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Estimating Quality Adjusted Life Year Loss of Persons Disabled by Stroke Using EQ-5D in Korea (EQ-5D를 이용한 뇌졸중 장애인의 질보정수명 감소분 추정)

  • Jo, Min-Woo;Kim, Sang-Kyu;Lee, Jin-Yong;Lee, Kyeong-Soo
    • Journal of agricultural medicine and community health
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    • v.36 no.2
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    • pp.120-129
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    • 2011
  • The purposes of this study were to measure health related quality of life (HRQOL) of persons disabled by stroke dwelling in Gyeongju-si using EQ-5D and to estimate total QALYs loss of persons disabled by stroke in Korea. The eligible subjects were 982 persons with stroke aged 50 and over in Gyeongju-si disabled registry, as of March, 2008. Interviewers measured HRQOL of study subjects using EQ-5D. EQ-5D index, utility weight, was derived from the Korean valuation set. In order to compare the results of this study, we selected two comparison groups representing Korean healthy population and general population of Korean using the 4th Korean National Health & Nutrition Examination Survey. Finally, after age and gender standardization, we estimated the total QALYs losses of persons disabled by stroke in Korea. Of 982 eligible subjects, 566 persons participated in the survey (response rate: 57.6%). In both of female and male, utility weights in the 70s or 80s were lower than those of the 50s or 60s. Utility weights differences among persons with disability, general population, and healthy population in male were larger than those differences in female. Total estimated QALY losses of persons disabled by stroke were 67,011.6 QALYs lower than healthy control group and 54,167.1 QALYs lower than general population, respectively.

Actual Condition & the Need of Education for Elderly Housing Education Perceived by Adolescents (청소년이 인식하는 중학교 노년기 주생활 교육 실태와 교육 필요도)

  • Lee, Young-Ja;Jang, Sang-Ock
    • Journal of Korean Home Economics Education Association
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    • v.20 no.4
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    • pp.59-75
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    • 2008
  • This study is designed to support the development and the teaching of revised curriculum of 2007 "Technology & Home Economics" by investigating the actual condition and the necessity of education for elderly housing education. Questionnaire survey was conducted with 488 high school students in Gyeongnam in 2008. The data analyzed by descriptive statistics, t-test, One-way ANOVA, Duncan's multiple range test by using SPSS 14 program. The results showed that most of the students were dissatisfied with their middle school education of elderly housing due to the lack of interesting and practical contents. Thus, various teaching-learning methods where student can experience and experiment is needed. Also, the students demanded more of factors of elderly housing, spacing plan, elderly welfare service and less of three-generation housing and senior housing in their elderly housing education. The needs of education contents differed among students depending on variables such as sex, graduated middle school, household income, dwelling space and length of residential years. Therefore, revised 2007 curriculum of "Technology & Home Economics" should include required contents in related chapters. Because there are significant differences among textbooks about elderly housing, further attention needs to be paid to the new textbooks in order to include education contents evenly. At the same time, teachers should organize their teaching contents considering the divergence of variables. The effect of elderly housing education will be maximized if the revised curriculum consists of more experimental activities such as elderly simulation in the local community.

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Effects of community-based education and advocacy intervention on public awareness about the warning signs of stroke and the golden window of time (지역사회 교육홍보사업이 지역주민의 뇌졸중 경고증상 및 골든타임 인지도에 미치는 효과)

  • Lee, Young Hoon;Kim, Young Taek;Oh, Gyung Jae;Kim, Nam Ho;Cho, Kwang Ho;Park, Hyun Young;Lee, Hak Seung;Ha, Yeon Soo;Cheong, Jin-Sung;Park, Jin Ku;Lee, Kun Sei;Kim, Hee Sook
    • Korean Journal of Health Education and Promotion
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    • v.32 no.1
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    • pp.1-10
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    • 2015
  • Objectives: This study evaluated the effects and relevant factors of community-based education and advocacy intervention on stroke awareness among the general population. Methods: The study enrolled 505 community-dwelling adults aged 19 years or older who completed a survey before and after a community-based intervention held between May 2014 and December 2014. Trained staff collected data about knowledge of five stroke warning signs, emergency response, golden window of time (${\leq}3h$), and demographics. Results: After the intervention, public awareness of all five stroke warning signs increased significantly from 26.5% to 33.9% (p=0.011). Public awareness of the golden window of time also increased significantly from 70.1% in April 2014 to 75.8% in December 2014 (p=0.040). In a multivariate logistic regression analysis, older age, higher education level, and exposure to stroke-related public service announcements or educational materials were significant predictors of knowledge of all five warning signs for stroke. Conclusions: Comprehensive community-based intervention is effective for improving public awareness of the warning signs of stroke and the golden window of time.

