• 지역사회간호학회지
• /
• 제15권2호
• /
• pp.209-217
• /
• 2004

Purpose: The purpose of this study was to construct the structure, process and outcome of community-based home care nursing service and to examine their validity. Method: There were two steps. The first step was developing the structure and process of community-based home care and the second was evaluating the outcome of community-based home care. Home care services were provided to 25 clients who had health problems. Data on these clients were analyzed. Result: According to Albrecht Model, in the developed structure and process of community-based home care, structure contained facility's philosophy, organization, delivery system, steering committee, office, equipments, medical instruments, the home care nurse and client of home care nursing. Process contained classification of client. nursing diagnosis and nursing intervention. The majority of clients were men (56%). The service was used mostly by people aged over 50 (82%). The most frequent nursing diagnoses were altered urinary elimination (23.2%). impaired skin integrity (21.8%) and risk for infection (17.6%). Nursing interventions included wound care (16.7%), tube care (15.1%) and catheter care (14.5%). Conclusion: Several strategies are suggested from this study: first, activate a referral system within the national health care system: second, increase public information on home care nursing: third, develop home care nursing services for elderly people: and fourth, construct a cooperation system between home care services and social welfare services.

• 한국도로학회논문집
• /
• 제14권3호
• /
• pp.163-171
• /
• 2012

수요대응형 교통수단(Demand Responsive Transit)은 변화하는 이동수요에 대응하는 탄력적인 교통수단으로 단순히 노약자와 장애인을 위한 복지교통 서비스의 영역이 아니라, 무선통신과 위치정보서비스(Location Based Service: LBS)의 발달로 인하여 도심형 수단으로 보다 효율적인 교통수단으로 자리매김하고 있다. 그러나 문전서비스(Door-to-Door)를 제공하는 수요대응형 교통수단 시뮬레이션에 적합한 상용툴의 부재로 인하여 알고리즘이나 차량 운행 요소를 면밀하게 분석하기 힘든 어려움이 있었다. 본 연구는 수요대응형 교통수단에 연관된 다양한 차량 운영계획과 알고리즘을 구현, 평가할 수 있는 시뮬레이션 환경을 제안한다. 문전서비스(Door-to-Door) 기반의 차량 운행 모형을 적용하기 위하여 확보되어야 하는 시뮬레이션 입력 데이터를 정의하고 있으며, 수요대응형 교통수단의 대표적인 범주에 속하는 실시간 합승 택시(Shared-Taxi) 서비스를 서울시 교통망과 택시 수요를 이용하여 적용하였다. 합승 택시 운행 계획을 위하여 Nearest Vehicle Dispatch(NVD)와 Insertion Heuristic(IH), 두 종류의 알고리즘을 제안하였으며, 제안된 시뮬레이션을 통하여 성능을 비교하였다. 또한, 합승(Ride-sharing)을 허용하지 않는 일반적인 택시와의 비교를 통하여 시스템 효율 향상과 서비스 품질 변화를 분석하였다.

• 감성과학
• /
• 제5권2호
• /
• pp.1-9
• /
• 2002

향-냄새에 대한 감수성은 종족, 성에 따라 상이하며 냄새에 대한 인지력과 식별력은 가령화에 따라 쇠퇴한다고 한다. 가령화에 따른 향의 평가에 관한 선행보고들은 그 대상이 유아에서 노인에 이르기까지 다양함에도 불구하고 제시 향에 단순 알코올이나 단순 초산염이 주로 사용되었으며, 냄새 인지력이나 식별력 둥 지성적인 측면에서의 평가가 대부분이었다. 본 연구에서는 후각기능이 정상인 19～68세 50명을 대상으로 6종의 천연향에 대해 안정/폐안 상태에서 ECG, 피부저항, 그리고 주관평가를 실시하여 서로 다른 연령층에 따른 변화를 살펴보고자 하였다. 그 결과, 20대, 40대의 청\ulcorner중년층은 lemon을, 60대는 Lavender를 긍정적으로 반응\ulcorner평가하였다. 특히 40대 그룹은 평균 RR 간격, 심박수, 피부저항, 주관평가의 결과에서 가장 높은 상관성을 보여 후각기능이 가장 성숙한 연령대임이 확인되었다. 제시 향에 대해 연령별로 상이하게 반응/평가한 본 연구결과는 연령별로 차별화된 향장품 개발뿐만 아니라 인공냄새 그리고 맛의 개발에도 응용이 가능할 것으로 여겨진다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제3권1호
• /
• pp.129-137
• /
• 1992

