• 제목/요약/키워드: The middle-aged

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An Analysis on Predictors of Move Intention to Silver Town in Jeju Island (실버타운 입주의도 예측요인에 대한 분석)

  • Hong, Yeon-Sook
    • Korean Journal of Social Welfare
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    • v.58 no.3
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    • pp.313-340
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    • 2006
  • The purpose of this study was to examine predictors of move intention to silver town in Jeju Island. Participants were 449 middle age and elderly who live in Seoul, Gyungido, Inchun Metropolitan and Jeju island. Participants were completed a questionnaire and/or structured interview that included measures of socioeconomic variables, motivation to move, determinants of move selection, conditions of location, and preparation for old age. Results of descriptive analysis revealed that cognition level of sliver industry and silver town was relatively high and medical service was the best necessary field, followed by field of leisure activity, house, life and finance. Logistic regression analyses on the effects of socioeconomic variables on move intention indicated that region, occupation and house ownership had significant effects on move intention to silver town. Result of motivational effect on move intention revealed that solution of offspring's burden was the most important factor, followed by convenient life of the aged, enjoyment of freedom for the elderly life. Result on the influence of determinants of move selection indicated that medical service facilities, resort facilities and leisure, cultural service facilities had significant effect on move intention. Among conditions of location for Jeju island, mild climate, comfort environment and low-price were significant predictors on move intention. Overall, result on relative influence of individual factors indicated that low price factor was the most important predictor, followed by resort facilities, cognition on necessity of silver town, enjoyment of freedom for the elderly life, leisure cultural service facilities, and medical service facilities.

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Short-course versus long-course neoadjuvant chemoradiotherapy in patients with rectal cancer: preliminary results of a randomized controlled trial

  • Aghili, Mahdi;Khalili, Nastaran;Khalili, Neda;Babaei, Mohammad;Farhan, Farshid;Haddad, Peiman;Salarvand, Samaneh;Keshvari, Amir;Fazeli, Mohammad Sadegh;Mohammadi, Negin;Ghalehtaki, Reza
    • Radiation Oncology Journal
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    • v.38 no.2
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    • pp.119-128
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    • 2020
  • Purpose: Colorectal cancer is becoming an increasing concern in the middle-aged population of Iran. This study aimed to compare the preliminary results of short-course and long-course neoadjuvant chemoradiotherapy treatment for rectal cancer patients. Materials and Methods: In this clinical trial we recruited patients with rectal adenocarcinoma located from 5 cm to 15 cm above the anal verge. Patients in group I (short-course) received three-dimensional conformational radiotherapy with a dose of 25 Gy/5 fractions in 1 week plus concurrent XELOX regimen (capecitabine 625 mg/㎡ from day 1-5 twice daily and oxaliplatin 50 mg/㎡ on day 1 once daily). Patients in group II (long-course) received a total dose of 50-50.4 Gy/25-28 fractions for 5 to 5.5 weeks plus capecitabine 825 mg/㎡ twice daily. Both groups underwent consolidation chemotherapy followed by delayed surgery at least 8 weeks after radiotherapy completion. The pathological response was assessed with tumor regression grade. Results: In this preliminary report on complications and pathological response, 66 patients were randomized into two study groups. Mean duration of radiotherapy in the group II (long-course) was 5 ± 1 days (range, 5 to 8 days) and 38 ± 6 days (range, 30 to 58 days). The median follow-up was 18 months. Pathological complete response was achieved in 32.3% and 23.1% of patients in the shortcourse and long-course groups, respectively (p = 0.558). Overall, acute grade 3 or higher treatment-related toxicities occurred in 24.2% and 22.2% of patients in group I and II, respectively (p = 0.551). No acute grade 4 or 5 adverse events were observed in either group except one grade 4 hematologic toxicity that was seen in group II. Within one month of surgery, no significant difference was seen regarding grade ≥3 postoperative complications (p = 0.333). Conclusion: For patients with rectal cancer located at least 5 cm above the anal verge, short-course radiotherapy with concurrent and consolidation chemotherapy and delayed surgery is not different in terms of acute toxicity, postoperative morbidity, complete resection, and pathological response compared to long-course chemoradiotherapy.

