• Title/Summary/Keyword: elderly in home

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The Development and Effect of Doctor-Visiting Nurses ICT Communication System for the Elderly: Focusing on Visiting Nursing Services for Long-term Care Patients (고령자 대상 의사-의료인간 ICT활용 협진 모델개발 및 실증에 관한 연구: 장기요양서비스 중 재가노인대상 방문간호서비스를 중심으로)

  • Cha, Sunmi;Yoo, Keunjoo;Choi, Solji;Hong, Seokwon
    • Journal of Korean Gerontological Nursing
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    • v.20 no.sup1
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    • pp.137-143
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    • 2018
  • Purpose: The purpose of this study was to examine effectiveness and usefulness of Information Communication Technology (ICT) in communication between physician and visiting nurses who provide visiting nursing services under long-term care insurance. Methods: Structured questionnaires were used to measure usefulness and satisfaction of the system, both accessibility and convenience to visiting nurses (31 people) and users (182 people). Results: From the user perspective, accessibility and convenience in terms of service users were both satisfactory as shown by users' percentage. No statistically significant difference was found for satisfaction between before and after using the system. The usefulness of the system for visiting nurses was satisfactory for most the nurses. Also most nurses answered that the system is needed and is very useful. Most of the participants (both visiting nurse and service users) were satisfied with use of the ICT system. However, there was no statistically significant difference in satisfaction between the pre and post service because the service provision period was too short (three months). Conclusion: The consensus from both users and service providers is that an ICT based visiting nursing system needs to be introduced but a more user - friendly environment for system development will be needed.

Intergenerational Transmission of Mother-Daughter Attachment and Unmarried Adult Daughter's Ego-Resiliency (모녀애착의 세대 전수와 성인 미혼 딸의 자아탄력성)

  • Im, Kyoung-Ei;Chun, Young-Ju
    • Journal of Families and Better Life
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    • v.27 no.1
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    • pp.197-208
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    • 2009
  • The purpose of this study is to examine the intergenerational transmission of mother-daughter attachment across three generations, and to determine whether the mother-daughter attachment of three generations influences the adult daughter's ego-resilience. The subjects of this study were 310 unmarried adult women aged 20${\sim}$29, residing in the Busan area, and their 310 middle-aged mothers. The mothers responded to two sets of questionnaire investigating their attachment to their mothers (G1-G2) in the past and the present attachment to their adult daughters (G2-G3). Meanwhile, the adult daughters were given questionnaires regarding their attachment to their mothers and their ego-resiliency. The measurements used for this study were the Inventory of Parent and Peer Attachment (IPPA) and the Ego-Resiliency Scale (ER). Among the distributed questionnaires, 265 sets were collected and 252 sets were actually analyzed using SPSS 12.0 after 13 sets had been excluded due to incomplete data. Basic statistics were used such as frequency analysis, Pearson's correlation and hierarchical regression analysis. The study results were as follows. First, the adult daughter-mother (G2-G3) attachment was explained mostly by mother-grandmother (G1-G2) attachment, daughter's age, and economic status of the family. The strongest factor was the mother-grandmother attachment which implies the transmission of attachment through generations. Second, among the factors that influenced the ego-resilience of an unmarried adult daughter, attachment to one's mother perceived by the daughter turned out to be the most significant. Especially, the more positive the adult daughter's emotion toward her mother and the higher the daughter's education, the stronger the ego-resilience of the adult single daughter was. It was concluded that the mother-daughter attachment remained consistent throughout three generations, which influenced the social-psychological adjustment of the adult unmarried daughter.

Mobile Ubiquitous Healthcare System Using Wireless Sensor Network (무선센서네트워크 기반의 모바일 유비쿼터스 헬스케어시스템)

  • Shin, Kwang-Sig;Yau, Chiew-Lian;Chung, Wan-Young
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.10 no.11
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    • pp.2107-2112
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    • 2006
  • As growing up of elderly population, the interesting on healthcare system in normal life using W is increasing. An integrated u-healthcare service architecture with IEEE 802.11 and IEEE 802.15.4 based sensor network and code divisi(m multiple access(CDMA) public mobile telecommunication networks was designed and developed. Sensor nodes with electrocardiogram(ECG), body core temperature sensors are attached on the patients' body. The healthcare parameters are transferred to web server via CDMA mobile network or through existed LAN network. The existed LAN network is suggested to be used for continuous monitoring of patient's health status in hospital while mobile networks can be used for general purpose at home or outdoor where infra networks unavailable. This system enable healthcare personal to be able to continuously access, review, monitor and transmit the patients information whereever they are, whenever they want. And immediately check their status by using cellular phone and obtain detail information by communication with medical information server through CDMA. By using this developed integrated u-healthcare service architecture, we can monitor patients' health status for 24 hours.

