• Title/Summary/Keyword: elderly center

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Surgical Results of Unruptured Intracranial Aneurysms in the Elderly: Single Center Experience in the Past Ten Years

  • Jung, Young-Jin;Ahn, Jae-Sung;Park, Eun-Suk;Kwon, Do-Hoon;Kwun, Byung-Duk;Kim, Chang-Jin
    • Journal of Korean Neurosurgical Society
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    • v.49 no.6
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    • pp.329-333
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    • 2011
  • Objective : As medical advances have increased life expectancy, it has become imperative to develop specific treatment strategies for intracranial aneurysms in the elderly. We therefore analyzed the clinical characteristics and outcomes of the treatment of unruptured intracranial aneurysms in patients older than 70 years. Methods : We retrospectively reviewed the medical records and results of neuroimaging modalities on 54 aneurysms of 48 consecutive patients with un ruptured intracranial aneurysms. ($mean{\pm}SD$ age, $72.11{\pm}1.96$ years; range, 70-78 years) who underwent surgical clipping over 10 years (May 1999 to June 2010). Results : Of the 54 aneurysms, 22 were located in the internal carotid artery, 19 in the middle cerebral artery, 12 in the anterior cerebral artery, and 1 in the superior cerebellar artery. Six patients had multiple aneurysms. Aneurysm size ranged from 3 mm to 17 mm ($mean{\pm}SD$, $6.82{\pm}3.07$ mm). Fifty of the 54 aneurysms (92.6%) were completely clipped. Three-month outcomes were excellent in 50 (92.6%) aneurysms and good and poor in 2 each (3.7%), with 1 death (2.0%). Procedure-related complications occurred in 7 aneurysms (13.0%), with 2 (3.7%) resulting in permanent neurological deficits, including death. No postoperative subarachnoid hemorrhage occurred during follow-up. The cumulative rates of stroke- or death-free survival at 5 and 10 years were 100% and 78%, respectively. Conclusion : Surgical clipping of unruptured intracranial aneurysms in elderly group could get it as a favorable outcome in well selected cases.

The Study of Implicit Motor Learning Using a Serial Reaction Time Task (연속 반응시간 과제를 이용한 내재적 운동학습의 특성 연구)

  • Park, Ji-Won;Hong, Chul-Pyo;Kim, Jong-Man;Ha, Hyun-Geun;Kim, Yun-Hee
    • Physical Therapy Korea
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    • v.11 no.2
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    • pp.1-8
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    • 2004
  • Motor skill learning can be acquired implicitly without consciousness of what is being learned. The purpose of this study was to examine the characteristics of implicit motor learning in young and elderly people using a perceptual-motor task. Forty normal young and elderly subjects participated. A modified version of the Serial Reaction Time Task (SRTT) using six blocks of twelve perceptual motor sequences was administered. The paradigm consisted of the first random sequence block followed by the four patterned blocks and another random block. In each block, the go signal consisted of an asterisk displayed in the one of the four parallel arrayed boxes in the middle of the screen. Subjects were instructed to push the corresponding response buttons as quickly as possible. Young subjects demonstrated shorter reaction times during the consecutive patterned blocks reflecting appropriate learning accomplished. Elderly subjects were able to learn a perceptual-motor task with implicit knowledge, but the performance was lower than that of the young persons. These results indicated that implicit sequence learning is still preserved in elderly adults, but the rate of learning is slower.

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The Effects of the Activity Program for Preventing Dementia Against Depression, Cognitive Function, and Quality of Life for the Elderly (치매예방을 위한 활동 프로그램이 지역사회 노인의 우울, 인지기능 및 삶의 질에 미치는 효과)

  • Park, Kum-Sook;Jeong, Heon-Young;So, Sun-Yoe;Park, Young-Hee;Yang, Hee-Jung;Jung, Kyoung-Ran;Moon, Soon-Joo;Kim, Hae-Kyoung;Cho, Jung-Hee;Yang, Kyung-Hee
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.4
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    • pp.353-362
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    • 2013
  • Objectives: This study is conducted to identify the effects of the activity program for preventing dementia against depression, cognitive function, and quality of life for the elderly. Methods: A non-equivalent control group with pretest-posttest design was used on 50 elderly who were assigned to the experimental and control group (25 for each group). Results: Cognitive function was significantly different between the two groups of the pretest and posttest (Z=4.217, p<.001). There were significant differences between the two groups of the pretest and posttest (Z=-2.324, p=.020) for the quality of life on the EQ-5D index. Conclusions: These findings confirmed that the activity program for preventing dementia was effective for improving cognitive functions and quality of life for the elderly. Therefore, it is further encouraged to perform the activity programs for preventing dementia within other community health posts and community centers. It is necessary to study the emotional supports from community health posts in the future.

