• Title/Summary/Keyword: Poor elderly

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The Role of Korean Ethnic Networks in the Settlement Process of Korean Immigrants and Their Utilization Measures : A Case Study of Korean Immigrants in Los Angeles (한인 이주민의 정착과정에서 한인네트워크 역할 및 활용 방안 - 미국 LA지역 한인 이주민 사례를 중심으로 -)

  • Park, Wonseok
    • Journal of the Korean association of regional geographers
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    • v.21 no.2
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    • pp.286-303
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    • 2015
  • This paper aims at analyzing the role of Korean ethnic network in the settlement process of Korean immigrants, and elucidating their utilization measures, through the case Study of Korean Immigrants in LA. The main results of this study are as follows. Firstly, the majority of respondents used Korean ethnic networks and Korean town in the immigration process. According to the results of ANOVA test, Korean ethnic network are more importantly considered by the groups such as elderly, livers in Korean town, and people who the first settlement was LA. Secondly, respondents more frequently use Korean ethnic network in the activities such as church, shopping and business. Especially, the groups such as short immigration term, elderly, poor English ability are more frequently use Korean ethnic network. Thirdly, Viewing the cognition of respondents about the necessity of Korean ethnic networks, respondents want to use them for strengthening the ties of domination society. Finally, utilization of Korean ethnic churches, Korean ethnic business organizations and Korean ethnic web-site portal are proposed for activating Korean ethnic networks.

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Factors Influencing on Self Rated Health of Young and Elderly Community E-cigarette Smokers: The Community Health Survey 2019 (청·장년층 전자담배흡연자의 주관적 건강상태에 영향을 미치는 요인: 2019년 지역사회건강조사 자료 활용)

  • Son, Gee-Yeon;Park, Ju Ah;Nam, Mi-Ra
    • Journal of the Korea Convergence Society
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    • v.12 no.9
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    • pp.331-341
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    • 2021
  • This descriptive study was conducted to examine self rated health and factors influencing self rated health among e-cigarette smoking young and elderly community residents. The data were from the community health survey 2019 and the subjectis were 2,607 participants aged 19-50 years. Data analysis was conducted by descriptive statistics, χ2 test, univariate multinominal logistic regression using SPSS 26.0 program and SPSS complex samples statistics. As a result of the study, 90.2% of the young and old e-cigarette smokers had a good subjective health condition and 9.8% had a poor subjective health condition. The factors affecting the subjective health status of e-cigarette smokers are gender(p=.006), age(p=.036), income level(p=.044) in Model I, and physical activity (p=.033) and stress (p<.001) in Model II. As a strategy to improve the subjective health status and quit smoking of e-cigarette smokers in the young and old, nursing intervention strategies are needed to increase physical activity and reduce stress.

The Effects of the transfer Income on Poverty Decrease of Grandparents-grandchildren Households: Comparing Grandparents-grandchildren with Living Alone, Couple, and Living with Adulthood Children (조손가구 이전소득의 빈곤감소 효과: 조손가구, 독거노인가구, 노인부부가구, 자녀동거가구 비교)

  • Min, Kichae
    • 한국노년학
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    • v.31 no.2
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    • pp.321-341
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    • 2011
  • The purpose of this study is to examine income composition elements, poverty rate, and the effects of the transfer income on poverty decrease comparing grandparents-grandchildren households with living alone, couple, and living with adulthood children. Data come from the first(2005) and the second(2007) Korean Retirement and Income Study(KReIS) and the effects of poverty decrease is examined through reconstruction of LIS income definition. The main findings are as follows. First, the total income of the grandparents-grandchildren in 2006 is the lowest and about one-fourth of the households living with adulthood children. Second, the labor income of all households are increasing but the only grandparents-grandchildren's labor income is decreasing. Third, three of ten in grandparents- grandchildren households are in poverty, the poorest households's type is the grandparents-grandchildren in 2006. Fourth, four of ten in grandparents-grandchildren is able to escape poverty after including private and public transfer income. Especially, the effects of the public transfer income in grandparents-grandchildren households is lower in 2006 than in 2004, thus the role of public income security is strongly needed. Existing research was that the poorest type among the elderly group was the living-alone households, but this results show that grandparents -grandchildren households are the poorest group. Thus, income security policy is highly needed for poor skipped-generation households.

