• Title/Summary/Keyword: Elderly problem

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An empirical study of the impact which the change of age ratio of disaster response organization has on organization effectiveness and quality assurance - Focused on field activities firefighters in Seoul metropolitan city - (재난대응조직 연령구성비 변화가 조직효과성 및 서비스질 보장활동에 미치는 영향에 관한 실증분석 - 서울지역 현장활동 소방공무원을 중심으로 -)

  • Park, Chan-Seok
    • Journal of the Korea Safety Management & Science
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    • v.16 no.4
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    • pp.133-145
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    • 2014
  • Aging of the fire organizations, typical disaster response agencies also will be in serious problems with aging society. It is expected that the ratio of more than fifties will reach 31~40% after 10~15 years in Seoul fire organization. This Aging of firefighters can bring about a serious problem in disaster and safety management, since firefighters require robust fitness and healthy bodies in disaster situations. In this study, after the analysis of aging status and trend of firefighters in Seoul, I have an empirical analysis about the impact this aging has on organization effectiveness and QA. As a result, the increase of the elderly reduced organization effectiveness and QA. In addition, in the group consisting of less than 50, it is expected to increase the organization's effectiveness and QA activities through field activity to improve the professional skills with age, but could not be confirmed. In the group consisting of more than fifties, it was found that aging had a significant negative impact on organizational effectiveness and QA activities as factors, including physical deterioration by aging.

A Study on Design of Posture Transition Filter for 3D Human Posture Estimation and Refinement on Robotic Bed (침대 로봇의 3차원 자세 추정 및 개선을 위한 자세 천이 필터 설계 연구)

  • Lee, Jong-il;Han, Jong-Boo;Koo, Jae Wan;Choi, Jae-Won;Hahm, Jehun;Yang, Kyon-Mo;Sohn, Dong-Seop;Seo, Kap-Ho
    • The Journal of Korea Robotics Society
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    • v.15 no.3
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    • pp.269-276
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    • 2020
  • As we become an aging society, the number of elderly patients continues to increase. Pressure sores that can easily occur in patients with trauma cause serious socio-economic problems. In general, prevention of bedsores through predicting the patient's posture is being developed. Developed method usually use artificial intelligence techniques to estimate the patient's posture by measured pressure images in the mattress. In this method, it has a problem the reduction of estimation accuracy when posture of patient is changed. Therefore, it is necessary to use the filter of pressure images in the position transition of patient. In this paper, we propose an algorithm to predict the patient's posture, and an algorithm to reduce the ambiguity that can occur in the patient's posture transition section. By obtaining stable data through this algorithm, learning/prediction stability of the neural network can be expected, and prediction performance is improved accordingly. Through experiments, the effectiveness of the algorithm was verified.

Gastric Adenocarcinoma Secondary to Primary Gastric Diffuse Large B-cell Lymphoma

  • Sakr, Riwa;Massoud, Marcel Antoine;Aftimos, Georges;Chahine, Georges
    • Journal of Gastric Cancer
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    • v.17 no.2
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    • pp.180-185
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    • 2017
  • Despite the decreasing incidence and mortality from gastric cancer, it remains a major health problem worldwide. Ninety percent of cases are adenocarcinomas. Here, we report a case of gastric adenocarcinoma developed after successful treatment of prior primary gastric diffuse large B-cell lymphoma (DLBCL). Our patient was an elderly man with primary gastric DLBCL in whom complete remission was achieved after R-CHOP (cyclophosphamide, adriamycin, vincristine, prednisolone plus rituximab) chemotherapy. Helicobacter pylori infection persisted despite adequate treatment leading to sustained chronic gastritis. The mean time to diagnose metachronous gastric carcinoma was seven years. We believe that a combination of many risk factors, of which chronic H. pylori infection the most important, led to the development of gastric carcinoma following primary gastric lymphoma. In summary, patients who have been successfully treated for primary gastric lymphoma should be followed up at regular short intervals. H. pylori infection should be diagnosed promptly and treated aggressively.

