• 지역연구
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• 제32권1호
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• pp.51-66
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• 2016

본 연구에서는 전국82개 도시를 대상으로 도시쇠퇴의 정도와 쇠퇴가 진행되는 과정에 관성이 있는지 확인하고, 도시가 처해있는 상황에 따라 어떤 방식의 대응방향이 필요한지 고민하였다. 향후 도시가 계속 성장할 것인지 혹은 계속 쇠퇴 할 것인지, 성장세가 둔화되어 쇠퇴할 것인지, 쇠퇴하던 곳이 성장세로 돌아설 가능성이 있는지, 각 도시의 전개 방향에 실마리를 찾고자 했다. 분석기간은 2005년과 2010년이며, 년도 별로 산정된 복합쇠퇴지수에 나타난 도시쇠퇴의 변화, 쇠퇴의 관성에 대해 분석하였다. 그 결과 도시쇠퇴에 관성이 존재하는 것을 확인할 수 있었다. 일부 도시에서는 쇠퇴가 고착화 되는 것으로 보인다. 이러한 곳에서는 성장시대 도시계획 수단과 개념을 쇠퇴환경에 맞추어 사용할 수 있도록 변화 시켜야 한다. 도시쇠퇴를 바라보는 관점을 재정의 하고 쇠퇴로부터 발생하는 물리 환경의 변화를 적절히 관리하기 위한 방안 모색도 필요하다. 도시의 발전방향과 가능성에 대한 인식을 바꾸고, 공간정책의 틀도 이를 반영해 마련할 필요가 있다.

• 한국임상약학회지
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• 제34권2호
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• pp.118-125
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• 2024

Background: Numerous studies have consistently demonstrated that depression can be associated with cognitive function decline, primarily focusing on older adults due to the neurodegenerative characteristics of dementia. With persistent depression frequently reported in patients with early-onset or young-onset dementia, this study aimed to assess the impact of depression, specifically the changes in depressive symptoms over time, on the risk of cognitive function decline in middle-aged adults in Korea. Methods: This retrospective study utilized data from the first four waves (2006-2012) of the Korean Longitudinal Study of Aging (KLoSA), focusing on middle-aged adults with normal cognitive function at baseline. Changes in depressive symptoms were categorized into four groups based on the CES-D score, and their association with cognitive function decline was evaluated using a multivariate logistic regression model. Results: Of the initial 10,254 participants, 3,400 were included in the analysis. Depressive status, particularly newly onset (adjusted odds ratio [aOR] 1.96; 95% confidence interval [CI] 1.32-2.93) and persistent depression groups (aOR 5.59; 95% CI 2.90-10.78), were significantly associated with cognitive function decline. In contrast, recovery from depressive symptoms was not significantly associated with cognitive function decline (p=0.809). Conclusions: Our study showed a significant association between changes in depressive symptoms and cognitive function decline in middle-aged Korean adults. This suggests that management of depressive symptoms could be crucial for the prevention of cognitive function decline in this population.

• 보건의료산업학회지
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• 제10권3호
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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.

• 성인간호학회지
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• 제18권3호
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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.

• 한국전문물리치료학회지
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• 제12권3호
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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.

• 대한물리의학회지
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• 제15권4호
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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.

• 한국병원경영학회지
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• 제22권4호
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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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• 제2권2호
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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.

• 한국지역지리학회지
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• 제22권2호
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• pp.424-438
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• 2016

도시쇠퇴와 공동화 현상을 방지하고 침체된 지역경제를 활성화시키기 위한 새로운 도시재생 패러다임이 등장하고 있다. 본 연구는 도시재생특별법에 제시된 쇠퇴기준과 공간자기상관 탐색을 기반으로 GIS 및 공간통계기법을 활용하여 도시쇠퇴 특성을 분석하는데 그 목적을 두고 있다. 광주광역시를 대상으로 하여 도시재생특별법에 제시된 쇠퇴 기준인 인구감소, 사업체감소, 노후건축물에 관한 지표를 적용함으로써 객관성을 확보하고자 하였다. 특히 GIS와 공간 통계기법을 적용함에 있어서 공간자기상관 탐색을 통해 도시쇠퇴 특성을 분석한다는 점에서 기존의 연구와 차별성을 지닌다. 전체적인 분석과정은 도시활성화지역 지정 기준을 원용하고, 공간탐색적 절차에 따라 단계적으로 추진하였다. 따라서 본 연구를 통해 제시된 공간통계분석 절차 및 도시쇠퇴 특성 분석의 결과는 대도시권 수준에서 도시쇠퇴 진단에 기여하고, 도시재생과 관련한 공간의사결정에 유용한 정보를 제공할 것으로 기대한다.

• 성인간호학회지
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• 제29권2호
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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.