• Title/Summary/Keyword: The Korean Elderly

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Primary Traumatic Anterior Shoulder Dislocation in the Middle-aged And Elderly Patients (중장년층에서의 외상성 견관절 탈구)

  • Lee Kwang-Won;Ryu Chang-Soo;Kim Ha-Yong;An Jae-Hun;Yum Jin-Sub;Kim Whoan-Jeang;Choy Won-Sik
    • Clinics in Shoulder and Elbow
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    • v.3 no.2
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    • pp.75-78
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    • 2000
  • Purpose: The purpose of this study was to review primary traumatic anterior shoulder dislocation in the 40 years and older to determine the incidence of recurrence, rotator cuff injury and associated fractures. Materials and Methods: From May, 1991 to October, 1998, seventeen patients were available to participate in the study. The average age was 55 years(range, 40 to 75 years). Follow-up averaged 27 months(range, 12 to 48 months). There were 12 men and 5 women. 10 right and 7 left shoulders were involved. Any participant with a history of shoulder pain and limitation of motion was excluded from the study. Each shoulder was evaluated with UCLA shoulder functional assessment. Results: The overall results were excellent in 9 patients(52.9%), good in 3 patients(17 .6%), fair in 3 patients(17.6%), and poor in 2 patients(11.7%). Surgical treatment of the associated rotator cuff and greater tuberosity fracture injuries resulted in 5 patients with excellent(55.6%), 3 patients with good(33.3%) and I patient with poor(11.1 %) and Nonsurgical treatment of the associated injuries resulted in 2 patients with excellent(33.3%), 3 patients with fair(50%), 1 patient with poor(16.7%)(P=0.025). Conclusion : Our findings on small number of patients suggest that the diagnosis of a rotator cuff and other pathologies should be approached aggressively by an MRI, CT arthrogram if significant pain and weakness are still present and early surgical repair of rotator cuff and greater tuberosity can lead to restoration of shoulder function and better outcomes in selected patients.

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Functional Immunity to Cross-Reactive Serotype 6A Induced by Serotype 6B in Pneumococcal Polysaccharide Vaccine (폐구균 다당질 백신 내 혈청형 6B에 의해 유도되는 교차 반응 혈청형 6A에 대한 기능적 면역)

  • Kim, Kyung Hyo
    • Clinical and Experimental Pediatrics
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    • v.48 no.5
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    • pp.506-511
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    • 2005
  • Purpose : Streptococcus pneumoniae serotype 6B and 6A are important pathogens in pneumococcal infections. It is commonly assumed that the 6B vaccines elicit antibodies cross-reacting with the 6A serotype and the cross-reactive antibodies protect against infections of 6A. To examine this assumption, we measured the opsonophagocytic capacity to serotype 6A and 6B in adults. Methods : Twenty-four adults were immunized with pneumococcal PS vaccine that contains 6B PS. Their preimmune and postimmune sera were studied for the capacity to opsonize 6B and 6A serotypes with opsonophagocytic killing assay. Results : Opsonization titers to 6B were significantly higher than those to 6A in preimmune and postimmune sera. Because significant increasesof opsonization titers were observed in adults with polysaccharide vaccines for 6A(cross-reactive) serotype as well as for 6B(vaccine) serotype, 6B PS in vaccine elicited cross-protective antibodies to 6A, but not in all cases. One adult did not have detectable levels of opsonization titers to 6A after immunization. Conclusion : Although 6B PS in pneumococcal PS vaccine elicits antibodies cross-reacting with 6A serotype in some adults, it may not occur always. This study should be extended to other age groups such as children and elderly people. The presence of the cross-protection should be directly determined in clinical trials of the pneumococcal vaccines as well as during the postlicensure monitoring surveys by serotyping the clinical isolates of pneumococci.

Influence of Workplace Learning, Job Satisfaction and Geriatric Nursing Practice of Nurses in Long-term Care Hospitals (요양병원 간호사의 일터학습과 직무만족이 노인간호실천에 미치는 영향)

  • Yoon, Sook-Rye;Chung, Eui-Nam;Park, Seon-Wook;Jung, Myeong-Soon;Ko, Ga-Yeon;Jang, Ji-Hye
    • 한국노년학
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    • v.37 no.3
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    • pp.655-667
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    • 2017
  • This study aimed to identify workplace learning, job satisfaction and geriatric nursing practice, find the correlations between each variable, and investigate affecting factors on geriatric nursing practice. Subjects were 146 nurses in 9 long-term care hospitals including G City, and data were collected from May 1, 2016 through Jun. 30, 2016. Data analysis included independent t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regression using the SPSS/WIN 20.0 program. The results showed that the correlations between each variable showed that incidental learning, a subregion of workplace learning (r=.20, p=.014), and job satisfaction (r=.29, p<.001) had a positive correlation with geriatric nursing practice, respectively. The affecting factors on geriatric nursing practice were job satisfaction, daytime working and nursing experience, and the explanatory power of the model was 20%(F=4.91, p<.001). Based on the results, job satisfaction should be increased to improve the quality of nursing in long-term care hospitals and various methods might be discussed to improve the job satisfaction. Daytime working was suggested one factor on geriatric nursing practice because nursing was provided mainly during daytime, and nursing experience was also one factor on geriatric nursing practice, so highly experienced geriatric nurses could provide high quality elderly patient care.

