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The Impacts of Daily Stress, Ego Resilience, and Quality of Life of the Elderly in Long-term Care Institutions (장기요양기관 노인의 일상스트레스, 자아탄력성이 삶의 질에 미치는 영향)

  • Lee, kang il;Lee, Jong Hun
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.325-336
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    • 2017
  • In this study to identify a causal relationship between daily stress, ego-resilience and the quality of life of the elderly in long-term care facility, a causal relationship model was set up and path analysis was performed. The data collected from 380 elderly users in private long-term care facilities in Greater Seoul Metropolitan area were analyzed using SPSS 22.0 and AMOS 22.0 to analyze the correlation between daily stress, ego-resilience, and the quality of life of the elderly. The results of this study are as follows; First, daily stress of the elderly showed a negative (-) direct effect on the quality of life. Second, the ego-resilience of the elderly had a positive (+) direct effect on the quality of life. Third, daily stress of the elderly showed a positive (+) direct effect on ego-resilience. Fourth, daily stress of the elderly showed indirect effect and partial mediating effect on the quality of life through ego-resilience. Therefore, in order to improve the quality of life of the elderly, it is necessary to develop programs and institutional support to reduce daily stress and increase ego-resilience.

Daily Functioning in Chronic Pain: Study of Structural Relations with Posttraumatic Stress Disorder Symptoms, Pain Intensity, and Pain Avoidance

  • Cho, Sung-Kun;Heiby, Elaine M.;McCracken, Lance M.;Moon, Dong-Eon;Lee, Jang-Han
    • The Korean Journal of Pain
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    • v.24 no.1
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    • pp.13-21
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    • 2011
  • Background: This study aimed to evaluate processes from the mutual maintenance model in relation to daily functioning in patients with both chronic pain and a history of a traumatic experience. The mechanism illustrated the structural relations for daily functioning among pain intensity, hyperarousal, re-experiencing, trauma avoidance, and pain avoidance. Methods: Archival data (N = 214) was used for this study and data were analyzed for 142 chronic pain patients reporting a traumatic experience and seeking treatment at a tertiary pain clinic in Korea. Results: The results indicated that pain intensity, hyperarousal, and pain avoidance had significant direct effects on daily functioning. Also, pain intensity showed significant indirect effects on daily functioning through hyperarousal and pain avoidance; and hyperarousal through pain avoidance. Conclusions: Results suggest a direct contribution of high levels of pain, hyperarousal symptoms of PTSD, and pain avoidance behaviors to reduced daily functioning. Also, elevated pain as reminders of the trauma may trigger high levels of hyperarousal symptoms of PTSD. Subsequently, avoidant coping strategies may be used to minimize pain so that the trauma would not be re-experienced, thus inhibiting the activation of hyperarousal symptoms of PTSD. However, prolonged use of such strategies may contribute to decline in daily functioning.

On Recent Variations in Solar Radiation and Daily Maximum Temperature in Summer (여름철 일 최고기온과 일사량의 최근 변동에 관하여)

  • Choi, Mi-Hee;Yun, Jin-I.
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.11 no.4
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    • pp.185-191
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    • 2009
  • Few studies have attempted to analyze variations of daily maximum temperature in the summer whereas many studies have analyzed warming trends in other seasons with respect to greenhouse gases or urban heat islands. We analyzed daily maximum temperature data for the summer season (June to August) at 18 locations in South Korea from 1983 to 2007. Compared to the climatic normal (from 1971 to 2000), an average increase of $0.1^{\circ}C$ was found for the summer daily maximum temperature along with an increase of $0.61MJ\;m^{-2}$ in daily solar radiation. Approximately 65% of the annual variations of the summer daily maximum temperature could be explained by the solar radiance alone. Higher atmospheric transmittance due to lower aerosol concentration (especially of sulfur dioxide) is believed to have caused the recent increase in solar irradiance. Daily maximum temperature of the summer is expected to keep rising if the clean air activities are maintained in the future.

