• 한국노년학
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• v.39 no.1
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• pp.21-35
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• 2019

The purpose of this study was to empirically verify the effects of spousal bereavement and complicated grief level on death anxiety of the elderly. The sample consisted of 1,998 adults who were aged 65 or older. Dependent variable was measured with the Death Anxiety Scale-Korean version (DAS-K). Independent variable was measured with both spousal bereavement and the Inventory of Complicated Grief-Korean version (ICG-K). Multiple regression analysis was performed using SPSS 23.0, adjusting for demographics, psycho-social and health variables. The results indicated that death anxiety level was lower among the bereaved with normal grief (p<.01) than non-bereaved. In contrast, death anxiety level was higher among the bereaved with complicated grief than non-bereaved (p<.01). The study result suggests that the most risky factor for death anxiety is complicated grief rather than the bereavement. Although the bereavement can be a universal experience, the severity and duration of symptoms after the bereavement may not be general. The unhealed emotional and physical pain after the bereavement stimulates death anxiety, and senior citizens who suffer from complicated grief often fail to integrate the bereavement and loss into reality, therefore, may not accept the death phenomenon itself. Anxiety and fear of death can emerge when they cannot acknowledge the bereavement. To manage complex sorrows and mitigate death anxiety, intervention programs should be provided to increase adaptability to the bereavement.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.1
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• pp.185-193
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• 2012

This study conducted surveys of 88 eldery people over 100 years in Gyeongnam on April to June, 2011 during 90 days. It was intended to find the factors of longevity, Activity Daily of Living (ADL), and Instrumental Activity Daily of Living (IADL). Major results of this study were as follows: The factors of longevity are getting enough sleep over than seven hours(95.5%), taking in less salty food (69.8%), optimism without even thinking about suicide (86.9%), nonsmoking habit (92%), and moderation in drink (86.4%). The most difficult part of Activity Daily of Living (ADL) is taking a bath, and that of Instrumental Activity Daily of Living (IADL) is taking a bus or subway alone. All items of ADL and IADL, female was higher than the male, but not statistically significant(p<0.05). Therefore, further study is expected to develop the supplementary policy to support the elderly people with declining to carry out physical activities. It is also expected to develop the public welfare programs and policies for the aged, allowing them to take responsibility and to participate as a member of the society.

• Journal of the Economic Geographical Society of Korea
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• v.10 no.2
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• pp.137-152
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• 2007

This paper aims to clarify the types of cities by automobile traffic accidents and to search the characteristics of automobile traffic accidents for each type. Cities by automobile traffic accidents are classified into 4 types. Seoul city belongs to Type A in which 'automobile use and accident type' is closely related. Osan city belongs to Type B where the number of automobile traffic accidents is the greatest. And many satellite cities of Seoul city and metropolitan cities, and cities distributed in Southeastern industrial region belongs to Type C in which automobile accidents are fewer than the national average. Other 57 cities belongs to Type D which there are more automobile accidents than the national average. The cause of traffic accidents for each city type are as follows. In Seoul city the major causes of accidents are no security of safety distance, road patterns of other region, and injury of pedestrians. In Osan city, many single lane road accidents, central line invasion, and traffic accidents of children of under 14 years. And in satellite cities of Seoul city and metropolitan cities, and cities distributed in Southeastern industrial region, the major causes are traffic regulation violation, of under 6m in crossroad accidents, accident of children of under 14 years, and injury of pedestrians. Lastly, in other 57 cities chief causes are traffic regulation violation, wrong methods of passing crossroads, injury of children of under 14 and elderly of over 61 years, and injury of pedestrians.

• The Journal of the Korea Contents Association
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• v.17 no.5
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• pp.273-284
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• 2017

As these days people spend most of time at inner space, indoor air quality affect human life seriously. Government manage indoor air quality of various facilities based on different laws. Government released that they would try to protect environment for vulnerable people such children and seniors from indoor air pollutants in 2015. But social welfare facilities are exception under current legal systems. Clients of social welfare residential facilities are the disables, the elderly, homeless and children and they usually stay inner space very long time. The purpose of this study is explore workers' attitude and related factors about indoor air quality management of social welfare facilities. 69.5% of respondents agree to government's indoor air quality management, 80.9% of respondents think social welfare facilities must be included in legal system for indoor air quality management. Environmental awareness and law awareness were related with attitude to indoor air quality management. Based on the results of the analysis, I propose the amendment of law on indoor air quality of the Ministry of Environment, cost burden of central or local government and the necessity of education and research on indoor air quality management in social welfare facilities.

