• 한국노년학
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• v.36 no.4
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• pp.1089-1108
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• 2016

The purpose of this study was to develop a wandering management guideline for family caregivers of community-dwelling elders with dementia (EWD). In the first stage of the study, focus group and individual interviews (n=10) were performed to analyze family caregivers' experiences about wandering of the EWD under their care. In the second stage, preliminary contents for the guideline were made based on the interview results of family caregivers and reviews of literature. Final version of the guideline with 86 items was established after experts' review using the Content Validity Index analysis. In the final stage, a pilot test was conducted to evaluate the guideline using a sample of 13 family caregivers of EWD. Family caregivers were educated about how to use the guideline and asked to complete a set of questionnaire to examine their knowledge about wandering, degree of application of the guideline, and satisfaction with the guideline. Family caregivers' knowledge score was significantly improved (p=0.014) and the average scores in the process evaluation (9 items) and user satisfaction (7 items) about the guideline were 2.69-3.46 (range: 1-4), and 2.85-3.38 (range: 1-4), respectively. Further study with a large random sample is necessary to confirm the results of this study.

• Journal of Internet of Things and Convergence
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• v.8 no.4
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• pp.25-40
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• 2022

This study aimed to understand the increasing number of elder abuses in South Korea, where entry into the super-aged society is imminent, by implementing text mining analysis. Korean Academic journals were obtained from 2004, the establishment year of the senior care agency, to 2021. We performed natural language processing of the titles, keywords, and abstracts and divided them into three segments of periods to identify latent meanings in the data. The results illustrated that the first section included 81 papers, the second 64, and the third 104 respectively, averaging 13.8 annually, which increased its numbers from 2014 until the decrease below the annual average in 2020. Word frequency demonstrated that the common keywords of the entire segments were 'elder abuse,' 'elders,' 'influences,' 'factors,' 'recognition,' 'family,' 'society,' 'prevention plans,' 'experiences,' 'abused elders,' 'abuse prevention,' 'depression,' etc., in consecutive order. TF-IDF indicated that 'influences,' 'recognition,' 'society,' 'prevention plans,' 'abuse prevention,' 'experiences,' 'depression,' etc., were the common keywords of all divisions. Network text analysis displayed that the commonly represented keywords were 'elder abuse,' 'elders,' 'influences,' 'factors,' 'characteristics,' 'recognition,' 'family,' 'prevention plans,' 'society,' 'abuse prevention,' and 'experiences' in the entire sections. concor analysis presented that the first segment consisted of 5 groups, the second 7, and the third 6. We suggest future directions for elder abuse research based on the results.

• Korea Science and Art Forum
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• v.24
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• pp.277-287
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• 2016

This study purpose is comparative analysis of environmental design checklist based on physical characteristics of the elders between Korea and Japan exhibition facilities. We were selected to represent the exhibition facilities in Korea and Japan and conducted field survey and understand the application status. The scope of the exhibition facilities space is entry, exhibition, public-service, educational activity and movement. And the elders physical characteristics are divided into 'sense(eye-sight, hearing, and feeling by touch)' / 'exercise (skeleton, movement, physical strength and muscular strength)'. Based on the checklist, we gave the score depending installation, part installation and uninstallation and then analyzed the average. The Results were as follows. First, Korea and Japan exhibition facilities are appear to similar and both above the average level. It is show that environment design reflects the physical characteristics of the elders. Second, exhibition space and educational activity space has lower score than other space, indicated most items are consist of the recommended. Most items appears as part of the preparation for this installed or uninstalled. Third, It showed that the installation is incomplete entries corresponding to the physical characteristics of the sensory area of the elderly (hearing). Therefore, there need to install additional information facilities such as voice, emergency call bell. Forth, the exhibition facilities appears differently depending on time of erecting and remodeling.

