• Title/Summary/Keyword: Population decline

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Self-Care in Elders with Dementia: A Concept Analysis

  • Yeom Hye-A
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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    • pp.1402-1408
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    • 2004
  • Purpose: The purpose of this study was to analyze the concept of self-care in elders with dementia through a review of nursing literature and to provide more understanding of the definition and perspectives of the concept of self-care notion in elders with dementia. Methods: The technique developed by Walker and Avant was used as a guide in analyzing the concept of self-care. Results: Attributes of self-care in dementia may include a single or group of actions needed for sustaining life, a personal effort to maintain functional independence while minimizing other's assistance, an outcome behavior from the person's interaction with inter-personal and/or contextual environment, and a functional ability that may decline in parallel to cognitive impairment. Antecedents of self-care in dementia may include at least presence of a certain degree of cognitive appraisal for the self-care needs, self-willingness for the self-care action, spatial and visual orientation, cultural pre-conception of the self-care behavior, presence of environmental context/equipment available for self-care, and sufficient time available. The consequences may include sustaining of life, feel of satisfaction, achieving independence, extended life expectancy, increased self-confidence, decreased caregiver distress and/or burden, savings in health care costs. Discussion: Defining attributes and antecedents and consequences of self-care in dementia identified in this study provided empirical ground of a middle-range theory of self-care for a clinical population with dementia and generated possible hypotheses to be tested in future studies.

The bone density of mandible as the aging process in Koreans (한국인 연령에 따른 하악 치조골 골밀도)

  • Lee, Chul-Won;Kim, Chul-Hwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.6
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    • pp.496-504
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    • 2011
  • Introduction: This study compared the alveolar bone density of the mandible according to gender, age and position using Cone-beam computed tomography (CT). Materials and Methods: The maxillofacial CT scan data was obtained from 60 Korean patients. In addition, the alveloar bone density of 5 males and 5 females with normal occlusion aged from 10 to 70 years was measured at the buccal cortical bone, cancellous bone and lingual cortical bone, as well as at the position of the incisors, canines, premolars and molars. Results: The age-specific mean bone density was highest in patients in their third decade. The buccal cortical bone of the molars showed the highest bone density. Males in their fifties and sixties had a higher bone density in the cancellous bone in the region of the premolars and the buccal cortical bone of the molars, respectively, than females but there was no significant difference between males and females in the other parts. The cancellous bone density was highest in those in their twenties and thirties, and tended to decline up to their seventh decade. Conclusion: These results revealed a significantly different bone density according to gender, age and position in the Korean population. In addition, it is possible to predict the bone density based on these results.

The Role of Functional Imaging Techniques in the Dementia (치매 환자에서 기능 영상법의 역할)

  • Ryu, Young-Hoon
    • The Korean Journal of Nuclear Medicine
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    • v.38 no.3
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    • pp.209-217
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    • 2004
  • Evaluation of dementia in patients with early symptoms of cognitive decline is clinically challenging, but the need for early, accurate diagnosis has become more crucial, since several medication for the treatment of mild to moderate Alzheimer' disease are available. Many neurodegenerative diseases produce significant brain function alteration even when structural imaging (CT or MRI) reveal no specific abnormalities. The role of PET and SPECT brain imaging in the initial assessment and differential diagnosis of dementia is beginning to evolve vapidly and growing evidence indicates that appropriate incorporation of PET into the clinical work up can improve diagnostic and prognostic accuracy with respect to Alzheimer's disease, the most common cause of dementia in the geriatric population. in the fast few years, studios comparing neuropathologic examination with PET have established reliable and consistent accuracy for diagnostic evaluations using PET - accuracies substantially exceeding those of comparable studies of diagnostic value of SPECT or of both modalities assessed side by side, or of clinical evaluations done without nuclear imaging. This review deals the role of functional brain imaging techniques in the evaluation of dementias and the role of nuclear neuroimaging in the early detection and diagnosis of Alzheimer's disease.