Measuring Spatial Accessibility to the Hospitals for Infants, Children, Adolescents, and Elderly Population Using 2SFCA: A Case Study of Chuncheon-si, Gangwon-do (2SFCA를 활용한 노인과 소아청소년에 대한 병원 접근성 분석: 강원도 춘천시를 사례로)

  • Jung, Nan-Ju;Kang, Jeon-Young
    • Journal of Cadastre & Land InformatiX
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    • v.54 no.1
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    • pp.49-61
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    • 2024
  • South Korea faces a declining population and rural areas vanishing due to urbanization. Infrastructure, especially medical facilities, may not be sustainable for a long-term. This may impact vulnerable groups like children, teens, and the elderly, worsened by an aging population and low birth rates. Gangwon-do, notably Chuncheon-si, suffers from rural depopulation and poor healthcare self-sufficiency. In this paper, using 2SFCA(Two-Step Floating Catchment Area), we analyze healthcare access in Chuncheon-si, identifying gaps and vulnerable areas. LISA analysis helps map medical vulnerability, considering patient demand and supply. The Gini coefficient assesses spatial inequality. We propose distributing healthcare services and personnel based on age and region. The aim is to identify locations for additional hospitals catering to the elders, Infants, Children, and Adolescents,considering spatial accessibility.

Curative Radiation Therapy for T2N0M0 Non-small Cell Lung Cancer (T2N0M0 비소세포성 폐암의 근치적 방사선치료)

  • Park, In-Kyu;Kim, Jae-Choel
    • Radiation Oncology Journal
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    • v.13 no.1
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    • pp.19-26
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    • 1995
  • Purpose : Surgery is the treatment of choice for resectable non-small cell lung cancer. For patients who are medically unable to tolerate a surgical resection or who refuse surgery, radiation therapy is an acceptable alternative. A retrospective analysis of Patients with stage I non-samll cell lung cancer treated with curative radiation therapy was performed to determine the results of curative radiation therapy and patterns of failure, and to identify factors that may influence survival. Materials and Methods : From 1986 through 1993, 39 Patients with T2N0M0 non-small cell lung cancer were treated with curative radiation therapy at department of radiation oncology, Kyungpook national university hospital. All Patients were not candidates for surgical resection because of either Patient refusal (16 patients), poor pulmonary function (12 patients), old age (7 patients), Poor Performance (2 patients) or coexisting medical disease (2 patients). Median age of patients was 67 years. Histologic cell type was squamous cell carcinoma in 36, adenocarcinoma in 1, large cell carcinoma in 1 and mucoepidermoid carcinoma in 1. All patients were treated with megavoltage irradiation and radiation dose ranged from 5000cgy to 6150cGy with a median dose of 6000cGy. The median follow-up was 17 months with a range of 4 to 82 months, Survival was measured from the date therapy initiated. Results : The overall survival rate for entire Patients was $40.6\%$ at 2 years and $27.7\%$ at 3 years, with a median survival time of 21 months. The disease-free survival at 2 and 3 years was $51.7\%$ and $25.8\%$, respectively. Of evaluable 20 patients with complete response, 15 patients were considered to have failed. Of these, 13 patients showed local failure and 2 patients failed distantly. Response to treatment (p=0.0001), tumor size (p=0.0019) and age (p=0.0247) were favorably associated with overall survival. Only age was predictive for disease-free survival (p = 0.0452). Conclusion : Radiation therapy is an effective treatment for small (less than 3cm) tumors, and should be offered as an alternative to surgery in elderly or infirm patients. Since local failure is the prominent Patterns of relapse, potential methods to improve local control with radiation therapy are discussed.

