• Title/Summary/Keyword: The Korean Elderly

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Observational Study of the Treatment of 116 Cases of High Risk Group for Dementia and Depression in Multiple Korean Medicine Clinic (치매 및 우울증 고위험군 116례의 한의 치료에 대한 관찰 연구)

  • Ahn, Young Sung;Chang, Kun;Kim, Myunsoo;Park, Joon-young;Kim, Yong Gi;Ha, Hyun-yee;Choi, Junggil;Lee, Jae Yeul;Lee, Dong-suk;Hwang, Ji Hye
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.35 no.3
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    • pp.104-116
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    • 2021
  • In order to reduce the social and economic costs due to the increase in dementia patients, which is a representative senile disease in an aging society, it will be important to prevent dementia and to detect and treat early in high-risk groups. This study reported the results of treatment for the elderly with high risk of dementia and depression who received Korean medicine (KM) treatment in 9 KM clinics. Medical charts were surveyed on 116 patients with high risk of dementia and depression who received KM treatment at 9 KM clinics in Gangseo-gu from September 1, 2020 to December 31, 2020. The majority of the patients were female(76.72%), the average age was 71.66±7.18 years old, and the average education level was 8.96±3.91 years. The average treatment period was 61.47±10.30 days, the average number of treatments was 15.38±1.06 times, and both acupuncture and herbal medicine were administered. After receiving KM treatment, cognitive assessment scores such as MMSE-DS and MoCA-K, depression-related GDSSF-K score, dementia knowledge, attitude, and preventive behavior, blood debilitation scale, and GQOL-D score were improved compared to before. There was no specific adverse reaction except that one patient with elevated AST and ALT levels was observed. This study showed improvement in cognitive function, depression, dementia-related scale, and quality of life in high-risk groups for dementia and depression over 60 years old who received KM treatment. More systematic and large-scale planned clinical studies will be needed.

A Study of the Heating Systems used by Korean Compatriot in Russia - Focusing on Yunhaeju, Kazakhstan and Uzbekistan- (러시아에 거주하는 고려인의 난방 방식에 관한 연구 -연해주, 카자흐스탄, 우즈베키스탄을 중심으로-)

  • Lee YoungShim;Cho JaeSoon;Lee SangHae;Joung JaeKook
    • Journal of the Korean Home Economics Association
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    • v.43 no.1 s.203
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    • pp.145-165
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    • 2005
  • In 1937, most Korean compatriot who lived in Yunhaeju moved to Kazakhstan and Uzbekistan in Central Asia following the deportation policy of Russia. Korean compatriot have kept their traditional life style for 140 years, without a deep relationship with Korea. This study examined the heating systems of Korean compatriot in Yunhaeju, Kazakhstan and Uzbekistan, Russia. A literature review and field research, based on Ethnography as a research method, was employed. The results of the research were as following: 1) Korean compatriot in Yunhaeju use a Pechika, which is a radiator that uses hot water, and a Gudul as the main heating systems, but the use of a Pechika was most common. A Pechika functions for cooking as well as for warming the house. The room with the Gudul was connected to the kitchen, so this space was used as a place for cooking and eating, for family members to meet. Many kinds of fuel, like gas and electricity, were used to power the heating systems. 2) Korean compatriot in Kazakhstan use radiators, with hot water as the main heating system, with ratio using Gudul used in this region being the highest of all the three areas. The most common fuels used for a Gudul were wood and coal, and gas was also used in cooking. The room with the Gudul was planned to be located beside the fireplace, without any walls. The people using a Gudul use that place for eating and meeting, as well as for family members to sleep. 3) The main heating system of Korean compatriot in Uzbekistan was a radiator using hot water, and those with pipes containing hot water buried under the floor were very common. The function is very similar to that of a Gudul, so most people using this type of radiator would sleep on the floor. Those people with a traditional Gudul not using them were mostly in Uzbekistan. The reason for this was that the family members had diminished, so it was hard work for elderly parents to manage an extra building containing a Gudul. Gas was the fuel generally used for heating and cooking in Uzbekistan. 4) Guduls were used in the Korean compatriot's houses in all three areas, even though they have changed in structure to adapt to the Russian life style. However, Guduls have still been functioning to maintain a traditional life style in Korean compatriot's houses for the gathering of family members.

