• Therapeutic Science for Rehabilitation
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• v.10 no.3
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• pp.43-56
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• 2021

Objective : The objective of this study was to present the components of frailty by organizing the definitions of frail elderly and analyzing the tools used to screen them. Methods : This study searched for articles at involved frailty screening assessments in the elderly. Databases including CINAHL, Embase, Medline Complete, and PubMed were searched. The search terms were "assess" AND "frailty" AND "screening" AND ("frail elderly" OR "elderly"). Results : A total of 539 articles were identified by the search and 11 articles were selected. Frailty occurs due to the depressed function of multidimensional factors, and a frail elderly person is defined as one at high risk of health degeneration, functional impairment, and occurrence of disability, and having a high level of threat to life. Seven tools were selected from 11 articles. The most frequently used tool was the frailty phenotype, which was used in five articles (45.4%). The identified components of frailty were physical, activity participation, nutrition, psychological, social, overall health, and age. Conclusion : The results confirmed the definition and components of frailty. This study is expected to contribute to the future development of standardized evaluation tools for screening frail elderly individuals and intervention programs for the management of the frail elderly.

• 한국HCI학회:학술대회논문집
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• 2009.02a
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• pp.901-906
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• 2009

어린이 도서관은 일상생활 가까이에서 지역주민에게 지식정보 서비스를 제공할 뿐 아니라 공공도서관과의 연계를 통해 우리나라 전체 도서관 서비스의 수준을 발전시키고자 하는 생활 친화적 문화기반 시설인 소규모 도서관(혹은 문고)시설이다. 즉 어린이 도서관은 접근성을 가장 큰 장점으로 하여 누구나 쉽고 편리하게 이용할 수 있는 고객중심의 공공도서관 서비스라고 할 수 있다. 어린이 도서관의 주 이용고객은 어린이와 주부로서 최근 이들이 함께 도서관을 이용하는 빈도가 증가하면서 어린이 도서관은 단순히 책을 빌리고 공부를 하는 장소에서 나아가 가족단위의 여가활동이 가능한 문화적 공간으로 변모하여가고 있다. 어린이 도서관은 기본적으로 책을 읽는 조용한 공간이지만 주 이용자가 6세 미만의 유아와 초등학교 저학년 어린이이기에 독서행위와 더불어 또래 친구들과의 친교행위. 부모님과의 정서적 유대감 형성행위, 소규모 근육활동과 같은 놀이행위가 병행된다. 또 어린이 도서관에서 사용되어지는 정형적인 모듈의 서가를 비롯한 입식. 좌식 테이블과 의자들은 소수의 디자이너에 의해 만들어진 것이지만 그것을 이용하는 다수의 어린이들은 디자이너의 의도와 방법에 따라 가구를 사용하는 것 외에도 환경적 컨텍스트에 맞추어 가구의 새로운 쓰임을 발견하며 훨씬 더 다채로운 방법으로 가구를 사용하고 있다. 따라서 본 연구의 목적은 독서 및 놀이 행위 시 아동-부모의 상호작용 방법에 기반하여 아동의 가구사용방법(Way of Seat)을 알아보고 이를 바탕으로 어린이의 행태정보를 모델링하여 가구를 사용하는 어린이의 다양한 행위 이면에 내재된 요구를 파악하는데 있다. 가구를 사용하는 어린이의 다양한 행태 이면에 내재한 어린이만의 특성과 요구를 알아보기 위해서는 먼저 어린이 도서관이라는 특수한 물리적 환경요인 및 사용자 컨텍스트(Context)에 대한 이해가 선행되어야 한다. 이를 위해 기반조사 및 어린이 도서관 방문을 통한 정황조사(Contextual Inquiry)를 실시하였다. 이를 통해 6세 미만의 유아와 초등학생의 가구사용방법(Way of Seat)과 독서 및 놀이 행위 시 행태를 관찰하여 Photo Based Research를 바탕으로 어린이의 행태정보를 모델링 하였다.

