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Poor Sleep Quality and Its Effect on Quality of Life in the Elderly with Late Life Depression (노년기 우울증 환자의 수면의 질 저하가 삶의 질에 미치는 영향)

  • Choe, Jin Yeong;Park, Joon Hyuk
    • Korean Journal of Biological Psychiatry
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    • v.21 no.2
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    • pp.74-80
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    • 2014
  • Objectives More than half of the elders suffer from chronic sleep disturbances. Moreover, sleep disturbances are more prevalent in patients with depressive disorder than in community dwelling elderly. In this study, we aim to estimate the risk factors of poor sleep quality and its effect on quality of life in patients with late life depression. Methods This study included 159 depressive patients aged 65 years or older who completed Pittsburgh Sleep Quality Index (PSQI). A global PSQI score of 5 or greater indicates a poor sleeper. Structural diagnostic interviews were performed using the Korean version of Mini International Neuropsychiatric Interview (MINI). Depression was evaluated by the Korean form of Geriatric Depression Scale (KGDS). Global cognition was assessed by Mini-Mental State Examination in the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease assessment packet. Quality of life was evaluated by the Korean version of Short-Form 36-Item Health Survey (SF-36). Results The frequencies of poor sleepers were 90.5% in major depressive disorder, 71.8% in minor depressive disorder, 47.1% in subsyndromal depressive disorder, and 73.0% in all types of depressive disorders. Multivariate logistic regression analysis indicated that female [odds ratio (OR) = 2.83, 95% confidence interval (CI) = 1.20-6.67] and higher KGDS score (OR = 1.13, 95% CI = 1.05-1.21) were risk factors of poor sleep quality in patients with late life depression. In the analysis of ANCOVA adjusted for age, gender, education and KGDS score, the mean scores of vitality mental health and mental component summary of SF-36 were lower in poor sleepers than in good sleepers. Conclusions Poor sleepers among patients with late life depression are very common and are associated with female and higher KGDS scores. Poor sleep quality causes a significant negative effect on mental health quality. So researchers and clinicians should be more vigilant in the evaluation and treatment of sleep disturbances in patients with late life depression.

Prediction of Poor Contact by Analysis of Electrical Signal and Thermal Characteristics (전기적 신호와 열적특성 분석에 의한 접촉불량 예측)

  • Lee, Heung-Su;Kim, Doo-Hyun;Kim, Sung-Chul;Kim, Yoon-Bok
    • Journal of the Korean Society of Safety
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    • v.27 no.3
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    • pp.36-41
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    • 2012
  • Electrical Connections often cause fires due to poor contact. Occurrence rate of these fires tends to increase annually. The reason why poor contacts occur is often because it is the low mechanical pressure at the contact points. A typical connection method using mechanical pressure is a screw terminal type. This study reviewed these poor contact cases in the screw terminals. In order to get reproduction of such cases, two types of experiments were conducted. the first one was conducted under the normal contact condition, and the other one was conducted under the poor contact condition that screw terminal of breaker was loosen and did not meet the requirements of toque value. In both types of experiments, compulsory vibration was adopted as a variable to aggravate poor contacts. Each of various current values(4.5A, 9.0A, 13.5A) is input. In these experiments, relationships of a contact, electrical signal such as current and electric pulse by ZCT and thermal characteristics according to vibration effect are analyzed. The suggested data and results in this study provide the useful resources helping to investigate fires due to poor contact, and they develop the detector for poor contact and finally reduce the electrical fire occurrence rate.

A Study on the Factors Affecting in Working Poor Household's Residential Ascend Mobility (근로빈곤가구의 주거 상향이동에 영향을 미치는 요인에 관한 연구)

  • Kim, Kyoung-Huy
    • Korean Journal of Social Welfare Studies
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    • v.40 no.3
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    • pp.149-179
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    • 2009
  • Purpose of this study is to know what is the factors affecting in working poor household's residential ascend mobility. As a result, Working poor household residential ascend mobility is affecting from age, education, work ability, household type, child, asset, public assistance, region, house position, minimum housing facilities, housing environment, education facilities, lastingness rental apartment, nation rental apartment, the lease of a house on a deposit basis, monthly rent, loaning delay times, debt. Main implication is as following Analysis. First, When housing policies establish, Working poor household's characteristics and individual characteristics should be considered enough by welfare policies aspect. For this, Rent assistance system have to be enforced for working poor household's house loan. Second, Working poor household's guarantee of financial Accessibility for house loan. Finally, Working poor household's residential problem may be solved though efforts that can heighten enough public information and the utilization rate about various in government's house policies.

