• Title/Summary/Keyword: 중재가능성

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Extended Reality Training System Designing for People with MCI (Extended Reality 기반 고령자 대상 인지·운동 기능 훈련 콘텐츠 설계 제안)

  • Kim, Taehong;Kim, Joong Il;Seo, Jeong-Woo;Do, Jun-Hyeong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.12-14
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    • 2022
  • One of the most negative social changes of the last decade is population aging which leads to 19 times more patients with Mild Cognitive Disorder(MCI). It is well established that MCI is the most important state that can prevent dementia with early diagnosis and intervention. However, the social security system for patients with dementia is not working properly due to the coronavirus pandemic and the limited human power. This article proposes design principles for dementia training programs of extended reality devices. and The findings in this study provide a guide for considering the cognitive and physical and social functions of patients.

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Evaluation of Nutritional Status among Primary School Children in Uganda: Comparison of Urban and Rural Areas (우간다 초등학생의 영양섭취 실태조사: 도심지역과 농촌지역의 비교)

  • Lee, Ji-Yeon;Park, Hye-Jung;Yu, Min;Hwang, Ha-Yeong;Sung, Jung-Rim;Kim, Hee-Seon
    • Korean Journal of Community Nutrition
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    • v.25 no.2
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    • pp.91-101
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    • 2020
  • Objectives: The aim of this study was to investigate dietary intakes and nutritional status among Uganda primary school children from two selected schools in urban and rural areas. Methods: Data were collected from 350 pupils (6-14 years) in Mpigi district, Uganda. All participants were offered a school lunch meal (usually maize porridge and boiled beans). Dietary survey was conducted in October 2016. Data for dietary intake levels were collected by the 24-hour recall method with trained school staffs. The data were converted into nutrient intakes using the CAN-Pro 5.0 Program and compared with KDRIs to evaluate the nutritional status of the subjects. Diet quality indexes such as nutrient density, nutrient adequacy ratio (NAR), mean adequacy ratio (MAR), and index of nutritional quality (INQ) and a diet diversity index such as diet diversity score (DDS) were calculated to evaluate nutritional status among subjects. Data were analyzed using SPSS statistical programs. Results: Results show that the intakes of most nutrients were significantly different by schools. The nutritional status of micro-nutrients was very low in both schools according to analysis of nutritional indexes such as NARs and INQs. Students from both schools should improve intakes of micro-nutrients related to child growth such as calcium, Vitamin B6, zinc and folate. According to the analysis of dietary diversity, there was difference in dietary patterns by schools presumably due to their locations. Conclusions: This suggests that current meals could not provide adequate nutrients for the subjects and urgent nutrition interventions for school food services are needed to improve their nutritional well-being. New foods supplements based on local cuisine are also needed to ensure dietary diversity and sustainable development plans.

The effects of a personalized nutrition intervention program on food security, health and nutritional status of low-income older adults in Seoul city (서울시 일부 취약계층 노인에서 맞춤형 영양중재 프로그램에 따른 식품안정성 확보 및 건강·영양상태 개선 효과)

  • Lee, Yeyeon;Yang, Narae;Shin, Minjeong;Lee, Kyung-Eun;Yoo, Chang Hee;Kim, Kirang
    • Journal of Nutrition and Health
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    • v.53 no.4
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    • pp.416-430
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    • 2020
  • Purpose: This study was conducted to assess the effects of a personalized nutritional intervention program on food security and health and nutritional status of elderly people in the city of Seoul. Methods: A total of 372 elderly adults aged 65 years or above who resided in Seoul were enrolled in this study. Personalized supplementary food supply and nutritional education based on chronic disease status, disability and cooking ability were implemented for 4 months. To evaluate the effectiveness of the program, nutrient intake, food security status, anemia status, chronic disease management, and frailty status, and prevalence of malnutrition (Mini Nutritional Assessment) were examined. Results: After the program, all subjects displayed significantly increased nutrient intake. Before the intervention, all subjects were in a state of food insecurity; however, after the intervention, 37.1% of the subjects were food secure. Moreover, the rates of being at risk of malnutrition and malnutrition in subjects were decreased and instead rate of those who improved to normal increased to 29.8% from 0% of normal rate before the prevention. The rate of subjects without anemia increased from 18.7% to 28.5% after the intervention. In addition, the rate of subjects with intensive or periodic management of chronic diseases decreased, while those with occasional management of chronic diseases increased from 0% to 4.6%. Furthermore, the rates of being at risk of frailty and frailty were decreased and the normal rate increased from 0% to 9.7% instead. Age group-based analysis showed that elderly people over 80 years showed less improvement in the management of the chronic disease status and the frailty status. Conclusion: Personalized supplementary food supplies and nutritional education improved not only the nutritional status but also disease status in vulnerable older adults, and the effects were more significant in adults aged less than 80 years.

