• Title/Summary/Keyword: the elder

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Case study: Selection of the weather variables influencing the number of pneumonia patients in Daegu Fatima Hospital (사례연구: 대구 파티마 병원 폐렴 입원 환자 수에 영향을 미치는 날씨 변수 선택)

  • Choi, Sohyun;Lee, Hag Lae;Park, Chungun;Lee, Kyeong Eun
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.1
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    • pp.131-142
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    • 2017
  • The number of hospital admissions for pneumonia tends to increase annually and even more, pneumonia, the fifth leading causes of death among elder adults, is one of top diseases in terms of hospitalization rate. Although mainly bacteria and viruses cause pneumonia, the weather is also related to the occurrence of pneumonia. The candidate weather variables are humidity, amount of sunshine, diurnal temperature range, daily mean temperatures and density of particles. Due to the delayed occurrence of pneumonia, lagged weather variables are also considered. Additionally, year effects, holiday effects and seasonal effects are considered. We select the related variables that influence the occurrence of pneumonia using penalized generalized linear models.

Primary Thyroid Lymphoma: Multi-Slice Computed Tomography Findings

  • Li, Xu-Bin;Ye, Zhao-Xiang
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.3
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    • pp.1135-1138
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    • 2015
  • Background: The objective of this study was to investigate the MSCT characteristics of PTL in order to enhance the awareness of this uncommon entity among both clinicians and radiologists. Materials and Methods: The clinicopathological data and MSCT images of 27 patients with PTL were retrospectively reviewed. The MSCT appearances were classified into three types: type 1, solitary nodule surrounded by normal thyroid tissue; type 2, multiple nodules in the thyroid, and type 3, enlarged thyroid glands with a reduced attenuation with or without peripheral thin hyperattenuating thyroid tissue. Results: The patients were enrolled in the study with a mean age of 68 years (range, 51-86years) and compression symptoms or enlarged cervical lymph nodes at diagnosis. Hashimoto's thyroiditis was in 20 patients. All patients had non-Hodgkin lymphoma of B-cell in origin, including 22 cases of diffuse large B-cell lymphoma (DLBCL) and 5 of low-grade B-cell lymphoma of mucosa-associated lymphoid tissue (MALT). For MSCT appearance, type 1 pattern was observed in 2 patients, type 2 in 8, and seventeen type 3 in 17. The lesions occurred in more than one lobe with a mean maximal transverse diameter of 6.9 cm and an ill-defined margin. Most tumors showed a homogeneous attenuation equal to that of surrounding muscles before contrast and obvious enhancement after contrast. Cervical lymph node involvement and invasion of the trahea and (or) esophagus were mainly observed in patients with DLBCL. Conclusions: PTL should be clinically considered in elder patients presenting with a history of Hashimoto's thyroiditis and cervical lymphadenopathy. The MSCT characteristics of PTL includes a mass diffusely affecting more than one thyroid lobe, isointense to muscle and obvious enhancement before and after contrast. DLBCL, the most common histological subtype of PTL, is associated with a higher invasive tendency.

Factors Affecting Adaptation for Elders in Long-term Care Facilities (노인 장기 요양시설 적응 영향요인)

  • Jung, Kyung-Hwa;Jo, Hyun-Sook
    • The Journal of the Korea Contents Association
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    • v.12 no.11
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    • pp.215-224
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    • 2012
  • The purpose of this study was to identify the facility adaptation characteristics, and the relationship between facility adaptation and the potential affective factors; ADL, self-efficacy, and quality of care facility, and to identify the affective factors on facility adaptation for elders in long-term care facility. Data were collected from 177 none dementia elders over 65 in 9 long-term care facilities from Jan.2, 2011 to March 15, 2011. The data were analysed through t/F test, correlation coefficient, and multiple regression (stepwise). The major findings of this study were as follow; Facility adaptation shows significant difference from admission decision maker(p=.004), religion(p=.027), and motive of admission(p=.009). And facility adaptation has weakly correlated with ADL and quality of care facility. The affective adaptation factors were decision maker, motive of admission, personal interview, religion, and perceived health status, but showed 22.8% of explanation. Thus the findings from this study could be used as bases for nursing intervention supporting elders' care facility adaptation.

