• Title/Summary/Keyword: Elderly population

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Changes in the Prosthesis Types Used for Aortic Valve Replacement after the Introduction of Sutureless and Rapid Deployment Valves in Korea: A Nationwide Population-Based Cohort Study

  • Woo, Hyeok Sang;Hwang, Ho Young;Kim, Ho Jin;Kim, Joon Bum;Lee, Sak;Lim, Cheong;Chang, Byung-Cheul;Lee, Na Rae;Suh, Youshin;Choi, Jae Woong
    • Journal of Chest Surgery
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    • v.54 no.5
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    • pp.369-376
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    • 2021
  • Background: Sutureless and rapid deployment valves for aortic valve replacement (AVR) were introduced in Korea in December 2016. This study evaluated changing trends in the prosthetic valves used for AVR in Korea after the introduction of sutureless and rapid deployment valves. Methods: From December 2016 to December 2018, 4,899 patients underwent AVR in Korea. After applying the exclusion criteria, 4,872 patients were analyzed to determine changes in the type of prosthetic valve used for AVR. The study period was divided into 5 groups corresponding to 5-month intervals. Results: The total number of AVR cases was 194.88±28.78 per month during the study period. Mechanical valves were used in approximately 27% to 33% of cases, and the proportion of mechanical valve use showed a tendency to decrease, with marginal significance overall (p=0.078) and significant decreases in patients less than 60 years of age and in men (p=0.013 and p=0.023, respectively). The use of sutureless valves increased from 13.4% to 25.8% of cases (p<0.001), especially in elderly patients (>70 years) and those requiring concomitant surgery. In a comparison between sutureless and rapid deployment valves, the use of Perceval S valves (a type of sutureless valve), gradually increased (p<0.001). Conclusion: After the introduction of sutureless and rapid deployment valves in Korea, the rate of use of these new valves remarkably increased, especially in elderly patients and those requiring concomitant surgery. Further studies should investigate the clinical outcomes of these new prostheses.

A Study on the Influence of Elderly Household Characteristics on Housing Consumption according to Public Pension Receipt (중·고령자 가구의 소득의 특성이 주택소비규모에 미치는 영향: 공적연금수령유무를 중심으로)

  • Jung, Sang Joon;Lee, Chang Moo;Shin, Hye Young
    • Korea Real Estate Review
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    • v.28 no.1
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    • pp.105-114
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    • 2018
  • According to Statistics Korea, South Korea has entered the realm of the "aging society" with the rapid development of the country's population. Researchers anticipate that the extremely high (73%) ratio of real estate property to total assets for mid-age to aged households in South Korea that do not have a fixed income may cause serious problems in the future. For example, the real estate market in South Korea may be bombarded with properties listed for sale, causing the average property price to drop due to the abundant supply. Although this prediction may be reasonable, this concept has excluded the idea of pension (which is crucial as it can be considered a consistent and fixed income) due to the limited amount of available data thereon; as such, it is important to include this factor to improve the pertinent research. Thus, this research was conducted using the data from the $3^{rd}$ and $5^{th}$ Korea Retirement and Income Study. For the study results, it was found that variables such as net asset, gender, education, and number of family members have the same impact as that found in the previous studies. To extend from here, two new factors were introduced: the existence of pensions and the amount of pension received by a household. From there, it was found that the existence of a consistent and fixed income such as a pension has led to an increase in housing consumption, the area of interest of the authors.

Frailty and Health Care Utilization among Community-dwelling Older Adults (노쇠와 의료 이용의 관련성: 일부 지역사회 거주 노인들을 중심으로)

  • Jung, Youn;Bae, Jung-Eun;Song, Eunsol;Kim, Namsoon
    • 한국노년학
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    • v.38 no.4
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    • pp.837-851
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    • 2018
  • This study aimed to investigate the relationship between frailty and health care utilization in a cross-sectional design of a population-based sample of community-dwelling older adults. We used the data of 516 participants who dwell in Daejon, aged between 65 and 84 years old. Using K-frailty index, frailty status were measured and categorized as three groups: robust, prefrail, and frail. Logistic regression analysis was used to examine if frailty affects emergency department(ED) visit or hospitalization. In addition, negative binomial regression was used to examine the association between outpatient visits and frailty. Our results showed that the frail elderly increased the ED visit and the number of outpatient visit significantly after controlling for demographic characteristics, socioeconomic status, the number of chronic diseases, and self-rated health status. Considering that frailty is an important independent factor affecting health care utilization, more attention is required to prevent the frailty in our health care system.