Comparative Analysis of Fashion Characteristics on the Cover of Domestic Licensed Fashion Magazines - Focused on ELLE, VOGUE, W - (국내 라이선스 패션잡지 표지에 나타난 패션특성의 비교분석 - ELLE, VOGUE, W를 중심으로 -)

  • Lee, Hyunji;Lee, Kyunghee
    • Fashion & Textile Research Journal
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    • v.21 no.1
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    • pp.1-12
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    • 2019
  • The purpose of this study is to examine the fashion characteristics of fashion magazine cover by comparing and analyzing the formative characteristics of fashion, visual design characteristics and illustration vocabulary on the cover of 3 fashion magazines. The data analysis criteria consisted of the formative elements of fashion (fashion design element, fashion coordination element) and visual design element (color, illustration lexical layout, model photograph type). Data analysis methods were statistical analysis, stepwise lexical analysis, and content analysis. The results of the study are as follows. First, the formative characteristics of fashion on the cover of fashion magazines show that ELLE is a feminine and elegant characteristics, VOGUE is a modern, chic and mannish characteristics, and W is avant-garde and neutral characteristics. Second, visual design characteristics on the cover of fashion magazines, ELLE and VOGUE use modern and simple modern sensibility by using monotonous background color and background color number, and W showed original image characteristic by using various colors. Third, as a result of the illustration lexical analysis on the cover of fashion magazines, 4 core keywords of trend, star, event, and life appeared in 3 magazines in common. Elle differentiates by innovation, Vogue by discrimination, W by reconstruction.

Medication Use Review Tools for Community Dwelling Older Patients: A Systematic Review (지역사회 거주 노인을 위한 약물사용검토 도구에 대한 체계적 문헌고찰)

  • Park, Ji-Young;Jun, Kwanghee;Baek, Yang-Seo;Park, So-Young;Lee, Ju-Yeun
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.1
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    • pp.61-78
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    • 2021
  • Background and Objective: The use of potentially inappropriate medications (PIMs) increases the risk of negative health outcomes, including drug-related admissions. Tools for structured medication review have been developed to ensure optimal medication use and safety. Here, we aimed to evaluate medication use review (MUR) tools for community-dwelling older patients. Methods: We performed a systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA). We searched PubMed, Embase, and the Cochrane Library from 1991 to 2020, excluding tools that are specifically applied to hospitalized patients or nursing home residents. We identified the most common inappropriate medications, drug-disease interactions, drug-drug interactions and prescribing omissions presented among tools. Results: From among 9,788 identified reports screened, 60 met our inclusion criteria; finally, 27 were eligible for data analysis considering originality and up-to-dateness. Most tools presented explicit criteria (93%), and only one was specific to community-dwelling elderly. The most common PIM was tricyclic antidepressants. Use of diltiazem and verapamil in patients with heart failure and the combination of nonsteroidal anti-inflammatory analgesics and warfarin were the most frequent disease-specific PIM and drug-interaction, respectively. Conclusions: Although several medication review tools have been developed for older adults, specific guidelines for community-dwelling populations remain limited. Furthermore, the list of PIMs differed among available tools. In future, specific but integrating MUR tools need to be developed for clinical practice considering this population.

Health Concern, Health Practice and ADL of The Elderly Who Stay at Home in a Rural Community (농촌(農村) 재택노인(財宅老人)들의 건강관심도(健康關心度), 건강실천행위(健康實踐行爲)와 일상생활동작능력(日常生活動作能力))

  • Eom, Young-Hee;Kam, Sin;Han, Chang-Hyun;Cha, Byung-Jun;Kim, Sang-Soon
    • Journal of agricultural medicine and community health
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    • v.24 no.2
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    • pp.269-289
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    • 1999
  • This study was conducted to examine the relationship among health concern, health practice and ADL of elderly staying at home in a rural community and their affecting factors. Data were collected through direct interviews made with 480 old people aged more than sixty-five from November 15, 1998 to December 20, 1998. Out of 189 male and 291 female, the high-level group that showed high health concern accounted for 44.4%, the medium-level group for 13.1%, and the low-level group for 42.5%, in the health practice, the high-level group accounted for 3.8%, the medium-level group for 18.8%, and the low-level group for 77.5%. In the self-rated health status, the high-level group accounted for 29.0%, the medium-level group for 31.0%, and the low-level group for 40.0%, and in the ADL, the high ADL group accounted for 91.5%, and the low-level ADL group for 8.5%. The result of the chi-square test showed that for male, there was a significant relation between the health concern and the health practice index score. In the relation between the health practice index score and the self-rated health status, there was significant positive relationship between health practice index and self-rated health status, and in the relation between the health practice Index score and the ADL, old people with higher health practices showed good ADL(but not significant). Old people with good ADL also showed good self-rated health status. In the multiple regression analysis where the health practice was used as a dependent variable, the health concern was added to the sociodemographic variables as an independent variables, a formula was formed for male old people only and ones with high concern in health showed good health practice. In the multiple logistic regression analysis where the sociodemographic variables to which the health practices was added were used as an independent variable and the ADL as a dependent variable, the ADL appeared to be not good if for male old people the living costs were born by their sons and daughters and as for female old people their ages increased, but it was good if old people had sources of health information such as hospitals or health centers. The self-rated health status was worse, for male old people, if they had short living costs or diseases and for female old people, if they had spouses, living costs born by their sons and daughters or diseases, but it was better, for male old people, if they had periodical gatherings or carried out health practices a lot, and for female old people, if they had sources of health information such as hospitals or health centers or carried out health practices a lot. In view of the results stated above, the higher the old people had health concern, the more they carried out health practices, and the more they carried out health practices, the better they had ADL and self-rated health status that served as the level of health. Further, the better ADL, the better self-rated health status.