Factors of Bodily Pain Among Stroke Patient's Female Caregivers in Their Middle to Older Age (뇌졸중 환자를 돌보는 중·고령층 여성 간병인의 신체통증 영향 요인)

  • Moon, Jong-Hoon;Bak, In-Hye
    • Therapeutic Science for Rehabilitation
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    • v.8 no.1
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    • pp.63-71
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    • 2019
  • Objective: This study aimed to examine the factors affecting bodily pain in women in their middle to older age who are caregivers of stroke patients. Methods: This study selected 75 stroke inpatients and 75 female caregivers in their middle to older age from five hospitals in Daegu and Gyeongbuk. Measurements included general characteristics, cognitive function, upper limb function, and activities of daily living of stroke patients, and general characteristics and bodily pain for the caregivers. We used stepwise multiple regression analysis to determine the factors affecting the bodily pain and Pearson's correlation analysis to confirm the correlation. Results: The factors affecting bodily pain in women in their middle to older age caregivers were the activities of daily living(${\beta}=-.489$, p<.001) and caregiver duration(${\beta}=-.309$, p=.003)($R^2=.276$). Correlation analysis showed that the activities of daily living, upper limb function, and cognitive function of stroke patients were significantly correlated (r=.434~.751, p<.001). Conclusions: The results of this study demonstrate that the functional level of stroke patients being cared for and the caregiver duration are important variables for reducing bodily pain in women in their middle to older age.

Social Worker's Perceptions and Working Experiences of Older Adults Who Live Alone in Severe Social Isolation Based on the Case of 「Making Friends of Older Adults who Live Alone」 (「독거노인 친구만들기」를 통해 살펴본 '숨겨진 이웃', 사회적 고립이 심각한 노인 1인 가구에 대한 사회복지사의 인식과 경험에 관한 연구)

  • Kim, Yujin
    • 한국노년학
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    • v.38 no.4
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    • pp.1149-1171
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    • 2018
  • The purpose of this study is to increase understanding of the social intervention for severely isolated older adults who live alone and are in serious isolation as if they were 'hidden'. Through qualitative descriptive methods, it intends to describe how social workers in the "Making Friends of Older Adults who Live Alone" project have perceived older adults living alone in serious isolated situation, whether there have been changes in the perception of the elderly according to the progress of the project, and what kinds of experiences these social workers have had while providing case management to older adults. In-depth interviews with 40 social workers, case management records of 70 senior citizens, and research journals were collected and analyzed using qualitative content analysis methods. The results of data analysis were presented in two categories and four subcategories each. Based on the research findings, four kinds of implications were suggested.

A Semi-Automated Labeling-Based Data Collection Platform for Golf Swing Analysis

  • Hyojun Lee;Soyeong Park;Yebon Kim;Daehoon Son;Yohan Ko;Yun-hwan Lee;Yeong-hun Kwon;Jong-bae Kim
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.8
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    • pp.11-21
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    • 2024
  • This study explores the use of virtual reality (VR) technology to identify and label key segments of the golf swing. To address the limitations of existing VR devices, we developed a platform to collect kinematic data from various VR devices using the OpenVR SDK (Software Development Kit) and SteamVR, and developed a semi-automated labeling technique to identify and label temporal changes in kinematic behavior through LSTM (Long Short-Term Memory)-based time series data analysis. The experiment consisted of 80 participants, 20 from each of the following age groups: teenage, young-adult, middle-aged, and elderly, collecting data from five swings each to build a total of 400 kinematic datasets. The proposed technique achieved consistently high accuracy (≥0.94) and F1 Score (≥0.95) across all age groups for the seven main phases of the golf swing. This work aims to lay the groundwork for segmenting exercise data and precisely assessing athletic performance on a segment-by-segment basis, thereby providing personalized feedback to individual users during future education and training.

