• Title/Summary/Keyword: older adults

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Chicken consumption and insulin resistance in non-diabetic older adults

  • Yeum, Kyung-Jin;Kim, Young-Sang;Joo, Nam-Seok
    • Journal of Nutrition and Health
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    • v.53 no.4
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    • pp.356-368
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    • 2020
  • Purpose: Histidine-containing dipeptides, which are rich in chicken, have been reported to reduce the risk of metabolic abnormalities via anticarbonylation mechanism in animal models. To determine the effect of dietary histidine-containing dipeptides on metabolic risk factors in humans, the relation between chicken consumption and insulin resistance were determined in a population consuming high carbohydrate and low protein. Methods: A total of 7,183 subjects (2,929 men and 4,254 women) aged ≥ 50 years from the Korea National Health and Nutrition Examination Survey (KNHANES) were divided into three groups according to chicken consumption (rarely, monthly, and weekly), and evaluated for the metabolic risk factors using homeostasis model assessment for insulin resistance (HOMA-IR) and quantitative insulin sensitivity check index (QUICKI) in this cross-sectional study. The fourth and fifth (IV-1-3 & V-1) KNHANES, which had blood insulin data, were chosen for the current study. Results: The chicken consumption was significantly associated with insulin (p for trend = 0.018) and HOMA-IR (p for trend = 0.023) in men. In particular, the 'weekly' chicken consuming men in the lowest tertile (< 65.0%) of carbohydrate intake group had significantly lower HOMA-IR (p for trend = 0.033) and higher QUICKI (p for trend = 0.043) than the 'rarely' intake group. In addition, the odds ratio for abnormal HOMA-IR was 0.55 (95% confidence interval [CI], 0.31-0.99) and QUICKI was 0.47 (95% CI, 0.26-0.86) for the 'weekly' chicken consuming group. Conclusion: The 'weekly' chicken consumption had a beneficial effect on insulin resistance and it may partially be due to the major bioactive components in chicken, histidine-containing dipeptides.

A Study on the Meaning of Gongjindan - Based on the 『Donguibogam』 - (공진단(拱辰丹) 방의(方義)에 대한 고찰 - 『동의보감(東醫寶鑑)』의 내용을 중심으로 -)

  • Lim, Seok-hyeon;Jeong, Chang-hyun;Jang, Woo-chang;Zou, Mian;Baik, Yousang
    • Journal of Korean Medical classics
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    • v.33 no.4
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    • pp.107-130
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    • 2020
  • Objectives : This paper aims to lay out the meaning of Gongjindan, its indications and mechanisms based on relevant contents in the 『Donguibogam』, for better clinical application. Methods : First, Gongjindan related contents were searched in the medical classics database. Next, contents from the 『Shizhaibaiyixuanfang』 and the 『Donguibogam』 were analyzed. Finally, the properties of the Gongjindan ingredients were examined based on the 『Donguibogam』 and the 『Zhongyaodacidian』. Results & Conclusions : Examination of its indications according to the 『Donguibogam』 in terms of applicable age and viscera/bowels, Gongjindan could be applied to children with constitutional insufficiency and elder generations, but it could not be said to be most appropriate for older generations. In regards to viscera/bowels, Gongjindan sends water upwards into fire in the water-rising-fire-descending mechanism, which makes it applicable to symptoms of anxiety and fear by tonifying the consumed Jing and Blood caused by Liver deficiency. To summarize, those who would most benefit from Gongjindan are young adults in weak, fearful and lethargic conditions.

Design of Remote Control UI Application for Support of Silver Generation's Smartphone Uses (실버세대의 스마트폰 사용 지원을 위한 원격제어 UI 어플리케이션 설계)

  • Yu, Jae-Hyeong;Yun, Jong-Won;Han, Chang-Hee;Kwon, Myeong-Jun;Oh, Chang-Heon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.05a
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    • pp.709-711
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    • 2018
  • Although the supply of smartphones by the silver generation has increased in recent years, low learning, experience levels and understanding make it difficult to use them. In thid paper, we proposes remote control UI applications to support the use of smartphones by the silver generation. For the proposed application, the key features of the feature phone are arranged in a $3{\times}2$ arrangement on the Home screen to enable quick recognition and proposed application provides remote control via Node.js server and socket communication, in case of difficulties in the use of incidental function, increases the understanding and availability levels of the silver generation using smart phones by providing support through remote control.

