• Journal of the Korean Regional Science Association
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• v.32 no.1
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• pp.51-66
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• 2016

This study examines a degree of city decline and confirms a existence of inertia in the city decline process, and shows how to set the policy directions of cities as its situation. With understanding these things, we are carefully able to anticipate the future direction of cities'growth or decline. This study analyzes cross-tabulations with the comprehensive decline index, and the demographic-social index, industrial-economical index, physical-environmental index to compose the comprehensive decline index in during 2005~2010. We can confirm the existence of complexity and inertia of city decline. Some cities are likely to have adhesion of decline, and these cities should convert planning tools and concept of past growth era to new one to be used in changed environment in new era. Redefining a perspective for city decline, proper managing a change of physical environment from city decline, and flexible thinking would be requested as countermeasures with adjusting spatial policy framework.

• The Korean Journal of Health Service Management
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• v.10 no.3
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• pp.147-158
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• 2016

Objectives : The aim of this study was to investigate predictors of cognitive function decline among community dwelling elderly. Methods : Data were analyzed from the Survey of Living Condition of Elderly panel study. Cognitive function was measured with the MMSE-KC at baseline and year 3. The study subjects were 5,464 community dwelling people aged 65 years or older who had no disability at baseline. Logistic regression analysis was used to predict cognitive function decline. Results : From 2008-2011, 4,417(80.8%) elderly people had no cognitive decline, and 1,074(19.2%) showed cognitive function decline measured by the MMSE-KC. After adjusting for demographics and baseline MMSE-KC score, the best predictors for cognitive function decline at 36 months were diabetes mellitus, smoking, low intensity physical activity, relationship with relatives and friends. Conclusions : Health promotion programs that are focused on the elderly are essential in preventing cognitive function decline. Promoting regular physical activity, and social relationships should be included in health promotion for elderly. When treating patients with diabetes, preventing cognitive impairment should be considered through education and counseling.

• Korean Journal of Adult Nursing
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• v.18 no.3
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• pp.468-478
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• 2006

Purpose: The purpose of this study were to find out the degree of memory decline and to confirm its correlated factors in old adults. Method: The subjects consisted of 68 old adults over the age 65 who living in Busan. Data were collected by the interview method, using a structured questionnaire and the testing method on the memory performance. Results: The old adults' memory performances declined in tasks of immediately word recall, delayed word recall, and face recognition and increased slightly in word recognition over 2 years. However, there was only significant difference in delayed word recall task. The significant variables to predict memory decline were age, literacy, depression, locus, and strategy. Conclusion: The memory decline of old adults wasn't more serious problem than the perceived one. There needs to be some intervention programs to prevent memory decline for the elderly.

• Physical Therapy Korea
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• v.12 no.3
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• pp.22-30
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• 2005

This study was designed to identify the effect of various decline boards and postures of lower extremities on surface electromyographic (EMG) activity of knee muscles during isometric single-leg decline squat exercises. The subjects were twenty young male adults who had not experienced any knee injury and their Q-angles were within a normal range. They were asked to perform single-leg decline squat exercises in five various conditions. The EMG activities of the gluteus maximus (GM), vastus lateralis (VL), vastus medialis (VMO), tibialis anterior (TA), and gastrocnemius (GCM) muscles were recorded in five various single-leg decline squat exercises by surface electrodes and normalized by maximal voluntary isometric contraction (MVIC) values. The normalized EMG activity levels were compared using one-way ANOVA with repeated measures. The results of this study were as follows: 1) Exercises 2 and 4 produced significantly greater EMG activity of VMO than did exercise 1 ($p_{adj}$<.05/10), 2) The VMO/VL ratio of EMG activity of exercise 4 was the highest, producing a significantly greater ratio than exercise 1 ($p_{adj}$<.05/10). These results show that single-leg lateral oblique decline squat exercise is the best exercise for selective strengthening of VMO, and the posture of the contralateral leg does also affect strengthening of VMO, but we'll need to research patellofemoral joint compression for clinical application of single-leg lateral oblique decline squat exercises.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.4
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• pp.67-74
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• 2020

PURPOSE: The progression of the center of pressure (COP) velocity of the stance phase may have important roles for predicting gait speed in older adults with cognitive decline. This study was conducted to identify the correlation between gait speed and the velocity of COP progression during the stance phase in older adults with cognitive decline. METHODS: Forty adults aged 65 years or older (twenty participants without cognitive decline, 20 participants with cognitive decline) were recruited. The COP progression velocity was measured using an F-scan pressure-sensitive insole system. The stance phase was divided into four sub-stages. (loading response, mid-stance, terminal stance, and pre-swing). Gait speed, double support phase, and cadence were also measured. Correlations and multiple regression analyses were performed. RESULTS: Gait speed was associated with the COP progression velocity in midstance (r = .719, p < .05), cadence (r = .719, p < .05) and the COP progression velocity in loading response velocity (r = .515, p < .05) in older adults with cognitive decline. However, no correlation was found in older adults without cognitive decline. In multiple regression analysis using gait speed as a dependent variable, the COP progression velocity in midstance and cadence were significant predictors of gait speed, with the COP progression velocity being the most significant predictor. CONCLUSION: The COP progression velocity is an important factor for predicting gait speed in older adults with cognitive decline, suggesting that the cognitive function influences gait speed and the velocity of COP progression.

