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Health Status of Elderly Persons in Korea (한국노인의 건강상태에 대한 조사연구)

  • 최영희;김문실;변영순;원종순
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.307-323
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    • 1990
  • This Study was done to design and test an instrument to measure the health status of the elderly including physical, psychologyical and social dimensions. Data collection was done from July 18 to August 17, 1990. Subjects were 412 older persons in Korea. A convenience sample was used but the place of residence was stratified into large, medium and small city and rural areas. Participants located in Sudaemun-Gu, Mapo-Gu, and Kangnam-Gu, Seoul were interviewed by brained nursing students, and those in Chungju, Jonju, Chuncheon, and Jinju by professors of nursing colleges. Rural residents were interviewed by community health practioners working in Kungsang-Buk-Do, Kyngsang- Nam - Bo, Jonla Buk -Do, and Kyung Ki- Do. The tool developed for this study was a structured questionnaire based on previous literature and then tested for reliability and validity. This tool contained 20 physical health status items, 17 mental-emotional health status items and 38 social health status items. Physical health status items clustered in to six factors such as personal hygiene, activity, home management, digestive, sexual, sensory, and climination functions. Mental-emotional health status items clustered into two factors, mental health and emotional health. Social health status items clustered into seven factors, grandparent, parent, spouse, friend, kinships, group member and religious role functions. Data analysis included percentage, average, S.D., t-test and ANOVA. The results of the analysis were as follows : 1. The tool measuring the health status of the elderly and developed for this research had a relatively high reliavility indicated by a cronbach=0.97793. 2. Average score of the subjects physical health status was 4, 054 in a 5 point likert scale, mentalemotional health status was 3.803, social health status was 2.939 and the total average was 3.521. The social status of the subjects was the lowest and the next was mental-emotional health status ; physical health status was the highest. 3. Educational background, perceived health status, the amount of pocket money were related to physical and mental-emotional health status and family structure was related mental-emotional physical and social health status. Occupation was related to physical and mental-emotional status. Area of residence was related to metal-emotional and social status. Source of living in the expeneses was related to physical and mental-emotional health status marital status to mental-emotional and social health status, and the number living in the home physical health status and religion to social health status. The following conciusions were derived from the above results ; 1. The health status of Korean elderly was relatively sound but social health status was the most vulnerable. The Social activity for Korean elderly is needed to improve social health. 2. Educational background, perceived health status and the amount of pocket money must be considered in the health assessment criteria of the elderly, Family structure, marial status, occupation, residence variables and sources of living expense must also be considered as significant. 3. A health education program based on the educational background of the elderly, and provision of an occupational socioeconomic welfare policy will be useful in order to increase social health status of Korean elderly.

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A Study on the Original State of the Buildings in NakSunJae Area (낙선제(樂善齊) 일곽(一廓) 건축(建築)의 조영(造營)에 관한 복원적(復元的) 고찰(考察))

  • Noh, Jin-Ha;Lee, Sang-Hae
    • Journal of architectural history
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    • v.4 no.1
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    • pp.43-70
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    • 1995
  • This paper aims to clarify the historical background and the architectural purpose of the buildings in NakSunJae area to the original state. Through the investigation, the clarified facts are as follows. 1. The relation with the buildings for the Crown Prince in the ChangDok Palace By constructing buildings in the NakSunJae area, the spatial conception of the Royal Palace was changed, that is, buildings for the Crown Prince in the ChangDok Palace disappeared and they became to belong to the ChangGyeong Palace. Moreover, by constructing the NakSunJae and its attached buildings, the area for the Crown Prince shifted to use as a private area for the king. 2. The date and the purpose of the construction The NakSunJae area is consisted of three compounds of building: NakSunJae, SukBokHun and SooKangJae. The NakSunJae was constructed for the king HunChong's private occupancy in 1847 and the SukBokHun for a residence of a royal concubine Kim, in 1847. The SooKangJae was originally built in 1785 in the SooKang Palace where the ex-king took up as his residence after abdicate the throne. Later on, it was repaired as the residence of the Queen SoonWon, king HunChong's grandmother, in commemoration for the 60th anniversary of her birth in 1848. 3. Architectural features of the NakSunJae area at the time of construction First, as the NakSunJae area is surrounded by quite high hills in northeast and by low hills in southwest, it is naturally distinguished from its surroundings and gives a cosy feeling. Second, the NakSunJae area shows very untrammeled style of arrangement in general, because it was constructed as a private occupancy for the king. other buildings are arranged in the latticing orderly, nonetheless, they are free by themselves from a strict form and make themselves an area full of variety. Third, the buildings in the NakSunJae area have a characteristic of naivety of common people's houses, because they were not an official but private place for the king, his concubine and his grandmother. Forth, the ornaments in the NakSunJae area are variously, elegantly and harmoniously patterned with the meaning of good luck. Fifth, back garden in the NakSunJae area was made by taking advantage of sloping hills. The back garden is beautifully configurated by arranging various constituent elements of pavilions, tiered flower beds, chimneys, decorated walls, small doors between walls, stoneworks and trees.