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Changes of Chemical and Microbiological Quality of Home-delivered meals for elderly as affected by Packaging methods and Storage conditions 2 (노인을 위한 가정배달급식의 포장방법 및 저장조건에 따른 이화학적ㆍ미생물학적 품질 변화 2)

  • 김혜영;류시현
    • Korean journal of food and cookery science
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    • v.19 no.2
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    • pp.241-253
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    • 2003
  • Changes in chemical, microbiological quality of pan fried oak mushroom and meat, soy sauce glazed hair tail and roasted dodok in wrap packaging, top sealing, vacuum packaging were evaluated during storage 25$^{\circ}C$, 4$^{\circ}C$, -18$^{\circ}C$ for 5 days. The results were as follows: 1) The cases of chilled and frozen storage, there were small increases in the pH from the first day, with no differences between the different packaging methods, with the exception of the vacuum packaging, which was lower. The pH and Aw of the roasted dodok were lower than those of the other foods. The Aw for all three foods at room temperature significantly decreased in the wrap packaging and top sealing on day one, but the rate of reduction was lower when in chilled storage. The VBN increased with increasing length of storage, and temperatures, but the rate of increase was lower in the top sealing and vacuum packaging. The VBN of roasted dodok was considerably lower than with the other foods. The POV increased significantly on the first day or room temperature storage and the rate or increase was low in chilled End frozen storages, and in the vacuum packaging. 2) SPC of the roasted dodok at room temperature increased significantly within five days of storage. but was inhibited within five days in the vacuum packaging with chilled storage. The SPC of the soy sauce glazed hair tail was low in the top sealing and vacuum packaging when in chilled storage. The coliform of the pan fried oak mushroom and meat. on the fifth day of room temperature storage, was close to hazardous conditions for the wrap packaging. From the third day of chilled storage, few coliform were detected in the pan fried oak mushroom and meat, or the soy sauce glazed hair tail, but not in the vacuum packaging, within five days, for all three foods in frozen storage. The S. spp. had exceeded the standard in the wrap packaging and top sealing with the pan fried oak mushroom and meat on the third day at room temperature, but was not detected in the vacuum packaging within five days, and exceeded the standard in the wrap packaging on the fifth day of chilled storage. S. spp. was not detected in the soy sauce glazed hair tail within five days at all storage temperatures. S. spp. was not detected in the roasted dodok within five days of chilled and frozen storage, but was detected from the third day in the wrap packaging. and the fifth in the top sealing, at room temperature, which exceeded the standard. Sal. spp., V parahaemolyticus, E. coli O157:H7, L. monocytogenes were not detected. 3) The Aw was found to be influenced by storage temperature, period and packaging method, while the VBN was significantly influenced by the storage temperature and period. Regarding the SPC, the pan fried oak mushroom and meat was affected by the storage temperature and period, while the soy sauce glazed hair tail was influenced by the packaging method and storage period. The roasted dodok's microbiological quality was influenced by the method of packaging. The chemical, microbiological quality of home-delivered meals were preserved to be five days in the vacuum packaging, at. chilled and frozen storage.

