• Title/Summary/Keyword: aging-society

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High Suicidal Risk Group of Elderly: Identification of Causal Factors and Development of Predictive Model (자살 고위험군 노인: 원인 파악 및 예측 모델 개발)

  • Gayeon Park;Woosik Shin;Hee-Woong Kim
    • Information Systems Review
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    • v.25 no.3
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    • pp.59-81
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    • 2023
  • Elderly suicide problem has become worse in South Korea. With a rapid aging of the population, the trend of suicide among the elderly is expected to accelerate, preventing elderly suicide has been considered an important societal problem. Thus, we aim to investigate various factors that explain suicidal ideation and to develop a predictive model for suicidal ideation in the context of elderly people in South Korea. To this end, this study contributes to addressing the elderly suicide problem. By using seven-year panel data from the Korea Welfare Panel Survey, we extract various potential causal factors for elderly suicidal ideation based on interpersonal theory of suicide and social disorganization theory. Then a panel logit model was employed to assess the impacts of potential factors on suicidal ideation and deep learning and machine learning algorithms were used to develop a predictive model for suicidal ideation of elderly people. The results of our study provide practical implications for preventing elderly suicide by identifying causal factors of suicidal ideation and a high suicidal risk group of the elderly. This study sheds light on synergy of mixed methodology and provides various academic implications.

Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty

  • Troy Li;Akiro H. Duey;Christopher A. White;Amit Pujari;Akshar V. Patel;Bashar Zaidat;Christine S. Williams;Alexis Williams;Carl M. Cirino;Dave Shukla;Bradford O. Parsons;Evan L. Flatow;Paul J. Cagle
    • Clinics in Shoulder and Elbow
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    • v.26 no.3
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    • pp.231-237
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    • 2023
  • Background: In the past decade, the number of anatomic total shoulder arthroplasty (aTSA) procedures has steadily increased. Patients over 65 years of age comprise the vast majority of recipients, and outcomes have been well documented; however, patients are opting for definitive surgical treatment at younger ages.We aim to report on the effects of age on the long-term clinical outcomes following aTSA. Methods: Among the patients who underwent TSA, 119 shoulders were retrospectively analyzed. Preoperative and postoperative clinical outcome data were collected. Linear regression analysis (univariate and multivariate) was conducted to evaluate the associations of clinical outcomes with age. Kaplan-Meier curves and Cox regression analyses were performed to evaluate implant survival. Results: At final follow-up, patients of all ages undergoing aTSA experienced significant and sustained improvements in all primary outcome measures compared with preoperative values. Based on multivariate analysis, age at the time of surgery was a significant predictor of postoperative outcomes. Excellent implant survival was observed over the course of this study, and Cox regression survival analysis indicated age and sex to not be associated with an increased risk of implant failure. Conclusions: When controlling for sex and follow-up duration, older age was associated with significantly better patient-reported outcome measures. Despite this difference, we noted no significant effects on range of motion or implant survival. Level of evidence: IV.

Systematic Review of Assessment Tools for the Housing Environment of the Old Adults Population (노년 인구의 주거환경 평가도구에 관한 체계적 고찰)

  • Lim, Young-Myoung
    • Therapeutic Science for Rehabilitation
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    • v.13 no.2
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    • pp.27-40
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    • 2024
  • Objective : This study aimed to conduct a systematic review of the assessment tools used to assess the housing environment of older adults. Methods : Data were collected from January 2015 to August 31st, 2023, by searching databases including the Cochrane Library, PubMed, and ProQuest. From the 267 articles, nine assessment tools were selected for analysis based on their original instruments. These tools were categorized and systematically organized for analysis based on their frequency of use, assessment purposes, sub-domains, scales, and other relevant criteria. Results : Among the nine tools, HOME FAST and IPAQ-E were the most frequently used (20% each). The objectives of these tools are to assess friendliness, physical barriers, fall prevention, dementia-friendly environments, physical activity, and accessibility. The measurement scope encompassed various factors, such as outdoor spaces, buildings, transportation, housing, and community support. Conclusion : When considering the suitability of housing for the older adults population, providing foundational data for the rational selection of evaluation tools with logical validity is important. This includes factors such as the objectives and measurement scopes of housing environment assessment tools.

