• Title/Summary/Keyword: old-old

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The trajectory of depressive symptoms among the oldest-old: Focusing on gender difference (초고령 노인의 우울증상 궤적: 성별차이를 중심으로)

  • Jeon, Hae-Sook
    • Korean Journal of Health Education and Promotion
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    • v.34 no.1
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    • pp.25-34
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    • 2017
  • Objectives: Although the number of the oldest-old is rapidly increasing due to longevity, very little is known about the trajectory of depressive symptoms(DS) and its related factors among the oldest-old. Much less is known about whether the trajectory of DS differs by gender among the oldest-old. The current study aims (1) to estimate the trajectory of DS and (2) to examine whether the trajectory differs by gender among the oldest-old. Methods: Sample consists of 296 persons aged 85 and over who participated in the Korean Welfare Panel Study data. Data were processed using the latent growth curve modeling to estimate the trajectory and multi-group SEM to examine gender difference. Results: This study showed that (1) the trajectory of DS was increasing over time and (2) the DS trajectory of males was much more rapidly increasing than that of females, indicating male oldest old are more vulnerable to depression than female oldest old in later life. Conclusions: Given the fact that females are known to be more vulnerable to depression, the findings are counterintuitive to the previous knowledge on depression and gender difference. Based on the findings, implications for intervention and education related to DS among the oldest-old.

Factors associated with Health-related Quality of Life in Vulnerable Elderly Women (취약계층 여성노인의 연령주기별 건강관련 삶의 질 관련 요인)

  • Shin, Gyeyoung;Kim, Eun Kyung
    • Journal of Korean Public Health Nursing
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    • v.28 no.3
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    • pp.419-431
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    • 2014
  • Purpose: The aim of this study was to understand the determinants of health-related quality of life (HRQOL) according to age groups in vulnerable elderly women. Methods: We conducted a cross-sectional study with 1,533 elderly women beneficiaries of the visiting health care program in Seoul. The participants were divided into three age groups: the young-old (n=753, 65-74 years), old-old (n=602, 75-84 years), and oldest-old (n=178, 85 years or older) groups. HRQOL was measured using the SF-8 questionnaire. Results: HRQOL was found to be worse in the oldest-old group (p=.007). Factors associated with HRQOL differ by age groups. In the young-old and old-old groups, higher HRQOL showed significant correlation with a higher level of self-rated health (SRH) and a lower level of depression, instrumental activities of daily living (IADL) dependence, and the number of chronic diseases. In addition, higher HRQOL was observed for elderly living alone than for those living with family. In the oldest group, higher HRQOL showed significant correlation with a lower level of depression, activities of daily living (ADL) dependence, and a higher level of SRH. Conclusions: In age specific groups, lower levels of HRQOL were observed for the oldest-old group than for the other age groups. Age group-specific nursing strategies may be required for improving HRQOL levels of vulnerable elderly women.

Plasma Carnitine Profiles in Different Aged Normal Korean Women : Hypothesis of Possible Significance

  • Cha, Youn-Soo;Joo, Eun-Jung;Sohn, Hee-Sook
    • Nutritional Sciences
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    • v.1 no.1
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    • pp.56-60
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    • 1998
  • The present study was conducted to find out whether there are some differences in plasma carnitine levels among young-, middle-, and old-aged normal Korean women. Daily food intake, body fat content, plasma lipids and carnitine levels were measured in 153 samples from 44 young (20-24 years old), 49 middle-aged (30-49 years old), and 63 old (65-85 years old) normal volunteers. The differences in concentrations of nonesterified acylcarnitine and acid-soluble acylcarnitine were not statistically significant among them. However, acid insoluble acylcarnitine (AIAC) level in plasma decreased with age. Moreover, total carnitine (TCNE) level in the young group was significantally higher than in old and middle-aged groups. Body fat content in the young group was significantly lower than in old and middle-aged groups. Plasma total cholesterol increased with age and triglycerides in the old group were significantly higher than in young and middle-aged groups. These results suggest that the higher levels of AIAC and TCNE in the young group may be a reflection of their lipid metabolic state, which is different from middle-aged and old groups.