The Effects of Smartphone Use on Structured Social Network Types among Retired Older Adults in South Korea (스마트폰 이용이 은퇴 노인의 구조적 사회관계망에 미치는 영향)

  • Um, Sa Rang;Chio, Eun Young;Cho, Sung Eun;Chio, In Jung;Kim, Young Sun
    • 한국노년학
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    • v.38 no.3
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    • pp.481-499
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    • 2018
  • The purpose of this study is to examine the impacts of smartphone use on structured social network types in the Korean elderly population. Data was derived from the 2014 survey of living conditions and welfare needs of Korean older persons collected by Korea Institute for Health and Social Affairs. A total of 4,180 participants were selected for the Propensity Score Matching (PSM) analysis. Based on propensity score estimates, the 491 smartphone users (treatment group) and 491 featurephone users (control group) were matched. Ordinary Least Squares (OLS) regression analysis was conducted to examine the relationship between smartphone use and structural social network types. The results showed that among retired older adults, people using smartphone had significantly better structured social networks than those using featurephone even after controlling for covariates. Smartphone users had the higher levels of social contact and social activity. These findings suggested empirical evidence that using smartphone positively affects structured social networks, which might be used as the basis for designing intervention programs to promote social networks and social engagement of retired older adults.

Associations of Elderly Onset Headache With Occurrence of Poor Functional Outcome, Cardiovascular Disease, and Cognitive Dysfunction During Long-term Follow-up

  • Cho, Soo-Jin;Kim, Byung-Kun;Kim, Byung-Su;Kim, Jae-Moon;Kim, Soo-Kyoung;Moon, Heui-Soo;Cha, Myoung-Jin;Park, Kwang-Yeol;Sohn, Jong-Hee;Chu, Min Kyung;Song, Tae-Jin
    • Annals of Geriatric Medicine and Research
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    • v.22 no.4
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    • pp.176-183
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    • 2018
  • Background: Although the frequency and intensity of headaches decrease in older adults, headaches in this population are still an important neurological disorder. The purpose of this study was to investigate the associations of headache characteristics in older adults with the development of cardiovascular disease and cognitive dysfunction. Methods: We prospectively enrolled 125 older (${\geq}65$ years old) patients with headache who were making their first visit to outpatient clinics and who had no prior history of cognitive dysfunction from 11 hospitals in Korea between August 2014 and February 2015. We investigated the occurrence of newly developed/or recurrent headache, cardiovascular disease, cognitive dysfunction, and poor functional outcomes. Results: The mean age of all included patients was 72.6 years, 68.8% were women, and 43 (34.4%) had newly developed/or recurrent headache during follow-up. During a median follow-up of 31 months (interquartile range, 28-34 months), 21 participants (16.8%) experienced cardiovascular disease, and 26 (20.8%) developed cognitive dysfunction. Upon multivariate analysis and after adjusting for sex, age, and other factors, presence of newly developed/or recurrent headache was found to be associated with cardiovascular disease (hazard ratio [HR], 4.03; 95% confidence interval [CI], 1.28-12.61; p=0.017) and frequency of headache for the recent 3 months was related with cognitive dysfunction (HR, 1.05; 95% CI, 1.00-1.09; p=0.017) and poor functional outcomes (HR, 1.06; 95% CI, 1.01-1.11; p=0.011). Conclusion: Our study demonstrated that there is an increased risk of cardiovascular disease, cognitive dysfunction, and poor functional outcomes in older patients with frequent, newly developed, or recurrent headache.

The Spatial Characteristics of Universal Design (UD) Tourist Attractions in Seoul (서울시 유니버설 디자인(UD) 관광지의 공간적 특성에 관한 연구)

  • Baek, Seol;Kim, Seong-A;Kim, Heungsoon
    • Land and Housing Review
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    • v.13 no.1
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    • pp.1-9
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    • 2022
  • In 1991, the United Nations World Tourism Organization (UNWTO) declared "tourism accessible for all" recommending the practice of the right to enjoy tourism. According to the Ministry of Health and Welfare of Korea (2019), the disabled, who are the most vulnerable in tourism, accounted for 5.1% of the total population, and the number of the elderly over 65 is expected to increase to 20.3% by 2025. In particular, the need for customized policies has been raised as the proportion of disabled people among the elderly aged 65 and over continues to increase. Thus, this study identified the spatial characteristics of Universal Design (UD) tourist destinations considering the tourism vulnerable groups. Administrative units (425 dongs) in Seoul were used as spatial units for analysis. As a research method, first, a spatial model was specified through LM verification, and then spatial regression analysis was performed. As a result of the analysis, the spatial characteristics of UD tourist destinations were found to have positive (+) effects on the number of universally certified businesses, the number of restaurants, and the number of bus stops that were available to the vulnerable. It was confirmed that there are a large number of universal certified businesses, restaurants, and bus stops in dongs with UD tourist destinations. The findings will provide policy implications when promoting the right to enjoy tourism in the future and improving Korean universal design quality.

