• Title/Summary/Keyword: 경증

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Analysis on the Use of Welfare Services of Elderly Long-term Care Grade Accredited and Unidentified (노인장기요양 등급인정자와 등급 외자의 지역사회복지서비스 이용 실태분석)

  • Lee, Yong-Jae;Kim, Hyo-Sim
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.29-37
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    • 2019
  • Elderly people want to live in the community even if they are in poor health. However, there is no integrated care support system suitable for the health and functional status of the elderly. So the elderly are choosing living facilities. The purpose of this study is to explore exploring whether the elderly are applying for a long-term care certification. First, mild geriatric patients were mainly using home care services such as visitation care. However, some of the milder elderly were enrolled in nursing homes. And the service that does not fit the functional status of the elderly is used. Second, it is concentrated on the use of visiting care services. Third, elderly people outside the class did not receive sufficient help for daily life, and the use of community welfare services such as the elderly welfare center was low. As a result, long-term care admitters are not able to continue to live in the community even though their health and functioning status is mild, and elderly people out of grade are unable to properly use the necessary community care services. The condition is likely to deteriorate.

Effects of Home-Visit Program with Cognitive-Stimulating Activities on Cognitive Function and Memory Self-efficacy of an Elderly with Dementia Special Rating : Single Subject (가정방문 인지자극 활동이 치매특별등급(5등급) 노인의 인지기능 및 기억 자기효능감에 미치는 효과 : 개별대상연구)

  • Son, Bo-Young;Bang, Yo-Soon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.247-262
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    • 2019
  • This study involved the effects of home-visit program with cognitive-stimulating activities on cognitive function and memory self-efficacy of an elderly with dementia special rating(5rates). The study was conducted from February 11 to April 26, 2019 using a 65-year old woman residing in G Metropolitan City. The individual subject study used an A-B-A design. The subject performed activities that required thinking and resolving in order to stimulate both her body and cognition. The activities chosen were easily accessible to those having a form of mild dementia, rates 5 dementia special rating, and repetitively stimulated the subject's intellectual capacity in an attempt to increase her degraded cognitive functioning. Specifically, the activities exercised both short-term memory and recollection using familiar letters, numbers, and bodily movements frequently encountered in daily life. The program positively affected the subject's memory and concentration. In addition, the program was found to be feasible for home use by those with mild dementia, obviating the need to travel to a location like a welfare center. The author presents specific activities for stimulating cognition that can effectively intervene to positively influence the cognitive functioning and memory of those with rates 5 dementia special rating.

Estimating the Willingness-To-Accept for Cash Benefit of Long-Term Care Insurance (노인장기요양보험제도의 현금급여 도입 필요성 - WTA를 통한 적정 현금급여액 추정 -)

  • Shin, Hye Jeong
    • 한국노년학
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    • v.29 no.1
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    • pp.177-194
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    • 2009
  • Korea government has launched long-term care insurance from 2008. However, one of the most important issues, whether or not providing cash benefit, is still unresolved. In this paper, in order to provide policy guidelines for the long-term care insurance, I attempt to estimate the Willingness-To-Accept (WTA) of the cash subsidy for informal care by using Double Bounded Dichotomous Choice method, a branch of Contingent Valuation Method (CVM). In doing so, I also estimated the determinants of the preference for cash benefit. Data were obtained from face-to-face survey interviews with 300 informal care-givers at three major general hospitals in Seoul, Korea. The questionnaire was constructed with two scenarios (mild/severe symptom). The results from logistic regression analyses and the estimation of WTA indicate that informal care-givers are willing to accept the cash benefit as low as 628 thousands won for mild fragile elderly and 1,072 thousands won for severe fragile elderly. The strength of this paper is that I estimated the WTA of the cash benefit by reflecting the changes in preferences of informal care-givers. The analytic results from the this paper suggest that the cash benefit in long-term care insurance is indispensible in achieving the goal of the long-term care system.

Clinical and Radiological Findings of Coronavirus Disease 2019 Pneumonia: 51 Adult Patients from a Single Center in Daegu, South Korea (Coronavirus Disease 2019 폐렴의 임상적, 영상의학적 소견: 대구의 단일 기관에서 51명의 성인 환자를 대상으로 한 분석)

  • Seung Eun Lee;Young Seon Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.3
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    • pp.591-603
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    • 2020
  • Purpose The purpose of this study was to describe the clinical features and chest computed tomography (CT) findings of coronavirus disease 2019 (COVID-19) pneumonia. Materials and Methods An Institutional Review Board-approved retrospective review was performed for 51 laboratory-confirmed COVID-19 pneumonia patients. Patients were divided into two groups depending on their clinical status: mild and severe. Clinical characteristics and chest CT findings were compared between the two groups. Results Among the 51 patients (22 men, 29 women; mean age, 56.5 ± 16 years; range, 22-88 years), 37 (72.5%) were in the mild group and 14 (27.5%) were in the severe group. The patients in the severe group (68.7 ± 12.5 years) were older than the patients in the mild group (51.8 ± 14.9 years, p < 0.001). Premorbid conditions and decreased lymphocyte counts were more often observed in the severe group than in the mild group (71% vs. 41%, p = 0.049 and 86% vs. 32%, p = 0.001, respectively). On chest CT, most patients exhibited a mixed ground-glass opacification (GGO) with consolidation (76%) or a GGO (22%) pattern. The majority of lesions were predominantly bilateral in the lower lung with a posterior, peripheral distribution. The patients in the severe group had higher severity scores than those in the mild group. Conclusion Patients with laboratory-confirmed COVID-19 pneumonia have typical chest CT findings that provide important information regarding expected disease severity.

