• 보건행정학회지
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• 제32권1호
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• pp.53-62
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• 2022

Background: This study was designed to examine regional proportions for people who experienced unmet health care needs due to reduced mobility or unhealthiness and factors associated with experience of unmet health care needs by them. Methods: A total of 11,620 people were retrieved from the Korea Health Panel data (2014-2018). Regional proportions for people who experienced unmet health care needs due to reduced mobility or unhealthiness were estimated using cross-sectional weights and the factors associated with them were analyzed using generalized estimating equation. Results: The number of people who experienced unmet health care needs due to reduced mobility or unhealthiness was estimated as 278,083 in 2018. Women, the aged (65+), below elementary school, single as marital status, low income, bad self-rated health, people with disabilities, and long-term insurance beneficiaries were statistically significantly associated with experience of unmet health care needs due to reduced mobility or unhealthiness. Conclusion: Given high and dispersed demand for visiting health care, government need to expand the infrastructure and finance to facilitate visiting health care.

• 한국측량학회지
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• 제34권3호
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• pp.273-282
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• 2016

최근 교통약자의 이동권에 대한 관심이 증가하고 있으나 대부분 제도적 시설 공급측면에 치중되어 일시적 이동상의 불편함만을 해소할 뿐이며 실제 교통약자에게 향상된 이동편의를 제공하지 못하고 있다. 따라서 본 연구에서는 교통약자의 보행에 영향을 미치는 경사로, 계단과 같은 물리적 장애 요소들을 고려하여 교통약자 유형별 최적경로를 탐색하는 기법을 제안함으로써 교통약자의 이동편의를 직접적으로 향상시키고자 한다. 선행연구 및 관련 제도를 분석하여 교통약자의 보행에 방해가 되는 보행장애요소를 선정하고 계층적의사결정법(Analytic Hierarchy Process; AHP)을 이용하여 각 보행장애요소의 상대적 중요도를 산정하였으며 마지막으로 퍼지 시스템을 통하여 교통약자의 보행에 방해되는 정도를 나타내는 링크별 보행방해도를 도출한다. 보행방해도를 바탕으로 거리 요소를 포함한 보행 경로비용을 계산하고 이 값이 최소가 되는 경로를 다익스트라 알고리듬을 통해 탐색함으로써 교통약자 유형별 최적 경로를 제공한다. 본 연구에서 제안한 기법을 적용하여 도출된 19개 경로를 대상으로 실제 현장 실험을 통하여 각 경로에 대한 만족도 설문조사를 수행하였고 이를 통해 실제 교통약자의 이동에 편의를 향상하는 유의미한 경로가 도출되었음을 확인하였다. 본 연구에서 제안한 최적경로 탐색 기법이 내비게이션 서비스에 적용된다면 교통약자의 이동복지향상을 도모할 수 있을 것으로 보인다.

• International Journal of Railway
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• 제1권4호
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• pp.143-148
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• 2008

This paper is the output of a collaborative European project concerning the barrier free accessibility for disabled persons to regional and long distance trains in Europe. Disabled people represent around 13% of the population in Europe. This is approximately 63 million people. The range of disabilities includes people with reduced mobility including wheel chair users, viewing and hearing impaired people and other forms of impairment. Improving accessibility aims at contributing to the provision of public transport services to all citizens in an equitable way. The purpose of the project was to analyse and to evaluate the existing solutions at selected European railways for all required modules at the entrance (doors, information and safety solutions), to derive a design concept, to develop a mock-up in meeting the needs of rail travellers with the above mentioned impairments and to test it with user groups. The project also aims at deriving components for the determination of standards. The EUPAX Design Mock-up test was performed to verify the advantages of the layout of the train segment including the different modules such as access area (including the access door, gaps between platform and train as well as boarding aid devices), entrance vestibule, information systems inside and outside the train, emergency facilities, toilet with all conveniences and the additional test arrangements regarding push buttons, steps and emergency equipment. For this purpose a questionnaire was developed for the assessment of the EUPAX segment and the additional test arrangements. With the help of this questionnaire it was possible to execute a quantitative and qualitative evaluation. During three test phases 67 experts and handicapped persons from 6 countries have evaluated the Industrial Design mock-up based on this questionnaire. The test group covered persons from North (Denmark) to the South (Italy) and from the West (Spain) to the Middle of Europe (Germany). This is especially important for the generalization (harmonisation) of the results for all European countries. According to COST 335 the information for people with reduced mobility should be clear, concise, accurate and timely. So that all information can be received from persons, they must be transferred on at least two of the three possible ways (acoustical, visual, tactile), a so called "2-sense-principle". Based on the results ergonomic specifications/ solutions for the ergonomic design of the access area, the acoustic, visual and tactile information and the emergency devices including the emergency communication system were developed, related to the benefiting passenger groups.

