• 제목/요약/키워드: CES

검색결과 546건 처리시간 0.023초

일부 요양시설 노인들의 사회적 지지와 우울수준과의 관련성 (Relationship Between Social Supports and Depression Symptoms Among the Elderlies at Care Facilities)

  • 임영아
    • 한국산학기술학회논문지
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    • 제20권11호
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    • pp.335-347
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    • 2019
  • 본 연구는 요양시설 노인의 사회적 지지와 우울수준과의 관련성을 규명하고자 시도하였다. 조사대상은 D광역시에 소재하고 있는 15개소의 요양시설에 입소하고 있는 65세 이상 노인 328명을 대상으로 하였으며, 자료 수집은 2018년 3월 1일부터 5월 31일까지의 기간 동안에 조사원이 조사대상 요양시설을 직접 방문하여 면접조사에 의하였다. 연구 결과, 조사대상자에서의 우울군의 분포는 사회적지지 점수가 낮은 군일수록 유의하게 높았으며, 우울수준 점수(CES-D)는 사회적지지 점수와 유의한 음의 상관관계를 보였다. 로지스틱 회귀분석 결과, 우울군에 속할 위험비는 사회적지지 점수가 가장 높은 군(Q4)보다 높은 군(Q3)에서 2.7배, 중간 군(Q2)에서 5.4배, 낮은 군(Q1)에서 10.1배 유의하게 증가하였다. 다중회귀분석 결과, 우울수준에 영향을 미치는 요인으로 종교유무, 자녀와의 관계, 주관적 건강상태, 신체의 부자유유무, 흡연상태, 아침식사여부 및 사회적지지가 유의한 변수로 선정되었으며, 투입된 변수들의 설명력은 41.1%이었다. 위와 같은 연구결과는 요양시설 노인의 우울수준은 사회적 지지와 유의한 관련성이 있음을 시사하고 있다.

구역전기 사업시 CHP와 신재생에너지 하이브리드 시스템의 최적공정 모델 (Optimization Process Models of CHP and Renewable Energy Hybrid Systems in CES)

  • 이승준;김래현
    • 에너지공학
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    • 제26권2호
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    • pp.99-120
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    • 2017
  • 한국지역난방공사 SS지사에서는 시설용량 전기 99MW, 열 98Gcal/h 규모의 열병합(Combined Heat & Power) 발전소를 구역전기사업으로 운영하고 있다. 이 지역은 경기불황과 수요감소로 하절기 6~9월 사이에 잉여열 처리문제가 발생하여 발전기를 가동하기 곤란한 상황이므로 경제성 있는 에너지 신사업모델 개발이 절실하다. 본 연구에서는 이곳의 실제 운영자료를 기반으로 신재생 에너지 하이브리드 시스템을 도입하여 최적화 운영모델을 개발하고자 한다. 특히 신재생에너지 중에서도 입지제약이 작고 열과 전기를 동시에 생산할 수 있는 연료전지(Fuel Cell)발전과 대표적인 신재생에너지인 태양광(Photovoltaic)발전과 심야발전시 전력을 저장하여 주간에 전력을 방출 할 수 있는 ESS(Energy Storage System)의 조합을 검토하였다. 이에 따른 최적화 모델 선정은 HOMER(Hybrid Optimization of Multiple Energy Resources) 프로그램을 활용하였다. 경제성 분석을 수행한 결과, 순 현재비용(NPC) 측면에서는 기존의 99MW 열병합발전이 가장 경제적이지만 신재생에너지를 사용하여 발생되는 탄소배출권 거래와 REC(Renewable Energy Certificate) 거래를 포함한 측면에서는 99MW의 CHP와 5MW의 연료전지, 521kW의 태양광을 하이브리드 시켜서 전력과 열을 공급하는 것이 99MW의 CHP 열병합발전만으로 전력과 열을 공급하는 것보다 최대 2,475억원 경제적인 것으로 나타났다. 구역전기사업에서 최적화 공정모델로 연료전지와 신재생에너지 하이브리드 시스템을 도입함으로써 경제성을 개선시킬 수 있는 결과를 확인하였다.

