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The Prevalence and Associated Factors of the in-home Falls of the Elderly (재가노인의 낙상에 영향을 미치는 요인)

  • Mun, Young-Hee
    • Journal of Korean Public Health Nursing
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    • v.19 no.2
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    • pp.249-260
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    • 2005
  • Purpose: The purpose of this study is to analyze the realities related with the in-home falls of the elderly and also the factors that affect on the fails. Method: The data collection was carried out from January 10 to 13, 2005. The subjects of this study were 201 in-home elderly people over age 60 who resided at G city of Jeollabuk-do. Result: The following are the results from the analysis of collected data with using the SPSS program. 1. The number of people who experienced fall injuries was 51.7% within three years. Most cases of falls occurred in winter (52.4%), on roads (52.9%), wearing sports shoes (56.7%), when walking (56.7%), loosing their balance (54.8%), and slipping (54.8%). 2. The factors yielding the difference between the groups of elderly with the experience of fail injury and the group of elderly with no experience of falls showed a statistical significance for gender (p=.000), last academic career (p=.049), and number of people in the family (p=.041). 3. Among the factors related with health, the factors yielding the difference between the group of elderly with the experience of falls and the group of elderly with no experience of fails showed statistical significance for drinking (p=.015), dizziness (p=.000) and level of drug intakes (p=.015). 4. The elderly with the experience of fall injury as compared with the group of aged people with no experience of falls showed a higher degree of depression (p=.009). 5. From the result of logistic regression analysis to explore the factors affecting the experience of fall injury, it was found that there was a significant result for gender (p=.002) and depression (p=.018). Women as compared with men and the elderly with depression showed a higher rate of danger in falls. Conclusion: Based on the above results, it is expected that fall prevention programs are needed with regard to the general characteristics and health related characteristics, that is, the individual danger factors should be focused on such depression and gender as being the most important variables affecting the experience of falls.

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Fall Risk Assessment of the Elderly living in Nursing Home (노인요양시설 거주 노인의 낙상 위험요인 조사 연구)

  • Yang, Sun-Hee;Park, Young-Hae;Cho, Hae-Sook;Baek, Hee-Chong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.12 no.2
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    • pp.1-15
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    • 2005
  • Purpose: This study was conducted to assess the fall risk factors. Method: The subjects were 87 persons who were older than 65 years living at 28 nursing home in Seoul and Gyunggi province. Subjects were interviewed using RAFS II for intrinsic factor and the environmental factor were assessed using a structured questionnaire from Oct. to Dec. in 2004. The data were analyzed by SPSS(ver. 12.0) programs, using descriptive statistics, $x^2$-test, and t-test. Result: The 37.9% of the subjects experienced the fall, and its average number is $1.94\pm1.75$. The Women's experience of the fall was higher than that of the men, but it was no significant difference with gender. There was no significant difference with the age and duration of living. The mean of the intrinsic risk factor was 13.38 in total score 39 points marks on the RAFS II scales. The intrinsic risk factor score of the fallen group 15.71 was significantly higher than the non-fallen group 12.10. The variables of recent fall experience(t=4.72, p=0.000) and urinary dysfunction(t=2.64, p=0.010) was significantly higher than the non-fallen group. The highest variable of the intrinsic factor was the age and the variables of drug intake, balance, chronic disease, recent fall experience, urinary dysfunction were followed in order. The mean of the environmental risk factor was 0.24 points. No significant differences were shown in environmental risk factor between the fallen and the non-fallen groups. To the fallen group, the place of entrance was the highest risky environmental factor. To see in area dimension, the floor surfaces was the highest risky environmental factor and equipment and illumination factor was the following risky elements in order. In the total score of environmental risk factors based on the ares, the fallen group was 0.26 and the non-fallen group was 0.24, but there were no significant differences between the groups. Conclusion: This results suggested that visual protection strategy, set up the safety device in the place of entrance and inner stairway, bathroom and nonskid mat in the nursing home would be contribute to the prevention of the fall for the elderly.

