• 대한간호학회지
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• 제39권3호
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• pp.386-392
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• 2009

Purpose: This descriptive study was done to identify the relationship between health literacy and health status and to provide basic data for developing nursing interventions for Korean-Chinese elders living in Yanbian, China. Methods: For data collection, intentional sampling of 300 elders was used. The questionnaire was composed of 5 items based on "Ministry of Health, the People's Republic of China(2008)" to measure health literacy, 33 health status items from the "Korean Health Status Measure for Elderly People" developed by Shin(2002), revised for use in China, and 9 general characteristics. Data were analyzed using SPSS Win 13.0 program. Results: Total level of health literacy was relatively high(68.7%). Elders had high scores for taking medicines according to doctor's instruction, but lower ones for full comprehension through communication with doctors. Health status was high for emotional, physical, and social function in that order. There were significant differences between general characteristics and health status for gender, age, marital status, education, family, smoking, and alcohol consumption in that order. Results of multiple regression analysis for factors influencing health status showed that self-report health level was the most influential, followed by health literacy, age, gender. Conclusion: Health literacy is the main factor affecting health promotion among minority elders indicating a need to develop health promotion programs for elders who have low health literacy.

• Asian Pacific Journal of Cancer Prevention
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• 제16권8호
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• pp.3447-3450
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• 2015

Objective: To explore the sensitivity of gastric cancer cells to chemotherapy drugs in elderly patients and its correlation with cyclooxygenase-2 (COX-2) expression in cancer tissue. Materials and Methods: Forty-three elderly patients with gastric cancer (observation group) and 31 young patients with gastrointestinal tumors (control group) who were all diagnosed by pathology and underwent surgery in the 89th Hospital of Chinese People's Liberation Army were selected. Drug sensitivity testing of tumor cells in primary culture was carried out in both groups using a methyl thiazolyl tetrazolium (MTT) method, and the expression of COX-2 and the factors related to multi-drug resistance (MDR) in cancer tissue were assessed by immunohistochemistry. Results: The inhibition rates (IR) of vincristine (VCR), 5-fluorouracil (5-FU), oxaliplatin (L-OHP), mitomycin (MMC) and epirubicin (eADM) on tumor cells in the observation group were dramatically lower than in the control group, with statistical significance (P<0.05 or P<0.01). The positive rates of COX-2, glutathione s-transferase-${\pi}$ (GST-${\pi}$) and P glycoprotein (P-gp) expression in cancer tissue in the observation group were all higher than in control group (P<0.05), while that of DNA topoisomerase $II{\alpha}$ ($TopoII{\alpha}$) expression lower than in the control group (P<0.01). In the observation group, COX-2 expression in cancer tissue had a significantly-positive correlation with GST-${\pi}$ and P-gp (r=0.855, P=0.000; r=0.240, P=0.026), but a negative correlation with $TopoII{\alpha}$ (r=-0.328, P=0.002). In the control group, COX-2 expression in cancer tissue was only correlated with P-gp positively (r=0.320, P=0.011). Bivariate correlation analysis displayed that COX-2 expression in cancer tissue in the observation group had a significantly-negative correlation with the IRs of 5-FU, L-OHP, paclitaxel (PTX) and eADM in tumor cells (r=-0.723, P=0.000; r=-0.570, P=0.000; r=-0.919, P=0.000; r=-0.781, P=0.000), but with hydroxycamptothecine (HCPT), VCR and 5-FU in the control group (r=-0.915, P=0.000; r=-0.890, P=0.000; r=-0.949, P=0.000). Conclusions: Gastric cancer cells in elderly patients feature stronger MDR, which may be related to high COX-2 expression.

