This study aims to examine the effect of housing characteristics of older adults on the willingness to continue living in local communities in order to realize the Aging in place of the elderly in Korea. Considering that the health status of the elderly is important for aging in place, both healthy and unhealthy cases were analyzed in the analyses. Housing characteristics include home ownership, housing cost burden, housing convenience, housing satisfaction, and residential environment satisfaction. The study sample is 9,798 elderly people from the 2017 survey on the elderly. Key findings are as follows: First, while 6,704 older adults (68.4%) chose to continue living in the community, 3,094 (31.6%) of the elderly did not choose to live in the local community. Second, the elderly who chose to stay in the local community are likely to have more real estate assets and less burden of housing expenses than the elderly group who did not. Third, the results report that older adults with more real estate assets and lower the housing cost burden are likely to choose sustainable living in the local community. The findings suggest that the majority of the elderly actually preferred Aging in place. This study concludes with practice and policy implications for realizing aging in place considering the elderly's needs.
Mini-implant has been reported as an alternative method to conventional diameter implants in the treatment of mandibular anterior region with narrow ridge. However, one-piece type mini-implant showed biological and technical complications, such as peri-implantitis by residual cement and prosthetic detachment. Recently, one-piece type mini-implant with additional retentive structure has been introduced to increase the retention and stability of the mini-implant. The mini-implant is based on spreading the upper retentive structure with a spreader and connected it with the inner surface of the zirconia prosthesis. In two cases, we tried to reduce these complications through the mini-implant on the narrow mandibular anterior region, and it was possible to reduce the overall treatment period through a digital system. In this case report, restoration using the digital mini-implant system showed improvement of patient satisfaction on the aspect of function and esthetic in the narrow mandibular anterior region.
In step-by-step site selection for geological disposal of high-level radioactive waste, parameters necessary for site selection will be acquired through deep drilling surveys from the basic survey stage. Unlike site investigations of rock mass structures such as tunnels and underground oil storage facilities, those related to the geological disposal of high-level radioactive waste are not only conducted in relatively deep depths, but also require a high level of quality control. In this report, based on the 750 m depth drilling experience conducted to acquire the parameters necessary for deep geological disposal, the methodology for deep drilling and the geology, geophysics, geochemistry, hydrogeology and rock mechanics obtained before, during, and after deep drilling are discussed. The procedures for multidisciplinary geoscientific investigations were briefly described. Regarding in-situ stress, one of the key evaluation parameter in the field of rock engineering, foreign and domestic cases related to the geological disposal of high-level radioactive waste were presented, and variations with depth were presented, and matters to be considered or agonized in acquiring evaluation parameters were mentioned.
The purpose of this article is to review the status of designation and preservation, management of national prehistoric sites and to suggest future applications. Prior to the discussion, the overall status of national prehistoric sites was reviewed. Specifically, the current status of designation, designated area, and distribution by region of national prehistoric sites according to the period and nature of the sites were examined in detail. Next, in order to understand the preservation and management of national prehistoric sites, I report the results of field trips to several sites, such as Geomdan-ri in Ulju, Songguk-ri in Buyeo, and Seoktaek-ri in Hongseong, and propose some measures for preservation, maintenance, and management of the remains. Finally, by referring to cases of US national historic sites such as protection, conservation, operation and management system and academic research project of cultural heritage, it is necessary to consider the need for a direction of the utilization that considers both socio-economic aspects as well as education and research on cultural heritage. The active use of cultural heritage can be a measure that leads to the continuous preservation and management of the sites, and ultimately will be a shortcut to increasing the value of national prehistoric sites.