Development of Korean Version of the Dementia Eating Evaluation Tool based on Behavioral Observation (행동관찰 기반 치매 식이 평가 도구의 한국판 개발)

  • Seo, Sang-Min;Woo, Hee-Soon
    • Therapeutic Science for Rehabilitation
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    • v.9 no.1
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    • pp.56-68
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    • 2020
  • Objective : This study introduces domestic and overseas systematic assessment tools that can identify eating problems of dementia patients based on abnormal behavior observations and turns them into Korean through the verification of content placement by expert groups. Methods : Three types of assessment tools were selected for final development in Korean version through several meetings based on a wide range of relevant literature searches. The 3 selected assessment tools were first translated by the researchers, and a 9-person expert team was used to verify the Content Validity Index. Results : The EBS content equivalence calculation shows that all 6 questions and 1 response item had a CVI value 0.9, and all items were included in Korean EBS without modification. The EdFED content equivalence calculation showed that all 11 questions had CVI value 0.9, which was included in the Korean edition of EdFED without modification. The content equivalence calculation of the FDI showed that all 19 questions had a CVI of 0.8 or higher, and all items were included in the Korean version of the FDI without modification of the item. Conclusion : Korean versions of the EBS, EdFED and FDI, which are based on behavioral observation and diet tools for people with dementia, have been developed. Early determination of problems related to diet in dementia patients and providing proper intervention through observational Korean version assessment tools is vital in terms of strengthening patient nutrition and reducing caregivers' burden.

Validity and Reliability of Korean Version of Home Falls and Accidents Screening Tool (HOME FAST) (한글판 낙상 위험 주거환경 평가 (Home Falls and Accidents Screening Tool; HOME FAST)의 내용이해도 및 신뢰도 연구)

  • Ju, Yumi;Cho, Sun-Young
    • Therapeutic Science for Rehabilitation
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    • v.8 no.4
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    • pp.77-92
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    • 2019
  • Objective : This study aims to obtain the validation of Korean version of HOME FAST using the translation-back translation process and to evaluate the reliability. Methods : Total three stages were conducted which includes forward translation to Korean, test for degree of understanding of translated version, back translation to English, and then review and proof reading process. 21 occupational therapists were participated in the evaluation of understanding of Korean-translated HOME FAST, then some of expressions were modified for better understanding. Korean version was went through back-translation to English. Similarity between the original version and re-translated version were evaluated. Total 75 data from community dwelling elderly group were collected to assess internal consistency. Two occupational therapists simultaneously evaluated for the inter-rater reliability. Results : 11 items of Korean-translated scale were responded as having confused meaning by occupational therapists. There was some modification on expression. In the evaluation of similarity between original version and re-translated version, 3 items were selected as dissimilar items in terms of syntax and 6 items were selected in terms of semantic similarity. After the repetitive modification process, items were obtained conceptual equivalence between two different languages. Internal consistency was .62(KR20) (p<.01) and inter-rater reliability was .97(ICC) (p<.01). Conclusion : Korean version of HOME FAST was finalized through translation-retranslation process. The conceptual equivalence was established and Korean version showed highly reliable. In further study, The modification of items reflecting Korean house and life style should be conducted.

A Comparison of Adult Literacy Policies of UK and Australia (영국과 호주의 성인문해교육정책 비교 분석)

  • Chae, Jae-Eun;Heo, Joon;Lee, Jihye
    • Korean Journal of Comparative Education
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    • v.28 no.6
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    • pp.29-52
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    • 2018
  • Social changes have added to new challenges to adult literacy policies in Korea. These changes not only require most adults to improve their literacy skills, but also require them to learn new competencies. In this context, this study aims to examine whether the Korean literacy policy has properly responded to the new literacy needs. For this purpose, this study not only aims to examine the adult literacy policies of UK and Australia, but also plans to suggest implications for the Korean government. The findings of the study are as follow. Both UK and Australian governments have developed literacy education funding programs, performance management system, and professional development program for literacy educators, all of which are needed for the provision of high quality adult literacy programs. The Korean government has also implemented the similar system since it formulated the adult literacy policy in 2006. However, there are significant differences between the Korean case and those of Australia and UK. Where both UK and Australia governments target every adult who has needs for literacy education, the Korean government only targets the poorly-educated elderly. Accordingly, the Korean government has failed to accommodate various literacy needs of adults. As a way of addressing the limitations of the Korean policy, the government should innovate the adult literacy policy in a way that it helps every adult develop knowledge and skills at anytime and anywhere.

Research on the Actual Condition of Working Conditions in the Small and Medium Clinics (중소 병.의원 근무환경 실태조사)

  • Cheol, Kweon-Dae;Mi, Jang-Myeong;Hei, Jang-Yun;Mo, Chung-Kyung;Sin, Kwak-Choong
    • Journal of radiological science and technology
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    • v.28 no.1
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    • pp.55-65
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    • 2005
  • Research of actual condition of working conditions in the small and clinics, in the Seoul metropolitan city and Kyeonggido province. With the health care environmental change such as a rapid increase of the elderly people, rapid increase of health promotion needs, it is necessary to analyse and identity of the actual condition of working conditions for present and new radiological technologist. Research of general characteristics for the present radiological technologist. To research of the status employment, business scope, pay, working conditions, radiation safety management, equipment, and category association. Defining the problems of related working conditions, radiation safety management for the comprehensive methods to promote the rights the radiological technologist. A proposal for establishment legislature and system of the actual condition in the hospital for radiological technologist. Estimation for the demand and supply numbers of present radiological technologist and improvement of employment relations. Improved and refined scope business and duty regulation related to radiological technologist. Application for the establishment and development of promotion rights to utilize as basic data in a legislative and system frame of reference to implement the radiological technologist.

