Publications by authors named "Zee A Han"
The association between living arrangements and health-related quality of life in Korean older people: a nationwide repeated cross-sectional study.
Osong Public Health Res Perspect
June 2024
Background: This study investigated the association between living arrangements and healthrelated quality of life (HRQoL) in older people.
Methods: A secondary analysis was conducted of 6,153 participants (aged ≥60 years) from the seventh Korean National Health and Nutrition Examination Survey (2016 to 2018). HRQoL was measured using the 3-level version of the EuroQol 5-dimensional questionnaire.
Background: Global population aging, and the accelerated increase in the number of oldest-old adults, over 80 years, has implied a heightened need for long-term care (LTC). We aimed to provide a theoretical care cascade of LTC services to assess publicly funded LTC (Analysis 1) and to investigate the association between the use of LTC insurance (LTCI) and unmet care needs among older people (Analysis 2) in South Korea.
Methods: Analysis 1 used data from the eighth wave (2020) of the Korean Longitudinal Study of Aging (KLoSA), the 2020 National Health Insurance Service LTCI Statistical YearBook and the 2020 National Awareness Survey of LTCI.
South Korea is the fastest ageing country among OECD countries. Unlike the older generation growing up in the aftermath of the Korean war, the first and second baby boomer generations have heightened expectations regarding public services. In addition to the demand in higher quality of both social and health services by these newer older population, there is a concomitant increased quantitative demand.
View Article and Find Full Text PDFArtificial intelligence (AI)-enhanced interventions show promise for improving the delivery of long-term care (LTC) services for older people. However, the research field is developmental and has yet to be systematically synthesised. This systematic review aimed to synthesise the literature on the acceptability and effectiveness of AI-enhanced interventions for older people receiving LTC services.
View Article and Find Full Text PDFArticle Synopsis
- The WHO's concept of Healthy Ageing emphasizes the importance of maintaining functional ability for well-being in older adults, sparking discussions on shifting health and social services to a person-centered and coordinated model.
- Integrating health and social care services is essential for effective information sharing and creating personalized care plans that adapt to the changing needs of older individuals over time.
- Successful implementation of integrated care requires collaboration across different levels—clinical, service delivery, and systemic—while focusing on community support to enable "ageing in place" and ensuring all care settings work together to optimize resources and services for seniors.
What long-term care interventions have been published between 2010 and 2020? Results of a WHO scoping review identifying long-term care interventions for older people around the world.
BMJ Open
January 2022
Article Synopsis
- The study aimed to identify and categorize long-term care interventions for older adults from 2010 to 2020 using WHO's healthy ageing framework.
- A scoping review analyzed 305 peer-reviewed studies, focusing on interventions in various settings like nursing homes and community care for individuals over 60.
- The findings highlighted a range of interventions, primarily from high-income settings, with multimodal exercise being the most common type, while no studies from low-resource settings were found.
Objectives: To reach consensus on a minimum list of long-term care (LTC) interventions to be included in a service package delivered through universal health coverage (UHC).
Design: A multistep expert consensus process.
Setting And Participants: Multinational and multidisciplinary experts in LTC and ageing.
Article Synopsis
- * Out of 366 patients reviewed, 69.1% reported NP, with higher rates observed among those who were married, experienced traumatic injuries, or had depressive moods; marital status and mood were identified as significant predictors of NP.
- * The average NP intensity was rated at 4.52 on a Numeric Rating Scale, with certain groups (like females and those with below-level NP) reporting more severe pain; the study suggests that NP should be actively managed, especially in patients scoring 4.5 or higher. *
Objective: Given the lack of a Korean version of the Spinal Cord Independence Measure III (KSCIM-III) that accurately reflects the contextual and cultural aspect of the assessment tool, the aims of the study were to develop a new Korean version of the Spinal Cord Independence Measure III and to investigate its reliability and validity.
Design: Forty (N = 40) consecutive patients with spinal cord injury were included in this prospective study. Backward and forward translation of the Spinal Cord Independence Measure III was performed by fluent speakers in both languages.
In the original version of the article the authors incorrectly stated that: "One case study provided evidence of some improvements in motor performance and spasticity [19], while several other studies only provided evidence on the feasibility of UER as an assessment tool; however, the fact that the manufacturer funded these studies lessens their objectivity [15, 20-24]." This is not correct as the manufacturers did not fund the studies. The correct phrase therefore should have read: "One case study provided evidence of some improvements in motor performance and spasticity [19], while several other studies provided evidence focusing more on the feasibility of UER rather than the clinical efficacy [15, 20-24].
View Article and Find Full Text PDFStudy Design: A pilot randomized controlled trial.
Objectives: To evaluate the clinical efficacy of upper limb robotic therapy in people with tetraplegia.
Setting: Inpatient rehabilitation hospital in Seoul, Korea.
Objective: To identify the pressure relieving effect of adding a pelvic well pad, a firm pad that is cut in the ischial area, to a wheelchair cushion on the ischium.
