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Housing Policy for the Elderly and the Meaning of "Aging in Place" in Japan (일본의 고령자 거주문제와 주거정책: Aging in Place를 중심으로)

  • Cho, Ara
    • Journal of the Korean Geographical Society
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    • v.48 no.5
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    • pp.709-727
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    • 2013
  • Recently, "aging in place" has become the principle philosophy of elderly housing policy in many countries. However, since there is ambiguity surrounding the universal definition of it, the meaning of AIP has been defined by political expediency. This study aims to discuss the meaning of AIP by examining the transition of elderly housing issues and policy in Japan. During the last two decades, the Japanese government has tried to launch a new elderly welfare system to shift the responsibility of elderly care from the family to the society and from the society to the region. And the focus of elderly housing policy has shifted from the promotion of three-generation dwellings to supporting the development of private residences. However, since the main goal has been limiting the welfare budgets rather than enhancing the quality of life, elderly housing issues have been reduced to a matter of choosing either elderly care facilities frequently located in suburbs or not. This paper suggest that we should pursue the true AIP idea in housing policy, and argues that to do so we need to consider AIP from diverse aspects such as temporal continuity, the range of space, the dynamics of place experience and the capability of communities.

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A Study on the Process of Being Delinquent (청소년 비행화과정에 관한 연구 - 중학생을 중심으로 -)

  • Lee, Ik-Seob;Kim, Geun-Sik
    • Korean Journal of Social Welfare
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    • v.35
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    • pp.319-344
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    • 1998
  • The endeavor to reveal reasons and backgrounds of juvenile's being delinquent has been continuing. Most of them, however, are not multi-dimensional and integrative, but one-dimensional which has had just focused on the factor of family or individual. One of the main purposes of this. study is to get implications on practical programs through the ecological-systematic analysis on factors and processes of juvenile delinquency. In this study, region has separated into two, one is of poor and the other is non, and then informations on factors and process of being delinquent were gathered by comparing between them. Eleven hundreds and sixteen cases were sampled from six junior-high schools which have met the purpose of this study. The survey had been committed with structured questionnaire which had been consisted in several variables; personal; familial; school and peer related; delinquent characteristics. Reliability and validity of each variables had been tested through pilot test. Effects of independent variables on dependent variables were analyzed according to the region through path analysis. In the analysis, remarkable differences on the processes of being delinquent had been found and three path models of being delinquent had been made on the basis of those differences. Each of them has shown different effecting patterns of personal, familial, and school and peer related variables on one's degree of delinquency. In Pattern 1, peer related variables have committed more powerful effects on the degree of delinquency than the others have. School related variables, in Pattern 2, commit most striking effects on the dependent variables. The degree of delinquency in Pattern 3 is most strongly effected by familial variables. The limitations that personal behavior oriented approach might be confronted in the field of juvenile delinquency have been proved by these results of this study. These results have given many implications to us on the needs of distinctive and integrative approaches to the problems of juvenile delinquency.

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Permanency Plan for Adults with Mental Illness : Focused on Mental Health System of New Zealand (성인정신장애인의 평생계획모형 : 뉴질랜드 정신보건서비스를 중심으로)

  • Seo, Mi-Kyung
    • Korean Journal of Social Welfare
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    • v.58 no.2
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    • pp.33-56
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    • 2006
  • Primary care takers, especially older parents, who live with and care for an adult child with mental illness struggle with the dilemma of who will provide for their child's social and emotional needs and physical care requirements when they can no longer care so. Therefore, 'Permanency plan(financial, residential, legal plan)' is very important for social integration and normalization of mental illness adults. This study aims to introduce the mental health systems in New Zealand and to investigate the permanency plan strategies(benefit, supplements, and the laws) of the government and community support services of NGOs through the interviews with team leaders of representative NGO, Te Korowai Aroha. Permanency plan strategies of New Zealand Government and NGOs are as follows. 1) Financial plans for adults with mental illness include main benefit(invalid benefit), various allowances(family allowance and disability allowance), and wage subsidies for employment. 2) The Government provide accommodation supplement and re-establishment grant for residential plan. And NGOs have supported accommodation program to provide support and accommodation that are important for social integration. 3) Adult mental illness is provided the support of welfare guardian and property manager under the Protection of Personal and Property Rights Act. According the results, this study concluded that social services for the mental illness which secure supported accommodation and benefits is strongly needed. At the same time, mental health delivery system is needed to make distinction between social services and clinical services.

