• Research in Community and Public Health Nursing
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• v.26 no.4
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• pp.405-414
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• 2015

Purpose: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions. Methods: This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. Results: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. Conclusion: Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

• Journal of architectural history
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• v.23 no.4
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• pp.7-17
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• 2014

This paper aims at researching the cave concept of the Japanese architect Terunobu Fujimori and the result could be summarised as follows. First, a cave is Fujimori's only theme related to the interior space. He set some design guidelines for practice concerning openings of the wall and finishing materials of the interior, following the two major characteristics of a cave: 'comfortability' and 'homogeneity in material'. And 'fire' was also the premise in the cave as a 'spirit' of the space. Second, Fujimori applied the concrete guidelines to Tanpopo House (1994~95), which had in fact borne the ideas. Yakisugi House (2005~07) that took the cave as its design theme showed the transition of his cave concept, from closedness to openness. Third, though his cave concept might deserve the criticism that it is inclined to 'image' rather than 'essence', it illustrates that he seeks after an archetype of human dwelling before the purity of the original space was tarnished with rationality and abstraction. And the cave idea allows the seemingly contradictory 'sachlich' and 'surrealistic' features to coexist. Summing up, Fujimori's cave concept proves that his architecture is a rejection of the Cartesian modernist ideal and the contemporary architects' desire for dematerialisation. In a fundamental level, however, it is a result of his strategic choice induced by his own primary principle that his building must not be similar to any styles in history or any other architects' works in the world.

• The Korean Journal of Rehabilitation Nursing
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• v.18 no.1
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• pp.46-56
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• 2015

Purpose: The purpose of this study was to identify health status and the use of complementary and alternative therapies in the community dwelling pre-elderly and elderly. Methods: A total of 193 subjects participated in this study. They were recruited from one senior welfare center, four senior citizen centers and subjects' home in two cities. Data were collected with self-reported questionnaires to measure health status and the use of complementary and alternative therapies. Data were analyzed by t-test, ANOVA using SPSS/WIN 22.0. Results: Health status in this subjects was different depending on their age, sex, education, religion, type of family, and average monthly living expenses. Most used items as complementary and alternative medicine are diet therapy, herbal medicine such as health supplement food therapy, vitamin therapy, and Korean folk remedies. There were statistically significant differences in using complementary and alternative therapies according to one's current health status (F=7.09, p<.001), comparing health status to peers (F=3.67, p=.013), and chronic disease having more than three months (t=-2.50, p=.013). Conclusion: This study suggest that individualized health care should be continued for the pre-elderly and elderly. Moreover, we need to prepare long term care plans such as educations for applying complementary and alternative therapies.

• Journal of muscle and joint health
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• v.20 no.2
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• pp.91-101
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• 2013

Purpose: The purpose of this study was to investigate the experience of falls and identify risk factors associated with falls. Methods: The participants were 233 community-dwelling elderly people in two cities. Data were collected by interviewing the elderly with structured questionnaires from May to June, 2012. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 17.0. Results: Age, educational level, living arrangement, health status, the use of assistive devices, the number of medication, hypertension, arthralgia, dizziness, fall efficacy, fear of falling, activity of daily living, and quality of life were significant associated with fall experience. Through multiple logistic regression analysis, arthralgia, dizziness, fall efficacy, and fear of falling were identified as significant predictors of falls. Conclusion: It is important to identify the risk factors for falls among the elderly living in community. Fall prevention interventions should be multifactorial, especially for the elderly who were identified as the high risk group.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.3
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• pp.330-340
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• 2013

Purpose: This study was performed to identify the level of Korean elderly's knowledge regarding concepts of end-of-life (EOL), Life-sustaining-treatment (LST), and advance directives (AD) which are critical aspects for establishing AD in Korean society. Methods: A questionnaire survey was done between October 2011 and February 2012. Knowledge of AD was evaluated with 3 aspects including EOL, LST, and AD utilizing a questionnaire that was developed by authors for the study. Data were collected from 268 community dwelling elderly from three cities and analyzed using descriptive statistics, t-tests, one-way analysis of variance, and a Scheffe post hoc test with SAS Ver. 9.1 program. Results: Overall, Korean elderly were poorly acquainted with AD related concepts. Significant differences in awareness of AD including understanding of EOL, the level of comprehension of LST, and knowledge about AD were revealed by gender, education level, economic state, and acquaintance with terms of AD or LST. Conclusion: To acknowledge autonomy and support quality of life for elderly and to meet the purpose of AD, attention should be given to target populations including elderly in terms of knowledge level related to AD, social marketing, and infra structure relevant to practice AD in our society.

