• 제목/요약/키워드: Ageing Population

검색결과 122건 처리시간 0.023초

치아 마모의 해석-논문 고찰 (The interpretation of tooth wear - literature review)

  • 황수정;서민석
    • 구강회복응용과학지
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    • 제34권3호
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    • pp.137-146
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    • 2018
  • 치아 마모로 인해 치아 경조직은 없어지게 된다. 이것은 여러 가지 변수가 작용하는 과정이다. 오랜 시간 동안 치아 마모는 일상적인 임상 영역에서는 별다른 과심을 받지 못하였지만 최근 들어 관심이 점점 더 커지고 있다. 인간의 평균 수명이 계속 늘어가면서 치아의 중요도가 더 증가하기도 하였고 구강 위생이 보편화되고 치과 치료가 발전하면서 치아가 더욱 오랜 동안 구강 내에서 유지되고 있기 때문에 치아 마모가 더 많은 관심을 불러 일으키고 있는 것이다. 치아 마모는 자연적으로 한방향성을 가지고 있기 때문에 이를 통해 개개인의 연령 감정을 하는데 자주 이용되었다. 당연하게도 치아 마모를 이용한 연령감정은 상대적으로 넓은 범주에서 이루어지고 그 정확성도 의심받고 있다. 고대에서 중세시대까지 치아 마모는 아주 심하게 있어왔다. 그래서 치아 마모는 매우 많은 지역에서 연구되어 왔다. 하지만 아직 이런 개개의 연구들이 통합적인 의미 도출로 이어지지는 못하고 있다. 따라서 지금까지의 연구들을 토대로 통합적인 치아 마모의 이해를 위한 세부적인 연구와 접근이 필요한 시점이다.

노인의 자립과 사회참가 등 사회생활환경조성을 위한 법제적 문제점과 개선방안 (Legislative issues and Improvement Devices for on the Environment of Social Life in Social Participation and Self-reliance of the Aged)

  • 노재철;고준기
    • 한국콘텐츠학회논문지
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    • 제12권12호
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    • pp.647-660
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    • 2012
  • 고령화시대에 있는 우리나라는 노인을 약자로 보는 복지정책으로는 한계성이 나타나게 된다. 건강하고 의욕이 높은 노인의 활력을 사회에서 살릴 수 있는 구조의 마련과 제도의 정비의 중요성은 고령화가 진행되는 사회일수록 더욱 높다. 우리사회는 노인의 능력을 사회에서 활성화시키는 구조, 노인입장에서 보면 사회참가의 구조를 정비하여 노인의 생활면에서 자립할 수 있는 기반을 조성하여, 노인이 건강하고 경제적 기반이 약화된 때에 사회가 지원하는 전체시스템을 검토할 필요가 있다. 이 논문에서는 노인에게 무조건 약자로서 생활지원이 강조되는 형태의 노인대책과는 다른 노인의 생활에 있어서 적극적인 지원의 필요성을 검토하고 지원을 위한 법제도적 정비방안을 제시하고자 하였다.

노인병 인정의 양성 교육: 만족도와 현실성 (Certificate Education for Geriatric Physician: Satisfaction and Feasibility)

  • 이성천;김화준;박형준;윤종률;김창엽;문옥륜;장숙랑
    • Journal of Preventive Medicine and Public Health
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    • 제41권1호
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    • pp.10-16
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    • 2008
  • Objectives : Korea faces a number of challenges to meet demands in the area of geriatric professional medicine in a country with a rapidly ageing population. We evaluated the satisfaction and feasibility of the current education certification for geriatric physicians. Methods : Geriatric physicians who were deemed qualified by the Korean Geriatrics Society during the period of 2001 to 2005 (n=2,200) were asked to complete structured questionnaires sent to them by mail about their satisfaction of and need for certificates of education, as well as their opinions on their geriatric specialty training. A total of 419 physicians responded. Descriptive analysis and hierarchical regression were performed to rate the respondents' satisfaction, the characteristics of the need for clarity and utility in education certification, and the characteristics of their patients. Results : Although most respondents were satisfied with their education certification, those who had more elderly patients, aged 65 or older, and those who had more cognitively impaired patients, rated their education as significantly lower than did other physicians. Both groups expressed the need for more the comprehensive care and assessment concerning of their education. Multiple regression analysis indicated that satisfaction with geriatric physician qualification was associated with a physician's age, specialty, and percentage of elderly patients. Conclusions : This study suggests that the current system of education certification is limited in terms of feasibility and physician satisfaction.

