• 제목/요약/키워드: The elderly

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안드로이드 스마트폰 환경에서 속도벡터를 이용한 넘어짐 방향 판단 기법 (Detection of Fall Direction using a Velocity Vector in the Android Smartphone Environment)

  • 이우식;송특섭
    • 한국정보통신학회논문지
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    • 제19권2호
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    • pp.336-342
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    • 2015
  • 넘어짐은 노인이나 산업현장에서 일하는 사람들에게 심각한 부상을 일으키는 원인이 되기 때문에 센서를 사용하여 넘어짐을 판단하고자 하는 연구가 활발히 진행되고 있다. 최근 들어 스마트폰의 보급이 일반화 되면서 스마트 폰에 내장된 센서를 사용하여 넘어짐을 판단하는 방법이 연구되고 있다. 가속도 센서에서 추출된 가속도벡터의 변화량을 분석하면 넘어짐은 어렵지 않게 판단할 수 있지만, 넘어지는 방향을 판단하기 위해서는 가속도벡터의 크기의 변화나 방향으로의 변화로 판단하기 어렵다. 일반적으로 가속도 벡터의 방향은 물체의 움직임의 방향을 의미하지 않기 때문이다. 한편, 속도 벡터는 물체가 움직이는 방향의 접선방향으로 나타나는 성질을 사용하여 넘어지는 방향을 판단하는 방법을 제안하였다.

한방병원 입원환자의 진료비와 이에 영향을 미치는 요인 분석 (An Analysis of Medical Expenses for In-patients in an Oriental Medical Hospital and Factors Affecting Them)

  • 고민석;최준영
    • 대한예방한의학회지
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    • 제15권1호
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    • pp.71-87
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    • 2011
  • Objective : The present study is aimed at providing basic data to help oriental medical hospitals devise efficient operational plans by analyzing the medical expenses of in-patients in an oriental medical hospital and the factors affecting such expenses. Methods : PASW 18.0 was used to analyze the medical insurance program data of 929 patients who were discharged from a university oriental medical hospital(with 105 sick-beds) during the period from January 1 to December 31, 2010 after treatment under the coverage of health insurance and medical aid. Results : 1) Of all the patients hospitalized, 63.3% were females, their mean age was 52.73 years old, and 87.7% was covered by the health insurance program. The biggest number or 31.2% of the patients were treated by the department of acupuncture, 31.5% suffered mainly from the diseases of musculoskeletal system and connective tissues, and the average length of stay at the hospital was 19.49 days. 2) There were statistically significant differences in total medical expenses by age, clinical department in charge, principal diagnosis, and number of days hospitalized while daily average medical expenses differed depending on age, type of medical security, clinical department, principal diagnosis, and number of days staying at the hospital. 3) Total medical expenses were found significantly influenced by age, type of medical security, clinical department, principal diagnosis, and number of days hospitalized(explanatory power : 95.9%), whereas type of medical security, clinical department and principal diagnosis turned out to exercise significant influence on the daily average medical expenses(explanatory power : 26.9%). Conclusion : Oriental medical hospitals are suggested to make efforts to ensure geographical and economical accessibility for their main clients, the elderly and middle-aged, as well as to improve satisfaction of the clients with the medical service provided. They are also encouraged to work out systems to specialize in treatment with a focus on chronic degenerative and adult diseases. In addition, they are expected to try to enhance people's awareness of oriental medicine in an attempt to diversify the brackets of clients and increase frequency of their utilization.

