• 한국실내디자인학회논문집
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• 제9호
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• pp.18-23
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• 1996

Among the building types in which behavioral issues play, the largest role are institutional environments. Such setting share a number of important characteristics ; they serve specific population (e.g. the ill, the elderly , '||'&'||' inmates) : they are directed toward specific social behavioral objectives(e.g medical care, education , '||'&'||' rehabilitation); and they are "Total institution" in which residents spend all of there time. The basic concepts and theories of environment-behavior studies are of direct relevance in understanding such social institutions. In this study, I have examined the relationships between waiting and the specific conditions of the hospital experience. More specifically, this is a study of visitors (outpatient) within the context of the hospital , and the physical setting designated for their use in the outpatient waiting room. Environment behavior studies, with its commitment to individual behavior and the physical environment might well be a particularly way by which a study of waiting rooms can demonstrate the power of this approach and its integrative among disciplines.

• 디지털융복합연구
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• 제18권4호
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• pp.201-209
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• 2020

본 연구는 아동의 그림을 통하여 정서 상태를 분석하고 그 결과에 따라 심층 검사 대상자를 선별하여 전문 기관에 연계하도록 하는 시스템에 대한 사례 연구이다. 공간적·시간적 제약을 극복하기 위해 아동 그림 분석의 신청부터 최종 결과의 피드백까지 단계적으로 처리할 수 있도록 하기 위한 웹 기반 시스템을 개발하여 적용하였고, 결과에 따라 전문기관의 도움을 받기 위해 연결된다. 온라인 플랫폼은 스마트폰을 이용하여 1차 스크니링 목적으로 관찰을 실시하고, 이후 결과를 토대로 오프라인의 2차케어 연계 프로세스를 진행하도록 설계되었다. 부모의 양육스트레스를 함께 분석하여 검사의 정확도를 높이고 문제의 원인을 찾는데 도움이 되도록 하였다. 보육기관에 다니는 만 3세에서 만 5세 사이의 아동 2,532명과 그 부모를 대상으로 하였다. 프로그램 적용 결과 아동 중 564명과 부모 중 223명이 2차 기관 케어 지원대상으로 분석되었고, 학부모 311명에 대한 교육 및 상담을 실시하였다.

• 한국가족복지학
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• 제61호
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• pp.59-91
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• 2018

본 연구는 노인환자 치료경험이 있는 노인 의료전문가를 대상으로, 그들이 인식하는 연령주의를 확인하는 동시에, 이러한 장벽을 없애기 위하여 연령통합적인 차원의 노력과 경험들을 어떻게 해왔는지에 초점을 둔다. 연구대상자인 9명의 의료전문가들의 연령주의와 연령통합에 대한 보다 다양한 인식과 경험을 담아내기 위해 CQR 질적연구 방법을 활용해 분석하였다. 의료전문가들은 연령주의(Ageism)에 대한 자기고백의 이중성을 보이고 있었으며, 의료현장에서는비적정진료, 노인 소외와 보호자 의존, 양극화 된 서비스와 빈곤노인에 대한 이중차별의 방식으로 연령주의가 실재(實在)하고 있었다. 이를 완화 혹은 해결하기 위한 방안으로서의 연령통합적 의료서비스 제공에 대해 어려움을 느끼고 있었으나, 소통을 위한 장벽 허물기를 추구하거나, 노인 뿐 아니라 모두에게 보편적(universal)으로 편안한 환경을 제공하거나, 제도와 서비스 기준을 확대 및 다양화하는 방식으로 연령통합적 서비스를 위한 적용노력을 하고 있는 것으로 나타났다. 급격히 증가하는 노인환자들의 건강한 삶과 적정한 의료서비스 보장을 위해첫째, 연령주의를 가속화 시키는 한국 의료체계 내 요소들에 대한 비판적 고찰, 빈곤노인에 대한 관리체계 개선, 의료전문가 제도 내 연령통합관련 커리큘럼 포함, 노인전문 의료서비스와인력양산 그리고 노인과 노인대상 의료영역에 대한 인식개선을 제안하였다.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권5호
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• pp.781-791
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• 2019