Effect of Mobile App-Based Cognitive Training Program for Middle-aged Women (갱년기 중년여성을 위한 앱 기반 인지훈련 프로그램의 효과)

  • Kim, Ji-Hyun
    • Journal of the Korea Convergence Society
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    • v.12 no.11
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    • pp.457-466
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    • 2021
  • This study sought to identify the effectiveness of training programs by developing mobile app-based training programs to enhance memory, attention, and language function, which is known to be vulnerable to menopause women. It was conducted on 40 Climacteric woman between 40 to 60 years complaining about cognitive function decline. The mobile app-based cognitive training was an 8 week program. There were a total of 24 sessions and each session took 20-30 minutes, three times per week. The survey was carried out including a baseline study pre and post intervention study. The research variables were objective cognitive function (overall cognitive function, memory, attention, and language function), subjective cognitive function and quality of life. The cognitive training program showed a significant increase in overall cognitive function(t=-8.688, p<.001), memory(t=-4.765, p<.001), attention : number of correct answers(t=-7.293, p<.001), language high frequency response speed(Z=-2.179, p=.036), language low frequency response speed(Z=-2.737, p=.009) and quality of life (t=-3.358, p=.002). However, there was no significant difference in the scores for subjective cognitive function. The cognitive training program was found to be an effective intervention for improving the cognitive function of Climacteric women. It could be used as a cognitive intervention tool that is accessible at home without expert help.

A Moderating Effect of Social Work Practitioners' Support between Psychological Crisis and Social Participation of Divorced Retired Men (이혼 은퇴남성의 심리적 위기와 사회참여의 관계: 복지기관 전문가 지지의 조절효과를 중심으로)

  • Shon, Kang suk ;Jeong, So mi
    • Korean Journal of Culture and Social Issue
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    • v.23 no.3
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    • pp.361-380
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    • 2017
  • The purpose of this study was to investigate a moderating effect of social work practitioners' support between psychological crisis and social participation of divorced retired men. For this, psychological crisis, social participation, and social work practitioners' support were completed by 248 divorced retired men registered during the last five years in Hope Job Center for the middle aged group in Seoul and Gyeonggi Province. Correlation analysis was performed to determine the general trend of the measured variables based on the collected data, simple regression analysis was conducted to determine the relationship between variables, and hierarchical regression analysis was performed to examine the moderating effect. The results of this study are as follows. First, psychological crisis was found to have a negative correlation with social participation and social work practitioners' support. Second, social worker practitioners' support between psychological crisis and social participation showed a significant moderating effect. Based on these findings, this study is significant in terms of providing needs for interventions of social support through methods such as programs for psychological support and education about social participation for divorced retired men.

The Relationship Between Knowledge of Oral Health and Actual Condition on Oral Health Care of Diabetic Patients (당뇨병 환자의 구강건강지식 정도와 구강관리실태의 관련성)

  • Kim, Ki-Eun;Han, Ji-Hyoung
    • Journal of dental hygiene science
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    • v.9 no.3
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    • pp.345-351
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    • 2009
  • The aim of this study is understanding the relationship between degree of knowledge and actual condition on oral health care to raise people's attention on oral health care and to develop a oral health care program and respondents are 121 diabetes patients. The conclusion of this study is as follows; 1. In terms of degree of Knowledge, women have better knowledge on dental healthcare than men. People aged between 20 and 50 have relatively good knowledge and the longer patients fight against diabetes the more they know about oral healthcare. 2. In actual oral healthcare condition, only 21.5% of patients use rolling method. Patients who have good knowledge have relatively high frequency of dental treatment. Most patients see dentists for their oral healthcare consultation. 3. All the respondent group hesitate to have dental treatment because of expensive cost. Surprisingly. most patients with good knowledge answers that diabetes has nothing to do with dental disease. 4. In terms of degree of knowledge and having oral healthcare program, diabetes patients who are having programs has better knowledge. 5. Respondent group which has middle level of knowledge in oral healthcare give high marks on oral healthcare but does not show statistical significance.