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Age-related neurocognitive changes and exercise-induced benefits: A review of cognitive neuroscientific research (노화 관련 뇌인지 변화와 운동의 긍정적 영향: 인지신경과학적 연구 개관)

  • Shin, Eunsam
    • Korean Journal of Cognitive Science
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    • v.24 no.1
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    • pp.1-24
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    • 2013
  • The elderly population continues to increase in Korea and there has been a growing interest in understanding normal aging. In response to this public interest, the present paper reviewed human aging research focusing on recently published neuroimaging studies. For the first half of the paper, I reviewed the effects of aging on the brain and cognition. In normal aging, structural changes in the brain include atrophy and volume reduction in the prefrontal and temporal cortices. Functional changes are exhibited in the form of overactivation of the brain. Moreover, age-related cognitive decline is particularly observed in inhibition and memory, which are also associated with the age-related structural changes in the brain. For the second half of the paper, I introduced physical exercise studies showing that exercise played a protective role in the age-related neurocognitive decline. More specifically, engaging in physical exercise (particularly, aerobic exercise) for a relatively long period of time (e. g., > 6 mon.) protected older adults from volume loss in the prefrontal cortex and the hippocampus, and induced better inhibition and memory. These exercise-induced benefits appear to be associated with changes in neuronal levels, indicating that the aging brain is still plastic and this plasticity can be enhanced by physical exercise.

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A follow-up study of electrocardiographic changes following the corrective surgery for atrial septal defect in adult (성인에 있어서 심방중격결손증 교정수술후 심전도의 경시적 변화에 관한 연구)

  • Lee, Young-Thak;Chae, Hurn;Suh, Kyung-Phill
    • Journal of Chest Surgery
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    • v.20 no.2
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    • pp.241-250
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    • 1987
  • We scrutinized the preoperative electrocardiographic and hemodynamic findings in adult atrial septal defects older than 15 years, and then followed up the postoperative electrocardiographic changes sequentially. In preoperative electrocardiographs, the mean PR interval [0.17 sec] was prolonged than normal adults [M;0.13,F;0.15], and the mean QRS axis [93.1*] was deviated to rightward than normal [M;63.7*,F;64.4*], and 122 cases of all 159 patients [77.8%] were in RAD quadrant. The QRS morphology was classified into three groups; a] crista supraventricularis hypertrophy, 25 cases, b] right ventricular outflow tract hypertrophy, 89 cases, c] right ventricular hypertrophy, 44 cases, and normal rs pattern, 1 case. Comparing the QP/QS, Pp/Ps, Rp/Rs in these three groups, Qp/Qs increased a] 2.65 to b] 2.97 and decreased b] 2.97 to c] 2.55, Pp/Ps increased a] 0.27 to b] 0.35 to c] 0.44, and Rp/Rs increased a] 0.1 to b] 0.14 to c] 0.2. In comparing the atrial fibrillation with sinus rhythm, the patient`s mean age was increased [26.4 to 45.7], the mean Qp/Qs was decreased [2.97 to 2.7], the mean Pp/Ps was increased [0.35 to 0.46], the mean Rp/Rs increased [0.14 to 0.2], and the QRS morphology was RVOT hypertrophy;7 cases, RVH;2 cases in all 11 cases. Therefore, the atrial fibrillation was appeared in progressed status. Increasing the mean pulmonary arterial pressure, size of the R` wave in Vl lead increased, and the QRS morphology tended to become severe patterns. Postoperatively, the PR interval shortened and QRS axis tended to normal axis quadrant, and size of R` wave decreased sequentially, atrial fibrillation disappeared in 4 cases. Conclusively, by use of the conventional surface electrocardiography, we could anticipate the hemodynamic changes and the prognosis at outpatient department.