A Study on Job Satisfaction and Quality of Life in Relation to the Use of Movement Assisters -Focused on a Comparison between Workers with Severe and Slight External Physical Disabilities- (이동보조기 사용에 따른 직업만족 및 삶의 질에 관한 연구 -중증과 경증 외부신체 장애자근로자의 비교를 중심으로-)

  • Sim, M.Y.;Ahn, S.A.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.6 no.2
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    • pp.71-76
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    • 2012
  • The purpose of the present study was to compare and analyze differences in job satisfaction and quality of life in relation to the use of movement assisters among workers with severe and slight external physical disabilities and to analyze the effect of job satisfaction on the quality of life of disabled persons who use movement assisters. First, severely disabled persons who used movement assisters showed higher degrees of satisfaction with their work content, working environments, working hours, possibilities for development, communication, and human relations. On the other hand, slightly disabled persons who used movement assisters showed higher degrees of satisfaction only with their working environments. Second, severely disabled persons who used movement assisters perceived a higher quality of life in the areas of family, residence, and work. Slightly disabled persons who used movement assisters perceived a higher quality of life only in the area of family. Third, workers with external physical disabilities who used movement assisters had positive effects on their quality of life arising from job satisfaction in relation to income, job stability, working environments, working hours, possibilities for job development, communication, and human relations that is, a higher job satisfaction was correlated with a higher perceived quality of life.

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A Study on the Leisure Clothing Design for Elderly with Mild Dementia (경증(輕症) 치매노인人)을 위한 여가복(閭家服) 디자인 연구(硏究))

  • Park, Hye-Won;Lee, Hyun-Young
    • Journal of Fashion Business
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    • v.11 no.4
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    • pp.42-51
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    • 2007
  • The purpose of this study is to develop clothing design for mild dementia patients who display positive action in clothing for the improvement of the quality of life of the dementia patients following the symptoms of patients in accordance with the clinical classification to provide the functional assistance for ordinary living as well as emotional stability and aesthetic functions for the dementia elderly. The method of research is performed for theories through the advanced research and documentary data, and interpreted in functional and aesthetic level on the basis of the result of advance survey related to the characteristics of the mild dementia patients and clothing conduct of elderly with light dementia to select the material, color, decoration and functional design with four pairs for women and two pairs for men. Designs for the total of six have been actually produced by making the map, including the material swatch, color and others. The questionnaire as the measuring tool is used and the assessment category is made for the adaptability of design on each category. On the six clothes that are produced for the mild dementia patients, the statistics package SPSS Ver 12.0 is used for the data analysis on questions 8-10 for the frequency analysis. In overall, the leisure clothing for mild dementia patients developed from this research are generally satisfied, and overall type, material, color, detail and arrangement are generally evaluated highly, and have the assessment of normal or better in the color size and type.

Personality Assessment Inventory Profiles of Patients with Mild and Severe Traumatic Brain Injury (경증 및 중증 외상성 뇌손상 환자의 성격평가 질문지 프로파일)

  • Kweon, Seok-Joon;Rho, Seung-Ho
    • Korean Journal of Biological Psychiatry
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    • v.12 no.1
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    • pp.20-31
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    • 2005
  • Objectives:This study was designed to investigate the characteristics of personality changes and emotional distress using the Personality Assessment Inventory (PAI) in patients with traumatic brain injury(TBI), divided into mild (MTBI) and severe (STBI) groups according to the severity of injury. Methods:The subjects were consisted of 25 patients with MTBI, 25 patients with STBI, and 25 normal controls. They were interviewed with the PAI. The data were analyzed by ${\chi}^2$ test, analysis of variance and Tukey test. Results:The results were the followings. First, Negative Impression in validity scales was elevated above cutoff point(T score 70) in both MTBI and STBI groups. Second, the clinical scales of which scores elevated above the cutoff point were Somatic Complaints, Anxiety, Anxiety-Related Disorders, Depression, and Schizophrenia in the MTBI, and Somatic Complaints and Depression in the STBI. Third, the clinical subscales above the cutoff point were Conversion, Somatization, Health Concerns, Affective Anxiety, Physiological Anxiety, Traumatic Stress, Cognitive Depression, Affective Depression, Physiological Depression, Thought Disorder, and Affective Instability in the MTBI, and Health Concerns, Cognitive Depression, Affective Depression, and Physiological Depression in the STBI. Fourth, Suicide Ideation in treatment scales was the only scale above the cutoff point in the MTBI and the others of the treatment and interpersonal scales in the MTBI and all of these scales of the STBI were not elevated above the cutoff point. Fifth, the scales of which scores showed significant difference between the MTBI and the STBI were Somatic Complaints, Anxiety, Depression, and Suicide Ideation, the subscales were Conversion, Somatization, Health Concerns, Affective Anxiety, Physiological Anxiety, Physiological Depression, and Psychotic Experiences. Conclusion:These results suggest that the patients with MTBI had more somatic and anxiety symptoms, depressed mood, and suicidal ideation than the patients with STBI. These characteristics are generally consistent with clinical observation and findings from previous studies of the patients with TBI, and the PAI seems to be a beneficial adjunctive assessment tool for the evaluation of patients with traumatic brain injury.

