• Title/Summary/Keyword: Increase in elderly population

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Operative Risk Factors in Gastric Cancer Surgery for Elderly Patients

  • Seo, Su-Han;Hur, Hoon;An, Chang-Wook;Yi, Xian;Kim, June-Young;Han, Sang-Uk;Cho, Yong-Kwan
    • Journal of Gastric Cancer
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    • v.11 no.2
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    • pp.116-121
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    • 2011
  • Purpose: Gastric cancer surgery is a common operation in East Asia, such as Korea and Japan, and there has been a significant increase in the need for this procedure due to the aging population. As a result, surgery for the treatment of gastric cancer for elderly patients is expected to increase. This study examined the effect of old age on gastric cancer surgery, and analyzed the operative risk factors for elderly patients. Materials and Methods: From November 2008 to August 2010, 590 patients, who underwent a curative resection for gastric cancers, were enrolled. Patients who underwent palliative or emergency surgery were excluded. A retrospective analysis of the correlation between surgical outcomes and age was performed. The elderly were defined as patients who were over the age of 65 years. Results: The mean age of all patients was 58.3 years, and complications occurred in 87 cases (14.7%). The most common complication was wound infection and severe complications requiring surgical, endoscopic, or radiologic intervention developed in 52 cases (8.8%). The rate of complications increased with increasing age of the patients. Univariate analysis revealed age, comorbidity, extent of resection, operation time, and combined resection to be associated with surgical complications. In particular, age over 75 years old, operation time, and comorbidity were predictive factors in multivariate analysis. In the elderly, only comorbidity was associated with surgical complications Conclusions: The patients' age is the most important factor for predicting surgical complications. Surgeons should pay an attention to the performance of gastric cancer surgery on elderly patients. In particular, it must be performed carefully for elderly patients with a comorbidity.

A Study on the Characteristics of Daily Living and the Location of Welfare Facilities for the Aged in the Local City (지방소도시 노인복지시설의 입지와 고령자의 생활특성에 관한 연구)

  • Yang, Kum-Suek
    • Journal of the Korean Institute of Rural Architecture
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    • v.11 no.2
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    • pp.37-44
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    • 2009
  • The purpose of this study is to clarify the characteristics of daily living and the location of welfare facilities for the aged in the local city. The thorough investigation and observation works were made to them from the view points of daily living behaviors and behavioral places of the recuperating elderly and location of welfare facilities. This article discusses about the actual condition of the daily living activities of 252 elderly in 4 facilities. The results of this study are summarized as follows; We must actively prepare for the advanced age society to the increase of the elderly man population. The elderly man welfare facilities expansion needs the range who do not escape from existing a life area of the aged. The city of Sa-cheon the elderly man welfare facilities have got on favorable terms ready in the locational environment. But an facilities in the west area need to preparable emergency happen that facility construction. The usage of behavioral places in recuperating facilities are influenced by the physical environments and the basic characteristics of the elderly.

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A Study on System of Housing Adaptation Items' For Elderly People (노인가구 주택개조항목 설정 체계에 관한 연구;유니버설 디자인을 중심으로)

  • Park, Sung-Jun;Lee, Hyun-Soo
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2006.11a
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    • pp.159-162
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    • 2006
  • The purpose of this study is to set up systematically housing adaptation items for the aged family. Housing adaptation items are classified by universal design principles. Also, this paper suggest to basic data for setting up various ranges according to each elderly people's conditions, adapting for elderly housing. Recently, in relation to the growing awareness of the ageing population, the necessity of policies for "aging in place" was emphasized by government. This paper is focused on the policy of elderly housings' adaptation for making housing for a lifetime. This new adaptation items for the elderly housing lead to the revitalization of policy ensuring housing in stock at the local authority level. In this paper, adaptation items were created after analyzing indices highlighted by previous studies related to evaluation items, design-guidelines for safety plans, designing elderly housing. The scope of adaptation items was limited to the indoor spaces of apartment due to the considerable increase of in-house accidents. To sum up, this study is aimed to set up adaptation items and then, to present the basic scheme for several users offering various ranges

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R&D Policy of the Korean Government for Aging Society