본 연구에서는 장기요양기관 관리자, 요양보호사, 입소노인을 대상으로 하여 2015년도 장기요양기관의 평가(평가등급, 평가등급의 변화, 평가지표의 적합성), 요양보호사의 서비스의 질, 입소노인의 서비스 질 만족도, 삶의 만족도, 시설 선택에 미치는 영향을 파악하고자 하였다. 이를 위해 IRB를 받은 뒤 2018년 1월과 2월에 장기요양기관 관리자 79명, 요양보호사 381명 및 입소 노인 381명을 대상으로 설문조사를 완료하였다. 설문조사는 2015년도 장기요양(시설급여) 평가결과를 반영한 할당표본을 실시하였다. 연구결과 장기요양기관 평가의 주된 목적이라 할 수 있는 입소노인의 삶의 질 향상에는 요양보호사의 서비스 질 보다 기관평가(평가등급, 평가등급의 변화, 자표의 적합성 인식)가 더 큰 영향을 미치는 것으로 나타났다. 그러나 퇴소 후 시설재선택의향은 요양보호사의 서비스의 질에 더 큰 영향을 받았다. 따라서 시설재선택의향을 제외하고 보면, 국민건강보험공단의 평가의 호과성이 부분적으로나마 검증되었다고 볼 수 있다.

• 산업융합연구
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• 제18권6호
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• pp.139-146
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• 2020

중증장애인의 돌봄은 비장애 가족에 비해 전 생애주기에 돌봄이 필요하다. 이런 이유로 중증장애 가족의 돌봄자는 일상적인 스트레스는 물론 가족 전체에 부정적인 감정을 가질 우려가 높다. 장애가족 역시 장애인을 중심으로 이루어지는 생활에서 비 장애자녀나 부부간의 어려움을 경험하는 비율이 높다. 특히 우리나라의 급격한 고령화는 장애 돌봄자의 노령화와 함께 노인장애인의 삶에도 영향을 미친다. 연구는 질적 연구방법을 통해 장애인 돌봄자의 과거와 현재 경험을 통한 현실적 지원에 대한 대안을 탐색하였으며, 미래에 대한 희망과 기대를 다음과 같이 도출하였다. 첫째, 장애 영유아에 대한 장애확인 후 지원체계나 제도에 대한 정보전달이 등급판정 기관에서부터 제공. 둘째, 장애유형이나 개별특성에 적합한 '맞춤형 돌봄지원'의 사회, 정치, 제도, 경제적 차원에서의 제공. 셋째, 비장애 자녀대상의 프로그램의 제공과 장애인을 포함하거나 혹은 장애가족만을 위한 힐링 프로그램의 제공. 넷째, 성인장애인을 위한 휴식과 쉼을 제공하는 공간과 프로그램의 제공. 다섯째, 장애인 노화연령을 반영한 노인장기요양제도 적용과 장애인 커뮤니티케어의 제도화이다. 이러한 대안제시를 통해 연구는 성인과 노인 장애인의 삶의 질 향상을 위한 논의점의 제시에 연구의 의의를 두고 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.7331-7335
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• 2015

Background: Concurrent chemoradiation with three weekly high dose cisplatin is the non-surgical standard of care for the treatment of locally advanced head and neck cancers. Although this treatment regime is efficacious, it has high acute toxicity, which leads not only to increased treatment cost, but also to increased overall treatment time. Hence, the current study was undertaken to evaluate the acute toxicity and tumor response in head and neck cancer patients treated with concurrent chemoradiation using $40mg/m^2$ weekly cisplatin, which has been our institutional practice. Materials and Methods: This single institution retrospective study included data for 287 head and neck cancer patients treated with concurrent chemoradiation from 2012 to 2014. Results: The mean age of the patients was 48.8 years. The most common site of involvement was oral cavity. Most of the study patients presented with advanced stage disease. The mean overall treatment time was 56.9 days. Some 67.2% had overall complete response to treatment as documented till 90 days from the start of treatment. According to the Radiation Therapy Oncology Group (RTOG) acute radiation morbidity scoring criteria, mucositis was seen in 95.1% of the patients. Dermatitis and emesis were observed in 81.9% and 98.6%, respectively. Regarding haematological toxicity, 48.8% and 29.6% suffered from anaemia and leukopenia, respectively, during treatment. Acute kidney injury was assessed using the Common Terminology Criteria for Adverse Events (CTCAE), and was found in 18.8% of the patients. Conclusions: Concurrent chemoradiotherapy with weekly cisplatin is an effective treatment regime for head and neck cancers with reasonable toxicity which can be used in developing countries, where cost of treatment is so important.

