• Title/Summary/Keyword: 고령군

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Effects of Oral Vitamins on the Elderly with Mild Cognitive Impairment (비타민 보충제 영양강화요법이 경도인지기능장애 노인에게 미치는 효과)

  • Lee, Hye-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.8
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    • pp.294-303
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    • 2017
  • As the elderly population increases, the prevalence of various geriatric chronic diseases and dementia diseases is also rapidly increasing; accordingly, dementia is becoming a major concern of our society. In this study, 48 elderly patients with mild cognitive impairment located in K district were selected from a group of experimental groups in one building and a control group in one building and evaluated for blood homocysteine levels and cognitive function changes after 4,8, and 12 weeks of taking vitamin supplements. The Chi-squared test, Fisher's Exact test, independent t-test, repeated measures ANOVA, contrast test, repeated measures ANCOVA, and Wilks' lambda test were utilized to analyze the data. The results revealed that the cognitive function of the experimental group was significantly higher than that of the control group at 12 weeks (p<0.05), and so, the experimental group higher than that of the control group (p<0.01), the effect of taking vitamins was significantly increased, indicating that homocysteine was decreased relative to the control group. Therefore, vitamin supplements may prevent decreases in cognitive functions and dementia among elderly patients with mild cognitive impairment.

The Study on the Determinant - Factors of the Budget for the Aged Welfare - Focused with the Local Governments of Cities & Counties in Jeollabukdo - (노인복지예산의 결정요인에 관한 연구 - 전라북도 시·군 자치단체를 중심으로 -)

  • Kim, Sung Soo
    • 한국노년학
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    • v.28 no.4
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    • pp.907-923
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    • 2008
  • The main purpose of this paper is to analyse the determinant factors affecting the budget for welfare of the aged. This study employs the statistical data of fourteen different cities and counties of local government in Jeollabukdo. According to the analysis, in the county, the rate of the aged and populations of social-economic factors and the number of public officials of political-administrative factors turned out to be important influencing of budget for the aged welfare. However, incrementalism has no validity of statistics. Also, In the fiscal factors, estimated expenditures in per capita influenced a negative effect on the budget of the aged welfare. As the results of this research, the policy implications are suggested as follows. First, in order to reduce the gap of the aged welfare service between regions, the greater subsidy is provided by government and the budget of the aged welfare is enlarged positively. Second, as the considering regional characteristic, the higher ratio of the aged, the greater budget of the aged welfare is enlarged, especially in the county. Third, the budget of the aged welfare has to be regarded by the number of public officials.

A Study on the User Satisfaction of Demand Response Transport(DRT) by Quantile Regression Analysis (분위회귀분석에 의한 수요응답형교통 이용자 만족도 분석)

  • Jang, Tae Youn;Han, Woo Jin;Kim, Jeong Ho
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.15 no.3
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    • pp.118-128
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    • 2016
  • As the rural areas have experienced the population reduction and the aging, the service level of public transit decreases. This study analyzes the effecting factor to user satisfaction of demand response transport(DRT) as alternative to rural public transit by the quantile regression that aims at estimating either the conditional median or other quantiles of the response variable. Jeonbuk Province tested DRT operations in Dongsang of Wanju County and Sannae of Jeongup City each in 2015. The user DRT satisfaction of Wanju was higher than one of Jeongup in basic statistics analysis. The difference in satisfaction between higher quantile and lower quntile of Wanju is smaller than one of Jeongupy as a result of quantile regression analysis. Also, Wanju DRT continues the second test operation of DRT as satisfaction from Ordinary Least Squares(OLS) close to higher satisfaction quantile.

A Study of Retirement Pathways for Military Personnel (직업군인의 노후대비실태에 관한 고찰)

  • Jung, Jae Keak
    • Convergence Security Journal
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    • v.13 no.2
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    • pp.185-193
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    • 2013
  • Military personnel work in high stress situations and carry great responsibilites, leaving them little time to plan effectively for their retirement; typically, they tend to assume that their employer (the government) will do that planning for them. Focussing intensely on their jobs, retirement often finds them ill-prepared, and this in spite of the recent increase in discussion in society at large about retirement and how to deal with it. Government therefore needs to be more proactive in assisting these occupational groups in their exit from the workforce, especially because, as the baby-boomers age, the rate of retirements will increase dramatically. As well, whereas in the past, an average retirement extended for roughly a decade, today, a retirement could last as long as twenty-five to thirty years, with attendant cost pressures on retirement funds. This in turn will increase the burden on the rising generation, who will have to pay for those pensions. But while government has a role to play, retirees also have to be more active in planning for their retirement, and in particular, planning for second careers, rather than simple retirement. Government can assist here by developing programs to help military personel find a second career, thus reducing their reliance on pension funds, and reducing financial pressures too. As well, such planning would emphasize and enhance self-reliance, which can only be to the good of the larger society.

