• International Journal of Advanced Culture Technology
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• v.8 no.4
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• pp.82-88
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• 2020

With the development of medical care in the 21st century and the rapid development of the 4th industry, electronic devices and household goods taking into account the physical and mental aging of the silver generation have been developed, and apps related to health and health are generally developed and operated. The apps currently used by the silver generation are a form that provides information on diseases by focusing on prevention rather than treatment, such as safety management apps for the elderly living alone and methods for preventing diseases. There are not many apps that provide information on foods that have a direct effect and nutrients in that food, and research on apps that can obtain information about individual foods is insufficient. In this paper, we propose an app that analyzes food factors and provides self-medication for health promotion of the silver generation. This app allows the silver generation to conveniently and easily obtain information such as nutrients, calories, and efficacy of food they need. In addition, this app collects/categorizes healthy food information through a textom solution-based crawling agent, and stores highly relevant words in a data resource. In addition, wide deep learning was applied to enable self-medication recommendations for food. When this technique is applied, the most appropriate healthy food is suggested to people with similar eating patterns and tastes in the same age group, and users can receive recommendations on customized healthy foods that they need before eating. This made it possible to obtain convenient healthy food information through a customized interface for the elderly through a smartphone.

• The Journal of Internal Korean Medicine
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• v.37 no.2
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• pp.412-419
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• 2016

Objective: Because the number of geriatric cancer patients is on the rise but information on treatments for this population is limited, this study aimed to analyze clinical characteristics and the factors that influence treatment decisions among elderly cancer patients.Method: Data on elderly cancer patients (≥65 years of age) who were admitted to a traditional Korean medicine hospital from March 2014 to February 2016 were collected. We compared the clinical characteristics and overall survival rates of the chemotherapy group and the non-chemotherapy group.Results: Nineteen patients were included in this study. Nine people received chemotherapy, and ten people did not receive chemotherapy due to concerns about quality of life. Age, activities of daily living (ADL) score, and Eastern Cooperative Oncology Group (ECOG) performance status all showed differences between the two groups, although median survival times did not differ significantly between the two. Compared with chemotherapy alone, traditional Korean medicine combined with chemotherapy prolonged median survival times.Conclusion: Old age and low ECOG performance status and ADL scores appear to be influential factors for the decision to undergo chemotherapy. Further studies are needed to confirm that these factors influence decisions about cancer treatment methods among geriatric cancer patients.

• Journal of the Korean housing association
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• v.18 no.1
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• pp.131-139
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• 2007

The aim of this paper is to find out different preference of common spaces and shared activities in senior cohousing community between regions in Korea: Seoul and other cities. Social survey was conducted nationwide and the respondents were 50s only, since they are the generation who will face to elderly housing subject within 10 years in turbulent Korean society. Collected data, about 1000, were analyzed by SPSS program using frequency, percentage, and Chi-square test. In summary, respondents mostly would like to move to senior cohousing on circumstance when they remain alone without big difference between regions. Loneliness and housekeeping were considered as the most difficult issues for the elderly to manage by themselves. Among common spaces, exercise room was the most preferred space to meeting room and kitchen. Exercise room was more preferred in Seoul than in other cities, on the contrary meeting room was evidently less preferred in other cities than in Seoul. Regarding shared activities, resident meeting, gardening, and common meal were revealed as less preferred activities than hobby exercise and tea meeting. As a conclusion, I would like to propose that a big common living room is better to be designed for meeting room cum dining and gathering room with flexibility in order to give residents chances to know each other more often. And since common space and shared activity show different preferences by regions, those are to be designed and planned reflecting region's different circumstance.