Himalayan Medicinal Resources: Present and Future. A Case Study: Andidiabetic Activity of Shilajit

  • Basnet, Purusotam
    • Plant Resources
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    • 제4권3호
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    • pp.161-170
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    • 2001
  • A major portion of drugs used in Ayurvedic system of medicine which has been practiced since the early human civilization in Indian subcontinent were of plant origin. It should be noted that 70% of the population in this region depends on Ayurveda for their medical treatment and 60% of the drug resources are obtained from the Himalayan region. Therefore, Nepal becomes a potential source of plant drug resource since it occupies a major portion of the Himalaya. In the present paper, in general a current status of medicinal plant resources of Himalayan region especially Nepal will be discussed. In addition to this, a typical example of antidiabetic activity of Shilajit will be taken for the discussion. Shilajit is one of the crucial elements in several formulations including those of Rasayana, a therapy in Ayurveda, which has been practiced in the prevention of ageing and mental disorder. Although, Shilajit is widely used for the treatment of diabetes, no satisfactory scientific reports are available up to now. The crude Shilajit in the market is a dark brown or black rock-like substance collected from the Himalayan region with a strong smell of cow's stale urine. In our studies, Shilajit (collected in the central Himalayan region) prevented the diabetes in nonobese diabetic (NOD) mice model. Shilajit also prevented the diabetes in the rats against the action of multiple low-dose (10 mg/kg, i.v., 5 times) of streptozotocin. On the other hand, Shilajit did not show antioxidative activity. The preventive action of Shilajit on diabetes is mainly focused on the Thl and Th2 cell activities, since Th2 cells activity was found to be significantly upregulated. Shilajit, however, showed a mild action in controlling the blood sugar level in young, old, and mild diabetic rats, but not in the severe diabetic rats. It also stimulated the nitric oxide production in macrophages. Based on these evidences, the antidiabetic activities of Shilajit appear to be immunomodulative probably by protecting or strengthening insulin-producing b-cells in the pancreas. Further systematic research on constituents of Shilajit and its quality evaluation is necessary to enable the use of natural medicines in the treatment of diabetes.

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노인의 옥외환경 이용에 대한 Push and Pull 요인 연구 - 전주시 도시재생 테스트베드 사업지역을 중심으로- (A Study on the Push and Pull Factors Affecting the Use of Outdoor Environments for the Elderly : Focus on the Case of Testbed in Jeonju)

  • 안소미;이연숙
    • KIEAE Journal
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    • 제13권1호
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    • pp.141-150
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    • 2013
  • As longevity of human-beings is extended and the population of aged people increases, diverse issues related with the aged people are presented. The neighborhood space for the aged people is required to be designed based upon the understanding of such difficulties of the elderly and the public outdoor environment is an important environmental resource that can enhance the quality of life and promote the health of the elderly in underprivileged area without burdening them economically. This study aims to research the daily life of the elderly in underprivileged urban area and their utilization styles of outdoor environments in order to find out the push factors and pull factors that induce the aged people to use the outdoor environments. For this purpose, this study carried out an interview survey upon 69 elderly residents and surveyed on 363 elderly residents of low income class who are aged 60 and over and living in decaying area in Jeonju. For the analysis of the collected data, a qualitative and a quantitative analysis were accomplished. As results of study, the elderly in underprivileged area use such outdoor environments as resting facilities, exercise equipment, parks, farming gardens and waterfronts, and the push factors for them to use the outdoor environments were sordid indoor spaces, sense of isolation or loneliness, and the desire for maintaining good health. And the pull factors for them to use the outdoor environments were natural factors, opportunities for social interactions, space for exercise. The obstacles that hinder the elderly in using outdoor environments were the bad health of the elderly, lack of facilities, accessibility and weather conditions. Thus, the results of this study are expected to provide basic data for designing the outdoor environments to promote the health of the elderly in urban underprivileged area and to relieve the burdensome problems related with ageing societies.

