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A Case of Multiple System Atrophy-Parkinsonism Type (MSA-P) with Gait Disturbance and Posture Instability Treated with Korean Medicine (보행 장애와 자세 이상 등을 호소하는 다계통 위축증(MSA-P) 한의 치험 1례)

  • Lee, Sang-hwa;Shin, Hee-yeon;Jeong, Hye-seon;Kim, Seo-young;Yang, Seung-bo;Cho, Seung-yeon;Park, Jung-mi;Ko, Chang-nam;Park, Seong-uk
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.743-751
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    • 2019
  • This case report suggests the potential effects of Korean medicine for the gait disturbance and posture instability of Multiple System Atrophy-Parkinsonism (MSA-P). A patient with MSA-P who had gait disturbance and posture instability was given a series of Korean medicine, including acupuncture, pharmacopuncture, electro-acupuncture, moxibustion, and herbal medicine, for 15 days of hospitalization. During the hospitalization period, the severity and progression of the disease was measured with the Unified Multiple System Atrophy Rating Scale (UMSARS) and a video recording of a 20-meter round timed walking test. The UMSARS Part I and II scores decreased from 14 to 5 and 9 to 5, respectively. An improvement was also noted in standing and walking posture, and the walking time was shortened from 30 to 25 seconds in the 20-meter round-trip walking test. Dysarthria, dysphagia, and non-motoring symptoms like sleep behavioral disorders and constipation were also improved. The findings of this case study suggest that this series of Korean medicine has potential therapeutic effects for patients with MSA-P with motor and non-motor symptoms.

Travel Disparity among the Elderly in Seoul during the COVID -19 Pandemic Period: Differences in Destination Diversification according to Socioeconomic and Spatial Factors - (COVID-19 대유행기에 나타난 서울시 고령층의 통행격차 - 사회경제적 요인과 공간적 요인에 따른 목적지 다변화의 차이를 중심으로-)

  • Lee, Jaegeon;Sohn, Jungyul
    • Journal of the Korean Regional Science Association
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    • v.37 no.4
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    • pp.75-93
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    • 2021
  • By defining a travel disparity based on the degree to which travelers diversify their destinations, this paper examines how socioeconomic and spatial factors affect the travel disparity among the elderly in Seoul. This paper uses the COVID-19 pandemic as a natural experiment which can bring about different behavioral responses among the older travelers. Using the smart card data, we compare the destination diversification patterns before and after the pandemic. In the early morning(4:30-9:00), the degree of destination diversification varies between the core and the periphery and this trend persists through the pandemic. In the late morning(9:00-12:00), a new trend of disparity appeared after the pandemic. Although those who hold higher socioeconomic status and live closer to the core have a larger range of choices for destinations, the difference of range did not lead to differences in diversification before the pandemic, due to the discretionary nature of the elderly's trip. In contrast, as the elderly were forced to search alternative destinations right after the outbreak of the pandemic, the range of choices became an important factor causing observable differences in destination diversification. The findings suggest that the travel disparity observed during the pandemic is due to the difference in the range of choices by socioeconomic and spatial factors.

Building a Big Data-based Car Camping Website and Proposing a Business Models for the Corona19 Untact Trip (코로나19 언택트 여행을 위한 차박 캠핑 웹사이트 구축 및 비즈니스 모델 제안)