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A Study on the Determinants of Private Long-Term Care Insurance and First Home Care Use in the United States: Using Discrete Time Model (미국의 민간장기요양보험 가입과 재가요양서비스 이용의 결정요인에 관한 연구: 이산시간모델을 사용하여)

  • Kim, So-Yun;Hong, Gong-Soog;Montalto, Catherine P.
    • Survey Research
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    • v.11 no.2
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    • pp.97-121
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    • 2010
  • Using the 1998-2004 Health and Retirement Study(HRS), this study explored the determinants of private long-term care insurance(LTCI) ownership and the first home care use. To account for the interaction between LTCI purchase and home care use, this study used two-period utility model as theoretical framework. Discrete time model was used as an empirical model to incorporate the time-dependent feature of LTCI ownership. And this study accounted for the endogeneity of LTCI ownership and home care use by employing full information maximum likelihood estimation. This study indicated insignificant effects of private LTCI ownership and Medicaid eligibility on the home care use. Also, the effects of income and assets on home care utilization were negligible. Those who have poor health condition and who do not have potential informal caregivers were more likely to use home care. For private LTCI ownership, income and assets have positive relationship with LTCI purchase, and poor health status and age were negatively related to LTCI purchase. The elderly living with children and those who have more siblings were less likely to have private LTCI, and those who lived with spouses with no children were more likely to buy private LTCI. Based on the findings, this study provides implications to design long-term care(LTC) policies in the U.S. and to develop LTC planning education programs.

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Unplanned Readmission to Intensive Care Unit during the same Hospitalization at a Teaching Hospital (계획에 없던 중환자실 재입실 실태 및 원인)

  • Song, Dong-Hyun;Lee, Sun-Gyo;Kim, Chui-Gyu;Choi, Dong-Ju;Lee, Sang-Il;Park, Su-Kil
    • Quality Improvement in Health Care
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    • v.10 no.1
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    • pp.28-41
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    • 2003
  • Background : Because unplanned readmissions to intensive care unit(ICU)might be related with undesirable patient outcomes, we investigated the pattern of and reason for unplanned ICU readmission to provide baseline data for reducing unplanned returns to ICU. Methods : The subjects included all patients who readmitted to ICU during the same hospitalization at a tertiary referral hospital between January 1st and June 30th 2002. Quality improvement(QI) nurse collected the data through medical records and a medical director reviewed the data collected. Results : 1) The average unplanned ICU readmission rate was 5.6%(gastroenterology 14.6%, pediatrics 12.7%, pulmonology 11.9%, neurosurgery 6.3%, general surgery 5.3%, chest surgery 3.9%, and cardiology 3.3%). 2) Among the unplanned readmissions, more than 50% of cases were from patients older than 60 years, and the main categories of diagnose at hospital admission were neurologic disease(29.9%) and cardiovascular disease(27.6%). 3) Of unplanned ICU readmissions, 41.8% had recurrence of the initial problems, 44.8% had occurrence of new problems. And 9.7% required post-operative care after unplanned operations. 4) The most common cause responsible for unplanned ICU readmission were respiratory problem(38.3%) and cardiovascular problem(14.3%). 5) About 40% of unplanned ICU readmission occurred within 3 days after ICU discharge. 6) Average length of stay of the readmitted patients to ICUs were much longer than that of non-readmitted patients. 7) Hospital mortality rate was much higher for unplanned ICU readmitted patients(23.6%) than for non-readmitted patients(1.5%) (P<0.001). Conclusions : This study showed that the unplanned ICU readmitted patients had poor outcomes(high morality and increased length of stay). In addition study results suggest that more attention should be paid to patients in ICU with poor respiratory function or elderly patients, and careful clinical decisions are required at discharged from ICU to general ward.