Comparison of Oral Health Related Living Quality of the Elder with Physical Debilities & Ones Capable of Living at Homes (Using GOHAI Grouping) (거동불편노인과 자가 활동 가능노인의 구강건강관련 삶의 질 관련 비교 - GOHAI 군집화를 활용하여 -)

  • Park, Nam-Gyu;Ko, Young-Gyu
    • Journal of Technologic Dentistry
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    • v.34 no.3
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    • pp.273-281
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    • 2012
  • Purpose: This study conducted a survey on the elderly of 65 years and over with physical debilities and ones capable of living at home residing in Jeju Special Self-Government Province to compare and analyze demo-sociological characteristics and factors influencing on oral health related living quality. And also this study intended to provide basic data for developing effective public medical policies and health promotion programs to increase oral health related living quality of the elder. Methods: The elderly of 65 years and over living in Jeju Special Self-Government Province were interviewed individually from 7 February 2011 to 18 April and interview results of a total of 220 subjects were analysed for this study. Results: Current status of the elderly including ones with & without physical debilities influenced functional limitation and behavioral aspects of GOHAI criteria used in this study. The elderly with physical debilities experienced less limitation in food chewing and swallowing, and pronunciation than ones capable of living at home. On the analogy of the previous study(by Park, N. G., 2010) in which oral health related quality and satisfaction of life of the elderly with physical debilities were different due to their physical, circumstantial and psychological limitations, the former's oral health conditions are worse than the ones capable of living at home and because of medical care accessability limitation they suffer from deteriorated oral condition. By the comparison of factors influencing on the living quality relating to the oral health of the elderly with physical debilities and ones capable of living at home, 2 factors, age and living area, were meaningful factors commonly influencing on the oral health related living qualities of both. The elderly of 75 years and over were more affected by psychological and behavioral aspects of oral health related living quality than the ones of 65-74 years, and the ones living in country suffered from functional limitations, pains and discomfort more than ones in city. Additionally, being different from the elderly capable of living at home, the ones with physical debilities were influenced by the factors of average monthly income and medical security type. Conclusion: Improvement of programs and systems to increase oral health related quality of life needs to be carried out preferentially for the elderly of 75 years and over, and dwelling in country. Also this study suggests that the policy of paying the denture insurance allowance in 2012 need effective planning considering the elderly's current status, age, living area, medical security type.

The Impact of Population Aging on Energy Use and Carbon Emissions in Korea (인구 고령화가 에너지 사용과 탄소 배출에 미치는 영향)

  • Kim, Dong Koo;Park, Sunyoung
    • Journal of Environmental Policy
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    • v.13 no.2
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    • pp.99-129
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    • 2014
  • This research estimates the impact of population aging on energy use and carbon emissions by energy sources and by industrial sectors in Korea until 2035. For the estimation, the structural change in household consumption expenditure identified by the age-specific consumption pattern was analyzed in conjunction with energy and environment input-output tables. The estimation result presents that, despite the population aging, energy use and carbon emissions induced by household consumption continue to increase until 2026, and then that elevated levels of energy use and carbon emissions will be maintained for a considerable period of time. According to the estimation by energy sources, the use of natural gas will show substantial increase while the use of crude oil will switch to a downturn at a relatively early period. According to the estimation by industrial sectors, carbon emissions in the sectors with relatively high consumption share of old households such as medical health, dwelling, lighting, heating, air-conditioning, and food will have substantial increase, whereas those in the sectors associated with education, transport, catering, and accommodation services will turn downward relatively early. In addition, the study analyzes through policy simulation the impact of aging-related policy similar to the basic pension system, which is recently being discussed for legislation, on energy use and carbon emissions.

