• Title/Summary/Keyword: Elderly care

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A Study on the Research Trends in Visiting Nursing in South Korea (국내 방문간호 연구동향 분석 연구)

  • Byun, Jinyee;Kim, Hyejin
    • Journal of Convergence for Information Technology
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    • v.9 no.11
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    • pp.71-80
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    • 2019
  • This study aims to understand the research trends in visiting nursing through an analysis of 282 research papers published in Korean journals between 1993 and 2018. The number of research papers has consistently increased since 1993 while it slightly decreased in 2014-2018. Of the three types of visiting nursing in Korea, more than 50% of the studies(154, 53.5%) were conducted for hospital based home care services. For the research topics, many studies addressed visiting nursing services(40, 13.8%) and program and technology development of visiting nursing(38, 13.1%). Also, there were many quantitative studies(269, 95.4%) compared to qualitative(9, 3.2%) or mixed methods(4, 1.4%) studies. The study findings suggested the needs for further studies that develop programs for patients and strengthen competencies of visiting nurses. Also, more experimental, qualitative, or mixed methods study designs need to be applied.

Active Senior Contents Trend Analysis using LDA Topic Modeling (LDA 토픽 모델링을 이용한 액티브 시니어 콘텐츠 트렌드 분석)

  • Lee, Dongwoo;Kim, Yoosin;Shin, Eunjung
    • Journal of Internet Computing and Services
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    • v.22 no.5
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    • pp.35-45
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    • 2021
  • The purpose of this study is to understand the characteristics and trends of active senior. As the baby boom generation become the age of the elderly, they are more active than senior. These seniors are called active seniors, a new consumer group. Many countries and companies are also interested in providing relevant policies and services, but there is lack of researches on active senior trends. This study collects the 8,740 posts related to active seniors on social media from January 1st, 2018 to June 31st, 2021, and conducted keyword frequency analysis, TF-IDF analysis and LDA topic modeling. Through LDA topic modeling, topics are classified into 10 categories: lifestyle, benefits, shopping, government business, government education, health, society and economy, care industry, silver housing, leisure. The results of this study can be utilized as fundamental data to help understand the academic and industrial aspects of active senior.

Comparison of Photobiomodulation Therapy Types for Adults with Chronic Pain

  • Choi, Jae-Hee;Lee, Sun-Woong;Kim, Sang-Won;Lee, Keun-Mi;Jung, Seung-Pil
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.3
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    • pp.185-192
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    • 2021
  • Purpose : Our study aimed to compare the effectiveness of low-level laser therapy (LLLT) and light-emitting diode therapy (LEDT) for chronic pain intensity reduction and body temperature increase in older adults with chronic pain. Methods : Overall, 144 of 332 participants' records were used in this retrospective chart review. The study was conducted at a private health center in Busan city and the integrative medical center of a tertiary care hospital in Daegu city, South Korea. Patients experiencing chronic pain for over 6 months were assigned to either the LLLT or LEDT group. Both groups underwent 16 sessions of phototherapy held twice a week for 8 weeks, with each session lasting 60 minutes. The primary outcomes for both groups were the mean visual analogue scale (VAS) scores and body temperatures in both groups. The secondary outcome was the correlation between changes in body temperature and pain intensity. Measurements were recorded at the baseline and at each follow-up session. Results : A decrease in pain intensity and an increase in body temperature (p<.001) were observed in both groups. There was a significant difference in the VAS scores and temperature changes between the groups (p<.001). Odditionally, there were significant differences in the patterns of change in the VAS score and body temperature between the groups as the sessions progressed (p<.01), and a strong inverse correlation between body temperature and pain intensity changes were observed (p<.01). Conclusion : The use of photobiomodulation therapy at a specific wavelength may improve pain severity and simultaneously increase the body temperature among elderly people with chronic pain.

A Study on the Utilization of Closed School in Library (도서관의 폐교 활용방안에 관한 연구)

  • Noh, Younghee;Ro, Ji-Yoon
    • Journal of the Korean Society for information Management
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    • v.35 no.4
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    • pp.77-106
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    • 2018
  • Prior to the concrete and practical use of closed schools, this study was designed to identify trends in the use of closed schools, and the possibility and direction of the library's use of closed schools based on the status of closed schools and use cases. As a result of the case analysis, the building of libraries using closed schools can be reborn as libraries with different characteristics from general public libraries, such as providing complex cultural spaces, eco-friendly spaces, and local community places. In addition, based on the results of the study, future direction of library closure is suggested as follows: Provide local economic contribution and local revitalization opportunities, life-friendly and friendly space for local residents, recycling space linked with elderly welfare, care service, urban to rural Immigrants, creation of added value and creation of local business using closed schools, environment-friendly space, recycling as a complex community center, recycled into a space that meets and complements local needs.

