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재가노인의 장기요양예방과 자립지원에 관한 연구: 예방·자립지원 모형설계 방안제언 (A Study on a Prevention of Long-term Care self-reliance Support for the Elderly in Home: Proposal of an Prevention and Support for Self-reliance Support Model)

  • 김현실;황성자
    • 한국노년학
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    • 제30권4호
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    • pp.1359-1375
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    • 2010
  • 본 연구는 고령사회에 따른 장기요양재가노인 인구의 증가 현상을 예견하면서, 요양급여 의존 증을 최소화하고, 예방·자립지원의 유효성을 높이기 위하여 예방·자립지원 모형의 기초를 제시함으로 예방·자립지원의 실천적 함의를 얻고자 함이다. 연구방법으로는 첫째, 이론적 문헌연구를 통하여 장기요양노인에게 예방·자립지원에 대한 개념을 명확히 하며, 둘째, 표준장기요양이용계획서와 연구대상자가 소속된 노인복지센터의 장기요양급여 관련문서 분석을 통하여 예방·자립지원에 저해하는 요소를 분석하고, 셋째, 요양급여 이용자들의 요양급여이용실제에서 예방·자립지원을 저해하는 요소와 실제 욕구를 조사하여 이 세 가지의 질적 연구결과를 바탕으로 예방·자립지원 모형의 방향을 제시함으로써 예방·자립지원의 유효성을 높이기 위한 실천적 함의를 얻고자 하였다. 따라서 D시에 있는 주간보호센터와 노인복지센터의 사업자와 전문사회복지사의 협력과 승낙을 얻어 문서자료 수집과 연구 참여자에게 심층면접을 실시하였다. 연구 결과 문헌연구에서는 장기요양 예방·자립지원은 장기요양급여노인에게도 자신이 삶의 주체가 되어 살아가도록 이용자의 권리를 지원하는 '이용자 중심의 지원체계의 강화'로 전개되어야하는 것으로 분석되었다. 문서분석에서는 보건의료와 관련한 급여제공이 부재한 것으로 나타났고, 예방·자립지원을 위한 사회적지지체계의 미비 등이 나타났으며, 심층면접조사결과에서 장기요양급여이용노인의 예방·자립과 관련된 서비스의 강화가 요구되었으며 예방·자립을 위한 요양급여이용노인의 절실한 욕구는 ①고독감, 외로움, 불안, 공포 ② 자녀와 사람에 대한 그리움과 걱정, ③이동, 외출, ④ 보건·의료서비스·재활프로그램, ⑤ 주간보호이용욕구, ⑥주택구조의 불편, ⑦식사메뉴의 욕구, ⑧폐용증후군(disuse syndrome)의 발생 등이 도출되었다. 따라서 예방·자립지원모형은 ①이용자 중심의 지원체계의 강화, ②보건의료연계지원체계의 강화, ③사회적지지 체계강화의 3가지 축을 중심으로 예방·자립지원모형설계의 기초를 제시하고자 했다.

낙동강 부정형적 사주발달과 환경인자간의 상관성 비교 연구 (Correlation between Sandbar Development and Environmental Factors in the Nakdong River Estuary)

  • 이인철;유창일;윤한삼
    • 한국해양환경ㆍ에너지학회지
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    • 제10권1호
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    • pp.13-20
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    • 2007
  • 본 연구에서는 낙동강 하구 사주영역의 장기적인 지형변화 예측을 위한 기초적 연구로서 서측 제 1사주군 최남단에 위치한 진우도를 대상으로 지형변화를 모니터링하여 시공간적 변동 특징을 살펴보고, 퇴적물 침식퇴적속도와 주요 환경요소간의 상관성을 평가하고자 하였다. 그 결과를 하면 다음과 같다. 1) 진우도 전면의 경우 매우 빠른 속도로 수로 매몰 및 천퇴(Shoal) 발생 현상이 일어나고 있음을 알 수 있다. 이러한 현상은 대체로 춘계보다는 하계(9월 및 10월)가 수심 감소도 크고, 단면별로 변화폭도 큰 것을 알 수 있다. 2) 진우도 평균 퇴적속도는 약 0.85 mm/day로서 진우도 동측의 경우 약 1.32 mm/day, 남측은 약 1.26 mm/day이었으며 최대 퇴적 및 침식속도는 각각 27 mm/day와 26 mm/day로 진우도 동측에서 7월과 12월에 발생하였다. 3) 진우도 표층퇴적물의 평균입경은 $0.18{\sim}0.26 mm$의 범위로서 신생 퇴적 사주의 경우 원 지반에 비해 상대적으로 큰 평균입경을 가지는 것으로 조사되었다. 4) 상관분석 실험결과에 따르면 진우도 남측은 강우량이 적고, 북풍이 우세한 동계에 퇴적현상이, 방류량이 많고 남풍이 우세한 하계에 침식현상이 우세한 반면에, 동편에서는 낙동강 방류량이 많을 시기에 퇴적이 우세하여 남측과는 다른 지형변화 양상을 나타내었다.

