• Research in Community and Public Health Nursing
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• v.30 no.4
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• pp.528-538
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• 2019

Purpose: The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years. Methods: We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used. Results: Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (β=0.29, p<.001), age (70~79 to 60~69; β=0.98, p=.018) and sex (female to male; β=2.55, p<.001). Conclusion: This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of 'community care'and 'ageing in place'.

• Physical Therapy Korea
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• v.22 no.3
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• pp.61-70
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• 2015

To develop an effective and efficient measurement system for tracking changes of functional status across two measures, it is essential to integrate information and communicate scores across two measures. The lack of communication between two measures leads to score incompatibility. A potential solution would be the development of a crosswalk table between those measures. Prior to creating a crosswalk table, selecting common items between two measures is critical. By using the Oswestry low back pain disability questionnaire (Oswestry) and a short form measuring disability resulting from low back pain, item level statistics as well as differential item functioning (DIF) using the Rasch measurement were investigated. Eighty-two participants with known group validity were recruited. Based on the application of the Rasch measurement model, item difficulties across the two measures were logically and hierarchically ordered. Ceiling effects for both measures were detected, which were not be able to be effectively measured with the two measures. The DIF analysis across the two measures confirmed that five paired items were found to have DIF and five common items were selected for common items. Although five paired items function differently across the Oswestry and the short form, all items of both measures were well targeted study participants. The common items selected by the Rasch measurement model may be effective when creating a crosswalk table between the Oswestry and the short form.

• Clinical and Experimental Pediatrics
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• v.54 no.11
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• pp.436-442
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• 2011

An anthropometric survey is one of the most important approaches to use when evaluating the health status of children. Secular trends in body sizes, such as height, weight, head circumference, chest circumference, and body mass index showed significant changes over 40 years in Korea. A series of periodic surveys were conducted in 1967, 1975, 1985, 1997, and 2005 by the Korean Pediatric Society and Ministry of Health and Welfare. The quality of data from school health examinations and the Korea National Health and Nutrition Examination Survey has improved, so we can use them now as resources for anthropometric analysis. The final height differences between 1965 and 1997 were 4.5 cm both in boys (168.9 cm in 1965; 173.4 cm in 1997) and girls (155.9 cm in 1965; 160.4 cm in 1997). The differences between 1997 and 2005 were 0.9 cm in boys (174.3cm in 2005) and 0.8 cm in girls (161.2 cm in 2005). There was no difference in final height measurements between 2005 and 2010. An increase in body size at earlier teen ages was pronounced during these decades compared to the previous generation; however, little change has been identified more recently. Body size has been increasing, and obesity has become more prevalent. Systems that gather data should be updated in order to cope with these secular trends. In an upcoming era of secular trends that would be in a slow transition, several surveys that include body measurements should be prepared to meet future needs.

• Korea Trade Review
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• v.42 no.6
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• pp.27-50
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• 2017

This study is to present practical plan to stimulate Parallel Import Policies, Which is one of the government policies to drop import prices of imported goods. Although, preliminary studies focused on legal aspects related to Intellectual Property Right, from the perspective of trade, we conducted a study on economic aspects through parallel import, consumer welfare, etc. For this study, the parallel import system of the United States and Japan was compared with Korea and the domestic parallel import market status was analyzed by comparing market price. According to the study, the current parallel import system lacked the limits of government regulation and distribution market structure. It proposed practical plans such as political suggestions and changes in distribution structure. This study is meaningful in analyzing the problem of parallel imports that currently occur in the Korea market based on data concerning parallel imports in practical terms

• Journal of Families and Better Life
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• v.29 no.4
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• pp.125-145
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• 2011

The purposes of this study were to examine low-income households' financial statuses and the socio-economic characteristics of single-person and non-single person households according to the financial indexes used for evaluating financial security and growth status developed based on financial ratios. Using 2009 KLIPS(Korean Labor & Income Panel Survey) data collected by the Korean Labor Institute, the satisfaction levels from the indexes were analyzed and compared between the two household types. The results showed that 46.0% of single-person households were not satisfactory in terms of all financial growth indexes but were partially satisfactory in terms of all financial security indexes. These householders tended to be females and in the their 70s, who lived in Seoul or in a suburb of Seoul, Korea. They reported problems with a lack of financial growth possibilities. 47.0% of non-single person households were not satisfactory in terms of all financial growth indexes but were partially satisfactory in terms of all financial security indexes. These householders tended to be males in their 60s and 70s with no job who were living in Seoul or in a suburb of Seoul, Korea. They reported having low level of liquidity and high level of debt redemption. 42.6% of single-person households were not satisfactory in terms of both financial security and growth indexes partially. These householders tended to be females in their 20s or 70s who were living in rural areas. They reported problems related to an adverse balance between household income and expenditures and a large scale of debt. 43.1% of non-single households were not satisfactory in terms of both financial security and growth indexes partially. These householders tended to be males in their 60s or 70s and homeowners. They reported problem related to an adverse balance of household income and expenditures and high a level of housing expenditures and liquidity. The research findings have implication for policy makers considering financial support programs and welfare programs for low-income householders, considering the recent changes in households structures.