• Research in Community and Public Health Nursing
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• v.23 no.3
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• pp.338-346
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• 2012

Purpose: The purpose of this study was to examine the association between oral health impact profile, depression and quality of life among community-dwelling elderly persons in South Korea. Methods: The design of this research was cross-sectional descriptive study. The participants were 266 community-dwelling individuals aged 65 and older. Data were collected from November 20 to December 20, 2011. The measurements for assessing the subjects' oral health, depression, quality of life were OHIP-14, GDS-SF and QOL. Data were collected using self-administered or interviewer-administered questionnaires. Collected data were analyzed using descriptive statistics, Pearson's correlation coefficient and stepwise multiple regression. Results: The participants' mean age was 77.68, and 86.5% were female, 42.9% were living-alone elders. Pearson's correlation coefficient analysis found that oral health impact profile was significantly associated with depression (r=-.622, p<.001), QOL (r=-.400, p<.001), number of disease (r=.298, p<.001), age (r=.198, p=.002), education (r=-.149, p=.015), eating habit (r=.185, p=.003). The QOL was explained 54.7% by depression (${\beta}$=-.619), oral health impact profile (${\beta}$=-.127), number of benefited welfare service (${\beta}$=.235), perceived health (${\beta}$=-.327), eating habit (${\beta}$=-.094) using stepwise multiple regression analysis. Conclusion: These results indicate that the intervention program of oral health promotion for community-dwelling elders is needed from now on.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2021.10a
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• pp.370-372
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• 2021

According to the Clinical Research Center for Dementia, 840,000 Koreans aged 65 or older had dementia patients, with a prevalence rate of 10.39%. The prevalence rate is one in 10 elderly people, but difficult for families to take care of them all day. Judged that possible to manage the conditions and schedules of elderly people living alone by utilizing AI speaker system where schedule management is stored. This paper implements modules for AI schedulers in patients with dementia. Configured to link AWS, a remote IOT, inside the raspberry pi, and to output the schedule to speakers using a calendar from Google API. Through this study, judged that ease of scheduling will help manage and schedule dementia patients.

• Journal of Home Health Care Nursing
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• v.14 no.1
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• pp.18-22
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• 2007

Purpose: The rapid change to an aging society generates an increase in the incidence of chronic diseases. Many chronic patients have been facing their illnesses without enough preparation. In order to solve these problems, we designed and tested a public healthcare service based on ubiquitous technology. Method: Telemedicine has emerged as new medical care system of chronic disease. However, public potential of its technology is difficult to know under current traditional health care system. In this work, we developed a Personal Digital Access (PDA) phone based healthcare system by trained visiting nurses for elderly patients. A field test was performed by SeongBuk Public Health Center in Seoul, Republic of Korea (ROK). Result: Surveys were generated to assess the effects of this system compared to conventional public health system. Findings of trials demonstrate that healthcare coordination enhanced by PDA phone technology is satisfactory to the patients and nurses compared to previous one because prompt responses arouse their recognition of health. Conclusion: Ubiquitous healthcare system applied to public health service proved to be efficient and time-saving to monitor and control the chronic illnesses of large population.

• Proceedings of the Korean Society of Computer Information Conference
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• 2022.07a
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• pp.461-462
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• 2022

최근 지속적인 출산율의 감소와 평균수명의 증가로 인하여, 대한민국의 초고령 사회는 예상보다 훨씬 빠르게 증가하고 있다. 핵가족 형태가 보편화되며 1인 가구도 함께 늘고 있어서 홀로 사는 노인의 수 역시 증가하는 추세이다. 주거 공간에서 낙상사고와 같은 고령화 안전사고가 많이 발생하고 있다. 혼자 사는 독거노인들의 경우 사고 발생 즉시 대처가 가능한 보호자가 없다는 문제점이 있다. 본 논문에서는 MediaPipe를 이용한 낙상사고 감지 시스템을 개발한다. 먼저, 이 시스템은 MediaPipe를 이용해서 카메라를 통해 실시간으로 수신된 영상에서 사람을 인식하고, 자세 유형 분석을 통해 낙상사고 발생 여부를 판별하여 애플리케이션을 통해 보호자에게 현장 상황을 알려주는 시스템이다. 낙상사고가 발생했다면 보호자용 애플리케이션을 통해 사고 발생 알림 및 현장 사진을 보여준다. 이와 같은 기술을 활용하여 응급상황에 처한 노인을 빠르게 구조하며 독거노인의 생활안전사고 문제를 해결하는 데에 기여하고자 한다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2024.01a
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• pp.255-256
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• 2024

