• Title/Summary/Keyword: the elder

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Factors Affecting Activity Restriction in the Elderly with Chronic Disease: Using data from the 8th period of the National Health and Nutrition Examination Survey (만성질환 노인의 활동 제한에 영향을 미치는 요인: 국민건강영양조사 제 8기 자료를 활용하여)

  • Hwang, Ho-Sung;Choi, Ji-Hyun;Kim, Su-Kyoung
    • Journal of the Korea Convergence Society
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    • v.12 no.11
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    • pp.359-369
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    • 2021
  • In this study, a complex sample logistic regression analysis was performed to identify the factors affecting the activity restriction of 2,701 normal elderly and chronically ill elderly aged 65 and over using raw data from the 8th period of the National Health and Nutrition Examination Survey. It was found that the elderly with chronic disease felt more restricted in their activities than the normal elderly. Activity limiting factors in stroke and hypertension patients are subjective health status, economic level, stress perception, and moderate-intensity work and leisure. The factors limiting activity in patients with heart disease were subjective health status and economic level, and factors limiting activity in patients with joint disease were subjective health status and high-intensity work and leisure. Activity limiting factors for lung disease patients are education level, high intensity work and leisure, and endocrine system activity limiting factors include subjective health status, stress perception, high intensity work and leisure, and activity limiting factors for cancer patients. is subjective health status, stress perception, moderate-intensity work and high-intensity leisure. Rehabilitation programs and policy support are needed for the continuous participation of the elderly with chronic diseases.

The Effect of Depression, Avoidance Coping Style, Quality of Life on Suicidal Ideation of the Elder in Community (지역사회 재가노인의 우울, 회피적 대처방식, 삶의 질이 자살생각에 미치는 영향)

  • Chang, Koung-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.513-523
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    • 2018
  • This study was to examine the effects of depression, avoidance coping and quality of life on suicidal ideation of elders living at home. A descriptive survey study was conducted with a survey of 509 older people in person 50 senior center at G city from November 30, 2017 to 1. The data were analyzed with t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression using IBM SPSS WIN 24.0 program. The mean score of the was depression $8.50{\pm}3.51$, avoidance coping style $12.36{\pm}3.41$, quality of life $7.26{\pm}1.97$ and suicidal ideation $6.16{\pm}1.78$. Suicidal ideation was had a negative correlation with Depression(r=-.219, p<.001) and a positive correlation with avoidance coping style(r=.277, p<.001). The result of the regression indicated that depression, avoidance coping style and gender explained 12.1% of variance in suicidal ideation. The results suggest that depression, avoidance coping style and gender were associated with suicidal ideation. Therefore it is necessary to develop strategies to reduce the depression, avoidance coping style and improve quality of life for community dwelling elders to reduce suicidal ideation.

Factors affecting HRQOL in Elders with Hearing Impairment : Based on the 2018 KNHNES (청력저하 노인의 건강과 관련된 삶의 질 영향요인: 2018 국민건강영양조사 자료를 이용하여)

  • Ha, Jeongmin;Park, Dahye
    • Journal of the Korea Convergence Society
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    • v.11 no.7
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    • pp.97-104
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    • 2020
  • The Purpose of this paper was to explore the effect of hearing impairment on HRQOL in Korean elders. We carry out a cross-sectional analysis using nationally representative data from the KNHANES, 2018. A total of 528 elders who had hearing impairment were included. Statistical analysis was performed using SPSS 25.0, χ2-test, t-test, correlation, and regression analysis to confirm the quality of life, and the influencing factors. There were significant differences in HRQOL according to gender, age, education, marital status, income, occupation, number of household members, tinnitus, number of comorbidities, smoking status, alcohol drinking status, subjective health status, regular exercise, restriction of activity, depressive mood and perceived stress. The results indicated that age, BMI and number of comorbidities had a significant negative association with HRQOL. In addition, marital status, number of comorbidities, body mass index, subjective health status, regular exercise, restriction of activity and perceived stress were predictors of life quality in elders with Hearing Impairment and the variable in the health-related quality of life was explained by 37.3%. In order to improve the HRQOL of elders with hearing impairment, multidisciplinary efforts and development of educational programs are required.

