• The Journal of Korean Physical Therapy
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• 제5권1호
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• pp.47-60
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• 1993

This study was conducted to investigate the changes diseases of physical therapy patient. Through the analysis, of total 2,902 cases in one university hospital and one general hospital in Taegu, of which 1,619 cases for 1989 and 1,283 cases for 1981. The physical records were analyzed in terms of sex, age, pattern in PT diseases, fee, and medical department of PT. The international classification of Diseases, 9th revision was used fer the study. Major results are as follows : 1. The ratio of male me female nae 1.51 to 1 in 1989, 1.53 to 1 in 1991. The proportion of the elderly over 60 was $15.6\%$ in 1989, $22.0\%$ in 1989. And the age groups of 50-59 years ranked the first an years. 2. As to the PT patients of medical department, Orthopaedics$(50.3\%)$, Neurosurgery$(28.1\%)$. Neuromedicine$(8.0\%)$. Plastic surgery$(4.4\%)$, and Dentry$(3.2\%)$ in that order in 1989. On the other hand, Orthopaedics$(51.2\%)$, Neurosurgery$(22.1\%)$, Neuromedicine$(9.6\%)$, Plastic surgery$(6.5\%)$, and Internal medicine$(6.5\%)$ in that order in 1991. 3. No significant difference was observed by season of PT patients, but winter (December, January and February) ranked the first all years. 4. No significant difference was observed changes in diseases as for the 56 international classification of diseases of PT patients, Diseases of the musculoskeletal system and connective tissue occupied the largest proportion all years. Fractures increased from $21.4\%$ in 1989, $24.5\%$ in 1991. On the other hand, Diseases of the nervous system remarkably increased from $8.9\%$ in 1989, $19.7\%$ in 1991.

• 한국운동역학회지
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• 제17권4호
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• pp.141-148
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• 2007

Falls associated with tripping over an obstacle can be dangerous, yet little is known about the strategies used for stepping over obstacles in older Parkinson disease. The purpose of this study was to investigate the lower extremity muscle activity on the obstacle gait according to obstacle height in older Parkinson diseases. The obstacle gait of 7 older Parkinson disease was examined during a 5.0 m approach to, and while stepping over, obstacles of 0, 25, 52, and 152mm. Seven pairs of surface electrodes(Noraxon MyoResearch, USA) were attached to the right-hand side of the body to monitor the adductor longus(AL), gluteus medius(GME), gluteus maximus(GMA), biceps femoris(BF), rectus femoris(RF), gastrocnemius(GA), tibialis anterior(TA). Electromyography data were filtered using a 10Hz to 350 Hz Butterworth band-pass digital filter and normalized to the maximum value in the analyzed phases. A one-way ANOVA for repeated measures was employed for selected electromyography variables to analyze the differences of the height of four obstacles. The results showed significant differences between 0.0mm and 25, 52, and 152mm obstacle height in TA and GA activities during the second phase(swing phase). But the more increase obstacle height, the more not increase the muscle activities. This means that the Parkinson disease stepping over obstacle inefficiency. To prevent and reduce the frequency of falls, elderly Parkinson disease maintained and improved their balance, muscular strength, neuromuscular control and mobility.

• 대한통합의학회지
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• 제7권4호
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• pp.241-251
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• 2019

Purpose : The purpose of this study was to investigate the depression, self-efficacy, and stress level of middle-aged women and to identify the factors affecting on stress, and to provide base line data for the development of nursing intervention for stress reduction of middle-aged women. Methods : Participants were 200 middle-aged women aged 40 to 60 who live in Seoul and Gyeonggi Province. Data collection period was from March 1, 2019 to April 15. In this study, the questionnaire of life events-stress, depression scale, self-efficacy was used. Data were analyzed by average, standard deviation, minimum, maximum, correlation and regression using the SPSS Program 21.0. Results : The results of this study, the correlation between depression, self-efficacy and stress in middle-aged women, depression and self-efficacy (r=-.264, p<.001), self-efficacy and stress (r=-.279, p<.001) had a significant negative correlation, depression and stress (r=.268, p<.001) had a significant positive correlation. Depression and self-efficacy were the factors affecting the stress of middle-aged women. Depression was β =.207 (p<.001) and self-efficacy β =-.222 (p=.003). Depression had the greatest influence on stress, followed by self-efficacy. Conclusion : Middle-aged women are an important time to prepare for a successful old age. Considering that the current middle-aged women are the subjects of the future aging society, their physical, psychological, and social problems are very important in preventing the elderly problems of the aging society. Therefore, effective nursing interventions should be developed that to reduce the depression and stress in middle-aged women and to improve self-efficacy and improve the quality of life of middle-aged women.