외상 후 스트레스장애 환자의 악몽치료에서 Terazosin의 효과 : 예비 연구 (Effect of Terazosin on Posttraumatic Nightmares : A Pilot Study)

  • 정문용;정지영;이태영;강석훈;김태용;최진희;정혜경
    • 대한불안의학회지
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    • 제2권1호
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    • pp.39-44
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    • 2006
  • Objective : Chronic posttraumatic stress disorder (PTSD) is defined by the coexistence of symptoms (reexperiencing, avoidance and hyperarousal), persisting for more than months or years that causes significant impairment in social occupational functioning. This study was conducted to evaluate the effects of terazosin on posttraumatic nightmares which is one of chronic PTSD symptoms. Methods : Twenty patients with chronic PTSD and severe trauma-related nightmares were treated with terazosin (3-7 mg/day) for 8 weeks. Recurrent distressing dreams item of the Clinician administered PTSD Scale (CAPS), Total CAPS score, Clinical Global Impressions-Severity Scale (CGI-S) and Clinical Global Impressions-Change Scale (CGI-C) were performed at baseline, 4-week and 8-week. Mississippi Scale for Combat-Related PTSD and Combat Exposure Scale (CES) were used to evaluate PTSD symptom pattern and degree of exposure. Results : Significant decrease in recurrent distressing dreams item, reexperiencing, avoidance and hyperarousal symptom score and total CAPS score were at 4-week and 8-week treatment compared to baseline (recurrent distressing dreams item : $2.70{\pm}1.88$ and $1.25{\pm}1.49$ ; reexperiencing, avoidance and hyperarousal symptom score : $2.30{\pm}2.49$, $1.20{\pm}1.05$, $3.10{\pm}1.68$ and $4.00{\pm}3.59$, $1.55{\pm}1.50$, $5.60{\pm}3.23$ ; total CAPS score : $8.20{\pm}6.26$ and $5.40{\pm}5.89$). There were significant correlation between dosage of terazosin and improvement of PTSD symptoms. Adverse effects such as fatigue and orthostatic hypotension were showed, which were mild and self-limited. Conclusion : These results suggest that terazosin may improve severe trauma-related nightmares and overall PTSD symptoms. Randomized controlled study with more subjects would be necessary in the future.

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한국내 물류서비스에 드론 활용을 위한 연구 (Study on Utilization Drones in Domestic Logistics Service in Korea)

  • 강기석;전인오
    • 유통과학연구
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    • 제14권5호
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    • pp.51-57
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    • 2016
  • Purpose - In the year of 2015 and 2016, one of the items that got attention in CES was a drone. It has been 100 years since a drone emerged, but most were used for military purposes. As its use became diverse as of 2010, it got attention of the general public. In Korea, it was in 2011 that a drone was known to the public through an aerial video shooting for television program. This study tried to come up with suggestions by comparing domestic with overseas cases, and tried to consider the related technologies and systems with applying the role of drones in logistics service. Research design, data, and methodology - The overseas cases were regarded as drone's logistical purpose. The Prime Air service by US Amazon is still not commercialized and under pre-testing due to Federal Aviation Regulations, although it started in 2013. In Germany, DHL succeeded in delivering service testing which is called Parcelcopter, but it is not commercialized yet. Other than these, there are more attempts to prepare logistics service in China with Taobao, in France with Geopost's test, and in Africa. In Korea, CJ Korea Express tested delivery with a self-developed drone Results - In order to study for utilizing drones for logistics as the prerequisites, some overseas and domestic cases, which are currently considered, were reviewed. Also, the technologies and institutional requirements to commercialize drones for logistical purpose were reviewed. The reasons for using drones in logistics is to ensure the price competitiveness by reducing cost. The empirical test also will be needed because drone pilot areas are designated by ministry of land, infrastructure and transport. Conclusions - In order to utilize drones in logistics and foster the industry, this study would like to suggest the followings. First of all, size of drones for logistics needs to be fixed and their operating system should be standardized. Centralized investment resources are needed through standardization to ensure the market occupancy. Secondly, it is necessary to get the converged businesses that do research, develop and commercialize drones with the investment of private sector. Example can be found in Korea aerospace Industries. We can respond to the rapid growth of the market with intensive investing by integrating the private sector investment. Thirdly, institutional arrangements are needed to be established quickly. In the case of high-technologies like drones, institutional support often does not follow the rapid development of the technology. The problems can be found in securing drones-only airspace, creating drone-specialized pilot's license, matters related to remote controller and complementary regulations for drones in Aviation Act. If these regulations are not prepared or complemented at the right timing, technologies cannot be commercialized even though the development is completed. Fourthly, there is a need to secure the transparency regarding possible privacy and personal information protection problem while operating drones. Finally, in order to foster this new industry, government should focus on supporting R&D more in the long term than short term outcomes.