  • Kim, Minjeong;Kim, Soohyun;Oh, Jihye;Eom, Jiyoon;Kang, Juyoung
    • The Journal of Bigdata
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    • v.6 no.1
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    • pp.179-196
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    • 2021
  • With the spread of untact culture resulting from the Covid-19 pandemic, the size of the car camping market has expanded to minimize contact with others. As a result, SUVs have exceeded sales of sedans, and sales of recreational vehicles (RVs) have increased by 101% compared to the same period last year. Despite the explosive increase in demand for car camping, research on car camping has not matched this increase. Therefore, in this study, we intended to conduct a study focused on car camping users. According to a survey of Naver's famous car camping cafe, it was difficult to find articles, maps, and websites with car camping places. Analysis of car camping websites showed that most only post information about the camping itself, so details of car camping places were not available. Furthermore, according to a survey derived from related prior studies and literature surveys, most users urged solutions to the problem of unauthorized garbage dumping in the car camping locations. In addition, car camping users wanted to receive information on amenities near the car camping places. Therefore, we aimed to establish a car camping website that provides basic information on car camping places and nearby convenience facilities. Moreover, to solve the problem of garbage dumping, we provided a category wherein users can post pictures of clean camping campaigns. We also developed a business model utilizing the certification process of clean camping. The business model is designed with a structure wherein car camping users are rewarded through the clean camping certification process. Compensation for clean camping certification was proposed to be provided through partnerships with domestic automakers, Korea Tourism Organization, and Small Business Market Promotion Agency.

Appraisal of Guidelines for Research & Evaluation II Appraisal of Clinical Practice Guidelines for Traffic Injuries (Appraisal of Guidelines for Research & Evaluation (AGREE) II를 이용한 교통사고 상해증후군의 국내·외 기개발 임상진료지침의 평가)

  • Park, Kyeong-Won;Lee, Jun-Seok;Kim, Hyun-Tae;Park, Sun-Young;Heo, In;Shin, Byung-Cheul
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.129-143
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    • 2021
  • Objectives This study was aimed to evaluate clinical practice guidelines (CPGs) of traffic injuries, which has already been developed at domestic or outside of country, and to explore the Korean medical treatments included in the CPGs. Methods Twelve electronic databases (PubMed, Cochrane library, China National Knowledge Infrastructure [CNKI {Chinese Academic Journals, CAJ}], Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS], KoreaMed, Korean Medical Guideline Information [KoMGI), National Guideline Clearinghouse [AHRQ], Core Outcome Measures in Effectiveness Trials Initiative Website [COMET], Turning Research into Practice [TRIP], The National Institute for Health and Care Excellence [NICE], and Medical Research Information Center [MedRIC]) up to July 2021 were searched. Only systematically developed CPGs for traffic injuries were selected and appraised. The appraisal was conducted by using Appraisal of Guidelines for Research & Evaluation (AGREE) II tool. Results Six CPGs were included and evaluated. All CPGs were appraised as highly recommended because they exceeded 60% in more than 4 among 6 domains of AGREE II, including domain of 'rigor of development', and 30% in the rest. Recommendations related to Korean medicine treatments such as on manual therapy related to Chuna were given in 6 CPGs, 4 for acupuncture, 1 for Qigong and 1 for Taping. Conclusions The 6 CPGs were developed up to now through a systematic development methodology and there were many recommendations for Korean medical treatments related to manual (Chuna) treatment, acupuncture and Qigong. However, the evidence for the side effects and risk factors of Korean medical treatments was scantly reflected in CPGs. Therefore, it is considered that balanced CPG with benefits and risks should be developed, covering Korean medical diagnosis, treatment and prognosis.

Convergence Study on Koreans' Recognition of Funeral Culture Industry and Development Plan (한국인의 장례문화산업 인식과 개발 방안에 대한 융합 연구)

  • Song, Hyun-Dong;Kim, Moon-Joon;Jo, Gee-yong;Chang, Kyung-Hee;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.12 no.7
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    • pp.113-123
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    • 2021
  • This study aims to present a plan to develop the funeral culture industry based on the results of a survey on the contents of funeral culture awareness, funeral culture industry development, and funeral culture education according to age groups. The survey in this study was researched by Gallup Korea, and the survey method was an online research using a structured questionnaire. The survey was conducted twice, from February 5, 2021 to February 8, 2021, and from February 18, 2021 to February 19, 2021. The effective subjects are 316, and the sampling method is allocated by sex and age. As a result of the study, cremation was preferred by all age groups, and the places where cremated remains were placed were high in the natural burials and ossuary hall. Although there are some differences by age groups, it was surveyed that generally, the elderly than the younger were less reluctant to sign up for condolence products, funerals in life, farewell trips, purchase farewell travel products, funeral insurance, and counsel with death-related experts. The results of this study are expected to contribute to interdisciplinary convergence research on the recognition and development of the funeral culture industry.