Analysis of Lethality in Echinococcal Disease

  • Khachatryan, Anna S.
    • Parasites, Hosts and Diseases
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    • v.55 no.5
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    • pp.549-553
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    • 2017
  • The information on mortality from echinococcosis is important not only for a better understanding of the severity of the disease, but also for evaluating the effectiveness of public health interventions. The aim of this research was to study the causes of mortality from echinococcosis. We have collected and analyzed the materials of 1,470 patients in 10 age - groups in the Republic of Armenia (from 2000 to 2016). To find out the causes of mortality from echinococcosis, we have analyzed the medical histories and protocols of postmortem examinations of 19 deaths from echinococcosis and 17 deaths due to other indirect causes not associated with the parasite. The average annual death rate from echinococcosis is 0.007 per 10,000 population, and the mortality is 1.29 (per 100 patients). The highest mortality occurs in people aged 70-79. Mortality from echinococcosis is also recorded among the unoperated children. The rupture of the parasitic cyst and hepatic insufficiency are major among the direct causes of mortality. Sometimes the hydatid cysts unrecognized during the life were first diagnosed at autopsy. Insufficient qualification of doctors in the field of helminthology, as well as the latent course of the disease or manifestation of minor symptoms in echinococcosis over a long period often led to medical errors. Further decline in mortality can be achieved by early diagnosis, timely hospitalization and treatment before the development of severe complications worsening the prognosis and outcomes of surgical intervention.

Esophageal Cancer Mortality during 2004-2009 in Yanting County, China

  • Song, Qing-Kun;Li, Jun;Jiang, Hai-Dong;He, Yu-Ming;Zhou, Xiao-Qiao;Huang, Cheng-Yu
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.5003-5006
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    • 2012
  • Objective: Yanting County is a high risk area for esophageal cancer (EC) in China. The purpose of this study was to describe the mortality and mortality change of EC from 2004 to 2009 in Yanting County. Methods: EC mortality data from 2004 to 2009 obtained from the Cancer Registry in Yanting were analyzed. Annual percentage changes (APC) were calculated to assess the trends in EC mortality. Age-standardized mortality was calculated based on world standard population of 2000. Results: The average EC mortality was 54.7/$10^5$ in males and 31.6/$10^5$ in females over the 6 years. A decline in EC mortality with time was observed in both genders, with a rate of -8.70% per year (95% CI: -13.23%~-3.93%) in females and -4.11% per year (95%CI: -11.16%~3.50%) in males. Conclusion: EC mortality decreased over the six years in both genders, although it remained high in the Yanting area. There is still a need to carry out studies of risk factors for improved cancer prevention and further reduction in the disease burden.

Prediction of Consumer Propensity to Purchase Using Geo-Lifestyle Clustering and Spatiotemporal Data Cube in GIS-Postal Marketing System (GIS-우편 마케팅 시스템에서 Geo-Lifestyle 군집화 및 시공간 데이터 큐브를 이용한 구매.소비 성향 예측)

  • Lee, Heon-Gyu;Choi, Yong-Hoon;Jung, Hoon;Park, Jong-Heung
    • Journal of Korea Spatial Information System Society
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    • v.11 no.4
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    • pp.74-84
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    • 2009
  • GIS based new postal marketing method is presented in this paper with spatiotemporal mining to cope with domestic mail volume decline and to strengthening competitiveness of postal business. Market segmentation technique for socialogy of population and spatiotemporal prediction of consumer propensity to purchase through spatiotemporal multi-dimensional analysis are suggested to provide meaningful and accurate marketing information with customers. Internal postal acceptance & external statistical data of local districts in the Seoul Metropolis are used for the evaluation of geo-lifestyle clustering and spatiotemporal cube mining. Successfully optimal 14 maketing clusters and spatiotemporal patterns are extracted for the prediction of consumer propensity to purchase.

