Purpose: This review study analyzes the impact of the Korean Society for Customized Visiting Health Care on the development of Home Visiting Care in public health centers since its inception in 2007. It also suggests potential future directions for both the Korean Society for Customized Visiting Health Care and Home Visiting Care in public health centers. Methods: The investigation scrutinized various sources including the white paper detailing the activities of the Korean Society for Customized Visiting Health Care, academic conference materials, minutes from general meetings, research papers from the Ministry of Health and Welfare, and the Korea Health Promotion Institute. Results: The Korean Society for Customized Visiting Health Care has been actively involved in advancing and assessing home-visiting health care services. The society has been focused on developing and evaluating the effectiveness of home visit health care services offered by public health centers. Conclusions: The Korean Society for Customized Visiting Health Care has achieved progress by continuous interaction with field staff, rigorous personnel training, technical assistance, field research, and policy recommendations. In 2024, the home visit health care sector could be advanced and improved using AI technology.
This study analyzes the body shapes of lower-body obese female adolescents and proposes a slacks pattern suitable for their body type. Lower-body obesity is a prevalent type of teenage obesity, and our proposals aim to improve consumer satisfaction in ready-to-wear clothes across this demographic. We first observe characteristics of obese lower bodies, noting significantly above-average thigh and hip circumference. These figures indicate a high degree of curvature in obese lower bodies, along with a large drop value. Leveraging this data, we develop a novel slacks pattern using 3D avatars in a virtual simulation system. The formulas for the main areas of the pattern are as follows: front waist girth W/4+0.75cm+0.5cm, back waist girth W/4+0.5cm– 0.5cm, front hip girth H/4+1.25cm–0.5cm, back hip girth H/4+2cm+0.5cm, front crotch extension H/16+0.5cm, back crotch extension H/8+1cm. Results from appearance evaluations show that this pattern minimizes strain rate on the waist and hips, and its average score is significantly higher than that of an alternative pattern that was also evaluated. The minimized strain rate and high average score indicate that our pattern assigns a sufficient amount of space to the appropriate areas. Based on these results, we expect our research to inform slacks pattern development and production for obese consumers of all types.
Purpose: This case aims to present basic data needed to improve cognitive function and quality of care for aged with dementia. Methods: A total of ten sessions were organized and operated once a week for 12 aged with dementia using the center. Data collection was conducted from July 27 to September 30, 2022. Data analysis was conducted through observational evaluation of participation, satisfaction, and performance of each individual and in-depth interviews at the end of the program. Results: Among the 12 subjects who participated in the quality improvement program, an average of 8.4 subjects in each session showed high levels of participation and satisfaction. On the other hand, the performance level was low, with an average of 6.9 subjects per session. In the in-depth interview, two concepts were confirmed: ‘regrets about the past’ and ‘satisfaction with present life.’ Conclusions: We hope that the results of this case report will be useful in developing a multifaceted cognitive therapy program to improve the cognitive function of aged with dementia in the future.
This study seeks to increase the satisfaction of elderly men when purchasing and wearing ready-to-wear clothes by designing a slacks pattern suitable for their body type, which is determined by analyzing their lower bodies using virtual avatars and 3D virtual simulation system. The study found the following. First, based on virtual visualization of the comparison slacks pattern, the waistline position was consistently the lowest scored question among the evaluation survey items. Interpretation of this dissatisfaction suggests that, because the front waistline falls below the abdomen, the lower body, and especially the abdominal shape, is unpleasantly emphasized. Second, by using a virtual simulation system, the study developed a new slacks pattern that considered the concerns of elderly men. The primary measurement changes were as follows: front waist girth W/4+1.5cm+0.5cm, back waist girth W/4+1.5cm–0.5cm, front hip girth H/4+2.5cm–0.5cm, back hip girth H/4+2.5cm+0.5cm. Third, the new slacks pattern’s appearance was evaluated more highly than the comparison pattern, confirming the new pattern’s appropriateness for elderly men. This study demonstrates how slacks and other clothing patterns designed in a 3D virtual garment simulator can be used to design more appealing clothing for elderly men, increasing the satisfaction of wearing ready-made clothes at older ages.