• 한국문헌정보학회지
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• 제41권4호
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• pp.49-68
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• 2007

이 연구에서는 우리나라 공공 도서관에서 적극적으로 수용해야할 정보취약계층에 대한 정보서비스 확산을 위해 필요한 개념과 기본적인 정보서비스 전략을 제안하였다. 공공도서관은 정보취약계층을 크게 장애인과 생활보호대상자, 노인 등으로 구분하여 각 계층의 특성을 고려한 정보서비스를 제공하여야 한다. 이들을 위한 정보서비스는 시설적 배려와 제도적 배려, 기기적 배려로 구분할 수 있다. 시설적 배려는 Information Commons 전략에 따라 정보화 기기와 시설이 통합된 공간에서 참고사서에 의해 협업하는 공간의 배치를 고려한다. 제도적 배려는 도서관에서 이용자 교육과 외부 전문가와의 협업교육을 수행하고, 정보취약계층별에 따른 개인화된 서비스를 제공해야 한다. 기기적 배려는 장애인을 위해 개발된 기기수준과 같이 다른 정보취약계층의 특성을 고려해야 한다.

• 대한정형도수물리치료학회지
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• 제11권1호
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• pp.65-73
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• 2005

Osteoarthritis has been considered a disease of the elderly because it is uncommon before the age of 40 years and is seen in approximately 80% of United States citizens older than 65 years. general population on kuri city in korea revealed that prevalence of knee osteoarthritis is 10.2%, increasing with age. High level of physical activity in men and age, post-menopause and obesity in women can be risk factor. Osteoarthritis is no evidence that a acquired process initiated much earlier in life through mechanical, metabolic, genetic, or other origins. A high tibial osteotomy alters static lower extremity alignment thereby decreasing medial compartment loading. As well, conservative treatment strategies, such as knee braces and valgus heel wedges, affect lover limb mechanics and attempt to reduce medial compartment loading. It was hypothesized that valgus heel wedges and modified orthoses would shift the center of pressure laterally on the foot during level walking, reducing the moment arm of the adduction moment in the frontal plane, thereby resulting in a decrease in the knee adduction moment. In the 1980s, the effect of wearing a laterally wedged insole on osteoarthritic patients with a varus deformity of the knee was firsted, and since then, kinematic and kinetic analyses concerning this condition have mainly focused on a static standing position. Since the early 1990s, the beneficial effect of wearing a laterally wedged insole to treat osteoarthritis of the knee has also been reported in dynamic conditions, but these studies did not answer the question of the kinematic and kinetic mechanisms that resulted in the reduced symptoms in patents with knee osteoarthritis. therefore, the effect of wearing laterally wedged insole has not been sufficiently studied.

• 대한영양사협회학술지
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• 제10권4호
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• pp.442-451
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• 2004

Protein-calories malnutrition is common among patients in the hospital. In particular, elderly patients with neurologic disorders has more risk of nutritional deficiency due to swallowing difficulty. Enteral tube feeding is more economical, physiological and immunological than parenteral nutrition for patients who have adequate gastrointestinal function. This study was conducted patients with neurologic disorders who received enteral nutrition at Asan Medical Center from February 1 to October 10, 2002. The control group (48 patients) were given traditional feeding methods 4 times a day while the treatment group (45 patients) were given improved feeding methods 3 times a day. We assessed nutritional status of patients and compared to both groups. We investigated body weight, serum albumin, hemoglobin, total lymphocyte count by means of nutrition markers. The objectives of this study is to reduce the time needed for nutritional requirement of patients without an increase in gastrointestinal intolerances. The results of this study are as follows: 1. Nutritional status of many patients in both groups were either malnourished or at risk for malnutrition. 2. The time to arrive to the nutritional requirements were 6.21 $\pm$ 0.35 days for the control group and 4.24 $\pm$ 0.52 days for the treatment group. The treatment group showed a significantly shorter amount of time. 3. The changes of the nutritional marker in the control group showed a significant drop in body weight, serum albumin and serum hemoglobin while the treatment group experienced a significant increase in body weight, serum albumin and total lymphocyte count. 4. Feeding intolerane such as diarrhea, high residual volume, ileus, nausea and vomiting were investigated. Diarrhea found in 25.1% (12 patients) of the control group and 22.2% (10 patients) of the treatment group and these findings are not significant.

• 한국경제지리학회지
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• 제8권2호
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• pp.301-314
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• 2005

본 연구의 목적은 일본 국민보양온천 관광지역에 있어 관광객의 일반적 특성과 다양한 관광자원에 대한 평가를 통하여 쇠퇴하고 있는 지역관광의 특성화된 개발전략을 고찰하는데 있다. 버블경제 붕괴이후 성숙기에 접어든 오늘날 일본 국내관광은 지역 관광산업의 질적 변화를 요구하고 있다. 온천 개발의 역사가 길고, 문화자원이 풍부한 카케유지역은 `보양과 요양` 테마를 강화한 리허빌리테이션 기능으로 특성화되고 있다. 노년층의 여성 관광객 비중이 높은 카케유온천은 건강회복이나 병 치료를 목적으로 방문하기 때문에 체류기간이 비교적 길고, 대중교통을 이용하는 단골고객이 많다. 관광자원에 대한 평가는 숙박시설에서 가깝고, 편안한 산책로나 엄숙한 사찰경관에 대한 관심이 높게 나타났다. 이러한 수요 특성을 반영하기 위하여 지역사회는 풍부한 온천 $\cdot$ 문화 $\cdot$ 자연을 토대로 리허빌리테이션 강화, 건강음식 개발, 자원봉사활동 강화, 배리어프리 사업 등을 적극적으로 전개해 나가고 있다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제21권1호
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• pp.57-66
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• 2015

