Kim, Min Kyu;Ko, Young Jun;Lee, Hwang Jae;Ha, Hyun Geun;Lee, Wan Hee
Physical Therapy Rehabilitation Science
/
v.4
no.1
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pp.38-43
/
2015
Objective: To investigate and compare the size of the rectus femoris (RF), tibialis anterior (TA), and medial gastrocnemius (GMM) using ultrasound (US) imaging in young, elderly, and very elderly groups. Design: Cross sectional study. Methods: This study consisted of 25 young (age 20 years), 24 elderly (age 65-74 years), and 25 very elderly (age 75-90 years) people with no physical dysfunctions. The cross sectional area (CSAs) of the RF and muscle thickness of the TA and GMM were measured at rest and during contraction using an US system. Results: The CSA of the RF and thickness of the TA and GMM were significantly smaller in the elderly and very elderly groups than in the young group (p<0.05). There was a significant difference of the CSA of the RF at rest and during contraction between elderly and very elderly group (p<0.05). In the comparison of the TA and GMM thickness between elderly and very elderly groups, there were no significant differences except for the TA thickness during contraction. There was a significant difference in the percentage change in RF CSA among the three groups (p<0.05). Conclusions: Our results revealed loss of muscle mass in the RF, TA, and GMM in elderly and very elderly people (${\geq}65$ years old). In particular, the greatest age-related decline in muscle mass was observed for the RF. Furthermore, the CSA of the RF declined with aging in the very elderly groups (${\geq}75$ years old).
The purpose of this study· is to identify sources of the caregiving burden, thereby suggesting social welfare alternetives for supporting family caregivers of the elderly with dementia. 23 family caregivers who participated in self-help group of family caregivers of dementia elderly at a welfare facility for the elderly in Seoul were seleted as the study sample. Zarit caregiving burden scale and Zarit functional impairment measurement for the elderly were adapted for this study and a number of additional variables were included in this study. Correlational analysis was utilized. The results of the study were summarized as follows : 1) The impairment of activities of daily living of the elderly was significantly related to the negative elderly. caregiver-family relationship(PADL:r=.6032 IADL : r=.5930 p<.05). 2) The impact on caregiver's health was very significantly related to the impact on the caregiver's task(r=.6233 p<.001). 3) The Impact on caregiver's health was very significantly related to the impact on the caregiver's social activity restriction(r=.6851 p<.001). 4) The impact on the caregiver's social activity was very significantly related to the impact on the caregiver's task(r=.6969 p<.001). 5) Caregiver's income was significantly related to the impact on the caregiver's task(r=.5252 p<.05). 6) Compensation(interpersonal relationship between the elderly and the caregivers, social praise and appreciation of the elderly) was important variables which affect to the feeling of the caregiving burden.
In Korea, as the elderly population is growing, the quality of life of the rural elderly is becoming a major concern. By the way, social welfare services is less available and accessible to the rural elderly. And we have very limited information about community -oriented welfare services for the elderly. The lack of social welfare services in rural area resulted from mainly geographic isolation and economic deprivation. So, the present research aimed at; 1) to explore what the social welfare service is benefited from governmental or local assembly. 2) to explore what kind of community services is provided for the rural village and elderly. 3) to appear the political propose for the rural elderly. In South Korea, The Rural Development Administration currently operate 'villages which is supported special programs for the improvement of QOL of rural elderly' in 110 villages. It is a model governmental welfare service for rural area. For the purpose, the survey data is gathered from community level data per village (107 villages), individual survey data(881people) who live in the village and qualitative data. Two kinds of quantitative data is combined to form a data. The statistical methods used for data analysis are descriptive statistics, t-test and ANOVA. The major findings of this study were as follows : It was founded that the majority family type of the rural elderly is elderly-only households(75%). In case of poor elderly, they have very limited social insurance benefit and they can not get medical services with satisfaction. The result show that the welfare facilities per village and welfare service for the elderly is extremely low while the needs of welfare service is greate high. A distinctive characteristics in rural villages is that they receive a lot of services from private sectors, like as Women Farmers Union, Adult Union. They operate voluntary welfare services related to food supporting, education for the elderly, free haircut services and so on. In conclusion, the community care services from private sector has specialty in rural area. We conclude it is a distinguishing characteristic of rural community.