• Industry Promotion Research
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• v.7 no.1
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• pp.35-42
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• 2022

The purpose of this study was to establish an Improvement Plan to determine the cause of the abuse occurred for the elderly who live in urban areas, and analyzed by type. This study was conducted to survey targeted the more than 65-year-old man as the center of Seoul Mapo area. The independent variables in the research model is elder abuse causes, the sociological characteristics as control variables population was the dependent variable in the elderly abuse. As a result; First, investigate the differences in the cause and the cause of elder abuse according to demographic characteristics. The causes of elder abuse, age of the higher age group showed high levels of elder abuse causes. Showed that less than a high school education than graduate school. Second, investigate the factors influencing the occurrence of elder abuse experiences of the subjects. Personal factors of elder abuse causes of those surveyed, family environmental factors, social, and refers to the result that the higher the level of cultural factors increase the occurrence of elder abuse experience. Third, investigate the differences in the cause and the cause of elder abuse according to demographic characteristics. The causes of elder abuse, age of the higher age group showed that the level of elder abuse occurs and causes high experience. Fourth, investigate the factors influencing the occurrence of elder abuse experiences of the subj ects. This personal factors of elder abuse causes of those surveyed, family environmental factors, social, and refers to the results of the higher levels of cultural factors that increase the occurrence of elder abuse experience. In conclusion, elder abuse is personal factors, environmental factors, family, social and cultural factors, the higher the level can be seen that type of elder abuse Elder abuse occurs, formed by many, accordingly. Therefore, in order to improve elder abuse should be healing the cause according to the type of elder abuse appears essentially as a result from this research.

• Health Policy and Management
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• v.34 no.2
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• pp.120-128
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• 2024

From February to now 2024, there continues to be controversy over the expansion of admission number to medical school. Some of the controversy arises from a mix of present and future time points. In the present time point, the controversy over whether physicians are some shortages or not has various aspects. Some aspects are presented as evidence of the physician shortage and others as non-shortage. Also, the presenting evidence of shortage is being disputed, and so is the evidence of the contrary. This controversy over whether there is a shortage or not in the present time point makes it difficult to reach a consensus. In 10 years, the shortage of doctors will increase due to the rapid increase in the elderly population, so the admission number of medical schools will need to be increased. However, the increase must be such that there is minimal deterioration in the quality of medical education. More admission numbers should be allocated to medical schools with a high quality of medical education. This study suggests that large-scale medical schools increase the admission number by 20%-30%, and small-scale medical schools increase the admission number by 40%-50%, if so, the total increasing number is 760 to 1,066. If the 2,000-person increase is enforced, the quality of medical education must be carefully evaluated and the results should be reflected in adjusting the admission number of medical schools. In 20 years later, the admission number of medical schools will have to be reduced. This is because the physician supply is changing to a linear function and the physician demand (medical care demand) is changing to a quadratic function. Even if the current number is maintained, there will be an excess of doctors from 2048, so the medical school admission number must be reduced and its size will be reduced to about 2,000, a 30% reduction from the current number. Because the same reduction rate for all medical schools will result in many small-scale medical schools, the M&A (mergers and acquisitions) strategy should be considered with 40 medical schools and 12 Korean medical schools. In Korea, the main contributor to estimating physician demand is the change in population structure. Due to the rapid decrease in the total fertility rate, future population projections are uncertain. The recent rapid increase in healthcare utilization should be reexamined in the forecasting of physician demand. Since the various factors that affect the estimate of doctor supply and demand are unclear, the estimate of physician supply and demand must be continuously conducted every five years, and the Health Care Workforce Committee must be established and operated. The effects of increasing the admission number of medical schools should be evaluated and adjusted annually.

• Journal of agricultural medicine and community health
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• v.30 no.2
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• pp.227-240
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• 2005

