• Journal of the Korean Society for Precision Engineering
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• v.28 no.12
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• pp.1425-1433
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• 2011

We investigated an early rehabilitation training system that increase the intensity of patient rehabilitation training to shorten the time it takes for patients to progress to a secondary rehabilitation training stage by allowing patients incapable of self-ambulation. It consisted of tilting bed, unstable platform using strong springs and training program for lower limb rehabilitation. We performed experimental study on the muscular activities of tibialis anterior(TA), soleus(SO), gastrocnemius(GA) in the lower extremities during training of straight line, circle, quardrangle pattern during tilting angle of $30^{\circ}$, $60^{\circ}$. The muscle activities were higher during tilting angle of $30^{\circ}$ than $60^{\circ}$. In straight line pattern, the muscle activities were higher by SO, GA and TA during medio-lateral direction, however, by TA, SO and GA during anterio-posterior direction. In circle and quardrangle pattern, the muscle activities were higher by TA, SO and GA during clockwise and counterclockwise direction. The results indicate that the early rehabilitation training system could be applied to improve the lower extremity muscular strength for elderly and patients, especially, stroke.

• Journal of Korean Medicine for Obesity Research
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• v.24 no.1
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• pp.41-53
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• 2024

Objectives: We used the Korea Health Panel Annual Data 2019 to analyze factors related to visits to both Korean medicine and Western medicine (WM) outpatient clinics among patients with overweight and obesity. Methods: The inclusion criteria for this study are as follows: 1) adults over 18 years of age, 2) overweight or obese with a body mass index of 25.0 or more, 3) visited WM outpatient clinics at least once during 2019. Total 2,963 individuals were included in WM group or integrative medicine (IM) group. Using the Andersen healthcare utilization model, factors related to healthcare utilization of the participants were classified. Binomial logistic regression analysis was used to analyze factors associated with IM use. Results: Among the participants, 80.49% (n=2,385) were assigned to WM group and 19.51% (n=578) to IM group. As a result of the regression analysis, factors significantly related to the use of IM included the elderly over 65 years of age, sex (men), college or higher education level, residential area (Gwangju/Jeolla/Jeju), presence of cancer, and presence of musculoskeletal disease. The main diagnosis associated with both WM and IM use was most frequently musculoskeletal conditions. Also, IM group received WM treatment for musculoskeletal conditions more frequently compared to WM group. Conclusions: This study is the first to analyze healthcare utilization patterns among overweight or obese patients in Korea. The current findings suggest that the presence of musculoskeletal conditions, especially in this population, may be strongly associated with concurrent use of IM services.

• 한국노년학
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• v.32 no.4
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• pp.1147-1162
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• 2012

Korean laws use several different terms to refer to seniors. This study looks into how older persons are defined in the laws with an aim to critically review the implications of the naming of older persons. For this goal, the laws that have been enforced since 1948 and those effective as of October 20 in 2011 were subject to analysis. The findings of this research are as the following. Korean laws have used a number of terms, including the terms meaning the old and infirm (nosoeja), old individuals (noin, goryeongja, noyeonja), and the old and weak (noyakja). However, such naming does not seem to be based on age. An analysis of noin and goryeongja, two most common terms used in Korea's legal provisions, shows the difference between social perceptions of seniors and the semantic formation of the terms. For example, noin is used in the context in which seniors are viewed rather negatively as subjects of social protection while goryeongja, a relatively neutral term, is preferred when the law sees the elderly as productive resources. It can be said that the perceived social values on senior citizens are reflected in the laws.