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Space Organization and Landscape Culture on Upper-class's House('Sauidang') in Late Period of the Joseon (조선 후기 상류주택 사의당(四宜堂)의 공간체계와 조경문화)

  • Shin, Sang-Sup
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.29 no.2
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    • pp.19-27
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    • 2011
  • By studying 'Sauidangzi' written by Honggyungmo(1774~1851), this paper shows on the location, the space organization, and the landscape culture of 'Sauidang' which was upper class's house in late period of the Joseon. Sauidang was the residence of about 530 kan(about $1,750m^2$) which was given to Jeongmyunggongju(daughter of Sunzo) by Injo when she married with Hongjuwon, located at the good place where Mt. Mokmyuk, Mt. Dobong, Mt. Inwang, and Janwon peak are harmonized all together. The residence was on the foothill of Mt. Mokmyuk, facing to the northeast. The main house was facing to the east with the inner and back yards, and the separate house(Sauidang) was facing to the west with the garden, and a vegetable field was set in the outer yard where is connected with a main road where willow trees were lined up, 'Sauidang' was called as "the garden of princess", and a stair-shaped flower garden was made to the south, and one could look down the Hanyang castle as a whole. In the garden, there were trees and house plants enriching one's mind to wish an eternal life with oddly shaped stones or flowers, and symbolizing a fairly land. There were 38 types of trees that were planted either on the ground or in pots as various bundles like 1 tree, 2 trees, 3 trees, 4 trees, 5 trees, 8 trees, and 9 trees. Taehosuk, oddly shaped stones, stone panels, stone pillars, jade panels, sundial, walls and fences, stone stairs, steppingstones, and buildings were set for the landscape. Also, the residence had rare luxuries of landscaping culture like Wangheeji's Nanjungsoogyeseo, Sosik's Cheeongjeongi, Jomangboo's Jeokbyukboo, and Anpyungdaegoon's Behaedangcheop.

Comparison on the Time series of Housing Viewpoint of University Student (대학생 주거관의 시계열적 비교)

A Study on Layout and Operation of Suk-seol-so and Jung-bae-seol-cheong at Court Banquets in the Late Joseon - Focusing on Uigwe(Ritual Manual) for Court Banquets - (조선후기 궁중연향 시 숙설소와 중배설청의 배치와 운영에 관한 연구 -궁중연향의궤를 중심으로-)