세포 기반 고집적 스크리닝 시스템용 비접촉식 고정밀 마이크로 디스팬서 제작 (Development of a Non-contact Liquid Dispenser for High Contents Screening System)

  • 조성진;김인태;임근배
    • 대한기계학회논문집A
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    • 제40권6호
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    • pp.581-585
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    • 2016
  • 최근 고령화 사회에 진입과 소득수준이 향상됨에 따라 의료 수요가 빠르게 증가되고 있다. 이중 신약 개발은 의료분야의 핵심 분야 중 하나로 전 세계적으로 많은 투자가 연구가 이루어지고 있다. 신약 개발의 중요한 과제 중 하나는 다양한 후보를 빠르고 정확하게 발굴하는 자동화 시스템을 개발하는 것이다. 고속으로 후보물질을 발굴하는 기술 중 대표적 기술이 세포 기반 고집적 스크리닝 시스템(High Contents Screening, 이하 HCS) 기술이다. 이 HCS 시스템에서 다양한 물질을 한꺼번에 스크리닝하기 위해서는 다기능 고정밀 디스팬서 제작이 필수적이다. 본 연구에서는 기존의 HCS 디스팬서 시스템이 가지고 있는 단점을 보완하기 위해 에어건과 압력 구동식 펌프를 이용한 새로운 컨셉의 비접촉식 디스팬서를 개발하고 그 가능성을 확인한다.

주요 치료재료 품목군의 건강보험청구액 결정요인분석 (Analysis on the Determinants of Therapeutic Materials Expenditure in National Health Insurance)

  • 변진옥;이주향;김유리;이혜재
    • 보건행정학회지
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    • 제26권4호
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    • pp.333-342
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    • 2016
  • Background: The use of therapeutic materials based on new health technology has increased in recent years in the field of medicine, raising concerns for medical practitioners regarding increased spending on the new therapeutic materials amid the rapid population ageing and increase of chronic diseases in Korea. While therapeutic materials have significant importance in the health care system, they have not been given appropriate attention in the academic world of Korea. The purpose of this study is to identify factors that affect the growth of expenditure on therapeutic materials and to derive implications for an effective management considering the diversity of therapeutic materials. Methods: Using the claims data of the National Health Insurance Services, specific utilization patterns of groups of therapeutic materials in the middle classification level of Health Insurance Review and Assessment Service from 2007 to 2014 were analyzed. Four categories (J5083: drug eluting coronary stent, D0302: nonmetallic anchor, K6014: gauze, K6023: gauze) that exhibit unique patterns with respect to price and volume were selected. Then, decomposition analysis was performed to identify the largest contributor to the spending growth by dividing the products into existing, new, and abandoned products for the period between 2010 and 2013. Results: The effect of new products had larger impact on spending growth than the effect of core items in drug eluting coronary stent (J5083) and nonmetallic anchor (D0302). In addition, existing products in general included items priced relatively lower when compared with another item manufactured by the same company. In the gauze category, however, existing products had the largest impact on expenditure and the effect of volume was greater than that in other categories. Conclusion: This study provides evidence that appropriate management measures classified by the characteristics of therapeutic materials are required for therapeutic materials pricing and reassessment in Korea.

