• Title/Summary/Keyword: Older Adult's Education

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Prevalence and Characteristics of Mild Cognitive Impairment in the Community-dwelling Elderly Compared to Elderly with Normal Cognitive Function (지역사회 거주 경도인지장애 노인의 유병율과 정상 노인과의 비교연구)

  • Shin, Kyung-Rim;Kang, Youn-Hee;Jung, Duk-Yoo;Kim, Mi-Young;Kim, Jeong-Soo;Kim, Mi-Jung;Kim, Min-Jung
    • Korean Journal of Adult Nursing
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    • v.23 no.1
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    • pp.40-49
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    • 2011
  • Purpose: This study aimed to identify the prevalence of mild cognitive impairment (MCI) among a group of community-dwelling elderly and to determine if there were differences in general characteristics, activities of daily living (ADL), perceived health status (PHS) between the MCI group and group of elderly with normal cognitive function. Methods: This study utilized a descriptive survey design. Six hundred and five subjects over the age 65 were recruited from an S public health center, Seoul. Data were gathered through a variety of instruments: MoCA-K, K-MMSE, K-MBI, S-IADL, and PHS scale. Data were analyzed by SPSS/WIN 18.0 using descriptive statistics, Chi-Square test and t-test. Results: The prevalence of MCI among the subjects was 46.0%. Differences in IADL, PHS, age, education, sex, and residing with a spouse were statistically significant between groups. The MCI group had lower IADL, lower PHS, were older, and had lower educational levels than the group with normal cognitive function. Further, the MCI group was less likely to live with a spouse. Conclusion: It is suggested that MCI group should be targeted in developing and implementing nursing strategies to prevent dementia and improve the elderly cognitive function.

A Study of Segmental and Syllabic Intervals of Canonical Babbling and Early Speech

  • Chen, Xiaoxiang;Xiao, Yunnan
    • Cross-Cultural Studies
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    • v.28
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    • pp.115-139
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    • 2012
  • Interval or duration of segments, syllables, words and phrases is an important acoustic feature which influences the naturalness of speech. A number of cross-sectional studies regarding acoustic characteristics of children's speech development found that intervals of segments, syllables, words and phrases tend to change with the growing age. One hypothesis assumed that decreases in intervals would be greater when children were younger and smaller decreases in intervals when older (Thelen,1991), it has been supported by quite a number of researches on the basis of cross-sectional studies (Tingley & Allen,1975; Kent & Forner,1980; Chermak & Schneiderman, 1986), but the other hypothesis predicted that decreases in intervals would be smaller when children were younger and greater decreases in intervals when older (Smith, Kenney & Hussain, 1996). Researchers seem to come up with conflicting postulations and inconsistent results about the change trends concerning intervals of segments, syllables, words and phrases, leaving it as an issue unresolved. Most acoustic investigations of children's speech production have been conducted via cross-sectional designs, which involves studying several groups of children. So far, there are only a few longitudinal studies. This issue needs more longitudinal investigations; moreover, the acoustic measures of the intervals of child speech are hardly available. All former studies focus on word stages excluding the babbling stages especially the canonical babbling stage, but we need to find out when concrete changes of intervals begin to occur and what causes the changes. Therefore, we conducted an acoustic study of interval characteristics of segments and words concerning Canonical Babble ( CB) and early speech in an infant aged from 0;9 to 2;4 acquiring Mandarin Chinese. The current research addresses the following two questions: 1. Whether decreases in interval would be greater when children were younger and smaller when they were older or vice versa? 2. Whether the child speech concerning the acoustic features of interval drifts in the direction of the language they are exposed to? The female infant whose L1 was Southern Mandarin living in Changsha was audio- and video-taped at her home for about one hour almost on a weekly basis during her age range from 0;9 to 2;4 under natural observation by us investigators. The recordings were digitized. Parts of the digitized material were labeled. All the repetitions were excluded. The utterances were extracted from 44 sessions ranging from 30 minutes to one hour. The utterances were divided into segments as well as syllable-sized units. Age stages are 0;9-1;0,1;1-1;5, 1;6-2;0, 2;1-2;4. The subject was a monolingual normal child from parents with a good education. The infant was audio-and video-taped in her home almost every week. The data were digitized, segments and syllables from 44 sessions spanning the transition from babble to speech were transcribed in narrow IPA and coded for analysis. Babble was coded from age 0;9-1;0, and words were coded from 1;0 to 2;4, the data has been checked by two professionally trained persons who majored in phonetics. The present investigation is a longitudinal analysis of some temporal characteristics of the child speech during the age periods of 0;9-1;0, 1;1-1;5, 1;6-2;0, 2;1-2;4. The answer to Research Question 1 is that our results are in agreement with neither of the hypotheses. One hypothesis assumed that decreases in intervals would be greater when children were younger and smaller decreases in intervals when older (Thelen,1991); but the other hypothesis predicted that decreases in intervals would be smaller when children were younger and greater decreases in intervals when older (Smith, Kenney & Hussain, 1996). On the whole, there is a tendency of decrease in segmental and syllabic duration with the growing age, but the changes are not drastic and abrupt. For example, /a/ after /k/ in Table 1 has greater decrease during 1;1-1;5, while /a/ after /p/, /t/ and /w/ has greater decrease during 2;1-2;4. /ka/ has greater decrease during 1;1-1;5, while /ta/ and /na/ has greater decrease during 2;1-2;4.Across the age periods, interval change experiences lots of fluctuation all the time. The answer to Research Question 2 is yes. Babbling stage is a period in which the children's acoustic features of intervals of segments, syllables, words and phrases is shifted in the direction of the language to be learned, babbling and children's speech emergence is greatly influenced by ambient language. The phonetic changes in terms of duration would go on until as late as 10-12 years of age before reaching adult-like levels. Definitely, with the increase of exposure to ambient language, the variation would be less and less until they attain the adult-like competence. Via the analysis of the SPSS 15.0, the decrease of segmental and syllabic intervals across the four age periods proves to be of no significant difference (p>0.05). It means that the change of segmental and syllabic intervals is continuous. It reveals that the process of child speech development is gradual and cumulative.