Correlation of Cognitive Function and Fall-risk Related Behavioral Factors (노인의 인지기능과 낙상유발 행동요인과의 상관분석)

  • Ju, Yumi;Lee, Heon-Joo
    • Therapeutic Science for Rehabilitation
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    • v.7 no.2
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    • pp.41-50
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    • 2018
  • Objective: This study was conducted to investigate the correlation of cognitive function and fall-risk behavioral factors. Methods: The elderly over than 65 year-old with and without cognitive impairment were recruited in four different regional areas. Total 43 data of K-MoCA and FaB were collected. Pearson correlation of total scores of K-MoCA and FaB was analyzed using SPSS 22. Correlation between total score of K-MoCA and each item of FaB which describes the fall-risk behaviors was analyzed as well. Results: The cognitive function was statistically positive correlated with the fall-related behaviors in pearson correlation analysis (p<.01). Nine items of total 30 items of FaB was significantly correlated with total score of K-MoCA. Conclusion: Fall-risk behaviors were decreased as the cognitive level was improved. If the cognitive function was vulnerable, the insight to fall-risk behaviors deficits and various fall-related behavioral factors exits. The high fall-risk behaviors were correlated with cognitive function, so that the cognitive level should be considered in fall prevention intervention in Occupational Therapy.

Recent Studies on Natural Products that Improve Myogenesis (Myogenesis 촉진에 관여하는 최근 천연물의 동향)

  • Chae, Jongbeom;Nam, Ju-Ock
    • Journal of Life Science
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    • v.30 no.2
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    • pp.202-210
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    • 2020
  • As the elderly population increases, it is becoming important to prevent and treat muscle loss caused by aging or disease. Steroidal androgen in the protein assimilation steroid (AAS) system is mainly used to induce muscle improvement, but it is well known that long-term or excessive doses of AAS result in various side effects, although they are prescribed for various muscle and weight loss treatments. Research is therefore underway to explore natural substances that promote muscle renewal with relatively few side effects. However, despite many studies on the improvement of skeletal muscle and the reduction of muscle disease using natural products, there is still a lack of significant clinical results and mechanism studies. The promotion of muscle regeneration through treatment with natural substances typically involves three mechanisms: positive control of the muscle modulating factor (MRF), activation of the protein synthesis mechanism, and inhibition of the protein breakdown mechanism. A study of plant extracts that are known to have muscle neoplasmic stimulation effects, such as black ginseng, plum, and nutmeg, as well as single substances derived from natural products, such as creatine, catechin, and several fatty acids, is therefore described. We also summarize the mechanisms that have been identified so far through which each of these extracts or single materials facilitates muscle regeneration and the signaling pathways that they mediate.

Analysis of Shelter Service Areas According to Walking Speed Using Network Analysis (네트워크 분석을 이용한 보행속도에 따른 대피소 서비스 영역 분석)

  • Park, Jae Kook;Kim, Dong Moon
    • Journal of Korean Society for Geospatial Information Science
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    • v.20 no.4
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    • pp.37-44
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    • 2012
  • There are approximately 25,724 shelters to which people can be quickly evacuated for safety in case of emergency across the nation, and Seoul has about 3,870 shelters. Those nationwide shelters are located at a point within a five-minute radius for quick evacuation. Seoul's shelter capacity can hold 285% of its population. The problem is, however, that there is no knowing how many shelters are reachable within five minutes when considering walking speed according to individual differences in age, height, health state, and physical condition. In addition, available service areas become different according to the spatial allocation and distribution of shelters with possible vulnerable points. This study thus defined the pedestrian walking speed at 1m/s, 1.3m/s, and 2m/s by reviewing previous studies and conducted network analysis of the Location Allocation Model with the designated shelters and road networks in Seoul. The results identified the shelter service and vulnerable areas in each administrative district of Seoul according to walking speeds. It was analyzed that the vulnerable areas in which the elderly could not reach a shelter were more than twice as big as those of adult men and women with a fast walking speed.

Analysis on Disaster Information Effect Process to Occupant Behaviour : Focusing on Relationship to Egress Time (피난시간을 중심으로 본 재실자특성에 대한 재난정보의 작용 과정 분석)

  • Ji, Donghoon;Lee, Seulbi;Lee, Hyun-Soo;Park, Moonseo
    • Korean Journal of Construction Engineering and Management
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    • v.19 no.3
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    • pp.11-22
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    • 2018
  • Existing efforts to reduce total egress time actually focused on reducing travel time. However, consideration to reduce perception time or response time was insufficient although the ratio of travel time is one-third of total egress time and situations which the safety cannot be ensured by only reducing travel time were aroused. Therefore, the concept of disaster information, which could reduce both perception time and response time got attention To analyze the effect of disaster information on occupant behaviour, this study identified a relationship between 10 major disaster information and 3 occupant behaviour factors in terms of reducing egress time. By referring the relationship, this study conducted an virtual egress experiment with survey on 4 cases, the elderly, intellectual disabled, hearing disabled and visual disabled, to identify disaster information which reduce total egress time effectively. Finally, by analyzing the experiment result, this study proposed the process of disaster information effect on occupant behaviour as complementing insufficient occupant behaviour to ensure the minimum level of safety and maximizing relatively high occupant behaviour to ensure enough level of safety. The results are expected to account for relationship between disaster information and occupant behaviour with more explanatory power in terms of egress time. With further studies of disaster information and group behaviour, these series of studies could provide basic references for disaster information and occupant behaviour.