고령화가 가속되면서 독거노인의 사회적 고립으로 인해 신체, 정신적 어려움이 발생하고 고독사하는 노인들의 수가 증가해 사회적 문제가 되고 있다. 또한 독거노인 관리를 위한 정부 인력은 한정되어 한 명이 담당해야 하는 사람의 수가 너무 많아 수많은 독거노인의 안전과 복지를 보장하는 데 현실적인 어려움이 있다. 이에 따라 본 논문에서는 독거노인의 안전과 복지를 책임지기 위해 IoT와 각종 센서를 활용하여 생체 정보를 수집하는 웨어러블 기기를 제작하고 데이터베이스 서버를 활용한 IT 인프라 구축을 통해 적은 인력으로 효율적인 의료 지원을 목표로 한다. 본 논문은 독거노인의 거주 환경에서 생체 데이터를 수집하고 이를 효과적으로 분석하여 컴퓨터를 통해 실시간으로 모니터링이 가능하다. 이는 고독사 상황을 사전에 감지할 뿐만 아니라 노인들의 일상생활에서 발생할 수 있는 위험 상황에 즉각적인 대처를 통해 독거노인의 안전 및 복지 수준 향상에 기여하고 나아가 소외 계층의 의료 환경 개선에 도움이 될 것으로 예측된다.

• Korean Journal of Community Nutrition
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• v.20 no.1
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• pp.30-40
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• 2015

Objectives: This study was performed to investigate the associations of food security with socio-demographic characteristics, nutrient intakes and mental health status among older Korean adults. Methods: This study was conducted using data from the 2008-2010 Korea National Health and Nutrition Examination Survey (KNHANES). Subjects were 4,451 adults aged 65~98 years. Food security was measured using a self-reported question on food sufficiency of subjects' household. Based on the answers, study subjects were classified into secure, mildly insecure, moderately insecure, and severely insecure groups. Dietary intake was estimated by 24-hour dietary recall. Nutrient intake was assessed by dietary reference intakes (DRI). As for mental health status, the data on mental stress, depression, and suicide ideation were used. Results: Rate of food insecurity in older adults was 14.3%. Old age, being female, low education, low income level, living alone, and discomfort in daily living were more related to food insecurity. Means of nutrient intakes were significantly different according to food security status. Intakes of calcium, potassium, and vitamin $B_2$ were lower than recommended intakes in all groups. Consumption amounts of soy and soybean products, vegetables, mushrooms, fruits, vegetable oils, meats, eggs, seafood, and dairy products were lower in food insecure groups. Mental stress, depression, and suicide ideation were higher in food insecure groups independent of the gender and income level. Conclusions: These present findings suggested that food security is related to mental health as well as nutrition status in older Korean adults. A national system that include food and psychosocial support programs for the elderly should be considered in order to improve the overall health of older Korean adults.

• Health Policy and Management
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• v.30 no.2
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• pp.185-191
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• 2020

Background: From January 2018, a policy was applied to differentially apply the co-payment for medical expenses of 15,000 won or more from 30% to 10%-30% for each medical fee. This policy lowers the burden on the medical use of the elderly, and it is necessary to analyze the effect of the policy by confirming changes in medical use and supply behavior after 2 years. Methods: The National Health Insurance Service's national medical use database was used. As for the analysis method, first, the medical use and medical supply behavior change over the age of 65 years were confirmed, and second, in order to check the net effect of the policy, the 66-year-old as the experimental group and the 63-year-old as the control group were selected as the control group. The propensity score matching was performed using the variables of age, living alone, income quartile, residence, disability, chronic disease, and co-morbid disease scores, and then it was analyzed using the difference in difference analysis method. Results: The share of the number of treatments under 15,000 won decreased from 37.0% in 2017 to 20.2% in 2018, while the share of the number of treatments under 15,001-20,000 won increased from 8.0% to 22.7%. It was confirmed that the reason for the increase in the cost of treatment per treatment was the result of the increase in the amount of physical therapy and examination. As a result of the policy effect, the burden of co-payment per person was reduced, and as a result, the number of hospital visits per person and the total medical cost per person increased. Conclusion: The self-pay rate differential policy reduced the burden of medical expenses for the elderly and confirmed the increase in medical use. However, the interpretation of the increase in medical use was not able to distinguish whether the unsatisfactory medical care was satisfied or the inducement demand. Efficient allocation of resources is a more important point in the future when the super-aged society is in front. It is necessary to prepare a plan to induce rational medical use within a range that does not impair the medical accessibility of the elderly.