A Study on the Well-Dying Recognition and Decision of Death before and after Education Among University Students (대학생들의 죽음 교육 전과 후의 웰다잉 인식과 결정에 관한 연구)

  • Song, Hyeon-Dong;Ahn, Sang-Yoon;Kim, Yong-Ha;Hwang, Hye-Jeong;Lee, Seo-Hui;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.300-310
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    • 2018
  • The purpose of this study is to compare the change of Well-Dying awareness and decision of university student before and after taking the course of death study. A questionnaire survey was conducted for university students 93 before education, 117 after education who participated in the Death Studies related lectures at Daejeon Metropolitan City for 15 weeks from August to December 2016. The general characteristics of survey are gender, age. grade, major, marriage condition, religion, family member living together and health status. Four items on the perception aspect of death, five items on the aspect of acceptance of death, seven items of death decision and twelve items for death education's interest and importance were configured as a reference scale. The statistical method carried out the chi-square test, the independent sample t-test, and the decision tree analysis. Based on the decision tree, At the time of preparation for death(cancer patient, terminal patient, etc.) and the elderly(65 years old or older), the education transition rate was 66.7%. But After education, 65.3% of the respondents were in adult, middle and high school, under elementary school, university, and graduate school, which showed a significant difference. Therefore we are looking for death education's effectiveness and setting directions for education's period and contents. the negative viewpoints and worries about the implementation of death education at elementary, middle and high schools and universities are resolved and the death education will positively affect the change of attitude of students.

Spiritual Care Guide in HospiceㆍPalliative Care

  • Kyung-Ah Kang;Do-Bong Kim;Su-Jin Koh;Myung-Hee Park;Hye Yoon Park;Deuk Hyoung Yoon;Soo-Jin Yoon;Su-Jeong Lee;JI-Eun Choi;Hyoung-Suk Han;Jiyoung Chun
    • Journal of Hospice and Palliative Care
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    • v.26 no.4
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    • pp.149-159
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    • 2023
  • The Spiritual Care Guide in HospiceㆍPalliative Care is evidence-based and focuses on the universal and integral aspects of human spirituality-such as meaning and purpose, interconnectedness, and transcendence-which go beyond any specific religion. This guide was crafted to improve the spiritual well-being of adult patients aged 19 and older, as well as their families, who are receiving end-of-life care. The provision of spiritual care in hospice and palliative settings aims to assist patients and their families in finding life's meaning and purpose, restoring love and relationships, and helping them come to terms with death while maintaining hope. It is recommended that spiritual needs and the interventions provided are periodically reassessed and evaluated, with the findings recorded. Additionally, hospice and palliative care teams are encouraged to pursue ongoing education and training in spiritual care. Although challenges exist in universally applying this guide across all hospice and palliative care organizations in Korea-due to varying resources and the specific environments of medical institutions-it is significant that the Korean Society for Hospice and Palliative Care has introduced a spiritual care guide poised to enhance the spiritual well-being and quality of care for hospice and palliative care patients.