실버계층(階層) 여성(女性)의 의복(衣服) 자아(自我)이미지에 따른 의복구매성향(衣服購買性向) (A Study of Clothes Buying Orientations based on Clothes' Self-Image of Silver Agelver Women)

  • 배현숙;유태순;조기여
    • 패션비즈니스
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    • 제6권4호
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    • pp.83-98
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    • 2002
  • The purpose of this study is to find out the orientations and characteristic in clothes buying of each age group of elderly women, based on the actual self-image and the ideal self-image of clothing. Grasping the diversity of their clothes' buying orientations will be helpful in making a better merchandise production planning for apparel, and in launching new brands into the market. The study will also provide useful data in developing sales strategies which enable to supply goods that meet consumers' needs and tastes in the quality market, and consequently will help to classify the market. Samples were 488 women of 55 and over, dwelling in Pusan Metropolitan City. The data was analysed by using MANOVA, ANOVA, and the Cronbach's $\alpha$ reliability was also applied. The conclusions based on the theoretical background and the result of questionnaire surveys were as follows: 1. The order of priority of buying orientations based on clothes's actual self-image was 'practicality', 'cautiousness' and 'economical effectiveness' without regard to age. The items that showed the significant differences in 50's were 'cautiousness', 'experimentation', 'fashion-consciousness' and ostentatiouness, and in 70's were 'economical effectiveness', 'experimentation', 'impulsiveness' and 'environmental friendliness', and none in 60's. 2. The order of priority based on clothes' ideal self-image was the same as that of actual one, and there was no significant difference between age groups.

만성질환자에서 실손형 민간의료보험의 가입 관련 요인과 외래 의료이용의 관련 요인 (Factors Affecting the Purchase of Indemnity Private Health Insurance and Related Factors of Outpatient Healthcare Utilization among Chronic Disease Patients)

  • 허정원;권영대
    • 한국병원경영학회지
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    • 제24권3호
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    • pp.1-10
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    • 2019
  • Purpose: The purpose of this study was to investigate determinants of purchasing indemnity private health insurance and its impact on the healthcare utilization among outpatients with chronic disease. Methods: The study analyzed 4,997 chronic ill patients using 2015 Korean Health Panel data. Logistic regression analysis was conducted to analyze the factors affecting the purchase of indemnity private health insurance and multiple regression analysis was conducted to analyze the effect of private health insurance on the number of outpatient visits and outpatient expenditures. Findings: The age, education level, and number of chronic diseases were significant factors affecting the purchasing of indemnity private health insurance among chronic patients. As a result of analyzing the impact of indemnity private health insurance on healthcare utilization, the number of outpatient visits for those who enrolled in the indemnity private health insurance was higher than the number of outpatient visits for those who did not. But there was no statistically significant difference in outpatient medical expenses. Practical Implications: The results of this study shows that indemnity private health insurance may cause inequality in the healthcare utilization of the socially vulnerable. It is necessary to seek ways to strengthen the health security of chronic disease patients and high-risk elderly people who need more healthcare.

동작관찰훈련이 뇌졸중 환자의 상지운동기능에 미치는 영향 : 다중기초선연구 (The Effect of Action Observation Training on Upper Motor Function in Stroke Patients : A Multiple Bbaseline Design)

  • 윤태원;박혜령;김태윤;이문규
    • PNF and Movement
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    • 제12권2호
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    • pp.123-132
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    • 2014
  • Purpose: The discovery of mirror neuron system may positively affect functional recovery; therefore, rehabilitation is needed that is practical for use in clinical settings. The purpose of this study was to examine the effect of action observation training on upper motor function in people who had suffered strokes. Methods: Three elderly patients with stroke, aged to years, were recruited from a stroke rehabilitation center. A nonconcurrent, multiple baseline subject approach was taken, with an A-B-A treatment single-subject experimental design, and the experiment was conducted for 3 weeks. The action observation training was repeated 5 times in 5 days during the intervention period. The arm function, including WMFT, BBT, and grip and pinch strength, was evaluated in each subject 5 times during the baseline period, the intervention period, and the baseline regression period. Results: The results of the evaluation for each subject were presented as mean values and video graphs. The WMFT scores of 2 subjects were improved during the intervention period in comparison with the baseline period, and this improvement was maintained even during the regression baseline period. The BBT and the grip and pinch strength were not improved. Conclusion: Based on these results, we suggest that the action observation training for 5 sessions was effective in improving upper limb function of stroke patients but was not effective in improving hand dexterity or grip and pinch strength.