Purpose : The guidelines of establishing convenience facilities for the handicapped have not consistently been provided to the identical criteria in walking facilities. Thus, transportation poor had difficulties in walking environment. Method : This study aims to suggest the practical direction of guidelines of establishing tactile walking surface indicators. To do this, this study examines the problems of the current guidelines for establishing facilities, and then analyzes international criteria, with comparing criteria used in German. Therefore, findings from those analyses can provide the secure and convenient environment for walking to transportation users, in particular blind and vision-impaired people, the handicapped, the child, and the elderly and the weak. Results : For the improvement of tactile walking surface indicators, the clear criteria of establishing tactile walking surface indicators is proposed, considering the characteristics of walking environment. Then, the sample items corresponding to the various situations need to be exemplified. To provide more secure environment walking for transportation poor, the establishing criteria partially adopted ideas from Universal Design also need to be developed. Implication : The proposed detail drawing of tactile walking surface indicators need to be tested by transportation users due to high safety in walking circumstance, and also the guidelines of continuously maintaining tactile walking surface indicators also needs to be studied.

• 한국사회복지학
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• 제42권
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• pp.41-82
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• 2000

The purpose of this study is to provide empirical findings about intragenerational and intergenerational discrepancies in eldercare attitude and behavior in Korea. Specifically, intragenerational discrepancies refer to phenomena in which eldercare attitude and behavior diverge from each other within the caregiving and care-receiving generations, respectively. Intergenerational discrepancies, on the other hand, refer to two kinds of phenomena, one in which eldercare attitudes are different between caregiver and care-receiver and the other in which eldercare behavior is differently recognized between the two parties. For the last couple decades, these kinds of discrepancies tended to be simply assumed without any coherent theoretical and/or empirical rationales. Thus, the current study tried to investigate the degree, pattern, and characteristics associated with the discrepancies. Analysis of data collected from 276 matched pairs of caregivers (i.e., daughters-in-law) and care-receivers (i.e., the elderly) in Kwangju and its suburb areas has indicated a substantial amount of both intra- and inter-generational discrepancies. In other words, both caregivers and care-receivers were found to be experiencing huge discrepancies between attitude and behavior in their respective generation: the factual discrepancies in attitude between the two generations were quite salient: the cognitive discrepancies in behavior between them were salient, too. In addition, it was also found' that the extent to which the discrepancies became salient differed for the three subdimensions of eldercare (i.e., emotional, economic, and physical care), and that such discrepancies have intimate relationships with a set of sociodemographic characteristics for caregivers - notably, age, educational attainment, area of residence, household income - on the one hand, and those for care-receivers - notably, gender, age, educational attainment, cohabitation, family size, inheritance, owned property - on the other. A series of theoretical, empirical, and clinical implications stemming from the findings were suggested and fully discussed in the context of Korean society.

• 보건교육건강증진학회지
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• 제19권3호
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• pp.1-11
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• 2002

Purpose: This study was done to describe the correlation among the older Korean American adults's health-promoting behavior, life satisfaction and self-esteem. Method: The subjects consisted of 183 community-dwelling Korean immigrant elderly living in the state of Washington, USA. The instruments for this study were Health Promoting Lifestyle Profile(47 items), Life Satisfaction Scale(20 items) and Self-Esteem Scale(l0 items). Frequency, percentage, t-test, ANOVA, Duncan test and Pearson's correlation coefficient with SAS program were used to analyze the data. Result: 1) The average item score for the health-promoting behavior was 3.51; the highest score on the subscale was nutrition(M=3.63) with the lowest being exercise(M=3.07). 2) The average item score for the life satisfaction was 3.11. 3) The average item score for the self-esteem was 3.12. 4) Health-promoting behavior was significantly different according to educational level and participation in society circles. 5) Life satisfaction was significantly different according to age, religion and participation in society circles. 6) Self-esteem was significantly different according to age, marital status, religion and participation in society circles. 7) Health-promoting behavior was positively related to life satisfaction and self-esteem. The life satisfaction was positively related to self-esteem. Conclusion: It follows from this study that there is a very correlation among the older Korean American adults's health-promoting behavior, life satisfaction and self-esteem. Therefore health promoting programs that increase life satisfaction and self-esteem should be developed to promote a healthy lifestyle of the older Korean American adults.