• Title/Summary/Keyword: Elderly Women

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Influence Factors on Subjective Health Status of middle-aged and Elderly: Utilized of the 7th National Health and Nutrition Examination Survey(2018) (중·장년, 노년의 주관적 건강상태에 미치는 영향요인: 제7기 국민건강영양조사(2018) 활용)

  • Hae-Ryoung Park
    • Journal of Industrial Convergence
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    • v.20 no.12
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    • pp.213-217
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    • 2022
  • The purpose of this study was to investigate the relationship between age, physical activity (walking, strength exercise), subjective body shape recognition, and weight change with subjective health status in the population aged 30 years or older among the data of the National Health and Nutrition Examination Survey (2018) of Koreans. The subject and method of this study was a secondary analysis study using the 7th 3rd year National Health and Nutrition Examination Survey (2018). Age, walking days per week, strength training days per week, subjective health status, subjective body shape recognition, and weight change during the year were used the SPSS (p<.01). The response rate of walking for 7 days (every day) was 21.9% for those aged 30-45, 27.2% for those aged 50-64, and 26.6% for those aged 65 or older. aged 8.4% and over 65 years old 7.9% (p<.001). The subjective health status was positively correlated with age (.091), number of walking days per week (.739), number of days of strength exercise per week (.530), subjective perception of body shape (.256), and weight change over one year (.303). There was a relationship (p<.01). In this study, the age group that answered 'bad' in subjective health status was the highest at 21.4% of those aged 65 or older, followed by 15.7% of those aged 50-64 and 11.0% of those aged 30-45. This could be expected to improve subjective health status by walking and strength training. Based on these results, it was intended to provide basic data for preparing health-related programs to improve subjective health status of individuals according to age.

An Ethical Consideration on the Standard Operating Procedure Operation Status and the Ethical Review of the Vulnerable Research Subjects of Institutional Review Board, a Medical Institution in Korea (우리나라 의료기관 Institutional Review Board의 취약한 연구 대상자 관련 표준운영지침서 운영 현황과 윤리적 고찰)

  • Eun Hwa Byun;Byung In Choe
    • The Journal of KAIRB
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    • v.5 no.1
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    • pp.21-32
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    • 2023
  • Purspose: The purpose of this study is to examine the meaning and definition of vulnerable subjects in clinical trials in light of domestic and international regulations and guidelines, to analyze the contents of standard operation procedures (SOPs) among advanced general hospitals in Korea that conduct clinical trials, and to examine deliberation procedures for operation plans. Methods: The study examined how vulnerable research subjects were defined and described in related regulations and the classification of vulnerable research subjects presented in the IRB/HRPP SOPs of 18 clinical trial institutions, including 11 AAHRPP-accreditated general hospitals in Korea, as well as the operation of the IRB deliberation. Results: Among all domestic and international regulations and guidelines, only the The Council for International Organization of Medical Sciences (CIOMS) guidelines explain why vulnerability is related to judgments on the severity of physical, psychological, and social harm, why individuals are vulnerable, and for what reasons. However, the classification of vulnerable subjects by institutions differed from the classification by the International Conference on Harmonization-Good Clinical Practice (ICH-GCP). A total of the 16 institutions classified children and minors as vulnerable research subjects. 14 institutions classified subjects who cannot consent freely were classified as vulnerable subjects. 15 institutions classified sujects who can be affected by the organizational hierarchy were classified as vulnerable subjects. Subjects in emergency situations were regarded as vulnerable research subjects in 8 of institutions, while people in wards, patients with incurable diseases, and the economically poor including the unemployed were categorized as vulnerable research subjects in 7, 4, and 4 of institutions, respectively. Additionally, some research subjects were not classified as vulnerable by ICH-GCP but were classified as vulnerable by domestic institutions 15 of the institutions classified pregnant women and fetuses as vulnerable, 11 classified the elderly as vulnerable, and 6 classified foreigners as vulnerable. Conclution: The regulations and institutional SOPs classify subjects differently, which may affect subject protection. There is a need to improve IRBs' classifications of vulnerable research subjects. It is also necessary to establish the standards according to the differences in deliberation processes. Further, it is recommended to maintain a consistent review of validity, assessment of risk/benefit, and a review using checklists and spokeperson. The review of IRB is to be carried out in a manner that respects human dignity by taking into account the physical, psychological, and social conditions of the subjects.