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Difficulties Experienced by Elementary School Teachers in Science Classes (초등 교사들이 과학 수업에서 겪는 어려움 분석)

  • Lee, Soo-Ah;Jhun, Young-Seok;Hong, Jun-Euy;Shin, Young-Joon;Choi, Jung-Hoon;Lee, In-Ho
    • Journal of Korean Elementary Science Education
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    • v.26 no.1
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    • pp.97-107
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    • 2007
  • The purpose of this study is to discover and develop any implications which may arise in relation to science teachers' professional growth and development by investigating the difficulties experienced by elementary school teachers in science classes. 196 elementary school teachers were requested to write an anecdotal report regarding their science lessons. 30 science teachers in middle school also answered the same questionnaire. By means of inductive categorical analyzing, the difficulties were grouped into several categories. The results were as follows: (1) The difficulties elementary teachers experience in their science lessons fall into three categories; 'professional science knowledge(9.8%)', 'science laboratory activities(78.3%)', 'teaching methodology(11.2%)'. (2) Science teachers in middle school experienced similar difficulties. However, distribution differed from that of elementary school teachers; 'professional science knowledge(39.0%)', 'science laboratory activities(35.6%)', 'teaching methodology(27.1%)'. (3) The causes of these difficulties were identified as follows; a lack of time to prepare for science classes, insufficient substantial pre-service teacher education, and a lack of adaptive support to elementary school teachers.

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Study of the Hermeneutical Phenomenon regarding the Meaning of the Driving Force of Life Experienced by the Elderly (노인이 경험하는 삶의 원동력 의미에 관한 해석학적 현상학 연구)

  • Han, SukJung;Kang, KyungAh;Lim, YoungSook
    • Journal of Korean Public Health Nursing
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    • v.33 no.1
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    • pp.109-122
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    • 2019
  • Purpose: The purpose of this study was to understand the meaning of the driving force of life experienced by the elderly and the realistic structure of their experience. Methods: The research question was "What is the essential meaning of the driving force experienced by the elderly?". Data were collected from individual in-depth interviews between March, 2017 and May, 2017 and analyzed using Van Manen's hermeneutic phenomenological methodology to identify the essential themes of their experience. Results: Through the analysis process, 22 themes and 14 essential themes were derived. The 14 essential themes of the driving force of the life of elderly were as follows: 'Memories from the past', 'Poverty to escape', 'Hand down family's heritage', 'A body bound by marriage', 'A body necessary for old age', 'A dignified body even if they grow older', 'A body that does not want to fall', 'A fruit of my life', 'Mature real love', 'Unchanging fraternity', 'Extended family', 'An old friend with whom share my heart', 'Satisfied with the situation', and 'Expanding the breadth of life'. Conclusion: Nursing programs that assess the driving force of life supporting the elderly and supports the driving force of such a life should be developed.

Implementation of Virtual Experienced Software for Environment Education (환경교육을 위한 가상현실 소프트웨어 구현)

  • Lee, Keun-Wang;Kim, Yong-Hwan;Oh, Myung-Kwan
    • Proceedings of the KAIS Fall Conference
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    • 2010.11a
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    • pp.203-205
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    • 2010
  • 본 논문에서는 도시화, 국토개발 등을 통해 빠르게 달라지고 있는 거주 공간 및 자연환경의 원형을 사이버공간에 재현하여 환경교육 학습자료로 활용하기 위한 소프트웨어로 조선시대 마을의 거주 공간 및 자연환경의 원형, 에너지, 생활환경, 수질, 대기, 토양, 지구분야를 3D 기술을 이용한 환경교육용 가상체험 소프트웨어를 구현하는 것을 최종목표로 한다.