• 대한물리치료과학회지
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• 제9권2호
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• pp.159-170
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• 2002

Parkinson's disease(PD) is a progressive neurodegenerative disease that affects the functioning of the basal ganglia, a brain area that contributes to the control of movement. The disease is caused by the death of nerve cells in the brain that produce dopamine, a chemical messenger. The cells affected usually produce a neurotransmitter(a chemical that transmits nerver impulses) called dopamine, which acts with acetylcholine, another neurotransmitter, to fine-tune muscle control. In Parkinson's disease, the level of dopamine relative to acetylcholine is reduced, adversely affecting muscle control. When the supply of dopamine is depleted, the function of the basal ganglia is disrupted and its ability to control movement-deteriorates. The result is that PD patients experience moderate rigidity, difficulty in initiating movements and slowness in executing them, and a rhythmical tremor at rest. Although the cause of Parkinson's disease is not known, genetic factors may be involved. About 3 in 10 people with the disorder have an affected family member. About 1 in 100 people over the age of 60 in the US have Parkinson's disease. And Parkinson's disease is slightly more common in men. The course of the disease is variable, but drags may be the best effective in treating the symptoms and improving quality of life. But, The doctor may arrange physical therapy to help with physical mobility problems. It is important to continue to exercise and take care of your general health. Try to take a walk each day. Stretching exercises can help you maintain your strength and mobility. So, This papers will serve about the information of PD for clinical physical therapist. Finally, The aim of review is increasing approach method and technique for PD patients by the view of physical therapy.

• 대한정형도수물리치료학회지
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• 제8권2호
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• pp.73-87
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• 2002

Parkinson's disease(PD) is a progressive neurodegenerative disease that affects the functioning of the basal ganglia, a brain area that contributes to the control of movement. The disease is caused by the death of nerve cells in the brain that produce dopamine, a chemical messenger. The cells affected usually produce a neurotransmitter(a chemical that transmits nerver impulses) called dopamine, which acts with acetylcholine, another neurotransmitter, to fine-tune muscle control. In Parkinson's disease, the level of dopamine relative to acetylcholine is reduced, adversely affecting muscle control. When the supply of dopamine is depleted, the function of the basal ganglia is disrupted and its ability to control movement deteriorates. The result is that PD patients experience moderate rigidity, difficulty in initiating movements and slowness in executing them, and a rhythmical tremor at rest. Although the cause of Parkinson's disease is not known, genetic factors may be involved. About 3 in 10 people with the disorder have an affected family member. About 1 in 100 people over the age of 60 in the US have Parkinson's disease. And Parkinson's disease is slightly more common in men. The course of the disease is variable, but drugs may be the best effective in treating the symptoms and improving quality of life. But, The doctor may arrange physical therapy to help with physical mobility problems. It is important to continue to exercise and take care of your general health. Try to take a walk each day. Stretching exercises can help you maintain your strength and mobility. So, This papers will serve about the information of PD for clinical physical therapist. Finally, The aim of review is increasing approach method and technique for PD patients by the view of physical therapy.

