• Journal of Korean Neurosurgical Society
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• 제29권12호
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• pp.1612-1619
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• 2000

Objective : To retrospectively analyse the surgical outcome and efficacy of the lumbar spinal surgery in sixty to older patients who failed to conservative treatments. Methods : Between July 1990 and November 1996, the authors retrospectively investigated the medical records of 46 patients who over 60 years of age at the time of surgery. The clinical severity was assessed with Prolo's grade(economic and functional). Questionnaire was sent to each patient regarding long-term effect, satisfaction, and side effects. Results : In 46 patients, 2 patients(1 case died of lung cancer, 1 case lost in follow-up) were lost. Among 44 patients (28 men, 16 women ; mean age 64 years), 22 patients underwent partial or total laminectomy, 17 spinal fusion with instruments, 2 chemonucleolysis, 2 adhesiolysis for failed back surgery syndrome, and 1 automated percutaneous lumbar discectomy. Although postoperative complications were observed in 5 patients, they were successfully managed. No deaths were documented in the perioperative periods. The average Prolo's economic and functional grade improved from 2.98 to 3.48 and 2.81 to 3.75, respectively. Conclusion : In overall, the favorable surgical outcome was obtained. This results indicated that with appropriate preoperative selections and indications, careful intraoperative monitoring, and attentive postoperative care, the surgical treatment of eldery patients for the lumbar spinal disorders, significant improvement with acceptable levels of morbidity and mortality can be achived.

• 대한간호학회지
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• 제22권2호
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• pp.143-156
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• 1992

This descriptive study explored the health and illness concepts of preschoolers to provide understanding on which to build research. The subjects were convenience sample three to six year of age attending one art institute in Cheju city. Data were collected through semistructured interviews by author, Children were asked to draw two figures, one healthy and one ill persons. The drawings were not analysed to grasp the meaning as in a projective technique, but only to relate to their response. Data were coded and categorized by content analysis. The results of this study are summarized as follows : 1) Three year olds responded with some unrelated answers but well to questions related to their experiences of illness ; older participants answered questions related health and illness concepts more easily. Generally the levels of subjects' responses did not differ according to age and sex. 2) Preschoolers' answers about the cause, treatment and prevention of illness, and the meaning and promotion of health were coded and then classificated to 9 categories, (food, obedience to authoritys physical function, presence or absence of illness or symptoms, hygiene. treatment, traumatic injury, rest and germs). Food and obeidence to authority categories were most frequent responses the food category was associated with obeidence to authority because it seemed that the children follow the orders of their parents or other authority figures to eat or not to eat something This result was compatible with that of previous studies that preschoolers perceived illness as possible punishment for misbehavior. Participants except for one four year old boy did not suggest that germs cause illness. The children perceived themselves and their families as healthy even though they had symptoms of illness. 3) Preschoolers' health and illness concepts were. influenced by their experiences and related to their development that rules derived from authority and if not complied with, will bring punishment. These oonceptualizations may be the disparity that they perceived themselves and their families as healthy even though they were ill. A previous study by Perrin and Gerrity suggested that the level of children's illness concepts correlated with that of their physical causality and was lower than it. But the levels of health and illness concepts in this sample higher than those of the physical causality.

• 한국임상보건과학회지
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• 제6권1호
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• pp.1056-1064
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• 2018

Purpose. This study reported on body type perception of people aged ${\geq}19years$, regardless of gender, and on its association with disease morbidity and the quality of life and aimed to observe the effects of stress on body weight perception, disease morbidity, and the quality of life. Methods. The data from 218,899 persons aged ${\geq}19years$ who were respondents to the 2010 Community Health Survey were finally analyzed. A designated program was used to perform complex sample analysis; chi-square test was carried out to determine body type perception by the general characteristics and disease status and analyze health-related behavior and weight control behavior by body type perception, and multiple logistic regression was used to observe the effects of body type perception on mental health and the quality of life. Results. 34.9% of all the respondents misperceived their body type and females were more likely to misperceive their body type. The older they were, the more poorly they perceived their body type; those perceiving their body type poorly were significantly more susceptible to both hypertension and diabetes. When correction was made in relation to gender, age, and so on, those perceiving their body type excessively were more susceptible to hypertension (1.43[1.367-1.050]) and diabetes morbidity (1.36[1.294-1.428]). Body type perception affected the quality of life: the respondents perceiving their body type poorly (0.91[0.884-0.940]) or excessively (0.75[0.720-0.770]) showed lower quality of life than those perceiving their body type correctly. Conclusions. Distorted body type perception affected disease morbidity and the quality of life: the respondents excessively perceiving their body type were significantly more susceptible to both hypertension and diabetes and those perceiving their body type excessively or poorly showed lower quality of life than those perceiving it correctly. It is therefore necessary to make multilateral efforts to cultivate correct body type perception.

