• Title/Summary/Keyword: HEALTHCARE

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Mediating Effect of Cognitive Function on the Relationship Between Vision, Hearing, and Activities of Daily Living (노인의 시각, 청각 및 일상생활활동의 관계에 대한 인지기능의 매개효과)

  • Nam, Sanghun;Hong, Ickpyo
    • Therapeutic Science for Rehabilitation
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    • v.12 no.1
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    • pp.65-78
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    • 2023
  • Objective : The typical decline in function due to aging includes limitations in vision, hearing, cognitive function, and activities of daily living. Therefore, this study evaluated the mediating effect of cognitive function on the relationship between vision and hearing and activities of daily living. Methods : The participants in this study were 36,767 persons from the long-term care database on older adults provided by the National Health Insurance Sharing Service. The extracted variables were: (i) independent variables: visual and hearing; (ii) dependent variables: basic and instrumental daily living activities; and (iii) mediator variables: cognitive function. Regression analysis was performed evaluate the mediating effects of the extracted variables. Results : Cognitive function showed a mediating effect of 30% on the relationship between vision and basic daily life activities and 42% in the relationship with instrumental daily life activities. The mediating effect was 50% in the relationship between hearing and basic activities of daily living, and 53% in the relationship with instrumental activities of daily living. Conclusion : Prevention programs for functional decline due to aging are in progress in Korea. Based on the results of this study, establishing a prevention program would help promote successful aging.

A Study on the Perceived Language and Non-verbal Communication and Lapport and Customer Satisfaction of Hospital Users : Focused on the Control Effect of Service Authenticity (병원이용객이 지각한 언어·비언어커뮤니케이션과 라포, 고객만족에 관한 연구 : 서비스진정성 조절효과를 중심으로)

  • Do-Hee Kim;Jeong-won Lee
    • Journal of Service Research and Studies
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    • v.12 no.4
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    • pp.19-29
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    • 2022
  • This study is a descriptive survey using a self-reported survey method to understand the effect of language and non-verbal communication of medical service providers on customer satisfaction through Lapport and to determine the degree of impact on Lapport by adjusting perceived service authenticity. The data collection period was from April 5 to April 30, 2021. Using the convenience sampling method, data were collected from users of medical institutions located in Busan and Gyeongsangnam-do, and a total of 306 valid questionnaires were used as statistical analysis data. The collected data were analyzed using the IBM SPSS statistics version 25.0 and AMOS 20.0 programs through a coding process. In the results of this study, it was found that the language and non-verbal communication of medical service providers influenced customer satisfaction through Lapport, and the perceived service authenticity in the relationship between each variable acts as a moderating effect. Considering that the language and non-verbal factors of the medical service provider are important in the interaction between the medical service provider and the hospital user, the medical service provider should take full account of the language and non-verbal factors and help the medical institution communicate with the hospital user.

Implementation of AI-based Object Recognition Model for Improving Driving Safety of Electric Mobility Aids (전동 이동 보조기기 주행 안전성 향상을 위한 AI기반 객체 인식 모델의 구현)

  • Je-Seung Woo;Sun-Gi Hong;Jun-Mo Park
    • Journal of the Institute of Convergence Signal Processing
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    • v.23 no.3
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    • pp.166-172
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    • 2022
  • In this study, we photograph driving obstacle objects such as crosswalks, side spheres, manholes, braille blocks, partial ramps, temporary safety barriers, stairs, and inclined curb that hinder or cause inconvenience to the movement of the vulnerable using electric mobility aids. We develop an optimal AI model that classifies photographed objects and automatically recognizes them, and implement an algorithm that can efficiently determine obstacles in front of electric mobility aids. In order to enable object detection to be AI learning with high probability, the labeling form is labeled as a polygon form when building a dataset. It was developed using a Mask R-CNN model in Detectron2 framework that can detect objects labeled in the form of polygons. Image acquisition was conducted by dividing it into two groups: the general public and the transportation weak, and image information obtained in two areas of the test bed was secured. As for the parameter setting of the Mask R-CNN learning result, it was confirmed that the model learned with IMAGES_PER_BATCH: 2, BASE_LEARNING_RATE 0.001, MAX_ITERATION: 10,000 showed the highest performance at 68.532, so that the user can quickly and accurately recognize driving risks and obstacles.

GIS Information Generation for Electric Mobility Aids Based on Object Recognition Model (객체 인식 모델 기반 전동 이동 보조기용 GIS 정보 생성)

  • Je-Seung Woo;Sun-Gi Hong;Dong-Seok Park;Jun-Mo Park
    • Journal of the Institute of Convergence Signal Processing
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    • v.23 no.4
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    • pp.200-208
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    • 2022
  • In this study, an automatic information collection system and geographic information construction algorithm for the transportation disadvantaged using electric mobility aids are implemented using an object recognition model. Recognizes objects that the disabled person encounters while moving, and acquires coordinate information. It provides an improved route selection map compared to the existing geographic information for the disabled. Data collection consists of a total of four layers including the HW layer. It collects image information and location information, transmits them to the server, recognizes, and extracts data necessary for geographic information generation through the process of classification. A driving experiment is conducted in an actual barrier-free zone, and during this process, it is confirmed how efficiently the algorithm for collecting actual data and generating geographic information is generated.The geographic information processing performance was confirmed to be 70.92 EA/s in the first round, 70.69 EA/s in the second round, and 70.98 EA/s in the third round, with an average of 70.86 EA/s in three experiments, and it took about 4 seconds to be reflected in the actual geographic information. From the experimental results, it was confirmed that the walking weak using electric mobility aids can drive safely using new geographic information provided faster than now.

