• 인터넷정보학회논문지
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• 제22권5호
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• pp.35-45
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• 2021

베이비 부머 세대가 고령인구로 진입하면서 기존의 시니어와는 달리 활동적인 모습을 보이는 시니어들이 액티브 시니어라는 신조어로 불리며 새로운 소비자 층으로 떠오르고 있다. 많은 국가들과 기업들도 이들을 주목하고 관련 정책이나 서비스를 제공하고자 하지만 액티브 시니어 트렌드에 대한 연구는 매우 부족한 실정이다. 본 논문에서는 이러한 액티브 시니어에 대한 특징과 이들이 생산하고 소비하는 온라인 미디어 콘텐츠 트렌드를 파악하여, 액티브 시니어를 적극 포용하고 지원할 수 있는 온라인 미디어에 대한 정책 및 서비스 방향성을 제시하고자한다. 이를 위해 소셜 미디어에서 액티브 시니어를 수집 키워드로 2018년 1월 1일부터 2021년 6월 31일까지 8,740건의 데이터를 수집하여 키워드 빈도 분석, TF-IDF 분석, LDA 토픽 모델링 분석을 하였다. 키워드 빈도 분석 및 TF-IDF 분석을 통해서 액티브시니어에 대한 관심도가 급증하고 있다는 것을 파악하였으며 LDA 토픽 모델링 분석을통해서 온라인 콘텐츠의 주제 영역을 10가지로 분류하고 라이프 스타일, 혜택, 쇼핑, 정부 사업, 정부 교육, 건강, 사회/경제, 케어 산업, 실버 주택, 여가로 명명하였다.

• 대한통합의학회지
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• 제9권3호
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• pp.185-192
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• 2021

Purpose : Our study aimed to compare the effectiveness of low-level laser therapy (LLLT) and light-emitting diode therapy (LEDT) for chronic pain intensity reduction and body temperature increase in older adults with chronic pain. Methods : Overall, 144 of 332 participants' records were used in this retrospective chart review. The study was conducted at a private health center in Busan city and the integrative medical center of a tertiary care hospital in Daegu city, South Korea. Patients experiencing chronic pain for over 6 months were assigned to either the LLLT or LEDT group. Both groups underwent 16 sessions of phototherapy held twice a week for 8 weeks, with each session lasting 60 minutes. The primary outcomes for both groups were the mean visual analogue scale (VAS) scores and body temperatures in both groups. The secondary outcome was the correlation between changes in body temperature and pain intensity. Measurements were recorded at the baseline and at each follow-up session. Results : A decrease in pain intensity and an increase in body temperature (p<.001) were observed in both groups. There was a significant difference in the VAS scores and temperature changes between the groups (p<.001). Odditionally, there were significant differences in the patterns of change in the VAS score and body temperature between the groups as the sessions progressed (p<.01), and a strong inverse correlation between body temperature and pain intensity changes were observed (p<.01). Conclusion : The use of photobiomodulation therapy at a specific wavelength may improve pain severity and simultaneously increase the body temperature among elderly people with chronic pain.

• 정보관리학회지
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• 제35권4호
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• pp.77-106
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• 2018

본 연구는 도서관의 구체적이고 실제적인 폐교 활용방안에 앞서, 폐교 현황과 활용 사례를 기반으로 최근 도서관의 폐교 활용 트렌드를 파악하고 도서관의 폐교 활용 가능성 및 방향성을 확인하고자 하였다. 사례조사를 통하여 폐교를 활용한 도서관 건립은 복합문화공간 제공, 친환경적 공간 제공, 지역 커뮤니티 장소 제공 등 기존의 공공도서관과는 또 다른 특색을 가진 도서관으로 재탄생할 수 있음을 확인할 수 있었다. 또한, 연구 결과를 기반으로 향후 도서관의 폐교 활용 방향을 다음과 같이 제시하였다: 지역경제 기여와 지역의 재활성화 기회 제공, 지역주민을 위한 생활 밀착형 친화형 공간, 노인복지 요양서비스 귀농 생활 등과 연계한 공간의 재활용, 폐교를 활용한 부가 가치 창출과 지역 비즈니스 창출, 환경친화적 공간으로 구성, 복합문화공간의 형태로 구성된 통합적인 공간으로 활용, 지역의 커뮤니티 센터 역할 수행, 지역의 요구를 충족 보완할 수 있는 공간으로 재활용.