The effects of assistive products in Korean long-term care insurance system for the beneficiary older adults (노인장기요양보험 등급인정자의 복지용구 이용효과)

  • Lee, Tae-Bum;Chang, Hyun-Sook
    • Health Policy and Management
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    • v.20 no.4
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    • pp.126-138
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    • 2010
  • Objectives : The purpose of this study is to evaluate the effects of assistive products usage on activity of daily living for the beneficiary older adults people in Korean long-term care insurance system. The study subjects were divided to assistive products users and non-users among the beneficiary older adults based on Korean long-term care insurance system to compare function improvement of the activity of daily living. Methods : In national wide 12 community elderly care center enrolled the National Health Insurance Corporation, The numbers of 281 beneficiary older adults(long-term care Grade I: 66, Grade II: 58, Grade III: 157) participated in this study. This survey assessment tool for activity of daily living was used the long-term care assessment instrument of the physical functions in the law of Korean long-term care insurance. The function items of Activity of daily living were included in clothing, washing, tooth brushing, bathing, eating, posture converting, stand sitting, move sitting, out of room, using toilet, controlling of stool, controlling of urine, washing hair. According to independence to complete dependence functioning level, remarks pointed 1 to 3 points. The data were analyzed by chi-square, two-way anova using SPSS V. 12.0. Results : The results appeared that the mean score of the functions in activity of daily living of assistive products users was a 27.60, and that of non-users was a 30.66. Assistive products were not effected in Grade I and II recipients, but that effected in Grade III recipients. Conclusion : Preparing for activation of assistive products based Korean long-term care insurance system, the result application as follows is possible. The usage of assistive products could improve the function of daily living activity in older adults. Related to Grade III beneficiary elderly people were improved function in activity of daily living by using assistive products, it is necessary to extend coverage the non-eligible elderly people in Korean long-term care insurance system.

The Relationship of Dysfunctions Degree, Daily Living Activity, Depressiveness and Quality of Life among the Elderly Suffering from Stroke (뇌졸중 노인의 기능장애 정도, 일상생활 수행능력, 우울과 삶의 질 간의 관계)

  • Park, In-Sook;Kim, Do-Yeon;Kang, Chang-Yeol
    • The Korean Journal of Health Service Management
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    • v.5 no.2
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    • pp.173-186
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    • 2011
  • The purpose of this study was to know dysfunctions degree, daily living activity, depression and quality of life among stroke elderly person; and to know what kind of factors affecting to quality of life of the stroke elderly person; after that provide a fundamental data to nursing arbitration plan about increase height quality of life of the stroke elderly person. The study subjects were collected 119 people, over than 60 age, who were diagnosed with stoke in D hospital, living in B city. The data was collected by using personal interviews and questionnaire, from Nov 2008 to Jan 2009. The questionnaire were Pre-Stroke MRDS(Modified Rankin Disability Scale), Barthel-ADL(Activities of Daily Living), K-IADL(Korean-Instrumental Activities of Daily Living), GDS-15(Geriatric Depression Scale-15-question form) methods. The pre-stroke MRDS was appeared a functional obstacle. The mean score of activity of daily living was 18.24 which showed the subjects were mildly disabled, the score of instrumental activities of daily living was 7.94 which showed the mildly abled, and score of depressiveness was 7.41 which showed the subjects were mildly depression. There was a significantly correlation among MRDS, ADL, IADL, depressiveness and quality of life. Through these study result, important to check the old subjects' depressiveness, cognitive functions, daily living abilities, dysfunctions degree to main tain their quality of life.