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송광시 조사도에 나타난 복장에 관한 연구 - 색과 문양을 중심으로 - (A Study on the Costumes in a Portrait of the Buddhist Monk of the SONG KWANG Temple.)

  • 안명숙
    • 한국의류학회지
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    • 제18권1호
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    • pp.57-64
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    • 1994
  • This study investigates the costumes of the Most Reverend Priest, which shows a portrait of the Buddhist monk in Koryo dynasty, owned by SONG KWANG Temple. A surplice and a long sleeved Buddhist robe was chiefly shown up a portrait of a Buddhist monk. The purpose of this study find out the color, form, pattern, material, adornment of the costumes which is appeared a portrait, and also seek to changing process according to the times. the finding in this paper are ; * A surplice - color : red, green, yellow etc. form' big size surplice, provision surplice. pattern : no. material : unstriated silk. adornment' bolt, ribbon. * A long sleeved Buddhist robe- color : grey, blue, dark blue, pink, green, chestnut .etc. pattern : no. In comparison with a survery of previous studies of Buddhist comstumes, the color and type of the Koryo dynasty are more brilliant various color. In other words, the social status of monk in the Koryo is higher than present day.

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Field investigations on port non-tranquility caused by infra-gravity water waves

  • Najafi-Jilani, A.;Rahimi-Maleki, D.
    • International Journal of Naval Architecture and Ocean Engineering
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    • 제2권1호
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    • pp.34-38
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    • 2010
  • Field investigations have been carried out in two 60-day stages on the surf beat low frequency waves in Anzali port, one of the main commercial ports in Iran, located in southwest coast of the Caspian Sea. The characteristics of significant water waves were measured at three metering stations in the sea, one at the entrance of the port and three in the basin. The measured data were inspected to investigate the surf beat negative effects on the tranquility of the port. Using field measurements and complementary numerical modeling, the response of the basin to the infra-gravity long waves was inspected for a range of wave frequencies. It was concluded that the water surface fluctuations in the port is strongly related to the incident wave period. The long waves with periods of about 45s were recognized as the worst cases for water surfaceperturbation in the port. For wave periods higher than the mentioned range, the order of fluctuation was generally low.

카페인이 인체에 미치는 영향 및 섭취량 감소 방안에 관한 연구 (A study on Caffeine containing foods and the effect of caffeine in humans)

  • 이혜원
    • 한국조리학회지
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    • 제6권3호
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    • pp.343-355
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    • 2000
  • Caffeine is widely consumed ingredient and it belongs to alkaloids. Many foods that we intake contain caffeine ; coffee, tea cocoa, chocolate, and coke. And it is also added to many commercial remedies ; cold tablets, headache tablets, etc. Effect of caffeine that is known to us so far is as follows; 1. Remaining awake for long hours 2. Increasing concentration and decreasing fatigue 3. Increasing basal metabolic rate 4. decomposing glycogen and body fat and providing energy 5. Stimulating gastric acid 6. Increasing urinary excretion. Caffeine containing beverages(especially, coffee)are also favorite food in adult. In case of children and youth, chocolate and coke are favorite food. So, to intake caffeine containing foods moderately can be a vitality of life. But, a long-term intake or overdose of caffeine can result in many side effects. For example, headache, irritability, restlessness, hypertension, fetal abnormality, etc. Therefore, it is desirable that caffeine intake is under 300-400mg per day. To decrease intake of caffeine, 1. Use decaffeinated coffee 2. Product of decaffeinated coffee bean through gene transformation 3. Indicate content and function of caffeine on caffeine-food container 4. Provide an information of caffeine to public.

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효율적 전류모델을 이용한 고속의 전압 강하와 동적 파워 소모의 분석 기술 (Prediction of Dynamic Power Consumption and IR Drop Analysis by efficient current modeling)

  • 한상열;박상조;이윤식
    • 전기전자학회논문지
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    • 제8권1호
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    • pp.63-72
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    • 2004
  • The supply voltage has been drop rapidly and the total length of the wire increased exponentially in the nanometer SoC design environment. The ideal supply voltage was dropped sharply by the resistance and parasitic devices which stayed on the kilometers-long wire length. Even worse, it could severely affect the functional behavior of the block of the design. To analyze the effects of the long wire of the SoC while maintaining the accuracy, the modeling of the current and the RC conversion of the parasitic techniques are researched and applied. By these modeling and conversion, the multi-million gates HDTV Chipset can be analyzed within a day. The benchmark analysis of the HDTV SoC showed the superiority to the conventional methods in performance and accuracy.

