODAS 2.0 total score was 50.59, summary score was 9.94 and functional disability of the elderly in rural area is in the 70th percentile. The highest level of disability occurred in areas related to 'life activities (household)', 'participation in society' and the lowest level of disability occured in areas of 'self-care', 'getting along with people'. Functional disability was significantly correlated with age (r=.398), cognitive function (r=-.547), depression (r=-.563) but not educational levels (r=-.215). Finally, we confirmed that depression (𝛽=.371), cognitive function (𝛽=-.263), widowed status (𝛽=.303), age (𝛽=.272), non-participation of community program (𝛽=.165) was significantly influencing factors of functional disability and the explanatory power of these factors was 52.80 %. Conclusion : This study revealed important factors of functional disability. Therefore, we need to consider these factors when we developed program related to health for the elderly (aged > 65 years) in rural Korea. Further, we need to standardize WHODAS 2.0 in order to enhance its applicability in clinical practices.

Taste Perceptions of Middle-aged and Elderly People Living in Rural Areas: Relationships among Threshold, Taste Preference and Physical Activity (농촌지역 중.노년의 맛 감지도: 인식한계값, 맛 기호도와 육체적 활동과의 관계)

  • Lee, Mee-Sook
    • Korean Journal of Community Nutrition
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    • v.15 no.5
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    • pp.670-678
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    • 2010
  • Recognition thresholds for NaCl, sucrose, citric acid, and caffeine, as well as the pleasant concentration of NaCl were assessed in 176 males and 312 females aged 50-88 years. Furthermore, relationships among taste sensitivities, taste preferences, and lifestyles were examined. The taste solutions were presented one after the other in ascending order using the sip-and-spit method. For the recognition thresholds of the 4 basic tastes, women perceived significantly lower concentrations than the men. However, the pleasant concentration of NaCl did not show a gender difference. Sensitivities for the 4 basic tastes did not decrease with age in the men, but they did significantly decrease with age for the women, especially for those above 70 years. For men, regular exercise was positively correlated with sensitivities for sour taste and bitter taste, and physical activity was negatively correlated with the pleasant concentrations of NaCl. For women, who had more physical activity, sensitivities for sweet taste and sour taste were lower compared to the others. This study indicates that the sensitivities for 4 basic tastes in water diminished with age, but pleasant salt concentration did not change with age. Further research on pleasant NaCl concentration is required to determine factors affecting salt preference, in order to decrease salt intake in the elderly.

Risk Factors for Falls Among Elderly People Living in the Rural Community

  • Won, Jong-Im
    • Physical Therapy Korea
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    • v.13 no.4
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    • pp.16-22
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    • 2006
  • Falling is a serious problem associated with aging. Unintentional injury, which most often results from falling, is one of the leading causes of death in elderly people. The purpose of this study is to investigate the risk factors of falls and to compare characteristics of people who fall with that of non-fallers among the rural community-dwelling elderly of Korea. A sample of 201 people, living in the community, aged 60 years and over was taken from the members of a center for seniors located in Jecheon city. The mean age of the participants was 70.5 years of age. The participants are comprised of 151 women and 50 men. Eighty four of the 201 participants (41.8%) fell during the previous year. Twenty two of the fallers (26.2%) fell down more than two times. It was found that fallers had poorer eyesight, multiple chronic diseases and a more difficult time walking than non-fallers. In the logistic regression analysis of falls, only the difficulty of walking one kilometer (OR=2.4) and chronic diseases (OR=2.5) have shown an increased risk of falls. The risk of recurrent falls is, in addition, influenced by the difficulty of walking one kilometer. The result of our study shows that the impairment of mobility was the strongest risk factor of recurrent falling.

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