• Journal of Nutrition and Health
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• v.46 no.6
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• pp.511-520
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• 2013

Monocyte chemoattractant protein-1 (MCP-1) plays an important role in cardiovascular disease (CVD). Genetic polymorphism in the regulatory regions of MCP-1 could affect MCP-1 expression. The purpose of the study was to explore the possible association of MCP-1 -2518 A/G genetic polymorphism and CVD risk factors in the elderly Korean population. Dietary, anthropometric, and biochemical factors were assessed in 168 subjects. The frequency of A/A, G/A, and G/G genotypes was 14.2%, 45.8%, and 40.0%, respectively. The blood level of MCP-1 was significantly higher in subjects with A/A genotype. The MCP-1 level was significantly higher in A/A genotype with hypercholesterolemia than in other genotypes. Meat intake and percent energy from lipids were significantly positively correlated with the MCP-1 level, especially, stronger in A/A genotype. In the stepwise discriminant analysis, TNF-${\alpha}$ level, meat intake, HDL-C were associated with MCP-1 in all subjects (model $R^2=24%$). TNF-${\alpha}$ level, sugar intake, cholesterol intake, and meat intake affected MCP-1 in A/A genotype (model $R^2=82%$), but not in G/A or G/G. In conclusion, subjects possessing A/A genotype exhibited higher levels of MCP-1 than other genotypes in Korean elders. Further, meat, sugar, and cholesterol intakes affected the MCP-1 level. Therefore, the decrement of meat, sugar, and cholesterol intakes helps to normalize the MCP-1 level and can decrease CVD risk in A/A genotype.

• The Korean Journal of Food And Nutrition
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• v.21 no.4
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• pp.530-535
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• 2008

Evidence for the effects of different health behaviors, including diet, in elderly diabetes is currently limited. The aim of this study was to compare the quality of diet and health behaviors in Korean elderly T2DM patients, using a glycemic control. T2DM elders(>65 yr, n=48) were recruited and categorized by the concentration of glycated-hemoglobin HbA1c; subjects with HbA1c<7% were the good control(GC) group, and subjects with $HbA1c{\geq}8%$ constituted the poor control(PC) group. General characteristics, self-management behavior questionnaires, and 3-d diet records were all collected and assessed. No significant differences in general characteristics between GC and PC were detected, with the exception of a higher level of education in GC(p<0.05). A twofold longer duration of diabetes was observed in PC as compared to GC(p<0.01). The GC group did exercise for a longer time(p<0.001), and had an earlier beginning of diabetes self-management education (DSME) by healthcare practitioners using a team teach as compared with the PC group(p<0.05). The total dietary quality index(p<0.001) and individual index for carbohydrate(p<0.001) or vegetables and fruit(p<0.05) were better in GC than in PC. Therefore, the earlier DSME including intensive exercise and balanced diet selection should be expected to improve glycemic control in diabetic Korean elders.

• Korean Journal of Biological Psychiatry
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• v.15 no.1
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• pp.29-34
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• 2008

Objectives : This study aimed to test potential modifying effects of education on the association between apolipoprotein E ${\varepsilon}4$ (Apo E4) and cognitive decline. Methods : A community cohort(N=683) aged 65 or over completed the Korean version of Mini-Mental State Examination(MMSE-K) at baseline and two years later(1999-2001). Apo E polymorphisms were genotyped, and classified into that with or without Apo E4. Educational levels were categorized into people with or without education. Covariates included demographic(age, gender), life style(smoking, alcohol drinking), clinical (depression, sleep disorder, vascular risk factors) characteristics. Results : The association between Apo E4 and cognitive decline was significant only in the old persons with no education. The interaction term between education and Apo E4 on cognitive decline was significant(p=0.040). Conclusion : Elders with no education might be more vulnerable to the impact of Apo E4 on cognitive decline, which suggests gene-environment interaction.

• Korean Journal of Health Education and Promotion
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• v.27 no.1
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• pp.81-89
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• 2010

Objectives: To investigate the relationship between experience of hunger in childhood or adolescence and diabetes mellitus in old age. Methods: Stratified national samples of 421 men and 554 women aged 60-89 in South Korea were analyzed. Diabetes diagnosed by a doctor was used as the dependent variable. Experience of hunger in childhood was assessed with the question, "In your childhood, have you ever gone hungry with skipping a meal?" and "In your childhood, have you ever eaten porridge or some bran cake as main dish instead of rice because of lack of food?" Odds ratios (ORs) and 95% confidence interval (CI) were calculated by multiple logistic regressions. Results: ORs of diabetes by experience of hunger in childhood were 1.64(95% CI 0.95-2.83) for men and 1.58(95% CI 1.01-2.47) for women. Significant association of experience of hunger in childhood with prevalence of diabetes persisted in men after adjustment for adulthood and old age socioeconomic position indicators and other risk factors(OR 1.88(95% CI 1.04-3.41)). The effect of experience of hunger in 10-19 years was more prominent than that in less than 10 years in both gender. Conclusion: Experience of hunger in childhood or adolescence may increase the risk of diabetes in Korean elders.