Health promotion has more comprehensive approaches in recent years. Nevertheless we accept the concept of health promotion differently, we are agree on that community is the most important field in health promotion which includes population at the aspect of health policy, individual skill and, environment. And there are a number of different approaches to health promotion. In them, 'population approaches' and 'high -risk group approaches' has the most different characteristics. 'Population approaches' is equally important or more important than 'individual approaches' for maintaining and promoting population health. Almost part of this article contents is the summary of the guideline and population strategy of health promotion in Korea, 1999 - 2005. Community based health promotion program should be reinforced, integrated, comprehensive, collaborative through efficiently utilizing community resources. Recent new orientation of community health program is integrated health program, we can find this orientation at Ottawa charter 1986. Comprehensive approaches with the determinant factors for health are essential task. Physical activity is a key health determinant. The population-health approach suggests that educating people about physical activity is not enough. Individual behavior changes are important too, but need to be balanced with strategies for environmental change. Population strategy with physical activity for health promotion should be developed through improving social and physical supportive environment, linking and integrating community resources between public and private sectors in national, regional and local level. Continuous public education and social marketing should be provided through collaborating with community physical activity organization, facilities, work-places and school for increasing concern of all the people of community about physical activity. Governments, agencies and citizens should held and participate to building movement. And the strategy that various 'active for life' program should be developed, delivered, maintained and reinforced continuously. Basically, adequate and sufficient financing, developing human resources, policies and legislation would be provided and supported fully too. At last, research development and knowledge exchange are required domestically and internationally. In Korea, we had classified the category of strategic priority of physical activity programs by environmental support, life-course approach, high-risk group approach and disease group approach for physical activity program based on community health center. Community based core programs for physical activity that includes infrastructure building and establishment of supporting environment, community campaign, health promotion education and public service announcement, physical activity programs for elderly and obesity, exercise prescription program.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.10
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• pp.263-271
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• 2018

The purpose of this study is to find that people's visit to a dementia home exhibition hall is effective at improving their perception of dementia. The satisfaction of visitors to the dementia home exhibition hall and a change in their perception of dementia after the visit were analyzed. The study subjects were 52 residents in S city. This study had been conducted from April, 5 to May, 25, 2018. The dementia home exhibition hall has welfare kits installed in an entrance, a rest room, a living, and a kitchen. Virtual reality experience program and the program of wearing clothes to experience an elderly person were performed together. As a result, the visitors' satisfaction was high overall, and their visit was educationally effective at improving their perception of dementia. After their visit to the hall, the residents showed high increases in the scores of the questions about the perception of dementia causes, dynamism & system, symptoms & diagnosis, and treatment & prevention. The residents with middle years and higher of age were more satisfied than those in other age groups with the introduction of dementia, and prevention methods, introduction of safe and comfortable home environment, and appropriateness of experience program. In this study, it was positive that the differentiated experience program which was not existed actively led the participation of the target person and attracted high education satisfaction in a short time. In the future, it will be necessary to develop an extended experience program, provide an environment for direct experience of dementia, and perform a continuous program to draw more citizens' attention.

• Journal of Digital Convergence
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• v.19 no.8
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• pp.351-359
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• 2021

This study was conducted to analyze the relationship between the practice of aerobic exercise and the prevalence and risk of arthritis with comorbid chronic diseases. For this study, the National Health and Nutrition Examination Survey 2017-2019 data were used and 17,356 people were selected as subjects. The relationship between the practice of aerobic exercise and the prevalence and risk of arthritis according to demographic characteristics and chronic diseases was analyzed by the chi-square independence test and Breslow-Day test. While the rate of aerobic exercise was low among women, the elderly, the low-income group, the low-education group, and people living in rural areas, the prevalence and risk of arthritis were relatively high. And in the chronic disease-positive group, those who practiced aerobic exercise had a relatively lower prevalence and risk of arthritis than those who did not. In particular, the practice of aerobic exercise was an effective complement in reducing the prevalence and risk of arthritis in people with high blood pressure, diabetes, and dyslipidemia. Therefore, the practice of aerobic exercise such as walking, slow running, and aerobic dance should be recommended in terms of the preventive medicine and health care to people who are in the group with a high prevalence of arthritis in demographic characteristics and people who have comorbid chronic diseases.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.3
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• pp.1904-1919
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• 2015

This study was conducted to verify the effect of the fall prevention exercise program (FPEP). From 1st June to 14th July in 2014, 52 subjects above the age of 65 in 2 health clinics of A town, J city were randomly assigned to two groups(exercise 31, control 21). While exercise group performed FPEP twice a week for 6 weeks, control group received education only. The results showed significant difference between the two groups in the TUG of physical function(P=.032). There were no statistically significant difference between the two groups in the fear of falls, falls efficacy of mental functions. The result of ultrasound measurement of lower extremity muscles showed statistically significant differences between groups in the 7 items(RF CSA Contraction RF DIS Resting, TA Thickness Contraction, TA P-angle Contraction, GCM Thickness Resting, GCM Thickness Contraction, GCM P-angle Contraction)(p<.05). In conclusion, the FPEP is very effective in the prevention of falls.