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Homebound status and Related Factors According to Age in Female Elders in the Community (지역사회 재가 여성노인의 칩거와 영향 요인)

  • Choi, Kyung-Won;Park, Eun-A;Lee, In-Sook
    • Journal of Korean Academy of Nursing
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    • v.42 no.2
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    • pp.291-301
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    • 2012
  • Purpose: The purpose of this study was to investigate homebound status and significant related factors for community-dwelling female elders according to age. Methods: The participants were female elders over 65 years of age registered in public health centers. Data were collected by interviewing the elders, who voluntarily completed the entire survey. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 18.0. Results: There were statistically significant differences in homeboundness and related factors between the young-old (65 to 74 years of age) and the old-old (75 years of age or older). The level of homeboundness of the old-old was higher than that of the young-old. Multiple logistic regression showed, timed "up and go", depression, and fear of falling as significantly associated with homebound status of the young-old, while hand grip strength (right), timed "up and go", static balance ability, severity of urinary incontinence, and fear of falling as significant for the old-old. Conclusion: The findings of this study indicate that homebound status and related factors for elders are different according to age, and therefore, interventions to prevent and help homebound elders get over being homebound should be developed according to age.

The Employment Status and Household Economic Life of the Elderly in Ulsan (울산 거주 노인의 취업유무와 가계경제생활)

  • Seo, Jung-Hee;Huh, Eun-Jeong
    • Korean Journal of Human Ecology
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    • v.17 no.5
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    • pp.939-950
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    • 2008
  • The purposes of this study are 1) to investigate the employment status of the elderly(i.e., whether the elderly is employed or not) in Ulsan, 2) to analyze the differences in household economic life between employed and unemployed old People, and 3) only for the employed old people, to compare the monthly earnings and job satisfaction by the work time of per day and by the regular employee or temporary employee. for this study, semi-structural questionnaires were distributed to 500 old people in Ulsan, in September, 2006. The results indicated that only 25% of the respondents were employed, and the employment status of the elderly was related to sex, age, education level, marital status, household composition, number of dwelling persons, and number of children. for household economic life, employed old people had higher household income and monthly allowances than unemployed old people, while they spent more on clothing, but less on food than unemployed old people. Regular old employees had higher monthly earnings and job satisfaction than temporary old employees. And the old employees working for more than 8 hours per day had higher monthly earnings than those working for less than 8 hours, but there was no significant difference in job satisfaction between the two groups.

Urban Regeneration Strategies of Old City Centers in Local Metropolitan cities through Case Study about Nanba Station Regeneration in Osaka City (오사카 난바 역세권 재생사례연구를 통한 우리나라 지방대도시 구도심 재생전략 연구)

  • Kwon, Seong Sil;Oh, Deog Seong
    • KIEAE Journal
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    • v.10 no.5
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    • pp.13-22
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    • 2010
  • The old city centers of local metropolitans have lost their functions as CBD in korea. Those old city centers have an only role as a gate connected to the new CBD. This study aims to present regeneration stratigies of old city centers through Osaka case study. This research has been focused on the physical and environmental factors in urban regeneration. There are 4 strategies for old city centers. First, the strategy to attract people to the old city centers is high-density and mixed-use development having functions like shopping, entertainment, residence. This kind of development makes local metropolitan cities compact cities to protect urban sprawl. Second, strategy to give old city centers an identity is to conserve traditional culture and structures and to revitalize retail market. Third is to make pedestrian-friendly street system. Osaka ism't pedestrian friendly but remodelling the connect the pedestrian path to the culture facilities. Fourth is to have water and green environment. Green space is the strong factor that pull people to old city centers.

An Analysis of Economic Value of the Old-age Preparation Service (노후준비서비스의 경제적 가치 분석)

  • Ahn, Kyung Ae;Rhee, Hae Chun
    • Health Policy and Management
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    • v.28 no.1
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    • pp.77-86
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    • 2018
  • Background: The purpose of this study is to emphasize the importance and necessity of the government's old-age preparation service by measuring the economic value of the old-age service and the policy direction and policy implications of the government's old-age preparation service project. Methods: Contingent Valuation Method (CVM) was used as an analytical method. CV methodology was used to calculate the Willingness to pay (WTP) for old-age preparation service and its value was estimated and the economic benefit of the project was estimated. Results: As a result of the analysis, the average monthly payment amount for the old service was calculated as 5,100 won, and the annual average payment amount was estimated to be 61,197.1 won. Conclusion: The present value of the benefit for 10 years with the discount rate of 5.5% is 484,651 won. Based on the value of peruser benefit, the total benefit value calculation result of the old-age preparation service considering the Willingness to pay for the next 10 years shows that the total benefit value of the old service, which occurs during the period from 2016 to 2025(10 years) was estimated at 415.1 billion won. As a result of calculating the benefit for each scenario, the present value of basic service is higher in all scenarios than the linked service.