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Usability and Accessibility Evaluation of South Korean and American Health-Related Websites for the Elderly (노인들을 위한 건강관련 웹사이트의 사용성과 접근성 평가)

  • Park, Eun-Jun;Ko, Ji-Woon
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.4
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    • pp.475-487
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    • 2010
  • 연구목적: 노인을 위한 건강정보 웹사이트들이 사용성과 접근성을 높이기 위해 지켜야 할 디자인 요소를 어떻게 반영하고 있는지 평가·비교함으로써 개선 방향을 제언하고자 하였다. 연구방법: 국내 및 미국에서 개발된 노인 대상의 건강정보 웹사이트를 각각 9개씩 선정하였다. 근거 기반의 웹디자인 지침서인 Make Your Website Senior Friendly: Checklist와 Research-based Web Design & Usability Guideline을 통합 수정하여 얻은 4개 영역의 평가 항목 48개를 적용해 두 명의 평가자가 선정된 총 18개 웹사이트를 평가하였다. 연구결과: '가독성' 영역 중 서체 선택, 줄 간격, 배경색과 글자색 선택 등은 양호하였으나 국내 웹사이트들 중에는 글자 크기가 조절되지 않는 경우가 빈번하였다. '정보의 표현과 구성' 영역에서 다수의 웹사이트들은 정보 배치 등이 우수하고 소비자 용어를 사용하는 노력을 보였다. 그러나 일부 국내 웹사이트들은 프린트 기능을 제공하지 않거나, 노인들의 저하된 인지 능력을 배려하려는 노력이 부족하였다. '미디어 사용' 영역에서 국내 웹사이트들은 글자 외에 다른 매체를 사용하는 빈도가 미국 웹사이트들에 비해 낮았고, 시청각 매체를 사용할 때는 동일한 내용을 문자로도 볼 수 있도록 하라는 권고안을 준수하지 않았다. '내비게이션과 검색의 용이성'에서는 메뉴나 링크의 명칭이 명확하며, 이용 중에도 쉽게 홈페이지로 돌아갈 수 있도록 구성되었다. 그러나 다수의 국내 사이트들이 사이트맵을 제공하지 않거나, 검색어의 철자오류 등에 대한 배려가 부족하였다. 결론: 국내 웹사이트들은 미국 웹사이트들에 비해 노인들의 사용성과 접근성을 높이는 것으로 밝혀진 연구 근거들을 제대로 반영하지 못하고 있었다. 노인 대상의 인터넷과 웹을 활용한 교육이 지속적으로 증가할 것이므로, 그 효과성을 높이기 위해 간호사들은 정보의 질 뿐만 아니라 디자인 측면의 중요성을 인식하고 실천할 수 있어야겠다.

Research on Impacts of Depression Among the Aged in the Long-Term Care (장기요양기관 노인들의 우울증에 영향을 미치는 요인에 관한 연구)

  • Kim, Kyung-Woo;Choi, Kun-Sik
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.11
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    • pp.179-188
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    • 2012
  • This research study was to examine the relationships of social supports and depression among long-term care center residents. Depression of long-term care center residents is the most common mental health problem confronting older adults. It is estimated that 13 percent of people aged 65 years and over have a major depressive disorder in Korean Society of Welfare for the Aged. Social support is a key ingredient in dealing with emotional distress and a critical in helping people to cope with all kinds of extreme circumstance. As the result of this research, Perceived social support was found to be related to depression. However, network size was not a predictor of depression, and high health status is accounted for a lower portion of the variance in depression., the poor health status was one of the most powerful predictors of depression, From results of this research study, for social workers who are employed institutional-based agencies.

