• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제18권2호
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• pp.117-122
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• 2007

Practice parameters for non-pharmacological treatment of children and adolescents with pervasive developmental disorders are based on the scientific literature for evidence-based practices. Appropriate educational and behavioral interventions are important in improving the long-term outcome in pervasive developmental disorders. Early and sustained intervention appears to be particularly important. The goal for interventions is to gain pragmatic skills for verbal communication, playing with peers, daily living routines, self-management, and social adaptation. Appropriate involvement and collaboration with parents and family are essential for well-functioning intervention programs. The life-long nature of autism implies that the clinician should maintain an active role in long-term treatment planning and family support. Vocational training and training for more independent living are important for adolescents with autism. Professionals should be knowledgeable about local and national resources and opportunities for family support as well as support of the individual.

• 한국실내디자인학회논문집
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• 제23권5호
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• pp.192-201
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• 2014

This study conducted a survey of residents living in senior housing in the outskirts of Tokyo metropolitan area where the demand for senior housing is rising. The study examined their motives for moving into senior housing, criteria for housing selection, and their degree of satisfaction with living in senior housing. The analysis results are as follows. First, the majority of respondents gave reasons for moving into senior housing such as wanting to live with more comfort and freedom and not wanting to live with their spouse any longer. Second, in choosing conditions their senior housing, the respondents put priority on the credibility of a management company, and they also valued easy accessibility to the place. In addition, they wanted the environment to be suitable for a stroll. Third, as for the degree of satisfaction with the living facilities, the respondents expressed dissatisfaction with kitchen and storage areas most frequently. This suggests that it is necessary to consider the physical characteristics of elderly people when planning senior housing by securing kitchen facilities that support independent living and provide more storage space. Fourth, in terms of the level of satisfaction with residential services, the respondents were quite content with their consulting services, response to their complaints, and the surrounding environment. However, they were less satisfied with events organized by the management company, or the in-house medical service.

• 한국실내디자인학회논문집
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• 제27권2호
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• pp.24-36
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• 2018

Implementing a home modification to enable elderly's safe and independent living is the key plan to realize their aging in place. South Korea in which had entered an aged society is not yet vitalized in home modification for the elderly compared to that of welfare-developed countries, and South Korea provides support that is limited to the low-income elderly. Therefore, this purpose of this study was to analyze the laws related to the home modification, the present condition of home modification support, the standards and guidelines in home modification, the support in house modification cost, and supporting organization and working force in the home modification. Through the analyzing process, this study examined the current situation and problems of institutional support in the home modification for elderly and the proposed plan for institutional improvement. The suggestions based on the results are as in the following. 1) Home modification support law(act or regulation) is required to be improved 2) Home modification support system correspondent to aging process should be provided regardless of their income levels. 3) Delicate plan standard and guideline are necessary for a process of implementing the home modification for the elderly. 4) Information on life behavior is in need for the implementation of elderly-customized home modification. 5) Cost for the home modification should be considered to cover by the Act on Long-Term Care Insurance for the Aged. 6) Housing Welfare Center and Housing Welfare Professional should be actively utilized for the home modification support institution and work force.

• 디지털융복합연구
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• 제11권11호
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• pp.499-508
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• 2013

본 연구는 빠른 속도로 증가하고 있는 농촌 노인의 성공적 노화를 위한 중재 프로그램 개발의 기초자료를 얻고자 농촌 노인들의 성공적 노화의 영향요인을 조사한 서술적 조사연구이다. 자료 수집은 2012년 9월부터 12월까지 W군에 거주하는 65세 이상 노인 208명을 편의추출하여 설문지를 통해 자료를 수집하였다. 자료분석은 SPSS 21.0 program을 사용하였으며, independent t-test, one-way ANOVA, Pearson's correlation coefficient, Multiple regression으로 분석하였다. 연구결과 농촌 노인의 성공적 노화에 영향을 주는 설명요인으로 사회적 지지, 우울, 인지기능, 생산적 활동, 일상생활활동 순서로 나타났으며, 설명력은 42.1%였다. 농촌 노인의 성공적 노화를 위해서는 지역사회와의 연계를 통한 보건의료서비스제공 및 사회적 활동 등 사회적 지지체계 구축이 가장 필요하며, 이에 따른 맞춤형 간호 중재 프로그램 개발의 필요성을 제언한다.

