• 제목/요약/키워드: Active Elderly

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Smart-Telemedicine System Design and Business Model Analysis for Longitudinal Healthcare (예방의학을 위한 Smart-Telemedicine 시스템과 비즈니스 모델의 설계와 분석)

  • Kim, Chanyoung;Kwon, Dosoon;Lee, Jaebeom;Kim, Jinhwa
    • Information Systems Review
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    • v.14 no.2
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    • pp.1-19
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    • 2012
  • Recently due to the enhancement of education and lifestyle, the trend of healthcare services are changed to a more active and differentiated service in which a continuous self health care is possible. The Smart-Telemedicine system offers medical services by merging Blue-tooth and telecommunication modules to former blood pressure, blood sugar, heartbeat and temperature measuring devices. Moreover, it could analyze one's health pattern which would be helpful for the patient to prevent potential future illness. In addition, the easier accesses to various remote controllable medical check-up programs are offered to public as a number of available smart phone are rapidly escalating. The Smart-Telemedicine system provides the most ideal interactive medical service via accessible smart phones and mobile medical check-up devices at anywhere and anytime. It is very beneficial since it can save patients' time and money because people can reach to the service right at their home and be allowed to take charge of their health care process via longitudinal health data. Therefore, not only social costs that occur in elderly community would be saved, but also business in various forms of medical service field transactions could be possible. This paper will suggest the Smart-Telemedicine System for preventive medicine, its design and analysis of business models and the evaluation of those model.

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Characteristics of Pain Threshold and Pain Experience in Elderly Patients with Dementia (노인 치매 환자의 통증 역치 및 통증 경험의 특성)

  • Bang, Hyeon-Cheol;Park, Ki-Chang;Kim, Min-Hyuk;Lee, Yeong-Bok;Roh, Hyun-Jean
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.140-146
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    • 2013
  • Objectives: We compared the characteristics of the pain threshold and pain experience between demented group and non-demented group. Methods: This study was part of Gangwon projects for early detection of dementia in 2010. We recruited 8302 local resident ages over 65 years old. Of theses, 1259 people who scored low MMSE were selected and 365 of them completed CERAD-K(Consortium to Establish a Registry for Alzheimer's disease). Finally, 90 in non-demented group and 57 in demented group(mild to moderate Alzheimer's disease) were analyzed. Pain threshold was experimentally measured by pressure algometer and we investigated the pain experience, by Brief pain inventory (BPI), a self-report test. Results: In the demographic characteristics, there are more female, higher ages, lower education in the demented group. There was no significant difference between the two groups in the pain threshold. On the BPI results, 'shoulder pain', 'the number of pain' and 'interference of working' were significantly more prevalent in non-demented group. However, there are no significant differences between the groups in the 'pain severity', 'prevalence of pain' and 'pain treatment'. Conclusions: Demented group report less pain experience but, still perceived pain. It support previous studies that patient with dementia have increased pain tolerance but preserved pain threshold. Thus, active pain assessment and treatment for patients with dementia is needed.

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Population and Employment Structure of Women by Region (지역별 여성의 인구구조와 취업특성)

  • Kim, Tae-Hong
    • Korea journal of population studies
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    • v.21 no.2
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    • pp.37-57
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    • 1998
  • In recent, Korea introduced the local self-government system. And the local government tried to establish and implement plans for women. Those plans were established on the basis of not the particular environments of regional societies but similar policies of central government. Despite of geographical migrations, we can find differences of population structure and economic status among regions. As the result, most of regional policies for women were ineffective. This paper examines population structure and economic status of women by regions and recommends the long and medium direction for local policies for women. For analysis, it utilizes the 2% sample data-set of National Statistical Office's '1995 Population and Housing Census' in Korea. The findings of this paper are summarized as following; Firstly, the dependency rate of Chungchong-do, Cholla-do, Kyongsangnam-do will reach about 45% in 2000. Therefore, as soon as possible, those local government should establish the labor policies to enhance the economically active participation rate of the elderly persons and welfare policy for them. Secondly, the level of women's economic participation. Thus, local governments should set up labor market policies for women according to regional situations. For examples, in Kyonggi-do, Seoul, Daejeon, Daeku which unemployment rate of the highly educated women are relatively high, those local governments should seek the measures to tackle unemployment problem of them. Thirdly, due to the differences regional economic structure, women's employment structures differed also by region. Hence, local governments should formulate suitable plans to consider the working status of regional women's workers.

