• Title/Summary/Keyword: oldest old

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Developing a Checklist and Evaluation of Public Senior Centers - Focused on Seocho-gu Seoul Public Senior Center - (경로당 시설에 대한 체크리스트 개발과 평가 - 서울 서초구 구립경로당을 중심으로 -)

  • Kwon, Hye-Jin;Shin, Kyung-Joo
    • Korean Institute of Interior Design Journal
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    • v.24 no.4
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    • pp.23-32
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    • 2015
  • This research tried identifying the current status of Gyongrodangs to find solutions to the problems of the oldest old through revitalization of the existing senior centers. With 31 national and public Gyungrodangs in Seocho-gu, Seoul as research subjects, the research contents include a survey of the facilities including main exit doors, living rooms and lounges, kitchens, and rest rooms in the Gyungrodangs by the checklist, and as the research tool a laser finder, measuring tapes, and cameras were used. The checklist was used as the research method to investigate main exit doors, living rooms and lounges, kitchens, and rest rooms. Based on the research results, the following conclusions are presented. The safety-related items of the public Gyungrodang facilities were reaching a critical level. They need to equip emergency exit routes, install exit lights and alarm bells, and teach how to use them. After that, the issue of rest room would be raised; the oldest old had difficulty in using the rest room with no consideration of universal design(UD), so installation of grab bars is needed around toilets, washstands, and urinals. Besides them, although absence of the western style furniture without consideration of users' ages caused inconvenience of using, there are no solutions due to the limited space. Unnecessary equipment such as treadmills which only occupy spaces without users should be thrown away and replaced with the furniture people would use like tables with supplement of furnitures to lie down and rest. Overall, the current Gyongrodang Facilities lack systems and need standardized management, in which the checklist this researcher developed and used in evaluating the present conditions could be recommended. It is expected that the evaluation system of senior centers would be arranged through this checklist, so that systematic service supply could be possible in the better facility environment.

A Method for Construction of Life Table in Korea (우리나라 자료에 적합한 생명표 작성방법에 대한 연구)

  • Park, You-Sung;Kim, Seong-Yong
    • The Korean Journal of Applied Statistics
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    • v.24 no.5
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    • pp.769-789
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    • 2011
  • The life table is a statistical model for life expectancy and reflects mortality experiences exposed to a particular group of people. The following three issues are prerequisite for constructing the life table : a selection of how to estimate the death probability from observed death rates, a graduation method to smooth irregularity of the death probabilities, and an extension method of the death probabilities for oldest-old ages. To construct the life table that is fittest to Korean mortality experiences, we examine five estimation methods such as Chiang's and Greville's for the death probability, three graduation techniques including Beer's and Greville's formulae, and twelve mathematical functions for the extension of death probabilities for oldest-old ages. We also propose a method to resolve the cross-over problem arising from construction the life table.

The Effects of Social Activity Types on the Happiness of Korean Older Adults by Age Groups (노년기 연령집단에 따라 사회활동 유형이 행복감에 미치는 영향)

  • Kim, Jung-Hyun;Chun, Miae
    • 한국노년학
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    • v.38 no.2
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    • pp.329-349
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    • 2018
  • The objective of this study is to examine whether there are differences in participation in social activities and the effects of social activity types on the levels of happiness of the Korean older adults by age groups. The 5th wave(2014) of the Korean Longitudinal Study of Ageing (KLoSA) was used and a total of 3,273 elderly were selected from the 5th wave, who were 65 years old and older and who were not living with their offsprings. Chi-square test, ANOVA, and hierarchical multiple regression analysis were used. The rate of participation in economic activities declined with age and the levels of participation in leisure activities was higher in the young-old group in comparison to the middle- and the oldest- old groups. The levels of participation in family activities was higher in the middle- and the oldest-old groups in comparison to the young-old group. Socializing activities and religious activities measured by the frequencies of activities were not significantly different among the age groups. The results of a regression analysis of social activity types and their effects on happiness by age groups are the followings: 1) Leisure, socializing, religious, and family activities all (with the exception of economic activities) significantly affected the level of happiness of older persons in the young-old group. 2) However, only socializing and family activities in the middle-old age group, and only family activities in oldest-old group, had a statistically significant impact on the levels of happiness. These results support that the rates of participation in the five types of social activities and their effects on the levels of happiness were different by age groups. The implication of this study was to report that needs and the interests of older individuals are different by age groups based on empirical evidences.