Cardiac Intracoronary Stenting vs CABG: Prevention of Medical Accident (심장 스텐트 시술과 의료사고 예방)

  • Kim, Kyoung Reay;Park, Kook Yang
    • The Korean Society of Law and Medicine
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    • v.18 no.2
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    • pp.163-194
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    • 2017
  • Coronary artery disease has increased in Korea as the country enters the aged society. It is well known that the incidence of coronary artery disease is related to aging, hypertension, diabetes, hyperlipidemia, and dietary habit. For effective treatment of significant coronary stenosis, close coordination between cardiac surgery and cardiology team is essential. Especially cardiologists' decision whether to do the stent placement or CABG is very important because the cardiologists usually start to consult the patients for their treatment. Recently, non-surgical interventions(that is stent placement) in cardiology field have dramatically increased as the national insurance system removed the limitation of the number of stents deployed. However, accidents are often caused by inappropriate use of stents, especially in patients with triple coronary disease or left main disease with heavy coronary calcifications. Another aspect of stent placement is to cope with an emergency case in the event of coronary rupture or pericardial tamponade during coronary interventions without cardiac surgeons. In the past two years, the Korea Consumer Agency (Consumer Dispute Coordination Committee) analyzed eight cases of medical dispute settlement. Only two hospitals were manned with both cardiologists and cardiac surgeons. Seven patients died of procedures of stenting and five patients died on the day of the procedure. Among the 8 cases, 5 cases showed 3 vessel disease and the rest of the cases had either severe calcification, complete occlusion or poor coronary antomies for stenting According to a 2017 national data registry of coronary stenting, less than 3 drug-eluting stents were implanted in 98% of all patients. In 2015, the number of stent procedures was 38,922, and approximately in 800 (2%) cases, more than four stents were used per patient. We emphasize that it is necessary to seriously consider the cost-benefit analysis between stent and CABG. The patient has the right to choose the right procedure by asking the liability of 'instruction explanation obligation'. He should be well informed of the pros and cons of both procedures to avoid overuse of stent. It can be solved by intimate discussion of individual cases with the cardiac surgeon and the patient. Unilateral dialogue with the patient, forceful restriction on the number of stenting, lack of surgeon's backup in difficult cases should all be avoided. It is also necessary to solve the problem not only at the hospital level, such as multidisciplinary integrated medical care, but also a nationwide solution such as expanding cardiac surgeons as essential personnel to public officials.

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Accessibility Information Element & a PNC Selection Method in the High Rate WPAN (WPAN에서 통신가능성 정보 요소와 PNC 선택 방법)

  • Jeong, Heon-Ju;Cho, Moo-Ho
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.30 no.10B
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    • pp.639-647
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    • 2005
  • When a DEV associates with an existing WPAN, the PNC checks the capabilities of the new DEV to see if it is more capable to be the PNC of the piconet based on the criteria defined in the IEEE Std 802.15. If the new DEV is more capable and the current security policies allow it, then the PNC has the option of handing over control of the piconet to the DEV that has just joined. And, If the PNC is shutting down or wants to leave the WPAN, it also uses the handover process to give control to another DEV in the piconet. However, IEEE 802.15.3 checks only DEV capability information for more PNC capable. For PNC selection, it should consider the radio coverage of new PNC capable DEVs. So, we propose the method of PNC selection with accessibility check. This method manages PNC candidate list in the current piconet. In this paper, we analyze accessibility problems for PNC selection in section 2. In section 3, we explain CI(Configuration Inquiry) process which is proposed by Sony Corporation and propose PCI(PNC Candidate Inquiry) process. Also, we perform numerical analysis to compare PCI process with CI process in section 4. Finally, we conclude in section 5.

Job Stress Level and It's Related Factors in Firefighters (소방공무원의 직무스트레스 수준과 관련 요인)

  • Choi, Mi-Suk;Ji, Dong-Ha;Kim, Jin-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4917-4926
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    • 2012
  • This study was designed to assess the factor of influence to occupational stress who work in the field of firefighters and questionnaire was uesd to analyse the stress scores and find the primary factors influence to occupational stress. The number of respondents were 408 who received the refresher training and period of investigation was august 2011 through october 2011. A structured questionnaire was employed to evaluate the participants' socio-demographics, job-related factors, health-related behaviors, occupational stress, reaction factor (fatigue, job satisfaction) and buffer factor (social support). Occupational stress and fatigue were assessed using the Korean Occupational Stress Scale-Short Form (KOSS-SF) and the Multidimensional Fatigue Scale (MFS), respectively. The analysis showed that we found a strong correlation between fatigue, job satisfaction and occupational stress. Occupational stress was associated with an increased risk of fatigue and decreased the job satisfaction. In the multiple regression analysis(stepwise), main factor that influence to occupational stress were job satisfaction, gender, age, processing number for a day, exercise. In logistic regression analyses, a higher occupational stress was associated with higher odds of fatigue(High) and the odds was down by 15.0% after adjustment for job satisfaction, gender, age, processing number for a day, exercise. Thus, a job satisfaction promote program for the reduction of occupational stress and the promotion of firefighters's health is strongly recommended.

