• Title/Summary/Keyword: Elderly.Old Aged

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Prognostic Factors of Neurocognitive and Functional Outcomes in Junior and Senior Elderly Patients with Traumatic Brain Injury Undergoing Disability Evaluation or Appointed Disability Evaluation

  • Jung, Young-Jin;Kim, Oh-Lyong;Kim, Min-Su;Cheon, Eun-Jin;Bai, Dai-Seg
    • Journal of Korean Neurosurgical Society
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    • v.55 no.1
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    • pp.18-25
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    • 2014
  • Objective : This study explored the relationships among demographic (DVs) and clinical variables (CVs), neurocognitive (NOs) and functional outcome (FO) that could be used as prognostic factors for old aged patients with traumatic brain injury (TBI) undergoing or appointed disability evaluation (DE) after treatment. Methods : A total of 162 subjects with TBI above the age of 55 years undergoing DE or appointed to do so after treatments were selected. The patients were divided into two subgroups according to age : a junior elderly group 55 to 64 years old and a senior elderly group over the age of 65. NOs and FO were evaluated using the Seoul Neuropsychological Screening Battery and Clinical Dementia Rating scale. Results : Gender, age, and education level were shown to significantly impact the recovery of NOs after TBI. Other DVs and CVs such as area of residency, occupation, type of injury, or loss of consciousness were not found to significantly affect the recovery of NOs after TBI. Analysis of the relationships among DVs, CVs and NOs demonstrated that gender, age, and education level contributed to the variance of NOs. In FO, loss of consciousness (LOC) was included to prognostic factor. Conclusion : Gender, age and education level significantly influence the NOs of elderly patients with TBI. LOC may also serve as a meaningful prognostic factor in FO. Unlike younger adult patients with TBI, old aged patients with TBI did not show global faking-bad or malingering attitudes to DE for compensation, but assume that they could faking their performance in a test set available visual feedback.

Health-related quality of life according to oral health behavior in adults (성인의 연령별 구강건강행위에 따른 건강관련 삶의 질에 관한 연구)

  • Hwang, Su-Hyun
    • Journal of Korean Dental Hygiene Science
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    • v.2 no.2
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    • pp.21-30
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    • 2019
  • This study identifies oral health behavior factors related to the health-related quality of life(EQ-5D) of adults. Three groups are analyzed, young adults(aged 19 to 39 years old), middle-aged(40 to 64 years old), and elderly(over 65 years old). By comparing the factors related to health-related quality of life by age, we will provide information for improving the overall quality of life, including oral health for current and future elderly. Using raw data from the 1st year(2016) of the National Health and Nutrition Survey, the oral health behaviors of the study subjects were compared. These included: the number of times teeth were brushed, the time brushing took place, the use of interdental care products, and whether they went for oral and examinations. There was a statistical significance in treatment experience and drinking habits. There was also a significant influence on the health-related quality of life across the age groups. Therefore, it is possible to improve the health-related quality of life, including oral health practices according to age. It will be necessary to develop and apply.

A Study on the Cost and Proportion of Complementary and Alternative Medicine in Total Healthcare Cost among Elderly in the Last 6 Months of Life (사망전 노인의 전체보건의료비용에서 보완대체요법 비용과 비용분율에 관한 연구)

  • Yi, Jee-Jeon;Ohrr, Hee-Choul;Yi, Sang-Wook
    • Journal of Preventive Medicine and Public Health
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    • v.37 no.2
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    • pp.141-149
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    • 2004
  • Objectives : To evaluate the cost and proportion of complementary and alternative medicines (CAM) in the total healthcare costs among the elderly in the last 6 months of life. Methods : The care-giving families of 301 persons older than 65 years, who died between July 1st and December 31st of 2001, and were also registered in Self-Employed Health Insurance Programs in Seoul, were interviewed. Results : The cost of CAM was 1.09 million Won, which as a proportion of the total healthcare cost was 38.1%. The elderly aged between 65 and 69 year-old, male, living with their spouse, Buddhist and having cancers had higher CAM costs in an ANOVA and simple regression analysis. After controlling of various factors, age was the only significant factor associated with the cost of CAM. The elderly above 80 years old, female, bereaved and Buddhist had higher proportional CAM costs, and the elderly having cancers or cardiovascular diseases had lower proportional CAM costs in an ANOVA and simple regression analysis. After adjusting for various factors, the elderly above 85 years old, female and Buddhist had higher proportional CAM costs, and the elderly having cancers had lower proportional CAM costs. Conclusion : The very old and Buddhist, and/or the ill with no clear diagnosis, may depend more on CAM. Further research will be needed on the meaning and impact of CAM and their costs to public health and the total healthcare system.