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Effect of Exercise Type and Intensity on Insulin Resistance and Cardiovascular Disease Risk Factors in Obese Middle Aged Women (운동 형태와 강도의 차이가 중년비만여성의 인슐린 저항성 및 심혈관질환 위험요인에 미치는 영향)

  • Lee, Dae-Hee;Oh, Du-Hwan;Zhang, Seok-Am;Lee, Jang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.181-191
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    • 2016
  • This study examined the effects of exercise intensity and type on insulin resistance, cardiovascular disease risk factors, and exercise time. Obese thirty-two subjects (>body fat 30%) were randomly assigned one of four experimental groups: VO2 max 50% aerobic exercise group (MAE, n=8), VO2 max 80% aerobic exercise group (VAE, n=8), VO2 max 50% + resistance exercise group (MARE, n=8), and VO2 max 80% + resistance exercise group (VARE, n=8). Body fat significantly decreased in all groups and insulin resistance decreased significantly in MARE and VARE (p<.05 & p<.01) after exercise. CRP and IL-6 were slightly reduced after exercise, although these did not reach statistical significance, whereas the IL-6 level of the VAE group decreased significantly (p<.05). TNF-${\alpha}$ significantly decreased in the MAE group (p<.05) but significantly increased in the VARE group after exercise (p<.05). For exercise time, higher intensity exercise groups were significantly less than the lower intensity exercise groups (p<.001). These results suggest that body fat is affected by all kinds of exercise intensity and type while CRP is not. Insulin resistance and TNF-${\alpha}$ were affected by exercise type, whereas IL-6, TNF-${\alpha}$, and exercise time were affected by exercise intensity.

Normative Data of Upper Extremity Performance Test for Elderly (TEMPA) for Korean Adult Population and Characteristics of Hand Function and Strength (한국 성인의 TEMPA 표준치, 손기능과 근력에 관한 연구)

  • Lee, Chang Dae;Jung, Min-Ye;Park, Ji-Hyuk;Kim, Jongbae
    • Therapeutic Science for Rehabilitation
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    • v.7 no.2
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    • pp.29-40
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    • 2018
  • Objective : The purpose of this study was establishing clinical norms of TEMPA Korean version for Korean adult population in addition to identifying characteristics of hand function by age and gender based on the collected data. Methods : A total of 138 healthy adults between ages 20 and 59 were recruited by continuous sampling. All subjects had been employed TEMPA Korean version and Jarmar dynamometer and pinch gauge to evaluate hand function and strength. Results : The results showed that there were no statistically significant difference in overall hand function among the age groups and between genders. Also, while there were no significant differences in overall speed and qualitative movement, age groups of 40s and 50s showed a declining tendency in speed in some of the tasks. Also, hand strength increases up to 40s and start declining from the 50s, but most results did not show significant differences among the age groups. Conclusion : Normative data of TEMPA Korean version for Korean adult population was established, therefore, it can be used in clinical setting and research as evidence based. Furthermore, occupational therapists need to consider about the signs of decline in hand function and strength in middle-aged adults and to provide education programs to maintain their hand function.

Study on Forecasting Factors of Baby Boomer's Social Participation Desire After Retirement (베이비붐 세대의 노후 사회참여 의향 예측요인에 관한 연구)

  • Kim, Jong-In;Kim, Yun-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.2
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    • pp.655-664
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    • 2013
  • This study aims to identify forecasting factors of baby boomer's social participation desire. For this purpose, I utilized Hyun-Jung Kang(2012)'s data whose 1,115 sample were collected based on residential area and gender. The major findings are as follows; First, 77.7% of baby boomers are actually participating in economic activities. 27.0% in volunteering activities and 79.3% in leisure activities. 80.9% of baby boomers have intention to participate in economic activities after retirement, 76.7% in volunteering activities after retirement and 82.2% in leisure activities after retirement. Second, looking at the relationship between current social activity participation and intention to participate after retirement, those who are currently having social activities turn out to have higher intention to participate social activities after retirement. Those who wish to participate in social activities, although they don't participate in social activities currently, turn out to be 55.8% for economic activities, 70.6% for volunteering activities and 66.5% for leisure activities. Third, whether they are currently participating in social activities turns out to be most compelling forecasting factor for the desire on social participation after retirement. These results were discussed in terms of the continuity theory. and proposed that you need from the preparation of Middle - aged to activate the participation of important social variables known as old age life satisfaction.