  • Kyoung, Se-Jin;Cho, Jae-Mo
    • Journal of architectural history
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    • v.24 no.6
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    • pp.67-82
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    • 2015
  • With regard to Gung-jung Yeon-hyang(宮中宴享; court banquet), the frequency of banquets that were held at one time beginning Mu-ja J in-jak(戊子進爵; a royal banquet held in 1828) in 1828 (the 28th year of King Sunjo (純祖)'s reign). In proportion to this frequency, there was an increase in the need and importance of Suk-seol-so(熟設所; a kitchen built in temporarily house for court banquet) and Jung-bae-seol-cheong(中排設廳; a temporary place to put offerings) as a space to assist court banquets. Although Suk-seol-so was a temporary but large-scale facility, it was frequently used for long periods. This facility was flexibly established using the variability of Dong-gung(東宮; Palace for Crown Prince) and enhanced the efficiency of censorship and security in conjunction with palace gates and Suk-wi-cheo(宿衛處; guard station, guard room). In addition, it was reused according to the period when the nation and royal family gave finances or banquets. Jung-bae-seol-cheong was established in the place connected to the central space of court banquets and worked as buffer space to resolve the tension on the day of the event. The location where Jung-bae-seol-cheong was established enabled us to confirm the applicability of Bok-do(複道; corridor) connected to Chimjeon(寢殿; royal residence) when holding court banquets. In short, Suk-seol-so and Jung-bae-seol-cheong were auxiliary spaces, but were considered importantly in the palace operation when holding court banquets.

A Study on the Novelty Design of a Tourist Souvenir (관광기념품의 노블티 디자인에 관한 기초연구)

  • 이호승
    • Archives of design research
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    • v.16 no.4
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    • pp.111-120
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    • 2003
  • This study is what I tried to know on a magnitude of Novelty in a tourist souvenir. A purpose of sightseeing development is to satisfy a sightseeing experience of various tourists. Novelty of a tourist souvenir is to make an experience with unique pleasure for only the sightseeing place that is not the place of residence to be able to feel. It must be a thing of the new level that it is not for a tourist to already know it, and it was not able to forecast. The tourist knew that I bought an emotional impulse than rational purchase through study. Therefore, you must take the Novelty element that a firm name works on in a perception of a customer as an important due in a souvenir plan. Reference wishes to work in tourist souvenir design development participants through this study result.

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A Study on the Conditions of Household Items for children and Storage Living in Apartment - Focused on One-child Families in 3-bedroom Apartment in Seoul - (아파트 거주 아동의 생활재 및 수납현황에 관한 연구 - 서울시 3침실형 아파트에 거주하는 맞벌이 1자녀 가정을 중심으로 -)

  • Chong, Kyong-Suk;Yoon, Ji-Won
    • Korean Institute of Interior Design Journal
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    • v.26 no.4
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    • pp.65-74
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    • 2017
  • The purpose of this study is to grasp the retention status of household items for children and the real condition of storage targeting dual career families of living in 3-bedroom apartment. To do this, a field survey was conducted by having subjects as 30 households of conforming with the requirements. This led to understanding kinds and quantities of household items for children inside the residence and to surveying the present status on household items of being stored by room, thereby having analyzed a difference in household items according to children's age. The survey results are as follows. First, the household items for children within dwelling were indicated to be totally 145 detailed items. In the quantities of the detailed items, a great difference was shown by age in clothes, books, teaching aids, toys, and stationery. Second, as a result of examining a place of being stored the household items for children, the household items in great quantities were found in living room, room 1, and room 3 even in addition to room 2 that is children's room. Third, in consequence of looking at the storage status of household items for children by age level, it could be known that very different household items are being used depending on children's age, and that a place of storing household items is much varied by age. This outcome could lead to being capable of knowing that one-child families living in 3-bedroom apartment are using every room focusing on child, and that child's household items are being disorderedly stored in each space, thereby requiring the systematic storage plans so much that reflect the real situation.

A Descriptive Research on Field Situation of Customized Modification for Vulnerable Single Elderly Home (사회취약 독거노인 주택의 맞춤형 개조 현장상황 기술 연구)