• Journal of Microbiology and Biotechnology
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• 제17권4호
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• pp.611-615
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• 2007

The purpose of this study was to evaluate the immunogenicity and safety of Salmonella Typhi Vi capsular polysaccharide vaccine (Vi vaccine) in Korea. The immunogenicity of a single dose of Vi vaccine was evaluated in 157 subjects (75 children and 82 adults) before and at 1, 6, and 12 months after vaccination. Immunogenicity was measured with a passive hemagglutination assay (PHA), quantified as geometric mean titers (GMTs) and seroconversion rates. The safety of the vaccine was investigated by determining adverse reactions occurring within 4h, 3 days, and 1 month after injection. The seroconversion rate for children and adults 1 month after vaccination was 96.92% and 89.02%, respectively. In the case of children, the GMTs of Vi antibodies before vaccination were $5.87{\pm}1.34\;and\;142.59{\pm}2.39$ at one month after vaccination. For adults, the GMTs before and one month after vaccination were $5.58{\pm}1.28\;and\;58.56{\pm}3.67$, respectively. Vi antibodies persisted for as long as 6 and 12 months after vaccination. All adverse reactions in adults and children were minor and did not require treatment. The Vi CPS vaccine was safe and immunogenic in adults and children older than 5 years.

• 노동경제논집
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• 제27권2호
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• pp.1-27
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• 2004

경제발전과 함께 하락추세를 보였던 취업 중 자영업이 차지하는 비중은 1990년대 들어 상승추세로 반전하였다. 고용주 비중이 상승추세를 유지하는 한 편, 남성 자영업 진출이 급속히 늘어난 데서 원인을 찾을 수 있다. 이는 자영업이 취업의 대안으로서 차지하는 위치와 특성, 그리고 역할이 변화하고 있음을 의미한다. 본 연구는 자영업이 임금근로에 대한 좋은 대안으로 역할을 하고 있으며, 노동시장 퇴장가교직이나 진입가교직이라는 양면에서 '자영업이 가교직으로 역할을 하는가?'에 대해 한국노동패널 조사자료를 이용하여 분석하고 있다. 연령이 높을수록, 여성일수록, 학력수준이 낮을수록, 건강 상태가 좋지 않을수록 퇴장가교직을 택할 확률은 높아지는 반면, 진입가교직을 선택할 확률은 낮아지는 것으로 나타난다. 경기변동은 퇴장가교직에만 통계적으로 유의한 부정적인 효과를 갖는다. 고령화 사회에서 은퇴를 앞둔 고연령자에 대한 노동정책은 고령화 적합직종이라는 효과가 적은 정책보다는 고령자를 노동시장으로 끌어들이되 이들의 경험과 노하우 및 경험과 자본을 바탕으로 하는 자영업을 주요 대안으로 고려하는 것이 바람직하다.

• 보건행정학회지
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• 제22권2호
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• pp.207-224
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• 2012

This study estimates the total health expenditure of ambulatory dental care and explores the factors related to disbursements. The study used two waves of a 2008 Korea Health Panel (KHP) survey, of which each wave is composed of 7866 households and 24,659 persons. The KHP includes missing expanses of reimbursement data of the National Health Insurance (NHI), such as out-of-pocket, drugs, and private health insurance. The study estimates total monthly ambulatory dental expenditure and the sub-special categories of dental care. For influential factors analyses, the study exploits log-linear model with age, gender, education, job, equivalence income, the status of chronic diseases, means-tested benefit recipients, private insurance, and the composite deprivation index as independent variables. The total monthly outpatient health spending is estimated to be 102,468 won per household, and for dental, each household spends 31,115 won per month. Older age, means-test recipients, non-regular workers are more likely to spend less money on dental care, whereas private insurers, high income, and those who live in less deprived areas are more likely to spend more money for dental services. From the study we found that the KHP data are more suitable to estimate the total amount of health care markets, especially when the NHI coverage is low, such as for dental care in Korea.

• 한국콘텐츠학회논문지
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• 제10권10호
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• pp.304-317
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• 2010

본 연구는 일반성인의 존엄사의 법제화에 대한 의견을 살펴보고자 서울 경기지역에 거주하는 20세이상 남녀 561명을 대상으로 설문조사를 실시하였다. 응답자의 개인적 특성과 죽음과 관련한 개인적 경험, 죽음에 대한 생각, 존엄사 및 법제화에 대한 찬반여부, 법제화 요건에 대한 의견 등의 총 28개 항목에 대해 백분율, 평균분석 및 교차분석을 실시하였다. 조사결과 응답자의 87.3%가 존엄사법제화에 찬성하였으며, 연령이 높아질수록, 기혼인 경우, 부부가구의 경우, 불교를 믿는 경우, 자영업자나 생산직 종사자의 경우, 가족 친지의 투병 및 임종경험, 간병경험이 있는 경우, 사후세계에 대한 믿음이 강한 경우, 유언의 필요성을 느끼고 있는 경우 존엄사의 법제화 찬성율이 더 높은 것으로 조사되었다. 법제화를 위한 요건으로 '본인의사 판단의 근거'를 가장 중요시하였으며, '존엄사의 결정자'에 대해 본인 다음으로 가족의 의견을 중요시하는 것으로 나타났다. 필요서비스로 존엄사 결정시 '본인, 가족과 의사와의 의견조율'에 대한 도움과 '질병경과나 연명치료 과정에 대한 의학적 정보'와 '우울 등 심리상담'을 필요로 하는 것으로 나타났다.