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A Social Network Analysis on the Research Trend of Korean Rural Development (농촌개발 연구동향에 관한 사회연결망분석 - 주제어 중심 구조분석을 중심으로 -)

  • Park, Soo-Jin;Na, Ju-Mong
    • Journal of the Korean Regional Science Association
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    • v.32 no.3
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    • pp.29-43
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    • 2016
  • The purpose of this study is to derive research subject that has been overlooked in previous studies and contribute to seek to the direction of research in rural development by analyzing the studies in the last 30 years on rural society. In this study, Social Network Analysis was used for identifying the changes in research themes and connection structure of keyword. The study shows that in the previous Roh Moo-Hyun's Administration from 1986 to 2000, the convergence of the research is not active. In terms of the connection structure of keyword, lots of keywords are connected to the 'Migration, IMF, Satisfaction, Green Tourism' but its form is not complicated. In the Roh Moo-Hyun's Administration from 2001 to 2007, the academic exchanges and convergence of keywords on rural development were promoted research. The connection structure of keyword was formed like a complex cluster associated with 'The Rural Elderly, Rural Tourism, Rural Development Policy, Urban-Rural Comparison'. Although some scholars who study 'Women's Studies, Tourism' formed the cluster, its form is still passive. Since 2008 until now, the keyword network of rural development research clustered densely and formed singly. It reveals that the convergence of research subjects has proceeded actively. And studies such as the 'Community, Participation, Social capital, Quality of life, Social networks, Alternative food movement' have begun.

Polypharmacy in Patients Discharged from Oncology Department (종양내과 퇴원 환자의 다제병용 분석)

  • Bae, Hyunjin;Hahn, Jimin;Lee, Yong Hwa;Kim, Hyangsook;Lee, Hye Suk;Lee, Se-Hoon;Heo, Dae Seog;Lee, Juyeun
    • Korean Journal of Clinical Pharmacy
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    • v.23 no.1
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    • pp.42-48
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    • 2013
  • Background: Patients diagnosed with cancer tend to have multiple risk factors for drug related problems such as old age, comorbid conditions, self-medication, additional medications for supportive therapy, and the cancer treatment itself. Objective: The aim of this study was to investigate notable polypharmacy and related problems in oncology patients during hospitalization or following clinic visit. Method: The electronic medical records of patients who were discharged from oncology division at Seoul National University Hospital (SNUH) from June $1^{st}$ to June $30^{th}$, 2011 were retrospectively reviewed. Results: A total of 334 discharged patients were included in this study. Among them, 221 patients had pre-admission medications. Forty percent of the patients, including 60.3% of elderly patients (over 65 years of age) were prescribed more than 5 kinds of medications. Twenty percent of the patients were prescribed to take medications more than 7 times a day. Medication duplications were observed in 2.4% of patients. In 10.5% of the reviewed patients, 47 cases of potential drug-drug interaction including 3 cases of contraindication and 17 cases of major clinical implication according to Micromedex were detected. Medication changes were made in 88% of patients during hospitalization and in 94.7% of patients at their first visit after discharge. Antidiarrheal agent (loperamide) was prescribed along with laxatives in 18.5% of the prescriptions and inadequate instructions on how to take it were observed in 63% of the prescriptions. Conclusion: This study identified the prevalence of polypharmacy and related problems in cancer patients, which presents the need for an active role of pharmacists in pharmaceutical care in oncology wards.

Emergency response team activation in the outpatient clinic of a single dental teaching hospital in Korea: a retrospective study of 10 years' records

  • Ha, Sang Woon;Choi, Yoon Ji;Lee, Soo Eon;Chi, Seong In;Kim, Hye-Jung;Han, Jin-Hee;Han, Hee-Jeong;Lee, Eun-Hee;Kim, Hyun Jeong;Seo, Kwang-Suk
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.15 no.2
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    • pp.77-83
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    • 2015
  • Background: To prepare for possible emergency situations during dental treatment, it is helpful to know how often and what kinds of emergencies may arise. This study set out to evaluate the incidences, causes, treatments, and outcomes of emergency situations in the outpatient clinic of a dental teaching hospital in Korea. Methods: We retrospectively reviewed the records of patients who had experienced an emergency situation and emergency response team activated in a selected outpatient clinic between November 2004 and November 2013. Specific information about the emergency cases was collected, including the patient characteristics and the frequency, types, treatments, and outcomes of the emergency situations. Results: We identified 35 instances of emergency situations in 2,890,424 patients (incidence = 0.012 per 10,000 outpatients). The number of cases was as follows: 10 (28.6%) in the Department of Periodontics, 10 (28.6%) in the Department of Oral and Maxillofacial Surgery, 6 (17.1%) in the Department of Oral and Maxillofacial Radiology, 4 (11.4%) in the Department of Prosthodontics, 2 (5.7%) in the Department of Conservative Dentistry, 2 (5.7%) in the Department of Pediatric Dentistry, and 1 (2.9%) in the Department of Orthodontics. Three (8.6%) of the emergency situations arose before treatment, 22 (62.9%) during treatment, 7 (20.0%) after treatment, and 2 (5.7%) in a patient's guardian. Conclusions: In accordance with the growing elderly population and more aggressive dental procedures, the number of emergency situations may increase in the future. We recommend that clinicians keep in mind airway management and the active control of emergency situations.