• 지능정보연구
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• 제28권1호
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• pp.45-68
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• 2022

대한민국 중앙부처, 지방자치단체는 코로나 19가 급속도로 확산하는 팬데믹 상황에서 재난상황 극복을 위해 재난대응에 필요한 정보를 재난문자를 통해 제공하였다. 재난문자는 국민들이 가장 많이 접하는 재난정보 전달수단으로서, 휴대폰에 직접 방송하는 CBS(Cell Broadcast Service) 방식을 채택하고 있어 직접 찾아보는 수고스러움 없이 휴대폰을 통해 쉽게 정보를 접할 수 있다는 장점이 있다. 본 연구는 지난 1년 1개월간(2020년 1월~2021년 1월) 서울특별시에 발송된 재난문자의 특성을 다양한 텍스트마이닝 방법론 등을 통해 도출하고 재난문자에 포함된 다양한 유형의 정보가 국민들의 이동 행태에 어떠한 영향을 미쳤는지를 서울특별시 지역구의 연령별 유동인구의 이동성을 통해 확인하였다. 각 문자에 포함된 주요 단어와 포함된 정보를 분류하는 과정을 거치고 포함된 단어를 기반으로 하는 문서 군집 분석 기법을 적용해 개별 발송 문자를 분석 단위로써 활용할 수 있도록 텍스트 분석을 시행하였다. 이후, 텍스트마이닝을 통해 추출한 재난문자의 특성이 지역별, 연령별 인구이동성에 미친 영향을 규명하였다. 구조화된 모형을 활용하여 재난정보가 인구이동성에 미치는 영향을 기본효과, 누적효과로 구분하여 측정하였다. 지자체가 보유한 재난문자 발송권한으로 인해 재난문자 발송 특성은 지자체별로 상이함을 계량 분석에 활용하였다. 분석 결과 인구이동성에 변화를 유발하는 정보유형은 연령별로 상이함을 확인할 수 있었다. 날짜와 순서에 관련된 정보는 60-70대의 인구이동성을 유의미하게 감소시키는 것을 확인할 수 있었다. 온라인 정보는 20대의 이동성을 감소시켰고, 증상과 관련된 정보는 30대의 인구이동성을 감소시켰다. 한편, 방역 정책 준수를 당부하는 의미를 포함하는 규범적 단어 등은 전 연령의 인구이동성에 유의미한 변화를 불러일으키지 못함을 확인할 수 있었다. 이는 재난대응에 도움이 되는 유의미한 정보들만 재난문자에 포함되어야 함을 의미한다. 한편, 인구이동성에 유의미한 변화를 불러일으키는 정보유형 또한 재난문자가 반복됨에 따라 효과가 상쇄함을 음의 누적효과 추정 결과를 통해 확인할 수 있었다.

• 한국보건간호학회지
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• 제35권1호
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• pp.149-164
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• 2021

Purpose: To identify the factors associated with poor self-rated health in individuals with acquired visual impairment through classification of such individuals into severe and mild visual impairment groups. Methods: This descriptive, cross-sectional, survey-based study analyzed data from 563 individuals with visual impairment due to acquired causes who had been recruited in the 2017 Korean National Survey on Persons with Disabilities. Results: Individuals with severe visual impairment reported poorer self-rated health. Mild depression (p=.003), and low smartphone use (p=.045) were associated with poorer self-rated health in those with severe visual impairment. The factors associated with poor self-rated health in those with mild visual impairment were comorbidities, low smartphone use (p=.006), needed health information (p=.020), unbalanced diet (p<.001), low weight (p=.024), and lack of health checkups (p=.001). Conclusion: Depression was found to be a predictor of poor self-rated health in individuals with severe visual impairment, which highlights the need for nursing and related healthcare intervention to lower depression in this specific population. Further, promoting social network building and providing health information using smartphones may serve to encourage appropriate health behavior in people with severe visual impairment who have reduced mobility and health literacy.

