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11 = Abstract = Geriatric Diseases: Characteristics and Preventive Measures Hyung Joon Yoo, M.D., Young Soo Lee, M.D.* Hong Soon Lee, M.D. (Planning Director) Chul Young Bae, M.D., In Soon Kwon, M.D. Hae-Kyung Seo, Ph.D. (Executive Director) and Won Seon Hong, M.D.*(President of The Korean Geriatrics Society) Internal Medicine Geriatric Clinic, Hallym University College of Medicine, Seoul, Korea Internal Medicine,* Ulsan University College of Medicine, Seoul, Korea Department of Internal Medicine, National Medical Center, Seoul, Korea, Department of Family Medicine, Chungmun University College of Medicine, Kyungki Province, Korea, Institute of Physical Science and Aging, Seoul National University, Seoul, Korea Korean Information & Referral Service Center On Aging, Seoul, Korea Background : For the remembrance of the first Older People s Day on Ocober 2nd, The Korean Geriatrics Society (KGS) held geriatric conference for the improvement of the health on the aged. We summarized the discussion. Results : We generally agree that many of the conditions of decrepit old age are not time-determined, but are the results of preventable and tretable illness. Rates of aging and senescence vary mar kedly in the aged. This has also been observed in different organ systems of the body. The compre hensive geriatric assessment developed in response to the complexity of medical, psychological and social problems occurred in older people. It wil be more necessary to develop Korean culture specific assessment tools. The proportion of the aged population to the whole is expected to reach 6.8% in the year 2000 and 12.5 % in 2020, fore casting that Korea will indeed enter the era of an aging society in the early 21st century. In Korea geriatric diseases have the characteristic structure having multiple entities. The most common me dical problem is arthralgia (with 57.8 % of 65 and older). In Korea, there are three kinds of medica care programs for the aged : medical insurance medical assistance, and health screening. Conclusion : The desire for the improvement of older people s health is increasing now in Korea. Thus KGS suggests The Guidelins for The Age. Key Words : Elderly health, geriatrics, healthguidelines REFERENCES 1) Rhee KO. Suh MK, Koh KH, Park JD: AN analysis of present state of elderly people s life and policy tasks. Korea Institute for Health and Social Affairs. Seoul, ) Yoo HJ: Geriatric diseases and medical services for the aged in Korea. J Korean Geriatr Soc 1(1):6-11, ) :. pp. 1-2 In:,,, ) Knopman DS, Knefel J, Kaye JA, Elble RT Bennett DA, Odenheimer GL: Principles of geriatric neurology. Geriatr Neurol 2(5):7-27, ) :. pp. 3-5 In:,,, ) Abrass IB: The biology and physiology of aging West J Med 153: , ) Kluger J: Can science slow the aging clock? Time 14(3):44-52, ) Kirkwood KBL: Evolution of aging. Nature 270: , ) Sohal RS, Weindruch R: Oxidative stress, caloric restriction, and aging. Science 273: 59-63,

Medicine,* Ulsan University College of Medicine, Seoul, Korea Department of Internal Medicine, National Medical Center, Seoul, Korea, Department of Family Medicine, Chungmun University College of

12 10) Besdine RW: Clinical approach: an overview pp In: Geriatric Medicine 3rd ed. by CK Cassal et al., Springer-Verlag, NY, ), :. pp 8-19, In: Advances in Aging Science,,, ), :. pp In:,,,,, ),,,,, :. 18 : 15( ), ) Howell TH: Multiple pathology in nonagerians Geriatrics 18: , ) Rodin J: Aging and health: Effects of the sense of control. Science 233: , ) Lefevre F, Felinglass J, Potts S, Soglin L Yarnold P, Martin GJ, Webster JR: Iatrogenic complications in high-risk, elderly patients. Arch Intern Med 152: , ),,,, : (ADL). 1(1):25-30, ) :. 13(1):90-98, ) :. ( ):39-59, ) Toba K, Ouchi Y, Orimo H: Urinary incontin ence in Japan; a comparison between genera and geriatric hospitals. Aging 81:47-54, ) :. :27-38, ) :. 1(S1): 40-46, ) Sarkisian CA, Lachs MS: Failure to thrive in older adults. Ann Intern Med 124: ) Newton-John HF, Morgan DB: Osteoporosis, disease or senescence? Lancet: , ) Schor JD, Levkoff SE, Lipsitz LA: Risk factors for delirium in hospitalized elderly. JAMA 267 (6): , ) Besdine RW: Mormal human aging. pp.3-13 In: Proceedings of 2nd seminar on aging (Asia Pacific Series No. 70) Excerpta Medica, Singa pore, ) Rosenblatt DE: FUnctional assessment. J Korean Geriatr Soc 1(1):1-5, ) Williams ME, Franklin-Williams T, Zimmer JG Jackson Hall W, Podgorski CA: How dose the team approach to outpatient geriatric evaluation compare with traditional care. J Am Geriatr Soc 35: , ) :. 15: , ) Fries JF: Reduction of the national morbidity Gerontol Perspect 1:54-59, ) Alessi CA, Stuck AE, Aronow HU, Yuhas KE Bula CJ, Madison R, Gold M, Segal-Gidan F Fanello R, Rubenstein LZ, Beck JC: The process of care in preventive in-home compreh ensive geriatric assessment. J Am Geriatr Soc 45(9): , ) Rowe JW, Kahn RL: Human aging: usual and successful. Science 237: , ) Choi JH, Seo B: A study on the social suppor network of the urban elderly. J Kor Geronto Soc 12:65-78, ) :. 17(1): , ),, : (1):39-42,

Science 233:1271-1276, 1986 16) Lefevre F, Felinglass J, Potts S, Soglin L Yarnold P, Martin GJ, Webster JR: Iatrogenic complications in high-risk, elderly patients.

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