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A Study on the Utilization of Korean Traditional Food in Gwangju and Jeonnam Area Dietitians - For the Elementary, Middle and High Schools - (광주$\cdot$전남지역 학교영양사의 한국 전통음식 활용실태에 관한 연구 -초$\cdot$$\cdot$고등학교의 비교-)

  • Jung Lan-Hee;Jeon Eun-Raye
    • Journal of the Korean Home Economics Association
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    • v.43 no.9 s.211
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    • pp.97-107
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    • 2005
  • The purpose of this study was to investigate the elementary, middle and high school food service utilization of traditional Korean food in Gwangju and Jeonnam Area dietitians, and to provide basic data for the utilization of traditional food in school food service. The conclusions of this study are as follows. The utilizations of traditional Korean food was remarkable among the dietitians who are elderly, have worked for a long time, are married and in elementary schools. For the elementary, middle and high schools, the utilization of rice was remarkable in Bombop(boiled rice and nuts)(p<.001), Okeukbop(boiled rice mixed with five grains)(p<.001), Potbop(boiled rice and red-bean)(p<.001), Boribop(boiled rice and barley)(p<.01), and Kongbop(boiled rice and beans)(p<.01) The utilization of one-dish meals was remarkable in Kongnamulbop(boiled rice and bean sprouts)(p<.001). The utilization of porridge was remarkable in Hobakjuk(pumpkin porridge)(p<.001) and Potjuk(red-bean porridge)(p<.001). The utilization of noodles was remarkable in Mandu soup(a bun stuffed with seasoned meat and vegetables)(p<.001) and Kalkuksu(cut noodles)(p<.001). The utilization of soup and pot stew was remarkable in Kongnamul soup(p<.001), sagolugeoji soup(p<.001), Calbitang(p<.001) and sullungtang(p<.001), kongbiji stew(p<.01), and soondubu stew(p<.05). The utilization of steamed dish and hard-boiled food was remarkable in green perilla stew(p<.001), fish stew(p<.001) and seasoned and steamed pollack(p<.01). The utilization of pan-boiled food stew was remarkable in small octopus stew(p<.001). The utilization of fried food or grilled food was remarkable in grilled fish(p<.001), bindaetteok(vegetable pancake)(p<.001), fried green pumpkin(p<.001), fried sea food with stone-leek(p<.001) and Buchu fried food(p<.001). The utilization of salad and cooked vegetables was remarkable in spinach salad(p<.001), cucumber salad(p<.001) and Kongnamul(bean sprouts)(p<.05). The utilization of Kimchi was remarkable in Baek kimchi(p<.001), Gat(leaf-mustard) kimchi(p<.001), Youlmu(young radish) kimchi(p<.01) and Oisobaki(p<.01). The utilization of desserts was remarkable in seasonable fruits(p<.001), Kangjung(p<.01), Tteok(rice cake)(p<.01) and Sik Hye(Cinnamon flavored persimmon punch)(p<.01).

Analysis on the Trends in Researches of Public Service of the Library (도서관의 공공서비스에 대한 연구경향 분석)

  • Kang, Mi-Hee
    • Journal of Korean Library and Information Science Society
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    • v.45 no.2
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    • pp.361-394
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    • 2014
  • The purpose of this study is to analyze the trends in researches of public service of the library. The subjects of analysis are a 'Journal of the Korean Society for Library and Information Science', 'Journal of the Korean Library and Information Science Society', 'Journal of the Korean Society for Information Management' an 'Korean Biblia Society for Library and Information Science' ; and the standards of analysis are approach, research method, service delivery stage and service objects. The analysis results are as follows: First, as for the approach, it is consisted of 46(19.4%) normative orientation study, 93(39.2%) empirical orientation study, 64(27.0) practical orientation study and 34(14.5%) others, so it was being carried out empirical orientation study mostly. Second, as for the research method, it was consisted of 94(38.1%) quantitative researches, 123(49.8%) qualitative researches and 30(12.1) others, so it was carried out quantitative researches about 10% more. Third, as for the service delivery stage, while there were 124(35.7%) researches on input stage such as manpower, budget and facilities etc, there were 187(53.9%) researches on result stage such as effects and satisfaction etc, so there were many researches on the result element. Fourth, as for the providers of service objects, there were 211(89.0%) researches on public libraries mainly which exceed much more than other libraries, and as for the recipients, there were 183(77.2%) researches on general users which show overwhelming superiority more than such as children, the elderly and multi-cultural family etc. As the results to analyze the trend in researches on public service of the library during 15 years like above, it was possible to know that it was carried out empirical researches than normative researches and practical researches, and researches for general users of public libraries.