• Information and Communications Magazine
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• v.31 no.12
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• pp.17-24
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• 2014

빅데이터, IoT, 클라우드 인프라 등 기술의 발달에 따라 일상생활 중에서도 개인과 환경의 변화에 대해 실시간 데이터 수집이 용이하게 되었다. 이를 활용하여 개인의 다양한 특성과 상황을 인지하고 다면적으로 의미를 분석할 수 있는 개인의 라이프스타일(lifestyle, 생활습관) 분석 기술이 중요하게 부각되고 있다. 이 라이프스타일 데이터는 개인의 질병이나 사회 심리적 문제의 원인 분석과 미래 트렌드의 변화예측을 할 수 있는 중요한 근거로 활용된다. 최근 이를 위한 연구로서 활동량, 스트레스, 위치, 수면 등의 라이프스타일 패턴을 추출하여 체계적인 프로세스로 삶의 질을 향상시키는 웰니스 (Wellness) 예측케어 서비스 연구와 서비스들이 활발히 진행되고 있다. 하지만 이러한 서비스를 제공하기에 앞서 개인의 복잡한 라이프스타일 패턴의 추출이 단편적으로만 이뤄지고 있어서, 패턴들 사이의 복잡한 관계를 분석하거나 연계 서비스로의 확장 및 라이프스타일 패턴의 재사용적인 측면에서의 문제가 어려운 이슈가 되고 있다. 이 때문에 웰니스 서비스의 신뢰도가 낮아 사용자가 단순히 재미로 느끼는 수준이거나 일회성에 그치는 모바일 어플리케이션 서비스를 제공받는 경우가 다반사이다. 본 논문에서는 IoT환경에서 다양한 스마트 디바이스에 의해 수집되는 라이프로그로 부터 라이프스타일 패턴 추출 및 모델링, 라이프스타일 패턴 분석으로부터 개인의 행동 추론 및 예측, 원인파악과 관련 지표를 정량적으로 설계하는 분석 엔진 개발 방안, 서비스 디자인을 통하여 실효적인 생활개선의 변화를 유도하는 기술, 개인의 심리적 특성까지 고려한 신뢰성 높은 케어 서비스 제공까지의 전반적인 웰니스 예측케어 서비스시스템 프로세스 및 플랫폼 설계 방안을 제시한다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.4
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• pp.1721-1731
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• 2011

This study was performed to determine the levels of depression symptoms among community elderlies and to reveal its related factors, specifically aimed at revealing social and family supports. The interviews were performed, during the period from July 1, to August 31, 2010, to 412 elderlies in urban areas. As a results, significantly higher level of depression symptoms was laid on those with lower social supports and family supports(p=0.000), and the subjects' depression was a negative correlation with social and family support. On multiple regression analysis, the level of depression symptoms was influenced by the variables of social and family support, with or without disability of visual acuity, sense of satisfaction in daily life, number of friends, educational level, with or without spouse, activity of hobbies and urinary incontinence. In conclusion, the level of depression symptoms was so complicatedly influenced by variable factors as well as socio-demographic characteristics, health-related behaviors, health status, social support net-work and social activities. Especially, the level of depression symptoms was more influenced by social supports and family supports.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.1
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• pp.260-269
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• 2018

This study investigated the needs of the elderly with dementia from the perspectives of patients and caregivers in long-term care facilities. A total of 145 older adults with dementia and 62 nurses from 3 geriatric hospitals were enrolled in this study. The cognitive function, behavioral and psychological symptoms, activities of daily living (ADL), and instrumental activities of daily living (IADL) were measured. The mean number of needs reported by the elderly with dementia was 11.94 and those with unmet needs were 2.91 on average. Nurses showed that the mean number of needs and unmet needs of the elderly with dementia was 14.71 and 1.94, respectively. The largest number of older adults with dementia (42.2%) perceived that the needs for daytime activities were unmet. On the other hand, only 24.1% of nurses evaluated that the needs for daytime activities were unmet. The factors influencing the needs of the elderly with dementia were dependency in ADL and IADL. Therefore, caregivers in long-term care facilities need to take the perception of older adults with dementia into consideration when evaluating the met and unmet needs of the elderly with dementia. In addition, sufficient assistance to IADL and ADL would help reduce the needs of people with dementia.

• Korean Journal of Social Welfare
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• v.58 no.1
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• pp.237-264
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• 2006

The purpose of this study is to examine the level of social integration of the person with physical disabilities based on independent living paradigm according to life span and to find factors affecting social integration and therefore to make policy implications for a better rehabilitation system. The data was obtained through telephone interviews with physically disabled residing in the city of Seoul and the suburb area of the city. The final sample consists of 591 respondents. The data was analyzed through frequency, oneway anova, pearson's correlation analysis, and multiple regression. In this study, social integration based on independent living paradigm was divided into separate but related dimensions: autonomy of activity daily living, accessibility, economic level, degree of social support satisfaction, consumer control, psychological empowerment. The major findings of this study were as follows: First, the levels of six dimensions of social integration based on independent living paradigm were very different and especially the level of dimensions such as degree of social support satisfaction and consumer control were lower than other dimensions of social integration. Second, each level of social integration by life span was very different. Finally, the factors affecting social integration were socio-psychological traits such as social support, rehabilitation services, self esteem and acceptance of disability as well as the attribution to disability. The current findings suggest that improving nay only ADL or accessibility but also consumer control or social support should be considered by professional and policy makers. And differentiated intervention and policy according to life span necessary to policy makers and field practitioners.