Influential Factors on Rehabilitation Exercise Practice in Elderly Lmited Activities of Daily-Living: An Analysis based on the Theory of Planned Behavior (일상생활수행 제한 노인들의 재활운동행위의 실천에 따른 영향요인 분석(계획된 행위이론을 적용하여))

  • Kim, Soo-Min;Park, Jae-Yong;Han, Chang-Hyun
    • The Journal of the Korea Contents Association
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    • v.10 no.3
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    • pp.271-281
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    • 2010
  • Background: This research has been carried out to analyze presupposition factors which influence factors on Rehabilitation Exercise practice in Elderly limited Activities of Daily-Living an Anlaysis based on Theory of Planned Behavior to support to induce Rehabilitation Exercise behavior. Method: From the geriatric hospitals in Pusan and Kyungnam, 316 elderly who has ADL Disability participated in the study. We did 1st questionnaire investigation. We provided them 4 weeks of Rehabilitation Exercise training, and 2 weeks later we collected 2nd questionnaire sheet to confirm their Rehabilitation Exercise behavior practice and analysed. Results: In this research relative influence to behavioral intention for Rehabilitation Exercise headed by attitude toward the behavior(.61), perceived behavior control(-.56) and subjective norm(.27)these results were slightly different from other research, in case of perceived behavior control was low but on attitude toward the behavior it showed high in results. It's older have strong subjectivities and has not change their mind, the old's behavioral intention is expressed as an attitude toward the behavior. Rehabilitation Exercise Practice of Elder should prioritize to have the health belief which is positive, As a result it will be regarded to expect the maximum effect.

Factors Influencing Quality of Life in Elderly Diabetic Patients of Korea: Analysis from the Korea National Health and Nutrition Examination Survey in 2008 (한국노인 당뇨환자의 삶의 질 영향요인)

  • Shin, Jee-Won;Park, Yong-Kyung;Suh, Soon-Rim;Kim, Ji-Eun
    • 한국노년학
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    • v.31 no.3
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    • pp.479-487
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    • 2011
  • This study was a descriptive study to investigate factors affecting quality of life in the Korean elders with diabetes mellitus. A secondary data analysis was conducted using the data of "The Fourth Korea National Health and Nutrition Examination Survey, 2008." The survey included 9774 adults aged over 64 years with diabetes mellitus and 226 samples were used for this study. Data analysis was conducted using SPSS 12.0 program and descriptive statistics, Pearson's correlations, and multiple regression analyses were performed. Correlation analysis showed that quality of life was associated with the amount of alcohol intake, the level of stress awareness, walking time, and suicidal thoughts. The amount of alcohol intake, the level of stress awareness, walking time, and suicidal thoughts accounted for 34.5% of quality of life. These findings suggest that nursing researchers need to consider age, suicidal thoughts, and drinking as important factors affecting quality of life of Korean elders with diabetes mellitus and nursing intervention focusing on the issues needs to be developed.

Multiple Aging Trajectories of the Elderly in Korea (한국 노인의 노화궤적 연구)

  • Kim, Sojin
    • 한국노년학
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    • v.39 no.1
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    • pp.37-60
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    • 2019
  • This study was attempt to derive the aging trajectories of Korean elderly people and identify its characteristics. In particular, this study used the successful aging model of Rowe and Kahn as an analytical framework. Using the Korean Longitudinal Study of Ageing(KLoSA), this study applied group-based multi-trajectory analysis to identify multiple aging trajectories in sample of Korean elder aged 65~74(n=2,682). This study also used several demographic characteristics as baseline predictors to identify the characteristics of each aging trajectory. Five dimensions were analyzed in the multi-trajectory model: chronic disease, physical functional limitation, cognitive functioning, depressive symptom and social engagement. As a result of the analysis, five aging trajectories were identified: successful aging(17.8%), usual aging (33.9%), health declining aging(18.2%), pathological aging(7.9%), and aging with mild cognitive impairment(22.1%). In general, the odds of experiencing successful aging were high in men, low-aged, highly educated, high-income, and spousal elderly. On the other hand, for the elderly, who are under-educated, low-income, and high-aged, there was a high probability of experiencing a relatively difficult aging process. In particular, the odds of experiencing a mild cognitive impairment aging was high in older, lower-income women without a spouse.