이 논문에서는 Tolchhin의 증례분석을 토대로 청소년의 전화 정신 치료의 임상적 효용성을 분석하였고 국내외 문헌분석을 통해 치료과정에서 고려해야 할 몇가지 문제점과 치료원칙에 관해 기술 하였다. 정규적으로 정신치료를 받고 있는 대부분의 청소년들은 전화로 자신의 치료자와 직접 연락이 닿을 수 있음을 알고, 전화에 대한 답변을 얻을 수 있다는 사실을 알게 될때 도움을 받을 수 있다. 또한 치료자의 전화는 젊은 환자에게 긍정적인 치료적 동맹을 맺게 해 주는데 도움을 줄 수 있다. 전화 정신 치료는 외래치료가 힘든 학생들의 치료에 있어 보조적 치료기법으로 큰 도움을 주며, 매우 도전적이고 즉각적인 응답을 바라는 집단인 청소년에 대한 치료적 장비로서 중요하고 유용한 치료기법으로 기여할 수 있다.

• 기본간호학회지
• /
• 제16권3호
• /
• pp.316-324
• /
• 2009

Purpose: The aim of the study was to identify the relationships among age, activities of daily living and health-related quality of life (HRQoL) for centenarians in Busan. Methods: Forty-nine centenarians (2 males and 47 females) participated in the study, done from April to July, 2006. Pace-to-face interviews were used to collect data. Activities of daily living were measured using K-ADL, K-IADL and health-related quality of life, using the Short Form Health Survey (SF-36). Results: Over 50% of the centenarians reported independence for six-items but not for bathing. With regard to type of dependency, 77.6% were independent in transferring, 71.4%, in using the toilet, 67.3%, in feeding and in continence and 57.1% in dressing but just 24.5% were independent in bathing. Age was significantly associated with K-IADL (r= -.303, p= .03). The centenarians were more impaired in physical health components compared to mental health components for health-related quality of life. Conclusion: These results may contribute to a better understanding of activities of daily living and health-related quality of life of centenarians. The findings are relevant to health professionals, in particular professionals who are developing wellness programs to optimize health-related quality of life and functional status for the extremely old age population.

• Journal of Preventive Medicine and Public Health
• /
• 제40권2호
• /
• pp.162-168
• /
• 2007

Objectives : This prospective population-based cohort study was conducted to evaluate the risk factors of cognitive impairment and the degree of cognitive function change through a 5-year follow-up. Methods : The baseline and follow-up surveys were conducted in 1998 and 2003, respectively, Among 176 subjects who had normal cognitive function in the baseline study, 136 were followed up for 5 years. The cognitive function was investigated using the Korean version of the Mini-Mental State Examination (MMSE-K). The collected data were analyzed using SPSS and Stata. Results : Of the 136 subjects analyzed, 25 (18.4%) were cognitively impaired. Old age and low social support in the baseline survey were risk factors for cognitive impairment after 5 years. In the generalized estimating equation for 128 subjects except severe cognitive impairment about the contributing factors of cognitive function change, the interval of 5 years decreased MMSE-K score by 1.02 and the cognitive function was adversely affected with increasing age, decreasing education and decreasing social support. Conclusions : Although the study population was small, it was considered that the study results can be used to develop a community-based prevention system for cognitive impairment.

• 대한한방내과학회지
• /
• 제41권6호
• /
• pp.1141-1161
• /
• 2020

Objectives: Parkinson's disease (PD) is a neurodegenerative disease of the elderly characterized by impaired behavior from lack of dopamine secretion. However, no accurate quantitative diagnosis method has been established. The purpose of this study was to analyze the patent trends (PTs) of health examination and daily monitoring/healthcare technology for PD. Methods: For analyzing PTs, a search summary for classifying each analysis target technology was set, and a final search formula was constructed by collecting keywords. After constructing a database of related patents through the final search formula, noise was removed to extract valid patents. PTs by major countries were analyzed using the valid patents, and PTs and growth stages were analyzed by the detailed technologies. Results: The survey analysis showed that, despite the existence of unpublished patents between 2018 and 2020, patent activity has increased rapidly in the recent period, and this increasing trend was led by the USA. This technology is considered to be in its early- or mid-stage growth period, which means that the marketability is high and the barriers are low. Korea's market share is only about 25%, but it has a larger number of applications than those of Europe and Japan. Integrated monitoring and diagnosis technologies for PD have a share of 34%. Conclusion: The advances in diagnosis and healthcare technology for PD means that traditional Korean medicine must continue to pay attention to related technologies and to review plans that are applicable to clinical practice.