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도시철도 정거장의 종합 건전성 감시시스템 개발방향 (Introduction of the Intelligent Health Surveillance System for Urban Transit Station)

  • 신정열;안태기;박기준;김진호;이우동
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2007년도 추계학술대회 논문집
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    • pp.1248-1253
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    • 2007
  • Urban transit or subway stations generally service for a long period of several decades. And, the urban transit or subway is public transportation which lots of people takes every day. During the service time, they are inevitably damaged from environmental corrosion, material aging, fatigue, and the coupling effects with long-term loads and extreme loads. The included damage accumulates and performance degenerates due to the above factors. They would inevitably reduce the resisting capacity of station against the disaster; even they result in collapse with the structural failure under extreme loads. And, if disaster such as earthquake, fire, etc. happens, it causes huge property damage and threatens the human lives. Because of these above reasons, the intelligent health surveillance system should be researched and developed for ensuring the safety of station. In this paper, the research plans of the intelligent health surveillance system of urban transit station are presented. And also, the development or establishment directions of this system are suggested.

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Nutritional strategy of early amino acid administration in very low birth weight infants

  • Lee, Byong Sop
    • Clinical and Experimental Pediatrics
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    • 제58권3호
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    • pp.77-83
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    • 2015
  • Relative to a fetus of the same gestational age, very low birth weight (VLBW) infants are more likely to be underfed and to undergo growth restriction during their early hospital stay. The current trend towards "early and aggressive" nutritional strategies in VLBW infants aims to overcome the early nutritional deficiency and thereby boost postnatal catch-up growth, simultaneously improving long-term neurodevelopmental outcomes. Although the minimum starting amino acid (AA) dose to prevent negative nitrogen balance is well established, the upper limit and the rate of increase of early AA doses are controversial. Most randomized controlled trials show that early and high-dose (target, 3.5 to 4.9 g/kg/day) AA regimens, with or without high nonprotein calories, do not improve long-term growth and neurodevelopment. High-dose AA supplementation may lead to early metabolic disturbances and excessive or disproportionate plasma AA levels, particularly in infants of very low gestational age. Further large studies are needed to clarify the optimal strategy for early administration of parenteral AA doses in VLBW infants.

Quality Characteristics of Commercial Baechukimchi During Long-term Fermentation at Refrigerated Temperatures

  • Jung, Lan-Hee;Jeon, Eun-Raye
    • Food Science and Biotechnology
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    • 제16권6호
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    • pp.924-927
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    • 2007
  • This study addresses the quality characteristics of commercial baechukimchi by analyzing its physicochemical characteristics and sensory properties in relation to fermentation time and temperature. The salinity of baechukimchi increased to 3.01% after 45 days of fermentation at 2 and $5^{\circ}C$, but decreased to 2.81% by 105 days. The pH decreased gradually at the beginning of fermentation, but decreased after 45 days. The acidity differed most between kimchi fermented at $2^{\circ}C$ (0.36%) and $5^{\circ}C$ (0.48%) at 45 days of fermentation. The vitamin C content was 8.47 mg% in kimchi fermented at both 2 and $5^{\circ}C$ on the day of initial production, then peaked after 45 to 60 days at 14.10 mg%, and decreased thereafter. The total microbial count gradually increased during the first 75 days of fermentation. The appearance and overall acceptability of baechukimchi were highest after 90 days of fermentation at $2^{\circ}C$ and after 60 days of fermentation at $5^{\circ}C$.

송전용 애자의 장기실증시험 분석 (A Characteristic analysis of EHV insulators on long-term outdoor tests)

  • 최인혁;최장현;정윤환;이동일
    • 한국조명전기설비학회:학술대회논문집
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    • 한국조명전기설비학회 2004년도 춘계학술대회 논문집
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    • pp.392-396
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    • 2004
  • Experimental equipments for long-term outdoor tests of EHV insulators in outdoor were constructed. The testing insulators have been energized with 89 [kV] phase-to-ground AC voltage under identical condition at station, and the investigation was carried out for leakage current and various environments such as temperature, relative humidity and wind velocity. The test results of leakage current wave trends have forms on distorted waves including harmonics. The porcelain and glass insulators have low leakage current in case of daytime because moisture and humidity have relative low values. In comparison with these conditions, high leakage current was shown at dawn and rainy day due to high humidity. However, leakage current of polymer insulators was shown approximately $129[{\mu}m]$ without relation to the weather due to hydrophobicity on their surface.

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