A Study on the Working Poor among Korean Echo Boomers (에코부머의 근로빈곤에 관한 연구)

  • Park, Mee Sok;Park, Mee Ryeo
    • Human Ecology Research
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    • v.52 no.1
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    • pp.87-101
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    • 2014
  • The purpose of this study is to identify the current status of the working poor and the factors that are influential to the working poor among echo boomers. This study is a secondary analysis using the data from the 7th analysis of the 2012 Korea Welfare Panel Survey, conducted by Korea Institute for Health and Social Affairs. This analysis considered Korean echo boomers born between 1979 and 1985. In our final analysis, we used 1,226 echo boomers who had the ability to work. For the analysis, the SAS/PC statistical program ver. 9.3 was utilized. The research findings are as follows; Firstly, of the working poor among the echo boomers, only 22% were in the state of poverty. Secondly, more echo boomers living in a metropolitan city, city, gun/urban-rural area and district than those in the Seoul were categorized as among the working poor; the same was true for those who lived in a free house than in a leased room or a room that was rented by the month. Thirdly, more echo boomers whose education level was high school graduate or less rather than college graduate or less or university graduate or more were categorized as among the working poor; this was also true for echo boomers whose employment type was temporary employment, self-employment, or unemployment rather than a full-time job.

Observation of Fine Structures of Defective Herbal Acupuncture Needles (약침용 불량 Needle의 미세 형태 관찰)

  • Park, Won-Pil;Kim, Hyun-Do;Kwon, Ki-Rok
    • Journal of Pharmacopuncture
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    • v.8 no.1
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    • pp.67-71
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    • 2005
  • Objectives : This study was conducted to observe the tip of needles which induce poor needle sensation upon injection of herbal acupuncture. Methods : Among the syringes used for herbal acupuncture, needles which cause poor sensation were collected and evaluated by SEM (scanning electron microscope) for changes in structure, existence of impure matters, physical damage, and etc. Results : 1. Various forms contributed to poor needle sensation. Bent needle body, damaged or crooked needle tip, and blunted tip 2. Poor needles could be made during the manufacturing process, during insertion of the needle into the vial(except for the lubricants), and repeated procedures with one needle at different regions. Conclusion : Poor needles induce unnecessary pain and discomfort not only to the patients but also to administrators during injection. Herbal acupuncture is a treatment technique injecting herbal extract on the meridian points, and strict quality check must be enforced to prevent occurrence of poor needles.

Development of Thermal Precursor DB for Partial Disconnection and Poor Contact on Electrical Wire (배선에서의 반단선 및 접촉불량에 대한 열적 전조 DB구축)

  • Kim, Doo-Hyun;Kim, Sung-Chul;Lee, Jong-Ho;Kang, Dong-Kyu
    • Journal of the Korean Society of Safety
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    • v.24 no.2
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    • pp.30-36
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    • 2009
  • This paper aims at the precursor analysis and DB development of electrical fires based on thermal and current signals for partial disconnection and poor contact on electric wires through experiments and simulations. Also, DB system required for developing the precursor DB with these data was studied and designed. Firstly, in case of partial disconnection, characteristics were derived and analyzed by experiment and electrical-thermal finite element method(Flux 3D) on the model wires which consist of VCTF and IV electric wires. Based on the characteristics, About 351 partial disconnection precursor patterns were generated by the thermal analysis for electric wire according to deterioration time under normal state and 200% overload state of rated current. Secondly, in order to develop poor contact precursor patterns, temperature value and the current signal were considered. In simulating the poor contact situation on connector area of MCCB, connection torque was changed. Through the experimental analysis, about 251 poor contact precursor patterns were generated. Finally, Using thermal precursor patterns obtained by partial disconnection and poor contact, electrical fire thermal precursor DB was developed.