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The Impact of Abuse on the Quality of Life of the Elderly: A Population-based Survey in Iran

  • Honarvar, Behnam;Gheibi, Zahra;Asadollahi, Abdolrahim;Bahadori, Farzaneh;Khaksar, Elahe;Faradonbeh, Maryam Rabiey;Farjami, Mohammad
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.2
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    • pp.89-97
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    • 2020
  • Objectives: The quality of life (QoL) of the elderly and elder abuse are growing public health concerns. This study aimed to evaluate the prevalence of abuse and the association between QoL and abuse in older adults. Methods: Multistage random cluster sampling, along with valid QoL (LEIPAD: LEIden, the Netherlands; PADua, Italy; Helsinki, Finland) and abuse questionnaires, were used to assess QoL and elder abuse. Path analysis was performed using Mplus. SPSS and AMOS were used for the other analyses. Results: A total of 386 elderly individuals with a mean age of 68.00±6.10 years were interviewed, of whom 200 (51.8%), 289 (74.9%), and 376 (97.4%) were women, educated, and married, respectively. Moreover, 167 (43.2%) had low-to-moderate QoL, and 108 (27.9%) had experienced a moderate level of abuse. QoL and abuse were inversely associated (r=-0.253), with men (β=-0.24) more affected than women (β=-0.21). Musculoskeletal disorders were also strong determinants of QoL in the elderly. QoL was strongly associated with emotional abuse, while abuse was highly related to the social component of QoL. Furthermore, emotional abuse was the type of abuse most significantly associated with the self-care, depression/anxiety, cognitive, and social components of QoL. Sexual abuse, violation of personal rights, and neglect were the main determinants of the physical functioning, life satisfaction, and sexual domains of QoL, respectively. Conclusions: Nearly half of the elderly individuals lacked a high QoL, and at least one-fourth had experienced some form of abuse. Elder abuse was correlated inversely with QoL. Therefore, preventive interventions are recommended to decrease elder abuse in the family, community, and other settings.

Determinants of Sex-Selective Induced Abortion Among Married Women : A Comparative Study between Taegu & Bay Area in California, USA (선별적 인공유산의 결정인자에 관한 비교연구 : 대구지역과 미국 캘리포니아 베이지역)

  • 김한곤
    • Korea journal of population studies
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    • v.20 no.1
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    • pp.65-96
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    • 1997
  • The main purpose of this study is to explore the determinants of sex ratio imbalance at birth in Taegu which has experienced the extremely imbalanced sex ratio at birth since mid-1980s. This paper attempts to compare the determinants of sex ratio imbalance at birth, such as sex discrimination against women, son preference, prenatal sex identification followes by sex-selective induced abortions, among married women aged 25 to 44 in Taegu with those in Bay area, California in USA. The research is based on the survey data which were conducted in Taegu, Repulic of Korea and Bay area, California in USA. The findings of this analysis suggest that married women in Taegu are more likely to feel sex discrimination against women than married women in Bay area. Furthermore, the percentage of married women's effort for son bearing before pregnancy is much higher than that of married women in Bay area. We also have found that the percentage of sex-selective induced abortion in Taegu is six times higher than that of married women in Bay area. According to the logistic regression analysis, the determinants of sex-selective induced abortion among married women in Taegu are discrimination against women, son preference, prenatal sex identification. On the other hand, age is the only variable which has an important impact on sex-selective induced abortion among married women in Bay area. From the findings of this study, we can conclude that son preference based on Cofucianism is the most important impact on sex ratio imbalance at birth in Taegu where son preference is much stronger than other regions in Korea. The phenomenon of extremely imbalanced sex ratio at birth in Taegu is the result of combination of these factors, such as strong son preference, seeking to have at least one son within small family size, and prenatal sex identification followed by sex-selective induced abortion.