Identifying Common Daily Activities Performed by Older Adults in the United States and South Korea and Changes in Activity Participation Across the Adult Lifespan in South Korea (미국성인과 한국성인의 공통적 일상활동과 한국인의 생애주기 변동에 따른 활동참여 변화)

  • Park, Sangmi;Connor, Lisa Tabor;Lee, Yejin
    • Therapeutic Science for Rehabilitation
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    • v.13 no.2
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    • pp.53-67
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    • 2024
  • Objective : This study aimed to identify common activities with similar participation levels between community-dwelling individuals in the United States (US) and South Korea (Study 1), and analyze the changes in activity participation patterns across the adult lifespan in South Korea (Study 2). Methods : We administered the online survey-based Activity Card Sort version 3 (ACS-3) to adults living in the US and South Korea. In Study 1, we computed the average participation level and visualized 100 activities of the ACS-3 from both the US and Korean samples. The average participation level across the four age groups in Study 2 was calculated and visualized to understand the changes in patterns of involvement across the four ACS-3 domains in a Korean sample. Results : In Study 1, data from 161 Americans and 163 Koreans were analyzed. Of the 100 activities, 48 (instrumental: 20; leisure: 13; fitness/health: 6; social: 9) demonstrated similar levels of participation between the two samples. In Study 2, data from 420 Koreans were analyzed and a tendency for decreased participation with age was found in all domains, except for the instrumental domain. Conclusion : Common daily activities may be used as a means of intervention across cultures in occupational therapy. Protective approaches and support are recommended to optimize older adults' participation in daily life.

Whole-Genome Sequencing-based Antimicrobial Resistance and Genetic Profile Analysis of Vibrio parahaemolyticus Isolated from Seafood in Korea (유통 수산물에서 분리한 Vibrio parahaemolyticus의 항생제 내성 및 전장 유전체 분석을 통한 유전적 특성 분석)

  • Gyeong Gyu Song;Hyeonwoo Cho;Yeona Kim;Beomsoon Jang;Miru Lee;Kun Taek Park
    • Journal of Food Hygiene and Safety
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    • v.39 no.3
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    • pp.231-238
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    • 2024
  • Vibrio parahaemolyticus is a major seafood-borne pathogen commonly detected in marine environments. In Korea, V. parahaemolyticus-induced foodborne illnesses account for 7.5% of bacterial pathogen-related food poisonings. Moreover, the amount of antimicrobial agents used in aquatic cultures is continuously increasing. In this study, we isolated V. parahaemolyticus from seafood samples and performed antimicrobial susceptibility tests using the microbroth dilution method. Furthermore, using whole-genome sequencing, we identified antimicrobial resistance genes, virulence genes, and sequence types (STs). We could isolate V. parahaemolyticus from 47 (59.5%) of the 79 seafood samples we purchased from retail markets in Seoul and Chungcheong provinces. Antimicrobial susceptibility tests revealed that 2 and all of the 47 isolates were ampicillin-resistant (4.3%) and susceptible to all tested antimicrobial agents (100%), respectively. The genotype analysis revealed that all isolates carried beta-lactam-, tetracycline-, and chloramphenicol-associated antimicrobial resistance genes. However, we could detect fosfomycin resistance only in one isolate. Concerning the virulence genes, we detected T3SS1 and T3SS2-associated genes in all and one isolate, respectively. However, we could not detect the tdh and trh genes. Of the 47 isolates, 17 belonged to 15 different STs, including ST 658 with 3 isolates. The rest 30 isolates were identified as 25 new STs. The results of this study support the need for operating a continuous monitoring system to prevent foodborne illnesses and the spread of antimicrobial resistance genes in V. parahaemolyticus.

