• 한국산학기술학회논문지
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• 제13권9호
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• pp.3973-3982
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• 2012

본 연구의 목적은 노인요양시설 입소노인의 인지장애 및 그와 관련된 요인을 파악하여 조기 개입을 통해 인지장애 악화방지 및 개선을 도모하기 위함이다. 서울과 경기도 소재 노인요양시설 5개소에서 생활하는 65세 이상의 노인 229명에 대한 자료를 수집하여 SPSS statistic 18.0과 Clementine 11.1 프로그램을 이용하여 로지스틱 회귀분석을 시행하였다. MMSE-K 도구를 사용하여 인지장애 여부를 선별하였으며 노인요양시설 입소대상자의 인지장애의 관련요인으로 성별(OR=2.41, p=.035), 연령(75-84세: OR=3.26, p=.002, 85세 이상: OR=4.46, p<.001), 입소전 동거여부(OR=2.17, p=.015), 청력(OR=8.88, p=.004), 치매가족력(OR=4.39, p=.009), 일상생활 수행능력(OR=0.82, p<.001), 고혈압(OR=4.07, p<.001), 당뇨병(OR=3.42, p=.001) 등이 최종 확인되었다. 따라서 본 연구에서 도출된 인지장애 관련요인 중 조절 가능한 요인을 중심으로 노인요양시설 대상자에게 지속적인 중재를 제공한다면 건강의 유지, 증진으로 이어져 삶의 질 향상을 도모할 수 있을 것이다.

• 재활간호학회지
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• 제10권2호
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• pp.90-98
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• 2007

ression and quality of life of family caregivers of patients with Parkinson's disease(PD). Methods: A cross-sectional descriptive study was conducted in one neurology outpatient clinic in Seoul, Korea from March to June, 2006. Sixty eight family caregivers of PD patients were participated to the study, using CES-D and SF-36. Results: Mean scores of depression were $16.18{\pm}8.39$ (range: 0-48) and it was a little lower than caregiver's who took care of Dementia patients and were higher than primary caregivers of the patients with Stroke. Time for caregiving, perceived severity, duration of PD were significantly related with depression respectively. Higher ADL scores which mean greater motor disabilities were related to higher caregiver depression. Lower income and greater medical expenditure were closely related with the depression of family caregivers respectively. The mean scores of total QOL were $435.5{\pm}96.5$ and the mean scores of PF, SF, RE and MH were lower than general population. Time for caregiving, depression, patients' ADL scores were significantly associated with QOL respectively. People who were older and had lower educational background showed lower QOL scores respectively. Conclusion: Healthcare professionals should pay more attention to emotional aspects of caregivers who take care of PD patients, and develop comprehensive management strategies both for patients and their caregivers.

• 보건의료생명과학 논문지
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• 제9권1호
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• pp.95-102
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• 2021

본 연구는 강원도 영북권역에 소재하는 모든 의료기관을 대상으로 지역주민 중 65세 이상 노인인구의 의료기관 이용도를 2003년부터 2017년까지 입원 질환을 '요양병원을 포함'과 '요양병원을 제외'로 나누어 분석하였다. 그 결과 영북권역 노인인구 입원이용(요양병원 포함)에서 고혈압과 치매, 근골계 질환, 소화기계 질환, 기타 질환 순으로 차지하고 있으며, 노인인구 입원이용(요양병원 제외)의 경우 고혈압을 포함하는 혈액·순환기계 질병, 소화·비뇨기계 질환, 정신질환, 기타 질환 순으로 나타났다. 따라서 노인들의 치료 및 건강관리가 매우 중요하며 이를 위한 공공 의료조직의 확충이 필요하며 이를 위해 지역 내 의료기관, 단체, 대학 등과 거버넌스 구축이 필요하며 이를 바탕으로 강원도 영북지역 노인의 건강한 삶을 유지 할 수 있도록 예방적 차원의 보건사업이 수행되어야 한다.

• 보건행정학회지
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• 제28권4호
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• pp.352-359
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• 2018

Background: The purpose of this study is to propose an analysis of trends and characteristics of high-cost patients who take over 40% of total national health insurance medical expenses. Methods: It has been analyzed the tendency of high-cost patients by open data based on the medical history information of 1 million people among national health insurance subscriber from 2002 to 2015. To conduct detailed study of characteristics of high-cost patients, multiple regression has been performed by sex, age, residence, main provider, and admission status based on the top 5% group. Results: The amount of medical expenses and the number of high-cost patients have gradually increased in decades. The number of high-cost patients for Korean won (KRW) 5,000,000 category has increased by 7.6 times, KRW 10,000,000 category has increased by 14.1 times in comparing of year 2002 and 2015. Top 5% medical expenses have increased by 4.6 times. In consideration of the characteristics of patients, the incidence of high medical expenses has been higher in female patients than male ones, the older patients than in the younger. Patients residence in Gyeonsang or Jeonla province have had a high incidence of medical expenses than other area. The disease including dementia, cerebral infarction, and cerebrovascular disease for high-cost patients has been also increased. Conclusion: The major increase factor for high medical expenses is the aging of population. The elderly population receiving inpatient care residing in the province that increases high medical costs have to management. There is an urgent need to develop a mechanism for predicting and managing the cost of high-cost medical expenses for patients who have a heavy financial burden.

