• Therapeutic Science for Rehabilitation
• /
• v.10 no.3
• /
• pp.43-56
• /
• 2021

Objective : The objective of this study was to present the components of frailty by organizing the definitions of frail elderly and analyzing the tools used to screen them. Methods : This study searched for articles at involved frailty screening assessments in the elderly. Databases including CINAHL, Embase, Medline Complete, and PubMed were searched. The search terms were "assess" AND "frailty" AND "screening" AND ("frail elderly" OR "elderly"). Results : A total of 539 articles were identified by the search and 11 articles were selected. Frailty occurs due to the depressed function of multidimensional factors, and a frail elderly person is defined as one at high risk of health degeneration, functional impairment, and occurrence of disability, and having a high level of threat to life. Seven tools were selected from 11 articles. The most frequently used tool was the frailty phenotype, which was used in five articles (45.4%). The identified components of frailty were physical, activity participation, nutrition, psychological, social, overall health, and age. Conclusion : The results confirmed the definition and components of frailty. This study is expected to contribute to the future development of standardized evaluation tools for screening frail elderly individuals and intervention programs for the management of the frail elderly.

• Proceedings of the Korean Society for Rock Mechanics Conference
• /
• 2003.03a
• /
• pp.51-66
• /
• 2003

최근 용지매입의 제한과 자연환경훼손의 최소화를 도모하는 사회적 환경으로 인해 대단면 근접병설터널 계획이 점차 증가하고 있다. 지금까지는 주로 중앙벽체부의 지지기능을 활용한 2Arch터널의 형태로 도심지 지하철의 정거장이나 고속도로의 일부구간에 계획되고 있으나, 대단면 근접병설터널에 대한 시공실적 및 설계사례가 부족한 국내에서는 이에 대한 역학적 거동과 합리적 시공방안에 대한 연구가 미흡한 실정이다. 따라서, 대단면 근접병설터널에 대한 국내·외의 설계 및 시공사례를 정리·분석하므로서 차후 제한된 구간에서의 터널계획시 합리적인 설계 및 시공이 되고자 하였다. 또한, 최근 도심지 구간에 계획중인 터널의안정성 검토 사례를 중심으로 터널 및 인접구조물, 중앙필러부 및 콘크리트 라이닝에 대한 상세 안정성 검토방법을 고찰함으로써 기존 병설터널의 거동특성과는 구별되는 대단면 근접 병설터널의 안정성 평가기법에 대한 방향을 제안하였다.

• Korean Journal of Psychosomatic Medicine
• /
• v.28 no.1
• /
• pp.20-28
• /
• 2020

Objectives : The aim of this study was to compare psychosocial characteristics of the functional gastrointestinal disorders FGID group, non-FGID group, and control group and determine factors affecting the QOL of patients with FGID. Methods : 135 patients diagnosed with FGID were selected. 79 adults had no observable symptoms of FGID (control group) and 88 adults showed symptoms of FGID (non-FGID group). Demographic factors were investigated. The Korean-Beck Depression Inventory-II, Korean-Beck Anxiety Inventory, Korean-Childhood Trauma Questionnaire, Multidimensional Scale of Perceived Social Support, Connor-Davidson Resilience Scale, Patient Health Questionnaire-15 and WHO Quality of Life Assessment Instrument Brief Form were used to assess psychosocial factors. A one-way ANOVA was used to compare differences among groups. Pearson correlation test was performed to analyze the correlation of psychosocial factors and QOL of the FGID group. Further, a hierarchical regression analysis was conducted to determine factors affecting the QOL of the FGID group. Results : Between-group differences were not significant in demographic characteristics. Depression (F=48.75, p<0.001), anxiety (F=14.48, p<0.001), somatization (F=24.42, p<0.001) and childhood trauma (F=12.71, p<0.001) were significantly higher in FGID group than in other groups. Social support (F=39.95, p<0.001) and resilience (F=17.51, p<0.001) were significantly lower in FGID group than in other groups. Resilience (β=0.373, p<0.01) was the most important explanatory variable. The explained variance was 47.2%. Conclusions : Significantly more symptoms of depression, anxiety, childhood trauma, and somatization were observed for the FGID group. This group also had less social support, resilience, and quality of life than the non-FGID and control groups. The key factor for quality of life of the FGID group was resilience.