DRUM impactor를 이용한 대기 입자상 물질 중 원소성분의 입경분포 특성 : 제주도 고산지역의 2002년 봄철 (3.29-5.30) 측정 연구 (Size Distributions of Trace Elements in Airborn Particulates Collected using Drum impactor at Gosan, Jeju Island : Measurements in Springtime 2002)

  • 한진석;문광주;류성윤;안준영;공부주;홍유덕;김영준
    • 한국대기환경학회지
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    • 제20권4호
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    • pp.555-569
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    • 2004
  • Size -segregated measurements of aerosol composition using 8-stage DRUM impactor are used to determine the transport of natural and anthropogenic aerosols at Gosan site from 29 March to 30 May in 2002. Separation of ambient aerosols by DRUM impactor offers many Advantages over other standard filtration techniques. Some of the most important advantages are the ability to segregate into details by particle tire, to better preserve chemical integrity since the air stream doesn't pars through the deposit, to collect samples as a function of time, and to have a wide variety of impaction surfaces available to match analytical needs. Although the transport of Yellow sand is a well-known phenomenon in springtime, the result of measurement shows that not only soil dust but also anthropogenic aerosols, including sulfur, enriched trace metals such as Pb, Ni, Zn. Cu, Cr, As, Se, Br, are transported to Gosan in springtime. This study combines the size- and time-resolved aerosol composition measurements with isentropic, backward air-mass trajectories in order to identify some potential source regions of anthropogenic aerosols. As a result, during the NYS period, the average concentration of PM$_{10}$ was 46$\mu\textrm{g}$/㎥, Si, Al. S, Fe, Cl, K, Ca were higher than 1,000 ng/㎥ and Ti was about 100 ng/㎥. The concentrations of Zn, Mn, Cu. Pb, Br, Rb, V, Cr, Ni. At, Se ranged between 1 and 70 ng/㎥. More than 50% typical soil elements, tuck as Al, Si, Fe, Cd. Ti, Cr, Cu, Br. were distributed in a coarse particle range(5.0-12${\mu}{\textrm}{m}$). In other hand, anthropogenic pollutants, luck as S, N, Vi, were mainly distributed in a fine particle range (0.09-0.56${\mu}{\textrm}{m}$). During the YS period, PM$_{10}$ increased about 8 times than NYS period, and main soil elements, such as Al, Si, S, K, V, Mn, Fe also doubled in coarse particle range (1.15-12${\mu}{\textrm}{m}$). But Zn, As, Pb, Cu and Se, which distributed in the time aerosols (0.09-0.56${\mu}{\textrm}{m}$), were on the same level with or decreased than NYS period. Finally. except the YS Period, coarse particles (2.5-12${\mu}{\textrm}{m}$) are inferred to be influenced by soil, coal combustion, waste incineration, ferrous and nonferrous sources through similar pathways with Yellow Sand. But fine particles have different sources, such as coal combustion, gasoline vehicle, biomass burning, oil or coal combustion, nonferrous and ferrous metal sources, which are transported from China, Korea peninsula and local sources.ces.

구조방정식모형을 이용한 중학생의 절망감, 사회심리적스트레스 및 우울이 자살생각에 미치는 영향 분석 (Analysis of the Influence of Hopelessness, Psychosocial Stress and Depression on Suicide Ideation Among Middle School Students Using the Structural Equation Model)

  • 배상윤;조영채
    • 한국산학기술학회논문지
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    • 제15권6호
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    • pp.3685-3695
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    • 2014
  • 본 연구는 중학생들의 절망감, 사회심리적 스트레스 및 우울수준과 자살생각 간의 관련성을 파악하며, 또한 자살생각에 유의하게 영향을 미치는 요인들을 규명하고자 시도하였다. 조사대상은 경인 지역의 4개 중학교에서 임의로 선정된 재학생 975명으로 하였으며, 자료 수집은 2013년 5월 1일부터 2013년 6월 30일까지의 조사기간 동안에 구조화된 무기명 자기기입식 설문지(self-administrated questionnaire)를 통해 이루어졌다. 연구결과, 자살생각과 관련 요인들 간의 상관관계를 보면, 자살생각은 절망감, 사회심리적 스트레스 및 우울수준과 유의한 양의 상관관계를 보였다. 다중회귀분석결과, 조사대상자의 자살생각에 관련된 요인으로는 성별, 음주경험여부, 취미 및 여가의 충분성, 주관적 건강상태, 학년, 학교폭력 경험, 절망감의 수준, 사회심리적 스트레스의 수준, 우울수준이 유의한 변수로 선정되었다. 공분산 구조분석 결과, 절망감은 사회심리적 스트레스나 우울수준보다는 자살생각에 더 큰 영향을 미쳤으며, 사회심리적 스트레스, 우울수준 및 절망감이 높아질수록 자살생각을 증가시키는 효과가 있는 것으로 나타났다.