Need for Development of a List of Meals for Diabetic Patients and Development of Barley-Based Diabetic Meals (당뇨병환자의 메뉴개발 요구도 및 보리이용 당뇨식단 개발)

  • Ryu, Ji Hye;Rho, Jeong Ok
    • Human Ecology Research
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    • v.51 no.5
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    • pp.551-561
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    • 2013
  • The aim of this study was to develop and apply a list of meals and standard recipes using barley for diabetic patients. The degree of interest and requirements of diabetic patients were investigated for the development of meals. The ingredients of the meals were selected through the diabetic literature and previous research. While developing a list of meals, dietetic therapies for diabetic patients were considered. After developing 15 kinds of meals and modifying them through sensory evaluation, a standard recipe was completed. In the standard recipe, the menu name, the ingredients, quantity, and recipe were stated and the nutritional components were indicated. Photographs of the meals were included. The calorie prescription for the diabetic patients was aimed at elderly women, that is, those 65 years old or above, based on research showing this to be the average age of diabetics. The prescribed calories were 1,500 kcal based on the food exchange list. Weekly lists of meals including the developed dishes were made for diabetic patients. The list were modified after consultation with a clinical nutritionist. When completed, one meal item was selected for each day and cooked. A photograph was taken and presented diabetic patients. This article presents the standardized recipes of the developed list of meals and applies them to modifying the diabetic diet, with an aim to be of service to diabetic patients attempting to meet their dietetic therapy goals. We also provide basic data on institutional food services for diabetic patients and nutrition education.

Characteristics of and Determinants of Life Satisfaction Among Elderly Korean Immigrants in Los Angeles (LA 거주 한국이민노인의 생활만족도 결정요인과 특성)

  • 홍숙자
    • Journal of Families and Better Life
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    • v.8 no.1
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    • pp.157-170
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    • 1990
  • 본 연구는 미 L-A에 거주하는 한국이민 노인들의 특성을 파악하고, 그들의 생활만족도에 기여하는 결정요소들이 무엇인지 가려내며, 그 얻어진 결과를, 동일한 시각과 접근으로 시도되었던 미국 노인들에 대한 선행연구들의 결과와 비교 분석하였다. 연구는 1986년 12월에서 1987년 2월까지 3개월간 미 L-A 카운티에서 거주하는 55세 이상의 한국 이민노인 390명을 대상으로 설문지 조사를 실시하여 그중 192명을 자료분석에 사용하였다. 단계별 중다 회귀분석의 결과, 활동성의 제약정도, 결혼상태, 재정적인 안정, 교육정도, 연령증가 등 5가지 변인들의 특별히 한국노인의 생활만족도가 강한 연관성이 있었고, 반면 자신들이 평가한 건강상태, 지인과의 사회적인 상호작용, 미국거주 년한 등은 노후생활의 안녕에 전혀 직접적인 영향력을 행사하지 못했다. 그러나 자신들이 평가하는 건강상태는, 활동성의 제약 등과 같은 다른 변인에 미치는 효과를 통해서 생활만족도에 간접적으로 강하게 영향을 미치고 있었다. 이러한 결과를 선행연구에서 나타난 서구나 미국노인의 생활만족도 결정의 세 요인인 건강상태, 사회경제적 지위, 사회적 활동성과 비교해 볼때, 사회적 활동성과 연령증가 변인에서 서로 상반되는 대조를 보이고 있었다. 즉, 백인노인들은 나이가 듦에 따라 생활만족도가 낮아지거나 혹은, 연령증가와 생활만족도 사이에 별로 유의할 만한 관계를 보이지 않고 있으나, 본 연구에서의 한국노인은 나이를 먹으면서 오히려 생활만족도가 높은 것으로 나타났다. 한편, 사회적 활동성은, 백인노인의 생활만족도에 긍정적 혹을 부정적으로 가장 강하게 영향을 미치는 요인중 하나임에 반하여, 한국노인들은 이것이 자신들의 생활만족에 중요한 것이라 믿고는 있었지만 실제 통계학적으로는 영향력을 행사하지 못하는 요인이었다. 주거환경(자식과의 동거여부) 역시, 이제껏 한국사회에서 기대되어왔던 통념과는 달리, 한국노인의 생활만족도에 아무런 영향을 주지 못하고 있었다.

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A Personalized Hand Gesture Recognition System using Soft Computing Techniques (소프트 컴퓨팅 기법을 이용한 개인화된 손동작 인식 시스템)

  • Jeon, Moon-Jin;Do, Jun-Hyeong;Lee, Sang-Wan;Park, Kwang-Hyun;Bien, Zeung-Nam
    • Journal of the Korean Institute of Intelligent Systems
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    • v.18 no.1
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    • pp.53-59
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    • 2008
  • Recently, vision-based hand gesture recognition techniques have been developed for assisting elderly and disabled people to control home appliances. Frequently occurred problems which lower the hand gesture recognition rate are due to the inter-person variation and intra-person variation. The recognition difficulty caused by inter-person variation can be handled by using user dependent model and model selection technique. And the recognition difficulty caused by intra-person variation can be handled by using fuzzy logic. In this paper, we propose multivariate fuzzy decision tree learning and classification method for a hand motion recognition system for multiple users. When a user starts to use the system, the most appropriate recognition model is selected and used for the user.