• 한국콘텐츠학회논문지
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• 제17권2호
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• pp.269-277
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• 2017

본 논문은 국가차원에서 취약청소년 취업지원을 위해 다양한 개입전략 및 제도적 기반을 구축하면서 사업을 효과적으로 장기간 수행해왔던 캐나다 고용 및 사회개발부 'Skills Link'와 우리나라 여성가족부 꿈드림센터의 '두드림' 사업과 비교 분석하여, 향후 우리나라 취약청소년 자립지원을 위한 취업지원 프로그램에 대한 발전방안을 도출해내고자 한다. 연구방법으로는 각 국의 취약청소년 취업지원 프로그램의 사업배경 및 목표, 참여대상 및 선정기준, 사업내용, 지원기간 및 지원 비용, 사업 효과를 중심으로 비교 분석을 실시하였다. 연구결과 첫째, 참여대상 선정과 관련하여 우리나라는 대상이 매우 제한적이며, 둘째, 운영방식과 관련하여 지원 기간 및 비용도 매우 낮은 수준으로 파악되었다. 이를 통한 제언으로는 자립전환기 청소년에 대한 체계적 프로그램을 설계하고 지속적인 지원을 실시해야 하며, 취약청소년의 특성과 상황을 고려한 대상자 선정이 필요하겠다. 또한 사업의 연속성을 확보하고 지원기간의 확대가 필요하며, 자립지원 사업의 성공적 추진을 위해서 청소년의 동기부여와 기업의 참여 유도 방안을 도입해야 할 것이다.

• 지역사회간호학회지
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• 제31권3호
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• pp.310-321
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• 2020

Purpose: The purpose of this study is to evaluate the effectiveness of the interpersonal caring program for young North Korean defectors which we developed based on Kim's interpersonal caring technique. Methods: This study employs a non-equivalent control group pretest-posttest design. The subjects of this study are 36 young North Korean defectors living in three areas. The participants are recruited through alternative schools, churches, and acquaintances. The experimental group consists of 20 participants and the control group consists of 16 participants. Experiments are conducted by four days. Specifically, the experiments are conducted eight times and each takes about 120 minutes. Furthermore, we run the camp for two nights and three days. We test our hypothesis by using Kolmogorov-Smirnov, Independent t-test, Paired t-test, and Independent t-test. Results: All the test statistics support our hypotheses such as self-esteem (t=1.87, p=.035), mental health (t=-1.69, p=.049), interpersonal relationships (t=1.93, p=.031), and quality of life (t=1.88, p=.034). Conclusion: We found that the interpersonal caring program developed in this study is effective in improving North Korean defectors' self-esteem, mental health, interpersonal relationships, and quality of life.

• Clinics in Shoulder and Elbow
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• 제27권2호
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• pp.183-195
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• 2024

Background: Reverse total shoulder arthroplasty (rTSA) has gained popularity in recent years and is indicated for a wide variety of shoulder pathologies. However, use of rTSA in patients with "weight-bearing" shoulders that support wheelchair use or crutches has higher risk. The aim of this study was to assess the results of rTSA in such patients. Methods: Between 2005 and 2014, 24 patients (30 shoulders) with weight-bearing shoulders were treated with rTSA at our unit. Patients had cuff arthropathy (n=21), rheumatoid arthritis (n=3), osteoarthritis (n=1), acute fracture (n=3), or fracture sequela (n=2). Postoperatively, patients were advised not to push themselves up and out of their wheelchair for 6 weeks. This study was performed in 2016, and 21 patients (27 shoulders) were available for a mean follow-up of 5.6 years (range, 2-10 years). The mean age at surgery was 78 years (range, 54-90 years). Results: Constant-Murley score improved from 9.4 preoperatively to 59.8 at the final follow-up (P=0.001). Pain score improved from 2/15 to 13.8/15 (P=0.001). Patient satisfaction (Subjective Shoulder Value) improved from 0.6/10 to 8.7/10 (P=0.001). Significant improvement in mean range of motion from 46° to 130° of elevation, 14° to 35° of external rotation, and 29° to 78° internal rotation was recorded (P=0.001). Final mean Activities of Daily Living External and Internal Rotation was 32.4/36. Only three patients showed Sirveaux-Nerot grade-1 (10%) glenoid notching and three grade 2 (10%). Conclusions: rTSA can be used for treatment of patients with weight-bearing shoulders. Such patients reported pain free movement, resumed daily activities, and high satisfaction rates.