• 보건행정학회지
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• 제29권2호
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• pp.130-137
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• 2019

The fee-for-service system is used as the main payment system for health care providers in Korea. It has been argued that it can't reflect differences in the medical practice costs across regions because the fee schedule is calculated based on the average cost. So, some researchers and providers have disputed that there is need for adopting geographic practice cost index (GPCI) used in the United States for the Medicare program for the elderly to the fee-for-service payment system. This study performed to identify whether the difference in the practice costs among regions exists or not and to examine the feasibility of applying GPCI to Korea payment system. For this purpose, we calculated modified-GPCI and examined considerations to introduce GPCI in Korea. First we identified available data to calculate GPCI. Second, we made applicable GPCI equations to Korea payment system and computed it based on four types of regions (metropolitan, urban, suburban, and rural). We also categorize the regions based on the availability of the medical resources and the capability of utilizing them. As a result, we found that there wasn't any significant difference in the GPCI by regional types in general, but the indices of rural areas (0.91-0.98) was relatively low compared to the indices of other regions (0.96-1.07). Considering the need to use GPCI floor, the pros and cons of using GPCI, and the concern of the regional imbalance of resources, the introduction of GPCI needs to be carefully considered.

• 한국식생활문화학회지
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• 제34권4호
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• pp.463-473
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• 2019

The aim of this study is to identify the value structure of active seniors for noodles. Noodles are the secondly most preferred and familiar food in Korea, followed by rice. And noodles also have a variety of tastes/flavors and even a variety of ceremonial characteristics. The necessity of offering proper food to seniors has recently increasing because Korea becoming an aged society. This study conducted 1:1 in-depth interviews with 30 active senior participants using the soft laddering technique, which is based on the means-end chain theory. The Implication Matrix and HVM were derived from performing content analysis. The active seniors mainly consider the 'taste', expecting to obtain the 'satisfying taste', and pursuing the 'family affair', 'pleasure', and 'self-satisfaction'. The results of this study indicated that the taste is the most important attribute and the active seniors consider their family as well as the pleasure and satisfaction of their own. Male seniors mainly pursue the 'pleasure' and 'self-satisfaction' by satisfying their taste through considering 'taste' and 'familiarity'. But female seniors mainly pursue the 'family affair' by 'satisfying taste' through considering 'taste'. These results can be used as a basic data for developing noodle products for the elderly. This study will also contribute to the development of special care food and product concepts for the silver generation.

• 한국치위생학회지
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• 제19권1호
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• pp.65-78
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• 2019

Objectives: This study was conducted to characterize the impact of cognitive function and oral health status on mastication in senior citizens, ${\geq}65$ years of age, using senior centers in the city of Wonju, South Korea. Methods: A cross-sectional study consisting of a simple oral examination and survey questionnaires was performed in 154 individuals. General characteristics, subjective masticatory function, objective masticatory function, cognitive function, and oral health status were collected as variables. Correlation and multiple linear regression analyses were conducted. A p-value of <0.05 was considered to be statistically significant. Results: The subjective masticatory function was scored using the 5-point Likert scale. When subjective masticatory function was analyzed in groups according to cognitive function, the mean subjective masticatory function scores were 4.31, 4.09, and 3.29 in the normal group (cognitive score of ${\geq}16$), suspected dementia group (cognitive score of 1215), and mild dementia group (cognitive score of ${\leq}11$), respectively. Thus, subjective masticatory function decreased along with decreasing cognitive function. When cognitive function, subjective masticatory function, and objective masticatory function were compared with indicators of oral health status (number of functional teeth, oral dryness), subjective masticatory function exhibited a significant positive correlation with objective masticatory function (r=0.635, p<0.01), cognitive function (r=0.292, p<0.01), and total number of functional teeth, including prosthetic appliances (dentures) (r=0.305, p<0.01). According to the regression analysis, age, sex, number of functional teeth, and cognitive function affected subjective masticatory function. Conclusions: The results of this study revealed that age, sex, number of functional teeth, and cognitive function affected subjective masticatory function, whereas oral dryness did not. Therefore, dental professionals must consider subjective masticatory function when providing oral care in senior patients with low cognitive function.

• Journal of Korean Neurosurgical Society
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• 제64권1호
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• pp.51-59
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• 2021