The Relationship Between Obstructive Sleep Apnea and Cartotid Artery Atherosclerosis (폐쇄성수면무호흡과 목동맥동맥경화증의 상관관계)

  • Cho, Jae-Wook;Kim, Yong-Wan;Lee, Hyun-Soon;Jeon, Doo-Soo;Kim, Yun-Seong;Jung, Dae-Soo
    • Annals of Clinical Neurophysiology
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    • v.11 no.2
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    • pp.54-58
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    • 2009
  • Background: Obstructive sleep apnea (OSA) is associated with several cardiovascular diseases. However, the mechanisms are not completely understood. The measure of common carotid artery intima-media thickness (IMT) has been extensively used as an early marker of atherosclerosis. The aim of this study was to test the hypothesis that early signs of atherosclerosis are present in patients with OSA and correlate with OSA severity Methods: Eleven male patients with OSA were studied by using full standard overnight polysomnography and high-definition echo-tracking device to measure intima-media thickness and carotid artery diameter. Eight healthy volunteers matched for age and sex were studied by portable respiratory monitoring device. All participants were free of hypertension, diabetes, and were not on any medications. Patients with OSA were naive to treatment. Results: All patients and normal controls were male. There was no significant difference of age between patients and controls ($48.4{\pm}8.85$ and $48.0{\pm}9.77$). Significant differences existed between control subjects and patients with mild to moderate and severe OSA (apnea-hypopnea index, $1.51{\pm}1.15$ and $38.51{\pm}19.13$ respectively) in intima-media thickness ($0.59{\pm}0.064$ and $0.93{\pm}0.16$; P=0.0023), and carotid diameter ($5.79{\pm}0.44$ and $6.47{\pm}0.51$; P=0.0227). Multivariate analyses showed that the apnea-hypopnea index correlated independently with intima-media thickness and carotid diameter (r=0.79, P=0.0008, and r=0.47, P=0.0482). Conclusions: Middle-aged patients with OSA who are free of overt cardiovascular diseases have early signs of atherosclerosis, which further supports the hypothesis that OSA plays an independent role in atherosclerosis progression.

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A Study on Life Changes of Oral Lichen Planus Patients by SRRS (SRRS를 이용한 구강 편평태선 환자의 생활변화에 관한 연구)

  • Ko, Myung-Yun;Park, Su-Hyeon;Ok, Su-Min;Huh, Joon-Young;Ahn, Yong-Woo;Jeong, Sung-Hee
    • Journal of Oral Medicine and Pain
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    • v.37 no.1
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    • pp.9-17
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    • 2012
  • Lichen planus is a chronic inflammatory mucocutaneous disease that affects multiple sites of the body. Often it involves the oral mucosa, but also involve other sites such as skin, genitals, scalp and nails. There is no clear cause of oral lichen planus (OLP), current data suggest that OLP is a T-cell mediated autoimmune disorder which may have an altered self-peptide triggering apoptosis of oral epithelial cells. Usually OLP appears in middle-aged women which tends to be chronic with periods of exacerbation and remission. There are many theories those causes the OLP such as psychological and environmental factors, genetic tendency, drugs and more. 60-70% of lichen planus is accompanied by oral lesions, and more than half of its cases are not able to defined by their skin. In this study, among all the possibility(possible) theories, we tried to evaluate the influence of emotional stress in exacerbating OLP. There were thirty patients with a clinical or histological diagnosis of OLP and other thirty subjects who did not show any signs of systemic disorders include OLP. They were evaluated by using modified Holmes and Rahe's Social Readjustment Rating Scale (SRRS). As a result, a significantly higher level of stress was found in the OLP patients than the control group. Therefore it could be concluded that psychological stressors play an important role in the exacerbating OLP.