Implementation of Acceleration Sensor-based Human activity and Fall Classification Algorithm (가속도 센서기반의 인체활동 및 낙상 분류를 위한 알고리즘 구현)

  • Hyun Park;Jun-Mo Park;Yeon-Chul, Ha
    • Journal of the Institute of Convergence Signal Processing
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    • v.23 no.2
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    • pp.76-83
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    • 2022
  • With the recent development of IT technology, research and interest in various biosignal measuring devices is increasing. As an aging society is in full swing, research on the elderly population using IT-related technologies is continuously developing. This study is about the development of life pattern detection and fall detection algorithm, which is one of the medical service areas for the elderly, who are rapidly developing as they enter a super-aged society. This study consisted of a system using a 3-axis accelerometer and an electrocardiogram sensor, collected data, and then analyzed the data. It was confirmed that behavioral patterns could be classified from the actual research results. In order to evaluate the usefulness of the human activity monitoring system implemented in this study, experiments were performed under various conditions, such as changes in posture and walking speed, and signal magnitude range and signal vector magnitude parameters reflecting the acceleration of gravity of the human body and the degree of human activity. was extracted. And the possibility of discrimination according to the condition of the subject was examined by these parameter values.

Knowledge and Diffusion of Knowledge for Nursing Care of Patients with Diabetes Mellitus among Clinical Nurses (우리나라 임상간호사의 당뇨병 지식 및 지식 확산도 조사연구)

  • Hong, Myeong Hee;Yoo, Joo Wha;Kim, Soon Ai;Lee, Jeong Rim;Roh, Na Ri;Park, Jeong Eun;Gu, Mee Ock
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.3
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    • pp.61-74
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    • 2009
  • Purpose: In order to increase the quality of nursing care for patients with diabetes mellitus, it is important for clinical nurses to accept changes in diabetes knowledge and correct their approach immediately. This approach will also contribute to effective nursing practice. Methods: The study was designed to investigate the level of knowledge and diffusion of knowledge for nursing care of patients with diabetes mellitus among clinical nurses. It was conducted with nurses from 29 general hospitals in Korea from November 3 to December 5, 2008. The questionnaire consisted of 129 items and it was sent to the participants by mail. Of the 1,060 questionnaires returned, only 930 were valid for use in the statistical analysis. Results: 1) The average score for clinical nurses' knowledge of diabetes mellitus was 0.67 out of 1.0. 2) The level of persuasion of knowledge for nursing care of patients with diabetes mellitus averaged 0.64 out of 1.0 3) The level of practical application of knowledge for nursing care of patients with diabetes mellitus averaged 1.05 out of 2.0, indicating that they applied their knowledge 'sometimes'. 4) The level of diffusion of knowledge for nursing care of patients with diabetes mellitus was 2.37 out of 4.0 and level was estimated as the stage of 'persuasion'. 5) There were significant differences in nursing knowledge of diabetes mellitus, according to experience in practical education for diabetes mellitus. Conclusion: The results indicate that nurses with a lower level of knowledge of diabetes mellitus have a lower level of persuasion of knowledge for nursing care of patients with diabetes mellitus and lower practical application. To improve the level of nurses' knowledge of diabetes mellitus, practical training programs are needed for areas in which knowledge level is low, such as 'diagnosis and management of diabetes mellitus', 'oral diabetes medication', and 'glucose control in special conditions'.

The Effects of Emotional Labor on Job Stress and the Professional Identity of Sports Coaches for People with Disability (장애인스포츠지도자의 감정 노동이 직무스트레스 및 전문 직업 정체성에 미치는 영향)

  • Hong-Young Jang;Seung-Deuk Roh
    • Journal of Industrial Convergence
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    • v.21 no.5
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    • pp.123-132
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    • 2023
  • The purpose of this study is to examine the effects of emotional labor on job stress and the professional identity of sports coaches for people with disability. 190 surveys targeting sports coaches for people with disability working at sports associations for people with disability, rehabilitation sports centers, and welfare centers for people with disability in the metropolitan area were collected and used for analysis. Using the SPSS 22.0 statistical program, the collected data were subjected to frequency analysis, correlation analysis, and multiple regression analysis. As a result of the study, it was confirmed that emotional dissonance, a sub-factor of emotional labor, affects role ambiguity and role overload in job stress. The expression diversity, a sub-factor of emotional labor, had an impact on publicity, use of professional organizations, and sense of responsibility, which were sub-factors of professional identity. It was confirmed that emotional dissonance affects the autonomy of professional identity and the sense of responsibility. It was also confirmed that role ambiguity, a sub-factor of job stress, had an effect on professional identity, and that role overload had an effect on publicity and autonomy. As a follow-up, a detailed in-depth study including perceptions and thoughts on the types of emotional labor of sports coaches for people with disability according to national regions and categories other than metropolitan areas is needed.