A Study on the Correlation between Damage and Repair Volume of Bridge Maintenance (교량 유지보수의 손상물량과 보수물량 상관관계 연구)

  • Lee, Changjun;Park, Taeil
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.44 no.4
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    • pp.577-585
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    • 2024
  • Infrastructure plays a crucial role in the industrial development and economic growth of a nation. However, recently, domestic infrastructure has been causing not only safety risks due to aging but also social and economic inefficiencies, increasing the need for maintenance. In particular, the deterioration rate of bridges is serious, so application of appropriate repair and rehabilitation methods and estimation of its quantity are required. In this study, frequently applied repair methods for bridges using data from the Facility Integrated Management System (FMS) were identified. the empirical correlation between damage volume and the repair volume was analyzed using Bridge Management System (BMS) data. The result of the analysis showed that the ratio of the repair volume to the damage volume was 1.0. The guideline, on the other hand, suggest 1.5 the ratio of the repair volume to the damage volume. Although the guidelines differently present more conservative figures considering safety, this study is significant in that it presents a practical ratio through data analysis results. This results can be used to develop a model that can calculate the amount of repair and rehabilitation of various facilities in the future.

Prevalence of Dysphagia and Educational Needs in Community-Dwelling Older Adults: Focusing on Chuncheon, Gangwon-do State (지역사회 거주 노인의 연하장애 유병률과 교육 요구도 조사: 강원특별자치도 춘천 지역을 중심으로)

  • Mun, Kwangtae;Lee, Yun-Hwan;Kim, Dong-Wan;Seo, Sang-Min
    • Therapeutic Science for Rehabilitation
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    • v.13 no.3
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    • pp.69-83
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    • 2024
  • Objective : This study investigated the prevalence of dysphagia in older adults in Gangwon Special Self-Governing Province and its impact on Quality of Life (QoL) and educational needs. Methods : A cross-sectional survey was conducted from August 1 to 15, 2023, with 207 cognitively normal older adults from three senior welfare centers. Data included general characteristics, Korean-version of the Eating Assessment Tool (K-EAT-10), Swallowing-QoL, and educational needs related to swallowing disorders. Dysphagia was defined by a K-EAT-10 score of 3 or higher. Participants were divided into normal and risk groups for analysis using chi-square and Independent t-test. Results : The prevalence of dysphagia risk (K-EAT-10 score of 3 or higher) was 41.5% (86 individuals). Among the 92 individuals reporting dysphagia symptoms, 64 (69.6%) were at risk. QoL was significantly lower in the risk group, especially among those living alone or with denture discomfort. The most preferred educational need was training in eating solid foods (Mean = 4.27), with higher needs in the dysphagia risk group. Conclusion : This study underscores the prevalence of dysphagia, its impact on QoL, and the need for educational programs. Emphasizing prevention, public awareness, and early detection, along with the role of dysphagia rehabilitation experts and community collaboration, is essential for supporting healthy aging.

A Study on Dementia Prediction Models and Commercial Utilization Strategies Using Machine Learning Techniques: Based on Sleep and Activity Data from Wearable Devices (머신러닝 기법을 활용한 치매 예측 모델과 상업적 활용 전략: 웨어러블 기기의 수면 및 활동 데이터를 기반으로)

  • Youngeun Jo;Jongpil Yu;Joongan Kim
    • Information Systems Review
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    • v.26 no.2
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    • pp.137-153
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    • 2024
  • This study aimed to propose early diagnosis and management of dementia, which is increasing in aging societies, and suggest commercial utilization strategies by leveraging digital healthcare technologies, particularly lifelog data collected from wearable devices. By introducing new approaches to dementia prevention and management, this study sought to contribute to the field of dementia prediction and prevention. The research utilized 12,184 pieces of lifelog information (sleep and activity data) and dementia diagnosis data collected from 174 individuals aged between 60 and 80, based on medical pathological diagnoses. During the research process, a multidimensional dataset including sleep and activity data was standardized, and various machine learning algorithms were analyzed, with the random forest model showing the highest ROC-AUC score, indicating superior performance. Furthermore, an ablation test was conducted to evaluate the impact of excluding variables related to sleep and activity on the model's predictive power, confirming that regular sleep and activity have a significant influence on dementia prevention. Lastly, by exploring the potential for commercial utilization strategies of the developed model, the study proposed new directions for the commercial spread of dementia prevention systems.