The Effect of Preventive Treatment Experience on Treatment Satisfaction and Dental Fear (예방처치경험이 진료만족도 및 치과공포도에 미치는 영향)

  • Kim, Soo-Kyung
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.485-492
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    • 2017
  • The purpose of this study is to investigate the convergence effects of the experience of adult preventive care on the treatment satisfaction and the dental fear, and the survey was conducted from January to April 2017 for 292 adults of aged 20 years or older living in the metropolitan area. The collected data were subjected to $x^2-test$, t-test and multiple regression analysis using SPSS 22.0 program. Fluoride application was the most prevalent experience of adult preventive treatment, and the satisfaction level of the treatment was high in case of fluoride application was experienced. On the other hand, dental fear was lower if preventive scaling was experienced. As a result of multiple regression analysis, variables affecting patient satisfaction were experience of fluoride application, and the variables affecting dental fear level were oral health condition and preventive scaling experience. The result of this study was confirmed that the satisfaction level of treatment was increased and the dental fear was lowered. Therefore, improvement of oral health promotion can be expected by recognizing of the importance of preventive treatment and providing of the dental preventive service through oral health education.

Analysis of the Effectiveness of Tai Chi Exercise for improving Balance (타이치 운동 중재 후 균형 증진에 관한 논문분석)

  • Lee, Hea-Young;Suh, Moon-Ja;Lee, Eun-Ok;Eun, Young;Choi, Jung Hyun
    • Korean Journal of Adult Nursing
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    • v.16 no.3
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    • pp.409-420
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    • 2004
  • Purpose: This study aims to analyze the effectiveness of Tai chi exercise for improving balance and its tendency and helps to identify directions for future research. Method: 19 articles from Medline search of foreign journals(1981-2003) and 5 from Korean nursing journals (1981-2003) were surveyed. The contents analyses were focused on outcome measures and relative factors regarding balance. Result: Variable measures for balance were used in Tai Chi studies relating to balance. They included the functional measures such as 14 single-leg stance, 7 walking in physiological measures and 7 laboratory-based balance measures were done with platform stability test. The measure of effective Tai Chi exercise depended on the health status of subjects and the methods. Health status of subjects were only on physically inactive older adults in 17 articles and arthritis patients in 7 articles in the Tai Chi study. The significant effects of Tai Chi exercise on balance was revealed after 10weeks duration. Conclusion: Considering the results, Tai Chi exercise is more effective than any other studies for walking balance. But the reports on the outcome are inconsistent with wide variations in the choice of balance measures. It is suggested that future studies analyze systemic change through meta analysis and have a wide variety of subjects who need postural control and balance control. The methods of measures should be distinct from the balance state of subjects for the effectiveness of Tai chi exercise.

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Systemic White Blood Cell Count as a Biomarker Associated with Severity of Chronic Obstructive Lung Disease

  • Koo, Hyeon-Kyoung;Kang, Hyung Koo;Song, Pamela;Park, Hye Kyeong;Lee, Sung-Soon;Jung, Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.80 no.3
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    • pp.304-310
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    • 2017
  • Background: Chronic obstructive pulmonary disease (COPD), is a chronic inflammatory disorder. We evaluated whether white blood cell (WBC) count, is associated with the severity of COPD, independent of other inflammatory conditions, such as metabolic syndrome. Methods: The WBC counts were compared between 1227 COPD patients and 8679 non-COPD adults older than 40. The relationships between the WBC count, lung function, and symptoms score in COPD patients, were determined, using general linear regression analyses. Results: The WBC count was negatively associated with forced vital capacity (FVC, L), FVC (% predicted), forced expiry volume in one second ($FEV_1$, L), and $FEV_1$ (% predicted) in COPD patients. Additionally, the WBC count was independently associated with the quality of life measure, by EQ5D-index score. However, this relationship between WBC count, and disease severity, was not significant in current smokers, because of the confounding effect of smoking, on the WBC count. Conclusion: The WBC count is associated with current smoking status and COPD severity, and a risk factor for poor lung function, and quality of life, especially in non-currently smoking COPD patients. The WBC count can be used, as an easily measurable COPD biomarker.