Lim, Jin Gyu;Lee, Da Hye;Oh, Kyung Jin;Choi, Sujin;Song, Young Hwan;Lee, Joowon;Lee, Hyunju
Pediatric Infection and Vaccine
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v.28
no.3
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pp.173-180
/
2021
After initial reports of multisystem inflammatory syndrome in children (MIS-C) in April 2020 in Europe, this disease has been known to occur in children with recent history of coronavirus disease 2019 (COVID-19) and most cases have been reported in Europe and the Unites States of America. We report a case of a 14-year-old girl who was diagnosed with MIS-C with acute myocarditis and successfully treated with intravenous immunoglobulin (IVIG), methylprednisolone, and anakinra. At initial presentation, she had persistent high fever, generalized rash, generalized swelling, abdominal pain, and low blood pressure. She showed a remarkably elevated level of inflammation and cardiac enzyme markers and had a previous history of COVID-19 5 weeks before the initial presentation. After extensive work up, other infectious and non-infectious causes were excluded. She was diagnosed with MIS-C and initially treated with IVIG and high-dose methylprednisolone; however, despite treatment, her heart function deteriorated and coronary artery dilatation progressed. Therefore, anakinra, an interleukin-1 receptor antagonist, was administered on hospital day 6, after which her cardiac function exhibited improvement. She was discharged on hospital day 19 without any symptoms, and follow-up echocardiography after 1 month revealed fully recovered heart function with normal coronary arteries.
Cheong, Moon Joo;Lee, Do-Eun;Kim, Jeesu;Kang, Sunghyun;Lyu, Yeoung Su;Jung, In Chul;Kang, Hyung Won
Journal of Oriental Neuropsychiatry
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v.33
no.3
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pp.227-239
/
2022
Objectives: The purpose of this study was to develop a standardization manual for Emotion To Emotion therapy. In this study, the processes and categories derived through literature search related to the Emotion To Emotion treatments, were revised and supplemented by the expert FGI (Focus Group Interview). Afterwards, the expert Delphi was conducted, to develop a standard manual for the disease types, purpose, and method of Emotion To Emotion therapy. Methods: In this study, literature analysis and expert Delphi, as a quantitative research method, were conducted, and the expert Focus Group Interview (FGI) was conducted as a qualitative study. The manual was completed by leading the consensus, on the standardization manual for Emotion To Emotion therapy. After that, a clinical expert Delphi was conducted to test the reliability as well as validity of the manual, through quantitative consensus on the manual of the Emotion To Emotion therapy. Results: First, as a result of literature studies, to date, studies related to Emotion To Emotion therapy have been qualitatively and quantitatively limited, as comparative literature related to clinical cases. Second, through expert FGI, the manual was structured with eight sub-factors for the indication diagnosis, six sub-factors for the implementation method, and 13 detailed factors. Third, through an expert Delphi, the consensus did the factor of indication, implementation methods, and implementation process, and developed a standardization manual for Emotion To Emotion therapy ver 1.0. Conclusions: Through literature analysis, expert FGI, and expert Delphi, the Emotion To Emotion therapy standardization manual ver 1.0 was completed, and will proceed with the revision and improvement report.
The coastal plains of the Puna and Ka' u Districts of the island of Hawaii are a contradiction to the popular view that the island of Hawaii is a tropical rain forest or a vegetated landscape with abundant water sour This section of the island lies in the rain shadow of Mauna Loa a Kilauea Volcanoes and receives less than 30 inches of annual precipita When rain does come. it is in the form of sudden down pours. givi residents of the area little time to collect and conserve water. Due to porous nature of the rock. there is no standing surface water. In spite of these harsh climatic conditions. archeological evidence indic that an extensive agriculture complex existed not only along the coast. into the most remote parts of what is called the Ka'u Desert. Pass through these agricultural areas are historic and pre - historic t systems. These trail systems apparently played a significant suppor role for exchange between the ahupua's (classic land divisions of Haw and the geopolitical districts. The question arises as to how could vast agricultural complexes a heavy foot travel over miles of arid land exist without dependable wa sources\ulcorner While planting - pits and mounds were designed to make most efficient use of available water and conserve moisture(Carter 19 9). people involved in planting also needed potable water for surv Most publications and research papers dealing with the early population this area make only oblique reference to springs and wells which t populations depended upon. The Federal Cave Resource Protection Act(1988) has served as imprtus for the National Park Service to look closer at the lava tu caves and fault cracks within Hawaii Volcanoes National Park. P visitors to these underground areas found large volumes of standing wa in fault cracks. and abundant drip areas with the lava tubes. Re observes noted that in most cases. where the cracks and caves we located in the arid sections of the park. there has been extens modifiacation or utilization of these water sources by the early Hawaii and others. The variety of western containers used for collection indica that these water sources were used during historic times. William E described similar water sources in his narrative of his trip around island in 1823(Eills 1979), This report is directed at documenting recent observations and a stimulating further research into early Hawaiian water collection syst It also explores the implications that power and political influence of e chiefs in the arid portions of Hawaii could have been linked to the con of the water resources.