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Dietary Behaviors and Consumption of Health Food among the Cancer Patients (암환자들의 식행동과 건강식품 섭취실태에 관한 연구)

  • Kim Yong-Sin;Kim Sang-Yeon;Jung Kyung-Ah;Kwon Soon-Hyung;Chang Yu-Kyung;Park Mi-Hyoun;Hwang Sunng-Joo
    • Journal of the East Asian Society of Dietary Life
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    • v.15 no.5
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    • pp.516-523
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    • 2005
  • This study was performed to investigate dietary behaviors and consumption of health food in cancer patients. The subjects were 163 cancer patients recruited from the general hospital in Seoul, Korea. The data were obtained by the structured self administered questionnaire. The mean age of subjects was 51 years. Most of subjects didn't eat the visual fat of meat and chicken skin. The mealtime of the subjects was generally regular and most of subjects had breakfast. The subjects of this survey liked to eat foods with sweet taste but disliked to eat hot, salty and sour taste ones. The preference for fish, marine products and vegetables was high but that for instant foods and frying foods was very low. Most of subjects consumed the foods that is generally known as anticancer foods such as vegetables and fruits. On the other hand, most of subjects didn't intake butter, margarine, and frying foods that is known as risk factors of cancer. The majority of subjects$(84.7\%)$ consumed the health food The main reasons for taking health foods by subjects were to cure disease$(58.0\%)$, to prevent disease$(45.3\%)$, to supply nutrients$(39.3\%)$, to maintain the mental state$(12.7\%)$ and to recover fatigue$(10.7\%)$. Majority of subjects$(66.0\%)$ spent money more than 200,000 won/month to buy health foods. The purchasing channels of health foods by subjects were recommendation by family or friend$(64.0\%)$, by physician/pharmacist$(18.0\%)$ and by nutritionist or dietician(6.0), and advertisement through TV or radio$(12.0\%)$. The types of taking health foods of the subjects were vegetable extracted food$(60.0\%)$, mushrooms$(51.3\%)$, Lactobacillus food$(25.3\%)$, enzyme food$(22.6\%)$ calcium containing food$(20.0\%)$ and so on. The results of the current study show that although many cancer patients already practice healthy dietary behaviors, there is a substantial proportion who do not and most of cancer patients consume health foods.' Further intervention is needed to explore the effect of health foods in cancer patients

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Development of Household Projection Model and Its Application for Korea (우리 나라에 적합한 가구추계방법에 관한 연구)

  • 장영식;변용찬;김유경
    • Korea journal of population studies
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    • v.21 no.1
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    • pp.129-161
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    • 1998
  • Change in the future household members is closely related to the change in the size and structure of the population which, in turn, is affected by factors of fertility and mortality and the household itself due to changing social values on family. This study aims to estimate the number of households and to thereby analyze the characteristics of household, using a household projection method chosen by reviewing various methods for Korea. In selecting the method of estimating households, the irregularity of the source data should be carefully taken into consideration with a society like the Korean society which is changing rapidly. The review on the proojection methods suggests the breakdown of the ages into two groups, namely 34 years old or less and 35 years old or more, for projecting the households for Korea. Thus, the Exponential Method for the former age group and the Net Transitional Method for the latter are adopted in this study. As a result, the number of households is expected to increase from 12,956 thousand in 1995 to 20,006 thousand in 2030 or by 54% during this period. The average number of members per household will decrease from 3.3 persons in 1995 to 2.5 persons in 2030. One of the main features of change in the housohold structure will be a rapid increase in the number of one person households and a decrease in the number of households with three generations or more.