• 한국건강관리협회지
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• 제2권2호
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• pp.187-197
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• 2004

Owing to continuous economic growth, an increased standard of living, and improvements to health care in Korea, the life expectancy of Koreans rose from 69.0 years in 1985 to 71.3years in 1990. It continued to rise throughout the 1990s, and, by 2002, had reached 76.5years for the general population and 80.0 years for Korean females. Similarly, the percentage of the Korean population that is 65 years of age or older increased from 3.1 in 1970 to 7.1in 2000, and is expected to reach approximately 14,0 in 2019. Thus, according to this estimate, Korea will have evolved from an "aging society" to an "aged society" in only 19years. In the case of other countries, this same transformation has generally taken 2 to 5times longer. One of the major issues related to Korea's rapidly aging population relates to the health problems of the elderly. According to the 2002 National Health Survey Report, 87,6 percent of the elderly were reported to Have at least one chronic disease. In other words, almost 9out of every 10 elderly persons in Korea were suffering from a chronic illness, This, clearly, places a significant economic burden on Korean society in the form of increased health care Costs. This paper examines the increasing prevalence of chronic diseases within Korea's rapidlv aging population and offers some possible short- and long-term solutions to cope with the increased burden being placed on Korea's health care system. These include the basic services at local health centers for the elderly and the national life-long health promotion programs that aim to correct unhealthy behavior, such as smoking, the excessive use of alcohol, and poor eating and exercise habits.

• 한국실내디자인학회논문집
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• 제17권2호
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• pp.111-121
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• 2008

In recent years, Korean population aged 65 and over has grown faster(7.2% in 2000, 14.4% projected in 2018 and 20.0% in 2026) than the other age groups and average life expectancy has increased from 65.8 years in 1980 to 75.9 years in 2000. The Aging Simulation Center(ASC) was built for people to give educational chance for further understanding of the elderly and the environment for the aged. People are able to recognize the changes including hearing loss, vision changes, and changes in the ability to touch and move after experiencing the simulated daily life of older persons. In general, ASC is composed of residential setting area and exhibition area of daily commodities for the elderly and care person. Currently, there are four ASCs in Korea. The purpose of this study is to evaluate the characteristics of space design and design elements of ASCs and to suggest design implementation for better residential environment for the elderly. For the research purpose, design characteristics such as floor plans and spatial design elements of three ASCs were analyzed and compared. As a whole, space design of three ASCs was almost same without distinguished characteristics. The major finding of this study indicates that the ASC is considerably helpful environment to understand aging. However, some of design elements such as lighting should be supplemented for safety issue. It is recommended for future design of ASC to include exterior space including outdoor stairs, paths and roads and so on. In addition, reception and preparation area should be arranged with universally designed furniture.

• 한국사회복지학
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• 제61권1호
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• pp.359-382
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• 2009

본 연구는 부정적인 삶의 사건과 일상적인 근심으로 인한 스트레스가 초고령 노인의 삶의 만족에 미치는 영향을 확인하고 나아가서 이러한 영향에 대한 심리사회적 자원의 완화효과를 검증하였다. 213명의 지역사회에 거주하는 85세 이상 노인을 대상으로 기술적 분석, 회귀분석 등이 실시되었다. 주요분석결과를 보면 다음과 같다. 첫째, 초고령 노인들은 건강문제를 가장 중요한 삶의 사건이나 일상적인 근심으로 제시하였다. 둘째, 일상적인 근심으로 인한 스트레스, 수입수준, 자녀와의 동거, 기능손상수준은 초고령 노인의 삶의 만족에 영향을 미치는 데 반해 부정적인 삶의 사건으로 인한 스트레스는 유의미한 영향을 미치지 못하였다. 셋째, 심리사회적 자원 가운데 자녀로부터의 정서적 지지와 노인의 자아존중감은 일상적인 근심으로 인한 스트레스가 초고령 노인의 삶의 만족에 미치는 부정적 영향을 감소시키는 완화효과가 확인되었다. 이러한 연구결과에 따라 자녀로부터의 정서적 지지의 활성화, 자아존중감 향상을 위한 프로그램의 적용 등 초고령 노인의 삶의 만족을 향상시키기 위한 실천적 함의가제시되었다.