  • Lee, Yeun-Sook;Kim, Yun-Soo;Sung, Cho-Hee;Shin, Yoo-Jin;Cho, Won-Seob
    • Journal of the Korean housing association
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    • v.28 no.3
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    • pp.55-64
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    • 2017
  • Elderly population has increased rapidly and adjusting the environment is in demand to support their health. To improve the living environment of elderly, an appropriate plan for customized home modification is needed upon the personal contexts. The purpose of this study is to explain the sequence and to build an insight on customized home modification for vulnerable single elderly. It is a case study based on single target that includes 6 months of execution period deeply seeking the appropriate plan for implementation. The target is a male elderly aged 74 living in a single story detached house. The various research methods are applied in this study including exploratory, participatory, action and trade-off preference researches. The result shows that plan for home modification is complex outcome of interlocking uniqueness between residence environment and resident situation. If customized modification is targeted for residentially vulnerable social group, more sensitive approach aiming for the highest result is required due to financial constraint. To conclude, comprehensive understanding of overall circumstances of a dwelling, a resident and various stakeholder is essential throughout the process. Since the aging-in-place of elderly cannot be achieved without self-sustaining living environment, customized home modification should be a tool to meet housing suitability. It is important to strengthen the experts and future workforce with networks of local residents to share opinions and appropriate plans.

Distribution and Determinants of Out-of-pocket Healthcare Expenditures in Bangladesh

  • Mahumud, Rashidul Alam;Sarker, Abdur Razzaque;Sultana, Marufa;Islam, Ziaul;Khan, Jahangir;Morton, Alec
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.2
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    • pp.91-99
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    • 2017
  • Objectives: As in many low-income and middle-income countries, out-of-pocket (OOP) payments by patients or their families are a key healthcare financing mechanism in Bangladesh that leads to economic burdens for households. The objective of this study was to identify whether and to what extent socioeconomic, demographic, and behavioral factors of the population had an impact on OOP expenditures in Bangladesh. Methods: A total of 12 400 patients who had paid to receive any type of healthcare services within the previous 30 days were analyzed from the Bangladesh Household Income and Expenditure Survey data, 2010. We employed regression analysis for identify factors influencing OOP health expenditures using the ordinary least square method. Results: The mean total OOP healthcare expenditures was US dollar (USD) 27.66; while, the cost of medicines (USD 16.98) was the highest cost driver (61% of total OOP healthcare expenditure). In addition, this study identified age, sex, marital status, place of residence, and family wealth as significant factors associated with higher OOP healthcare expenditures. In contrary, unemployment and not receiving financial social benefits were inversely associated with OOP expenditures. Conclusions: The findings of this study can help decision-makers by clarifying the determinants of OOP, discussing the mechanisms driving these determinants, and there by underscoring the need to develop policy options for building stronger financial protection mechanisms. The government should consider devoting more resources to providing free or subsidized care. In parallel with government action, the development of other prudential and sustainable risk-pooling mechanisms may help attract enthusiastic subscribers to community-based health insurance schemes.

Educational Directions for Family Rites: Female Undergraduates' Understanding and Practice (가정의례에 대한 여대생의 공감과 적용을 토대로 한 가정의례교육 방향)

  • Ju, Young-Ae
    • Journal of Family Resource Management and Policy Review
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    • v.15 no.3
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    • pp.1-22
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    • 2011
  • The purpose of this study is to offer basic data on family rite education, as well as to suggest future directions for family rites by surveying differences in the understanding and the practice of family rites among female undergraduates, who will be the future leaders of our society. General proclivity toward, and differences between understanding and practice of family rites, as well as the effect of socio-demographic variables on these differences, were further verified with a one-way ANOVA, a t-test, and a Duncan's Multiple Range Test. This study had two main findings. First, the gap between understanding and practice in family rites, ordered from largest to smallest by sub-sphere, was found to be: coming-of-age ceremonies, birthday rituals, ancestral rituals, funeral rites, and wedding ceremonies. Second, as for the results of the analysis of the difference between understanding and practice of family rites in female undergraduates according to socio-demographic variables, among a total of 18 variables, significant differences were found in: own religion, brother's rank, mother's religion, father's religion, mother's job, place where the individual grew up, having experienced family rites, education. place of residence, and monthly income. In the face of a changing era and environment, the basic spirit of family rites has not changed. However, a new harmony between tradition and modem times is needed. This can be achieved through the establishment of a suitable form of rites for the present age, while taking on a modem acceptance of the significance traditionally associated with these rites.

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