Gratification Obtained from Telephone Use and Characteristics of Telephone as Interpersonal Communication Medium (전화의 이용과 충족 그리고 대인매체로서의 전화의 속성: 이동전화, 면대면 채널과의 비교를 중심으로)

  • Bae, Jin-Han
    • Korean journal of communication and information
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    • v.18
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    • pp.131-164
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    • 2002
  • Despite the ubiquity of telephone, the medium has received far less scholarly attention than it should deserve. This study begin with the purpose of fair appraisement of telephone in Korean social communication. To accomplish this purpose, the gratification obtained from telephone, the appropriateness of it as interpersonal communication medium and communication network through telephone were studied. The related raw data were collected from on-line survey process, and statistically analyzed. The result showed sociability, information, transaction, entertainment, emergency, and reassurance are gratifications obtained from telephone use. Younger persons tend to have more positive attitude to mobile phone as interpersonal communication medium. Particularly when the seniors are interpersonal communication partner and impending task is advice or request, younger persons tend to perceive mobile phone more appropriate than the elder persons do. And mobile phone deepens 'communication endogamy' of our society, especially in the youth. Thus, it is plausible to predict that mobile phone will be more important in social communication of our society when the youth become the mainstream of our society.

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An Analysis of the Meaning of Respite for Family Caregivers of Elderly with Dementia (포커스그룹 인터뷰를 통한 치매노인 가족수발자의 휴식에 대한 의미분석)

  • Song, Mi-Ryeong;Lee, Yong-Mi;Cheon, Suk-Hee
    • Journal of Korean Academy of Nursing
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    • v.40 no.4
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    • pp.482-492
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    • 2010
  • Purpose: This study was a qualitative research study in which focus group interviews were used to collect data on the meaning of respite for family caregivers who are taking care of elders with dementia. Methods: The focus group interviews and participants consisted of 2 family caregiver groups, for a total of 8 people taking care of their elders and 5 professional caregivers working in a geriatrics hospital or social welfare institutions. Content analysis was used and debriefing notes were referred in order to analyze the data. Results: The meaning of respite in this research was measured using 4 main categories: 'Temporary break from routine', 'direct help', 'psychological comfort', 'valuables which cannot be taken easily' and 9 subcategories: 'Temporary diversion of attention', 'temporarily free from my duty', 'taking care of oneself', 'receiving economic help', 'empathize with others', 'comfort based on trust', 'resting together with the elder', 'no time to rest', 'cannot get out of one's obligatory duty'. Conclusion: The findings of the study show that rest means not only a temporary relief from caretaking, but also a real respite based on the patients' stable state and comfort. These results indicate a new meaning for respite, that the first step of respite program has to begin even when the caregivers do not recognize the need for respite.

Lived Experience of Clinical Nursing Instructors' Role in Clinical Practicum (간호대학 임상실습 교육자의 역할 경험)

  • Lim, Sarah;Hong, Soomin;Kim, Sanghee;Kim, Sookyung;Kim, Yielin
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.4
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    • pp.484-495
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    • 2019
  • Purpose: The purpose of this study was to explore the role of clinical nursing instructors' lived experience in clinical practicum. Methods: Data were collected from 11 clinical nursing instructors by in-depth interviews. The data were analyzed using content analysis of Downe-Wamboldt (1992). Results: Four themes and twelve subthemes were extracted. 1) Recognizing and conducting the roles of clinical nursing instructor: 'Helping and providing support for successful clinical practicum', 'Coordinating clinical activities in daily practice', 'Providing mentoring as an elder in life'; 2) Participating in improving integrative nursing competency: 'Helping to improve cognitive competency', 'Helping to improve functional competency', 'Contributing to form desirable professionalism', 'Helping to deliberate the nature of nursing'; 3) Experiencing difficulties in performing the role of clinical nursing instructor: 'Facing with difficulty from institutional limits', 'Recognizing difficulty from lack of personal knowledge and experience'; 4) Experiencing value of clinical nursing instructor and accomplishing personal growth: 'Making efforts to widen personal knowledge and experience', 'Developing one's own educational competency', 'Making a chance to reflect oneself'. Conclusion: Despite the distinctive features of clinical nursing instructors, little is known of the characteristics. The results of this study could be used as a reference to improve the quality of clinical nursing education.

A Study on the Effect of On-Line Shopping on the Travel Demand (온라인 쇼핑의 통행수요 변화 잠재력 추정)

  • Hong, Gapseon;Lee, Sang Hyup
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.26 no.2D
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    • pp.225-231
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    • 2006
  • On-line shopping allows consumers to order goods via internet and receive them at homes or workplaces. Emergence of online shopping industry has brought the changes in the structure of freight industry, in the location selection pattern of industrial clusters and in the consumer's travel pattern. This trend is likely to continue, especially in Korea, as the society sees increases in women's participation in workforce, in population of the elder and in production pattern of manufacturing individually customized goods. Despite on-line shopping's heavy influence on travel demand, no study on this particular topic has been done yet, and thus the effect of on-line shopping on travel demand has not been properly reflected on policy making process. This paper suggests the transportation strategy to cope with this change based on the analysis of the effect of on-line shopping on personal travel demand.

