• KIEAE Journal
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• 제13권1호
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• pp.141-150
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• 2013

As longevity of human-beings is extended and the population of aged people increases, diverse issues related with the aged people are presented. The neighborhood space for the aged people is required to be designed based upon the understanding of such difficulties of the elderly and the public outdoor environment is an important environmental resource that can enhance the quality of life and promote the health of the elderly in underprivileged area without burdening them economically. This study aims to research the daily life of the elderly in underprivileged urban area and their utilization styles of outdoor environments in order to find out the push factors and pull factors that induce the aged people to use the outdoor environments. For this purpose, this study carried out an interview survey upon 69 elderly residents and surveyed on 363 elderly residents of low income class who are aged 60 and over and living in decaying area in Jeonju. For the analysis of the collected data, a qualitative and a quantitative analysis were accomplished. As results of study, the elderly in underprivileged area use such outdoor environments as resting facilities, exercise equipment, parks, farming gardens and waterfronts, and the push factors for them to use the outdoor environments were sordid indoor spaces, sense of isolation or loneliness, and the desire for maintaining good health. And the pull factors for them to use the outdoor environments were natural factors, opportunities for social interactions, space for exercise. The obstacles that hinder the elderly in using outdoor environments were the bad health of the elderly, lack of facilities, accessibility and weather conditions. Thus, the results of this study are expected to provide basic data for designing the outdoor environments to promote the health of the elderly in urban underprivileged area and to relieve the burdensome problems related with ageing societies.

• 보건의료산업학회지
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• 제8권2호
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• pp.197-208
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• 2014

This study examined the relationship between social support and depressive symptom among the middle and old-aged people, using dataset of the Korean Longitudinal Study of Ageing(KLoSA 3rd). The subjects were 7,874 persons aged 45 and over. Using this data, social support variables and its relation to depressions was observed based on social network model. A multiple regression model was used to study an association between social support and depressive symptom, controlling for socio-economic characteristics, health status and behavior. Also, this paper run two subgroup regression models based on gender of subjects (male, female), controlling for confounding variables. Authors found that there was lower the number of meetings with friends (1~3 times in a week: b=0.597, p<0.0001; 1~2 times in a month: b=0.609, p<0.0001; 1~6 times in a year or under: b=1.598, p<0.0001) and negative relationship between spouse satisfaction (b=-0.007, p=0.0237), children satisfaction (b=-0.019, p<0.0001) and depressive symptom. Also quantitative effect differences were compared according to gender and its effect on depression. Compared to the male group, female group showed significant difference in quantitative effect with number of meetings with friends and spouse satisfaction, but children satisfaction didn't show clear differences according to gender. This study suggested the importance of social support for promoting mental health among the middle and old-aged people.

• 대한물리의학회지
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• 제13권4호
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• pp.139-148
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• 2018

PURPOSE: This study compared the effects of indoor and outdoor environmental changes on the activity of the major lower limb muscles and walking factors in people 40-50 years and those aged older than 70 years. METHODS: Ten middle-aged people in their forties (age:$44.2{\pm}2.7$, BMI:$21.8{\pm}1.8$) and 10 elderly aged more than 70 years (age:$76.4{\pm}5.9$, BMI:$22.2{\pm}1.9$) with a normal walking ability were included. The participants walked 100 m both indoors and outdoors at their own speed. Using a 3D motion analyzer and EMG, the walking speed, angle of the ankle and activity changes of the lower limb muscles were compared. RESULTS: Significant differences in walking speed and peak-plantar flexion angle were observed between the two groups (p<.05). The muscular activity of the gastrocnemius muscle (GCM) was significantly different outdoors in the swing phase between the two groups (p<.05). In the people aged in their forties, the muscular activity of the rectus femoris (RF) was significantly higher outdoors than indoors (p<.05). In the elderly, however, the muscular activity of the RF was lower outdoors than indoors (p<.05). When compared to those in there forties, the muscular activity of the outdoor RF significantly decreased in the elderly group (P<.05). The muscular activity of the biceps femoris (BF) in the elderly decreased significantly outdoors compared to indoors (p<.05). CONCLUSION: For the elderly, increasing the exposure to the new environments or focusing on the performance of repeated movements for gradual speed control and precise movements is required to maintain normal gaits and movements that are less affected by environmental changes.