  • Suh, Jiyoung
    • STI Policy Review
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    • v.4 no.1
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    • pp.14-26
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    • 2013
  • The $1^{st}$ National Plan for Aging Society with Low Fertility, which the Korean government announced in 2006, caused the gradual increase of R&D investment in order to prepare for an aging society in Korea. This study explores if the directions and strategies of R&D projects related to aging are suitable to improve the quality of life for elderly people and establish a sustainable aging society by analyzing the features of R&D investment from 2004 to 2010. The results show that most R&D projects conducted by departments focus on the development of assistive devices for the elderly to support everyday lives. The Korean government's R&D policy to prepare for an aging society is based on the narrow interpretation of Quality of Life (QoL) in an aging society that tries to resolve the socioeconomic problems of the elderly; however, the policies have ignored the independence of active elderly individuals and the social integration of the young and elderly generations. The research shows that a paradigm shift is required from a 'Senior' to 'Aging Society' because almost 1/3 of the Korean population is over 65 years old and the expansion of the research embraces from assistive technologies for the elderly to the design of social infrastructure such as transportation, education and work.

Web Interface Applicability for Aging friendly Digital Home Planning (행태기반 고령친화 디지털 홈 계획을 위한 웹 인터페이스 활용에 대한 연구)

  • Kwon, Hyun-Joo;Lee, Yeun-Sook;Lee, Soo-Jin
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2008.05a
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    • pp.251-257
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    • 2008
  • Among the mainstream of this society has quickly adopted computer technology as part of their daily life, the ever growing group of elderly people, which will increase from 7% of the population in 2000 to being 14% just 18 years later, has been being exposed to computer using environment more than ever before. According to the survey of Korean government in 2005, the number of the elderly using computer has been rising actually, so web-based survey to identify housing needs of the elderly seems to have lots of possibilities as a useful tool for them. This study aims at comparing web-based survey tool with paper-based one, developed to identify the elderly needs on digital home planning. Experimental method and in-depth interview were employed. The participants were divided into 2 groups, web-based and paper-based survey group. Each group was controlled over by age (average 60 years old), gender and computer skill. As a results, web-based survy tool was revealed as effective to clearer understanding and causing more interests and more available, but less easy to handle than paper-based survey one. Through the in-depth interview, web-based survey tool was identified as a more effective method to figure out the needs of the elderly who are familiar with computer.

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Sex-Specific Trends in the Prevalence of Hypertension and the Number of People With Hypertension: Analysis of the Korea National Health and Nutrition Examination Survey (KNHANES) 1998-2018

  • Eunsun Seo;Sunjae Jung;Hokyou Lee;Hyeon Chang Kim
    • Korean Circulation Journal
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    • v.52 no.5
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    • pp.382-392
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    • 2022
  • Background and Objectives: As the Korean population ages fast, it is estimated that the people with hypertension, especially female patients, will increase rapidly. However, there are few data comparing the size of female and male hypertensive patients in the Korean population. Thus we assessed sex-specific trends in the prevalence and the number of people with hypertension. Methods: We analyzed data for 128,949 adults aged ≥20 years with valid blood pressure measurements from the 1998 to 2018 Korea National Health and Nutrition Examination Survey (KNHANES). The prevalence and the absolute number of hypertension were estimated with taking into the sampling weights separately for women and men. Results: Overall prevalence of hypertension is higher in men than in women. But, in older adults, women show higher prevalence and the number of people with hypertension. Between 1998 and 2018, prevalence of hypertension increased from 61.8% to 65.9% in elderly (age 65+) women, and from 49.0% to 59.4% in elderly men. During the same period, the number of elderly women with hypertension increased from 1.18 to 2.70 million, while the number of elderly men with hypertension increased from 0.57 to 1.78 million. Among hypertensive patients, undiagnosed hypertension and diagnosed-but-untreated hypertension were more common in men, while treated-but-uncontrolled hypertension were more common in women. Conclusion: The fast-growing number of elderly women with hypertension will be an important public health challenge for the Korean society to solve in order to reduce the burden of cardiovascular disease.