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The Impact of Nursing Caregivers' Job Enthusiasm on Job Satisfaction: Mediating Effect of Self-Esteem (요양보호사의 직무열의가 직무만족에 미치는 영향: 자아존중감의 매개효과)

  • Jung-Hui, Kim;Mi-Suk, Im
    • Journal of Industrial Convergence
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    • v.21 no.4
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    • pp.157-164
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    • 2023
  • The purpose of this study was to examine the mediating effect of self-esteem in the effect of nursing caregivers' job enthusiasm on job satisfaction. For research analysis, 160 nursing caregivers' engaged in 2 institutions located in Gyeonggi-do, 3 institutions located in Seoul, 5 institutions located in Chungcheongnam-do, and 9 institutions located in Chungcheongbuk-do were surveyed from April 1 to September 2022. Data were collected non-face-to-face using Google links until the 30th. From the collected data of 140 people, 118 copies were used for the final analysis, excluding 22 incomplete responses. First, the effect of positive(+) effect on self-esteem of nursing care workers was confirmed. Second, it was confirmed that caregivers' job enthusiasm had a positive(+) effect on job satisfaction. Third, in the effect of caregiver's job enthusiasm on job satisfaction, it was confirmed as a partial mediating effect of self-esteem. In addition, the Sobel Test was conducted to confirm the significance of the mediating effect, and the significance of the mediating effect was also confirmed. This study has significance in that it suggests social welfare practices and policy interventions necessary to increase job enthusiasm and self-esteem for job satisfaction of nursing care workers, who are the main agents of caring for the elderly.

A study of factors influencing sunscreen use among Koreans: application of the Health Belief Model (HBM) (한국인의 자외선차단제 사용에 영향을 미치는 요인 연구 : 건강신념모델(HBM)의 적용)

  • Ji-Won Kim;Seunghee Bae
    • Journal of the Korean Applied Science and Technology
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    • v.41 no.2
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    • pp.472-483
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    • 2024
  • This study evaluated the attitudes of the Korean population towards sunscreen use through the Health Belief Model (HBM) construct and investigated the psychological factors that influence sunscreen use. For this purpose, an online survey was conducted from 1 November 2023 to 1 January 2024, and a total of 303 participants were collected. The collected data were analysed using SPSS v. 25.0 programme using Cronbach's 𝛼, frequency analysis, descriptive statistics, correlation analysis, independent samples t-test, one way ANOVA, Scheffe's test, and multiple regression analysis. The results of the study showed that the mean score of sunscreen use was 3.26±1.384 out of 5, and there was a significant correlation between the variables of the health belief model and sunscreen use (p<.01). Gender, age, and skin colour were also associated with each variable, with women, the elderly, and those with lighter skin tending to be more proactive in sun protection. Multiple regression analyses revealed that self-efficacy (𝛽=.629, p<.001) and perceived vulnerability (𝛽=.139, p<.001), sub-factors of the Health Belief Model, had a statistically significant positive effect on sunscreen use, while perceived barriers (𝛽=-.261, p<.001) had a statistically significant negative effect on sunscreen use. These results may have important theoretical implications for the development and implementation of educational programmes to promote sunscreen use by providing insight into the psychosocial factors that influence sun protection.

Human Security Dimension Israel-Hamas War and Security Policy Implications (인간안보 차원 이스라엘-하마스 전쟁과 안보정책적 함의)

  • Il Soo Bae;Hee Tae Jeong
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.4
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    • pp.17-22
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    • 2024
  • The war that broke out on October 7, 2023 is prolonging and expanding into the Middle East. Although the damage from war is increasing, humanitarian aid to the Gaza Strip has been halted due to UNRWA's deviant actions. Powerful countries have suspended support, and the UN is appealing for support for the Gaza Strip. All damage is borne by civilians in the Gaza Strip, especially women, children, and the elderly. Israel has selected an evacuation zone and evacuation route in the Gaza Strip and established a humanitarian aid route in the border area. However, Hamas's resistance in underground tunnels, using civilian-dense areas and civilian facilities such as hospitals and schools as shields, further amplified civilian casualties. This Israel-Hamas war requires the international community to approach it from a human security perspective. We must strengthen the UN's functions and roles to ensure that humanitarian supplies reach the field and humanitarian intervention forces ensure human dignity and basic rights. We must restore the credibility of the UN's role through the Israel-Hamas war. In addition, Korea should urge the introduction of humanitarian aid and goods, and provide humanitarian goods such as daily necessities and medicine. We must also prepare for deployment as a member of the UN peacekeeping force in the future. These activities will help Korea develop into a model country that fulfills its role as a 'global pivotal nation' and will have a virtuous cycle of international support in the event of a future crisis on the Korean Peninsula.