A Study of the Reaction Time on Older Driver (고령운전자 인지반응시간에 대한 연구)

  • Lee, Dae Hee;Park, Jin Soo
    • Journal of the Korean Society of Safety
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    • v.34 no.1
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    • pp.70-75
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    • 2019
  • The aging of society is not only Korea's challenge but also a global issue. This leads to an increase in the number of elderly drivers who are much more prone to major traffic accidents. Therefore, we need a system to test aged drivers' driving abilities. As part of efforts to establish such a system, researchers of KoROAD. have conducted a study on the correlation between aging and driving abilities by analyzing old drivers' reaction time. The study shows that there was a sharp increase in reaction time for drivers aged 65 and over. The current reaction time of 2.5 secs for the 85 percent of eligible drivers needs to be revised upward in aging societies. From now on, we need to come up with the traffic safety measures that can deal with the issue of drivers of old age.

Feasibility Study on the Dietary Improvement Program Development for Senior Citizens (지역사회 노인을 위한 식생활 개선 프로그램 개발 항목에 대한 타당성 연구)

  • Kim, Sung-Hee;Kim, Boram;Joo, Nami
    • Korean Journal of Community Nutrition
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    • v.22 no.3
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    • pp.218-227
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    • 2017
  • Objectives: The purpose of the study was to develop dietary change program items that could be used to improve dietary life of the elderly and investigate their validity. Methods: The survey was were analyzed by SPSS program (Ver. 21) and descriptive statistics was performed; a t-test, ${\chi}^2$ test, One-way ANOVA and Friedman test were used to determine the priority. Results: Programs for feeding senior citizens that need to be newly established are largely divided into two fields, namely, application of welfare facilities and application of home care, classified into large, medium and sub-classes. The large class was divided into nutrition management, sanitary control, and other health management. The medium class of nutrition management was divided into nutrition education, nutrition intervention, and menu management and supply. The sub-class was composed of division into application of welfare facilities for the elderly and application of home care for the same age group. Responses showed high rate saying that all the categorized items were necessary and valid. With respect to expectation effect on a community program for old people feeding, 'yes' was 65 people (55.6%) showing very high expectation toward the question whether a community program for old people feeding are newly set up. Conclusions: It is believed that nutrition for the aged will be improved and it will be a help not only to a small facilities without obligation of employing a dietician but also to the aged at home if a community program for old people feeding are newly established.

Correlation of Cognitive Function and Dual-task Performance in Elderly (노인의 인지기능, 손의 기민성 및 인지과제를 결합한 이중과제 수행과의 상관성 연구)

  • Kwak, Ho-Soung
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.83-91
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    • 2022
  • Purpose: The goal of this study was to investigate changes in dual-task performance according to age and difficulty of cognitive tasks for the in community-dwelling elderly populations, as well as to examine their changes in hand dexterity according to age and cognitive function. Methods: A total of 135 people aged 65 years old and over participated in the study. To evaluate each participant's dual-task performance, each participant completed a dual task. To assess their cognitive function, the Korean Mini-Mental State Examination (MMSE-K) and the Korean version of Montreal Cognitive Assessment (MoCA-K) were the tools used. Participants were divided into three groups based on their age: 65-69 years, 70-79 years, and 80-89 years. Results: The findings showed that age groups and the difficulty of the cognitive task significantly affected the amount of time required for dual-task performance (p<.001). Additionally, the dual-task correct response rate (CRR) decreased significantly with age groups and the difficulty of the cognitive task (p<.001). The amount of time required for finger dexterity performance increased significantly with age groups (mean score±standard deviation [SD]; 19.46±2.26 in subjects aged 65-69 years; 21.92±2.61 in subjects aged 70-79 years; and 23.82±2.92 in subjects aged 80-89 years; p<.001). Moreover, as a result of the correlation between hand dexterity and cognitive function, MoCA-K was -0.563 and MMSE-K was -.412, showing a statistically significant correlation (p<.001). Conclusions: Age and the difficulty of the cognitive task affect the community-dwelling elderly populations in terms of dual-task performance and dual-task CRR. In addition, aging and general cognition have an impact on hand dexterity. Based on the results of this study, it is anticipated that the results will serve as a reference for domestic clinical trials that confirm cognitive decline in the elderly using dual task and hand dexterity evaluation.

Recognition on national health insurance coverage and the actual condition of denture among the elderly at senior welfare centers in Seoul (ORIGINAL ARTICLE - 노인틀니 보험화에 대한 인식과 틀니 사용실태 조사 - 서울특별시 일부 노인복지관이용 노인을 대상으로 -)

  • Han, Sun-Young;Kim, Cheoul-Sin
    • The Journal of the Korean dental association
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    • v.50 no.7
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    • pp.407-419
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    • 2012
  • The aim of this study was to investigate the recognition on the national health insurance and the actual condition of denture among the elderly in Seoul city. This survey was performed on 710 of the elderly aged over 60 years and visited the senior welfare centers. The recognition of the elderly on the national health insurance of denture was 61.7%, but there was a low recognition on the details. The elderly had started using dentures from 66.24 years old. The average used period of the past denture was 7.09 years. In conclusions, the provider is required to promote the insurance coverage of denture to increase the coefficient of utilization of the elderly. Also, further studies for the extending coverage of the details are needed.