Background: The most beneficial dietary pattern in managing metabolic syndrome (MetS) in the elderly has not been ascertained. The aim of this study is to classify dietary patterns and to examine associations between dietary pattern, MetS and body composition in elderly Koreans. Methods: This study was conducted among Koreans 65 years or older using data from the Korea National Health and Nutrition Examination Survey in 2009. A total of 1,567 study subjects were included. All statistical analyses were conducted using SPSS version 20.0 and dietary patterns were classified by cluster analysis. Results: There were three dietary patterns derived by cluster analysis in this study. We observed that most South Korean elderly still maintain a traditional dietary pattern. Dietary patterns were classified as balanced (31%), imbalanced (40%), or very imbalanced (30%), with the majority of subjects having an unbalanced diet pattern in which their total energy and nutrient intake was insufficient compared with the Dietary Reference Intake for Koreans. Those in the very imbalanced group had a ratio of macronutrients (carbohydrates:fats:protein) of 81.15:7.18:11.50 and a 54% higher likelihood of having hypertriglyceridemia (P=0.025) compared with those in the balanced group. Conclusion: The current findings indicate that the diets of South Korean elderly are nutritionally imbalanced, including high carbohydrate consumption, which confers a high risk hypertriglyceridemia. These findings highlight the effect of nutritional imbalance in elderly with MetS.
As a result of the expansion of the nuclear family in society, there has been an increase in the number of elderly people who want to live independently of their children. Australia is one of the countries which has initiated an extensive welfare program for its senior citizens. These services include maintenance of, and alterations to their own homes to make living conditions safer and more manageable. This case study was aimed at finding ways of adapting the services provided in Australia, to meet the needs of elderly Koreans who are in similar situations. It evaluated houses which had been renovated and altered fur the normal as well as the disabled elderly in both Melbourne and Sydney. results of research were as following : 1) Most elderly usually wished to remain as long as possible in their own home and it made them very stable in psychologically. 2) Housing maintenance and alterations were provided as one of social care services fur elderly with low expense and loan from government. 3) Many elderly were also getting various kinds of social services, fur example, meals on wheels, transportation and cleaning service with housing alterations and these ones let their quality of life more improved. 4) Occupational therapist and Architect were always involved in the process of housing alterations for disabled elderly. 5) The alterations which related to bathroom, toilet and steps were very popular and those were considered essential design guide applications for planning of housing for elderly in the future.
Proceeding of Spring/Autumn Annual Conference of KHA
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2006.11a
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pp.155-158
/
2006
In the design guideline for the existing elderly house, the guideline related to kitchen is very important in the secure and functional aspect. In spite of importace, the present elderly house's Kitchen plan is being designed based on foreign universal design guideline or common housing form instead of considering physical social and psychological qualities of the korean elderly. Therefore, In this study based on the guideline of the previous studies related to domestic elderly house and kitchen plan for elderly house, we found physical social and psychological qualities of the korean elderly. Acooording to these characteristics we suggested guideline on kitchen plan for Elderly House. Those suggested here will be applied to design guidelines of elderly housing on kitchen plan in future.