The Calculation of Geographic Practice Cost Index and the Feasibility of Using It in Korean Payment System (진료비용 지역보정지수의 산출 및 국내 적용의 타당성)

  • Kim, Hansang;Chung, Seol Hee
    • Health Policy and Management
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    • v.29 no.2
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    • pp.130-137
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    • 2019
  • The fee-for-service system is used as the main payment system for health care providers in Korea. It has been argued that it can't reflect differences in the medical practice costs across regions because the fee schedule is calculated based on the average cost. So, some researchers and providers have disputed that there is need for adopting geographic practice cost index (GPCI) used in the United States for the Medicare program for the elderly to the fee-for-service payment system. This study performed to identify whether the difference in the practice costs among regions exists or not and to examine the feasibility of applying GPCI to Korea payment system. For this purpose, we calculated modified-GPCI and examined considerations to introduce GPCI in Korea. First we identified available data to calculate GPCI. Second, we made applicable GPCI equations to Korea payment system and computed it based on four types of regions (metropolitan, urban, suburban, and rural). We also categorize the regions based on the availability of the medical resources and the capability of utilizing them. As a result, we found that there wasn't any significant difference in the GPCI by regional types in general, but the indices of rural areas (0.91-0.98) was relatively low compared to the indices of other regions (0.96-1.07). Considering the need to use GPCI floor, the pros and cons of using GPCI, and the concern of the regional imbalance of resources, the introduction of GPCI needs to be carefully considered.

Hierarchical Value Structure of Active Seniors for Noodles: Applying Soft Laddering Technique Based on the Means-end Chain Theory (소프트 래더링 기법을 이용한 액티브 시니어의 면류에 대한 가치체계)

  • Oh, Hye-In;Kim, Ga-Hyun;Oh, Ji-Eun;Cho, Mi-Sook
    • Journal of the Korean Society of Food Culture
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    • v.34 no.4
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    • pp.463-473
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    • 2019
  • The aim of this study is to identify the value structure of active seniors for noodles. Noodles are the secondly most preferred and familiar food in Korea, followed by rice. And noodles also have a variety of tastes/flavors and even a variety of ceremonial characteristics. The necessity of offering proper food to seniors has recently increasing because Korea becoming an aged society. This study conducted 1:1 in-depth interviews with 30 active senior participants using the soft laddering technique, which is based on the means-end chain theory. The Implication Matrix and HVM were derived from performing content analysis. The active seniors mainly consider the 'taste', expecting to obtain the 'satisfying taste', and pursuing the 'family affair', 'pleasure', and 'self-satisfaction'. The results of this study indicated that the taste is the most important attribute and the active seniors consider their family as well as the pleasure and satisfaction of their own. Male seniors mainly pursue the 'pleasure' and 'self-satisfaction' by satisfying their taste through considering 'taste' and 'familiarity'. But female seniors mainly pursue the 'family affair' by 'satisfying taste' through considering 'taste'. These results can be used as a basic data for developing noodle products for the elderly. This study will also contribute to the development of special care food and product concepts for the silver generation.

Effect of cognitive function and oral health status on mastication ability in elderly individuals (노인의 인지기능과 구강건강상태가 저작능력에 미치는 영향)

  • Choi, Ma-I;Noh, Hee-Jin;Han, Sun-Young;Mun, So-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.1
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    • pp.65-78
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    • 2019
  • Objectives: This study was conducted to characterize the impact of cognitive function and oral health status on mastication in senior citizens, ${\geq}65$ years of age, using senior centers in the city of Wonju, South Korea. Methods: A cross-sectional study consisting of a simple oral examination and survey questionnaires was performed in 154 individuals. General characteristics, subjective masticatory function, objective masticatory function, cognitive function, and oral health status were collected as variables. Correlation and multiple linear regression analyses were conducted. A p-value of <0.05 was considered to be statistically significant. Results: The subjective masticatory function was scored using the 5-point Likert scale. When subjective masticatory function was analyzed in groups according to cognitive function, the mean subjective masticatory function scores were 4.31, 4.09, and 3.29 in the normal group (cognitive score of ${\geq}16$), suspected dementia group (cognitive score of 1215), and mild dementia group (cognitive score of ${\leq}11$), respectively. Thus, subjective masticatory function decreased along with decreasing cognitive function. When cognitive function, subjective masticatory function, and objective masticatory function were compared with indicators of oral health status (number of functional teeth, oral dryness), subjective masticatory function exhibited a significant positive correlation with objective masticatory function (r=0.635, p<0.01), cognitive function (r=0.292, p<0.01), and total number of functional teeth, including prosthetic appliances (dentures) (r=0.305, p<0.01). According to the regression analysis, age, sex, number of functional teeth, and cognitive function affected subjective masticatory function. Conclusions: The results of this study revealed that age, sex, number of functional teeth, and cognitive function affected subjective masticatory function, whereas oral dryness did not. Therefore, dental professionals must consider subjective masticatory function when providing oral care in senior patients with low cognitive function.