A Study on the Spatial Features by Types of Multipurpose Senior Centers in Seoul (서울시 노인종합복지관의 유형별 공간특성에 관한 연구)

  • Soh, Jun-Young
    • Korean Institute of Interior Design Journal
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    • v.15 no.5 s.58
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    • pp.209-220
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    • 2006
  • The goal to establish one multipurpose senior center in one district of Seoul city has been nearly completed. However, since it is behind the schedule by about 6 years, nearly all senior centers are saturated currently. Therefore, additional foundation plan of senior centers is in progress. Also, the main function of the center has changed from health and leisure to various welfare programs that the elderly living in a community need. In order to supplement these problems, many existing senior centers are using center to the most through addition and change of rooms. To establish the direction of spatial plan at establishing senior centers according to the regional characteristics, 20 cases of Seoul multipurpose senior centers in operation were site surveyed and the results of spatial features by types established and changed corresponding to each condition were suggested as follows: 1. The types were classified according to the shape of floor plan, sectional planning, entry traffic line, linkage with attached facilities and addition method etc. by the characteristics of the elderly in multipurpose senior centers, program operation, linkage of spatial composition by the function, positional relation between centers, management and operation method, and center complication method etc. and the respective features were suggested. 2. By analyzing the gross floor area and the area of each room of senior centers, the features of area by types and the features of area by each detailed center were suggested.

Study on the Relationship between Vascular Perfusion and Interface Pressure under the Ischial Tuberosity in the Sitting Posture (앉은 자세에서 좌골결절의 접촉압력과 혈류량과의 관계에 대한 연구)

  • Heo H.;Bae T.S.;Lee S.M.;Kim S.K.;Kim K.H.;Mun M.S.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.645-646
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    • 2006
  • Pressure-induced decubitus is a serious disease among the elderly people. Interface pressure occluding vascular perfusion is known to be a cause of decubitus. Therefore, it is essential to quantify the relationship between vascular perfusion and interface pressure among the elderly people. Nine elderly normal people ($57.8{\pm}5.6\;years,\;63.3{\pm}7.0kg,\;1.68{\pm}0.05m$) were participated. Pressure was applied on the ischial tuberosity in the sitting posture from 0mmHg to 135mmHg as capillary vascular perfusion was recorded. The average interface pressure to occlude vascular perfusion under the ischial tuberosity is 120mmHg. Vascular perfusion values at the capillary occlusion is often lower than 60% of the vascular perfusion at 15mmHg. Higher sampling number is required to have more accurate results.

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A Study on the Healthy Orientation of Rural Community Center Users (농촌 마을회관 이용자의 건강성 지향에 관한 연구)

  • Kim, Eun-Ja;Yu, A-Hyeon;Cho, Han-Sol;Park, Mee-Jung;Lim, Chang-Su
    • Journal of the Korean Institute of Rural Architecture
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    • v.21 no.1
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    • pp.25-36
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    • 2019
  • This study is a basic study for the planning of rural community center space, which introduced the concept of healthcare. As the rural community center is a place where the elderly in rural areas live mainly during the day, this place is very important place for the healthy life of the rural elderly. We conducted an interview survey for 207 users over 65. The survey was organized with three regions to consider the regional characteristics of the community center users and geographical characteristics. As a result of the analysis of planning elements, the main preferences for indoor and outdoor space elements are planning elements such as safety, air quality, light, and the thermal environment and safety handle, night lights, safety walkway. These preferences should be considered for the more healthy friendly rural community center.