Methods: Medical records of 77 individuals with SCI, who underwent interface pressure mapping of the buttock-thigh area, were retrospectively reviewed. The pelvic well pad is a 2.
Article Synopsis
- The study aimed to identify clinical features that could predict improvements in gait speed following robotic-assisted gait training (RAGT) in patients with motor incomplete spinal cord injuries.
- 29 patients participated in a 4-week RAGT program, and their progress was measured using various assessments before and after treatment.
- Key findings indicated that younger age, shorter disease duration, and better baseline physical functions were associated with improved outcomes, highlighting specific assessment tools that could predict treatment success.
Objective: To analyze the factors related to urinary tract infection (UTI) occurrence after an urodynamic study (UDS) in patients with spinal cord injury (SCI).
Methods: We retrospectively investigated the medical records of 387 patients with SCI who underwent UDS with prophylactic antibiotic therapy between January 2012 and December 2012. Among them, 140 patients met the inclusion criteria and were divided into two groups, UTI and non-UTI.
Objective: To evaluate the analgesic effect of botulinum toxin type A (BTX-A) on patients with spinal cord injury-associated neuropathic pain.
Methods: The effect of BTX-A on 40 patients with spinal cord injury-associated neuropathic pain was investigated using a randomized, double-blind, placebo-controlled design. A 1-time subcutaneous BTX-A (200U) injection was administered to the painful area.
Article Synopsis
- The study aimed to determine how common multidrug-resistant (MDR) bacteria are in urine samples from spinal cord injury (SCI) patients and the associated risk factors.
- Researchers reviewed medical records from SCI patients admitted between 2001 and 2013, analyzing data on demographics, bladder management, and hospitalization history, alongside urine culture results.
- Results showed that 1.1% of urine samples contained MDR organisms, with higher prevalence rates in hospitalized patients and those using indwelling catheters compared to community-residing individuals.
Objective: To analyze the relationship of the change in fat mass percentage (FMP) and body mass index (BMI) with the change in obesity rate according to gender, extent of spinal cord injury (SCI) and the duration.
Methods: The retrospective study was conducted with medical records of 915 patients. FMP was calculated with BMI and bioelectrical impedance analysis (BIA).
Supernumerary phantom limb (SPL) resulting from spinal cord lesions are very rare, with only sporadic and brief descriptions in the literature. Furthermore, the reported cases of SPL typically occurred in neurologically incomplete spinal cord patients. Here, we report a rare case of SPL with phantom limb pain that occurred after traumatic spinal cord injury in a neurologically complete patient.
View Article and Find Full Text PDFObjective: The aim of this study was to determine the location of the motor points and the intramuscular branches of the wrist flexors in relation to bony landmarks.
Design: Sixteen limbs from eight adult cadavers were anatomically dissected. The motor branch points of the flexor carpi radialis and flexor carpi ulnaris muscles and the proximal limit points and the distal limit points in relation to a reference line connecting the medial epicondyle and the pisiform bone or one connecting the medial epicondyle and the base of the second metarcarpal bone were identified.
Dermatological problems following spinal cord injury in Korean patients.
J Spinal Cord Med
January 2015
Objective: To identify dermatological conditions following spinal cord injury (SCI) and analyze these conditions in relation to various characteristics of SCI.
Design: Retrospective chart review.
Setting: National Health Insurance Corporation Ilsan Hospital of Korea, Rehabilitation Center, Spinal Cord Unit.
Article Synopsis
- * Analyzing 26 patients with IC infarction revealed that bulbar symptoms were associated with infarctions extending into the posterior limb, while those limited to the genu did not present symptoms.
- * Diffusion tensor imaging showed that the corticobulbar tract does not traverse the IC genu, suggesting its pathway is located beyond the midpoint of the posterior limb of the IC.
Background: Intracranial stab wounds are low-velocity, penetrating injuries to the brain and fatality and outcome significantly depend on route, depth and location of cranial penetration. Due to the effective barrier provided by the adult calvarium, most injuries occur through the orbitae or temporal regions where bony layers are thin. Self-inflicted intracranial stab wounds are an even rarer form of traumatic brain injury, with common entry points being the orbital space and the nose.
View Article and Find Full Text PDFCharacteristics of dysphagia in children with cerebral palsy, related to gross motor function.
Am J Phys Med Rehabil
October 2013
Objective: The aim of this study was to report the characteristics of dysphagia in children with cerebral palsy (CP), related to gross motor function.
Design: Videofluoroscopic swallow study was performed in 29 children with CP, according to the manual of Logemann. Five questions about oromotor dysfunction were answered.
Objective: To investigate the intra- and inter-rater reliability of the Korean version of the ABILOCO questionnaire (K-ABILOCO).
Methods: The original ABILOCO questionnaire was translated into Korean and back-translated into English. Stroke patients (n=30) with hemiplegia were evaluated using the K-ABILOCO at one week interval.