• 한국치위생학회지
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• 제21권6호
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• pp.741-750
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• 2021

Objectives: To provide basic data for oral health policy by identifying the differences in oral health behaviors and conditions among middle-aged people in their 40s and 50s and relating these to their health-related quality of life, and to identify factors affecting health-related quality of life. Methods: In this study, secondary data from the National Health and Nutrition Examination Survey were used. Data were gathered from 8,127 participants, of which 2,353 were middle-aged (40-59 years old). Covariance analysis was performed using a complex sample general linear model to investigate the changes in the subjects' health-related quality of life (EQ-5D) according to their general characteristics, oral health behaviors, and oral health status. Results: Oral health behavior was not significantly related to health-related quality of life. In contrast, a higher oral health status (chewing function) was associated with better health-related quality of life. Conclusions: In conclusion, this study suggested a close relationship between oral health status (chewing function) and health-related quality of life. Therefore, it is necessary to recognize the importance of oral health in improving the health-related quality of life of middle-aged people in their 40s and 50s, as well as in informing oral health policies and preventive measures for individuals and communities.

• 한국문헌정보학회지
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• 제56권3호
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• pp.181-211
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• 2022

본 연구는 공공도서관 문화프로그램의 중장년층 이용자를 대상으로 문화프로그램 특성과 문화프로그램 경험이 문화프로그램 인식과 도서관 인식을 통해 생활만족에 영향을 미치는가를 파악하기 위해 연구모형을 설계하고 검증하였다. 이를 위해 경기지역 5개와 서울지역 9개의 공공도서관의 중장년층 이용자를 대상으로 설문조사를 실시하여 유효표본 246부를 연구에 사용하였다. 분석 결과, 문화프로그램 특성 및 경험이 문화프로그램 인식에 영향을 미치며, 도서관 인식의 지역 관점은 생활 만족의 개인적 욕구 실현에 유의한 영향을 주는 것으로 나타났다. 이러한 결과는 공공도서관의 영향이 일상적인 삶의 영역으로 확산되는 인식 변화를 보여주고 있다. 본 연구는 향후 국가 및 지역 수준에서 공공도서관 관련 정책 및 공공도서관 문화프로그램의 방향성을 제시하였다는 데에 그 의의가 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권5호
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• pp.2339-2340
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• 2012

Objective: To compare the efficacy of anal preserving surgery for aged people with low rectal carcinoma. Methods: Clinical data for a consecutive cohort of 98 rectal cancer patients with distal tumors located within 3cm -7cm of the anal verge were collected. Among these, 42 received anal preserving surgery (35 with Dixon, 3 with Parks and 4 with transanal operations). The local recurrence and survival rates in the above operations were compared with those of the Miles operation in another 56 patients with rectal cancer. Results: The local recurrence and 3-, 5-year survival rates of anal preserving surgery were 16.7%, 64.3% and 52.4%, those of Miles operations were 16.1%, 67.9% and 51.8% respectively (P>0.05). Conclusion: Anal preserving surgery for aged people with low rectal cancer is not inferior to conventional operations in China, with satisfactory long term survival and comparable local recurrence rates.

• 한국보건간호학회지
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• 제26권1호
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• pp.38-50
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• 2012

Purpose: This study was conducted in order to investigate the physical activities of vulnerable low-income middle-aged people and their associated factors. Methods: From a health behavior survey of 1,000 vulnerable low-income subjects from a public health center in a metropolitan city, a secondary analysis was conducted for 332 respondents who ranged in age from 40 to 64. Results: The prevalence of walking activity was 45.2% and that of moderately intense physical activity was 9.9%. Prevalence of walking activity showed a significant association with marital status (divorce/widowed/separated, OR=2.263), drinking (drinker, OR=0.430), and CES-D score (over 21, OR=0.434). Prevalence of moderately intense physical activity was greater in subjects who had two chronic diseases, compared with those who had no chronic diseases (OR=3.713). Conclusion: Findings of this study suggest a need for implementation of strategies to improve moderately intense physical activity of low-income, middle-aged people. Also, in addition to studies on socio-demographic and health status and their associations with physical activity, further studies of related factors affecting physical activity, such as self-efficacy, social support, and social networks as internal and external resources, are needed.