The Changes of Social Spatiality in Rural Areas: Focusing on Population Structure and Utilization of Territorial Assets in Gyeongnam Provincial Villages (촌락 지역의 사회적 중간성 변화 -경상남도 촌락의 인구 구조와 영역 자산 활용을 중심으로-)

  • Sim, Kwang-Taek
    • Journal of the Korean Geographical Society
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    • v.44 no.4
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    • pp.510-531
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    • 2009
  • This paper aims to explain the changes of social spatiality in rural areas as seen on a sloping scale in reference of population structure and utilization of territorial assets. Guessing from the population characteristics of rural communities and farming activities in Hwangsan village of Uichon-Myeon, Geochang-Gun and Hanam village of Chogye-Myeon, Hapchon-Gun, it will become a society characterized by super-aged intensification and large-scale crop cultivation. Deokgok-Myeon and Yulji village of Hapchon-Gun are required to intake outside residents. They have to understand the complementary cooperation and become conscious of the relationship between existing residents and relocated people in Yudong village of Yokji-Myeon, Tonyoung-Si. Due to a decreasing population and the phenomena of the 'super-aged', the efforts to revive the spatial function as a living and working space while utilizing territorial assets could be challenged in these case study regions.

Risk Factors, Symptoms, and Intervention Analysis of Delirium Subtypes in Hospitalized Patients (입원환자에게 나타나는 섬망 아형별 위험요인과 증상 및 중재 분석)

  • Ryu, Ahyun;Kang, Young-Ok;Song, Rhayun
    • Journal of the Korea Convergence Society
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    • v.12 no.10
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    • pp.353-363
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    • 2021
  • This study aimed to investigate subtypes, risk factors, symptoms and the interventions to inpatients with delirium. The data of 108 inpatients who had the diagnosis of delirium during their hospital stay were collected from Electronic Medical Record at a university hospital and were analyzed by SPSS for Windows V. 26.0 program. As a results, Patients had a high proportion of elderly, male, orthopedic, and with fractures or amputations. The subtypes of delirium were hyperactive (51.9%), hypoactive (6.5%), and mixed (41.7%). Among the risk factors, depression and use of psychotropic agent were more common in those with hypoactive delirium. Among delirium interventions, behavioral symptom management and aggressive behavioral intervention were mainly implemented for those with hyperactive or mixed types, and emotional support was mainly implemented for those with hypoactive or mixed types. The delirium related intervention was more likely given immediately when the patients showed aggressive behaviors. Therefore, intervention strategies and protocol development are required for early detection of delirium in inpatients.

Cerebrovascular Complications after Coronary Bypass Surgery. (관상동맥우회술 후 발생한 뇌혈관계 합병증)

  • Jin, Ung;Kim, Young-Doo;Yoon, Jeong-Seob;Kim, Chi-Kyung
    • Journal of Chest Surgery
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    • v.33 no.11
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    • pp.869-875
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    • 2000
  • 배경: 뇌혈관계 합병증은 관상동백우회술 후 발생하는 사망률 중 10% 이상을 차지하는 치명적인 질환이다. 최근들어 고령 환자, 고혈압, 당뇨병 등이 병발하고 고 위험군에 대한 수술이 증가하면서 뇌혈관계 합병증은 오히려 증가하고 있다. 본 연구는 관상동맥우회술을 받은 환자의 의무기록을 조사하여 관상동맥우회술 후 발생되는 뇌혈관계 질환의 위험 인자를 밝히고자 한다. 대상 및 방법: 1991년 3월부터 1999년 7월 사이에 관상동맥우회술을 받은 185명을 조사하여, 뇌혈관계 합병증의 위험 인자들을 통계적으로 검증하였다. 결과: 뇌혈관계 합병증의 유병율은 7.57%(14명)였으며 이중 5예는 사망하였다. 동 기간 중 전체 사망은 11예이므로 사망자의 45.5%가 뇌혈관계 합병증으로 사망한 것이다. 통계적의의가 있는 뇌혈관계 합병증 위험 인자로는 수술 후 부정맥(p=0.0064), 기왕의 뇌혈관계 병력(p=0.0090), 체외순환시간(p=0.0181), 대동맥의 동맥경화(p=0.03575) 및 당뇨병(p=0.0452) 등이었다. 경동맥협착이 동반되어 경동맥 혈관내막 절제술(carotid endarterectomy)을 동시에 시술한 경우는 2예였으나, 뇌혈관계 합병증은 발생하지 않았다. 75세 이상의 고령환자는 3명이었으며 모두 뇌혈관계 합병증은 발생하지 않았다. 결론: 관상동맥우회술 후 발생하는 뇌혈관계 질환과 통계적으로 유의한 위험요인은 수술 후 부정맥, 뇌혈관이상의 기왕력, 체외순환시간, 대동맥궁의 동맥경화, 당뇨 등이었다.