Association between Global Cortical Atrophy, Medial Temporal Atrophy, White Matter Hyperintensities and Cognitive Functions in Korean Alzheimer's Disease Patients (알츠하이머병 환자의 전반적 피질 위축, 내측두엽 위축, 백질 고강도 신호와 인지기능의 연관성)

  • Choi, Leen;Joo, Soo-Hyun;Lee, Chang-Uk;Paik, In-Ho
    • Korean Journal of Biological Psychiatry
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    • v.22 no.3
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    • pp.140-148
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    • 2015
  • Objectives The aim of this study is to investigate the correlation between degenerative changes in brain [i.e., global cortical atrophy (GCA), medial temporal atrophy (MTA), white matter hyperintensities (WMH)] and neurocognitive dysfunction in Korean patients with Alzheimer's disease. Methods A total of 62 elderly subjects diagnosed with Alzheimer's disease were included in this study. The degenerative changes in brain MRI were rated with standardized visual rating scales (GCA or global cortical atrophy, MTA or medial temporal atrophy, and Fazekas scales) and the subjects were divided into two groups according to the degree of degeneration for each scale. Cognitive function was evaluated with Korean version of the Consortium to Establish a Registry for Alzheimer's Disease (CERAD-K) and several clinical features, including apolipoprotein E ${\varepsilon}4$ status, lipid profile and thyroid hormones, were also examined. Chi-square test and Fisher's exact test were performed to analyze the relationship between the degree of cerebral degeneration and neurocognitive functions. Results Demographic and clinical features, except for the age, did not show any significant difference between the two groups divided according to the degree of cerebral degenerative changes. However, higher degree of GCA was shown to be associated with poorer performance in verbal fluency test, word list recall test, and word list recognition test. Higher degree of MTA was shown to be associated with poorer performance in Mini-Mental State Examination in the Korean Version of CERAD Assessment Packet (MMSE-KC), word list recognition test and construction praxis recall test. Higher degree of white matter hyperintensities was shown to be associated with poorer performance in MMSE-KC. Conclusions Our results suggest that severe brain degeneration shown in MRI is associated with significantly poorer performance in neurocognitive tests in patients with Alzheimer's disease. Moreover, the degree of GCA, MTA and white matter hyperintensities, represented by scores from different visual rating scales, seems to affect certain neurocognitive domains each, which would provide useful information in clinical settings.

Korean Asthma Guideline 2014: Summary of Major Updates to the Korean Asthma Guideline 2014

  • Kim, Deog Kyeom;Park, Yong Bum;Oh, Yeon-Mok;Jung, Ki-Suck;Yoo, Ji Hong;Yoo, Kwang-Ha;Kim, Kwan Hyung
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.3
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    • pp.111-120
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    • 2016
  • Asthma is a prevalent and serious health problem in Korea. Recently, the Korean Asthma Guideline has been updated by The Korean Academy of Tuberculosis and Respiratory Diseases (KATRD) in an effort to improve the clinical management of asthma. This guideline focuses on adult patients with asthma and aims to deliver up to date scientific evidence and recommendations to general physicians for the management of asthma. For this purpose, this guideline was updated following systematic review and meta-analysis of recent studies and adapting some points of international guidelines (Global Initiative for Asthma [GINA] report 2014, National Asthma Education and Prevention Program [NAEPP] 2007, British Thoracic Society [BTS/SIGN] asthma guideline 2012, and Canadian asthma guideline 2012). Updated issues include recommendations derived using the population, intervention, comparison, and outcomes (PICO) model, which produced 20 clinical questions on the management of asthma. It also covers a new definition of asthma, the importance of confirming various airflow limitations with spirometry, the epidemiology and the diagnostic flow of asthma in Korea, the importance and evidence for inhaled corticosteroids (ICS) and ICS/formoterol as a single maintenance and acute therapy in the stepwise management of asthma, assessment of severity of asthma and management of exacerbation, and an action plan to cope with exacerbation. This guideline includes clinical assessments, and treatment of asthma-chronic obstructive pulmonary disease overlap syndrome, management of asthma in specific conditions including severe asthma, elderly asthma, cough variant asthma, exercise-induced bronchial contraction, etc. The revised Korean Asthma Guideline is expected to be a useful resource in the management of asthma.