• The Journal of Korean Academy of Prosthodontics
• /
• v.57 no.4
• /
• pp.374-381
• /
• 2019

A conventional approach for the treatment of long-span edentulous areas is the use of removable dentures. However, placing implants in these areas results in superior functional outcomes by increasing the stability, support, and resistance of the prostheses and improving the masticatory efficiency. Treatment modalities utilizing implants can be further classified into either removable or fixed-type prostheses. Several factors such as the amount of alveolar bone resorption, inter-arch relationship, patient preferences, and socioeconomic status should be considered when determining the appropriate treatment approach. Monolithic zirconia has been considered a suitable material for implant-supported fixed dental prosthesis, because of the drastic improvement in its mechanical properties. It exhibits fewer incidences of fracture and chipping of the prostheses, and has greater bulk of material than metal-ceramic crowns and zirconia-veneered ceramics. Moreover, highly translucent monolithic zirconia is also available in the market, and its application is gradually increasing for anterior tooth rehabilitation. The present report describes a patient who underwent full-mouth rehabilitation with fixed dental prostheses (eight upper and three lower implant placements). All teeth, except bilateral mandibular canines and left mandibular first and second premolars, were extracted after the diagnosis of generalized chronic moderate-to-advanced periodontitis of the remaining teeth. The patient reported satisfactory esthetic and functional outcomes during the one-year follow-up visit.

• Journal of Home Health Care Nursing
• /
• v.19 no.1
• /
• pp.63-73
• /
• 2012

Purpose: The purpose of this study was to determine the factors related to the social support, family and friend support as well as home care nurse support, in family caregivers of patients with home care service. Method: The participants were 111 family caregivers of patient, who were receiving home care services from home health care centers of 3 different general hospitals located in Seoul. The data was collected, using self-administered questionnaires. Result: The level of family and friend support varied significantly according to patients' mental status, period of home care nursing, frequency of home care service, caregiver's education level, family income, and family functioning level. On the other hand, home care nurse support varied significantly according to patients' mental status, caregiver's age, existence of interchangeable family caregivers, and family functioning level. There was a significantly positive correlation between the social support the family caregivers' perceived and family function while there was a negative correlation between family and friend support and the period of home care service. Conclusion: Thus, the establishment of nursing interventional program, with understanding of their social support, is needed for both patients and their caregivers.

• Korean Journal of Social Welfare Studies
• /
• no.37
• /
• pp.369-397
• /
• 2008

The purpose of this study is to understand the context of mental hospital admission and discharge related with the stakeholder and to find out issues about public management on mental health disabilities. To this process, the more effecive alternative policies for mental health will be offered. As a research tool, the qualitative study was used, and the 6 case were analyzed. Through this study, we find 5 theme such as admission type occurred outside public management, uneffective public management in mental hospital treatment, long-term treatment mechanism occured in mental hospital, helplessness and role distortion of public follow-up system. According to the mental health law, mental hospital admission and discharge on mental health disabilities is to managed public system. But public management with mental health disabilities did not work on. In this results, we are find infringement on mental health disabilities. According to these findings, several suggestions are offered for better policies about admission and discharge procedures managed by public system.