A Study on the Program and Utilization of the Multipurpose Senior Center in Deajeon (대전시 노인종합복지관의 운영프로그램 및 이용실태에 관한 연구)

  • Jeon, Young Hoon;Chai, Choul-Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.3
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    • pp.35-42
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    • 2008
  • The purpose of this study is to provide the fundamental materials for architectural planning of the Multipurpose Senior Center according to regional characteristics, and to analyze the Multipurpose Senior Center at the view of the program and utilization. For the analysis of the actual condition are surveyed 164 respondents und programs in four facilities in Deajeon. The results of this study are as follows; 1. the characteristics, problems and demands of the section of social education, the counseling, the medical rehabilitation, the sports education, etc. 2. the consideration factors for the planning of the program and volume of the Multipurpose Senior Center on the basic of the rate of increase in population of the Elderly in regions.

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A Study on the Improvement of Evacuation Measures through the Analysis of Fire Incident in the Facility of People Vulnerable to Disaster (재난약자시설의 화재사례 분석을 통한 피난대책 개선에 관한 연구)

  • Jin, Seung-Hyeon;Kim, Hye-Won;Lee, Byeong-Heun;Kwon, Young-Jin
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2018.05a
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    • pp.78-79
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    • 2018
  • The facilities of domestic elderly people are getting higher in the facility due to the rapid increase of the elderly population. Elderly people ability to evacuate the facility such as cognition and walking ability is very low. Therefore, it is necessary to secure the safety of evacuation in case of fire, but the evacuation safety measures in case of domestic fire accidents are insufficient. This study is to identify the problems of the safety of evacuation through the fire case analysis and to propose the measures against it.

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Severe Diarrhea-induced Acute Kidney Injury and Its Consequence in an Elderly

  • Chang-Gue Son
    • The Journal of Korean Medicine
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    • v.44 no.4
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    • pp.163-169
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    • 2023
  • Methods: This study presents a comprehensive case study of an elderly male diagnosed with acute kidney injury (AKI) resulting from severe dehydration, supported by an extended follow-up with laboratory findings. Results: An 83-year-old male patient experienced severe diarrhea overnight, leading to hospitalization due to symptoms of dehydration and hypotension. His laboratory results displayed a typical AKI pattern, including a significant increase in creatinine levels (5.19 mg/dL) and the presence of hyperkalemia and hyponatremia. Following general treatments, including the administration of an herbal drug (Bulhwangeumjeonggi-san), the estimated glomerular filtration rate (eGFR) improved from 10 ml/min (Stage 5) to 34 ml/min (Stage 3) within five days when he was discharged. Although subsequent eGFR tests, conducted one and two months later as an outpatient, revealed an improvement of 42 ml/min, the patient still experienced mild chronic dysfunction as a consequence. Conclusion: This study presents a noteworthy case of acute kidney injury attributed to severe dehydration, emphasizing the importance of medical awareness regarding diarrhea-induced kidney function impairment, especially in the elderly population.

Strategies to Improve Nutrition in the Elderly : An Analysis of Health Related Factors and the Nutritional Risk Index of the Elderly (노인 영양개선 전략 연구 : 건강 관련 요인 및 영양위험지표 분석)

  • 임경숙;민영희;이태영
    • Korean Journal of Community Nutrition
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    • v.2 no.3
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    • pp.376-387
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    • 1997
  • The elderly are the most rapidly growing segment of the population in Korea and the largest consumers of expensive medical care. It is reasonable to believe that improving the nutritional status would be beneficial to reducing morbidity and to impro- ving the quality of their lives. This study was conducted to assess the health status and the Nutritional Risk Index of the elderly, and to provide the basic data for the Elderly Nutrition Improvement Program at the Public Health Center. One hundred and forty seven(76 males. 71 females) aged 60 years and over living in Suwon, were assessed with anthropometric measurements, body fat analysis, blood pressure measurements, and a set of questionnaires about health and other related variables. Over half of them had less than a junior middle school education and were considered low income. The percentage of overweight and obese subjects was 33% by the BMI(Body Mass Index), and the prevalence of hypertension was 28$\%$(males) and 31$\%$(females). They had a lot of self-recognized health problems, the male elderly complained about more than the female elderly. In the case of psychological health status, however, the female elderly showed a higher proportions of depression than the male elderly(p$\ll$0.05). In social health status, the elderly had good relationships with friends and collegues, whereas they had poor relationships with their families. They had many nutritional risk factors, and smoking was the most prevalent risk factor for the male elderly and anemia was for the female elderly. The results of this study suggest that Elderly Nutrition Improvement Programs should be planned that can be easily followed. It would be helpful to design a program focusing on individual phychological and social health status, this would increase the efficiency of the program.

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