In Korea, reliable and affordable individual health information is obtained through national health examinations, which can be actively utilized in community health services based on examination data. The purpose of this study is to analyze national health examination data in order to identify the health behavior and health status of the elderly, and to incorporate the examination results into home visiting healthcare services provided at health centers. Methods: This study is a cross-sectional survey that analyzed the national health examination data of 2018 using the National Health Insurance Service-National Health Information Database. Data analysis was conducted using the SAS program. The overall results of the health examinations were presented in terms of frequency and percentage. Results: The national health examination rate was 72.6%, and 97% of the examinees had health needs such as improving health behavior and managing diseases. It was found that 52.2% of patients had high blood pressure, followed by diabetes and dyslipidemia. The health data generated from the national health examination includes information relevant to home visiting healthcare services. Conclusion: By utilizing health data generated from national health examinations, the process of collecting data in home visiting healthcare services can be simplified. By focusing on providing customized services, it will be possible to increase the efficiency of home visiting healthcare services.
본 연구는 노인인권과 관련된 국내학술연구(학술지 게재논문)를 중심으로 연구동향을 분석하고, 이를 노인인권 영역 기준으로 분류하였다. 최종적으로 총 190편의 학술지 논문을 분석하였다. 분석결과, 국내의 노인인권 연구는 2000년 이후로 본격화된 것으로 나타난다. 연구방법별로 보면 문헌연구, 양적 연구, 질적 연구, 기타 연구 순으로 나타났다. 양적 연구로는 조사방법론이 주로 활용되었다. 전공분야별로 보면 사회복 지학 분야가 가장 많았다. 한편, 국가인권위원회의 노인인권 영역에 따라 분류했을 경우, ‘존엄·안전’ 영역 관련 연구가 가장 많았고, 이 중 ‘노인학대 및 대응’에 관한 연구들이 압도적으로 많았다. 노인인권 실행영 역을 기준으로 살펴본 결과, 전체 16개 실행영역 중 전반에 해당하는 8개 실행영역의 연구가 미흡 또는 전무하였다. 본 연구는 이런 연구결과를 바탕으로 노인인권 실행영역에서의 고른 학문적 관심과 연구가 필 요함을 제언한다. 그리고 노인인권 영역별 측정도구 개발이 필요하며, 나아가 폭넓은 연구방법론의 활용과 활발한 다학제간 연구를 제언한다.
Purpose: In countries with a large elderly population, the integrated visiting health care program for the elderly in communities was effective in preventing frailty and reducing medical expenses. Customized preventive health service is essential in a super-aged society. The purpose of this study is to estimate the number of professionals who perform visiting health care for the elderly. Methods: The statistics for the elderly from Statistics Korea and the Visiting Healthcare Performance Report from Korea Health Promotion Institute were employed in the analysis. The elderly were divided into four groups: healthy, pre-frailty, frailty I, and frailty II, according to their health level. Through the focus group interview, the ratio of nurses, physical activity experts, and nutritionists was set at 8:1:1. Results: Three scenarios were classified into minimum, medium, and maximum according to the number of visits. In the case of Seoul, the number of essential professionals was calculated at least from 719 to a maximum of 1,837. Conclusion: Since this study has a limitation in calculating visiting health care experts only by the ratio of nurses, physical activity experts, and nutritionists, future studies should consider experts or professionals in the field of social welfare, oral health, and visiting treatment.