The Experience of Service-Learning in Connection with the Major of Nursing (간호학생의 전공연계 봉사학습 경험)

  • Kwon, Young-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.2
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    • pp.208-217
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    • 2011
  • Purpose The purpose of this study was to explore the experience of service-learning in connection with the major of nursing. Method: This is qualitative research based on the application of a focus-group research method and Glaser's grounded theory. The nine participants of the research participated in the process of developing a service-learning program to promote health in the elderly. They operated the program by acting as instructors for more than 12 months. Results: The basic socio-psychological problems hared by the participants of the research is 'burden'. The basic social process required to solve the problem is 'self-realization' which has been successively shown in the order of the stage of experiencing a surge of will, the stage of recognizing the occurrence of internal and external changes, the stage of being confident, and the stage of obtaining self-respect. Throughout the process, the participants solved 'burden' in a positive way through reflections and reciprocity, developing and strengthening their capabilities. Conclusion: Based on the results, it is necessary to consider the development of a service-learning program in connection with the nursing major in order to provide the students studying nursing with the opportunity to have various learning experiences.

A Study on the Demand for Ubiquitous Computing Services (유비쿼터스 서비스 수요에 관한 연구)

  • KIm, Ji-Soo;Kim, Jong-Myoung;Lee, Tae-Soo
    • Journal of the Korea Society of Computer and Information
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    • v.12 no.4
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    • pp.103-110
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    • 2007
  • Ubiquitous computing is a vogue word, and its service is very popular in Korea. However, present ubiquitous service(u-Service) is thought to be more oriented to the provider's point of view, not the consumer's. To complement this problem, an online survey was performed for internet users, which consists of 24 single choice questions on six fields such as transportation, healthcare, environment/city-management, culture/education, administration, and industry. 2463 people joined the survey, who were grouped according to their age, resident region, level of education, and sex. Each group's demand for specific field of u-Service was examined. General level of demand was higher in case of the elderly and male than the younger and female for overall u-Service.

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Anthropometric and Standing Action Analysis for Electric Adjustable Bed (전동침대의 인체측정학적 분석과 높이에 따른 기립 동작의 기초 연구)

  • Kang, Byeong-Ki;Jung, Kwang-Tae;Chun, Keyoung-Jin;Won, Byeong-Hee;Hong, Jae-Soo
    • Journal of the Ergonomics Society of Korea
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    • v.28 no.4
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    • pp.125-137
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    • 2009
  • Recently, the frequency in use of electric adjustable bed is going up by an increase in the elderly population. In bad ergonomic design for an electric adjustable bed causes some problems in the aspects of usability and safety. In particular, lots of accidents came from going up or going down an electric adjustable bed. In that case, the height of bed is very important factor for preventing an accident. This problem is related to its anthropometric factors. Therefore we carried out its anthropometric analysis and old people's standing action according the height of electric adjustable bed as an experimental study. As a result, we proposed some anthropometric design criteria and identified the effect of bed height when old people use it.

Clinical Diagnosis of Oral Cancer (구강암의 임상적 진단)

  • Choi, Sung Weon
    • The Journal of the Korean dental association
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    • v.49 no.3
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    • pp.136-145
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    • 2011
  • Oral cavity cancer accounts for approximately 3-4% of all malignancies and is a significant worldwide health problem. The Korea Central Cancer Registry estimates that there will be approximately 1500 new cases of oral cancer in Korea. Oral cancer occurs most commonly in middle-aged and elderly individuals. The majority of oral malignancies occur as squamous cell carcinomas and despite remarkable advances in treatment modalities, the 5-year survival rate has not significantly improved over the past several decades, hovering at about 50% to 60%. The unfavorable 5-year survival rate may be attributable to several factors. First, oral cancer is often diagnosed at a late stage, with late stage 5-year survival rates as low as 22%. Additionally, the development of secondary primary tumors in patients with early stage disease has a major impact on survival. The early detection of oral cancer and premalignant lesions offers the promise to cure chance of oral cancer. The major diagnostics moddalities for oral cancer include oral cavity examination, supravital staining, oral cytology, and optical detection systems. But the clinical finding of oral mucosa is the most important key to confirm the oral cancer until now. The traditional clinical examination of oral cavity can be performed quickly, is without additional diagnostic expense to patients, and may be performed by health care professionals. Therefore, clinicians must be well-acquainted with clinical characteristics of oral cancer and practice routine screening for oral cancer in dental clinic to decrease the morbidity and mortality of disease.