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.

Total Anomallous Pulmonary Venous Drainage - Report of 2 Cases- (총폐정맥환류이상증 -치험 2례-)

  • 양태봉
    • Journal of Chest Surgery
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    • v.21 no.4
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    • pp.692-699
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    • 1988
  • In 1987, we experienced 2 cases of T.A.P.V.D. corrected successfully under cardiopulmonary bypass. The first case was 28 years old male with supracardiac type drained through left innominate vein. He was oldest patient among T.A.P.V.D. which was reported in Korea. The other case was 14 years old male with cardiac type drained to right atrium directly without communication with coronary sinus. Two patients were well in postoperative 9 and 10 months and have NYHA functional class I.

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Age and Growth of Daggertooth Pike Conger Muraenesox cinereus in the South Sea of Korea (한국 남해에 분포하는 갯장어(Muraenesox cinereus)의 연령과 성장)

  • Koh, Eun Hye;Kwon, Dae-Hyeon;Kim, Yeonghye
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.52 no.6
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    • pp.650-655
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    • 2019
  • The age and growth of Muraenesox cinereus collected in the South Sea of Korea by Danish seine and coastal Long-line fisheries were determined from right sagittal otoliths between May 2018 and April 2019. Otoliths of 353 fish were observed under reflected light, and the edges of the opaque zone were considered to be the otolith ring. Monthly changes in the marginal index indicated that rings (opaque zones) were formed once a year from June to July. The estimated von Bertalanffy growth equation with growth parameters estimated from non-linear regression were Lt=138.37 (1-e-0.18(t+0.79)) for females and Lt=99.00 (1-e-0.13(t+3.99)) for males. The oldest female M. cinereus was 12 years old, and the oldest male was 8 years old.

Are the Tattoos of the 5200-Year-Old Tyrolean Mummy the Oldest Remains of Acupoints? (5200년 전 티롤의 미라의 문신은 가장 오래된 경혈의 유물인가?)

  • Song, Seok Mo
    • Journal of Korean Medical classics
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    • v.35 no.2
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    • pp.1-15
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    • 2022
  • Objectives : This article examines the validity of the argument by Dorfer et al. that the tattoos of the 5200-year-old mummy, found in Tyrolean Alps in 1991, are the oldest remains of acupoints or meridians. Methods : Firstly, I reviewed the arguments by Dorfer et al. and the rebuttal by Ma et al. Secondly, I investigated whether the tattoo locations were in accordance with the acupoint locations and meridians documented in Chinese medical classics. Finally, I examined the alternative explanations on the reasoning of their locations by Kean et al. Results : Among the 18 groups of tattoos in total, only 3 groups coincided with classical acupoints, which accounts for 16.7% of total groups. Although 4 groups may also have been acupoints locations, this hypothesis could not be confirmed through an accurate standard of measurement. Conclusions : It is highly possible that the tattoos of the Tyrolean mummy do not have any relationship with classical acupoints and meridians. The tattoos are not decorative, but meant for medicinal purposes. They correspond to chronic musculoskeletal trauma and pain sites.

Drug Use Evaluation of Clostridium difficile Infection in Elderly Patients and Risk Factors of Non-improving Group (노인층에서 Clostridium difficile 감염 약물사용평가 및 비호전군에 대한 영향인자)