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The Determinant Factors and Medical Charges Pattern by Length of Stay in Hospital (재원일별 진료비 발생양상과 재원일수의 결정요인)

  • Kim, Young-Hoon;Moon, Jae-Woo;Kim, Key-Hoon
    • Korea Journal of Hospital Management
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    • v.15 no.2
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    • pp.15-26
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    • 2010
  • Stroke is a high-risk disease. The future of the medical environment is that the proportion of elderly population is increasing, the average life expectancy is being increased, while the fatal rate of stroke will be low. These situation will due to the financial burden on medical insurance. The most important factor that affects on the medical costs of stroke patients is the length of stay. In this study the mean length of hospital for stroke stay was 21.81days(37.97days for intracerebral hemorrhage, 18.89 days for cerebral infarction). The payment per case of stroke was 6.86 million won(12.6 million won for intracerebral hemorrhage, 5.72 million won for cerebral infarction). The payment per case of intracerebral hemorrhage was 2.2 times more than that of cerebral infarction. The payment in the day of hospitalization was the highest and until the second day medical costs was high. After the third day medical costs tended to decline, after that seemed to show an almost constant level. The length of hospital stay was found to be the most important determinant of inpatient charges for stroke. Accordingly rational management of the length of stay will be beneficial to health care consumers, providers, states.

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Study on the Trend Analysis and Direction of Remodeling of Middle Schools - Case Study of Middle Schools in Gyeonggi Province - (중학교(中學校) 리모델링의 경향분석 및 방향설정에 관한 연구 - 경기도 중학교 사례를 중심으로 -)

  • Yoon, Jun-Seon
    • Journal of the Korean Institute of Educational Facilities
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    • v.13 no.1
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    • pp.5-16
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    • 2006
  • The study is intended to analyze the tendency of the remodeling for the middle schools in Gyeonggi Province, with the potential challenges thereof, thereby determining the principle for the remodeling projects in the days to come. To that end, the analysis to identify the school facilities in a bid to accommodate the current curriculum was conducted, along with the case study on remodeling projects. The $7^{th}$ curriculum demands for a significant change in school facilities. The number of student in a class that has been on the decline, despite of steady increase in number of schools, and the population getting concentrated in Seoul and its suburbs have resulted in an increase in number of class. Consequently, more investment in the facility, rather than improving a substantial education environment, has been made. The study, thus, is aimed at identifying the facility of the middle school required by the $7^{th}$ curriculum, as well as implementing a fact-finding investigation into the remodeling works for middle schools in Gyeonggi Province so as to come up with the guideline for remodeling projects.

A Study on the Categories and Architectural Design of the Unified Operation School in Urban Area (도시지역의 통합운영학교 유형과 건축계획 연구)

  • Lee, Hwa-Ryong;Dong, Jae-Wook;Kim, Hong-Min;Park, Min-Gun
    • Journal of the Korean Institute of Educational Facilities
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    • v.25 no.4
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    • pp.3-9
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    • 2018
  • In recent years, schools in the urban areas are also showing their interest in the integrated school and considering adapting the actual operation method. That is why decline of the school-age population is not limited to rural areas any more, and decreasing number of students in urban schools is raised as a social issue to reconsider the continuation of schools. To solve the problems of the small-scale schools in the urban area, the integrated school is being considered as an alternative. Furthermore, the newly built schools in the urban development areas are also planned as the integrated school. Accordingly, the purpose of this study is to examine the cases of integrated schools in urban area of developed countries and to analyze their architectural planning considerations in practice.

The Change of Spatial Structure of a Lishu Settlement on the Upper Reaches of Tumen Riverside in China (두만강 북안 상류 농촌마을 공간구조의 변화 -화룡시 숭선진 이수마을을 대상으로-)

  • Lin, Jinhua;Kim, Taiyoung
    • Journal of the Korean Institute of Rural Architecture
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    • v.8 no.3
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    • pp.83-90
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    • 2006
  • 1) Lee-Su village is located in a riverside of an upper Tu-men river. Since an upper stream of Tu-men river is narrow and easy to pilot a boat, early in the past, it facilitated the form of the village near to the North Korean. 2) The form of the village is parabolic from the founding period. That is, increasing the number of houses in the time of the Cultural Revilution Campaign, and the Japanese colony, the village has transformed into the bigger size about 72 families from the small town. After the cultural revolution, due to private asset allowed in accordance with the Chinese Reform and Open Policy, the number of families in the town and the population have been decreased. As a result, 28 families live in the village currently. 3) The town which was well-ordered in the Japanese colonial period has been changed to a very disordered and agricultural town, owing to the decrease of the families A road system has been also ruined naturally in accordance with the decline of the number of the families.

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