Changes Occurred in Protein and Amino Acid Compositions during Postmortem Aging of White and Dark Muscle of Yellowtail at $2^{\circ}C$ (방어 보통육과 혈합육의 단백질 및 아미노산조성의 사후변화)

  • KIM Chang-Yang;CHOI Yeung-Joon;PYEUN Jae-Hyeung
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.15 no.2
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    • pp.123-136
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    • 1982
  • We investigated the changes in protein and free amino acid compositions of the muscles, and amino acid composition of the muscle proteins during postmortem storage of dorsal white and lateral dark muscles of Yellowtail, Seriola quinqueradita, which were kept at $2^{\circ}C$. We present an extensive discussion on the relationship between the changes of freshness and those of protein compositions in the white and the dark muscle of the red-fleshed fish by analyzing polyacrylamide gel electrophoretograms of $NaDodSO_4-solubilized$ sarcoplasmic and myofibrillar proteins extracted from the both muscles. By assessing K-value, total volatile basic nitrogen and pH value as a criterion of freshness, we found that the dark muscle undergoes a more rapid decrease in its freshness compared to that of the white muscle. The contents of the sarcoplasmic and the myofibrillar protein were decreased with postmortem aging of the muscles while those of the residual intracellular protein were increased, and these changes were somewhat faster in the dark muscle than in the white muscle. From the analysis of the electrophoretograms and their densitograms, we found that the sarcoplasmic proteins of the white and the dark muscle were respectively composed of 16 and 12 components. The sarcoplasmic protein of the white muscle lapsed for 10 days showed an increase of 18,000 and 41,000 dalton components, and a gradual decrease of 23,000 and 23,500 dalton components, whereas the sarcoplasmic protein of the dark muscle lapsed for 9 days showed a decrease of 49,000 dalton component, an appearence of a newly formed component of 47,000 dalton, and a disappearance of 26,000 dalton component. The electrophoretograms of the myofibrillar proteins shelved that the white and the dark muscle were composed of 17 and 16 components, respectively. Depending on the lapsed time of postmortem under the controlled condition, the myofibrillar proteins of the white muscle showed an increase of 40,000 dalton component, a gradual decrease of 37,500 dalton component, an appearance of a newly forming component of 32,000 dalton and a disappearance of 26,000 dalton component. On the other hand, the myofibrillar proteins of the dark muscle showed an increase of 58,000 and 64,000 dalton bands, a disappearance of light chain-2 protein and an appearance of a newly forming protein of 32,000 dalton. These changes on the electrophoretic patterns in the dark muscle were more rapid than those in the white muscle. In almost all of the cases, we observed that the changes in the sarcoplasmic protein were faster than those in the myofibrillar protein. The analysis of amino acid of the both muscle proteins showed that the white muscle was rich in glutamic acid, aspartic acid, leucine, arginine, lysine, etc. but was poor in proline and tryptophan. No significant difference was found in the amino acid composition of protein of both the white and the dark muscles. The sample of white muscle lapsed for 10 days shows a remarkable decrease in glutamic and aspartic acids, while that of the dark muscle lapsed for 9 days shows an appreciable decrease in alanine, glycine and arginine. The free amino acid compositions of the white and the dark muscles are respectively characterized with $63\%$ of histidine and $67\%$ of taurine with respect to the total free amino acids of the yellowtail at-death, respectively. The white muscle lapsed for 10 days showed an increase of histidine, valine and taurine, and a slight decrease of alanine, leucine and glycine. The dark muscle lapsed for 9 days shelved an increase of taurine, phenylalanine and glycine, and a decrease of histidine, alanine and serine.

