• Title/Summary/Keyword: poor elderly

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A Study on the Road Facilities Use Characteristics of the Transportation Vulnerable by AHP Analysis (AHP분석을 통한 교통약자의 도로시설 이용특성에 관한 연구)

  • KIM, Min Je;LEE, Young Woo
    • Journal of Korean Society of Transportation
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    • v.33 no.3
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    • pp.276-283
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    • 2015
  • Pedestrians have been exposed to dangerous traffic environments, in which walking spaces in a city decrease without improved facilities even though cars increase. Such poor walking environments are deadly dangerous to the vulnerable as well as the non-vulnerable. This study analyzed the road facilities use characteristics according to a type of vulnerability in order to improve traffic safety and walking environment for vulnerable pedestrians. This study surveyed the vulnerable in terms of issues that they encountered on existing walkways and conducted the analytic hierarchy process (AHP), which took all quantitative and qualitative variables into account. The results of Level-3 analysis were showed that the elderly and the disabled were partially similar; both felt most inconvenient at enter-exit sections, steep walkway and bad paved walkway. Unlike those results, people with children and/or infants answered that overpass or underpass walkways without lifting facilities were most inconvenient walking environments.

Sarcopenia: Nutrition and Related Diseases

  • Du, Yang;No, Jae Kyung
    • Culinary science and hospitality research
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    • v.23 no.1
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    • pp.66-78
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    • 2017
  • "Sarcopenia", sarcopenia is an old age syndrome, and used to describe the reduction of skeletal muscle. Initially, it was thought that sarcopenia was only a senile disease characterized by degeneration of muscle tissue. However, its cause is widely regarded as multifactorial, with neurological decline, hormonal changes, inflammatory pathway activation, declines in activity, chronic illness, fatty infiltration, and poor nutrition, all shown to be contributing factors. Skeletal muscle mass can be measured by a variety of methods, currently, the commonly used methods are dual-energy X-ray scanning (DXA), computer tomography (CT), magnetic resonance imaging (MRI), etc. Muscular skeletal disorders can also be assessed by measuring appendicular skeletal muscle (ASM), particularly muscle tissue content. At the same time, sarcopenia refers to skeletal muscle cell denervation, mitochondrial dysfunction, inflammation, hormone synthesis and secretion changes and a series of consequences caused by the above process and is a progressive loss of skeletal muscle syndrome, which can lead to the decrease of muscle strength, physical and functional disorders, and increase the risk of death. Sarcopenia is mainly associated with the aging process, but also related to other causes such as severe malnutrition, neurodegenerative diseases, and disuse and endocrine diseases associated with muscular dystrophy, and it is the comprehensive results of multi-factors, so it is difficult to define that sarcopenia is caused by a specific disease. With the aging problem of the population, the incidence of this disease is increasingly common, and seriously affects the quality of the life of the elderly. This paper reviews the etiology and pathogenesis of myopathy, screening methods and diagnosis, the influence of eating habits, etc, and hopes to provide reference for the diagnosis and treatment of this disease. At present, adequate nutrition and targeted exercise remain the gold standard for the therapy of sarcopenia.

Estimating an Adequate Income Replacement Rate and Suggesting Roles for Pension and Non-Pension Incomes (소득계층별 노후 필요소득대체율 추정과 연금 및 비연금 소득원의 역할 분담)

  • Kang, Sungho;Kim, DaeHwan
    • The Korean Journal of Applied Statistics
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    • v.28 no.4
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    • pp.763-779
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    • 2015
  • This study estimate the adequate replacement rate of retirement income by income brackets and suggests roles of pension and non-pension income sources to achieve it for each income bracket. Priori research focused on elderly poverty; however, there has been little discussion about an adequate income level for retirement. We calculate an adequate income replacement rate separately for the poor, middle, and high income group as well as the average level of replacement rate for all groups. We also investigate the gap between the adequate income replacement rates and realized rates, and propose roles for each income source to curtail the gap. It is essential to recognize that the adequate income for retirement is unable to be met only by an annuity. To emove the gap, it is vital to utilize non-pension income although annuity is a primary source for retirement. Especially, the public and private pension plays a role to overcome poverty and live affluent in retirement, respectively.