• Journal of Environmental Science International
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• v.23 no.3
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• pp.521-525
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• 2014

The Ussurian tube-nosed bat (Murina ussuriensis) is a registered endangered species that has not been observed in South Korea since 1960. We were able to capture three individuals of M. ussuriensis between 2011 and 2013 at Sobaeksan National Park. The discovery of this species was the first time within 50 years. To collect basic data on the M. ussuriensis, we analyzed the external morphology and ultrasound characteristics of the captured bats. The results indicated that M. ussuriensis weigh approximately 5.2 g, which is less than that of a typical small bat such as Pipistrellus abramus. The bat's wing-type ratio was determined to be 1.22 and classified as a broad and short wingspan type. The bat uses FM signals for ultrasound with a peak frequency of 92 kHz. The M. ussuriensis seems to be a forest-dwelling bat that preys on insects by maneuvering expertly within the complex mazelike structure of forests. In the future, further research on the hibernation and foraging sites of the bats is necessary to protect and monitor the species.

• Journal of the Korean Institute of Rural Architecture
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• v.6 no.1
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• pp.42-53
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• 2004

The purpose of this study is to examine the space usage behaviors of dwelling by using field study method and by interviewing residents of apartment houses in rural areas. It has been found that the main occupancy space among the residents of apartment houses in rural area is based on agricultural activities. This study will show that apartment houses in rural areas must, as a necessity, reflect the characteristics and needs of its rural environment. It is certain that the existing "unit plan" is not a suitable method. Residents of rural areas have been able to adjust themselves to their current dwelling space properly. This is, mainly, due to economic factors. The interior space is used for simple everyday activities like loading, deposit and drying things. "Nongmak" is a space used for agricultural work and the balcony is used for storage of various things. In conclusion, this study strongly suggested that secure storage space based on the farmhouse model and rural lifestyle should be necessary. Furthermore, special designed cubic shelves should be placed in utility rooms and balconys. And the design and function of apartment houses in rural areas must reflect the needs of its residents.

• Journal of Korean Academy of Nursing
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• v.35 no.8
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• pp.1508-1513
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• 2005

Background. This study was done to identify the prevalence of benign prostatic hyperplasia(BPH) and BPH-related symptoms among community-dwelling elderly men in Korea. In addition, quality of life and health care-seeking behavior were explored. Methods. A total of 417 elderly men were surveyed using the IPSS (International Prostatic Symptom Score) and a structured questionnaire on health care-seeking behaviors. Results. The prevalence of BPH was $19.7\%$. Of those with BPH, $80.3\%$ reported mild symptoms, $13.2\%$ moderate symptoms, and $6.5\%$ severe symptoms. The severity of BPH-related symptoms was significantly correlated with quality of life. Among those with BPH, $42.7\%$ had never consulted with anyone about their symptoms. Conclusions. BPH has emerged as a serious public health problem in elderly men. Elderly people who experience worse symptoms of BPH have a lower quality of life. Many elderly with BPH do not seek health care, mainly due to misconceptions about BPH. The provision of educational programs for BPH may significantly improve the quality of life of elderly men.

• Journal of Korean Academy of Nursing
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• v.33 no.2
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• pp.200-209
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• 2003

Purpose: This study was to identify the prevalence of orthostatic hypotension and its association with risk factors of orthostatic hypotension aged over 60 in Seoul and Chungju, Korea. Method: The data were collected from the 22th of August, 2000 to the 7th May 2001. The participants were 74 community-dwelling aged who could stand up from sitting position without assistance. Subjects were interviewed with structured questionnaire in order to ask experience of previous falls, hours in per day, symptoms related orthostatic hypotension and demographic characteristics. Orthostatic hypotension was assessed at 1 minute after the subjects standing from sitting position and defined as 20mmHg or greater decrease in systolic blood pressure after standing. Result: The prevalence of orthostatic hypotension was 17.1%. The mean drop of systolic blood pressure was 27.46mmHg among orthostatic hypotension subjects. The significant variables which explain the occurrence of orthostatic hypotension was the basal systolic blood pressure, the hit ratio of discriminant function with basal systolic blood pressure was 69.7%. Conclusion: Finding indicate that this study will contribute to develop nursing strategies to identify risk factors and to prevent orthostatic hypotension for the aged.

• Journal of the Korea Fashion and Costume Design Association
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• v.12 no.2
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• pp.41-54
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• 2010

This paper aims at studying about spatial structures and formative characteristics of Lucy Orta's fashion design. Her works utilizes the thought related on the architectural space that has been revealed sharp change of the paradigm since the late of 20th century. Lucy Orta against individualism of the urban life, and manufactures portable and moving housing and multi-functional fashion that is paved with individual rest unit and give a sense of security through simple combination among the units. Besides, she has development multiple portable clothing and equipments for the rescuethrough exploiting pioneering high technology. The results of this study can be summarized as the following: 1) refuge habitant creates individual space for physical and mental protection from the urban surrounding, 2) nomadic dwelling shows multi-functional fashion space fit for digital nomads' life style aims at continuous movement, 3) connective nexus and urban life guard are comprise of detachable individual unit in public space for remaking of the bonds, affinity, and relationship, and the complex of rescue clothing and equipments for meeting a challenge of the threat about human existence from uncertain environmental change in the future.