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Relations between Somatic Symptoms, Depression, Anxiety, and Cognitive Function in Patients with Mild Traumatic Brain Injury (경증 외상성 뇌손상 환자에서 신체적 증상, 우울, 불안과 인지기능의 관계)

  • Kim, Myung Hun;Oh, Sang Woo;Rho, Seoung Ho
    • Korean Journal of Biological Psychiatry
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    • v.15 no.3
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    • pp.194-203
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    • 2008
  • Objectives : This study was aimed at evaluating the relationship between somatic symptoms, depression, anxiety and cognitive function in the patients with Mild Traumatic Brain Injury(MTBI). Methods : Thirty seven patients with MTBI were selected from those patients who had visited the Department of Neuropsychiatry of Wonkwang University Hospital from 2003 to 2007. To assess and quantify the somatic symptoms, depression and anxiety, Personality Assessment Inventory(PAI) was used. Assessment of cognitive function was carried out by using Korean Wechsler Adult Intelligence Scale(K-WAIS), Rey-Kim Memory Test, and Kims Executive Function Test. The effects of somatic symptoms, depression, and anxiety on the cognitive function were evaluated by Pearson correlation test. Results : Somatic symptoms, depression, and anxiety, all showed inverse correlation to cognitive function. Specifically, 1) an increase in somatic symptoms was associated with a decrease in attention, verbal short term memory, verbal recall and recognition, and visual memory. 2) An increase in anxiety was associated with a decrease in verbal recall and recognition. 3) An increase in depression was associated with a decrease in cognitive function that requires high attention and verbal memory. Conclusion : The patients with MTBI displayed diverse symptoms ranging from cognitive impairment to somatic symptoms, depression, and anxiety. Somatic and emotional symptoms were correlated with cognitive function(especially executive function). Importantly, this study raises the possibility of treating the cognitive impairment associated with MTBI by treating somatic symptoms, depression, and anxiety.

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A Study on the Satisfaction of the Elderly with Mild Dementia using the Dementia Care Center (경증치매노인의 치매안심센터 이용만족도에 관한 연구)

  • Kim, In-Ok
    • Journal of Digital Convergence
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    • v.18 no.5
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    • pp.505-512
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    • 2020
  • This study is done to provide basic data on the effective operation of the new policies by examining the satisfaction level of the elderly with dementia visiting dementia care centers located in 25 autonomous districts of S city. Self-administered questionnaires were distributed to 217 elderly with dementia who visited the above dementia care center from July 1 to September 30, 2019. The satisfaction tool is a chart score scale that displays negative-positive expressions at both ends of a straight line. The result shows that satisfaction level is significantly higher in the group with trust in the visiting institutions than in the group with distrust (t=9.74, p<.001), higher in cognitive impairment group than in dementia group (t=0.13, p=.034), and higher in mild depression group than in more severe depression group (t=2.31, p=.022). Satisfaction ratios analyzed by logistic regression shows significant differences in factors like gender, age, education, and walking pattern. In conclusion, it is important to run health support programs that consider user characteristics to improve the satisfaction of newly introduced dementia care centers.

Individual with mild autistic disorder Augmentative and alternative communication Training Program (경증 자폐성 장애인을 위한 보완·대체의사소통 지원프로그램)

  • Yoo, Sung-Ryeong;Park, Jeonghwa;Park, Suhyun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2013.10a
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    • pp.507-509
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    • 2013
  • This paper covers the individual with mild autistic disorder complementary and alternative communication Support program by using Android. The complementary and alternative communication is the communicative system to help handicapped people who have problems with colloquial and non-colloquial communication. In this research, we will introduce the communication manner of autistic disorder, the method of how to measure the language disabled people's selection and frequency of the words, and the basic training method of Autism people's communication ways. In this paper, we developed complementary and alternative communication system which used language representative method to encourage language disabled people to study on communication in effective way. We utilized 'TTS technology' to enable handicapped people delivering their mind with the voice; moreover, by listening their voice by themselves, we accelerated their studies on communications. In addition, by offering 'Painting function', we promoted handicapped people to deliver their purpose widely and efficiently. Also, we built the smart system in 'Painting function' to collect frequency and educated degree data from the users by using this function, we can analyze the percentage of conscious and unconscious communication way of Autism cases to help them.

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