• 한국병원경영학회지
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• 제17권3호
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• pp.23-36
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• 2012

Objectives : The coverage of Korean National Health Insurance is limited to basic level. Korean government encourages private health insurance for covering medical securities. So, many studies examined the determinants of purchasing private health insurance. However, 11% of Korean population is older than 65 in 2011. Considering the elderly is important to establish a health policy. The aim of this study is to examine factors determining the purchase of private health insurance among middle-aged and elderly Korean adults. Methods : We used the second Korean Longitudinal Study of Ageing (KLoSA), selected 8,688 sample of the aged 47 or older for the analysis. KLoSA collected information on demographic characteristics, income, health- related factors. KLoSA data include in the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Logistic regression was used to examine the relationship between the determinants of purchasing private health insurance and the factors which include age, gender, education, residential district, marital status, smoking, drinking, physical exercise, economic activity status, national health insurance type, income, the number of chronic disease, and the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Results : People who were older, did not live in a city, had higher IADL, currently drunk alcohol, did exercise regularly and had chronic diseases more than three were inclined not to purchase private health insurance. Females, the married, well-educated, past & currently smokers, the employed, high income earners, national health insurers, metropolitan citizens and someone who got high MMSE were more likely to purchase private health insurance. The more people experienced outpatients, inpatients, dental clinics and Chinese medicine clinics, the more private health insurance was purchased. The elderly people over 75 had more private health insurance than the aged 65-74. The strongest factors for private health insurance is gender, and economic status such as income. Conclusion : In this study, we found healthy-high income people were more likely to purchase private health insurance. In contrast, unhealthy-low income and older people did not. The economic factors were strongly related with private health insurance in aged over 75. These mean inequality exists in the using private health insurance. Therefore, the government should consider vulnerable social group before expanding private health insurance.

• International Journal of Internet, Broadcasting and Communication
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• 제16권2호
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• pp.227-236
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• 2024

Chinese high-rise hotels are large in size, densely populated, and have a lot of combustibles. Once a fire occurs, the fire and smoke spread rapidly, and once a fire accident occurs, it is easy to cause a large number of deaths. Fires have a greater impact on special populations such as elderly and children who move slowly. At present, research mainly focuses on the impact of high-rise building structures on evacuation consequences, but there is very little research on the safety evacuation consequences of elderly people and children in high-rise hotels. This paper focuses on the elderly and children living in high-rise hotels in China. We studied three scenarios in which the elderly and children were placed on high floors, middle floors, and low floors. For the above three scenarios, use pathfinder software for simulation, According to the simulation results, when the elderly and children are mainly concentrated in the lower floors (2nd and 3rd floors), the evacuation time is the shortest, 147 seconds. The evacuation time for the elderly and children on the middle floor (6th and 7th floors) is the longest, at 191.5 seconds. Compared to being placed on high floors, safely staying on low floors for all ages reduces evacuation time by 44.5 seconds and improves evacuation efficiency by 23.24%. The final safety evacuation plan is that in daily safety management, hotels should arrange elderly and children occupants on lower floors as much as possible to reduce the total evacuation time and improve personnel evacuation efficiency. This has great guiding significance in the safety management of high-rise hotels.

• 한국융합학회논문지
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• 제12권7호
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• pp.273-282
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• 2021

중국의 급속한 인구 고령화 상황에서 요양원은 노인요양을 제공하는 역할을 하고 있지만 요양원의 효율성에 대한 이해는 거의 없었다. 본 논문은 요양원의 효율성 향상전략을 제안할 목적으로 DEA 및 Malmquist 지수 분석을 활용하여 평가하였다. 효율성 평가지표는 병상의 수, 고정자산, 의료인원의 수를 투입변수로 하고, 자가간호 가능노인의 수, 부분간호 가능노인의 수, 와상노인의 수, 요양원의 수입을 산출변수로 하여, 계층화 분석결과 DEA-CCR에서는 베이징과 상하이가 조사기간 5개년동안 1.00의 결과를 나타냈고, DEA-BCC에서는 4개 지역(베이징, 장쑤, 산둥, 상하이)이 가장 높은 결과를 나타났다. Malmquist 지수(MPI)에서는 하이난이 가장 높은 것으로 나타났다. 효율성 평가 결과가 높은 성(省)의 요양원은 자원활용, 내부관리, 경영규모 등에서 효율적이고 기술 진보적인 반면, 효율성 평가가 낮은 지역의 요양원은 기술효율이 높아지는 특징을 보였다.