The Comprehensive Equity Implications of a Carbon Pricing Policy in South Korea: Based on Environmentally Extended Input Output Analysis Together with Household Expenditure Data (탄소가격정책의 분배적 함의: 가계동향조사자료와 환경산업연관분석 (EEIO)을 이용해)

  • Kim, Hana
    • Journal of Environmental Policy
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    • v.14 no.2
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    • pp.101-131
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    • 2015
  • A cap-and-trade program accounting for 60 percent of total national greenhouse gas emissions was launched in South Korea in 2015. Academic literature expects that the implementation of such a policy is likely to adversely impact income distribution among various socioeconomic groups in developed countries. South Korea is challenged by equity issues, as well circumstances, the distributional implications of carbon pricing policies need to be examined and reflected in the design of the program prior to implementation in order not to exacerbate social inequity. Using environmentally extended input-output analysis together with household expenditure data, this study finds that a carbon pricing policy will be regressive in South Korea, but the extent depends on whether relative burdens of a carbon pricing policy are measured based on current incomes or proxies of permanent incomes. Along with poor households, this paper finds that elderly and urban households will be more adversely impacted in South Korea. These burdens can be relieved if a small fraction of the revenue is redistributed to households.

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Risk Factors for Health and Environmental Disease in Gyeongju, Pohang, and Ulsan (경주, 포항, 울산지역 보건.환경성 질환 위해 인자)

  • Jung, Jong-Hyeon;Choi, Bong-Wook;Moon, Ki-Nai;Seok, Seong-Ja;Kim, Hyun-Gyu;Shon, Byung-Hyun
    • Journal of Environmental Health Sciences
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    • v.36 no.2
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    • pp.82-94
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    • 2010
  • This study was undertaken in an attempt to provide scientific grounds in explaining the causes of environmental and respiratory diseases resulting from air pollutants in Gyeongju and its neighboring areas. In relation to heavy metals, lead (Pb) was $0.0135{\sim}0.1744\;{\mu}g/m^3$ and high in order of Pohang, Ulsan, and Gyeongju while nickel (Ni) was $0.0023{\sim}0.0115\;{\mu}g/m^3$. The concentrations of heavy metals in the investigated areas did not exceed the environmental standards or Guideline Value of Korea or other countries. However, it is considered necessary to apply intensive control to some heavy metals including cadmium (Cd) that show a relatively high level of hazard. Based on the responses to the survey, measured personal interest in environmental pollution and the basic knowledge of the causes of the respiratory diseases was higher in those with a family history of allergic reactions to metals and bronchial asthma. The incidence of allergic disease was higher in those who are currently in poor health state. In addition, the general knowledge of environmental pollutants was higher in those with higher educational level and those with a higher interest in environmental pollution. Personal interest in environmental pollution was higher in those with higher basic knowledge of environmental pollutants. Therefore, it is necessary to increase the awareness through better education and campaigns on environmental pollution.

A Study on Efficient Policies of solving the Digital Divide for Weak Layers in the Smart Phone Convergence Era (스마트융합시대 취약계층에 대한 정보격차 해소 방안)

  • Kang, Wol-Suk;Yang, Hae-Sool
    • Journal of Digital Convergence
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    • v.10 no.1
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    • pp.29-38
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    • 2012
  • As smart convergence occurs, solving the digital divide issue for weak layers such as the elderly, handicapped and poor groups is becoming an emerging issue. This study aims to promote information service to encourage active participation of the weak layers and to bridge the digital divide among those under the digital switchover and the smart phone convergence environments. This study, comparing the environments of Korea and other major countries with respect to digital divide, found some differences and tried to suggest proper policies for Korea to remain as a leading IT country. We expect this study to help the government, industries, schools cope with the divide issues and establish proper policies to provide weak layers with equal opportunities to IT in the coming smart convergence era.

One Case Study of a Patient with NPH Who Showed No Improvement after Ventriculo-peritoneal Shunt (뇌실-복강 단락술 후 증상 호전 없었던 Normal Pressure Hydrocephalus 환자의 치험 1례)

  • Yoon, Kyoung-Sun;Kwon, Gun-Rok;Han, Chang-Ho;Jung, Seung-Hyun;Sin, Gil-Jo;Lee, Won-Chul;Jung, Hyun-Jung
    • The Journal of Internal Korean Medicine
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    • v.26 no.4
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    • pp.918-925
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    • 2005
  • The basic mechanism of normal pressure hydrocephalus(NPH) is found in an impediment to CSF absorption. In about half of the cases, the etiology remains obscure. NPH is more frequently found in elderly people. The main symptoms are gait disturbances, urinary incontinence and various degree of cognitive changes. The current treatment is ventriculo-peritoneal shunting, ideally using an adjustable valve. In about half of surgical operations, results are poor. Hyeongbangjihwang-tang(荊防地黃湯) is used to treat Soyangin(少陽人) weakness(虛弱) and edema(浮腫). It is and important Gang-Yin(降陰) medicine. A Soyangin patient diagnosed with NPH, who had undergone surgery for ventriculo-peritoneal shunting, was treated with Hyeongbangjihwang-tang. Significant improvement of clinical symptoms was seen, so it is here reported.