Economic Value Measurement of Local Festival Using Improved Travel Cost Method (TCM): Focused on Gaecheon Arts Festival in Jinju, Korea (개선된 여행비용차이추정법을 이용한 지역축제의 경제적 가치측정: 개천예술제를 중심으로)

  • Yu, Jung-Sub;Lee, Jae-Dal
    • International Area Studies Review
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    • v.17 no.4
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    • pp.133-153
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    • 2013
  • This study was to estimate the economic value of Gaecheon Arts Festival in Jinju, Korea. To measure the value of the festival, improved travel cost measurement that applied new weight concept from the Travel Cost Measurement(TCM) proposed by Peares(1972) was used. The total value was evaluated to approximately 2,270.057 billion KRW. The result showed that travel cost items affecting on economic value of the festival were transportation, food and beverage, shopping, accommodation, amusement and entrance fee in order. The effect of accommodation due to the visitors' surplus was small, due to day trip participation trend??. Because accommodation, shopping and entrance fee, therefore, directly affect the regional economy, it is necessary for festival planning party to develop the program for tourist accommodation and so forth. Finally, this study will contribute to the development of local festivals through the more objective, clear comparison and measurement of economic value between local festivals using improved travel cost estimation method.

Cultural and Artistic Characteristics of a Gyobang Dance Displayed in Tonshinsa from Yeongnam Jwa-do Province (영남좌도 통신사 교방춤에 나타난 문화예술적 특징)

  • Yang, Ji-Seon;Kang, In-sook
    • The Journal of the Korea Contents Association
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    • v.19 no.4
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    • pp.490-501
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    • 2019
  • This study is aimed at researching Gyobang Dance performed by gisaeng of Gyobang in the banquet of Tonshinsa in Yeongnam Jwa-do Province. For this study, Hae-haeng-chong-che, a collection of 28 travel essays written by Joseon Tonshinsa after visiting Japan, and a collection of literary works were analyzed. Joseon Tonshinsa used Yeongnam Jwa-do Province as a route to Japan in obedience to a royal command, and Yeongnam U-do Province as a way back to Hanyang after completing their missions. The country gave a huge banquet to relieve Tonshinsa's anxiety about the voyage and to pray for a safe trip. The banquets were concentrated in Yeongnam Jwa-do Province, the way down to Busan departing from Hanyang. Looking into Tonshinsa's records, it can be seen that Tonshinsa banquets took place in Andong, Yeongcheon, Gyeongju, Milyang, and Busan. Gyobang Dance performed at Tonshinsa banquets includes Geommu, Hwangchangmu, Cheoyongmu, Cheondo, Mudong, Ipchum, and Jungchum. Through Tonshinsa envoy, 'Jeseon Tonshinsa-gil' was formed in Yeongnam Jwa-do Province, and through Tonshinsa banquets, the artistry of Gyobang Dance was compiled. Nevertheless, present Yeongnam Jwa-do Province has remarkably less Gyobang Dance passed down in comparison to Yeongnam U-do Province. For this reason, there is a need to look into Gyobang Dance of Yeongnam Jwa-do Province. The purpose of this study is to closely examine the cultural and artistic characteristics of Gyobang Dance performed at Tonshinsa banquets in Yeongnam Jwa-do Province formed through Joseon Tonshinsa-gil.