• Journal of The Korean Society of Integrative Medicine
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• v.10 no.4
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• pp.261-275
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• 2022

Purpose : According to the Korean Diabetes Association, the number of metabolic disease patients in Korea is approximately 14.97 million as of 2020;, the prevalence of diabetes among adults over 30 years old is 44.3 %, and the prevalence of diabetes in the elderly over 65 years old is 50.4%. These individuals exposed to the risk of complications. Therefore, the purpose of this study was to determine a distribution method for a customized fusion exercise marine healing program for metabolic disease patients. Methods : We have searched numerous papers concerning artificial intelligence (AI), virtual reality (VR), augmented reality (AR), and marine resources related to marine healing programs that can be introduced in marine healing centers for people with metabolic diseases Results : Through the production of various marine resources and evidence-based exercise programs, the provision of exercise programs using AI, and the development of exercise platforms using AR and VR, we were able to establish guidelines for how to operate marine healing programs at marine healing centers. Conclusion : Korea has much more diverse marine healing resources than other advanced countries in the marine healing industry. However, the development of these resources has only just begun. It is hoped that the studied marine healing program will be of great help to metabolic patients by creating contents that will be implemented in marine healing centers by using the cutting-edge technologies and various marine resources that Korea possesses.

• Korean Journal of Clinical Pharmacy
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• v.32 no.4
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• pp.321-327
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• 2022

Background: To implement medication management service in Korean nursing home (NH), medication review tool for residents in Korean long-term care facilities was developed. This prospective pilot study aimed to verify the applicability of this newly developed tool and to evaluate the drug related problems (DRPs) identified by pharmacists' medication review in NH setting. Methods: This study was carried out in two NHs in Korea. The elderly residents (65 or older) using 5 or more medications were eligible. Pharmacists conducted medication review and identified the DRPs and potentially inappropriate medications (PIMs) based on the newly developed tool. Results: Among 43 NH residents, 27 residents agreed to participate. The median age was 87 and about 55.6% of them were taking 10 or more medications. Pharmacists identified a total of 37 PIMs in 18 NH residents (66.7%) and 54 DRPs in 22 residents (81.5%). The most frequent PIM was general-PIM (26 cases) followed by PIM under specific diseases or conditions (7 cases). Out of 77 items contained in the tool, 15 items were detected in study participants. 'Continued use or regular daily use of hypnotics' was the most highly detected item (9 cases) followed by 'multiple prescriptions within each class of hypnotics/sedatives' (5 cases). Among 54 DRPs identified, pharmacist intervened 39 cases (72.2%) and interventions were accepted in 18 cases (46.1%). Conclusion: This pilot study demonstrated that newly developed tool is feasible for the nursing home residents. However, further studies with larger population are warranted.

• Journal of Agricultural Extension & Community Development
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• v.30 no.1
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• pp.1-13
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• 2023

This study aims to examine the effect of healing program using insect. For the insect resources, the program uses 3 species of emotional insects. The subjects were a total of 29, the elderly with mild dementia and adults with developmental disabilities in the facility. The activities are 9 programs in total and each program takes 2 hours once a week. For data collection, we measured a blood pressure, stress level using autonomic nervous system activity, and scale of happiness, depression and insomnia by a survey. The datas were collected every week before and after the program. As a result of paired-sample t-test analysis, the participants of the agro-healing program using insects had positive effects as follows: reducing a depression, relieving a symptom of insomnia and stabilizing a blood pressure. Through the results of this study, it was possible to confirm the positive effects of the agro-healing program using insects. If farms lead agro-healing program using insects on their own, it could be expected to contribute to improve the quality of life through agriculture as well as to improve the farms' income.

• Korean Journal of Social Welfare Studies
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• v.40 no.1
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• pp.63-86
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• 2009

This research aims to focus on how the perception of discrimination changes through the mediation effect of various leisure activities between the characteristic of disability and perception of discrimination. This research is based on the 2005 survey of the disabled conducted by the Korea Institute for Health and Social Affairs, which studied 1,241 seniors over 65 with physical disabilities. The results of the study are as follows. First, the type of disability, duration of disability, and IADL are the influencing factors to the relation between the characteristic of disability and individual perception of discrimination. Second, the type of leisure activities was influenced by the characteristics of their disability. Especially, the degree of IADL was statistically significant in choosing the type of leisure. Third, leisure activities with specific purposes, such as amusement and self-development, have only partial mediation effect on the relation between the characteristic of disability and individual perception of discrimination.