Journal of Korean Library and Information Science Society
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v.54
no.1
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pp.91-114
/
2023
This study increases awareness of the survey and demand for libraries in correctional facilities, which have not received much attention so far, and is necessary for improving the operation of existing research and libraries in Korea, which is conducting a current status survey of most correctional facility libraries. The contents of the service operation of the external correctional facility library were explored and analyzed. As a result of the analysis, the United States, the United Kingdom, and Germany, where correctional facility libraries are relatively well operated, are practically operating social rehabilitation programs while reducing recidivism of inmates, and library associations or local governments in each country are promoting the vitalization of correctional facility libraries. It helps and organizes committees or organizations involving related experts to discuss policy support, issue checks, research, report publication, drafting and revising guide guidelines, cooperation between libraries, and reflect them in actual operation. In addition, it maintains steady support and interest through public-private cooperation, and makes good use of the linkage system with local public libraries. As a result, it contributes to reducing the recidivism of prisoners. Through this study, the following three areas were suggested for the administrative improvement direction for correctional facility library services. First, the production and distribution of guidelines or guidebooks for correctional facility libraries, second, the establishment of a specialized correctional facility library organization within the correctional headquarters or library association, and third, the strengthening of activities and the operation of law libraries in correctional facilities.
Dayun Kang;Seung Ha Song;Bin Ahn;Bongjin Lee;Ki Wook Yun
Pediatric Infection and Vaccine
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v.29
no.3
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pp.147-154
/
2022
The clinical severity of coronavirus disease 2019 (COVID-19) in children is usually mild. Most of the affected patients completely recovered from COVID-19 before being released from approximately 7-day quarantine. However, children with comorbidities are at risk of more severe disease and adverse outcomes. We report three cases of COVID-19-affected adolescents with underlying chronic respiratory difficulty due to neurologic diseases who showed sudden clinical aggravations at the time of discharge, even after full clinical improvement. Patient 1 is a 17-year-old boy with Ullrich congenital muscular dystrophy who had cardiopulmonary arrest 9 days after the initial COVID-19 symptoms. Patient 2 is a 17-year-old girl with intracerebral hemorrhage with infarction in bed-ridden status who had cardiopulmonary arrest 11 days after the initial symptoms. Patient 3 is a 12-year-old boy with intraventricular hemorrhage with hydrocephalus in bed-ridden status who showed multiorgan failure 10 days after the initial symptoms. Remdesivir, dexamethasone, and empirical antibiotics were administered with mechanical ventilation and intensive unit care. Among the three patients, two (patients 1 and 3) were alive, and one (patient 2) expired. Clinicians caring for adolescents with chronic neurologic and/or pulmonary disease should keep in mind that these patients could have sudden deterioration after recovery from the acute phase of COVID-19 around or after the time of discharge.
We present the case of a 65-year-old man with maxillary and mandibular complete dentures prepared using neutral zone technique after undergoing mandibulotomy due to tonsil cancer 10 years ago. The patient had a short edentulous period; hence, there was minimal absorption of the alveolar ridge and no abnormality in the motor function of the tongue. However, the retromolar pad was located inside the hamular notch, and the posterior alveolar ridge was relatively turned inward. If the artificial teeth would have been aligned conventionally, the functional space of the tongue would have been invaded, which would have moved the tongue posteriorly thereby reducing the stability of the denture. Therefore, applying the concept of the neutral zone can be a good reference point in such cases. The neutral zone was registered using tissue conditioner, and tooth alignment was performed by making a silicone putty index. The biggest advantage of using neutral zone concept is denture stability. In this case, the neutral zone technique was applied to obtain the lingual alignment limit of the posterior teeth to avoid invasion of the tongue space by the left posterior part of the mandible. Particularly, in case of a patient in which denture stability is difficult to obtain due to absorption of the alveolar ridge, it is believed that better results can be obtained using neutral zone technique.
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