Symptomatic Temporomandibular Joint Herniation through the Foramen of Huschke: A Case Report

  • Song, Hee-Jeong;Lee, Yuni;Choi, Hang-Moon;Kim, Young-Jun;Kim, Cheul;Park, Moon-Soo
    • Journal of Oral Medicine and Pain
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    • 제46권4호
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    • pp.161-164
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    • 2021
  • The foramen of Huschke (FH) or foramen tympanicum is a persistent bony defect connecting the external auditory canal (EAC) to the temporomandibular joint (TMJ). It arises from an incomplete ossification of the tympanic part of the temporal bone that persists after the age of 5. If a herniation exists in the TMJ, otological symptoms may occur. An 80-year-old female patient complained of noise in her left TMJ and otorrhea in her left ear. On her cone beam computed tomography images, there were only degenerative joint disease signs on her left mandibular condyle. However, her computed tomography images revealed that the soft tissue of the TMJ herniate into the EAC. Additional examination was planned for the further evaluation. But the patient no longer visited the hospital due to her systemic health status, and symptoms disappeared spontaneously without any treatments. Usually this type of herniation is very rare, but years of mechanical stress from mastication may result in weakening and widening of the foramen with age. Therefore, although FH is usually congenital, sometimes it may be acquired in the elderly. The treatment plan should be determined in consideration of the patient's symptom level and the patient's general health status. If the clinical symptoms are not severe, no treatment is required.

Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in Thailand

  • Nawarat, Jiraphat;Chaipinyo, Kanda
    • Journal of Preventive Medicine and Public Health
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    • 제55권4호
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    • pp.334-341
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    • 2022
  • Objectives: This study was conducted to develop the Mobility to Participation Assessment Scale for Stroke (MPASS) and assess its content validity, internal consistency, inter-rater and intra-rater reliability, and convergent validity in people with stroke living in the community. Methods: The MPASS was developed using published data on mobility-related activity and participation timing in elderly individuals, and then reviewed by community physical therapists. Content validity was established by reaching a consensus of experienced physical therapists in a focus group. The MPASS was scored for 32 participants with stroke (mean age 61.75±4.92 years) by 3 individual testers. Reliability was examined using the intraclass correlation coefficient (ICC), internal consistency using the Cronbach alpha coefficient (α), and convergent validity using the Pearson correlation coefficient (r) to compare the MPASS to the Modified Rivermead Mobility Index as a referent test of mobility. Results: The MPASS consists of 8 items, and its scoring system provides information on the ability of people with stroke to reach a movement level enabling them to live in society, including interactions with other people and safe living in the community. The interrater and intra-rater reliability were excellent (ICC, 0.948; 95% confidence interval [CI], 0.893 to 0.982 and ICC, 0.967; 95% CI, 0.933 to 0.989, respectively). Internal consistency was good (α=0.877). The convergent validity was moderate (r=0.646; p<0.001). Conclusions: The newly developed MPASS showed acceptable construct validity and high reliability. The MPASS is suitable for use in people with stroke, especially those who have been discharged and live in the community with the ability to initiate sitting.

Home Healthcare Service Awareness Survey for Korean Medicine Doctors: a survey study