Positioning of Resuscitative Endovascular Balloon Occlusion of the Aorta Catheter: A Case of an Elderly Patient with Concomitant Chest and Pelvic Injury after Blunt Trauma

  • Noh, Dongsub;Yun, Jeongseok;Chang, Ye Rim
    • Journal of Trauma and Injury
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    • v.33 no.3
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    • pp.186-190
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    • 2020
  • Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been increasingly used in recent years as a resuscitative adjunct for trauma patients with life-threatening non-compressible torso hemorrhage. By blocking the aorta temporarily with an inflated balloon, REBOA preserves cerebral and coronary perfusion while diminishing exsanguination below the balloon, thereby providing time for resuscitation and definitive bleeding control. When determining the occlusion zone during the REBOA procedure, factors such tortuosity of the aorta, co-occurring minor chest injuries, and the severity of shock must be considered, as well as the main injury site. This paper describes a case of high Zone I REBOA in an elderly patient with a tortuous aorta who had concomitant injuries of the chest and pelvis.

A Study on the Difference of Preferences about Silver Town between Elderly Group and Pre-Elderly Group in Chungseo Province - Focused on Housing Type and Space Composition - (충서지역 노인층과 예비노인층의 실버타운 선호 차이점에 대한 연구 -주택유형과 공간구성을 중심으로-)

  • Ryu, Hye-Ji
    • Journal of The Korean Digital Architecture Interior Association
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    • v.7 no.2
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    • pp.43-50
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    • 2007
  • The aged population increasing rapidly, the population rate of over 65 years old was over 7.5% in 2000 in Korea. It means that Korea is aging society. But, the aged welfare accommodation are still insufficient and more facilities accommodating the aged should be built. This situations made a new concept of silver town of the welfare facility for the aged. The purpose of this study was to find the difference of preferences about silver town between elderly group and pre-elderly group in Chungseo province. Focused on housing type and space composition of silver town, the results of this study will provide some useful information for the development of silver town and for further studies. It is very important to refer to the preference about silver town of elderly group and pre-elderly group for planing the silver town. Main results of this study showed that silver town was the most preferable elderly housing alternative for elderly group. And silver town should be provided health care center for elderly group.

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A Study on Types of Multi-Functional Welfare Facilities and Day Service Centers for the Elderly in Japan (일본 고령자복합시설과 데이서비스센터의 복합유형에 관한 연구)

  • Park, Hae-Sun;Oh, Eun-Jin
    • Korean Institute of Interior Design Journal
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    • v.16 no.4
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    • pp.62-71
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    • 2007
  • Due to the shortage of elderly care services in urban areas, multi-functional welfare facilities are proven to be very effective for delivering various service needs of elderly in Japan. Introduction of new longterm care policy for elderly in Korea would change many aspects of elderly care service facilities. Especially elderly home care services like adult daycare centers will expand drastically after beginning of elderly longterm care insurance. The purpose of this research is to study and analyze multi-functional welfare facilities in Japan focusing on the types of day service in those facilities. Planning of daycare centers in multi-functional welfare facilities for the elderly can be classified to 8 types. Those types are daycare centers with senior housing, longterm care insurance facilities, senior centers, small multi-function facility, medical facilities, educational facilities, community facilities and general housing projects. Each type has different benefits for the networking of services for the elderly. Design of daycare centers in multi-functional welfare facilities have distinctive features in entrance and user approach, space allocation and circulation planning. The study of daycare centers and multi-function planning should be followed to make better home care environments for the elderly in Korea.

Factors Related to Health-promoting Behaviors and Chronic Diseases in the Elderly (노인들의 건강증진행위와 만성질환과의 관련요인)

  • Kim, Mun-Hwan;Lee, Dong-Ho
    • Korean Journal of Health Education and Promotion
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    • v.28 no.2
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    • pp.99-107
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    • 2011
  • Objectives: The purpose of this study is to investigate the relationship between health promotion behaviors and chronic disease prevalence of Korean elderly and to provide information for preventing chronic diseases and improving health conditions of the elderly. Methods: A subset of 584 cases in the fourth Korea National Health and Nutrition Examination Survey was used for secondary analysis. Chi square test was used to compare chronic diseases prevalence by general characteristics and health promotion behaviors. Logistic regression analysis was used to identify the factors associated with chronic diseases. Results: Gender, occupation, subjective health status, smoking, and alcohol drinking have significant association with chronic diseases. Conclusions: Gender-specific health education for the elderly should be implemented at the health center, and opportunities for social participation can be enhanced through job creation for the elderly. Active campaigns on smoking cessation and moderate drinking are needed to prevent and manage chronic diseases of the elderly.