The acclimatization of Haenyeo to a cold environment and occupational characteristics evaluated by orexin and irisin levels

  • Inho Lee;Yong-Jin Lee;Eun-Chul Jang;Soon-Chan Kwon;Young-Sun Min;Jisuk Yun;Taehwan Park;Hye-Jin Lee;Eonah Choo;Jeong-Beom Lee
    • Annals of Occupational and Environmental Medicine
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    • v.34
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    • pp.28.1-28.12
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    • 2022
  • Background: Haenyeo is a woman who has the job of collecting seafood in the Jeju Sea at an average temperature of 13℃-14℃. The purpose of this study was to examine the cold acclimatization and occupational characteristics of Haenyeo through biomarkers such as orexin and irisin related to heat generation in the body. Methods: Twenty-one Haenyeo and 25 people with similar age, body type, and body mass index were selected as the control group (Control G). In the cold exposure experiment, a climate chamber was set to 5℃ and both feet were immersed in a 15℃ water tank for 30 minutes. Tympanic temperature (Tty) and skin temperature (Tsk) were measured, and the mean body temperature (mTb) was calculated. Blood samples were collected before and immediately after the examination. Orexin and irisin levels were analyzed. Results: Orexin levels were elevated after cold stimulation from 12.17 ± 4.44 to 12.95 ± 4.53 ng/mL (Haenyeo group [Haenyeo G], p < 0.01) and 10.37 ± 3.84 to 11.25 ± 4.02 ng/mL (Control G, p < 0.001). Irisin levels were elevated after cold stimulation from 4.83 ± 2.28 to 5.36 ± 2.23 ng/mL (Haenyeo G, p < 0.001) and 3.73 ± 1.59 to 4.18 ± 2.04 ng/mL (Control G, p < 0.001). The difference between Haenyeo G and Control G values in orexin and irisin appears not only in pre-exposure but also in post-exposure (p < 0.05). Conclusions: Our experimental results suggest that Haenyeo G were relatively superior in cold tolerance to Control G under cold exposure conditions. Haenyeo's cold acclimatization is due to the basic differences in pyrogens regarding body temperature control such as orexin and irisin. This means that Haenyeo are advantageous for cold survival.

Health-Related Quality of Life by Socioeconomic Factors and Health-related Behaviors of the Elderly in Rural Area (농촌지역 노인들의 사회경제적인 요인 및 건강습관에 따른 건강관련 삶의 질)

  • Choe, Jeong-Sook;Kwon, Sung-Ok;Paik, Hee-Young
    • Journal of agricultural medicine and community health
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    • v.29 no.1
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    • pp.29-41
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    • 2004
  • Objectives: This study was to identify socioeconomic factors and health-related behaviors influencing on HRQOL(health-related quality of life) for the older adults in rural area. Methods: 483 subjects aged over 65 years responded a direct interview, which covered HRQOL, BMI, socioeconomic characteristics, and health-related behaviors including smoking, drinking, and exercise. Results: Overall, the mean number of healthy days were 15.1 days and not significantly different by sex. Men didn't show a significant difference in HRQOL by age group. But women reported lower levels of healthy days and higher levels of activity limitation and physical unhealthy days with increasing age. Results from ANCOVA showed HRQOL to be significantly associated with education, job, and family type. Men presented no significant difference in HRQOL by health-related behaviors, but women who have been drinking, or have less number of chronic diseases reported higher mean healthy days and lower activity limitation days, physical unhealthy days, and mental unhealthy days. Older adults who reported good to excellent self-rated health were higher healthy days and lower activity limitation, physical unhealthy days, and mental unhealthy days than those who reported fair to poor health status. Conclusions: The HRQOL for the older adults in rural area was related to socioeconomic characteristics, health-related behaviors and self-rated health status. A better understanding of factors related to HRQOL would help to improve the older adults' quality of life.

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Attempted Suicides in South Korea : A Multi-Center Analysis of Causes, Methods, and Psychiatric Diagnoses of Suicidal Attempters in 2013 (응급실 방문 자살기도자들의 기도 원인, 방법, 정신과적 진단에 대한 다기관 분석)