• Safety and Health at Work
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• 제9권4호
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• pp.372-380
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• 2018

The manual handling of people (MHP) is known to be associated with high incidence of musculoskeletal disorders for aged care staff. Environment-related MHP interventions, such as appropriate seated heights to aid sit-to-stand transfers, can reduce staff injury while improving the patient's mobility. Promoting patient mobility within the manual handling interaction is an endorsed MHP risk control intervention strategy. This article provides a narrative review of the types of MHP environmental controls that can improve mobility, as well as the extent to which these environmental controls are considered in MHP risk management and assessment tools. Although a range of possible environmental interventions exist, current tools only consider these in a limited manner. Development of an assessment tool that more comprehensively covers environmental strategies in MHP risk management could help reduce staff injury and improve resident mobility through auditing existing practices and guiding the design of new and refurbished aged care facilities.

• 현장농수산연구지
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• 제7권1호
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• pp.21-34
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• 2005

The purpose of this study was to suggest strategies for the development of mushroom associated tour villages with the aged. Mushroom has many strong points to use a theme for making a park and tour village. Especially it can be easily cultivated by the aged and a popularist commodity. The 5 days work system in a week enlarge the chance for the people to get a weekend tour. The number of the people who want to live in rural area after retire is getting increased also. This trend needs the development of tour villages as a kind of the silver agricultural industry in rural area. "Work & Play" concepts should be considered as a pivotal strategy to develope mushroom associated tour villages with the aged workforce. Mushroom can be a good theme attracting the tourist when the cultivating, showing, processing and marketing mushroom are welly connected in a village. And the traditional family game and culture must be adjusted for the tourist.

• 대한간호학회지
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• 제8권1호
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• pp.85-98
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• 1978

This study was designed to investigate the elderly people's attitude toward death for the purpose of identifying the issues needed in the planning of health management and care activities for the aged. The total number of subjects in this study was 354 elderly people who were accommodated in house for elderly people (185) and school for elderly people (169). The scale for the attitude toward death of aged persons as an instrument of this study was mainly constructed with reference to Schneidman's attitude questioners toward death modified of adjust the Korean cultural characteristics and attitudes concerning death. Theresultsofthisstudywereasfollows: - 1. Out of total 45.8% of the respondents consider that death is a natural phenomena and ending of life. The responses on the meaning of death appeared differently : non-religions (48.1%) and oriental religions (50.3%) consider death as a natural phenomena however western religions (47.4%) consider that death is God's call. This difference was statistically significant. (x$^2$= 56.6419. df = 10. p<0.01). Respondents with a spouses (52.4%) think death is a natural phenomena opposed to respondent without spouses (33.3%). This was statistically significant. (x$^2$= 14.7134. df= 5 p<0.05). 2. Respondents in the house for aged persons (51.9%) replied. They do not wanted death because it meant a separation from their family as compared to those from school for aged persons (26.0%). 57.9% responded that they want to be told when death is confronted. 3. 51.2% of the respondents replied that the main factor to influence their attitude toward concept of death was the dying of their friends & relatives. 79.9% of respondents expressed that wished to die. The main reason for dying was economic shortage (28.3%). 4. 70.1% of the respondents want their body to be hurried while only 1.1% of the respondents want to donate their body to a medical research. 5. Over two thirds of the respondents replied that they do not believe in a life in heaven or that they will be rebirth. 6. The questioners of this study stimulated 56.8% of the respondents to feel that they should spend the leu of their life more effectively and 15.5% of the respondents felt it gave them the opportunity to think about their death seriously.