Impact of Off-Hour Hospital Presentation on Mortality in Different Subtypes of Acute Stroke in Korea : National Emergency Department Information System Data

  • Kim, Taikwan;Jwa, Cheolsu
    • Journal of Korean Neurosurgical Society
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    • v.64 no.1
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    • pp.51-59
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    • 2021
  • Objective : Several studies have reported inconsistent findings among countries on whether off-hour hospital presentation is associated with worse outcome in patients with acute stroke. However, its association is yet not clear and has not been thoroughly studied in Korea. We assessed nationwide administrative data to verify off-hour effect in different subtypes of acute stroke in Korea. Methods : We respectively analyzed the nationwide administrative data of National Emergency Department Information System in Korea; 7144 of ischemic stroke (IS), 2424 of intracerebral hemorrhage (ICH), and 1482 of subarachnoid hemorrhage (SAH), respectively. "Off-hour hospital presentation" was defined as weekends, holidays, and any times except 8:00 AM to 6:00 PM on weekdays. The primary outcome measure was in-hospital mortality in different subtypes of acute stroke. We adjusted for covariates to influence the primary outcome using binary logistic regression model and Cox's proportional hazard model. Results : In subjects with IS, off-hour hospital presentation was associated with unfavorable outcome (24.6% off hours vs. 20.9% working hours, p<0.001) and in-hospital mortality (5.3% off hours vs. 3.9% working hours, p=0.004), even after adjustment for compounding variables (hazard ratio [HR], 1.244; 95% confidence interval [CI], 1.106-1.400; HR, 1.402; 95% CI, 1.124-1.747, respectively). Off-hours had significantly more elderly ≥65 years (35.4% off hours vs. 32.1% working hours, p=0.029) and significantly more frequent intensive care unit admission (32.5% off hours vs. 29.9% working hours, p=0.017) than working hours. However, off-hour hospital presentation was not related to poor short-term outcome in subjects with ICH and SAH. Conclusion : This study indicates that off-hour hospital presentation may lead to poor short-term morbidity and mortality in patients with IS, but not in patients with ICH and SAH in Korea. Excessive death seems to be ascribed to old age or the higher severity of medical conditions apart from that of stroke during off hours.

Analysis of current status of curriculum for geriatric dental hygiene in Korea (국내 노인치위생학 교육과정 현황분석)

  • Kim, Yeo-Ju;Jang, Jong-Hwa;Cho, Ja-Won
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.6
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    • pp.865-874
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    • 2020
  • Objectives: This study aimed to analyze the current status and educational contents of the geriatric-related curriculum in dental hygiene departments at colleges across the country. Methods: To analyze the current status of geriatric curriculum, it was investigated by searching the websites of colleges across the country where dental hygiene (curriculum) department was available. Furthermore, a literature review of domestic and foreign textbooks related to geriatric dental hygiene was conducted to analyze the contents of geriatric dental hygiene curriculum. Results: Among colleges that offer dental hygiene (curriculum) department, 8 four-year and 12 three-year colleges (24.4%) offered geriatric dental hygiene courses. A comparison of the contents of the textbooks titled "Geriatric dental hygiene" published by Goonja, Daehan Narae, and Komoonsa showed that basic contents such as the characteristics, health problems, and oral health problems of elderly -people were described in the same context. However, there was a difference in the volume and importance of the concerned contents also. Conclusions: Universities and related organizations which offer dental hygiene curriculum should continue to conduct studies for the development of geriatric hygiene curricula. Moreover, heightened efforts are needed to ensure that geriatric dental hygiene education is more systematically offered.

Potential Benefits of a Selective Region High-frequency Diathermy with Therapeutic Exercises on Older Persons with Degenerative Knee Osteoarthritis: A Case Report

  • Ha, Sin Ho;Lee, Dong Geon;Hong, Soung Kyun;Lee, Gyu Chang
    • Physical Therapy Rehabilitation Science
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    • v.10 no.4
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    • pp.387-397
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    • 2021
  • Objective: The purpose of this case study was to investigate selective region high-frequency diathermy at trigger points with therapeutic exercises on pain, function, balance and gait in older patients with degenerative knee osteoarthritis (DKO). Design: A case report. Methods: The patient who participated in this study was a 71-year-old woman, who had been diagnosed with moderate osteoarthritis with grade II Kellgren & Lawrence grading scale. The intervention consisted of selective region high-frequency diathermy at trigger points, with hip and knee stretching and strengthening exercises. The participant was given assessments before and after every intervention session using the Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), the Timed Up and Go test (TUG) and the 10 Meter Walk Test (10MWT). The participant performed the intervention 18 times for a total of 30 minutes each. Results: As a result of this study, the patient VAS decreased to 3 points, and the WOMAC decreased to 53 points. In addition, the TUG decreased to 3.25 s and the 10MWT decreased to 1.14 s. Conclusions: The results of this study suggest that selective region high-frequency diathermy at trigger points with therapeutic exercises may be an effective intervention to decrease pain, improve knee function, balance and gait in patients with DKO. The selective region high-frequency diathermy with therapeutic exercises may be feasible and provide potential benefits for rehabilitation of DKO.