• Title/Summary/Keyword: The old aging society

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Differences in youngest-old, middle-old, and oldest-old patients who visit the emergency department

  • Lee, Sang Bum;Oh, Jae Hun;Park, Jeong Ho;Choi, Seung Pill;Wee, Jung Hee
    • Clinical and Experimental Emergency Medicine
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    • v.5 no.4
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    • pp.249-255
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    • 2018
  • Objective As aging progresses, clinical characteristics of elderly patients in the emergency department (ED) vary by age. We aimed to study differences among elderly patients in the ED by age group. Methods For 2 years, patients aged 65 and older were enrolled in the study and classified into three groups: youngest-old, ages 65 to 74 years; middle-old, 75 to 84 years; and oldest-old, ${\geq}85years$. Participants' sex, reason for ED visit, transfer from another hospital, results of treatment, type of admission, admission department and length of stay were recorded. Results During the study period, a total 64,287 patients visited the ED; 11,236 (17.5%) were aged 65 and older, of whom 14.4% were 85 and older. With increased age, the female ratio (51.5% vs. 54.9% vs. 69.1%, P<0.001), medical causes (79.5% vs. 81.3% vs. 81.7%, P=0.045), and admission rate (35.3% vs. 42.8% vs. 48.5%, P<0.001) increased. Admissions to internal medicine (57.5% vs. 59.3% vs. 64.7%, P<0.001) and orthopedic surgery (8.5% vs. 11.6% vs. 13.8%, P<0.001) also increased. The ratio of admission to intensive care unit showed no statistical significance (P=0.545). Patients over age 85 years had longer stays in the ED (330.9 vs. 378.9 vs. 407.2 minutes, P<0.001), were discharged home less (84.4% vs. 78.9% vs. 71.5%, P<0.001), and died more frequently (6.3% vs. 10.4% vs. 13.0%, P<0.001). Conclusion With increased age, the proportion of female patients and medical causes increased. Rates of admission and death increased with age and older patients had longer ED and hospital stays.

Evaluation of the lateral ventricle using MRI in normal micropigs

  • Choi, Mihyun;Lee, Namsoon;Yi, Kangjae;Kim, Junyoung;Choi, Mincheol
    • Korean Journal of Veterinary Research
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    • v.51 no.3
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    • pp.227-231
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    • 2011
  • This study was undertaken to assess the lateral ventricle, which was some portion of brain and related to congenital anomalies, from 1, 2, 4, and 8 months of age in healthy micropigs. They were induced general anesthesia and performed magnetic resonance imaging (MRI) with a 0.3 Tesla magnet. Each age group was evaluated by three subjects such as lateral ventricular volume, ventricular volume ratio and asymmetry. T1 weighted transverse images were acquired for calculation of lateral ventricular and corresponding brain parenchyma areas. The ratio of bilateral ventricle areas used to analyze the asymmetry. The mean ventricular volumes of each month were $676.74{\pm}25.58mm^3$ (1 month-old), $630.64{\pm}143.84mm^3$ (2 month-old), $992.12{\pm}106.03mm^3$ (4 month-old) and $1172.62{\pm}237.57mm^3$ (8 month-old), respectively. The ventricular volume ratio was the smallest at 2 month-old and re-increased from that age. The ratio was significantly different between 2 month-old and other age groups (p < 0.05). The value of bilateral area ratio showed within 1.5 in all experimental animals. Consequently the lateral ventricle showed a positive correlation with aging and symmetric shapes in both sides. The developmental pattern of the lateral ventricle provides basic data in micropigs as an experimental animal model for physiological and neurosurgical approach.

The Effect of Jeokbaekhaogwanjung-tang Herbal Acupuncture Solution on the Immune Activity of Spleen Cells of Aged Rats (적백하오관중탕 약침액이 노화 흰쥐 비장세포의 면역활성에 미치는 영향)

  • Lee, Hyun-Suk;Choi, Kang-Min;Yim, Yun-Kyoung
    • The Journal of Korean Medicine
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    • v.37 no.1
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    • pp.90-100
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    • 2016
  • Objectives: The purpose of this study was to investigate the effect of Jeokbaekhaogwanjung-tang (JGT) distillate on the immune activity of spleen cells of aged rats. Methods: Spleen cells of 10w, 52w 72w old SD rats were cultured and treated with JGT distillate and the levels of IL-2, IL-4, IL-10 and IFN-${\gamma}$ were measured. Results: 1. The levels of IL-2 and IFN-${\gamma}$ in the spleen cells of 52w old rats were significantly decreased by JGT treatment. 2. The level of IFN-${\gamma}$ in the spleen cells of 72w old rats were significantly decreased by JGT treatment. Conclusion: These results suggest that Jeokbaekhaogwanjung-tang distillate has an immune regulative effect by way of suppressing the change of immune activity caused by aging in rats.