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A Case of Complete Remission to Advanced Esophageal Cancer by a Palliative Chemotherapy (고식적 항암화학요법으로 완치가 된 진행성 식도암 환자 1예)

  • Dae Hyun Tak;Hee Seok Moon;Hyun Yong Jeong;Jae Kyu Sung;Sun Hyung Kang
    • Journal of Digestive Cancer Research
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    • v.2 no.2
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    • pp.64-67
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    • 2014
  • Esophageal cancer has a poor prognosis, because the progression rate is faster compared to that of other cancers, Up to 30-40% of cases are inoperable at diagnosis, and most cases occur in the elderly. By this time, surgery has been regarded as the treatment of choice in patients suffering esophageal cancer and recent improvements in surgical techniques and perioperative management have significantly increased the resection rate and reduced the operative mortality. And Although the combination of chemotherapy and radiation therapy has been reported to be an effective treatment for esophageal cancer, most cases show only partial remission. Moreover, radiation therapy alone or chemotherapy alone has limited efficacy. We report a rare case of an 80-year-old man who presented with a chief complaint of dysphasia and was diagnosed with advanced esophageal cancer, with a review of the literature. Considering his advanced age, generally poor performance status, and the risk of fistula development after radiation therapy due to indentation of esophageal cancer into the main bronchus, palliative, rather than therapeutic, chemotherapy was performed, and complete remission was obtained.

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Actual Condition Survey for Thermal Functionality Improvement of Female Student's Winter Uniforms (여고생 동복의 보온기능성 개선을 위한 실태조사)

  • Kim, Yu Mi;Lee, Jeong Ran
    • Fashion & Textile Research Journal
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    • v.16 no.6
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    • pp.954-960
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    • 2014
  • This study surveyed high school girls in the Busan, Ulsan, and Gyeongnam areas to study how they wear school uniforms along with their satisfaction levels and demands in regards to functional school uniforms. This study presents data on the requirements for the development of winter school uniforms for high school girls with improved warmth functions. The findings are: First, high school girls purchased school uniforms of different brands and the purchase rates for three brands were 25% to 30% approximately. Most of them spent more than 300,000 KRW and less than 400,000 KRW on school uniforms purchases. Second, the greatest complaints by students about winter school uniforms were the ability to conduct routine activities and poor thermal insulation. The most popular bottom underwear for girls was underpants and leggings. The most popular top underwear was half-sleeved round neck t-shirts and running shirts. Third, a survey about uniform functionality showed that most students used and 'arm pit sweat absorbing pad', 'Waist size adjusting function, and 'inside pockets with zippers'. Satisfaction with functional uniforms was low: less than 3.5 in all questions. Fourth, students were favorable to develop functional uniforms to keep warm in the winter. The bottom needs to be warmer than the top and it is necessary to keep legs warm, especially the thighs and calves.

Effects of Lavandula angustifolia Aroma on Electroencephalograms in Female Adults with Sleep Disorders (라벤더향이 수면장애가 있는 여자 성인의 뇌파에 미치는 영향)

  • Jung, Han-Na;Choi, Hyun-Ju
    • Journal of Life Science
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    • v.22 no.2
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    • pp.192-199
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    • 2012
  • This study investigated the effects of Lavandula angustifolia (L. angustifolia) aroma on the brain electrical activity evaluated by electroencephalogram (EEG) in female adults with sleep disorders. The subjects were 28 healthy female adults and their sleep disorders were classified by the Pittsburgh Sleep Quality Index. EEG electrodes were attached at the frontal (F3, F4), temporal (T3, T4), occipital (O1, O2), parietal (P3, P4), reference, and ground regions according to the International 10-20 system. Subjects were exposed to the L. angustifolia aroma for 3 min. Results showed that L. angustifolia aroma decreased the occipital and parietal alpha powers, and increased the frontal theta power and occipital beta power in subjects with good sleep quality. On the other hand, L. angustifolia aroma increased the theta power in the all cranial regions after aroma treatment in subjects with poor sleep quality. In conclusion, L. angustifolia aroma diminishes a state of wakefulness in the brain and helps individuals to fall asleep. Therefore, L. angustifolia aroma may have beneficial effect for female adults with sleep disorders.