• KIEAE Journal
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• 제7권2호
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• pp.77-85
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• 2007

Korean society expects to be changing into aged society more rapidly than any other countries due to low birthrate and increase in life expectancy. Increasing number of elderly and social problems of aging society have provoked increase in research on elderly environment. Elderly housing facilities and living conditions are significantly related to the quality of life for older persons. The purpose of this study is to systematically analyze empirical studies on elderly physical environments in Korea, find out research streaming and understand social backgrounds and to suggest future research problems. For this study, contents analysis was conducted. Articles of four academic peer reviewed journals published from 1986 to 2005 were units of analysis. Using a keyword through library database systems, the articles were systematically selected. As results, trends of research according to 4 periods were defined. Among them as major trends, expansion of the quantity, expansion to interior design features for older persons, more facility types for dependent elderly(assisted living facilities, facilities for elderly with dementia, long term care facilities) have appeared. This result showed some directions and implications on elderly facility planning and development.

• 디지털산업정보학회논문지
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• 제6권3호
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• pp.1-8
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• 2010

Recently, the missing due to the heinous crimes occurred in succession has been the focus of attention, so measures for these are urgently needed. So, it is necessary that we need to check and take care the weak like children, women, the elderly with dementia and insane person to prevent these social problems. This study is location-based service that suggests the tracking system and way to guard a family and property from the various risk factors which are possible in our life. To acquire the location of the user who is in motion, a communications network technologies were integrated and the system will be able to be monitoring in real time through the website. So, it is convenient and safe because it is possible to use anywhere. Concretely, it was described around location-based service, GPS system, tracking system, process of the service solution and composition for the system. Also, the way to activate the system will be suggested. The final suggested system was verified the possibility through the placement. With this, i will offer effective measures which is more convenient to use and reliable.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 1988년도 한국자동제어학술회의논문집(국제학술편); 한국전력공사연수원, 서울; 21-22 Oct. 1988
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• pp.885-890
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• 1988

This is a successive study of the development and application of an electronic safeguard system for elderly men (senile dementia patients) who wander without purpose because of declined mental capability, while retaining their physical ability. The new safeguard system is designed with some additional functions on the basis of the previously developed system. Firstly, alarms are designed not to disturb other patients at night, so that informations about doors from which the patients go out may be transmitted to helpers individually by radio paging system. Secondly, the system hardware can be set up anywhere without laying particular signal transmission cables, provided that there exist AC power distribution lines for the utilization as a transmission line of signals to alarm indicators. Thirdly, it is possible to have a grasp of the whole states of the safeguard systems at the center of operation by monitoring the operational state of each system with a necessary data acquisition according to its instruction through telecommunication network. Thus, each safeguard system can be economically supplied to the special nursing homes and the helpers are ensured more released from physical and psychological burdens so that they can devote themselves to the care of senile elderly men, thereby improving their patients' comfort and human dignity.

• 재활간호학회지
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• 제8권1호
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• pp.20-30
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• 2005

Purpose: The purpose of this study was to investigate the stress level and health status of primary caregivers living with demented elderly. Method: The subject was 92 primary caregivers who had been taking care of demented elderly at home. The research tools were a stress questionnaire and health status questionnaire. The data were collected through direct interview with a questionnaire in the B city, from February to March 2004. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficients and Scheffe test using SPSS/PC 11.0 program. Results: The primary caregivers living with demented elderly showed slightly high level of stress and moderate level of health status. Moreover, there was a significant correlation between the stress level and the mental and the physical health status. Conclusion: Based on the results, we recommend the development of an intervention program to decrease the stress level of primary caregivers living with demented elderly for improving their health status.

• 정신신체의학
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• 제16권2호
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• pp.81-86
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• 2008

섬망은 자연적으로 발생하는 상태는 아니며 더욱이 내인성 질환은 아니다. 그러나, 섬망은 일부 특정인구 집단에서 발생하는 데, 노인 또는 내과적 상태가 악화된 환자들에서 흔히 발생된다. 이것은 체계적인 섬망역학 연구의 제한점으로 작용한다. 일반 인구 집단에서는 그 발생이 상대적으로 적기 때문에 섬망에 대한 많은 역학 연구들은 노인에 집중되었다. 그리고, 연구에 사용된 섬망 평가도구들의 민감도와 특이도도 매우 다양하다. 노령, 남자, 불량한 인지 및 기능 상태, 그리고 알코올 남용이 잘 알려진 섬망의 위험 인자들이다. 저자는 노인, 치매 환자, 고관적 골절 환자, 중환자실 입원 환자, 말기 암 환자, 그리고 뇌졸중 환자에서의 섬마의 역학에 대하여 다루게 될 것이다.

• Journal of Microbiology and Biotechnology
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• 제27권7호
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• pp.1272-1275
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• 2017

Two dimeric sesquiterpenes were separated from Chloranthus japonicus Sieb. and identified as shizukaols C and F. They exhibited potent antifungal activities ($MICs=4-16{\mu}g/ml$) in vitro against various plant pathogenic fungi (Pythium ultimum, Phytophthora infestans, Botrytis cinerea, Colletotrichum lagenarium, Alternaria kikuchiana, and Magnaporthe grisea). Shizukaol C showed 88% and 91% protective activities in the greenhouse against Puccinia recondita (wheat leaf rust) and Phytophthora infestans (tomato late blight), respectively, at $100{\mu}g/ml$; shizukaol F exhibited 93% antifungal activity against Puccinia recondita at the same concentration. Therefore, these compounds might serve as interesting candidates for effective antifungal agents.