본 연구는 병원간호사의 조직몰입 및 관련요인에 대한 선행연구를 체계적으로 고찰하고 메타분석을 시행하고자 한다. 이를 통해 병원간호사의 조직몰입에 대한 연구동향과 유효한 변수를 규명하고자 하 며, 간호사의 조직몰입 향상을 위한 전략 및 중재개발의 기초를 제공하고자 한다. 본 연구는 2008~2018년 발표된 연구에 대한 문헌고찰과 메타상관 분석을 실시하여 병원간호사의 조직몰입과 관 련된 요인들을 분석하였다. PRISMA표를 활용하여 연구에 대한 스크리닝과 질적 평가를 시행하였고, 최종 144개의 논문을 추출하였다. 조직몰입과 관련해서는 45개의 변수가 유의미하게 분류되었으며, Schaufeli’s Energy Compass Model에 따라 이 변수들을 6개 그룹(직무요구, 직무자원, 참여형 리더 십, 개인적 자원, 피고용인의 웰빙, 직무성과)으로 분류하였다. 이들 중 직무요구를 제외한 5개 범주가 조직몰입과 일정 정도의 강한 상관관계를 보였다. 또한, 조직몰입과 긍정적인 직무성과 간에는 강한 정(+)적 상관관계가 발견되었다. 본 연구 결과, 병원간호사의 조직몰입과 직무자원 간에는 상관관계가 존재한다는 것이 규명되었다. 본 연구 결과는 향후 병원간호사의 조직몰입을 높이기 위한 프로그램 개발 및 연구에 기초자료로 활용될 수 있을 것이다
The goal of this study was to measure the indoor and outdoor fine and ultrafine particulate matter concentrations (PM10, PM1.0) of some houses in Yeosu and in S university in Asan from March to September 2018. PM10 concentration in indoor air in Yeosu area was 18.25 μg/m3, while for outdoor air it was 14.53 μg/m3. PM1.0 concentration in indoor air in the Asan area was 1.70 μg/m3, while for outdoor air it was 1.76 μg/m3, showing a similar trend. Heavy metal concentrations in the Yeosu region were the highest, at Mn 2.81 μg/m3, Cr 1.30 μg/ m3, and Ni 1.11 μg/m3 indoors. Outside, similar concentrations were found, at Cr 3.44 μg/m3, Mn, 2.60 μg/m3, and Ni 1.71 μg/m3. Our analysis of indoor and outdoor PM concentrations in the Asan region, which was carried out using the MOUDI (Micro-orifice Uniform Deposit Impactor) technique, found that PM concentration is related to each particle size concentration, as the concentration of 18 μm and 18-10 μm inside tends to increase by 3.2- 1.8 μm and 0.56-0.32 μm.
본 연구에서는 초임계 이산화탄소를 사용해 도라지(balloonflower, Platycodon grandiflorum A. DC) 종자로부터 추출한 유지의 기능성과 에멀전 특성에 대해 조사하였다. 종자에 비해 도라지 종자유는 총 polyphenol(8 mg/100 g)의 함량이 낮았으나 α-tocopherol(14.15 mg/ 100 g), β -sitosterol(116 mg/100 g) 및 stigmasterol(8 mg/100 g)의 함량은 높았다. DPPH 라디칼 소거능으로 분석한 종자유(IC50=1235.5 μg/mL)의 항산화능은 종자(IC50=1138.2 μg/mL)와 유사하였다. 1%(w/w) lecithin 농도에서 도라지 종자유를 사용해 제조한 에멀젼은 탁도, 지방구 입자 크기 및 형상, 유화안정 성에서 콩기름을 사용한 에멀젼과 유사하였으나 들기름 사용 에멀젼보다는 탁도 및 유화안정성이 낮았고 지방구 입자는 크게 나타났다. 도라지 종자유 에멀젼의 표면장력은 들기름 에멀젼과 유사하였다.
In this study, 40 residents of the Gwangyang and Yeosu areas were assessed for their level of exposure to heavy metals (As, Cd, Ni) from April 2017 to June 2018. The aim was to understand the differences in levels of indoor exposure to heavy metals (As, Cd, Ni), and a health risk assessment was conducted to determine whether there was any fatal cause from carcinogenic elements. The mean concentrations of PM10 particles indoors were As 0.24 μg/m3, Cd 0.07 μg/m3, and Ni 0.89 μg/m3. The health risk assessment for the arsenic, cadmium, and nickel in indoor air confirmed that the mean values exceeded the cancer risk tolerances specified by the U.S. EPA, for As (males 3.07 × 10−4, females 3.35 × 10−4), Cd (males 3.83 × 10−5, females 4.18 × 10−5), and Ni (males 6.36 × 10−5, females 6.95 × 10−5).