Enzyme Replacement Therapy in Patients Who Have Mucopolysaccharidosis and Are younger than 5 years old (5세 미만 뮤코다당체침착증 환자에서의 효소 대체 요법)

  • Park, Seong-Won;Son, Yeong-Bae;Kim, Se-Hwa;Jo, Seong-Yun;Ji, Seon-Tae;Jin, Dong-Gyu
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.10 no.1
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    • pp.59-66
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    • 2010
  • Enzyme replacement of therapy (ERT) is one of the most promising therapeutic strategies for the treatment of lysosomal storage disorders. ERT is available in three types of Mucopolysaccharidosis (MPS): for MPS I (Aludrazyme$^{(R)}$), MPS II (Elaprase$^{(R)}$) and MPS VI (Naglazyme$^{(R)}$) patients who are over 5 years old. But recently, early diagnosis can be done by expert clinicians and even in prenatal case. We describe the case of ERT under 5 years old MPS patients. Up to June, 2010 in Samsung Medical Center, there are 6patients who were diagnosed as MPS and started ERT under 5 years old. 3 patients were MPS I, 3 patients were MPS II. 2 patient who was diagnosed as MPS I was female and others were male. Their age at diagnosis were 4 to 37month-old (4, 13, 16, 25, 27, 37 month-old) and they are now 9 to 60 month-old (9, 39, 32, 81, 60 month-old). The youngest patient was started ERT at 4 month-old and others were started at their 13 to 49 month-old (13, 29, 27, 28, 49 month-old). First manifested symptoms of patients were macrocephaly, kyphosis and coarse face appearance. Especially, in 2 of them, one was MPS I and the other was MPS II had elder brother with same disease. And the youngest one was diagnosed by the iduronate-2-sulfatase (IDS) gene analysis from chorionic villi sampling. His mother knew that she was a heterozygous carrier of IDS gene mutation because her younger brother died from MPS II. All of them confirmed as MPS by the enzyme assay in leukocytes and fibroblast skin culture. We started ERT with ${\alpha}$-L-iduronidase(Aldurazyme$^{(R)}$) to MPS I and did recombinant human iduronate-2-sulfatase (Elaprase$^{(R)}$) to MPS II patients as recommended dose as over 5 years old. But for MPS II patient who was 4 month old, we started ERT by recombinant human IDS (Elaprase$^{(R)}$) with reduced dose 0.1 mg/kg and increased dose every 2 weeks by 0.1mg/kg up to 0.5mg/kg IV infusion. During ERT, all patients had no adverse effects and the excretion of GAGs were decreased. We have evaluated other clinical symptoms such as liver/ spleen volume, heart function and neurologic evaluation. We describe a successful ERT to MPS I and MPS II patient under 5 years old without any adverse event. It indicates that ERT in young children are well tolerated and that it has several effects which may confer clinical benefits with long-term therapy.