Kim, Dong Hun;Kim, Sang Uk;Sung, Jae Hoon;Lee, Dong Hoon;Yi, Ho Jun;Lee, Sang Won
Journal of Korean Neurosurgical Society
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v.60
no.6
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pp.654-660
/
2017
Objective : Mechanical thrombectomy is increasingly being used for the treatment of acute ischemic stroke. The population over 80 years of age is growing, and many of these patients have acute infarction; however, these patients are often excluded from clinical trials, so the aim of this study was to compare the functional outcomes and complication rates in very elderly patients (age ${\geq}80$ years) and aged patients (60-79 years) treated with mechanical thrombectomy. Methods : Between January 2010 and June 2015, we retrospectively reviewed 113 senior patients (over 60 years old) treated at our institution for acute ischemic stroke with mechanical thrombectomy. They were divided into a very elderly (${\geq}80$ years) and aged (60-79 years) group, with comparisons in recanalization rates, complications, death and disability on discharge be reported. Results : The mean age was 70.3 years in the aged group and 83.4 years in the very elderly group. Elderly patients had higher rates of mechanical thrombectomy failure than the younger group (40% vs. 14%; odds ratio [OR] 4.1; 95% confidence interval [CI] 1.4-11.9; p=0.012). Results from thrombolysis in cerebral ischemia and modified Rankin scale at discharge were worse in the older group (p=0.005 and 0.023 respectively). There were no differences in mortality rate or other complications, but infarction progression rates were significantly higher in the very elderly group. (15% vs. 2.2%; OR 8.0; 95% CI 1.2-51.7; p=0.038). The majority (92.3%) of the patients who failed in aged group were not successful after several trials. However, in half (4 of 8) of the very elderly group, the occlusion site could not be accessed. Conclusion : Patients older than 80 years of age undergoing mechanical thrombectomy for acute infarction were more difficult to recanalize due to inaccessible occlusion sites and had a higher rate of infarction progression, However, mortality and other complications were similar to those in younger patients.
The purpose of this study is to examine consumer characteristics according to analyze the level of consumer knowledge, skill, and consciousness through the comparison between young-elderly people and elderly people in Cheju. For the empirical analysis, the data was collected 428 consumers from May to June, 1999. The statistical methods for this study were descriptive statistics, t-test, ANOVA, correlation using SPSS Win program. The major findings of this study were as follows; 1) The level of consumer consciousness was very high, but the level of consumer knowledge and consumer skill were low. 2) Drug un, Recall system, Frozen-food management, Indication for consumer knowledge; Planning, Discontent treatment for consumer skill; Responsibility for consumer consciousness area were very low state. 3) Correlation according to Pearson's γ²were positive relationship between all of that consumer knowledge and consumer skill and consumer consciousness areas. 4) Sum of 3 findings were no great difference between young-elderly people and elderly people. From now on, some suggestions from this study how to stress on the consumer knowledge and consumer skill as well as consumer consciousness of the elderly in Cheju.
The purpose of this study is to estimate the perception of elderly residents on the residential environment improving projects and suggest the political implications. The survey include questionnaires about the importance and the satisfaction level on the project maintenance factors. The results were statistically analyzed by Importance-Performance Analysis (IPA). As the result of the study, firstly, it shows that 'the possible overkill area' on the IPA action grid includes none of factors except 'landscape' which is very similar to mean of performance score. the result of analysis means that the project is very efficient. Secondly, the policy is necessary to improve 'pedestrian passage', 'public open space' and 'transportation environment'. Considering elderly residents especially 'pedestrian passage' and 'public open space' are in need of improvement immediately. In detail 'traffic facility', building 'urban park' and 'pedestrian passage', 'paving of pedestrian passage', 'children's playground' are in need of improvement as well. The results of analysis on elderly and non-elderly residents of Yonnam project may be important foundation for future strategies for improvement.
The purpose of this study was to find the effects of reverse mortgage including lands for rural elderly households. The data were drawn from 2005 Farm Household Economy Survey. And 1,165 households, which householder age were 65 to 75 and owned lands, were selected. The major findings as follows; First, in the case of conducting mortgage using only lands in rural area, the average substitute rate of current consumption was found to be over 100%(LTV=100%). This result implied that the conducting mortgage with land could be very effective for enhancing economic well-being of rural elderly households. Second, in the case of conducting mortgage using only shelters in rural area, the average substitute rate of current consumption was found to be only 25.7% (LTV=100%). This result implied that the conducting mortgage with only shelters could be no use for enhancing economic well-being of rural elderly households. Third, with FTA, it is time to rebuild agribusiness from small farm with family business to scale of farm business. It is expected the mortgage system with lands may very effective for not only enhancing economic well-being of rural elderly households, but for better farm business.
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