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Tenderness Survey of Branded Hanwoo Beef - 2007: Assessment of Warner-Bratzler Shear for Hanwoo Beef by Quality Grade and Subprimal Cuts (브랜드 한우고기 연도 조사 - 2007 : 육질등급 및 소분할 부위별 전단력 평가)

  • Kim, Jin-Hyoung;Seong, Pil-Nam;Cho, Soo-Hyun;Jeong, Da-Woon;In, Tae-Sik;Jeong, Jin-Hyung;Park, Beom-Young;Lee, Jong-Moon;Kim, Dong-Hun;Ahn, Chong-Nam
    • Food Science of Animal Resources
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    • v.28 no.3
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    • pp.283-288
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    • 2008
  • Eight subprimal cuts purchased from the branded Hanwoo beef of 3 quality grades ($1^{++}$, $1^+$, 1) at 13 stores were evaluated the tenderness using Warner-Bratzler shear (WBS). The beef frequency ratio (%) depending on postmortem aging periods were investigated. The 37.5 (quality grade $1^{++}$), 45.8 (quality grade $1^+$), and 36.4% (quality grade $1^{++}$) of branded beef were aged for < 7 d, 26.6 (quality grade $1^{++}$), 47.2 (quality grade $1^+$) and 36.4% (quality grade 1) were aged for $7{\sim}13$ d, and 31.3 (quality grade $1^+$), 4.2 (quality grade $1^+$) and 25.8% (quality grade $1^+$) were aged for 14 to 20 d. The temperature of cold room in stores was ranged average 2.27 to $2.42^{\circ}C$. WBS values for ansimsal (tenderloin), witdngsimsal (ribeye), cheggtsal (shortloin), doganisal (knuckle) and moongchisatae (hind shank) from branded Hanwoo beef of quality grade $1^{++}$ were tender than those from branded Hanwoo beef of quality grade 1 (p<0.05). WBS values for ansimsal (tenderloin) were 2.56 (quality grade $1^{++}$), 2.76 (quality grade $1^+$) and 3.10 kg (quality grade 1), respectively, and those for doganisal (knuckle, quality grade $1^{++}$), hongdukesal (eye of round, quality grade $1^+$) and bosupsal (top sirloin, quality grade 1) were 4.76, 4.96 and 5.66kg, respectively (p<0.05). The frequency ratio (%) of WBS < 3.9 kg in the all subprimal cuts from branded Hanwoo beef of quality grade $1^{++}$ were 100 [ansimsal (tenderloin) and cheggtsal (shortloin)], 87.5 [witdngsimsal (ribeye)] and 62.5% [bosupsal (top sirloin)], whereas that of WBS > 4.6 kg were 50.0% [hongdukesal (eye of round) and doganisal (knuckle)]. The frequency ratio of WBS < 3.9 kg in the an subprimal cuts of quality grade $1^+$ were 100 [ansimsal (tenderloin) and witdngsimsal (ribeye)] and 44.4% [cheggtsal (shortloin) and gurisal (chuck tender)], whereas that of WBS > 4.6 kg were 66.7 [hongdukesal (eye of round)], 55.6 [doganisal (knuckle)] and 44.4% [bosupsal (top sirloin)]. The frequency ratio (%) of WBS < 3.9 kg in the all subprimal cuts of quality grade 1 were 88.9 [ansimsal (tenderloin)], 62.5 [cheggtsal (shortloin)] and 44.4% [witdngsimsal (ribeye)], whereas that of WBS > 4.6 kg were 100.0 [doganisal (knuckle)] 62.7 [hongdukesal (eye of round)], 62.5 [gurisal (chuck tender)] and 55.6% [moongchisatae (hind shank)]. From these results, subprimal cuts from branded Hanwoo beef were marketed with short aging periods and high frequency ratio (%) of WBS > 4.6 kg.