• Title/Summary/Keyword: Older persons

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Postprandial Hypotension and Heart Rate Variability in Older Adults (노인의 식후 저혈압과 심박동변이)

  • Jang, Ae-Lee;Hwang, Sun-Kyung
    • Korean Journal of Adult Nursing
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    • v.24 no.2
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    • pp.139-148
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    • 2012
  • Purpose: A study was designed to compare heart rate variability (HVR) of older adults with postprandial hypotension (PPH) with older adults with no PPH. Methods: The samples were community-dwelling older adults (${\geq}$ 60 years old) with PPH (n=35) and without PPH (n=35). HRV was measured by 10 minutes of electrocardiography using Physiolab 400 and analyzed in time domain (SDNN) and with power spectral analysis in frequency domain (TP, LF, HF, LF/HF). Blood pressure was measured every 15 minutes before and until 120 minutes after the meal. Results: All HRV parameters were lower in the PPH group compared to those with no PPH. Specifically the measures of SDNN, TP, LF, and LF/HF of the PPH group were significantly lower (U=385.0, $p$=.008; U=361.0, $p$=.003; U=375.0, $p$=.005; U=368.0, $p$=.004, respectively). Further, the LF and LF/HF of SBP (${\geq}140$ mmHg) group and the LF/HF of DBP (${\geq}$ 90 mmHg) group were significantly lower ($x^2$=6.33, $p$=.042; $x^2$=33.10, $p$ <.001; $x^2$=11.03, $p$=.004, respectively). Conclusion: These findings indicate that the autonomic nervous functions in persons with PPH are less activated than those persons with no PPH. The findings contribute to an understanding of HRV and the association of autonomic nervous function with the mechanism of PPH.

The Impact of Chewing Ability on Cognitive Function of Older People in Korea: Mediation Effect of Physical Function and Depression (한국 노인의 저작능력이 인지기능에 미치는 영향: 신체기능과 우울의 매개효과)

  • Seo, Han Na;Kim, Jeong Sun
    • 한국노년학
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    • v.37 no.4
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    • pp.909-924
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    • 2017
  • The purpose of this study was to identify the impact of chewing ability on cognitive function of older people in Korea and the mediation effect of physical function and depression using the nationwide data from "Survey of the Living Conditions and Welfare Needs of Korean Older Persons in 2014", in Korea. This study was conducted on a total of 10,451 respondents in the "Survey of the Living Conditions and Welfare Needs of Korean Older Persons in 2014" and the data collection period was from June 11, to September 4, 2014. Chewing ability was used in the scale on level of daily life inconvenience in chewing ability (meat or hardness). Cognitive function was measured using MMSE-DS, physical function using K-IADL, and depression using SGDS-K. The data were analyzed using the SPSS 24.0 program and Process Macro. Total effects of chewing ability on cognitive function were not significant(p>.05). Direct effects of chewing ability on cognitive function were not significant(p>.05). There were the dual mediation effect(p<.05) of physical function and depression, a complete mediating effect by physical function(p<.05) or depression(p<.05) in the impact of chewing ability on cognitive function of older people in Korea. These results indicate that physical function and depression effect directly and indirectly in the impact of chewing ability on cognitive function of older people. In conclusion, it is suggested that to prevent the decline of cognitive function in older people, it is necessary to consider not only nursing strategies for strengthening chewing ability and physical function, but also nursing interventions for relieving or preventing depression in older people.

Study of the New Patients of Acupuncture and Moxibustion Department in Dongeui Oriental Medical Hospital. (주소증(主訴症)으로 본 침구과(鍼灸科) 초진환자(初診患者)의 분석(分析))

  • Kim, Su-Min;Jung, Kyoung-Keun;Lee, Kyoung-Hee;Kwon, Mi-Jung;Jang, Kyung-Jun
    • Journal of Pharmacopuncture
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    • v.10 no.3
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    • pp.101-112
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    • 2007
  • Purpose In order to profits to investigator who want to know acupuncture and moxbustion treatments are available to what symptoms today and how goes on the clinical lecture for oriental medical students, this research was carried out. Methods The following conclusion were derived from 745 of patients who treated in acupunture & moxibustion department of Dongeui Oriental Medical hospital from the July in 2006 till January in 2007. Results 1. There were 203(27.25%) persons of Lumbago, 101(13.56%) persons of Bel's palsy, 94(12.62%) persons of Omalgia, 80(10.74%) persons of paralysis of limb, 74(9.94%) persons of disordinary sense of limb and etc. 2. There were 395 females(53.02%) and 350 males(46.98%). 3. The patients over 60th were 26.72%, the 50th were 23.08%, the 40th were 22.14%, the 30th were 15.44%, 20th were 8.45%. So the older the more patients. Conclusion In accordance with the above results, acupuncture & moxibustion teatments are good to use degenerative musculoskeletal disease, pain, paralysis and etc.