• 한국노년학
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• v.32 no.3
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• pp.777-800
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• 2012

This paper aims to estimate the effects of environmental variables on volunteering among older persons and decide relationships between independent and dependent variables. The thesis conceptually points out that the integrated theory of resources too much emphasizes the important roles of human, social and cultural capital, but overlooks the influences of ecological environments in explaining volunteering among the older persons. And the thesis tries to apply the general ecological theory of aging to explaining volunteering of older people together with resource frameworks, and to estimate the effects of ecological environment variables on volunteerism for senior citizens. Using a micro data of 2009 National Social Survey by Statistics Korea, the paper screens out 10,268 subjects who are believed to socially retire and be above 55 years older. The multiple OLS regression and binomial logistic regression techniques are used to estimate the effects of ecological environments and resources on volunteering. The analysis results show that all of environmental and resource variables are related to volunteering at the level of p<.000. This means that environmental variables have independent effects on the volunteerism, controlling for resource variables. This results suggest that both theories have empirical evidences in explaining volunteerism in Korea. Also, at the end of paper, theoretical and policy implications for practices and future studies are discussed.

• Korean Journal of Human Ecology
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• v.19 no.6
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• pp.1031-1044
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• 2010

Corresponding to the rapid growth of the aging population without an adequate social safety net for the elderly, older people face great disadvantages due to sudden illness or poor health and a lack of support from the younger generation. Furthermore, older women are suffering from a drastic deterioration of their economic status because of insufficient retirement savings. Examining the impact of labor force participation and living arrangement on health status and life satisfaction in later life, it is important to consider gender differences in context of social policies for the elderly. Using data based on a stratified national sample of the elderly by the Korean Longitudinal Study of Aging (KLoSA), multiple regression model were used to estimate the relationships between labor force participation and health status and subjective life satisfaction concerning the quality of their later life. The result indicates that good health status and high level of life satisfaction are associated with the type of paid work status for the elderly men, but those are associated with the type of non paid work, such as family businesses employees for the elderly women. Significant differences in chronic health condition and subjective life satisfaction by employment characteristics are found among the elderly. In addition, older women's high level of life satisfaction was associated with the participation of the social activity. The major conclusion from these results should help us understand gender differences in the elderly and acknowledge further exploration of gender variations in these people's later life.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.1
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• pp.306-315
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• 2014

The purpose of this study in the case of stress recognition, the lower the age was, as they had a spouse, the higher they got educated, and the worse their subjective health state was, the higher the stress recognition appeared. this study selected 6,227 adults over the age of 19 from the 5th first-year data of Korean National Health and Nutrition Examination Survey(KNHNES)conducted by KCDC(Korea Centers for Disease Control and Prevention)in 2010. In the case of experience of depression symptoms, female subjects experienced more depression symptoms than male ones; study subjects aged between 19 and 54 years experienced more; the worse their subjective health state was, the more they experienced; and in the case of non-education about diabetics, those who did physical activity more than four days experienced more symptoms. In the case of suicide ideation, female subjects ideation suicide more than male ones; as they had no spouse, the lower they got educated, the worse their subjective health state was, and as they never did physical activity, they more experienced suicide ideation. Then, it is expected that the results of this study can contribute to chronic-disease patients'leading a much healthier life in the future.

• Korean Journal of Applied Biomechanics
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• v.19 no.2
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• pp.257-264
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• 2009

The purpose of this study was to investigate the lower extremity kinematics and muscle activities of adductor longus(AL), gluteus medius(GME), gluteus maximus(GMA), biceps femoris(BF), rectus femoris(RF), gastrocnemius(GA), and tibialis anterior(TA) using three dimensional and Noraxon 8 channels EMG system during turn 0, 60, 90 and 120 degrees in patients with Parkinson's disease. Seven parkinson's patients and five healthy subjects were participated in the study. Participants with Parkinson's disease demonstrated significant differences in reduction of stride length and stride width. Also, they showed ill difference in muscle activities. The strength and balance of the lower extremity muscles may help to improve cutting movement and to prevent falling in parkinson's patients.