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Allocation of Water Supplied by Multi-Purpose Dam Using the Estimate of Weighting Factors (가중치산정을 통한 다목적댐 용수의 배분 방안)

  • Yi, Choong-Sung;Choi, Seung-An;Shim, Myung-Pil;Jung, Kwan-Sue
    • Journal of Korea Water Resources Association
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    • v.37 no.8
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    • pp.663-674
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    • 2004
  • In this study, the principle of water allocation is proposed based on efficiency, equity, sustainability. Also weighting factors are estimated with sectoral factors and regional factors. The former represents relative weights among water use and the latter represents physical characteristics of water demand places. The AHP(Analytic Hierarchy Process) is applied to estimate the sectoral factors, and compounded regional-characteristic factors and regional-scale factors, which reflects socioeconomic statistics for the regional factors. By applying these weighting factors, water allocation rules for dam is developed and applied to Andong dam which supplies water to parts of Busan Shi, Daegu Shi and Goryeong Gun in a water-deficit situation. As a result, it is estimated that Water allocation by priorities distributes the entire water shortage to the lowest rank of water sectors or regions, while water allocation by relative weighting factors disperse all the burdens of water shortage to all sectors and regions.

Effects of Continuity of Care on Diabetes-Related Avoidable Hospitalizations among Middle- and Old-Aged Patients: Analysis of National Health Insurance Claims Data (건강보험 청구자료를 이용한 진료 연속성이 당뇨 관련 예방 가능 입원에 미치는 영향 분석: 중·고령군을 중심으로)

  • Kim, Boah
    • Health Policy and Management
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    • v.29 no.3
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    • pp.277-287
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    • 2019
  • Background: Diabetes is known as one of the most important ambulatory care sensitive conditions. This study purposed to assess the status of continuity of care (COC) and diabetes-related avoidable hospitalizations (DRAHs) of a group of middle- and old-aged patients and to observe the relationship of the two elements by the two age groups. Methods: This study utilized the National Health Insurance Service's National Sample Cohort data and the subjects are diabetes patients of 45 and over, classified into two groups of 'middle-aged'(45-64 years) and 'old-aged'(${\geq}65years$) patients. The dependent variable was DRAHs, which was defined in accordance with the definition of the Organization for Economic Cooperation and Development "Health Care Quality Indicators" project. COC, as an independent variable, is measured by the COC index in this study. Two-part model (multi-variate and multi-level analyses) was utilized. Results: Factors associated with the status and the number of DRAHs differed by each age group. Meanwhile, the two-part model showed that higher COC was associated with a lower risk of preventable hospitalizations in both middle- and old-aged groups. Conclusion: Study findings can provide health policy insights and implications in order to strengthen the primary care system for further improvement of diabetes management, especially for middle- and old-aged groups.

Dementia Strategies using Welfare-technology (복지기술을 활용한 치매전략 방안)

  • Han, Jeong-Won
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.357-363
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    • 2022
  • South Korea faces elderly care crisis with both low fertility rate and rapid ageing rate. Long-term care insurance in 2008 has taken care burden from family to nation. However, few options, lack of tailored services, and unstable community care plan caused blankness of care in some areas. Especially, increasing dementia rate has become an emergent social issue. Welfare technology could be a useful alternative to fill out the gap between demand and supply. Using FGI method on two groups(high-risk dementia group and MCI group), intimacy, accessibility and preventive way of dementia with welfare technology are analysed in this paper. Despites of a few differences of dementia progress, interests towards technology are expressed. More suggestions using TV and normal telephone to improve daily independence are presented as well. Amongst MCI group, help-service for technology-use at ADS and linkage ways of in-home services are also suggested.