• Perspectives in Nursing Science
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• v.3 no.1
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• pp.35-45
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• 2006

In Korea, about 8.3% over aged 65 are suffering from Alzheimer's disease or other type of dementia. Among dementia-related behaviors, wandering is the one of strongest factors on burden and stress of caregivers. On Lee and Kwon's report with community living persons with dementia, upto 85% of caregivers reported wandering as a problem. Wandering is a frequently encountered problem in communities and long-term care facilities, but it is among least understood dementia. related behavior. Despite the prevalence of wandering, its significant adverse outcomes, and the increase in persons with dementia in Korea, no systematic research has been conducted in Korea. The purpose of this study is to review on literature related to wandering behavior among persons with dementia. The specific topics related to wandering are included: definition, the prevalence of dementia and wandering behavior, the influencing factor on wandering, outcomes of wandering behavior, and the measurement method. Wandering is defined as "aimless walking" and "Meandering, aimless or repetitive locomotion that exposes one to harm and is incongruent with boundaries, limits, or obstacles". Wandering is viewed as a problematic behavior, however, it has to be understood as need-driven compromised behavior. For example, wandering may be an expression of searching for familiar person and/or place. Recently, in Korea, there is an effort for establishing the therapeutic environment for elders who are wanderers in long-term-care facilities. Cognitive impairment of persons with dementia is found to be a consistent factor on wandering behavior through many national and international studies. The adverse outcomes of wandering are serious problem in persons with dementia as well as their caregivers. The adverse outcomes include falls, fractures, getting lost, use of restraints, or even death. In fact, wandering is one of the major reasons for a patient to be institutionalized. For measurement of wandering behavior, two methods are broadly used: observation using stop watch, and survey form. A revised instrument of the Korean version of Algase wandering scale (K_RAWS) is established the psychometric properties (Son, Song, & Lim, 2006) demonstrating valid and reliable instrument in measuring wandering behavior among persons with dementia who are residing in communities. K_RAWS has a 39 items with six subscales including persistent walking, repetitive walking, spatial disorientation, eloping behavior, negative outcome, and mealtime impulsivity. In conclusion, studies including the prevalence of wandering behavior and predictive factors on wandering should be conducted to understand wandering clearly before developing any types of intervention.

• Korean Institute of Interior Design Journal
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• v.20 no.6
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• pp.331-339
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• 2011

The purpose of this study was to examine wandering behaviors of the elderly with dementia at elderly care facilities, thus finding out the current status of supportability and safety of wandering space for facility residents and looking into the convenience of management for the control and Support of the elderly with dementia in wandering space, from the aspect of managers. Study methods consisted of literature examination, on-site assessment and investigation, observation and questionnaire survey. And via a questionnaire survey of facility workers at study subject facilities, the current status and facility workers' perception of wandering space and their job-satisfaction were examined. Collected data of 133 respondents were used for analysis. Data were processed with the SPSS 18.0 program, and such analytic techniques as frequency, percentage, mean, multiple response analysis, chi-square test and correlation analysis were carried out. The problems of physical environment of wandering space for the elderly with dementia: First, it is urgent to establish wandering space. Second, thoughtlessly installed chairs in the corridor impeded wandering behaviors. Third, the grips installed in the corridor space were irregular, thus causing inconvenience for wandering behaviors. Thus making residents' use of it difficult. In order to improve these problems, it is necessary to newly or additionally establish wandering space and modify the location of chairs or establish alcoves, thus reducing impedimentary elements for wandering behaviors. Providing a proper wandering space is important for facility residents. And it is also important for facility workers to manage facility residents.

• Journal of the Korean housing association
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• v.14 no.3
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• pp.41-49
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• 2003

An evaluation of the environments in the wandering pathway of the dementia units was carried out. It is revealed that the quality of the environment for the wandering pathway of the sample units was very low. In particular, lacks of social environments in Unit-B and Unit-C, and lacks of orientation aids in all the sample units were shown. Therefore, re-design for the wandering pathway of the sample units is needed. Recommendations for improving the wandering pathway and having appropriate wandering pathway without any abrupt change in existing layout of the sample units were suggested, and the limits of this research is diagnosed. It is also shown that since evaluation categories used in this paper had very closed relationship each other, those evaluation categories can be used in other settings.

• Dementia and Neurocognitive Disorders
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• v.17 no.3
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• pp.90-99
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• 2018

Background and Purpose: To explore anatomic substrate of specific wandering patterns in patients with Alzheimer's disease (AD) by performing positron emission tomography with $^{18}F$ fluorodeoxyglucose positron emission tomography (FDG PET). Methods: Drug-naïve AD patients with wandering (n=80) and without wandering (n=262) were recruited. First, the specific pattern of wandering type was operationally classified according to specific wandering score and clinical assessment. Second, brain FDG PET was performed and fluorodeoxyglucose (FDG) uptake differences of specific brain regions according to wandering patterns were compared to those of non-wanderers. Results: In patients with pacing pattern, FDG PET showed significant lower FDG uptake in both middle cingulum and left putamen cluster compared to non-wanderers. The right precuneus and supplementary motor area in patients with random pattern and left calcarine sulcus, right calcarine sulcus, right middle cingulum, and right post central gyrus in patients with lapping pattern had significantly lower FDG uptake compared to non-wanderers. Conclusions: This study showed that wandering in patients with AD had three distinct patterns. These specific patterns showed significant lower FDG uptake in specific brain areas compared to non-wanderers.