Age-Related Changes in Sulfur Amino Acid Metabolism in Male C57BL/6 Mice

  • Jeon, Jang Su;Oh, Jeong-Ja;Kwak, Hui Chan;Yun, Hwi-yeol;Kim, Hyoung Chin;Kim, Young-Mi;Oh, Soo Jin;Kim, Sang Kyum
    • Biomolecules & Therapeutics
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    • v.26 no.2
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    • pp.167-174
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    • 2018
  • Alterations in sulfur amino acid metabolism are associated with an increased risk of a number of common late-life diseases, which raises the possibility that metabolism of sulfur amino acids may change with age. The present study was conducted to understand the age-related changes in hepatic metabolism of sulfur amino acids in 2-, 6-, 18- and 30-month-old male C57BL/6 mice. For this purpose, metabolite profiling of sulfur amino acids from methionine to taurine or glutathione (GSH) was performed. The levels of sulfur amino acids and their metabolites were not significantly different among 2-, 6- and 18-month-old mice, except for plasma GSH and hepatic homocysteine. Plasma total GSH and hepatic total homocysteine levels were significantly higher in 2-month-old mice than those in the other age groups. In contrast, 30-month-old mice exhibited increased hepatic methionine and cysteine, compared with all other groups, but decreased hepatic S-adenosylmethionine (SAM), S-adenosylhomocysteine and homocysteine, relative to 2-month-old mice. No differences in hepatic reduced GSH, GSH disulfide, or taurine were observed. The hepatic changes in homocysteine and cysteine may be attributed to upregulation of cystathionine ${\beta}-synthase$ and down-regulation of ${\gamma}-glutamylcysteine$ ligase in the aged mice. The elevation of hepatic cysteine levels may be involved in the maintenance of hepatic GSH levels. The opposite changes of methionine and SAM suggest that the regulatory role of SAM in hepatic sulfur amino acid metabolism may be impaired in 30-month-old mice.

In vitro Effects of L-Ascorbic Acid and Acrylamide on Lymphocyte Proliferation in Young and Aged Mice

  • Kang, Nam-Sung;Pyo, Suhk-Neung;Sohn, Eun-Hwa
    • Preventive Nutrition and Food Science
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    • v.15 no.1
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    • pp.19-23
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    • 2010
  • This study examined the effects of Acrylamide (ACR) and L-ascorbic acid (AsA) on the proliferation of splenocytes and the mitogen-stimulated lymphocyte proliferation in young (8 weeks) and aged (82 weeks) C57BL/6male mice in vitro. AsA increased splenocyte proliferation in both groups; however, this effect was higher in old mice, while the proliferation of lymphocyte was decreased except for treatment at $1\;{\mu}g/mL$ low concentration in both mice. In addition, ACR treatment resulted in decreased LPS-induced B lymphocyte proliferation and ConA-induced T lymphocyte proliferation in both groups. However, AsA increased LPS/ConA-induced lymphocyte proliferation in young groups and had no effects in old mice except at $0.5\;{\mu}g/mL$ Thus, the present data indicate that there is no difference effect of ACR and AsA on lymphocyte proliferation, whereas the effect of AsA on mitogen-induced cell proliferation was reduced in old mice. Overall, our results suggest that various immunomodulators have differing effects of lymphocytic proliferation on young versus aged mice.

The influence of the locus of control of middle aged on life satisfaction and preparation for old age among in the times of convergence (융복합시대 중년기성인의 내외통제성이 생활만족도 및 노후준비에 미치는 영향)

  • Lee, Hee-Youn;Jeon, Hye-Seong
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.433-440
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    • 2015
  • This paper was to explore the effect of the locus of control on life satisfaction and preparation for old age among middle-aged adults in the time of Convergence. This survey was conducted from September to December 2013, and 284responses were used for the analysis. The data was analyzed by descriptive statistics, Pearson Correlation and Multiple Regression. The research findings could be summarized as the followings. First, the locus of control had significantly positive effect on life satisfaction, Second, the locus of control also had significant effect on preparation for old age among middle-aged adults. Third, life satisfaction between preparation for old age had positive correlations with life satisfaction.

Relationship between Naming Abilities, Hearing Handicap, and Depression in Community-Dwelling Elderly (지역사회 노인의 연령에 따른 이름대기 능력, 청력장애, 우울 수준의 관계)

  • Lee, Hyun Jung
    • Journal of the Korea Convergence Society
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    • v.12 no.10
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    • pp.97-104
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    • 2021
  • The purpose of the study was to investigate whether there are differences in confrontation naming ability, generative naming ability, hearing handicap, and depression in community-dwelling elderly by age group, and whether there is any correlation among them, and to find out what factors explain the two naming abilities (confront and generative) of the elderly. Sixty-five community-dwelling elderly people participated: 65~74 years were classified into young-old; 75~84 years into old-old; and 85 years and over into oldest-old. K-BNT-15 for the confrontation naming ability, animal naming test for the generative naming ability, K-HHIE for the subjective hearing handicap, and GDS for the subjective depression were administered. First, there was a statistically significant difference in confrontation naming and depression levels according to age groups. Second, there was a positive correlation between chronological age and subjective depression level and between subjective hearing handicap level and subjective depression level, and a negative correlation between education level and subjective depression level. Third, the confrontation naming score was explained by age, and the generative naming score was explained by subjective depression level. The results show that naming abilities, subjective hearing handicap, and subjective depression level are not simply the result of normal aging and that a convergence approach is needed in various fields to solve the issue.