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Dietary Behaviors and Lifestyle Characteristics Related to Frequent Eating Out Among Korean Adults (성인의 외식 빈도와 관련된 식습관 및 생활습관 요인 분석)

  • Koo, Sle;Park, Kyong
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.42 no.5
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    • pp.705-712
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    • 2013
  • Epidemiologic research has suggested that frequent eating out may be associated with poor dietary habits, including high-calorie and inadequate nutrient intakes. Limited studies, however, have evaluated dietary behaviors with patterns of eating out in South Korea. The aims of this study were to examine the associations between nutrient intakes, adherence to dietary guidelines, and frequencies of eating out among Korean adults. Data were analyzed from adult (30 to 64 years old) participants of the 2007~2009 Korean National Health and Nutrition Examination Survey (n=10,223). Nutrient intake levels were assessed by the 24-hour recall method. The dietary score (DS-ADGK) was calculated based on the adherence to dietary guidelines for Koreans. Subjects who frequently consumed meals outside the home tended to be younger, male, urban-dwelling, highly educated, and receiving a higher income. The frequency of eating out was positively associated with the higher intake of most nutrients, except carbohydrates and crude fiber. Regular breakfast habits seem to be associated with the frequency of meals outside the home for women; younger women who frequently eat out tended to have irregular breakfast eating habits, but this association is attenuated with increasing age. The mean DS-ADGK differed by sex, age, and the frequency of eating out; older participants scored higher than the younger ones, women had higher scores than men, and those who frequently eat out had lower scores than their counterparts. In addition, the adherence score for each component of the dietary guidelines was also significantly different by age and sex. The consideration of demographic characteristics related to frequent eating out and other barriers to healthful eating, as well as essential and practical interventions, are needed to promote positive dietary behavioral changes in Korea.

Environmental monitoring system research based on low-power sensor network (저전력 센서네트워크 기반 환경모니터링 시스템 연구)

  • Kim, Ki-Tae;Kim, Dong-Il
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2011.10a
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    • pp.807-810
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    • 2011
  • The sensor network technology for core technology of ubiquitous computing is in the spotlight recently, the research on sensor network is proceeding actively which is composed many different sensor node. USN(Ubiquitous Sensor Network) is the network that widely applies for life of human being. It works out to sense, storage, process, deliver every kind of appliances and environmental information from the stucktags and sensors. And it is possible to utilize to measure and monitor about the place of environmental pollution which is difficult for human to install. It's studied constantly since it be able to compose easily more subminiature, low-power, low-cost than previous one. And also it spotlights an important field of study, graft the green IT and IT of which the environment and IT unite stragically onto the Network. The problem for the air pollution in the office or the indoor except a specific working area is the continuously issue since the human beings have lived in the dwelling facilities. Measures for that problem are urgently needed. It's possible to solve for the freshair of outside with enough ventilation but that is the awkward situation to be managed by person. This study is the system engineering to management for indoor air condition under the sensor network. And research for efficiently manage an option.

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Review of educational strategies to facilitate desirable attitudes toward gerontological nursing (노인간호에 대한 바람직한 태도형성을 위한 교육방안 고찰)

  • Yeom, Hyun-E
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.561-571
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    • 2016
  • Purpose: This study reviewed the innovative educational strategies that have been implemented successfully in US baccalaureate nursing education programs to facilitate appropriate attitudes about caring for older adults. Methods: The data were collected through a search of PubMed and CINAHL using the key words, gerontological or geriatric, attitudes about aging or older people, baccalaureate or undergraduate nursing education or curriculum. Results: The successful strategies are categorized as follows: 1) a multidisciplinary approach integrating aging issues and gerontological contents into diverse nursing courses, 2) active participation of community-dwelling healthy older individuals as an educational mentor, 3) use of audiovisual materials to investigate the misconceptions and attitudes about aging, and 4) discussion through critical thinking and self-reflection toward aging. Implications: For the interdisciplinary approach within nursing courses, it is essential to derive the key contents for gerontological nursing applicable to integration into diverse nursing courses. In addition, it is necessary to provide administrative support for implementing innovative strategies and constructing consistent partnerships with the community for active participation of the elderly as a mentor. Lastly, recognizing the significance of educational strategies for enhancing desirable attitudes toward gerontological nursing and supporting the development of educational capability of a faculty are key issues.