A Comparison of Salty Taste Assessment, Dietary Attitude and Dietary Behavior among Adult and Senior Women by Region and by Age in Korea (전국 권역별, 연령별 여자 성인과 노인의 짠맛 미각판정치, 식태도 및 식행동 비교)

  • Jiang, Lin;Jung, Yun-Young;Kim, Hyung-Sook;Nam, Gi-Seon;Yun, Jin-Sook;Kim, Jong-Wook;Lee, Yeon-Kyung
    • Korean Journal of Community Nutrition
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    • v.20 no.2
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    • pp.109-119
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    • 2015
  • Objectives: The purpose of this study was to compare and analyze the results of salty taste assessment, dietary attitudes, and dietary behaviors among adult and senior women by region and by age. The results generated from this was expected to provide fundamental data for implementing a nationwide salt reduction education program. Methods: The salty taste assessment tool was applied to 4,064 subjects from 15 areas in Korea. Also, a survey of dietary attitude and dietary behavior related to salt intake was conducted for all subjects participated in this study. Results: The salty taste assessment scores by region and by age were the lowest in capital (p < 0.01) and was highest among the 70+ year age group (p < 0.01). The dietary attitude scores and dietary behavior scores showed that Gyeongsang was the highest (p < 0.001) and the capital was the lowest. The dietary attitude scores were highest at 20&30's followed by 40's and 70's group (p < 0.001). Dietary behavior scores showed that 20's~30's and 40's groups were higher than the other age groups (p < 0.001). The score of 'I like kimchi' was $3.46{\pm}0.88$, which was the highest among 10 dietary behavior questions. The score of 'I eat a lot of kimchi' was $3.30{\pm}0.90$, which was the highest among 10 dietary behavior questions related to salt intake. The scores of salty taste assessment had significant positive correlations between the scores of dietary attitude (p < 0.001), dietary behavior (p < 0.001) and self-awareness (p < 0.001). Conclusions: Based on the results of salty taste assessment, we observed a tendency that older people and regions except the capital had higher preference for salty taste. Our results suggested the necessity for a nationwide salty reduction education program tailored for regions and for different age groups.

Metabolic Syndrome Prevalence and Lifestyle by Age and Metabolic Syndrome Status in Women Religious (여성수도자의 연령별 대사증후군 유무별 대사증후군 위험요인과 생활습관 차이)

  • Kim, Yang-Hee;Kim, Hee-Seung
    • Journal of Korean Biological Nursing Science
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    • v.17 no.1
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    • pp.11-18
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    • 2015
  • Purpose: The purpose of this study was to analyze the prevalence, risk factors of metabolic syndrome, and lifestyle in religious women by age and metabolic syndrome status between the metabolic syndrome group and the normal group. Methods: As the subjects for this study, 125 religious women in the city of D, H, S, Y, participated in this study. The diagnostic criterion of metabolic syndrome used was the National Cholesterol Education Program Adult Treatment Panel III. Results: The prevalence of metabolic syndrome was higher as the religious women got older. The metabolic syndrome group in their forties showed higher waist circumference, triglycerides, and lower HDL-cholesterol than the normal group. Among those in their fifties, the metabolic syndrome group had higher waist circumference, fasting glucose, triglyceride and lower HDL-cholesterol than the normal group. In their sixties, the metabolic syndrome group had higher fasting glucose, triglyceride and systolic blood pressure than the normal group. Conclusion: The metabolic syndrome group in their forties showed that their practice rate of 'trying to avoid stresses at work', 'taking prescription medicines' was low. For those in their fifties, the practice rate of 'reducing overeating' and 'choice of low fat meats' was low. Finally, in the group of those in their sixties, 'reducing fried foods' was low.

The Formative Factors and the Economic Effects of the Basic Job Skills in Korea (한국사회의 직업기초능력의 결정 요인 및 경제적 성과)

  • Kim, Ahn Kook
    • Journal of Labour Economics
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    • v.30 no.1
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    • pp.85-108
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    • 2007
  • This article analyzes the formative factors of the basic job skills(also the ability of computer using) and the economic effects of the basic job skills in Korea. This article uses the ALL(Adult Literacy and Life Skills) 2005 data in Korea. The factors which form the basic job skills are school years, father's education. Women are under men in the ability of computer using. The older a man grow, the more basic job skills he has, but the less ability of computer using he has. The employees in office worker or new service industry have more using computer ability than them in sales worker or manufacture industry. The wage effects of the basic job skills are insignificant, and the economic effects of basic job skills appear apparently in the entry into the good jobs. As the basic job skills can play a important role to enter into the good jobs, the policy agenda should make deal with the methods and programs through which the people without basic job skills must have the opportunities to get a lifelong learning for the basic job skills.