Daily Water Consumption and its Contribution to Calcium Intake in Korean Adults (한국 일부 성인의 수분 섭취와 수분을 통한 칼슘 섭취량 평가)

  • Park, Eun-Sun;Lee, Yeon-Kyung;Kim, Mi-Hyun;Choi, Mi-Kyeong
    • Korean Journal of Community Nutrition
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    • v.24 no.1
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    • pp.18-23
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    • 2019
  • Objectives: Although water is essential for life and can supply essential minerals, studies that evaluate calcium intake through drinking water are limited. The aim of this study was to assess calcium contents of natural mineral water (NMW) and its possible contribution to calcium intake in healthy adults. Methods: This study examined water consumption in 640 Korean adults with self-selected diet, analyzed the calcium content of 10 different brands of bottled NMWs sold in Korea, and assessed the amount of calcium intake from drinking water and its daily contribution to the recommended nutrient intake (RNI) of calcium. Results: Mean calcium content in 10 bottled NMWs was 20.9 mg/l. Daily water intakes from food composition database and calculated using energy intake based on 0.53 ml/kcal were 957.2 ml and 1109.8 ml for men and 848.3 ml and 951.6 ml for women, respectively, with a significant difference by gender (p<0.001). Daily drinking water intake was significantly higher among men than women (1203.9 ml vs. 1004.3 ml, respectively, p<0.001). Daily calcium intakes from foods were 564.0 mg for men and 534.2 mg for women. Daily possible calcium intakes from drinking bottled water were 25.2 mg for men and 21.0 mg for women (p<0.001). The contribution of daily calcium intake from drinking bottled water to RNI of calcium was 3.3% for men and 2.9% for women without significant difference. Conclusions: One half of the daily total water intake was consumed as drinking water, and possible calcium intake through drinking water was about 3% of RNI.

Does the Application Transcranial Direct Current Stimulation and Visual Perception Program Enhance the Visual Perception Function and ADL Performance of Dementia Patients (경두개직류전류자극 및 시지각 훈련 프로그램 적용이 치매환자의 시지각 기능 및 일상생활활동에 미치는 영향)

  • Kim, Koun;Kim, Bora;An, Taegyu
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.213-221
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    • 2020
  • Purpose : This study aimed to evaluate the changes in visual perception and daily life activities after simultaneously applying the visual perception training program and transcranial DC stimulation. Particularly, this study tried to understand what changes in abilities among daily life activities influenced cognition. Methods : This study selected 50 dementia patients to achieve the objective. This study applied transcranial DC stimulation and a visual perception training program to a treatment group (n=25) and a visual perception training program to a control group (n=25). The intervention was applied five times per week and 30 minutes per session (total of 30 intervention sessions). This study measured visual perception functions and daily life activities using MVPT and FIM before and after applying the intervention. Results : The visual perception, mobility of daily life activities, cognition, and total score of the treatment group (n=25), which received the visual perception training program and transcranial DC at the same time, were significantly (p<.05) different between before and after the intervention. Moreover, when the visual perception and daily life activities of the treatment group and those of the control group after implementing the intervention were compared, they were significantly (p<.05) different between the two groups. Conclusion : The results of this study showed that the simultaneous application of the visual perception training program and transcranial DC stimulation was an effective means to enhance the visual perception and daily life activities of dementia patients. The results implied that transcranial DC stimulation, as well as the application of visual perception training program, as well as a visual perception training program, was effective for improving the visual perception functions and daily life activities dementia patients and simultaneous application of the two interventions would increase the effect even further.

The Effect of Interpersonal Relationships of the Disabled on Daily Life Satisfaction: Focusing on the Mediating Effect of Self-Efficacy (장애인의 대인관계가 일상생활만족도에 미치는 영향: 자기효능감의 매개효과 중심)

  • Kim, Eun-Yeong;Lee, Mee-Ae
    • Journal of Industrial Convergence
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    • v.20 no.8
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    • pp.145-154
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    • 2022
  • It was to verify the mediating effect of self-efficacy in the relationship that the interpersonal relationship of the disabled affects daily life satisfaction. The subjects of the study were 3,907 registered disabled people in the 5th Data of the Disabled Employment Panel (2019), and the SPSS 25.0 program was used for data analysis. The main research results are as follows. First, it was confirmed that the effect of interpersonal relationships on daily life satisfaction was positive(+) significan. Second, the effect of interpersonal relationships on self-efficacy was found to be positive(+) significance level. Third, the effect of self-efficacy on daily life satisfaction was statistically positive(+) significance level. Fourth, the positive(+) partial mediating effect of self-efficacy was verified in the relationship between interpersonal relationships on daily life satisfaction. In order to improve the daily life satisfaction of the disabled, it was found that interpersonal relationships and self-efficacy should be improved. Through this, practical implications were presented to increase the satisfaction of the disabled in their daily lives.