A Study on Shoulder Joint ROM of the Elderly (노인의 견관절 가동범위에 관한 연구)

  • Um, Ki-Mai;Yang, Yoon-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.8 no.2
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    • pp.997-1003
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    • 2001
  • The purpose of this study is to know the average of pint range of motion and difference according to the aging for the elderly, This study consisted of elder male(n=75) and elder female(n=l09), The result of assessment and analysis in shoulder pint range of motion are as follows: 1) The average shoulder flexion pint range of motion in 60-69(from sixty to sixty-nine)years old are 163.04(Left-Male), 162.91(Right-Male), 158.74 (Left-Female), 158.74 (Right-Female). 70-79years old are 149.40(L-M), 152.38(R-M), 153,37(L-F), 153.37(R-F). 80-89 years old are 149.57(L-M), 147.93(R-M), 151.17(L-F), 150.33(R-F). There was no significant difference among group, 2) The average shoulder extension pint range of motion in 60-69years old are 48.15(L-M), 47.20(R-M), 45.16(L-F), 44.23(R-F), 70-79years old are 37.l1(L-M), 38.70(R-M), 35.17(L-F), 36.71(R-F), 80-89 years old are 34.46(L-M). 36.71(R-M), 33.90(L-F), 33.09(R-F). There was significant difference among group(p<.05). 3) The average shoulder abduction pint range of motion in 60-69years old are 164.22(L-M), 165.96(R-M), 159.34(L-F), 159.97(R-F), 70-79years old are 152.27(L-M), 155.05(R-M), 152.32(L-F), 53.66(R-F), 80-89 years old are 152.17(L-M), 153.76(R-M), 147.53(L-F), 147.37(R-F). There was significant difference in right shoulder abduction among group(p<05). 4) The average shoulder internal rotation pint range of motion in 60-69years old are 63.52(L-M), 65.70(R-M), 64.16(L-F), 64.61(R-F), 70-79years old are 64.50(L-M), 65.81(R-M) 61.10(L-F), 61.83(R-F). 80-89 years old are 61.60(L-M), 61.66(R-M), 57.53(L-F), 57.53(R-F). There was no significant difference among group. 5) The average shoulder external rotation pint range of motion in 60-69years old are 50.87(L-M), 50.22(R-M), 51.03(L-F), 50.42(R-F), 70-79years old are 50.91(L-M), 50.20(R-M) 48.37(L-F), 50.20(R-F). 80-89 years old are 46.83(L-M), 47.93(R-M), 43.43(L-F), 43.72(R-F).There was significant difference in left shoulder external rotation among group(p<.05).

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A Study on Health Care of the Old Aged People in a Rural Area (일부 농촌지역 노인의 건강관리 실태에 관한 고찰)