Optimized Walking Will Recognizing System of the Walking Aid with the Fuzzy Algorithm (퍼지 알고리즘을 이용한 보행보조기의 최적화된 보행 의지 파악 시스템)

  • Kong, Jung-Shik;Lee, Dong-Kwang;Nam, Yun-Seok;Lee, Bo-Hee;Lee, Eung-Hyuk
    • Journal of the Korean Institute of Intelligent Systems
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    • v.18 no.5
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    • pp.692-699
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    • 2008
  • This paper describes optimal operation method using recognition of walker's will for a robotic walker. Recently, walking aid system has been required according to the increase of elder and handicapped person. However, most of walking aid system don't have actuator for its movement. Unfortunately, standard frames have weakness for the movement to upward/download direction of slope. So, active type walking aids are interested, but it is not easy to control. In this paper, we adapt user's will system that can recognize walking direction and speed. First, FSR(Force Sensing Register) is applied to measure user's will to walk. And then, fuzzy algorithm is used for determining optimal wheel velocity and direction of the walking aid. From the result, walking aid can move smoothly and safely following the user's will. The walking aid can help user to walk more optimally. Here, all the processes are verified experimentally in the real world.

Inter-space Interaction Issues Impacting Middleware Architecture of Ubiquitous Pervasive Computing

  • Lim, Shin-Young;Helal, Sumi
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.8 no.1
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    • pp.42-51
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    • 2008
  • We believe that smart spaces, offering pervasive services, will proliferate. However, at present, those islands of smart spaces should be joined seamlessly with each other. As users move about, they will have to roam from one autonomous smart space to another. When they move into the new island of smart space, they should setup their devices and service manually or not have access to the services available in their home spaces. Sometimes, there will conflicts between users when they try to occupy the same space or use a specific device at the same time. It will also be critical to elder people who suffer from Alzheimer or other cognitive impairments when they travel from their smart space to other visited spaces (e.g., grocery stores, museums). Furthermore our experience in building the Gator Tech Smart House reveals to us that home residents generally do not want to lose or be denied all the features or services they have come to expect simply because they move to a new smart space. The seamless inter-space interaction requirements and issues are raised automatically when the ubiquitous pervasive computing system tries to establish the user's service environment by allocating relevant resources after the user moves to a new location where there are no prior settings for the new environment. In this paper, we raise and present several critical inter-space interactions issues impacting middleware architecture design of ubiquitous pervasive computing. We propose requirements for resolving these issues on seamless inter-space operation. We also illustrate our approach and ideas via a service scenario moving around two smart spaces.

Survey of Exposure Factors for Risk Assessment of Hazardous Materials in Child-Specific Products (어린이용품 함유 유해인자의 위해성평가를 위한 노출계수 조사)

  • Kim, Jungkon;Seo, Jung-Kwan;Kim, Taksoo;Park, Gun-Ho
    • Journal of Environmental Health Sciences
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    • v.40 no.1
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    • pp.17-26
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    • 2014
  • Background: Despite children's unique characteristics that distinguish them from adults, relatively few attempts have been made to measure exposure factors for characterization of children's exposure to hazardous chemicals in child-specific products (CSP). This study was conducted to establish the child-specific exposure factors for exposure and risk assessment of hazardous substances in CSP. Methods: We investigated the exposure factors (e.g., time use of child-products, time and frequency of object-to-body contact, time and frequency of object-to-mouth contact) influencing children's exposure to CSP (e.g., toys, playmats, oil pastels, etc.) in 650 children through a parent-completed questionnaire using a web-based survey. Participants were recruited in five age groups, <1, 1-2, 2-3, 3-6, and 6-12 years of age. Results: The child-specific exposure factors were presented as the mean, median, $95^{th}$ percentile, minimum, and maximum values. Time activity for play mats was the longest among CSP and infants spent more time on them than did elder age groups (189.3-224.7 min/day for <1-2 years vs. 91.2 min/day for 6-12 years). It is apparent that time and frequency of toy block- and plastic toy-to-mouth contact significantly decreased as a function of age. When the variation of CSP use patterns was compared by gender, the only variable that was statistically different between genders was time activity in child-products exposure space. Conclusion: We believe the five child-specific exposure factors suggested in the present study will be valuable for reducing uncertainty in the estimation of chemical exposure during risk assessment of CSP and furthermore, in the appropriate regulations to protect children's health.