• Research in Community and Public Health Nursing
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• v.14 no.2
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• pp.287-298
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• 2003

The purpose of the study was to develop an integrated prevention program to strengthen elders self-care capability and to examine its effectiveness on their psychological condition. This study used one group pre- and post-test design. Subjects were 85 elderly residents (over 65 years of age) who lived alone, and received free basic medical care and social welfare services in a rural community in Korea. Subject eligibility criteria for this study were to an elders who 1) is not currently taking any anti-depressant medication 2) is able to communicate, and 3) agrees to participate in this study. The integrated program was composed of horticulture, reminiscence, and friendship activities. Twelve sessions were provided for 12 weeks in community-based partnerships to achieve better outcomes. The intervention was case-managed by a public health nurse and aided by six volunteers. The main outcome variable was depression, which was assessed by using 15 items selected from the Geriatric Depression Scale-short form Korean version. Socio-demographic characteristics, functional status, and satisfaction with social support were used as covariates. Results showed that there was a significant intervention effect at post-intervention time point compared to pre-intervention time point(E.S. 0.94). Multiple linear regression analysis showed significant interaction effects between intervention and satisfaction with social support. These findings must be interpreted within the context that an effects of an integrated program could be more synergistically increased when social support factor is considered in the program. A community-based integrated prevention program of depression is effective for vulnerable rural elderly. It is suggested that randomized controlled trials within community setting for better methodological strength as well as multi-level outcomes on community need to be conducted in future.

• Journal of Physiology & Pathology in Korean Medicine
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• v.20 no.2
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• pp.328-332
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• 2006

This study aims to provide definitions and standardization for necessities that elderly people can use conveniently and properly in their daily lives and classify necessities for different purposes. First, standard terminologies were defined by reviewing the literature and the relevant laws related to daily necessities for the elders. Secondly, a concept for necessities for the elders was also defined through consultation with experts. Lastly, the elderly's necessities were selected and classified. The elderly's necessities are defined as aids that ordinary elderly people in normal aging process need for the purpose of the convenience of life and aids they wear or use to maintain or improve their health. In this study, the elderly's necessities are divided into three categories: necessities of health, necessities of Oriental medical aids and necessities of daily living. Each category is further classified as follows: Necessities of health include aids for personal medical treatment, aids for personal care and protection and aids for recreation. Necessities of Oriental medical aids include aids for personal medical treatment, aids for personal care and protection and others. Necessities of daily living include aids for personal care and protection, aids for personal mobility, aids for housekeeping, furnishings, aids for communication, information and signalling, aids for handling products and goods and aids for recreation. The classification of the elderly's necessities in this study can be used as basic information for further studies of demand for necessities for the elderly. The results will lay the foundation for a standardization system for the elderly's necessities and the development of silver industry.

• Research in Community and Public Health Nursing
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• v.19 no.1
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• pp.76-87
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• 2008

Purpose: This study was conduct to develop a calligraphy and exercise program and examine its effects on the self-esteem, stress, qualify of life and physical health of the elderly in a community health post in Korea. Method: The subjects consisted of 43 elders (experimental group: 20, control group: 23) who were attending the program of a community health post. The experimental group participated in the calligraphy and exercise program for 12 weeks (3 times a week, 120 minutes a session). Data were collected before and after the program. Results: 1) The experimental group showed significant improvement in self-esteem and quality of life and significant reduction in stress compared to the control group. 2) The experimental group and the control group were not significantly different in muscle strength and flexibility. Conclusion: These results suggest that the calligraphy and exercise program for old adults can improve their psychological health and quality of life.