Devising Methodology of Creative VaQi -Focused on (2017)- (극단 크리에이티브 VaQi의 공동창작 방법론 -연극 <워킹 홀리데이>(2017)를 중심으로-)

  • Lee, Kyung-Sung
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.370-388
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    • 2019
  • From 2010, new keyword of so-called devising theatre in the Korean performing arts scene has emerged. The backdrop is the antipathy to the hierarchical creative environment, the search for a language that can reflect increasingly complex societies, and the influx of new performances from abroad. Of course, devising theatre can be realized in a wide variety of forms in the actual field, so it cannot be defined as one methodology. But commonly all these various forms of the attempts aim to create a democratic relationship among participants, and process-centered breakthrough in the hierarchy of creative materials such as texts, sounds. light and human body. In 2017, Creative VaQi seeks to find new keyword called 'Reality of Division in Korean Peninsula' and to develop it into performance languages experimenting inter-disciplinary devising methodology. The company conducted a walking trip alongside the division line(300km) and tried to achieve the landscape and traces of division. After the walking, they created a specific form and performing contents called "Walking Holiday" out of their experiences. In this thesis, I will analyze the whole process of the devising "Walking Holiday" and examine what kind of result it led to. Furthermore, I, as the director of "Walking Holiday" will continue to discuss new possibilities and limitations of devising theatre methods that the company tries and aim at this time.

A Qualitative Study on Coping strategies of Older adults with Depression: Focused on the Experience of Coping with Depression in Older Adults Living in Seoul (노인의 우울 대처 전략에 관한 질적 연구: 서울시 거주 도시 노인의 우울 대처 경험을 중심으로)

  • Eo, Yugyeong;Ko, Jung Eun;Kim, Soon Eun
    • 한국노년학
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    • v.37 no.3
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    • pp.583-600
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    • 2017
  • The purpose of this study is to explore qualitatively what kind of coping strategy the Korean older adults use when they are depressed and why. Participants were users, older than 60, of an elderly welfare center in Seoul, and answers of 34 respondents who experienced depression were included in the analysis. The collected data were analyzed through content analysis. The results of the analysis showed that strategies to cope with depression used by participants were composed of 6 domains and 11 sub-domains: health behavior (medical approach / exercise and diet), family and social contact (social interaction / going out and going on a trip / communication with family), Religious activities (Religious activities), lifelong education (hobbies / educational activities), productive activities (labor), health risk behaviors (drinking and gambling / resignation). The depression coping strategies of the older adults and their characteristics are as follows. First, older adults used diverse problem-focused coping strategies to cope with depression. Second, older adults considered various coping strategies together and used them simultaneously. Third, the facility space for older adults functions as a shelter. Fourth, although there were cases where medical approach was used, the intention to reuse was very low. Through this study, the following suggestions were made to help older adults cope with depression more successfully. First, access to various coping strategies should be promoted. Second, more places where older adults can spend their time comfortably need to be provided. Third, resistance to mental health care should be resolved.

An Analysis Model on Passenger Pedestrian Flow within Subway Stations - Using Smart Card Data - (지하철역사내 승객보행흐름 분석모형 - 교통카드자료를 활용하여 -)

  • Lee, Mee Young;Shin, Seongil;Kim, Boo Won
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.17 no.6
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    • pp.14-24
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    • 2018
  • Pedestrian movement of passengers using smart card within stations can be divided into three types of activities - straight ride and alight, line transfer, and station transfer. Straight ride and alight is transfer activity for which the card terminal and embarking line are identical. In this case, straight ride occurs at the origin station and straight alight occurs at the destination station. Line transfer refers to activity in which the subway line embarked on by the passenger is different from that which is disembarked. Succinctly, line transfer is transfer at a middle station, rather than at origin or destination stations. Station transfer occurs when the card terminal line and embarking line are different. It appears when station transfer happens at the origin station as starting transfer, and at the destination station as destination transfer. In the case of Metropolitan smart card data, origin and destination station card terminal line number data is recorded, but subway line data does not exist. Consequently, transportation card data, as it exists, cannot adequately be used to analyze pedestrian movement as a whole in subway stations. This research uses the smart card data, with its constraints, to propose an analysis model for passenger pedestrian movement within subway stations. To achieve this, a path selection model is constructed, which links origin and destination stations, and then applied for analysis. Finally, a case study of the metropolitan subway is undertaken and pedestrian volume analyzed.