  • Kim, Hyeyoung;Kim, Bora;Kang, Seung-Gul;Kim, Moon-Doo;Kim, Min-Hyuk;Kim, Soo In;Kim, Jae Min;Moon, Eunsoo;Ahn, Joon-Ho;Lee, Kyung-Uk;Lee, Sang-Hyuk;Lee, Seung Jae;Jeong, Seong Hoon;Chung, Young-Chul;Jung, Hee Yeon;Ju, Gawon;Cha, Boseok;Ha, Tae Hyon;Ahn, Yong-Min
    • Korean Journal of Biological Psychiatry
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    • v.22 no.4
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    • pp.187-194
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    • 2015
  • Objectives To examine direct causes of attempted suicides, methods adopted to commit suicide, and psychiatric diagnoses among suicide attempters in South Korea. Methods A total of 1359 suicide attempters who had visited emergency department of 17 medical centers due to suicide attempt from May 2013 to Nov 2013 were interviewed using semi-structured questionnaires. Results Psychiatric symptoms were the most common cause of suicide attempts (62.2%), followed by interpersonal relationships (24.4%). Women attempted suicide more often for interpersonal reasons, whereas men were more likely to do so for financial and job-related reasons. Half of participants (55.8%) attempted suicide by drug intoxication, which was more prevalent among females and those who had previous history of psychiatric disease or previous suicide attempt. Men were more likely to use more lethal methods such as pesticide poisoning and gas inhalation than women. Pesticide poisoning was also prevalent among the elderly group and the rural population. Near ninety-five percent (94.5%) of participants received a psychiatric diagnosis : the most frequent diagnosis was depressive disorder. Conclusions This is the first nationwide study of cases of attempted suicide. When stratified by age groups, gender, urbanicity, living alone or not, presence of physical illness, previous psychiatric history, and previous suicide attempt, there were significant differences with respect to causes, methods of attempted suicides and psychiatric diagnoses of suicide attempters.

Cutoff Values of Body Mass Index and Body Fat Measures for Metabolic Syndrome in Korean Population (한국인에서 대사증후군의 선별검사로서 체성분 분석 및 체질량지수의 타당성연구)

  • Lee, Hyun-Jae;Kim, Byoung-Gwon;Kim, Joon-Youn;Kim, Jung-Man;Yoo, Byung-Chul;Kim, Eun-Jeong;Hong, Young-Seoub
    • Journal of Life Science
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    • v.20 no.1
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    • pp.9-16
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    • 2010
  • This study investigated cut-off values of body mass index (BMI) and body fat measures for metabolic syndrome (MS) in elderly Koreas. Questionnaire surveys, anthropometric measurements, medical examinations, and body composition analyses were conducted for 10,077 subjects aged 40-65 years in the health examinee cohort in Korea between 2004 and 2006. Cut-off values were identified using receiver-operating characteristic (ROC) curve analysis for both men and women. Stratified analyses by weight range (<60, 60-69, 70-79, and 80-89, ${\geq}90\;kg$ for men; <50, 50-59, 60-69, 70-79, ${\geq}80\;kg$ for women) were conducted. Among male subjects, the cut-off points were $25.5\;kg/m^2$ for BMI with a sensitivity of 70.0% and a specificity of 72.0%, and 26.1% for body fat percentage with a sensitivity of 60.6% and a specificity of 76.4%. Among female subjects, the cutoff points were $24.1\;kg/m^2$ for BMI with a sensitivity of 73.3% and a specificity of 68.8%, and 31.5% for body fat percentage with a sensitivity of 76.7% and a specificity of 65.6%. Stratified analysis by weight range showed that the cutoff points of BMI and body fat measures tended to higher as weight level increased. The results of our study suggest cut-off values of BMI and body fat measure for MS were similar to the general obesity criteria in Korea.

Early histological change in hard tissue from orthodontic force placed on microscrews in ovariectomized rats (난소 적출 백서에 식립된 마이크로스크류에 교정력 부여 시 나타난 초기 경조직 변화에 관한 연구)

  • Lee, Dea-Seung;Chang, Moon-Jung;Lee, Jin-Woo
    • The korean journal of orthodontics
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    • v.36 no.2 s.115
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    • pp.103-113
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    • 2006
  • Most elderly women experience a decrease in their bone density due to a deficiency of calcium intake, ovariectomy, or menopause. This study evaluated the usability of the microscrew as a skeletal anchorage system in these orthodontic treatment cases, using rats as a research group. The 4 month old sprague-dawley species rats were divided into two groups, the OS (Ovariectomy Screw), and the SS (Sham operation Screw) group. In both the OS and SS groups, microscrews were implanted into the palatal bone between the upper molar teeth and two upper incisors were retracted using NETE coil spring with 75 g of force. After 3days, the again after 7 days, 7 rats in each group were sacrificed. Three days before they were sacrificed, Alizarin red S was intraperitoneally injected, and their maxillary bone, tibia and blood from their hearts were taken. The components of the extracted blood were biochemically analyzed and non-decalcified grinding resin sections for maxillary bone and tibia were made. The sections were examined with a polarization microscope, and fluorescent microscope. Smaller concentrations of Ca and P, the inorganic substances closely related to bone density, were found in the extracted blood of the OS group. Both OS and SS groups showed a possibility of bone remodeling with a high concentration of ALP after 7 days. An increase in bone density on the tension and compression sides of the microscrew and the tension side of the tooth for both OS and SS groups was confirmed with a polarization microscope. However, the bone density of the pressure side of the tooth and apical side was decreased. More deposits of Alizarin red S in the bone after 7 days rather than 3 days seen with a fluorescent microscope suggested the existence of new bone formation.