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Traumatic Rupture of Thoracic Aorta with Pericardial Rupture - Report of 1 Case - (심막파열을 동반한 흉부대동맥 파열 치험 1례 보고)

  • 노환규
    • Journal of Chest Surgery
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    • v.25 no.10
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    • pp.1125-1131
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    • 1992
  • Still a lethal injury, traumatic rupture of thoracic aorta occurs more frequently than we expect and comprises significant part of causes of deaths by blunt trauma. We recently experienced a thoracic aortic rupture accompanied by multiple injuries including pericardial and interatrial septal rupture and myocardial contusion in a patient who had been injured in a fall accident. Literatures are reviewed with the concern of early diagnosis, surgical technique and the result of operation.

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Implementation of Environment Education Virtual Experienced Content based Atmosphere (대기 기반의 환경교육 가상체험 콘텐츠 구현)

  • Lee, Keun-Wang;Jin, Byung-Wook
    • Proceedings of the KAIS Fall Conference
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    • 2010.05a
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    • pp.3-5
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    • 2010
  • 본 논문에서는 여러 환경문제 중 대기오염을 중심으로 조선시대의 자연환경을 3D로 구현하였으며, 가상현실 체험을 통해 현재의 대기환경을 비교 체험할 수 있는 콘텐츠를 구현하였다. 이를 통하여 문명화된 시대의 기본 사고인 환경문제의 인식을 고취시키고 교육을 통한 환경오염의 문제를 알아봄으로써 환경보전 실천에 도움을 주고자 한다.

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Implementation of Environment Education Virtual Experienced Content based Soil (토양 기반의 환경교육 가상체험 콘텐츠 구현)

  • Lee, Keun-Wang;Jin, Byung-Wook
    • Proceedings of the KAIS Fall Conference
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    • 2010.05a
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    • pp.160-162
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    • 2010
  • 본 논문에서는 산업과 생산 활동에 급격히 오염된 토양오염을 중심으로 현재의 토양환경과 조선시대의 토양환경을 비교하고 학습할 수 있는 콘텐츠를 구현하였으며 조선시대의 자연환경을 가상현실로 구현하여 환경교육 학습 자료로 활용하기 위한 토양기반의 환경교육 가상체험 콘텐츠를 구현하였다.

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Implementation of Environment Education Virtual Experienced Content based Natural Environment (자연환경 기반의 환경교육 가상체험 컨텐츠 구현)

  • Lee, Keun-Wang;Jin, Byung-Wook
    • Proceedings of the KAIS Fall Conference
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    • 2010.05a
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    • pp.163-165
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    • 2010
  • 본 논문에서는 자연환경의 원형을 사이버공간에 친환경적으로 표현하여 최근 교육환경에 걸맞은 환경교육 가상체험 콘텐츠를 구현함으로써 현재의 자연환경과 조선시대의 자연환경을 비교하여 사용자 스스로가 환경변화를 학습하고 해결 방안을 모색하여 환경보호에 기여하고자 한다.

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Factors Affecting Hospitalized Children's Falls - Using Data in the National Hospital Discharge In-depth Injury Survey (입원 아동의 낙상영향요인 -퇴원손상심층조사 자료를 이용하여-)

  • Lee, Jeong Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.510-516
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    • 2020
  • This study investigated the characteristics and factors affecting inpatient infants, children, and adolescents who experienced falling, using NHDIS data from 2008 through 2017, The study analyzed data of 116 patients who were under 18 and who experienced injuries (KSCD, S00-S99) by falling (KSCD, W00-W19). Frequency analysis, cross-tabulations, and multiple regression analysis were conducted, using SPSS 23. There were more boys than girls, and most of the falls occurred at the ages of over one to under six years old. Most of the children had respiratory diseases, and most had open wounds or bruises due to falling. Also, most of the falls were related to the bed. In the factor analysis, age (β=.318), the main diagnosis (β=.231), and injury (β=.169) except gender affected falling. This suggests that it is necessary to conduct fall prevention education for children, considering the developmental stage characteristics and age group. It is necessary to screen the risk group such as children with a disease with relatively less restriction of activities or with a hyperactive disorder, and to develop a related manual. Hopefully, the results will be used as the basic data for fall prevention education and creating a fall prevention manual according to the characteristics of children's developmental stage for patients who need hospitalization, their caregivers, and the relevant medical team.