A Study on the Cost Structure of Foodservice Center in Institutions (단체 급식소 원가 구조에 관한 연구)

  • Park, Myun-Ae
    • Culinary science and hospitality research
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    • v.11 no.3 s.26
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    • pp.151-165
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    • 2005
  • The current study aims to help field managers of companies providing foodservice for institutions to establish the more appropriate cost management strategy by analyzing the cost structure of foodservice center in institutions by operating types and the number of people served. From the result analyzing 161 foodservice centers, the number of factories was highest with 39.8% while offices 26.7%, schools 20.5%, and hospitals 13%. In terms of the number of people served, below 500 persons was 27.6%, 501${\sim}$l,000 persons was 23.9%, 1,001${\sim}$2,000 persons was 22.7%, and over 2,001 persons was 25%. In the demographic characteristics of managers, women occupied over 92%. The reason for this is usually dieticians perform management duties. For the age of workers, 70.8% were older than 40s, which ran become the cause of a rise in cost by causing the decrease of productivity by aging. Therefore, appropriate countermeasures are required. In case of workers in production, women occupy 962 persons (82.2%) rating absolute majority like mangers. This is because cooks are in charge of almost every producing activity of meal facilities. In addition, more than 72.9% of workers in production were over 40 years old, which requires diversified studies to promote efficiency of production associated with the aging problem. In proportion of sales compared with cost material cost presented the highest percentage with 54.5% while labor cost 28.3%, general expenses 9.6% and business profit 7.6%.

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A Study on Self-Efficacy, Perceived Social Support and the Psychological Adjustment in the Bereaved Old People (배우자 사별노인의 자기효능감, 사회적 지지 및 심리적 적음에 관한 연구)

  • 전길양;김정옥
    • Journal of the Korean Home Economics Association
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    • v.38 no.1
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    • pp.155-170
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    • 2000
  • The purpose of this study was to examine to the effect of self-efficacy and perceived social support on adjustment in terms of depression. The subject was composed of 174 bereaved older adults in the first 10 years of their spousal bereavement. The major results of findings were as fellowing: 1. Bereaved old persons experienced emotional loneliness(35.8%) as the most stressful life event. 2. Bereaved old persons perceived higher self-efficacy and social support showed lower level of depression than those who perceived lower self-efficacy and social support. 3. The factor to have influence on the depression of bereaved old persons most relatively was appeared as self-efficacy.

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A Preliminary Study of Financial Management Assistance Use by the Elderly in the U.S.

  • Kim Eun-Jin;Geistfeld Loren V.
    • International Journal of Human Ecology
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    • v.6 no.1
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    • pp.1-16
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    • 2005
  • Due to increasing life expectancy, Americans live nearly 20 years after retirement. During this period, elderly persons have to stretch finances to manage the level of living without earnings. However, decision making ability decreases with age. One coping strategy for this problem would be seeking help from others. We examine factors affecting elderly persons' assistance use with respect to financial management using the 2000 Health and Retirement Study (N=3,823). It was found that age, education, health status, and ethnicity significantly affect elderly persons' financial management assistance use. The older-olds, those with lower educational attainment and poorer health status were more likely to use financial management assistance. However, Hispanic elderly were less likely to use financial management assistance.

Issues in Adults Prader-Willi Syndrome

  • Park, Sung Won
    • Journal of mucopolysaccharidosis and rare diseases
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    • v.1 no.2
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    • pp.40-43
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    • 2015
  • Prader-Willi syndrome (PWS), a complex genetic disorder, arises from suppressed expression of paternally inherited imprinted genes on chromosome 15q11-q13. Characteristics include short stature, intellectual disability, behavioral problems, hypogonadism, obesity, and reduced bone and muscle. The life expectancy of persons with PWS has increased in recent years. Cardiovascular diseases, diabetes, dermatological, and orthopedic problems are common physical complaints in older people with PWS. Behavioral problems are major concerns in adults with PWS into old age. And aging is also associated with significant social and economic changes. Age-related physical morbidity, physical appearance, behavioral and psychiatric problems, functional decline and economic problems can be combined in older PWS. The care for older people with PWS requires a life span approach that recognizes the presence, progression, and consequences of specific morbidity.