A Study for Improving the Golf Performance of Senior Male Golfers : a focus on Dynamic Warm-up Exercise (남자 노인의 골프 수행력 향상을 위한 연구 : 동적 준비운동을 중심으로)

  • Kwak, Kyu-Hoon;Jeong, Tchae-Won
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.69-77
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    • 2020
  • Korea's golf fever is as good as the United States, Europe and Japan, which are called golf powers. The senior golf population over 55 years old has exceeded 2.5 million, and they are more interested in improving golf performance than participating in golf. So, this study aims to emphasize the importance of dynamic preparation exercise by identifying the effects of dynamic preparation exercise on golf physical strength and golf batting in order to suggest a way to help the elderly men's golf performance. The experimental group(n=13) and the control group(n=14) were divided into two groups and repeated measurements were conducted by two-way ANOVA with pre- and post-design. As a result of the analysis, the flexibility factor showed a positive effect on golf physical strength, and in golf batting, head speed, distance, and attack angle showed interaction effect, which led to the conclusion that dynamic preparation exercise helped the golf performance of the elderly male. Therefore, the continuous dynamic preparation exercise led to positive transition to head speed and attack angle due to the increase in the flexibility of the body, which led to the improvement of distance and the increase in performance level.

Implementation of Acceleration Sensor-based Human activity and Fall Classification Algorithm (가속도 센서기반의 인체활동 및 낙상 분류를 위한 알고리즘 구현)

  • Hyun Park;Jun-Mo Park;Yeon-Chul, Ha
    • Journal of the Institute of Convergence Signal Processing
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    • v.23 no.2
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    • pp.76-83
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    • 2022
  • With the recent development of IT technology, research and interest in various biosignal measuring devices is increasing. As an aging society is in full swing, research on the elderly population using IT-related technologies is continuously developing. This study is about the development of life pattern detection and fall detection algorithm, which is one of the medical service areas for the elderly, who are rapidly developing as they enter a super-aged society. This study consisted of a system using a 3-axis accelerometer and an electrocardiogram sensor, collected data, and then analyzed the data. It was confirmed that behavioral patterns could be classified from the actual research results. In order to evaluate the usefulness of the human activity monitoring system implemented in this study, experiments were performed under various conditions, such as changes in posture and walking speed, and signal magnitude range and signal vector magnitude parameters reflecting the acceleration of gravity of the human body and the degree of human activity. was extracted. And the possibility of discrimination according to the condition of the subject was examined by these parameter values.

Using Photovoice A Study on the Perception of Death Readiness in Babyboomer Retirees (포토보이스를 활용한 베이비부머 은퇴자의 죽음준비 인식의 연구)

  • Chung, Ju-Young;Lee, Mi-Ran
    • Journal of Convergence for Information Technology
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    • v.12 no.3
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    • pp.171-177
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    • 2022
  • The retirement of the Korean baby boomer generation has become a major factor in an aging society as a large proportion of the population has moved from the middle-aged to the elderly. In addition, after being busy working at a structured workplace for over 30 years, after retirement, they could not adapt to the unstructured environment, causing depression and leading to social problems such as the risk of suicide. research was needed. This study uses photovoice to in-depth research on the research question of how retirees' perception of death preparation, who wants to live a life prepared until death, is used. This is the purpose of this study. The study participants were 7 baby boomer retirees, the data were collected for 2 months, and the perception derived as a result of analyzing the photos, explanations, and in-depth interviews taken by the subject analysis method was used to prepare It was a necessity for education. In the discussion of this study, it is urgent to develop a death preparation education program that can help the baby boomer retirees, and I would like to suggest that the cooperation of local organizations in charge of the program is necessary. This study is meaningful in that it presents basic data in preparing social welfare policy measures for the elderly after retirement through the awareness of death preparations of baby boomer retirees.

End-of-life Care Experiences of Long-Term Care Hospital Nurses (요양병원 간호사의 임종간호경험)

  • Yeong-Nam, Yeo
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.185-192
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    • 2023
  • Currently, the number of Long-Term Care Hospital in Korea is continuously increasing with the increase in the elderly population. Patients admitted to Long-Term Care Hospital are mainly elderly with chronic diseases, and because they are for long-term care, they often die in Long-Term Care Hospital, and the importance of end-of-life care is gradually increasing. In spite of these characteristics Studies on end-of-life care for nurses in Long-Term Care Hospital are mainly quantitative studies, and there is a limit to in-depth understanding of end-of-life care experiences. Therefore, The purpose of this study is to understand the meaning of Long-Term Care Hospital nurses' nursing experienceof end-of-life patients through a phenomenological method, and to describe and understand the meaning of the phenomenon in depth. The subjects of this study were 7 nurses who had worked for more than 6 months at a nursing hospital located in C city. The research method was in-depth interviews, and data were collected from December 2021 to March 2022. The interview date were analyzed by Giorgi's phenomenological method. As a result of the study, 'nurses' attitude toward end-of-life care', 'ambivalence toward life prolongation', 'reality of end-of-life care in Long-Term Care Hospital', and 'reflection on life and death' were found. Therefore, it is thought that End-of-life nursing Continuing educationand interventional education programs should be developed to change Long-Term Care Hospital nurses' end-of-life care attitudes and improve coping skills.