Life Satisfaction According to Baby Boomers' Social Activity Type (베이비부머의 사회활동참여유형에 따른 삶의 만족도)

  • Kim, Yun-Jeong;Kang, Hyun-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1090-1099
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    • 2013
  • The purpose of this study was to examine difference in life satisfaction by social activity type in baby boomers. Sampling 1,115 baby boomers, gender and region were assigned. A questionnaire survey was carried out from August to October in 2011. As a result of research, first, the typology of social activity in baby boomers includes 3 groups. The passive social-participation type is the cluster to which 36.8% of the baby boomers belong. They do not join income activity or civic-group activity at all. A case of doing religious activity or family activity includes a minority. There are primarily lots of women and posteriori baby boomers. Academic background level or household income is lower compared to other clusters. The life satisfaction level is moderate. Second, the active social-participation type is the cluster to which 33.8% of the baby boomers belong. They are positive in all the social activities including income activity. What there are lots of women and posteriori baby boomers is similar to the passive social-participation type. However, the academic background or the averagely monthly household income is the highest compared to other clusters. Even the life satisfaction level is the highest. Third, the economic activity orientation type is the cluster to which 29.4% of the baby boomers belong. They participate in income activity, but don't participate in civic-group activity, educational activity, and social activity such as spending time alone. Distribution of priori-and-posteriori baby boomers, distribution of academic background, or monthly household income is moderate level of other clusters. However, unlike other clusters, there are many men. The life satisfaction level is the lowest. Based on result of this study are suggested ways to improve in life satisfaction by social activity type in baby boomers.

Relationship between Social Support, Social Participation and Physical Functioning in Older Adult : on case study of community senior centers (지역사회 노인의 사회적지지, 사회참여와 신체기능과의 관계 : 복지관 이용자 중심으로 연구)

  • Bae, Yunjo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.380-390
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    • 2017
  • This study examined the relationship between social support, social participation and physical functioning among older adults in community senior centers. The subjects of this study were 194 persons aged 60 years or older who participated in the senior center in K province and D city, from June 16 to June 30, 2016. The collected data were analyzed using descriptive statistics, T-test, one way ANOVA, Pearson correlation analysis, multiple regression analysis, and structural model analysis using IBM SPSS Statistics 23.0 and IBM AMOS 21.0. The result showed that the social support and physical functioning of the elderly in the community were above normal, and social participation was somewhat low. Interestingly, an analysis of the physical functioning between social support, social participation and depression revealed significant correlations. The factors affecting the physical health were 23.4% of the respondents who had a significant influence on social support and leisure activities. In addition, the result of structural model analysis showed that social support had a significant influence on the social participation, depression and physical functioning. Therefore, the results suggests that the development of educational programs and an age-friendly environment should be actively provided to older adults in the community by strengthening the physical function through social support for active ageing.

A Study on Library Policy and Performance Analysis to Practice Social Inclusion (사회적 포용을 실천하기 위한 도서관 정책 및 성과 분석에 관한 연구)

  • Noh, Younghee;Shin, Youngji
    • Journal of the Korean Society for Library and Information Science
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    • v.55 no.4
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    • pp.245-266
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    • 2021
  • In this study, in order to practice the social inclusion of libraries, the related policies currently announced in the 3rd Comprehensive Library Development Plan were examined, and the current status of tasks promoted by central administrative agencies and metropolitan and provincial libraries was examined based on these policies. As a result, first, in terms of active information welfare realization, various programs and services are being implemented to bridge the knowledge and information gap, but it seems that the scope of the target should be expanded in the future, cooperation with related organizations, and infrastructure improvement. Second, in terms of expanding the openness of the space, the expansion of the open space as an open space and the application of universal design are being performed. In the future, it seems that the scope of universal design application should be expanded in consideration of budget investment for continuous space reconstruction and diversity of users. Third, in terms of linking services across boundaries, services and programs are provided to infants and toddlers, children, women, the elderly, the underprivileged, job seekers, and multicultural families. In the future, it seems that the improvement of the service system for the expansion of inclusive services in libraries should precede, and cooperation between related ministries should be made to provide differentiated services. Finally, it is expected that future policy-making tasks for social inclusion should be considered not only for books, programs, and spaces, but also for librarians' education, establishment of cooperative networks with related organizations, and marketing for services and programs.

Changes in concentration of VSCs after home oral care interventions based on community care in older adults (커뮤니티케어 기반 방문구강관리 중재에 의한 노인의 구취 농도 변화)

  • Myeong-Hwa Park;Min-Sook Jeong;Jong-Hwa Jang
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.2
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    • pp.91-103
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    • 2023
  • Objectives: This case study was conducted to assess changes in the concentration of volatile sulfur compounds (VSCs) of older adults following home oral health care interventions based on community care. Methods: The participants were three elderly people with the halitosis. An oral health intervention programs including oral massage, oral hygiene care, and oral muscle training strenghtening were conducted for 12 weeks. Halitosis was measured using an oral malodor-checking device. Results: The program showed positive effects on changes in halitosis. The concentration of VSCs of the first case decreased rapidly from 44.5 Refres Oral Volume (ROV) on pre-test to 15.5 ROV on the first post-test. In the second case, the score decreased from 14.5 ROV on pre-test to 12 ROV on 2nd post-test. In the third case, the score decreased slightly from 6.5 ROV on pre-test to 6 ROV on the first post-test. Conclusions: Oral health care interventions contributed to decreasing the concentration of VSCs and improving the quality of life of older adults. The active promotion and customization of these programs are required.