• 대한지역사회영양학회지
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• 제6권4호
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• pp.635-644
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• 2001

This study was carried out to investigate the intake patterns of health food according to the kind of disease of the elderly aged over 60 years living in the Chuncheon area. This study was conducted by using a questionnaire from December 1999 to the March 2000. The data was analyzed using a SPSS program. The results were summarized as follows : The poorer the self- perceived health condition, the lower the level of activity of daily living(ADL) and instrumental activities of daily living(IADL) were the higher. the frequency score of health food intake. The incidence of disease, such as arthritis(44.7%), hypertension(18.8%), digestive diseases(17.1%), diabetes(10.5%) were found to be higher. than other chronic diseases among the elderly. The frequency score of health food intake was not significantly different according to self-perceived health status, disease status, or the level of ADL and IADl.. The must important source of information for health food intake was the recommendation of friends and relatives(68.7%). Twenty eight point two percent of the elderly considered health foods to be effective, however 8.3% of the elderly considered them to be ineffective. The elderly with chronic diseases had taken health floods in the descending order of neuralgia-arthritis, hypertension, digestive disease, diabetes. The elderly with digestive diseases, diabetes, renal disease, neuralgia- arthritis and respiratory disease were inclined to habitually take health floods once or twice per year. Intake of Korean traditional folk food was as high as intake of registered health food and Chinese tonic medicine. The most frequently taken health food was tonic medicine, which is fo11owed by pumpkin, ginseng products, herbal tea formula with black goat, deer antler and Kye-so-ju. Intakes of health food such as tonic medicine, blood of the deer, royal jelly, aloe were found to be higher among the elderly with chronic diseases such as diabetes, hypertension, and digestive disease. However, intakes of ginseng products, deer antler, pumpkin, herbal tea formula with black goat and Kye-so-ju were found to be higher among the healthy elderly. The elderly with neuralgia-arthritis had taken sixteen kinds of health foods. From these results, a wide consumer education program should be developed to convince people of the importance of well-balanced diet and to choose proper health foods according to the elderly's health conditions. Also, comprehensive and scientific research into Korean traditional folk foods are needed for the correct use.

• 한국식생활문화학회지
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• 제35권5호
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• pp.426-439
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• 2020

This study surveyed Chinese elderly consumers to determine their purchasing behavior, importance, and satisfaction with HMR products in China. Three hundred and seventy people were surveyed: 184 males and 186 females aged 55 to 70 years. Two hundred and sixty-seven (72.25%) of the surveyed consumers had an average monthly income of 6,000 yuan or less, and 313 (84.9%) responded that they spend 3000 yuan or less on groceries per month. Three hundred and forty-eight (94.1%) showed a high interest in health management. Regarding the frequency of purchasing HMR products, most responded that they purchased HMR products more than once or twice a week, with a single purchase of 100 yuan or less for each purchase. The respondents preferred 2 or 3 serving packagings in a refrigerated form. For all forms of products, those made as in-house meals, outdoor meals, as a snack or night snack, for serving guests, for trips, camping, and on-the-go products, the participants mostly responded that they frequently purchased the product. When purchasing HMR products, the importance of hygiene, convenience in purchase accessibility, the freshness of ingredients, and an indication of the nutritional content were considered as a high rank. After purchase, the satisfaction of SNS and mobile application advertisements and promotions, amount per serving, take out convenience, and new menu were considered low-rank. The IPA results showed that marking the origin of the ingredients and new menu are areas needing improvement. The study results may be used as base data for developing elderly friendly HMR products and establishing its marketing strategies.