• Korea Journal of Hospital Management
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• v.22 no.4
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• pp.87-101
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• 2017

[Purpose] This study aims to classify of healthcare decline and analyze the corresponding health outcomes among cities in Korea. In pursuing the above, this paper gives the particular attention to draw policy implications. [Methodology/Approach] Public healthcare data of 81 cities between 2014 and 2015 was obtained from the National Medical Center of Korea. A matrix analysis, t-test, ANOVA and multivariate regression were applied. [Findings] The study results indicated that declining cities tend to have the most healthcare resources, compared to growing or maintaining cities. However, accessibility to healthcare appeared to be lower in declining cities. Based on the classification of cities on healthcare decline, 42 out of 81 cities were categorized as a maintain/improvement group, while 39 cities were characterized as decline/depression. The group with a decline/depression type has significantly more healthcare facilities than maintain/improvement type. In contrast, maintain/improvement cities indicated lower incidence of morbidity and mortality than decline/depression cities. Lastly, according to the multivariate regression analysis for the healthcare outcomes by the type of healthcare decline, incidence of morbidity and mortality tended to decrease as the number of healthcare workers, the proportion of people who have healthcare accessibility, and the Timely Relevance Index increased regardless of the number of medical facilities including hospital beds and special beds. [Practical Implications] In conclusion, focusing on the improvement of healthcare accessibility as well as staffing, rather than expanding facilities is essential to set the healthcare policies.

• Asian Journal of Atmospheric Environment
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• v.2 no.2
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• pp.81-89
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• 2008

The numerical simulation of wind and ozone ($O_3$) transport in mountainous regions was performed with a computational fluid dynamics technique. A dry deposition model for $O_3$ was designed to estimate $O_3$ deposition in complex terrain, and the qualitative validity of the predicted $O_3$ concentration field was confirmed by comparison with observed data collected with passive samplers. The simulation revealed that wind velocity increases around ridge lines and peaks of mountains. The areas with strong wind corresponded well with the sites of tree decline at high altitudes, suggesting that it is an important factor in the localization of tree/forest decline. On the other hand, there is no direct relationship between forest decline and $O_3$ concentration. The $O_3$ concentration, however, tends to increase as wind velocity becomes higher, thus the $O_3$ concentration itself may be a potential secondary factor in the localized decline phenomena. While the diffusion flux of $O_3$ is not related to localized tree decline, the pattern of advection flux is related to those of high wind velocity and localized tree decline. These results suggest that strong wind with large advection flux of $O_3$ may play a key role in the promotion of tree/forest decline at high mountain ridges and peaks.

• Journal of the Korean association of regional geographers
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• v.22 no.2
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• pp.424-438
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• 2016

In an effort to prevent urban decline and hollowing-out phenomenon and to vitalize stagnant local economy, a new urban regeneration paradigm is on the rise. This study aims to analyze urban decline characteristics using the spatial statistical method and GIS on the basis of decline standards in the Urban Regeneration Special Act, and spatial autocorrelation technique. The Gwangju Metropolitan City was set as a research target, and the decline standards in the Urban Regeneration Special Act - population reduction, business declines, and outworn buildings - were applied as the indicator to secure the objectivity. In particular, this study has a distinctive feature from the other existing ones, as applying GIS and the spatial statistical technique, in a sense to make urban decline characteristics analysis by the spatial autocorrelation technique. The overall analysis procedure was carried out by applying the standards of designating urban regeneration regions, and following the spatial exploratory procedure step by step. Therefore, the spatial statistical method procedure and the urban decline characteristics analysis data being presented in this study, as the results, are expected to contribute to the urban decline diagnosis at the level of metropolitan city, as well as to provide useful information for spatial decision making in accordance with urban regeneration.

• Korean Journal of Adult Nursing
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• v.29 no.2
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• pp.200-210
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• 2017

Purpose: The purpose of this study was to assess the relationship between menopausal symptoms and decline in cognitive functioning of menopausal women with mediating effects of health promoting behavior. Methods: Using a convenience sampling, 140 menopausal women were recruited for the cross-sectional survey. Data were collected by using the Menopause Rating Scale, Health Promoting Lifestyle Profile, Everyday Cognition, and Korean Mini-Mental State Examination. Results: The mean scores for menopausal symptoms, health promotion behavior, and subjective cognitive decline were 14.40, 153.79, and 67.40 respectively. Health promotion behavior was directly affected by menopausal symptom ($R^2=8%$). Cognitive decline was directly affected by menopausal symptom ($R^2=11%$). Menopausal symptom (${\beta}=.33$, p<.001) and health promotion behavior (${\beta}=.21$, p=.014) were found to be predictive factors in subjective cognitive decline and explained 14%. Health promotion behavior had a partial mediating effect in the relationship between menopausal symptom and perceived cognitive decline (Sobel test: Z=2.05, p=.040). Conclusion: Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and encouraging health promotion behavior are recommended to improve cognitive decline in menopausal women.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.39 no.6
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• pp.571-585
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• 2021

Various studies have analyzed urban decline at a universal level using the general characteristics of declining cities. However, urban decline at the city level should be considered because this decay occurs based on the unique attributes of a particular city. In addition, since this phenomenon occurs and spreads in microspaces, studies should consider smaller spatial units continuously. This study aims to develop an urban decline measurement model that considers regional characteristics to analyze the urban decline of Ulsan Metropolitan City over time and space. The index value of Ulsan, compared to the national average, is calculated and reflected in the weight to reflect regional characteristics in the model. In addition, after analyzing urban decline by administrative dong units, we also performed analysis by counting district units using spatial hierarchical structure to demonstrate evaluation on smaller unit spaces. As a result of analyzing urban decline patterns by associating the index calculated using the model with the social phenomenon of Ulsan Metropolitan City, urban decline formed clusters and spread to adjacent regions over time. In addition, results confirmed that external factors such as new towns and urban regeneration projects affect urban decline. By illustrating the degree of urban decline proposed measurement model used in this study, it is possible to present the priority of areas required for urban regeneration projects. Results are also helpful to test the effectiveness of completed or presently-implemented urban regeneration projects.