• 대한인간공학회지
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• 제35권1호
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• pp.11-27
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• 2016

Objective: The purpose of this study was to develop and evaluate high technology adaptive driving controls, such as mini steering wheel-lever system and joystick system, for the people with physical disabilities in the driving simulator. Background: The drivers with severe physical disabilities have problems in operation of the motor vehicle because of reduced muscle strength and limited range of motion. Therefore, if the remote control system with driver-by-wire technology is used for adaptive driving controls for people with physical limitations, the disabled people can improve their quality of life by driving a motor vehicle. Method: We developed the remotely controlled driving simulator with drive-by-wire technology, e.g., mini steering wheel-lever system and joystick system, in order to evaluate driving performance in a safe environment for people with severe physical disabilities. STISim Drive 3 software was used for driving test and the customized Labview program was used in order to control the servomotors and the adaptive driving devices. Thirty subjects participated in the study to evaluate driving performance associated with three different driving controls: conventional driving control, mini steering wheel-lever controls and joystick controls. We analyzed the driving performance in three different courses: straight lane course for acceleration and braking performance, a curved course for steering performance, and intersections for coupled performance. Results: The mini steering wheel-lever system and joystick system developed in this study showed no significant statistical difference (p>0.05) compared to the conventional driving system in the acceleration performance (specified speed travel time, average speed when passing on the right), steering performance (lane departure at the slow curved road, high-speed curved road and the intersection), and braking performance (brake reaction time). However, conventional driving system showed significant statistical difference (p<0.05) compared to the mini steering wheel-lever system or joystick system in the heading angle of the vehicle at the completion point of intersection and the passing speed of the vehicle at left turning. Characteristics of the subjects were found to give a significant effect (p<0.05) on the driving performance, except for the braking reaction time (p>0.05). The subjects with physical disabilities showed a tendency of relatively slow acceleration (p<0.05) at the straight lane course and intersection. The steering performance and braking performance were confirmed that there was no statistically significant difference (p>0.05) according to the characteristics of the subjects. Conclusion: The driving performance with mini steering wheel-lever system and joystick control system showed no significant statistical difference compared to conventional system in the driving simulator. Application: This study can be used to design primary controls with driver-by-wire technology for adaptive vehicle and to improve their community mobility for people with severe physical disabilities.

• International Journal of Fuzzy Logic and Intelligent Systems
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• 제12권3호
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• pp.226-231
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• 2012

Autoparking assistant systems are a new and very promising area in automotive systems engineering. Since the traffic in modern cities becomes more intense, it is getting harder for a driver. Those systems are necessary for an inexperienced one to find a proper parking slot, or to park in a narrow parking slot without damaging his car or the vehicles around. The implementation of autoparking assistant systems may reduce drivers' stress and make parking generally more comfortable. In addition, such system can be extremely useful for senior or disabled people or for drivers with reduced mobility. The implementation of autoparking assistant systems may increase the safety of the parking, and therefore the development of such systems is a highly-demanded task. We introduce an intelligent autoparking system that automatically generates trajectory for parking using a fuzzy logic. This paper consists of three parts. In first part we introduce trajectory generation method for parallel parking without collisions. Fuzzy-logic based trajectory generation algorithm is described in second part. Experimental results presented in the third part of the paper prove effectiveness of the proposed method.

• 대한교통학회지
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• 제34권5호
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• pp.409-420
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• 2016

한국은 2026년에 초고령화 사회(super aged society)로 진입될 것으로 예상된다. 그럼에도 불구하고 보행은 인간의 기본적인 이동권리라는 측면에서 교통약자의 대부분을 차지하는 고령자의 안전하고 편리한 이동권리 확보는 가장 기초적인 복지로 중요하지만 간과되기 싶다. 이러한 측면에서 본 논문에서는 교통시설물을 설계시 활용을 위한 고령자의 보행특성을 분석하여 제시하였다. 운동 역학적인 보행변수들을 일반인과 비교한 결과, 모든 변수들이 일반인에 비하여 약 75% 수준으로 분석되었다. 고령자는 일반인에 비하여 보행속도가 느리고, 어깨의 움직임이 적은 대신 발목의 움직임이 많으며, 발을 낮게 들며, 지면반발력이 크게 작용되는 등의 보행변수별 보행특성이 조사되었다. 또한 고령자 집단은 집단 안에서도 보행변수별로 서로 차이가 크며, 이를 walking Balance Muscles Factor별로 2개 혹은 3개로 집단화가 가능함을 군집분석을 통하여 알아보았다. 이와 같은 고령자 보행특성은 보도, 경사 및 단차 등의 교통시설물 설계에 활용될 수 있을 것이다.