An Investigation of the Regulation, Design and Improvement of Domestic and International Ambulances (국내·외 구급차 규정, 디자인 및 개선에 관한 조사연구)

  • Shin, Dong-Min;Kim, Seung-Yong;Han, Yong-Taek
    • Journal of the Korean Society of Safety
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    • v.29 no.4
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    • pp.172-179
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    • 2014
  • This research suggests that the regulation, design and improvement of domestic and international ambulances so that make the basis for the future ambulance in Korea. It is true that the diversification of current disasters, increasing elderly population, the increase in emergency patients, due to the lack of effective transfer system, emergency vehicle's performance problem, and the aging of ambulances cause have difficulty in providing effective emergency services in domestic country. Therefore, in order to improve the effectiveness of ambulance, the history of ambulance, other relevant provisions include international, design and directions to be improved were investigated, and also research directions of the ambulance are suggested in domestic country. In this research, suggests the following conclusions to improve domestic ambulance 1. Through standardization of the spacing and location of an ambulance is needed to maximize the treatment room. 2. The interior of the ambulance design for hygiene and infection control should be included. 3. Stretcher and equipment are designed to be fitted to each other should be standardized. 4. Especially during transfer maintain the road, noise, vibration, and shock-absorbing function to emphasize the importance. 5. The improvement of ergonomic design is necessary for the possibility of applying to many people.

Numerical Analysis on the Effect of Improved Fractional Effective Dose(FED) for Evacuation by FDS_EVAC (FDS_EVAC에 적용된 독성가스모델(FED)이 피난에 미치는 영향 분석 및 개선에 대한 연구)

  • Kim, Hong Jin;Bae, Sung-Yong;Choi, Young Ki;Hong, Ki Bae;Ryou, Hong Sun
    • Journal of the Korean Society of Safety
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    • v.28 no.1
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    • pp.125-131
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    • 2013
  • When fire occurs in complex or building, toxic gas is important factor for evacuation because it cause death of evacuees. The effect of toxic gas which effects human motion is calculated using Purser's Fractional Effective Dose(FED). The FDS_EVAC is used for evacuation. However, FED of FDS_EVAC has some problem of application because it dose not considers evacuees's gender and age groups but using single subject. In this study, numerical analysis using modified FED which considers gender and age group of evacuees was performed. We investigate the effect of improved FED on the evacuation. We applied evacuation analysis to exhibition centre where the evacuees was set one thousand five hundred people. The FED is increasing with children 2%, male 17%, female 4%, adult 13% and elderly people 22%. Fatality is increasing due to increased FED.

A Case Report of a Giant Epidermal Nevus on the Scalp (두피에 발생한 거대 표피모반 치험례)

  • Bae, In Ho;Eun, Seok Chan;Baek, Rong Min
    • Archives of Craniofacial Surgery
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    • v.12 no.1
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    • pp.67-70
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    • 2011
  • Purpose: Epidermal nevi are hamartomas of the skin with multiple clinical variants. Normally, epidermal nevi present at an early age, are found on the head and neck area, and have a female predominance. Only very rarely do epidermal nevi have an adult onset. Most lesions are small and giant Epidermal nevi (> 5 cm at its greatest diameter) are quite rare. Huge verrucous plaque was observed on the scalp of a 70-year-old man. He had been reclusive for a long time, and this problem might have played a crucial role in the development of the giant epidermal nevi. Methods: A punch biopsy and MRI imaging were performed. The huge mass was resected. A local flap and split thickness skin graft was used for reconstruction. Results: The histology examination revealed the characteristic findings of epidermal nevus. Postoperatively, the patient did not suffer from complications or recurrence. Conclusion: A rare case of a huge epidermal nevus on the scalp of an elderly man was treated with a surgical excision. This is the oldest patient reported with an adult onset epidermal nevus in Korea.