The Effects of Mentor Activities by Peercounselors on Classroom Dynamic (또래상담자를 활용한 멘토활동이 학급역동에 미치는 효과)

  • Ahn, Ie-Hwan
    • The Korean Journal of Elementary Counseling
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    • v.7 no.2
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    • pp.169-180
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    • 2008
  • The purpose of this study is to train peercounselors within the minimum period and use them as mentors for rejected children in order to raise the social status of those children. To do so, five mentors were assigned to five rejected children but their social status did not show significant difference. Not only that, even the social status of the mentors was decreased so the primary purpose of this study was not achieved. However, the activities in the class such as the mentor activity increased the choices that students can get. These changes were definite in the male student groups rather in female student groups. Female students had their own way of change and direction regardless of the class activities. Therefore, there is a possibility that 5th graders in the elementary school have different classroom dynamics according to their genders. The different classroom dynamic by genders and the choice and direction of rejection shown in the matrix table indicate that it is proper to use same-sex peer nomination for sociometry. Also, the results of this study raise the necessity for further studies regarding individual approaches for rejected children and the intervention methods that teachers use for those children.

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Effects of the Illness Management and Recovery Program on Recovery, Knowledge of Mental Illness, and Hope of Inpatients with Mental Illness (회복지향질병관리 프로그램이 입원한 정신과 환자의 회복 및 정신질환 지식과 희망에 미치는 영향)

  • Shin, Eun-Sik;Lee, Hyun-Bok;Jeon, Mi-Sook;Kim, Sun-Hee;Yoon, Bo-Hyun;Sea, Young-Hwa;Park, Su-Hee
    • The Journal of the Korea Contents Association
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    • v.17 no.7
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    • pp.579-591
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    • 2017
  • The Illness Management and Recovery(IMR) Program was designed to improve self-management and recovery of people with mental illness. The purpose of this study was to identify the effects of the Korean version of the IMR program on recovery, knowledge against mental illness, hope among inpatients with severe mental illness. 92 participants diagnosed with schizophrenia, bipolar disorder and schizoaffective disorder were assigned to either an IMR group(n=51) or the control group(n=41) without randomization. Data collection had been conducted from June 2015 to December 2016. Mental Health Recovery Scale, Knowledge Scale, and Hope Scale was administered to participants before and after the intervention. Participants in the IMR program showed significant improvement in progress toward their recovery and knowledge about their mental illness compared with those receiving treatment as usual. However, changes in hope were not significant in both groups. This is the first evaluation of the effects of the Korean version of the IMR program. Our findings support potential benefits of implementing the Korean version of the IMR program.

The Effect of Climbing Training on the Postural Alignment and Balance Ability (클라이밍 훈련이 자세정렬과 균형에 미치는 영향)

  • Park, Se-Ju;Lee, So-In;Park, Sung-Hwan;Cho, Woon-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.254-259
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    • 2018
  • This study was conducted to investigate the effects of therapeutic climbing training on postural alignment and balance of normal adults and to suggest possibilities for clinical intervention. The study investigated 30 normal adults who were randomly assigned to either a training group or a control group (n= 15 each). The training group performed climbing training on the climbing wall three times a week for 6 weeks for a total of 40 minutes, while the control group did not perform any training. Biorecue was used to evaluate balance ability, while formetric was used for evaluation of postural alignment. The results showed that there was a significant difference in body slope between the groups in posture alignment (p<.05), as well as in balance ability (p<.05) and time and group interaction (p<.05). In this study, climbing training affected the posture alignment of normal adults, increased the left and right torso tilt and positively affected balance ability. Therefore, these findings confirm that training using climbing is valuable for rehabilitation and clinical application intervention of the general public and patients.

Effects of Dan Jeon Breathing on Stress, Sleep Disturbance and Self-esteem of Hemodialysis Patients (단전호흡이 혈액투석환자의 스트레스, 수면장애 및 자아존중감에 미치는 효과)

  • Jeong, Mi-Hyun;Park, Ok-Lae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5882-5892
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    • 2012
  • This study was performed to examine the effects of Dan Jeon Breathing on stress, sleep disturbance and self-esteem of hemodialysis patients. This study used the nonequivalent control group pretest-posttest design. Before applying the Dan Jeon Breathing program, the patients were divided into the experimental group and the control group, respectively, and were requested to report their self-ratings to measure their stress, sleep disturbance and self-esteem. The Dan Jeon Breathing program was given to experimental groups for 60 minutes a day and 2 times a week for 12 weeks. The data collected from the program were analyzed by means of ${\chi}^2$ test, Fisher's exact probability test, Shapiro-Wilk and t-test. The analyses revealed that the stress(t=-2.95, p=.006) and sleep disturbance(t=-2.13, p=.041) levels of the experimental group decreased after Dan Jeon Breathing compared to those of the control group. The difference in self-esteem(t=2.44, p=.020) level was statistically significant. From the above results, it was verified that Dan Jeon Breathing could be used as nursing intervention for hemodialysis patients to mitigate their stress, sleep disturbance and to improve their self-esteem.