Quality of Life of Poor Women - Focused on the Discretionary Time (재량시간(discretionary time)을 중심으로 본 빈곤여성의 삶의 질)

  • Noh, Hye-jin
    • Korean Journal of Social Welfare Studies
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    • v.44 no.1
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    • pp.61-87
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    • 2013
  • The main purpose of this paper is to analyze the quality of life of poor women. This study utilized data combined KLIPS with Time Use Survey for an analysis and analyzed time at the intersection of the class and gender. With discretionary time as center, this study investigated poverty status from the quality of life. And in order to make comparison more clearly, object was classified into 4 groups; non-poor male, poor male, non-poor female and poor female. Study results are as follows; First of all, poor women had the shortest discretionary time among all the groups and also had highest poverty rate of living quality. And this study found that deprivation of non-poor female headed householder is serious. Second, analysis of inequality level between and within groups through Theil index indicated that gender influence in poor strata was 3 times higher than that of non-poor strata. This study found that poor women experienced mixed exclusion at the point where gender and class crossed. And this study also has a meaning that an empirical analysis was conducted through above matters on secondary poverty and hidden poverty of poor women which existing researches were unable to discover.

Life Satisfaction of the Poor-health Elderly (거동불편 노인의 생활 만족도에 관한 연구)

  • 윤종희;김덕성;안령미
    • Journal of the Korean Home Economics Association
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    • v.39 no.5
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    • pp.65-74
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    • 2001
  • The purpose of the study was to investigate relationships among life satisfaction of the elderly in poor health conditions, their self esteem, health and financial status, family relationships, and social participation. A structured questionnaire was used to interview 228 elderly who were randomly selected from Sungbuk-ku, Seoul. The regression analysis showed the most powerful predictors of life satisfaction of the poor-health elderly were self esteem, relationships with their adult children, perceived financial status, relationships with grandchildren, and the amount of allowances in that order These variables accounted for 39% of life satisfaction of the sample.

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A Study on the Size, Composition, and Characteristics of Poor Elders Excluded from the Public Assistance (공공부조 수급에서 제외된 빈곤노인의 현황과 특성)

  • Choi, Hee-Kyung
    • Korean Journal of Social Welfare
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    • v.56 no.2
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    • pp.237-259
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    • 2004
  • The public assistance scheme plays more important role in income maintenance for poor elders than the public pension does due to insufficient coverage of the public pension resulted from late introduction of it in Korea. However, only limited numbers of poor elders are financially protected by the public assistance contrary to the general perception that the elderly population most benefits from public aids. Based on data set of 2000 from the Korean Labor and Income Panel Study, this study analysed the size, composition and characteristics of poor elders excluded from the public assistance, and determinants of the elderly's participation in it. Findings of the study can be summarized as follows: (1) More than half of poor elders are excluded from the public assistance although their economic status is similar with that of recipients, which may cause income reversal between recipients and non-recipients. (2) It was identified that non-recipient poor elders especially those with same income level of recipients of the National Livelihood Guarantees(NLG) are actually in desperate need of public aids considering their serious financial conditions. (3) Participation in public assistance among the elderly is more affected by socio-demographic factors that reflect family conditions than by economic factors, which is mostly caused by the strict eligibility criteria of the public assistance that reinforces family duty of financial support for elderly relatives in Korea. Policy implications for more effective income security for poor elders include revising inappropriate eligibility criteria of the NLG concerning family obligations, expanding the coverage of the old age allowance for poor elders to near-poor elders, and providing work opportunities to non-recipient poor elders to supplement their income deficit.

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Factors Affecting the Choice of Medical Care Use by the Poor (저소득층의 의료 이용과 욕구 미충족에 영향을 미치는 요인)

  • Kim, Jin-gu
    • Korean Journal of Social Welfare Studies
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    • no.37
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    • pp.5-33
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    • 2008
  • This study examines the use of medical care by the poor through analysing KNHANES III databases, and the focus of the study is on under-satisfaction of medical needs and the impact of the medicare system. The results of analysis are summerized as follows; the poor had generally suffered from poor health condition, and did not have economic resoure to satisfy the medical needs. But, the beneficiaries of the medicare used much more medical care than non-poor. The result of logistic regression suggest that the medicare affected significantly on increase of uses. Consquently, the medicare system effectively made up the lack of economic resoure of the poor. However, the Medicare did not sufficient to satisfy all the medical needs of the poor. Over 20% of the poor had experinced the abandonment of meical care uses, "the lack of econmic resource" was most important reason. The result of logistic regression suggest that all the poor such as Medicare I and Medicare II beneficiaries, and near-poor class had much more probabilities of giving up the use of medical care than non-poor. It is necessary to raise up the benefit level of the current medicare system such as the reduction of non-secured medical cost, the alleviation of user's burden etc.