• 한국노년학
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• v.29 no.3
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• pp.1025-1041
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• 2009

The purpose of this study is to evaluate the effects of a web-based senescence preparation program for the provision of information and education on aging. A non-equivalent control group pretest-posttest design was used. The subjects were 70 middle-aged adults (experimental group: 36, control group: 34) living in Daegu city. The experimental group participated in a web-based senescence preparation program for 10 weeks, where 10 subjects were covered (5 physical, 3 mental/psychological, and 2 social/environmental). As compared to the control group, the knowledge of the experimental group increased significantly, and there was a significant change in their attitudes toward the elderly and old age plans. These results suggest that a web-based senescence preparation program can predict people's old age and help in their preparation. Further, this program is expected to offer individualized learning opportunities to many learners in various settings.

• Journal of Nutrition and Health
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• v.55 no.1
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• pp.155-173
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• 2022

Purpose: This study was undertaken to update the Nutrition Quotient for Elderly (NQ-E), which reflects dietary quality and behavior among Korean older adults. Methods: The first 29 items of the measurable food behavior checklist were obtained from a previous NQ-E checklist, recent literature reviews, and national nutrition policies and recommendations. One-hundred subjects (50 men and 50 women) aged ≥ 65 years living in the Seoul Metropolitan Area, including Gyeonggi Province, completed a pilot survey from March to April 2021. Based on the results of the pilot study, we conducted factor analysis and frequency analysis to determine whether the items of the survey were properly organized and whether the distribution of answers for each evaluation item was properly distributed. As a result, we reduced the number of items on the food behavior checklist and used 23 items for the national survey. Nationwide, 1,000 subjects (472 men and 528 women) aged > 65 years, completed the checklist survey, which was applied using a face-to-face survey method from May to August 2021. The construct validity of the NQ-E 2021 was assessed using confirmatory factor analysis, LISREL. Results: Seventeen food behavior checklist items were selected for the final NQ-E 2021. Checklist items addressed three factors: balance (8 items), moderation (2 items), and practice (7 items). Standardized path coefficients were used as the weights of items to determine nutrition quotients. NQ-E and three-factor scores were calculated according to the weights of questionnaire items. Conclusion: The updated NQ-E 2021 produced by structural equation modelling provides a suitable tool for assessing the dietary quality and behavior of Korean older adults.

• Korean Institute of Interior Design Journal
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• v.24 no.2
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• pp.21-31
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• 2015

Liturgical space of Catholic churches should be equal conditions for everyone who wants to participate in the liturgy. However liturgical space is standardized for healthy adults without considering the elderly and the disabled. This study intended to suggest the guidelines required for the construction of Catholic churches from the perspective of universal design for all believers to equally participate in liturgy. The results of the study are as follows. First, as a result of the analysis of the liturgical spaces in six Catholic churches from the perspective of universal design, although the principle of universal design was not appropriately applied to all liturgical spaces of a Catholic church, there were cases where it was appropriately applied in part to each of the Catholic churches. Therefore, this study suggested the examples of exemplary installation by space, which is considered to be the materials that can be referenced and utilized when planning the liturgical spaces in the Catholic churches from the perspective of universal design. Second, the obligations required by the building regulations were installed in six cases, but the application of the universal design was insufficient in other spaces. Therefore, more careful consideration for users is considered necessary during space planning. Third, the construction of Catholic churches should be planned, taking into account the liturgical law; for this purpose, the provision of the guidelines for Catholic architectural planning further than the guidelines for architecture by each diocese is necessary. At this time, the collaboration between the Catholic officials and the architects and designers with knowledge of Catholic doctrine is required.