• 대한화상학회지
• /
• 제23권1호
• /
• pp.20-24
• /
• 2020

Diabetic patients have an increased risk of burn injuries on foot. Because of their diabetic neuropathy, they could contact with hot water or warming device without being aware of it. Split-thickness skin graft (STSG) is successful in treatment of various wound types; however, donor site wounds are sometimes problematic, and complications such as pain and impaired healing often occur. Although, donor site wounds in healthy young individuals can rapidly heal without complications, the wound-healing capacity of elderly patients or those with a comorbidity has been reported to be low. The dermatome is the most commonly used tool because it can harvest a large skin graft in one attempt. However, it is difficult to harvest tissues if the area is not flat. Furthermore, because the harvested skin is usually rectangular, additional skin usually remains after skin grafting. Therefore, use of razor blade and fragmented STSG on a large defect area is advantageous for harvesting a graft with a desired size, shape, and thickness. From January 2018 to July 2018, fragmented STSG was used in 9 patients who suffered from burn induced open wound on foot with diabetic neuropathy. With this approach, healing process was relatively rapid. The mean age of patients was 70 (57~86 years) and all of 9 patients had diabetes mellitus type 2. In all patients, the skin graft on the defect site healed well and did not result in complications such as hematoma or seroma.

• Journal of Ginseng Research
• /
• 제47권1호
• /
• pp.65-73
• /
• 2023

Background: Age-related macular degeneration (AMD) is a significant visual disease that induces impaired vision and irreversible blindness in the elderly. However, the effects of ginseng berry extract (GBE) on the retina have not been studied. Therefore, this study aimed to investigate the protective effects of GBE on blue light (BL)-induced retinal damage and elucidate its underlying mechanisms in human retinal pigment epithelial cells (ARPE-19 cells) and Balb/c retina. Methods: To investigate the effects and underlying mechanisms of GBE on retinal damage in vitro, we performed cell viability assay, pre-and post-treatment of sample, reactive oxygen species (ROS) assay, quantitative real-time PCR (qRT-PCR), and western immunoblotting using A2E-laden ARPE-19 cells with BL exposure. In addition, Balb/c mice were irradiated with BL to induce retinal degeneration and orally administrated with GBE (50, 100, 200 mg/kg). Using the harvested retina, we performed histological analysis (thickness of retinal layers), qRT-PCR, and western immunoblotting to elucidate the effects and mechanisms of GBE against retinal damage in vivo. Results: GBE significantly inhibited BL-induced cell damage in ARPE-19 cells by activating the SIRT1/PGC-1α pathway, regulating NF-kB translocation, caspase 3 activation, PARP cleavage, expressions of apoptosis-related factors (BAX/BCL-2, LC3-II, and p62), and ROS production. Furthermore, GBE prevented BL-induced retinal degeneration by restoring the thickness of retinal layers and suppressed inflammation and apoptosis via regulation of NF-kB and SIRT1/PGC-1α pathway, cleavage of caspase 3 and PARP, and expressions of apoptosis-related factors in vivo. Conclusions: GBE could be a potential agent to prevent dry AMD and progression to wet AMD.

• 한국산업정보학회논문지
• /
• 제29권1호
• /
• pp.1-13
• /
• 2024

본 연구는 키오스크 사용 증가로 인한 변화에 대응하기 위해 사용자 특성을 고려한 맞춤형 동적 키오스크 화면을 제공하는 것을 목표로 한다. 디지털 취약계층인 시각장애인, 노인, 어린이, 휠체어 사용자 등의 특성에 따른 화면 구성의 최적화를 위해 객체 탐지, 걸음걸이 인식, 음성발화 인식기술을 종합하여 사용자의 특성(휠체어 사용 여부, 시각 장애, 연령 등)을 실시간으로 분석하고, 이를 기반으로 9개의 카테고리로 사용자를 분류한다. 키오스크 화면은 사용자의 특성에 따라 동적으로 조정되어 효율적인 서비스 제공이 가능하다. 본 연구는 임베디드 환경에서 시스템 통신 및 운용이 이루어졌으며, 사용된 객체 탐지, 걸음걸이 인식, 음성발화 인식 기술은 각각 74%, 98.9%, 96%의 정확도를 보여준다. 제안된 기술은 프로토타입을 구현하여 그 효용성을 검증하였으며, 이를 통해 본 연구가 디지털 격차의 축소와 사용자 친화적인 "배리어 프리 키오스크" 서비스 제공의 가능성을 보였다.