A Study on the Prediction Model of the Elderly Depression

  • SEO, Beom-Seok;SUH, Eung-Kyo;KIM, Tae-Hyeong
    • 산경연구논집
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    • 제11권7호
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    • pp.29-40
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    • 2020
  • Purpose: In modern society, many urban problems are occurring, such as aging, hollowing out old city centers and polarization within cities. In this study, we intend to apply big data and machine learning methodologies to predict depression symptoms in the elderly population early on, thus contributing to solving the problem of elderly depression. Research design, data and methodology: Machine learning techniques used random forest and analyzed the correlation between CES-D10 and other variables, which are widely used worldwide, to estimate important variables. Dependent variables were set up as two variables that distinguish normal/depression from moderate/severe depression, and a total of 106 independent variables were included, including subjective health conditions, cognitive abilities, and daily life quality surveys, as well as the objective characteristics of the elderly as well as the subjective health, health, employment, household background, income, consumption, assets, subjective expectations, and quality of life surveys. Results: Studies have shown that satisfaction with residential areas and quality of life and cognitive ability scores have important effects in classifying elderly depression, satisfaction with living quality and economic conditions, and number of outpatient care in living areas and clinics have been important variables. In addition, the results of a random forest performance evaluation, the accuracy of classification model that classify whether elderly depression or not was 86.3%, the sensitivity 79.5%, and the specificity 93.3%. And the accuracy of classification model the degree of elderly depression was 86.1%, sensitivity 93.9% and specificity 74.7%. Conclusions: In this study, the important variables of the estimated predictive model were identified using the random forest technique and the study was conducted with a focus on the predictive performance itself. Although there are limitations in research, such as the lack of clear criteria for the classification of depression levels and the failure to reflect variables other than KLoSA data, it is expected that if additional variables are secured in the future and high-performance predictive models are estimated and utilized through various machine learning techniques, it will be able to consider ways to improve the quality of life of senior citizens through early detection of depression and thus help them make public policy decisions.

소아 청소년 정신건강 선별검사 및 치료 연계 효율성에 대한 연구 : 지역사회 중심 연구 (The Effectiveness of Mental Health Problems Screening and Treatment Linkage in Children & Adolescents : Community Based Study Focused on ADHD and Depression)

  • 김효진;조수철;김재원;강제욱;신민섭;김효원;윤명주;이경영;강연주;김붕년
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제20권3호
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    • pp.129-139
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    • 2009
  • Objectives : This study evaluated the effectiveness of school-based mental health screening and treatment linkage programs, focusing on attention-deficit hyperactivity disorder (ADHD) and adolescent depression. Methods : All 11,158 children and adolescents aged 8-14 years in Seoul received a school-based mental health screening, consisting of the Korean versions of the ADHD rating scale and the Child Behavior Checklist (CBCL), for ADHD, and the Center for Epidemiological Studies Depression Scale (CES-DS) and the Suicidal Ideation Questionnaire-Junior (SIQ-JR), for depression. The high-risk children's and adolescents' diagnoses were confirmed using the Diagnostic Interview Schedule for Children-IV (DISC-IV). Treatment linkage programs were managed by the Seoul Metropolitan Community Mental Health Center (Program 1), the Seoul Metropolitan Office of Education (Program 2), or the Dongjak District Office of Education (Program 3). We estimated and compared the referral rates of the three programs. Results : Program 1 screened and referred 22.9% of ADHD youths to mental health services, Program 2, 68.8%, and Program 3, 40.0%. Program 1 screened and referred 22.8% of depressed youths to mental health services, Program 2, 53.8%, and Program 3, 88.9%. Key elements for successful screening and referral programs were an effective school/community mental health center/Office of Education network, the parents' financial support and perception of their child's mental health status as being problematic, and the teachers' active engagement. Conclusion : This is the first study investigating the effectiveness of school-based mental health screenings' linkage to treatment for primary and middle school students in Korea. An effective network for community mental health and improvements in parents' and teachers' perceptions regarding mental health are needed for more successful treatment linkage.