• 디지털융복합연구
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• 제15권10호
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• pp.501-512
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• 2017

본 연구는 베이비부머의 여가활동과 노후준비가 삶의 만족도에 미치는 영향과 배우자 지지의 조절효과에 대한 연구를 통해 그들의 특성과 욕구를 파악하는데 목적이 있다. 서울시에 거주하는 베이비부머(1955년생-1963년생)를 연구대상으로, 총 406부의 설문자료를 수집하여 분석하였다. 분석결과 첫째, 여가활동은 삶의 만족도에 정(+)의 영향을 미치며, 둘째, 노후준비와 독립적 여가활동 수준은 삶의 만족도에 정(+)의 영향을 미쳤다. 셋째, 노후준비는 여가활동 수준이 삶의 만족도에 미치는 영향을 매개하였으며 넷째, 배우자지지는 노후준비와 여가활동이 삶의 만족도에 미치는 영향에 조절역할을 하였다. 다섯째, 배우자지지의 조절효과는 경제적 노후준비에 의해 매개되어 삶의 만족도에 부(-)의 영향을 미치고, 신체적 노후준비에 의해 매개되어 삶의 만족도에 정(+)의 영향을 미치는 것으로 나타났다. 이러한 연구결과를 바탕으로 이전 세대와는 다른 특성을 가진 베이비부머가 노년의 행복한 삶을 영위하기 위하여 관련 산업분야와 정부부처 등에서 융 복합적인 관점의 접근을 통해 다양한 정책마련과 전략수립이 이루어져야 할 것이다.

• 한국산학기술학회논문지
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• 제13권7호
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• pp.2983-2990
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• 2012

본 연구는 생태체계적 관점 근거하여 여성 한부모가족 가구주의 자립의지에 영향을 미치는 요인들을 파악하여, 여성 한부모가족 가구주의 자립의지 향상을 위한 개입시 도움이 될 수 있는 실증적인 자료를 얻고자 하는 목적으로 이루어졌다. 본 연구의 연구대상자들은 영남지역 모자보호시설에 거주하는 176명의 여성 한부모가족 가구주들이다. 본 조사는 2011년 9월 28일부터 10월 11일 사이에 이루어졌다. 연구의 분석은 대상자들의 일반적 특성을 알아보기 위해서는 빈도 및 백분율을 산출하였으며, 주요 변수들 간의 관계를 파악하기 위해서는 상관관계분석을, 그리고 생태체계적 요인이 한부모가족 가구주의 자립의지에 미치는 영향을 각 단계적으로 비교하기 위해서는 위계적 회귀분석을 실시하였다. 연구결과 여성 한부모가족 가구주들의 자립의지에는 인구사회학적 요인 가운데서는 연령과 입소기간이, 개인체계 요인 가운데서는 자기효능감의 정도가, 가족체계요인 가운데서는 가족의 문제해결에 대한 대처행동이, 그리고 사회체계요인 가운데서는 확대가족 및 친지로 부터의 지지가 통계적으로 유의미하게 영향을 미치는 것으로 나타났다. 이러한 결과에 근거하여 여성 한부모가족 가구주들의 자립의지를 향상시키기 위한 실천적 함의를 논의하였다.

• International Journal of Internet, Broadcasting and Communication
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• 제13권1호
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• pp.37-46
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• 2021

Recently, social technologies have been created to solve problems from businesses for the establishment of generational solidarity ecosystem in terms of employment, residential space, network and social capital, age, cognitive and environmental aspects. This is senior-friendly healthcare business system aimed at meeting the senior needs for health life to enjoy active consumption culture life even after retirement, becoming a catalyst for minimizing generational conflicts, preventing the cognitive and physical deterioration of seniority in the areas of life healthcare, fitness and well-aging, and expanding into systems necessary for seniority self-reliance. We would like to draw up the development and requirements of the concept of the service platform for the study of collective characteristics for generation solidarity with senior class and the establishment of a customized senior health life system for generation solidarity. This system is characterized by a platform that can prevent the decline of seniors' cognitive and physical functions and enhance emotional stability. It is significant in providing feedback on the risk perception index, fall index, and prevention training index information to the child through the analysis and extraction of the senior health index for risk perception, fall probability, and fall prevention.