• Korean Journal of Social Welfare
• /
• v.56 no.3
• /
• pp.135-157
• /
• 2004

This study was motivated from the proposition that readiness for self-sufficiency is important for future independent life of poor adolescents. This study focused on analyzing the effect of empowerment as a mediator as well as analyzing the effects of predictive factors of readiness for their self-sufficiency. For conducting this study, a survey method was used on 240 poor adolescents residing in Seoul. This study used path analysis method for analyzing mediator effect of empowerment. In the results, Statistically significant variables that had effect on readiness for self sufficiency through empowerment(intrapersonal, interpersonal, sociopolitical) were family relations and peer relations. Participation in social organization variable had a positive influence on readiness for self-sufficiency through interpersonal empowerment and sociopolitacal empowerment. Problematic variable had a negative influence on readiness for self-sufficiency through interpersonal empowerment. Such results provided knowledge foundations for diverse social work approaches related to promoting empowerment. Specifically, this study shows that diverse social services are necessary for promoting poor adolescents readiness and social work interventions are necessary for strengthening adolescents empowerment.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.3 no.1
• /
• pp.14-25
• /
• 1992

The present study was purposed to find out variables of childhood antisocial behavior. The variables consisted of social cognition competence(Peer perception. acquaintance perception, frustration situation perception). academic competence(Visual integration function. written expression function, grammar closure function). The subject in this study were 32 nine year old-fourteen year old antisocial behavior boys and 32 third grade in elementary school-second grade in middle school normal boys and girls. The results of this study were obtained as follows. 1) In peer perception antisocial behavior children perceived peer as more supportive than normals. In acquaintance perception. there was no difference between groups. 2) In frustration situation perception, normal children used intropunitive attack still more than antisocial behavior children and antisocial behavior children perceived frustration situation more sensitive than normals and they were less active in problem solving aspects than normals. 3) In Academic competence, antisocial behavior children have deficits in visual motor integration function, written expression function. grammar closure function.

• Journal of agricultural medicine and community health
• /
• v.27 no.1
• /
• pp.21-31
• /
• 2002

The aim of this study was to analyse and conduct the comprehensive geriatric assessment for the elderly in rural area. The subjects were 388 older people aged 65 years or older living in the community. Data for comprehensive assessment such as physical, mental, functional, social and environmental conditions were collected from January to February, 2001 through a person-to-person interview. Of the total 388 olders, 169(43.6%) were men and 219(56.4%) were women. Mean ages of men and women were $73.5{\pm}6.4$ and $74.0{\pm}6.2$ years respectively. Three common diseases of the elderly were arthralgia(51.6%), chronic back pain(33.2%) and hypertension(18.6%), and higher in women than in men. Impairment rate of vision, hearing and bowel or bladder control was 59.0%, 20.1%, and 28.4% respectively. But that of lover extremities 3.4%. In terms of cognitive function, short term memory loss was found in 33.7% of males and 44.7% of females. The percentage of fully independent in the six ADL items was 72.2% in men and 58.9% in women. In the social supportive system, 49.5% of the elderly were living with spouse, and 22.9% living alone, 26.3% having care giver. These results will provide basic data for the development of community-based health program, which gives appropriate health service for the elderly living in the community.

• Perspectives in Nursing Science
• /
• v.10 no.2
• /
• pp.87-96
• /
• 2013

Purpose: The purpose of this study was to investigate the relationships of activity status, anxiety, depression, social support, symptom experience, and functional status in patients with lung cancer based on the theory of unpleasant symptoms. Methods: The participants for this study were 101 lung cancer patients who visited the out-patient department for treatment or follow-up at one hospital in Seoul. Data were collected from January 1 to February 8, 2013 using self-reported questionnaires and clinical records. To measure variables, the functional scale and symptom scale of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30, EORTC QLQ-Lung Cancer 13, Eastern Cooperative Oncology Group Performance Status, Hospital Anxiety and Depression Scale, and Multidimensional Scale of Perceived Social Support were used in this study. The data were analyzed using SPSS 19.0 software for Windows. Results: The symptom experience showed more severity in patients with lower activity status, higher anxiety and depression. With lower activity status and social support, functional status was lower. When anxiety, depression, and symptom experience were higher, functional status was also lower. The significant factors predicting symptom experience were depression, anxiety, activity status, and social support, which explained 57.8% of the variance. Conclusion: These results suggest that psychological factors such as anxiety and depression had a negative influence on the symptom experience of lung cancer patients. Therefore, providing emotional support based on the patients' needs prior to providing symptom management could be a useful strategy for improving symptom experience and functional status.