• Architectural research
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• v.1 no.1
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• pp.11-16
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• 1999

Wandering behavior is a serious problem among the elderly in nursing homes, yet it has received relatively little study by those interested in gerontology. The research that has been done has generally regarded wandering behavior as an aimless, directionless movement. Only a few studies have addressed the problem after first assuming that wanderers have a goal to their movement, and fewer still have explored the role of the physical environment on the wanderer's behavior. None have combined the two approaches. In this paper, the physical environment will be looked at for support of the theory of wandering as a goal seeking behavior. In a pilot study using behavior maps, the movements of wanderers and non-wanderers are analyzed and compared for the amount of visual access and exposure their locations contain. While the behavioral implications of these two measurements are considered, the limitations of the results are also discussed, so that their relationship to the cause of wandering behavior may be better understood. By implying that wandering is not a totally aimless but purposeful behavior at least in the subconscious level, constructive design implications can be suggested that would make wandering a more pleasant experience for the wanderer and increase the ease of the nursing home staffs management of the problem.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.26 no.1D
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• pp.89-94
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• 2006

Premature failures in pavements are frequently reported due to rapid increasement in traffic volume, heavy vehicles, and high temperature in the summer. Based on this concept in mind, Korea Highway Corporation established the Test Road Operation Center to estimate the pavement performance. To evaluate the pavement performance effectively using the field data, wandering is an important topic in pavement analysis. In this study, portable wandering system was developed and analyzed to investigate the pavement responses due to the dynamic truck passes, and analyzed the wandering to dynamic load test. The test results revealed that the advantages of laser devices were noticeable compare to the other measuring ones. To understand the behavioral characteristics of pavements using the wandering measurement devices, dynamic truck tests were conducted in the field. Test results showed that the effects of wandering on asphalt pavement were significant. The data analysis using this wandering effect is considered as an important tool in performance analysis of asphalt concrete pavement.

• Journal of Korean Academy of Nursing
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• v.38 no.1
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• pp.29-38
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• 2008

Purpose: This study investigated various factors relatied to wandering behavior of Korean elders with dementia (KED). Methods: A sample of 160 ambulatory residents with dementia from 14 long term care facilities was used to examine demographic, individual, cognitive, physical health, and environmental characteristics by comparing wanderers (N=108) to nonwanders (N=52). Subjects were evaluated by Korean versions of the Mini-mental State Exam (K-MMSE), the Physical and Instrumental Activities of Daily Living (K-PIADL), and the Revised Algase Wandering Scale Nursing Home version (KRAWS-NH) along its six dimensions. Demographic and environmental data were also obtained. Independent sample t-tests, Chi-square test, Fisher's Exact tests, and ANCOVAs were used to examine differences between wanderers and nonwanders. Results: Wanderers were significantly (p<.05) older and had more limitations in K-PADL and K-IADL. The degree of overall wandering and certain features of wandering were significantly different (p<.05) by total number of residents in the facility, type of bedroom (i.e., "Ondol"), and color of bedroom and living-room walls (i.e., sky blue). Conclusions: Findings of this study may be useful in understanding wandering behavior of KEDs and thus developing more culturally specific management strategies.

• Journal of The Korea Institute of Healthcare Architecture
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• v.21 no.3
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• pp.9-23
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• 2015

Purpose: This paper's main objective is to provide a systematic review of research evidence that articulates the impact of environment-related factors on wandering for people with dementia in the Long-term Care Facilities. Another objective of this study is to identify design implications that can be incorporated into design process and decisions to positively improve wandering abilities for people with dementia. Methods: Comprehensive literature review has been performed to investigate empirical studies and peer-reviewed articles published in many different fields including psychology, architecture, nursing to gerontology. Results: The review found studies that identified environment-related factors, affecting wandering for people with Dementia living in Long-term Care Facilities. Implications: The findings can help us understand wandering behavior and the recommendations in this research can serve as parts of considerations in practice that can help efficiently manage wandering abilities of people with dementia living in Long-term Care Facilities. Further studies with larger samples and various environmental conditions are required to confirm the findings in this study.

• Proceedings of the KIEE Conference
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• 2005.10b
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• pp.32-34
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• 2005

This paper describes a new baseline wandering elimination algorithm for ECG based on waveform morphology analysis. The algorithm uses two slope tracing waves to separate the baseline wandering from ECG and approximates the separated baseline wandering to a corresponding sinusoid, and finally, subtracts the approximated sinusoid from the original ECG. The two slope tracing waves, the descending slope tracing wave and the ascending slope tracing wave, were developed for efficient determination of slope inverting points and sudden slope changing points. The algorithm has been applied to MIT/BIH database to verify its efficacy and validity in practical applications.

• Journal of the Society of Disaster Information
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• v.3 no.1
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• pp.5-20
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• 2007

The role of a pavement means a social axis for the future as well as a function of road itself. To achieve its intended purposes, the maintenance technique of the pavement performance should be improved. For this, pavement investigators have dealt with the simulated pavement sites under actual environmental conditions. One of them is wandering device to improve the maintenance system of a pavement. The primary purpose of this research is to develop a portable wandering device using statistical analysis technique. It is noted that the new device using laser sensor demonstrates better field applications and reliability compare to the conventional one.