  • Wie, Cha-Hyung
    • Journal of agricultural medicine and community health
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    • v.15 no.1
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    • pp.41-48
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    • 1990
  • In order to find out the status of health care of the old aged people (age of 65 and over) in a rural area, a study was carried out, through analyzing the data of health care clinic for 207 old aged people with geriatric diseases, and of questionnired survey for 84 old aged people with geriatric diseases in a rural community. Su Dong-Myun. Nam Yang Zu-Gun, Kyung Gi-Do, Korea, during the year of 1989. The following results were obtained. 1) The composition rate of population of age of 65 and over was 9.8% in total, and sex-specific composition rate was 9.3% in male and 10.4% in female. 2) Utilization rate of health care clinic for old aged people with geriatric diseases was the highest rate with 37.9%, through individual letters at the first time, and showed gradually decreasing tendency afterward. 3) In the means of utilization advices to health care clinic for the old aged people. the individual letters(37.9%) at the first time were more effective than public information of the old aged hall or/and Myun office(18.4%). 4) In opinion on utilization of health subcenter-health care clinic for the old aged people "will utilize"(59.5%) was the highest and "do not know"(26.2%) "be difficult to utilize" (9.5%) and "will not utilize"(4.8%) were in the next order. 5) Out of 84 respondents, the old aged people With geriatric diseases, 73.8%(about three-fourths) of them answered "their diseases to the aggravated" (29.8%) "not to be changed"(25.0%) and "to be unknown"(19.0%), and the others(26.2% of them) "to be changed for the better". 6) Out of 62 respondents(the old aged people), answered their geriatric diseases not to be changed for the better, "no curative effect" was the highest with 43.5% of them. "could not know" (33.9%), "would not treat"(19.4%) and "could not be treated"(4.8%) were in decreasing order. 7) The old aged people, responded their diseases to be changed for the better, answered that they(patients) should make themselves(68.2%) responsible for basic effort of health care. However the old aged people responded their diseases not to be changed for the better answered that they should impute the responsibility of basic effort for health care to medical facilities or other conditions(63.0%). 8) In the reason of failure that the old aged people responded their geriatric diseases not to have curative effect, mis-control of regular habits of daily life was the highest(57.1%), and failure of taking selected medicine steadily(28.6%), and abuse of medicines(14.3%) were in decreasing order. 9) The reason order of being changed for the better that the old aged people responded their diseases to have curative effect, was keeping and control of regular habits of daily life (46.7%), taking selected medicines steadily(33.3%) and others (20.2%) respectively. 10) The courses of geriatric diseases itself are so chronic, duplicate and uncertain, and the old aged people activities for disease control are so slow, various and uncertain that continuous health education in home or/and community unit must be essential factors for effective geriatric health care.

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Ultrastructural Changes of the Bruch's Membrane and the Pigment Epithelial Cells of the Mouse Retina with Age (노화에 따른 마우스 망막의 바닥복합층과 색소상피세포의 미세구조 변화)

  • Ko, Jeong-Sik;Park, Byung-Lok;Ahn, E-Tay;Park, Kyung-Ho;Kim, Jin-Gook
    • Applied Microscopy
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    • v.27 no.4
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    • pp.357-372
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    • 1997
  • To study the age-related morphological differences of the retinal pigment cells and Bruch's membrane of mouse, retinae of one week-old, five weeks-old, eight weeks-old, six months-old, twelve months-old, eighteen months-old, twenty-four months-old and thirty months-old ICR mice were dissected out under anesthesia. Pieces of the tissue taken from the posterior region of the retina were fixed in 2.5% glutaraldehyde-1.5% paraformaldehyde (0.1 M Millonig's phosphate buffer, pH 7.3), and 1% osmium tetroxide (0.1 M Millonig's phosphate buffer, pH 7.3), and embedded in araldite mixture. The ultrathin sections were stained with uranyl acetate and lead citrate, and were observed under a JEM 100 CX-II electron microscope. Observed results were as follows: 1. Retinae of one week old mouse exhibit that some parts of the pigment cell provided with basal foldings, whereas other parts of the one contain without basal foldings. After (ive weeks-old, all retinal pigment cells have the basal infoldings. 2. In the one week-old, stage 1 and stage 2 melanosomes were observed in the retinal pigments cells, but after five weeks-old, most of the retinal pigment cells contain some matured stage melanosomes (stage III and stage IV). 3. The phagosomes in the retinal pigment cells were increased during aging. 4. After eighteen months-old, electron dense materials are observed within the basal infoldings. 5. After eighteen months-old, the thickness of the Bruch's membrane is prominently increased. The thickness of the basal laminae of the pigment cell and the choriocapillary endothelium is more prominently increased as compared with that of the other components of the Bruch's membrane. 6. The thickness of the basal lamina of the pigment cell is more prominently increased as compared with that of the choriocapillary endothelium on aging. From the above results, it was suggested that the pigment cell and Bruch's membrane matures structurally In five weeks, and the function of the pigment cell is prominently suppressed around eighteen months-old, and thereafter the functional suppression is continued on aging.

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