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The Histologic Findings and the Expression of Laminin in the Mucosa of the Rat Trachea During (백서 기관 점막의$SO_2$ 노출 후 회복과정의 조직학적 관찰 및 laminin의 발현에 관한 연구)

  • Lee, Hyung-Seok;Tae, Kyung;Cho, Seok-Hyun;Han, Jang-Hee;Jeong, Jin-Suck
    • Korean Journal of Bronchoesophagology
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    • v.8 no.1
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    • pp.29-34
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    • 2002
  • Background and Objectives : Sulfur dioxide gas is one of the major airborne Pollutants noxious to human in industrialized countries. The most vulnerable areas in the human respiratory system were the trachea and main bronchi and a gradient of decreasing damage was observed in the peripheral tracheobronchial tree. Induced functional alteration was increased mucosal permeability, and morphological changes were epithelial sloughing, intracellular edema, mitochondrial swelling, widened intercellular spaces, and ciliary cytoplamic extrusions. The laminins are a family of extracellular matrix glycoproteins localized in the basement membrane. Their primary role is cell-matrix attachment, but many additional biologic activities, including Promoting cell growth and migration, tumor growth and metastasis, wound repair, and graft survival, have been demonstrated. Materials and Methods : Histologic changes and expression of laminin in tracheal mucosa sacrificed at 1 day, 2 day, 3 day, 1 week, 2 weeks, and 3 weeks after continued SO2 exposure of 250 ppm for 30 minutes a day(to 7week) were studied in rats. In this study, mild immune reaction for laminin was noted at the apical cytoplasm of epithelial cells and basement membrane one day after a 7 week $SO_2$ exposure. The cilia and nucleoi of epithelial cells were normal and no immune reaction was noted in Goblet cells. The lamina propria of the tracheal tissue was infiltrated by monocytes and lymphocytes. Results : At 24 hours after exposure, all tracheal cells except Goblet cells revealed a mild immune reaction for laminin. No immune reactions were noted in the basement membrane. At 72 hours after exposure, mild or moderate immune reactions for laminin was seen in the tracheal cell cytoplasm. Irregular faint immune reaction for laminin was noted in the basement membrane. At 1 week after exposure, strong immune reaction for laminin was detected over all tracheal cells, and the basement membrane was seen clearly. At 2~3 weeks after exposure, strong immune reaction for laminin was seen in all tracheal epithelial cells except Goblet cells and a mild immune reaction was partly revealed in the basement membrane. Conclusion : Our study suggests that 502 produces histologic damage on the tracheal mucosa. Longer duration after exposure of $SO_2$ makes more progressive healing on the tracheal mucosa and increased immunoreactivity for laminin.

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A clinical Study on Pediatric Bronchoarthma (II) (소아기관지(小兒氣管支) 천식(喘息)의 임상적(臨床的) 고찰(考察 ) (제(第)II보(報)))