Objective : Several studies have reported inconsistent findings among countries on whether off-hour hospital presentation is associated with worse outcome in patients with acute stroke. However, its association is yet not clear and has not been thoroughly studied in Korea. We assessed nationwide administrative data to verify off-hour effect in different subtypes of acute stroke in Korea. Methods : We respectively analyzed the nationwide administrative data of National Emergency Department Information System in Korea; 7144 of ischemic stroke (IS), 2424 of intracerebral hemorrhage (ICH), and 1482 of subarachnoid hemorrhage (SAH), respectively. "Off-hour hospital presentation" was defined as weekends, holidays, and any times except 8:00 AM to 6:00 PM on weekdays. The primary outcome measure was in-hospital mortality in different subtypes of acute stroke. We adjusted for covariates to influence the primary outcome using binary logistic regression model and Cox's proportional hazard model. Results : In subjects with IS, off-hour hospital presentation was associated with unfavorable outcome (24.6% off hours vs. 20.9% working hours, p<0.001) and in-hospital mortality (5.3% off hours vs. 3.9% working hours, p=0.004), even after adjustment for compounding variables (hazard ratio [HR], 1.244; 95% confidence interval [CI], 1.106-1.400; HR, 1.402; 95% CI, 1.124-1.747, respectively). Off-hours had significantly more elderly ≥65 years (35.4% off hours vs. 32.1% working hours, p=0.029) and significantly more frequent intensive care unit admission (32.5% off hours vs. 29.9% working hours, p=0.017) than working hours. However, off-hour hospital presentation was not related to poor short-term outcome in subjects with ICH and SAH. Conclusion : This study indicates that off-hour hospital presentation may lead to poor short-term morbidity and mortality in patients with IS, but not in patients with ICH and SAH in Korea. Excessive death seems to be ascribed to old age or the higher severity of medical conditions apart from that of stroke during off hours.

• 한국치위생학회지
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• 제20권6호
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• pp.865-874
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• 2020

Objectives: This study aimed to analyze the current status and educational contents of the geriatric-related curriculum in dental hygiene departments at colleges across the country. Methods: To analyze the current status of geriatric curriculum, it was investigated by searching the websites of colleges across the country where dental hygiene (curriculum) department was available. Furthermore, a literature review of domestic and foreign textbooks related to geriatric dental hygiene was conducted to analyze the contents of geriatric dental hygiene curriculum. Results: Among colleges that offer dental hygiene (curriculum) department, 8 four-year and 12 three-year colleges (24.4%) offered geriatric dental hygiene courses. A comparison of the contents of the textbooks titled "Geriatric dental hygiene" published by Goonja, Daehan Narae, and Komoonsa showed that basic contents such as the characteristics, health problems, and oral health problems of elderly -people were described in the same context. However, there was a difference in the volume and importance of the concerned contents also. Conclusions: Universities and related organizations which offer dental hygiene curriculum should continue to conduct studies for the development of geriatric hygiene curricula. Moreover, heightened efforts are needed to ensure that geriatric dental hygiene education is more systematically offered.

• Physical Therapy Rehabilitation Science
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• 제10권4호
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• pp.387-397
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• 2021

Objective: The purpose of this case study was to investigate selective region high-frequency diathermy at trigger points with therapeutic exercises on pain, function, balance and gait in older patients with degenerative knee osteoarthritis (DKO). Design: A case report. Methods: The patient who participated in this study was a 71-year-old woman, who had been diagnosed with moderate osteoarthritis with grade II Kellgren & Lawrence grading scale. The intervention consisted of selective region high-frequency diathermy at trigger points, with hip and knee stretching and strengthening exercises. The participant was given assessments before and after every intervention session using the Visual Analogue Scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), the Timed Up and Go test (TUG) and the 10 Meter Walk Test (10MWT). The participant performed the intervention 18 times for a total of 30 minutes each. Results: As a result of this study, the patient VAS decreased to 3 points, and the WOMAC decreased to 53 points. In addition, the TUG decreased to 3.25 s and the 10MWT decreased to 1.14 s. Conclusions: The results of this study suggest that selective region high-frequency diathermy at trigger points with therapeutic exercises may be an effective intervention to decrease pain, improve knee function, balance and gait in patients with DKO. The selective region high-frequency diathermy with therapeutic exercises may be feasible and provide potential benefits for rehabilitation of DKO.

• 미래기술융합논문지
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• 제1권2호
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• pp.49-55
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• 2022

여성복지는 단순히 전반적인 사회복지의 틀속에 머무르기 보다는 여성중심적이고 독립적인 복지시행노선을 표방할 필요가 있다. 상당수의 기존의 여성복지 프로그램들은 가부장적인 전제하에서 다분히 여성보호적인 경향을 보여 왔다. 그러나 앞으로의 여성복지는 여성들로 하여금 가족이라는 한정된 틀을 벗어나 한 개인으로써 삶의 질을 높힐 수 있도록 도와주는 방향으로 나아가야 할 것이다. 여성에게 의존하는 가족을 보호하는 것에 대한 보상을 제공하는 것도 여성복지의 중요한 측면이라고 하겠다. 즉 아동이나, 장애인, 노인을 돌보야 하기 때문에 노동 참여의 기회를 잃어 버린 여성에게 그 대가를 정부에서 경제적으로 직접 간접 보상해 주는 방안도 연구되어야 할 것이다. 그밖에 사회교육을 통하여 재생산활동에 남성의 참여를 유도하여 가족에 대한 여성의 의무를 완화시킴으로써 복지를 증진시킬 수 있을 것으로 기대된다