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Clinical Factors and Perioperative Strategies Associated with Outcome in Preinjury Antiplatelet and Anticoagulation Therapy for Patients with Traumatic Brain Injuries

  • Pang, Chang Hwan;Lee, Soo Eon;Yoo, Heon
    • Journal of Korean Neurosurgical Society
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    • v.58 no.3
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    • pp.262-270
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    • 2015
  • Objective : Long-term oral anticoagulation or antiplatelet therapy has been used with increasing frequency in the elderly. These patients are at increased risk of morbidity and mortality from expansion of intracranial hemorrhage. We conducted a single-center retrospective case control study to evaluate risk factors associated with outcomes and to identify the differences in outcome in traumatic brain injury between preinjury anticoagulation use and without anticoagulation. Methods : A retrospective study of patients who underwent craniotomy or craniectomy for acute traumatic cerebral hemorrhage, between January 2005 and December 2014 was performed. Results : A consecutive series of 50 patients were evaluated. The factors significantly differed between the two groups were initial Prothrombin Time-International Normalized Ratio, initial platelet count, initial Glasgow Coma Scale score, and postoperative intracranial bleeding. Mean Glasgow Outcome Scale (GOS) score were similar between the two groups. In the patient with low-energy trauma only, no significant differences in GOS score, postoperative bleeding and many other factors were observed. The contributing factors to postoperative bleeding was preinjury anticoagulation and its adjusted odds ratio was 12 [adjusted odds ratio (OR), 12.242; p=0.0070]. The contributing factors to low GOS scores, which mean unfavorable neurological outcomes, were age (adjusted OR, 1.073; p=0.039) and Rotterdam scale score for CT scans (adjusted OR, 3.123; p=0.0020). Conclusion : Preinjury anticoagulation therapy contributed significantly to the occurrence of postoperative bleeding. However, preinjury anticoagulation therapy in the patients with low-energy trauma did not contribute to the poor clinical outcomes or total hospital stay. Careful attention should be given to older patients and severity of hemorrhage on initial brain CT.

The Effect of Postural Stability on Genu Varum in Young Adults

  • Chae, Yun-Won;Park, Ji-Won;Park, Seol
    • The Journal of Korean Physical Therapy
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    • v.24 no.6
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    • pp.419-422
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    • 2012
  • Purpose: Malalignment of the lower limbs may increases the difficulty of maintaining equilibrium. The purpose of this study was to study the effects of genu varum and poor posture in the sagittal plane on postural stability. Methods: We had 27 subjects with varus and 27 normal subjects participate in this study. Subjects for whom the distance between the medial epicondyles in the knee joint was more than 3 cm were classified as varus group, and subjects for whom the distance was less than 3 cm were classified as normal group. The measurements of static and dynamic stability were used overall stability index (OSI), anterioposterior stability index (APSI), and mediolateral stability index (MLSI) using a Biodex balance system. Results: When measuring the static stability index, there were significant differences in the mediolateral stability index between the varus and control groups. When measuring the dynamic stability index, there were significant differences in the overall, anteriorposterior, and mediolateral stability index between the varus and control groups. These results demonstrated that genu varum affects mediolateral movement in static stability, and overall, anterioposterior and mediolateral movements in dynamic stability. Conclusion: As genu varum affects static and dynamic stability in young adults, it increases the risk of injuries or falls. Exercise and surgery are required for realigning the genu varum. Future studies about postural stability in young children and elderly people who have a risk of falls due to lower postural control ability, are needed, as well as in young adults.

Analysis of 'Digital Divide' Research Trends in Library and Information Science (문헌정보학 분야 정보격차 연구동향 분석)

  • Kang, In-Seo;Kim, Hea-Jin
    • Journal of the Korean Society for information Management
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    • v.37 no.2
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    • pp.333-352
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    • 2020
  • This study aimed to analyze research trends of 'digital divide' in Library and Information Science. To this end, we coded research subjects with 11 subcategories, and research objectives with 4 subcategories, and research methods with 4 subcategories, and constructed keyword networks to which a pathfinder algorithm was applied. As a result of the analysis, 79.5% of studies are on the disabled, multicultural families, and the elderly among information vulnerable groups, and it was found to be concentrated in specific groups. In addition, digital divide related studies have been actively conducted for the purpose of resolving information vulnerabilities such as people with disabilities. We also found that these studies focused on verifying the effectiveness by designing and applying treatments such as informatization education, information utilization, and reading programs. Lastly, the most frequently used research method in the digital divide was found to use case studies or questionnaires simultaneously with literature research.