• Journal of Community Nutrition
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• v.7 no.1
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• pp.42-48
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• 2005

This study was done to investigate effects of antioxidant supplementation on phytohemagglutinin (PHA) -stimulated interleukin-2 (IL-2) production by peripheral blood mononuclear cells (PBMCs) in elderly women. This study was designed as a placebo-controlled, single-blinded, randomized intervention trial. Twenty four elderly women aged over 60 years, visitings social welfare center in Seoul were divided into 3 groups, placebo (n = 8), vitamin C supplemented (n = 8) , and vitamin E supplemented (n = 8) groups. Experimental groups were given either 1000mg of L-ascorbic acid or 400 ill of d- $\alpha$-tocopherol for 4 weeks. There was no significant difference in antioxidant vitamins intakes and their plasma levels among pre-intervention groups. Plasma vitamin C or E levels was significantly increased after vitamin C or E sup-plementations. The increases of plasma thiobarbituric acid-reactive substance (TBARS) levels in the placebo group were significantly higher than those of the supplemented 2 groups. There were no significant differences in the changes of plasma IL-2 level between pre- and post-intervention among the 3 groups. However there was a significant increase in PHA­stimulated IL-2 production by PBMCs after 4-week vitamin E or vitamin C supplementation. Particularly, vitamin E supplemented group showed a higher PHA-stimulated IL-2 production than vitamin C supplemented group. These results indicate that vitamin E or vitamin C supplementation might enhance mitogen-stimulated cytokine production by immune cells, which could be one of the factors to improve health status in the elderly.

• 한국노년학
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• v.32 no.4
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• pp.1063-1086
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• 2012

The purpose of this study is to understand the current state of the older people's social exclusion by identifying patterns of the change in social exclusion level through a longitudinal analysis with an aim of exploring the predictors of changes. To this end, this study has adopted the panel data, the English longitudinal Study of Ageing(ELSA). The data of 7631 respondents who aged over 50 were used for the final analysis. The social exclusion of the older people was analyzed into five different sub-dimensions: social relationship; cultural activities; access to health services; financial security; and sense of loneliness. The person-centered approach that focuses on the various patterns of the trajectories of change has used semi-parametric group based model in order to estimate different trajectories among individuals. The data was analyzed using Spss 18.0 and SAS 9.2 proc traj. In results, First, semi-parametric group-based model analysis has shown that the older people are not 'homogeneous' group with similar exclusion level in every individual with same trajectories of change, but can be divided into various categories with diverse intercept and slope. Second, different trajectories in change of exclusion level help to confirm that the older people's social exclusion level increases gradually over time or remains unchanged. Third, this analysis has provided the useful guidelines to identify the high-risk groups of social exclusion. Forth, the variables that make difference in more than three dimensions include gender, age, self-perceived health, physical activity, weekly income, marital status, family relation, and beneficiary status. Implications and further suggestion were discussed.

• The Journal of the Korea Contents Association
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• v.13 no.6
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• pp.507-517
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• 2013

Welfare desire has been diversified according to the increase of economic level and rapid social change. The desire for comprehensive service on culture, medical, mental and information level has appeared. Accordingly, it is necessary to establish an integrated community mixed-support facility, a space of accepting administration, welfare, leisure, culture and informatization request in a small local community in the future. The community mixed-support facility is a meeting place of local resident for information change, various basic service and ultimately for activation of community in order to contribute to regeneration and activation of existing urban core. Thus, this study figured out general status of community mixed-support facility and physical mixed type and analyzed spatial characteristics. Current community mixed-support facility has insufficient program and space to participate in by local residents and to accommodate mixed function. The future planned community mixed-support facility must secure multiple opportunities for various types of life by returning time and cost to user through the introduction of creative mixed concept. While reflecting unique local characteristics, and considering diversity of users, it needs to make mixed facility to cope with social changes. This study is limited in that the study reached a conclusion by survey and analysis only. However, it is expected that the result can be used as basic research data for the planning of community mixed-support facility to cope with living conditions of local residents or realistic requirements.

• The Journal of the Korea Contents Association
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• v.8 no.3
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• pp.234-243
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• 2008

The aim of this study was to provide the way of activation plans of leisure activities for older people through the current status and problems in welfare center for the elderly in Korea. Various social phenomena and issues have been found to occur in rapidly social-structure changes and urban civilization. Especially, processing an aging society for no preparation is one of the broader question of our country. Developing the scientific and civilization lengthening our span of life is given more leisure time than past. Unfortunately, older people could not independently stand for in their leisure, if society does not support for them. It means that they might feel the enough time to monotone life, depression and a sense of alienation. The following ideas would be expressed to the way of activation plans of elderly leisure. First, the elderly leisure facilities for leisure and publicity activities should be supplemented or strengthened. Second simple entertainment-oriented programs in the physical and psychology learning to adapt for them should be obtained through leisure activities for older people. Third, more senior recreation specialists or therapists should be educated for leisure activities. Fourth, the concept of leisure in older people's idea should be changed through the education. Fifth, people who work in the welfare center for the elderly should develop the leisure programs or activities for older people. Last the new culture of leisure concept should be constructed in our society between the two and three generation for sharing and participating the leisure.

• Korean Journal of Social Welfare Studies
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• v.48 no.4
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• pp.157-185
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• 2017

This study aimed to explore the trajectories of economic preparations for the aging among people with physical disabilities and to identify the determinants according to the Andersen model. For this study, data were drawn from Panel Survey of Employment for the Disabled (PSED). A total of 1,847 samples were used from the second to the eighth wave. Latent class growth model was conducted to explore the longitudinal change classes for the disabled, and the multinominal logistic regression analysis was conducted to examine the influence of the determinants. As a result, four classes were identified: preparation decrease group, continuous non-preparation group, preparation increase group, and continuous preparation group. Each group was found to be associated deferentially with education level, family income, socioeconomic status, employment, home ownership, national basic livelihood security recipient status, and ADL. These findings proposed the practical and political implications for the strategies concerned with facilitating the economic preparations for the aging among the disabled.