  • Hye In Jeong;Taegwang Nam;Minhui Hong;Kyeong Han Kim
    • 대한약침학회지
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    • 제26권1호
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    • pp.60-66
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    • 2023
  • Objectives: Discussions regarding "medical blind spots" in Korea's "aging society" are continuously rising. In addition, the demand for medical attention and care for the elderly and vulnerable populations continues to increase. Given this, the government is promoting the "home healthcare service" project. This study aims to lay the foundation for promoting this project by investigating the perception of clinical Korean Medicine (KM) doctors in the "community health care" project. Methods: With the cooperation of the Association of Korean Medicine, we sent a questionnaire to all KM doctors through e-mail. The survey included personal information, awareness, appropriate disease and intervention, proper visit location, and pros and cons. Results: A total of 602 responses were collected and analyzed. Approximately 20% of the doctors answered that they were well aware of the service, while 55% responded that they did not know about it. For a visit, a KM doctor selected the appropriate diseases in the order of stroke, dementia and Parkinson's disease, osteoarthritis, and chronic diseases. Among treatments, acupuncture, moxibustion, and herbal medicine exhibited similar results. The most common opinion was that KM doctors should schedule their visits once a week for 6-12 months, which was the most prolonged period among the given options. More than 80% (84.1%) of the doctors replied that care projects were highly essential, and about 63.8% expressed their willingness to participate in these projects. Conclusion: To provide appropriate home health care, we must raise awareness among Korean medicine doctors. In addition, the healthcare budget must be increased to provide the required support.

"규합총서(閨閤叢書)"에 수록된 부식류의 조리법에 관한 고찰 (A Literature Review Examining the Ingredients and Cooking Methods of the Side Dishes in "Gyuhapchongseo")

  • 김업식;한명주
    • 한국식생활문화학회지
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    • 제23권4호
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    • pp.438-447
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    • 2008
  • "Gyuhapchongseo" was published in 1809, and introduced the cooking method of the noble class in the late Joseon dynasty. The characteristics of the side dishes in "Gyuhapchongseo" are as follows. Firstly, red pepper was used as whole red pepper, shredded red pepper, powdered red pepper, or Korean hot pepper paste. Secondly, salt-fermented fish was used in some forms of Kimchi, including Sukbakgi, Dong A Sukbakgi, and Gyochimhae. Thirdly, to retain the juiciness of meat during roasting, meat was spread cold water on the surface, dipped into the washing water of rice or wrapped with wet paper. Fourth, to improve the visual effect of a dish, cooked foods were displayed with various color schemes, panfried foods with two tones (egg white and yellow) of color on each side and the use of radish pigmented with deep red color. On examination of the characteristics of food in "Gyuhapchongseo", I would suggest applicable practices for the present cuisine. The use of gravy produced from the boiling down of fish flesh could raise the nutritive value of Kimchi. In "Gyuhapchongseo", Yak po (semi-dried minced beef) is noted as being good for elderly people with bad teeth. A steamed dish with dog meat in Dong A in "Gyuhapchongseo" is made by hollowing out Dong A and putting a dog in it to cook the dog meat to well done in a fire made with the hulls of rice. This technique could be used to present cuisine for steamed and roasted dishes using food ingredients such as pumpkin, sweet pumpkin, and overripe cucumber.

텍스트 마이닝을 활용한 한국무용 연구주제 동향 분석 (Analysis on the Trends of Research Themes of the Korean Dance Using Text Mining)

  • 김우경;유지영
    • 한국엔터테인먼트산업학회논문지
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    • 제13권5호
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    • pp.215-228
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    • 2019
  • 본 연구는 텍스트 마이닝을 활용하여 최근 20년 한국무용 연구 동향을 분석하는 것에 목적을 두었다. 한국학술정보(RISS)에 구축되어 있는 학술지 DB 중 총 1,468편의 논문제목에서 3,047개의 단어를 분석하였다. 데이터의 정제와 분석은 빅데이터 분석 솔루션인 TEXTOM을 이용하였고, 텍스트 마이닝 중 키워드 분석과 토픽모델링을 적용하여 의미 있는 결과를 도출하였다. 첫째, 한국 기본춤 동작의 구조를 밝히는 연구에서 한국춤의 활용과 전승에 관한 연구로 전환되었다. 둘째, 한국무용 연구의 참여 대상이 중년여성에서 노인여성으로 변화하였다. 셋째, 춤 기록에 대한 연구가 비활성화 되었다. 넷째, 최승희(Choi Seung-hee)에 대한 연구는 지속적인 관심의 대상이다. 다섯째, 한국창작춤에서 한국전통춤에 대한 연구로 집중되었다.