• 한국실내디자인학회논문집
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• 제27권2호
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• pp.24-36
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• 2018

Implementing a home modification to enable elderly's safe and independent living is the key plan to realize their aging in place. South Korea in which had entered an aged society is not yet vitalized in home modification for the elderly compared to that of welfare-developed countries, and South Korea provides support that is limited to the low-income elderly. Therefore, this purpose of this study was to analyze the laws related to the home modification, the present condition of home modification support, the standards and guidelines in home modification, the support in house modification cost, and supporting organization and working force in the home modification. Through the analyzing process, this study examined the current situation and problems of institutional support in the home modification for elderly and the proposed plan for institutional improvement. The suggestions based on the results are as in the following. 1) Home modification support law(act or regulation) is required to be improved 2) Home modification support system correspondent to aging process should be provided regardless of their income levels. 3) Delicate plan standard and guideline are necessary for a process of implementing the home modification for the elderly. 4) Information on life behavior is in need for the implementation of elderly-customized home modification. 5) Cost for the home modification should be considered to cover by the Act on Long-Term Care Insurance for the Aged. 6) Housing Welfare Center and Housing Welfare Professional should be actively utilized for the home modification support institution and work force.

• 한국식생활문화학회지
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• 제16권2호
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• pp.187-193
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• 2001

The residents of institutional settings for the disabled people are likely to be a potentially nutritional at-risk groups. The objective of the present study was to investigate the current nutrition and foodservice management in institutions for the disabled using a survey questionnaire. The majority (85%) of the institutions was using a simple pre-set menu that consists of rice, soup or stew, kimchi, and two other side dishes. Some twelve percent of the institutions served only one side dish. The residents were consuming a diet of a low diversity with insufficient amounts of micronutrient rich foods. As a protein source, legumes and soybean curds, and eggs were served 90% and 94% of the time, while beef, pork or poultry, a better iron source, was served less than 2-3 times per month. Fruits were most infrequently served food items in these facilities with 38% of the facilities serving fruits only 2-3 times per month. With regard to the nutrition and health care management, the physical examination on the residents was conducted annually in 88.8%, routine hemoglobin measurement peformed in 66%, and nutrition education was conducted in 10.9% of the surveyed facilities. The foodservice and nutrition management manual will help ensure a safe and better quality foodservice for the disabled people, which is necessary for the improvement of health and nutrition of these people.

• 대한수의학회지
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• 제49권1호
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• pp.91-99
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• 2009

The concept about zoo is changing from the animal exhibition which simply contained the animals to the ecological zoo which has the function of preserving the animal species. At the central point of maintaining such role, the basic principle called the animal welfare lies obviously. Korea has applied the animal welfare principles such as carrying out the enrichment in the zoos since 2003, but there has not been any institutional device to evaluate and examine the application of the animal welfare so far. This study aims to confirm the level of animal welfare in Korea and suggest a developmental direction. For the purpose of the study, 12 zoos in Korea were evaluated according to 68 evaluating categories. 'Five Principles of Animal Welfare' in the Secretary of State's Standards of Modern Zoo Practice were selected and carried out as the evaluation categories, and the result, from the highest to lowest score given, was 'provision of food and water', 'provision of protection from fear and distress', 'provision of health care', 'provision of an opportunity to express most normal behaviours', and 'provision of a suitable enrichment' with the overall score of the entire Korean zoos being 2.86 (${\pm}$ 0.56). It was also confirmed that in order to improve the animal welfare of the Korean zoos, the animal management system must be standardized and organized. The evaluation and feedback, the active practice of animal welfare and its legislative support should be provided to establish an effective institutional device as well.

• 가정과삶의질연구
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• 제22권1호
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• pp.103-114
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• 2004

This study was performed by the literature review on housing of the aged in Korea with social constructionism perspective. This kind of research may be utilized as a theoretical framework for performance of any systems of housing for the aged. In terms of structural context, the value of conventional custom of filial piety thoughts and duty for family are being collapsed, which nay be suitable to the change of society, should be considered for positive acceptance of changes in ideology. In terms of institutional context, a method to grope for housing for the aged should be established through amicable cooperation between organizations of legalization concerned. In terms of organizational context, there is no organization that exclusively concern housing for the aged until now, thus, development of concrete manual is required for jobs of service in current department of policy for the aged. In terms of operational context, the service may include the understanding of characteristics of the aged and design of housing may also change the service of administration, and as cooperation in the local community care systems may change the service to the aged in the field. Connection of these services and operation of these organizations nay be required in the field to manage housing. Finally in terms of intersubjective context, as the form and method of housing management service is important, with understanding of the social meaning and importance on the role of manager.