• 한국응용과학기술학회지
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• 제40권2호
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• pp.348-354
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• 2023

문신은 인류에게 오랫동안 전승되어온 문화 형태다. 인류의 여러 문화권에서 전승되고 발전해온 전통적인 문신 풍습은 역사, 예술, 사회, 등 다양한 분야에서 학술적으로 중요한 연구 가치를 가진다. 두룽족은 중국 남서부 윈난(雲南)성과 근처 지역에 사는 소수 민족 중 하나로 안면문신을 위주로 하는 '얼굴문신(文面)' 풍습을 가지고 있다. 중화인민공화국이 성립된 1949년 전까지도 원시사회 형태를 유지한 두룽족의 전통적 문화는 문자가 없는 구전(口傳)의 형태로 전해 졌으나 두룽족의 신비로운 문신문화에 대한 보존자료가 없어 연구의 필요성이 요구된다. 따라서 본 연구는 근현대 문헌과 윈난성 지역 현장 탐사 두 가지 방법으로 수행되었다. 얼굴문신 풍습의 정확한 이유와 시기는 알 수 없으나 1966년 중국 문화 대혁명으로 금지되어서야 사라지게 되었다. 얼굴문신의 상징과 기능에 대해서는 현지 탐사과 근현대 학자들의 연구를 통해 크게 신앙숭배, 성년 의례, 심미 장식, 민족 사회 역사의 4가지로 나눌 수 있으며 문신을 하는 시기는 7~8세 부터이다. 얼굴문신은 지역에 따라 상류 여성은 비교적 복잡한 도안으로 구성되었으며, 하류 여성은 간단한 도안으로 구성되었다. 문신은 주로 친족이 시술하며 주로 대나무 꼬챙이와 솥바닥에서 추출한 회즙 재를 재료로 사용한다. 현재 두룽족의 얼굴문신을 한 여성은 25명 미만으로, 대부분 고령화되어 있어 수십 년 안에 모두 사라질 것으로 보인다. 따라서 두룽족의 독특한 얼굴문신 문화에 대한 문서화가 시급하다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권11호
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• pp.5421-5426
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• 2012

A monosomal karyotype (MK), defined as ${\geq}2$ autosomal monosomies or a single monosomy in the presence of additional structural abnormalities, was recently identified as an independent prognostic factor conveying an extremely poor prognosis in patients with acute myeloid leukemia (AML). In the present study, after excluding patients with t(15;17), t(8;21), inv(16) and normal karyotypes, 324 AML patients with cytogenetic abnormalities were the main subject of analysis. The incidences of MK were 13% in patients aged 15 to 60 years and 18% in those between 15 and 88 years old. MK was much more prevalent among elderly patients (p < 0.001) and was significantly associated with the presence of -7, -5, del(5q), abn12p, abn17p, -18 or 18q-, -20 or 20q- and CK (for all p < 0.001 except for abn12p p=0.009), and +8 or +8q was less frequent in MK+ AML(p=0.007). No correlation was noted between monosomal karyotype and FAB subtype (p > 0.05); MK remained significantly associated with worse overall survival among patients with complex karyotype (p=0.032); A single autosomal monosomy contributed an additional negative effect in OS of patients with structural cytogenetic abnormalities (P=0.008). This report presents the prevalence, feature and prognostic impact of MK among a large series of Chinese AML patients from a single center for the first time.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6311-6316
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• 2015

Background: In mainland China, awareness of disease of elderly cancer patients largely relies on the patients' families. We developed a staged procedure to improve their awareness of disease. Materials and Methods: Participants were 224 elderly cancer patients from 9 leading hospitals across Southern China. A questionnaire was given to the oncologists in charge of each patient to evaluate the interaction between family and patients, patient awareness of their disease and participation in medical decision-making. After first cycles of treatment, increased information of disease was given to patients with cooperation of the family. Then patient awareness of their disease and participation in medical decision-making was documented. Results: Among the 224 cancer elderly patients, 26 (11.6%) made decisions by themselves and 125 (55.8%) delegated their rights of decision-making to their family. Subordinate family members tended to play a passive role in decision-making significantly. Patients participating more in medical decision-making tended to know more about their disease. However, in contrast to the awareness of disease, patient awareness of violation of medical recommendations was reversely associated with their participation in medical decision-making. Improvement in awareness of diagnosis, stages and prognosis was achieved in about 20% elderly cancer patients. About 5% participated more actively in medical decision-making. Conclusions: Chinese elderly cancer patient awareness of disease and participation in medical decision-making is limited and relies on their family status. The staged procedure we developed to improve patient awareness of disease proved effective.