A Study on the Mongolia's Ger and Food in Pastoral Nomadic Way of Life (몽골 유목민의 겔(gel)과 음식문화에 관한 연구)

  • Chang, Bo-Woong
    • Journal of the Korean association of regional geographers
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    • v.3 no.1
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    • pp.155-163
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    • 1997
  • The Mongolian ger is ideally suited to the mongol's steppe climate and the nomadic way of life. This is a multipurpose dwelling which can be easily collapsed, transported to another place and put up again fully preserving its original shape. The pastoral nomadic ger has two key components: the wooden framework and the felt cover. The wooden parts are the walls(khana), the long poles(un), the smoke escape(toono) and its supports(bagana). One wall consists of 10-15 branches of willow tree. each about 1.5m high bound together in a way making it possible to fold it for transportation and then unfold it like an accordion. The unfolded walls are connected to form a circle. The long poles(un) are fastened to the upper part of the walls, with the other end passed through the toono hole, the only sky window and smoke escape through it from the ger. The toono is propped up by two posts, called bagana. All this forms the wooden framework of the ger, which is covered with felt. When the herders fire up their metal stoves, the temperature inside the ger becomes quite comfortable. Because the nomads live in a climate where there is only one growing season in a year, they do not make long migrations to new pastures. Livestock subsist on standing vegetation for eight months of the year. The basic pasture migration strategy is to leave enough standing vegetation at the end of the growing season in September to suffice until the new growth appears the following May. Mongolians use a type of compressed tea leaf that is called "brick" tea in English because it is rock solid and roughly the shape of a brick. And they consume a larger percent(88%) of fat from animal products such as meat, milk, butter, and cheese than any other people in the world. Milk products made from the milk of sheep, yak, and goats are major foods in the nomad's diet, but they are produced mainly in summer when all the animals are lactating. Mongolians made their special nomadic food culture on the steppe.

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The Development of Gangnam and the Formation of Gangnam-style Urbanism : On the Spatial Selectivity of the Anti-Communist Authoritarian Developmental State (강남 개발과 강남적 도시성의 형성 - 반공 권위주의 발전국가의 공간선택성을 중심으로 -)

  • Ji, Joo-Hyoung
    • Journal of the Korean association of regional geographers
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    • v.22 no.2
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    • pp.307-330
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    • 2016
  • This article aims to explain how Gangnam, as a model and standard of compressed urbanization in South Korea, was created. Gangnam and Gangnam-style urbanization need attention not only because they contrast with Korea's urbanization in the past as well as urbanization in the West but also they provide an important model in contemporary Korea's politics, economy and culture. However, there are little studies of how Gangnam's peculiar urbanism was created. To fill this gap, this article will first capture Gangnam's peculiar urbanism as a material landscape and sociocultural lifestyle. Gangnam-style urbanism is (a) materially characterized by high-rise apartment complexes owned by the middle and upper class for dwelling and asset growth and (b) socio-culturally characterized by political conservatism, public indifference, competition over academic performance, appearance, and fashion, and nightlife. Then it will show Gangnam's archetype was created in a spatially and temporally compressed way in and through the spatial selectivity of Korean anti-communist authoritarian developmental state strategies: (1) anti-communism led to the diffusion and accommodation of the population through apartments in Gangnam in the context of its confrontation with North Korea and the fast-growing population of Seoul; (2) military authoritarianism excluded the low-income class and the urban poor from urban development; and (3) the developmental state adopted selective housing policy which treated construction companies and the middle class preferentially through exceptional zoning and price distortions, promoting the construction of apartment in Gangnam and its resultant uneven development.

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