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A study of the Relationship between Use of Harmful Media, Smoking, and Drinking among Junior Highschool Students (중학생의 유해매체 이용과 흡연 및 음주 간의 관련성)

  • Moon, In-Ok
    • The Journal of Korean Society for School & Community Health Education
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    • v.10 no.2
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    • pp.43-54
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    • 2009
  • Objectives: Adolescent health risk behaviors are typically smoking, drinking, violence, and the use of harmful media. The articles published in the literature are about those behaviors which was individually studied. Teenagers, however, are likely to have those behaviors simultaneously such as smoking and drinking. Also, the use of media and harmful materials are common among adolescents. This study was conducted with the purpose of investigating the relationship of smoking, drinking, the use of harmful media. Methods: This study was a secondary analysis using the data drawn from National Youth Committee's survey of adolescent harmful environment in 2007. The self-reported questionnaires were administered to 7,409 students attending junior high schools between October 10 and November 20. The samples were randomly selected based on strata of geography, schools, and gender. Results: Junior high school students used the harmful media ranging from 13.9 % to 31% depending on the type of media. The most accessed one was adult-only games. The current smoking rates was 5.4% and drinking rates was 27.4%. There are statistically significant relationship between smoking and the use of harmful media, between drinking and the use of harmful media, and between smoking and drinking. The behavioral factors that can predict the use of harmful media based on logistic regression analysis are the grade and smoking. Conclusion: Students were at risk of engaging health risk behaviors as they were getting older. Like other literature, smoking was a significant predictor of adolescent behavioral problems.

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Effects of obesity on dental caries in adolescents of 13-18 years (13-18세 청소년의 비만이 치아우식에 미치는 영향)

  • Lee, Eun-Sun;Kim, Soo-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.4
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    • pp.435-445
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    • 2020
  • Objectives: This study investigated the relationship between obesity and dental caries of Korean adolescents. Methods: Data from the Korea National Health and Nutrition Examination Survey (KNHNES VI) (2013 to 2015) were used and targeted adolescents aged 13 to 18 years. For statistical analysis, the SPSS 18.0 program was used, and the significance level was set at 0.05. Results: For the general and health-related characteristics, female students (p=0.001) showed higher decayed, missing, and filled teeth (DMFT) index than male students. Furthermore, DMFT showed higher tendency, as age was higher (p<0.001). Smoking (p=0.011) and drinking experience (p=0.027) revealed higher DMFT. The dental caries experience was significantly different among students who were female (p=0.033), older (p=0.001), and overweight or underweight (p=0.022). In the BMI for the general and health-related characteristics, male students had higher obesity rate than female students (p=0.003), and obese subjects had higher dental checkup in the last year (p=0.013). In multiple linear regression analysis of obesity and DMFT, the unadjusted model showed that the obesity group's DMFT was about 0.8 higher than that of the normal group (p=0.024). However, statistical significance was not shown in the adjusted models. In the logistic regression analysis of obesity and dental caries experience, the unadjusted model 1 (1.93 times), the adjusted model 2 (1.79 times), and model 3 (1.76 times) showed significantly higher dental caries experience. Conclusions: Both obesity and dental caries are related to diet habits and lifestyles and have a negative impact on adult health. Therefore, it is necessary to create a healthy social environment around the adolescent, and proper intervention through education is required to form healthy habits.

Effects of Oral Health Behavior and Mental Health on Metabolic Syndrome in Korean Adults

  • Jung, Jin-Ah;Cheon, Hye-Won;Moon, Sang-Eun;Hong, Sun-Hwa
    • Journal of dental hygiene science
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    • v.22 no.2
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    • pp.90-98
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    • 2022
  • Background: Integrated management of general, mental, and oral health is necessary to improve an individual's quality of life. This study aimed to identify the effects of mental and oral health behaviors on metabolic syndrome. Methods: A total of 4,227 Korean adults aged 20 years or older were selected as study subjects using raw data from the first year (2019) of the 8th period of the Korea National Health and Nutrition Examination Survey (KNHANES). A complex sample chi-square test and a complex sample logistic regression analysis were performed using the PASW Statistics ver. 18.0 program. Results: The effect on metabolic syndrome was significantly higher in male than in 1.833 times in male, 2.914 times in 30~49 years old, and 3.855 times in 50~64 years old, and 3.929 times in people over 65 years old compared to 20~29 years old, and compared to those with a college degree or higher, those with a middle school degree or lower are 2.116 times, those with lower income levels are 1.507 times higher, those with middle-lower are 1.359 times higher, those with middle-high are 1.401 times. Compared to non-smokers, smokers were 1.570 times higher than non-smokers and compared to those without speech problem and chewing difficulty, they were 1.717 times and 1.397 times higher, respectively and 1.973 times higher in those with 0~1 brushing times per day. Mental health did not affect prevalence of metabolic syndrome. Conclusion: It is necessary to improve maintain a healthy lifestyle to lower the risk of metabolic syndrome. It is necessary to establish effective dental hygiene customized education and an efficient health management system at the national level that can induce improvement of oral health behavior for the prevention and management of metabolic syndrome.