The Impact of Communication on the Overall Quality of Life in Elderly Koreans

  • Kang, Ji Sook;Park, Sung Ji
    • International Journal of Advanced Culture Technology
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    • v.7 no.3
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    • pp.58-64
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    • 2019
  • Background: Communication is important for the elderly to maintain existing social relationships while creating new relationships based on good communication skills to lessen psychological and emotional distress and lead a healthy life in advanced age. Aims: This study identifies the difference between the social network-based quality of communication life and the overall quality of life in the elderly and how much the quality of communication life affects the overall quality of life. Methods: This research includes a survey of the elderly aged 65 and over living in small cities of South Korea. Data sets of 201 elderly were analyzed. Results: This study found a significant correlation between the quality of communication life and the overall quality of life. Religion also influences the elderly's quality of communication life. The elderly's quality of communication life has 40% explanatory power of the overall quality of life. Conclusion: Consequently, senior citizens' quality of life will be improved through the enhanced quality of communication in addition to financial and health conditions by participating in various community activities similar to those provided by religion to increase opportunities for communication.

Changes in Dining out Consumption Behaviors by Sociodemographic Characteristics of People over 50 Years and Elderly in Korea : Analysis of Data from the Korea National Health and Nutrition Examination Surveys of 2001 and 2011 (50세 이상 성인 및 노인의 인구사회학적 특성에 의한 외식 소비 행태 변화: 2001, 2011 국민건강영양조사 자료 분석)

  • Lee, Chang-Hyun;Oh, Suk-Tae
    • Journal of the East Asian Society of Dietary Life
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    • v.24 no.3
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    • pp.301-314
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    • 2014
  • This study was conducted in order to measure changes in the dining out consumption behaviors of the elderly living in Korea. Data on 2,316 and 3,170 elderly aged over 50 years were extracted from the 2001 and 2011 KNHANES(Korea National Health and Nutrition Examination Surveys), respectively. The data were analyzed by gender, age, region area, marital status, educational level, household income, economic activity and subjective health status. Frequency of dining out was higher in males between 50~64 years of age, living in metropolitan area, well-educated, high-income, engaged in economic activity and healthy. As a result, these basic data can be used for analyzing the changes in dining out consumption behaviors by sociodemographic characteristics of people aged over 50 years and the elderly in Korea. In the results on the consumption rate of food service in the two groups, 'female' and '65~74 years old' showed the largest increases from 10 years, and thus should be the group that the food service industry focuses on to develop new marketing strategies suitable for the environment.

A Study on the Elderly Patients Hospitalized by the Fracture from the Fall (낙상 사고에 의한 골절로 입원한 노인 환자에 대한 조사 연구)

  • 전미양;정현철;최명애
    • Journal of Korean Academy of Nursing
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    • v.31 no.3
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    • pp.443-453
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    • 2001
  • Purpose: To identify age, gender, medication, seasons and place of fall, and areas of the fractures from the fall among the hospitalized elderly patients in order to provide the basic data for future fall prevention program for the elderly. Methods: This study was conducted for 106 elderly patients admitted into a university hospital by fractures from the fall during the period from January 1, 1999 to December 31, 1999. Data on the age, gender, medication, season and place of the fall, areas of the fracture were collected based on their medical records. Result: The age range of the subjects were from 60 to 96 years old. The subjects were aged between 60-69 years old 49(46.2%), between 70-79 years old 31(29.2%), between 80-89 years old 24(22.6%), and over 90 years old 2(1.9%). Male patients comprised was 34(28.3%), while female patients comprised 76(71.7%). The fall occurred in Winter most frequently 34(32%). The place of the fall included room 81(76.4%), streets 13(12.3%), bathroom 6(5.7%), stair 4(3.8%), and mountain 2(1.9%). Twenty-two subjects (20.8%) had medication regularly, while 84 subjects (79.2%) had no medication. The areas of the fracture from the fall included upper extremities 20(18.9%) and lower extremities 86(81.1%). Radius fracture (7.5%) was the area where the fracture occurred most frequently in upper extremities and femur fracture (52.8%) was the area where the fracture occurred most frequently in lower extremities. A significant difference was found in the fracture area by age, season and place of the fall (p<.05). No significant difference was found in the fracture area by gender and medication. In all age groups, seasons and places of the fall, occurrence of fracture in lower extremity was significantly higher than that in upper extremity.

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