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성인기와 노년기별 암 경험자의 유병기간이 우울감 변화에 미치는 영향 (Effects of disease duration on depression change in cancer survivors between the middle and old age groups)

  • 고경민;문성제;손민성;이솔;고든솔;윤석준
    • 한국병원경영학회지
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    • 제25권2호
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    • pp.1-13
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    • 2020
  • Purpose: The purpose of this study is to identify the effect of the disease duration on depression change in cancer survivors between the middle and old age groups. Methodology: To that end, we analyzed 275 patients using the Korea welfare panel survey from 2011 to 2016 jointly developed by the Korea Institute for Health and Social Affairs and Seoul National University. The duration of the elapsed and the experienced was measured as a independent variable. CES-D was used as a dependent variable. Frequency, paired t-test, ANOVA, and logistic regression analysis were conducted using Stata 14.0 for statistical analysis. Findings: Studies have shown that as the duration of the elapsed and the experienced increases, people under 65 are 1.17 times and 1.84 times each more likely to be included in depression-increase group than in depression-reduction group. The group that has been maintaining economic activities continuously since 2011 was significantly less likely to belong to the depression-increase group than the group that did not have economic activities in 2016. For those aged 65 and older, there was no significant difference in the duration of the elapsed and the experienced. The higher the likelihood of low-income households being included in the family of depression was 2.58 times higher than for ordinary households. Practical Implications: It is suggested that close policy management of the employment and working environment of cancer survivors is necessary, as both cancer survivors of productive age as well as older cancer survivors are analyzed to be beneficial to depression management. In addition, a systematic management program related to the mental health of cancer survivors is believed to be necessary for normal social recovery in the future.

대도시 저소득 독거노인의 신체적 건강상태, 우울 및 일상 활동 능력 (Physical Health Status, Depression and Activities of Daily Living of the Low-income Elderly Living Alone in Metropolitan Areas)

  • 김연화
    • 지역사회간호학회지
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    • 제16권2호
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    • pp.137-147
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    • 2005
  • Purpose: This study was conducted to investigate physical health status. depression. activities of daily living (ADL & IADL) of the low-income elderly who live alone in urban areas. Method: The subjects were the 400 low-income elders who live alone in Daegu city and the following instruments were used: 1. The number of self-reported physical health problems and present diseases: 2. CES-D scale for depression by Jo Nam-Oak et al. (1998): and 3. ADL scale by Katz (1989) and IADL scale by Lawton and Brody (1969). Results: 1. Visual difficulty was the most prevailing problem (55.3%) among physical problems. the second bowel elimination and the third hearing disturbance. As for present diseases. arthritis (26.5%), hypertension(24.3%) and DM (11.8%) were the most common diseases. 2. There were significant differences in physical health status according to age (t=3.115. p=.045). kind of medical security (t=-1.973. p=.049). perceived life satisfaction (F=4.966. p=.007) and the number of present diseases (F=2.937. p=.033). 3. There were significant differences in depression according to sex (t=-3.758. p=.000) . kind of medical security (t=-4.368. p=.000). perceived life satisfaction (F=35.743. p=.000) and the number of present diseases (F=4.246. p=.006). 4. There were significant differences in ADL according to sex (t=-2.136. p=.033) and age (F=4.863. p=.008). and in IADL according to sex (t=4.552, p=.000), age (F=3.090. p=.047) and kind of medical security (t=-3.306. p=.001). 5. Physical health state was correlated positively with both the number of present diseases (r=.140. p=.005) and depression (r=.352. p=.000), and negatively with ADL (r=-.176. p= .000) and IADL (r= -.230. p=.000). Depression was correlated positively with the number of present diseases (r=.169. p=.001) and negatively with both ADL (r=-.139. p=.005) and IADL (r=-.203. p= .000). Conclusion: The results of this study suggest that general characteristics are important factors for physical health status, depression. ADL and IADL of the low-income elderly who live alone and there are close relations among physical health status, the number of diseases, depression, ADL and IADL. Therefore, these results must be reflected in community health programs for the low-income elderly who live alone. In addition, this kind of study must be extended to the low-income elderly who live alone in rural areas.

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