  • Noh, Hyun Jeong;Ham, Jung Yeon;Lee, Ja Gyun;Rhie, Sandy Jeong
    • Korean Journal of Clinical Pharmacy
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    • v.28 no.3
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    • pp.174-180
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    • 2018
  • Objective: Clostridium difficile Infection (CDI) is one of the common nosocomial infections. As elderly population increases, the proper treatment has been emphasized. We investigated the risk factors associated with CDI unimprovement in elderly patients. Furthermore, we performed drug use evaluation of old CDI patients and oldest-old CDI patients. Methods: It was a retrospective study using electronic medical record at Kangbuk Samsung Medical Center (KBSMC) from January 2016 to December 2017. Seventy three patients aged 65 years or older, diagnosed with CDI by Clostridium difficile Toxin B Gene [Xpert] were screened and they were assessed for risk factors regarding unimprovement status. We also evaluated drug use evaluation in old patients ($65{\leq}age$<80) and oldest-old patients ($80{\leq}age$) by assessing the use of initial therapy, severity, dose, route, treatment course, days of use, total days of use and treatment outcome of initial therapy. Results: Out of 73 patients aged over 65 years, four patients were excluded because they did not receive any treatment. There were 31 improved patients and 38 unimproved patients after initial therapy. We were able to find out patients with surgical comorbidity or endocrine comorbidity (especially, diabetes mellitus) had 2.885 more risk of becoming unimproved than those patients without surgical comorbidity or endocrine comorbidity. Drug use evaluation for CDI was generally fair, but vancomycin as initial therapy is more recommended than metronidazole. Conclusion: Although age, antibiotics exposure, use of antacids are all important risk factors for CDI, our result did not show statistical significance for these risk factors. However, the study is meaningful because the number of elderly population keeps increasing and recently updated guideline suggests the use of vancomycin as drug of choice for CDI.

Factors Affecting Subjective Life Expectancy of The Elderly: A Comparison Three Age Groups (노인의 주관적 기대여명에 영향을 미치는 요인: 연령집단별 개입요인 비교)

  • Kim, Yeon Gyeong;Kim, Clara Tammy
    • 한국노년학
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    • v.39 no.4
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    • pp.699-721
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    • 2019
  • The purpose of this study was to examine and compare factors affecting the subjective life expectancy among the elderly, and to suggest health practice and social welfare service implications for later life. A total of 4,483 seniors from the 6th wave(2016) of the Korean Longitudinal Study on Aging (KLoSA) were used for analysis. The subjects were divided into three age groups: the young-old (n=2,106, 65~74 years), middle-old (n=1,803, 75~84 years), and oldest-old (n=574, 85 years and older). Control variables were sociodemographic factors and health status factors. Independent variables were health promotion behavior, cognition of public care, participating social activity, economic activity, and receiving basic pension. The data were analyzed using hierarchical multiple regression. The main results were as follows. Health promotion behavior was associated with the young-old. Social activities and economic activity were associated with the young-old and middle-old. Receiving basic pension had a significant impact on all age groups. In the middle-old, significant results were focused on socio-demographic and health status factors compared to other groups. The results of this study will provide basic data for the elderly policy and welfare service and will help to find and improve the important factors for the life of the elderly.

The Effects of Stress factors and Self-Esteem on Depressive Symptoms among the young-old, the old-old, the oldest-old groups: The Mediating Role of Two Dimension Self-Esteem (노년기 연소노인, 중고령노인, 초고령노인 집단의 스트레스 요인과 자아존중감이 우울에 미치는 영향 - 자아존중감 2요인의 매개효과를 중심으로 -)

  • Kwon, Tae-yeon
    • Korean Journal of Social Welfare Studies
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    • v.40 no.1
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    • pp.163-196
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    • 2009
  • This study aimed to examine the direct impact and pathways of stress factors, internal resources(positive self-esteem and negative self-esteem) on the depressive symptoms based on stress coping theory, grouping older stage into three groups such as, the young-old, the old- old, oldest-old. This study further examined the mediating role of self-esteem in the relationships between stress factors and depressive symptoms. Data from 1st year Korea Welfare Panel Study were used for the analysis. The total number of participants was 4,338 who were over 65. Data are Analyzed using Structural Equation Modeling. Results revealed that stress factors and internal resources(positive self-esteem and negative self-esteem) directly affected depressive symptoms. The effects of stress factors on depressive symptoms were mediated by positive and negative self-esteem.. Results of multi-group structural equation modeling showed that the effects and pathways of stress factors and self-esteem on depressive symptoms were different into the three old groups. Based on the findings, the implications for policy and practice were discussed.