  • Jeong Gyu-Mann;Kim Deog-Gon;Lee Dong-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.1 no.1
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    • pp.79-89
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    • 1986
  • During 34 months from October 1982 to July 1985, a clinical study was made on 217 cases of out-patients with pediatric bronchoarthma at Kyung-Hee University Oriental Hospital. ?The observed results were as follows; ?1. In the age of the patients ranged from six months to twelve years; they were almost under six years (73.1 %) The ratio of male to female was 3: 1. ?2. In case of the age to be attacked with bronchoarthma, the age 3 covered 43.9% (95 cases), and the ages of less than 6 years 86.3% (187 cases); and, especially, the age 2 - 3 covered the highest rate (18.4%; 40 cases) ?3. The contraction period of bronchoarthma was almost less than one year (70.1%; 152 cases); especially, less than one week covered the highest rate (22.1 %; 48 cases) ?4. In case of the contraction season; winter (December to February) had the highest rate (33.2%; 72 cases), and fall, spring and summer came after it. And 13 cases (6%) were attacked in all seasons. ?5. Of a day, the severe symptom was shown most frequently from 6 pm to midnight (31.3%; 68 cases), and next from midnight to 6 am (29.1%; 62 cases) ?6. The common symptoms of out-patients were productive cough (24.0%; 147 cases), easily-catch-cold (22.5%; 138 cases), dry cough (11.4%; 70 cases), and so on. ?7. In case of the history of the patients, upper respiratory infections covered 52.1 % (113 cases) bronchitis(29.0%; 63 cases), pneumonia(17.1%; 37 cases), and tonsilitis& pharyngitis(6.0%; ?13 cases): and allergic symptoms covered (42 cases: 19.3%) fetal fever & eczema (11.5%: 25 cases), and allergie Rhinitis (7.8%: 17 cases) ?8. The family of the patients were shown to have the history of bronchitis (21.6%; 47 cases), bronchoarthma (21.2%; 46 cases), and tuberculosis (16.6%; 36 cases) ?9. The factors of bronchoarthma were shown as upper respiratory infections (38.3%; 38 cases), cold weather (18.9%; 41 cases), and exercise (175%; 38 cases) ?10. Of the treatment periods of the patients, less than one month (69.2%; 150 cases) took the highest rate, in which less than a week was 33.2% (72 cases) and one or two weeks 15.2% (33 cases) ?11. The main prescriptions were kunpyunetang (79 cases; 17.0%), Agoayangyuegunpyuetang (73 cases; 15.7%) and Haepyoyangjintang (72 cases; 15.6%) ?12. In the results of treatment, 132 cases (60.9%) was improved; especially, subjective signs of 33 cases (15.2%) of them, was almost removed.

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A Study on the Architectural Change of Banquet Space in Changgyeonggung during the Reign of Crown Prince Hyomyung (효명세자 대리청정시기 창경궁 연향공간의 건축변화 연구)

  • Seok, Jin-Young
    • Journal of architectural history
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    • v.29 no.4
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    • pp.17-26
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    • 2020
  • The planning acumen led by the crown prince stands out during the banquets that were held continually during the reign of Crown Prince Hyomyung around the late Joseon period from 1827 to 1929. If we examine the changes in banquet space during the period that Crown Prince Hyomyung ruled by proxy, the Jagyeongjeon(慈慶殿) in Changgyeonggung Palace, which was built during the time of King Jeongjo was repaired after the in 1827 during the reign of the crown prince and appeared in its changed form in Muja Jinjakin 1828. It is believed that the Jagyeongjeonwas expanded and repaired during the reign of Crown Prince Hyomyung to conduct banquets for important guests. Jagyeongjeon which was repaired during the crown prince's reign, is a space where banquets were continuously held during the three years that he reigned, and we can see that it is an important space for royalty where the authority of King Sunjo, Queen Sunwon, and Crown Prince Hyomyung was reflected. Yeongyeongdan(演慶堂) was a structure built in 1828, which is after the period when the Jagyeongjeonwas changed in 1827, and it is a space that emerged during the reign of the crown prince. Hwanchwijeong(環翠亭), which was constructed during the time of King Seongjong was changed after 1827 during the reign of Crown Prince Hyomyung and appeared in its changed form in Muja Jinjakin 1828. Hwanchwijeongwas the place where the Crown Prince Hyomyung stayed and planned banquets and it was repaired along with Jagyeongjeonin 1827. During his reign, the political intent of the crown prince was reflected not in superficial political spaces but in spaces where banquets were held and accordingly the main spaces for banquets and their related royal palace locations were changed or newly established. You need to briefly explain what this and Muja Jinjak are. New information is not provided in this paragraph. You have already established why the crown prince renovated the banquets and its significance in the first two paragraphs. You could just add "Jagyeongjeon(慈慶殿), Yeongyeongdan(演慶堂), and Hwanchwijeong(環翠亭) in Changgyeonggung Palace during his reign were changed and renovated during the time when the royal banquets of the 19th century were getting established. It was spaces that reflected the royal family and royal authority" to the end of the second paragraph and it would convey your intended meaning.