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A Comparative Study on Discrimination Issues in Large Language Models (거대언어모델의 차별문제 비교 연구)

  • Wei Li;Kyunghwa Hwang;Jiae Choi;Ohbyung Kwon
    • Journal of Intelligence and Information Systems
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    • v.29 no.3
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    • pp.125-144
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    • 2023
  • Recently, the use of Large Language Models (LLMs) such as ChatGPT has been increasing in various fields such as interactive commerce and mobile financial services. However, LMMs, which are mainly created by learning existing documents, can also learn various human biases inherent in documents. Nevertheless, there have been few comparative studies on the aspects of bias and discrimination in LLMs. The purpose of this study is to examine the existence and extent of nine types of discrimination (Age, Disability status, Gender identity, Nationality, Physical appearance, Race ethnicity, Religion, Socio-economic status, Sexual orientation) in LLMs and suggest ways to improve them. For this purpose, we utilized BBQ (Bias Benchmark for QA), a tool for identifying discrimination, to compare three large-scale language models including ChatGPT, GPT-3, and Bing Chat. As a result of the evaluation, a large number of discriminatory responses were observed in the mega-language models, and the patterns differed depending on the mega-language model. In particular, problems were exposed in elder discrimination and disability discrimination, which are not traditional AI ethics issues such as sexism, racism, and economic inequality, and a new perspective on AI ethics was found. Based on the results of the comparison, this paper describes how to improve and develop large-scale language models in the future.

Differences in Snacking Behavior and General Characteristics of High School Students in Some Areas in Seoul and Kyonggido (서울, 경기 일부지역 고등학생의 간식 섭취 실태와 일반사항과의 차이)

  • Kim, Geum-Ran;Kim, Mi-Jung
    • Culinary science and hospitality research
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    • v.19 no.2
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    • pp.11-27
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    • 2013
  • The purpose of this study is to investigate snacking behavior of high school students. The subjects were 1,587 students (684 male, 903 female) in Seoul and Paju. The highest number of eating snacks was 'once(39.9%)' per day, and they preferred 'milk and cookies' and 'fruit.' For the result of reasons for choosing a snack, they chose 'what I want to have (59.6%)' most and 'snacks don't affect eating meals (48.0%).' Also, compared with the ones with 'an elementary school diploma,' the percentage of those with 'a middle school diploma' was higher in 'having snacks once or three times' according to father's education level(p<0.05). In snack types and general characteristics, they chose 'milk and cookies' when their expenses range 'under 50000 won' and '100,000 won' and 'fruit' when '70,000won' and 'over 100,000 won (p<0.05).' In the reasons for choosing a snack, younger mothers(30-50ages) said 'what I want to have' while elder mothers($$\geq_-51ages$$) 'depending on my mood.' Also, the respondents whose mothers had 'a high school diploma' answered 'what I want to have' the most (p<0.05). Especially, in case of effects after eating snack, they answered 'poor meals (35.5%)' whose mother's job was professional. These results suggest that the general characteristics of family environment may affect snacking behavior among high school students. They need a guideline to help select healthy snacks for desirable eating behavior.

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A Study on the Control Algorithm for Active Walking Aids by Using Torque Estimation (모터 토크 추정을 통한 능동형 보행보조기의 차량 제어 알고리즘 구현)

  • Kong, Jung-Shik;Lee, Bo-Hee;Lee, Eung-Hyuk;Choi, Heung-Ho
    • Journal of the Korean Institute of Intelligent Systems
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    • v.20 no.2
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    • pp.181-188
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    • 2010
  • This paper presents the control algorithm of active walking aids estimating external torque of the wheels from user's will. Nowadays, interest of the walking aids is increased according to the increase in population of elder and handicapped person. Although many walking aids are developed, most of walking aids don't have any actuators for its movement. However, general walking aids have weakness for its movement to upward/download direction of slope. To overcome the weakness of the general walking aids, many researches for active type walking aids are being progressed. Unfortunately it is difficult to precision control of walking will during its movement, because it is not easy to recognize user's walking will. Many kinds of methods are proposed to recognize of user's walking will. In this paper, we propose control algorithm of walking aids by using torque estimation from wheels. First, we measure wheel velocity and voltage at the walking aids. From these data, external forces are extracted. And then walking will that is included by walking velocity and direction is estimated. Finally, walking aids are controlled by these data. Here, all the processes are verified by simulation.