HIMALAYAN MEDICINAL RESOURCES: PRESENT AND FUTURE. A CASE STUDY: ANTIDIABETIC ACTIVITY OF SHILAJIT

  • Basnet, Purusotam
    • 한국자원식물학회:학술대회논문집
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    • 한국자원식물학회 2001년도 The 8th International Symposium
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    • pp.20-33
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    • 2001
  • A major portion of drugs used in Ayurvedic system of medicine which has been practiced since the early human civilization in Indian subcontinent were of plant origin. It should be noted that 70% of the population in this region depends on Ayurveda for their medical treatment and 60% of the drug resources are obtained from the Himalayan region. Therefore, Nepal becomes a potential source of plant drug resource since it occupies a major portion of the Himalaya. In the present paper, in general a current status of medicinal plant resources of Himalayan region especially Nepal will be discussed. In addition to this, a typical example of antidiabetic activity of Shilajit will be taken for the discussion. Shilajit is one of the crucial elements in several formulations including those of Rasayana, a therapy in Ayurveda, which has been practiced in the prevention of ageing and mental disorder. Although, Shilaiit is widely used for the treatment of diabetes, no satisfactory scientific reports are available up to now. The crude Shilajit in the market is a dark brown or black rock-like substance collected from the Himalayan region with a strong smell of cow's stale urine. In our studies, Shilajit (collected in the central Himalayan region) prevented the diabetes in nonobese diabetic (NOD) mice model. Shilajit also prevented the diabetes in the rats against the action of multiple low-dose (10 ㎎/㎏, i.v., 5 times) of streptozotocin. On the other hand, Shilajit did not show antioxidative activity. The preventive action of Shilajit on diabetes is mainly focused on the Th1 and Th2 cell activities, since Th2 cells activity was found to be significantly upregulated. Shilajit, however, showed a mild action in controlling the blood sugar level in young, old, and mild diabetic rats, but not in the severe diabetic rats. It also stimulated the nitric oxide production in macrophages. Based on these evidences, the antidiabetic activities of Shilajit appear to be immunomodulative probably by protecting or strengthening insulin-producing b-cells In the pancreas. further systematic research on constituents of Shilajit and its quality evaluation is necessary to enable the use of natural medicines in the treatment of diabetes.

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일본 개호인재 확보 정책동향 및 시사점 (Review of Healthcare Specialist Training Programs in Japan and Policy Implications)

  • 권주영
    • 한국융합학회논문지
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    • 제11권3호
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    • pp.237-244
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    • 2020
  • 초고령사회에 진입한 일본은 의료 및 복지에 대한 수요증가에 대응하기 위해서 정부의 다양한 정책적 방안들이 논의되고 있다. 특히 개호인력 확보 및 인력양성을 위해 일본정부와 지자체가 1) 인프라 구축, 2) 개호복지사 수학자금 등 대출제도, 3)외국인 유학생 개호인력유입 등 다양한 방면으로 전문 인력 확보 대책을 추진하고 있다. 또한, 교육기관인 대학에서도 커뮤니티케어 교육연구센터를 설립하여 의료, 복지, 교육에 관한 전문인재 육성의 질적 향상을 도모하고, 직업교육을 통해 개호전문인력을 지속적으로 육성하고 있다. 한국도 급속한 고령화와 의료기술의 진보 등 보건의료를 둘러싼 환경이 크게 변화하면서 고령자에 대한 개호 수요가 증가할 것으로 전망되고 있다. 개호요구의 급증에 비해 노동 인구의 감소로 심각한 인력부족을 겪고 있는 일본의 선 경험에 비추어 보건인력 확보에 대한 정책방안의 논의가 이루어져 할 것이다.

헬스케어 관련 자율주행 자동차 기술 한미 비교 연구 : 사회연결망 분석을 중심으로 (A Comparative Study on Healthcare Autonomous Vehicle Technologies between South Korea and the US Based on Social N etwork Analysis)

  • 김호경
    • 기술혁신학회지
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    • 제20권4호
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    • pp.1036-1056
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    • 2017
  • 인구고령화 및 만성질환 환자의 급증으로 의료비가 증가함에 따라 디지털 헬스케어에 대한 관심이 높다. 교통수단인 자동차에도 운전자의 상태를 인지하고 주행 환경을 반영하여 운전자의 안전과 건강을 도모하는 스마트 자동차 기술이 개발 중이다. 이에 본 연구는 최근 5년간(2011-2015년) 한국과 미국의 자율주행 자동차 기술개발 연구의 동향을 파악하기 위해 시계열 분석, 네트워크 분석, 시각화 및 국가 간 비교 연구를 수행하였다. 분석결과, 운전자의 안전 및 알고리즘을 활용한 모델링 등 공통연구영역에서 협력연구를 도모하고, 미국의 강점인 부품과 차량 간 연결기술 연구를 벤치마킹할 필요성이 제기되었다. 특히 미국은 자율주행 기술 연구에 있어 다양한 연령층의 특성을 고려하고, 센서 등을 통해 탑승자의 건강상태를 인지하고 예측하는 기술 연구가 진행되고 있는데 반해, 한국은 고령 운전자 측면만이 언급되어 헬스케어와 관련한 기술 연구가 좀 더 다양하게 진행될 필요가 제기된다. 향후 공중보건의 윤리가치와 운전자의 안전과 편의를 고려하며 경쟁력을 갖춘 자율주행 자동차 기술발전의 방향에 대해 논의하였다.