The Effect of Virtual Reality Program Combining Transcranial Direct Current Stimulation on Depression, Hand Function, Cognition, and Daily Life Activities of Patients with Mild Cognitive Disorders (경두개직류전류자극을 결합한 가상현실프로그램이 경도인지장애환자의 우울, 손기능, 인지와 일상생활활동에 미치는 영향)

  • Ko-Un Kim;Bo-Ra Kim;Tae-Gyu An
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.53-62
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    • 2023
  • Purpose : This study evaluated the effects of transcranial direct current stimulation and a virtual reality program on the depression, hand functions, cognitive function, and activities of daily living of patients with mild cognitive impairment by dividing 20 patients with mild cognitive impairment and depression. The 20 patients were divided into a treatment group (transcranial direct current stimulation + a virtual reality program) and a control group (placebo transcranial direct current stimulation + a placebo virtual reality program). Methods : This study allocated ten subjects to the treatment group and ten subjects to the control group. The treatment was given five times per week for six weeks (30 sessions), and each session was 30 minutes. This study screened depression by using SGDS-K, a short geriatric depression scale, to examine depression before and after treatment intervention. This study also used the box and block test, NCSE, and FIM to evaluate hand functions, cognitive function, and activities of daily living, respectively. Results : The results showed that depression significantly decreased, hand functions significantly increased, cognitive function significantly improved, and activities of daily living significantly increased after intervention in the treatment and control groups. The magnitude of changes in depression, hand functions, cognitive function, and activities of daily living was significantly different between the two groups after intervention (p>.05). Conclusion : The results showed that the application of transcranial direct current stimulation and a virtual reality program could improve cognitive function, hand functions, and activities of daily living by decreasing depression. Therefore, it can be concluded that the simultaneous application of transcranial direct current stimulation and a virtual reality program is an intervention method, which can be applied for decreasing depression, enhancing hand functions, improving cognitive function, and increasing activities of daily living in patients with mild cognitive impairment.

A Study on Characteristics of Climate Variability and Changes in Weather Indexes in Busan Since 1904 (1904년 이래의 부산 기후 변동성 및 생활기상지수들의 기후변화 특성 연구)

  • Ha-Eun Jeon;Kyung-Ja Ha;Hye-Ryeom Kim
    • Atmosphere
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    • v.33 no.1
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    • pp.1-20
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    • 2023
  • Holding the longest observation data from April 1904, Busan is one of the essential points to understand the climate variability of the Korean Peninsula without missing data since implementing the modern weather observation of the South Korea. Busan is featured by coastal areas and affected by various climate factors and fluctuations. This study aims to investigate climate variability and changes in climatic variables, extremes, and several weather indexes. The statistically significant change points in daily mean rainfall intensity and temperature were found in 1964 and 1965. Based on the change point detection, 117 years were divided into two periods for daily mean rainfall intensity and temperature, respectively. In the long-term temperature analysis of Busan, the increasing trend of the daily maximum temperature during the period of 1965~2021 was larger than the daily mean temperature and the daily minimum temperature. Applying Ensemble Empirical Mode Decomposition, daily maximum temperature is largely affected by the decadal variability compared to the daily mean and minimum temperature. In addition, the trend of daily precipitation intensity from 1964~2021 shows a value of about 0.50 mm day-1, suggesting that the rainfall intensity has increased compared to the preceding period. The results in extremes analysis demonstrate that return values of both extreme temperatures and precipitation show higher values in the latter than in the former period, indicating that the intensity of the current extreme phenomenon increases. For Wet-Bulb Globe Temperature (effective humidity), increasing (decreasing) trend is significant in Busan with the second (third)-largest change among four stations.