The responses on elderly shared group house as a socially integrated housing alternative in aging society (고령화미래 사회통합방안으로서의 기존 주거지역내 노인공동사용주택에 대한 태도연구)

  • Lee, Junghwa;Lee, Yeunsook;Lee, Soojin
    • KIEAE Journal
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    • v.7 no.4
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    • pp.63-74
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    • 2007
  • While the importance of social integration has been mainly emphasized in the fields of social welfare services for the elderly, disabled and lower income citizens, many types of elderly housing had been developed in a way of segregating the elderly from society rather than integrating. Meanwhile, shared group house may allow older people to 'age in place' within the communities where they used to live by providing them with social, economic and practical benefits. The purpose of this study is to carry out empirical research on responses to elderly shared group house. Interview survey with questionnaire was conducted among 138 elderly people between 60-75 years old, living in Seoul and its metropolitan area. Responses of the elderly included awareness, perception and preference. It was revealed that the respondents had negative perceptions on existing shared group house in Korea. Most of the respondents showed preference to moving into socially-integrated type of shared group houses developed within their communities. This study indicated the potential of such type shared group house to become a favorable housing alternative for elderly people which supports their sustainable independent living within community.

A Quantitative Comparison of Fibroblasts, Collagen and Elastic Fiber Densities in the Young and Aged Rat Skin

  • Song, In-Yong;Jeong, Myung-A;Lee, Jae-Hyoung
    • Biomedical Science Letters
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    • v.13 no.1
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    • pp.55-60
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    • 2007
  • Computerized image processing and analysis system was used for quantitative assessment of skin tissue components in color histological sections. The purpose of this study was to determine that the changes in the collagen fiber density and elastic fiber density in dermis in the rat skin as aging. And also to determine that the correlation between fibroblast density and collagen fiber density and elastic fiber density in the aged rat skin. Ten weeks old ($130{\sim}150g$) eight and fifty-four weeks old ($300{\sim}350g$) eight female Sprague-Dawley rats were used. The full-thickness skin biopsy specimens were prepared serial sections and stained with hematoxylin and eosin, Masson's trichrome and Verhoeff-van Gieson. The collagen fiber and the elastic fiber were identified using the image analysis processing system and then calculated the collagen fiber density rate and the elastic fiber density rate in the dermis. It also identified fibroblast and calculated fibroblast density in the dermis. By using a Student's t-test, a decrease in the collagen fiber density rate (t=-4.650, P<0.001) and the elastic fiber density rate (t=-6.494, P<0.001) of dermis can be observed in aged rats as compared with the young rats. A Student's t-test showed a significantly less fibroblast density in the aged rats than the young rats (t=-4.497, P<0.001). There were significantly positive correlation between the fibroblast density and the collagen fiber density rate (r=.69, P<0.001) and the elastic fiber density rate (r=.91, P<0.001). These results indicate that the aging may decrease the collagen fiber density and elastic fiber density due to reduced the proliferative and synthetic activity of fibroblast in the dermis.

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Age-related change in shear elastic modulus of the thoracolumbar multifidus muscle in healthy Beagle dogs using ultrasound shear wave elastography

  • Tokunaga, Akari;Shimizu, Miki
    • Journal of Veterinary Science
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    • v.22 no.1
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    • pp.3.1-3.13
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    • 2021
  • Background: Multifidus muscle stiffness decreases in patients with lumbar intervertebral disk herniation; however, age-related changes in humans have not been reported. Objectives: The reliability of ultrasound shear wave elastography in dogs, and changes in the shear elastic modulus of the thoracolumbar multifidus muscle with aging in dogs, were investigated. Methods: Twelve beagle dogs were divided into 2 groups based on the age of onset of intervertebral disk herniation: young (aged not exceeding 2 years; 1.3 ± 0.6 years old, n = 5) and adult (4.9 ± 1.2 years old, n = 7). The shear elastic modulus of the multifidus muscle, from the thirteenth thoracic spine to the fourth lumbar spine, was measured using ultrasound shear wave elastography. The length, cross-sectional area and muscle to fat ratio of the multifidus muscle, and the grade of intervertebral disk degeneration, were assessed using radiographic and magnetic resonance imaging examinations. Results: The length and cross-sectional area of the multifidus muscle increased caudally. In the young group, the shear elastic modulus of the multifidus muscle of the thirteenth thoracic spine was less than that of the third lumbar spine. In the adult group, the shear elastic modulus of the multifidus muscle of first and third lumbar spine was lower than that of the same site in the young group. Conclusions: Ultrasound can be used to measure shear wave elastography of the thoracolumbar multifidus in dogs. If the multifidus muscle stiffness decreases, we should consider age-related change.