The Influence of Elderly People's Health Promoting Behaviors on their Successful Aging: Focused on the Mediating Effect of Successful Aging Perception and Life Satisfaction (노인의 건강증진행위가 성공적 노후에 미치는 영향: 성공적 노화인식과 생활만족도 매개효과 중심)

  • Hong-Young Jang
    • Journal of Industrial Convergence
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    • v.21 no.5
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    • pp.109-122
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    • 2023
  • The purpose of this study is to look into how elderly people's health promoting behaviors influence their successful aging, to realize how their perception of successful aging and their life satisfaction have the mediating effect on the path from health promotion behaviors to successful aging, and to find the significant influence of successful aging perception and life satisfaction on successful aging. This researcher conducted a questionnaire survey with elderly people using a senior welfare center in Gyeonggio-do, and analyzed 250 copies that. For data analysis, SPSS Win 25 was applied to conduct frequency analysis, descriptive statistics, t-test, one-way ANOVA, and correlation analysis. Mediating effect analysis was made to verify the causal relations between health promoting behaviors and successful aging, and to validate the mediating effect of successful aging perception and life satisfaction on the causal relations. As a result, elderly people's health promoting behaviors influenced their perception of successful aging, their life satisfaction, and their successful aging. Their perception of successful aging had the mediating effect on health promotional behaviors and successful aging, but life satisfaction did not so. This study has the following implications: it is necessary to train persons specializing in support for health promoting, to develop an efficient health promotional model and program, and to provide an opportunity of education. It is necessary to come up with a support policy in consideration of tangible or intangible factors. It is necessary to establish a policy in line with economic levels and health conditions of elderly people.

A Systematic Review of the Effects of Visual Perception Interventions for Children With Cerebral Palsy (뇌성마비 아동에게 시지각 중재가 미치는 효과에 대한 체계적 고찰)

  • Ha, Yae-Na;Chae, Song-Eun;Jeong, Mi-Yeon;Yoo, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.12 no.2
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    • pp.55-68
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    • 2023
  • Objective : This study aims to analyze the effects of visual perception intervention by systematically reviewing the studies that applied visual perception intervention to children with cerebral palsy. Methods : The databases used were PubMed, EMbase, Science Direct, ProQuest, Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), and the National Assembly Library. The keywords used were cerebral palsy, CP, and visual perception. According to the PRISMA flowchart, 10 studies were selected from among studies published from January 1, 2012 to March 30, 2022. The quality level of the selected studies, the demographic characteristics of study participants, the effectiveness of interventions, area and strategies of intervention, assessment tools to measure the effectiveness of interventions, and risk of bias were analyzed. Results : All selected studies confirmed that visual perception intervention was effective in improving visual perception function. In addition, positive results were shown in upper extremity function, activities of daily living, posture control, goal achievement, and psychosocial areas as well as visual perception function. The eye-hand coordination area was intervened in all studies. Conclusion : In visual perception intervention, It is necessary to evaluate the visual perception function by area, and apply systematically graded customized interventions for each individual.

Application of Cognitive Enhancement Protocol Based on Information & Communication Technology Program to Improve Cognitive Level of Older Adults Residents in Small-Sized City Community: A Pilot Study (중소도시 지역사회 거주 노인의 치매예방을 위한 Information & Communication Technology 프로그램 기반 인지향상 프로토콜 적용: 파일럿(Pilot) 연구)

  • Yun, Sohyeon;Lee, Hamin;Kim, Mi Kyeong;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.12 no.2
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    • pp.69-83
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    • 2023
  • Objective : This study, as a preliminary study, applied an Information & Communication Technology (ICT) home-based program to elderly people aged 65 years or older to confirm the effect of the cognitive enhancement program and to find the possibility of remote rehabilitation. Methods : This study from August to October 2022, three subjects were selected and the intervention was conducted for about 2 months. This intervention was conducted using Korean version of Mini-Mental State Examination, Korean version of Montreal Cognitive Assessment (MoCA-K), Computer Cognitive Senior Assessment System, and the Center for Epidemiologic Studies Depression scale to evaluate cognitive improvement before and after the program. The therapist remotely set the level of cognitive training according to the subject's level through weekly feedback. Results : After the intervention, all subjects showed improved scores in most items of the MoCA-K conducted before and after the intervention. In addition, among the items of Cotras-pro, upper cognition, language ability, attention, visual perception, and memory were improved. Conclusion : Cognitive rehabilitation training using an ICT home-based program not only prevented dementia but also made it habitual. Through this study, it was confirmed that remote rehabilitation for the elderly could be possible.