This study was performed to investigate the contamination characteristics of water in the scrubber with the aim of stably maintaining the scrubber, and to comprehend the removal characteristics of sulfur compounds, which are odorous substances, when microbubbles were supplied to the circulation water tank of a scrubber. The results of our analysis found that 63 kinds of gas compounds were detected from the scrubber, and thus it could be determined that Sulfur compounds, Ammonia (base compounds), Aldehyde compounds, and Pyrazine compounds were generated from the process for the production of sesame oil. About 93% of ammonia was removed in the scrubber; however, it was hard to remove Sulfur compounds, Aldehyde compounds and Pyrazine compounds using the scrubber. The efficiency of hydrogen sulfide, methylmercaptan and dimethydisulfide removal using only water in the scrubber was 79.8%, 79.7%, and 81.0%, respectively. However, when microbubbles were supplied to the scrubber, the removal efficiency for each was 83.7%, 91.1%, and 96.1%, respectively. Therefore, it was confirmed that the efficiency of sulfur compound removal was improved by supplying microbubbles to the circulation water tank of the scrubber. In addition, the amount of removal that could be achieved by using microbubbles was 1.05- 1.19 times higher than using only water. In terms of supplying microbubbles, it was confirmed that the saturation time required to absorb odorous gases was about 2.8 times longer than the time without microbubbles because the OH radicals generated when the microbubbles are shrinking partly oxidized organic matter. When there was no chemical in the circulation water tank, the conductivity and CODCr concentration were highly correlated. Therefore the system, which can replace circulation water by using real-time conductivity data, can be considered to be applicable.
The odor substances generated in a feed manufactory operating for the commercialization of animal-vegetable materials were analyzed and the odor reduction efficiency by a chemical scrubber was evaluated. The major causative substances in the feed manufactory comprised about 45.4% of ketone compounds and about 13.3% of aldehyde compounds. On the other hand, the removal efficiencies of diacetyl and acetoin as ketone compounds were 77.3% and 78.1%, respectively, by a chemical scrubber. Additionally, the removal efficiencies of acetaldehyde, butyraldehyde, valeraldehyde, 2-furancarboxaldehyde, and nonanal were 86.0%, 78.9%, 67.4%, 52.8%, and 71.9%, respectively. These rates were higher than the odor generation substance contribution rate as a result of treating the exhaust gas generated from the feed manufactory by the chemical scrubber using 5% of C3. It was also found that xylene, methylcyclopentane, benzene, ethylbenzene, 1,3,5-trimethylbenzene, and decane were almost not removed.
In this study, we measured the concentration of Particulate Matter(PM10), Formaldehyde(HCHO), and Total Bacteria Count (TBC) at two facilities: day care centers, and postnatal care centers located in the cities of Gyeonggi, Gangwon, Jeolla and Gyeongsang from January 1, 2012 to December 31, 2015. PM10 concentration was similar to the day care centers and postnatal care centers. HCHO concentration was the highest in the postnatal care centers. TBC concentration was the highest in the day care centers. Comparing the different cities, PM10 concentration was the highest in Gyeonggi, HCHO concentration was the highest in Gyeonggi, and TBC concentration was the highest in Gyeonggi. As a result of HCHO's risk assessment, it was found that adults exceeded the carcinogenicity tolerance of 10−6 specified by the US EPA. This study is expected to be helpful in preventing damage to health from the contaminated indoor air at sensitive facilities, and can be used as basic data for indoor air quality management.
Huawei v. ZTE 판결은 표준필수특허 침해를 근거로 한 금지청구가 시장지배적지위 남용에 해당하는지에 관한 EU 개별국 법원들의 입장이 분열된 상황에서 이를 수렴으로 이끌기 위한 하나의 시도이다. Huawei v. ZTE 판결 이후에도, 영국 법원은 표준필수특허권자의 금지청구 인용 여부에 있어 여전히 법원의 재량을 중시하는 입장을 취하고 있다. 구체적으로, 영국 법원은 표준필수특허권자의 금지청구가 시장지배적지위 남용에 해당하는지 여부는 관련 제반 상황을 고려하여 판단해야 하며, Huawei Choreography는 하나의 참작 사유일 뿐이라고 본다. 한편, 독일 법원은 Huawei v. ZTE 판결 이후 Huawei Choreography 상 절차를 엄격히 집행하면서, 위 절차를 구성하는 개별 단계에 관하여 상세한 해석을 해 나가고 있다. 다만, 시장지배적 지위 남용 여부의 판단에 있어 경쟁법적 검토가 명시적으로 이루어지지 않고 있다는 점, 그리고 과도기적 사건(transitional case)에 대한 예외를 인정하고 있다는 점은 주목할 만하다. 종합하자면, 현재까지 EU 개별국 판례 동향에 비추어 볼 때, Huawei 판결이 표준필수특허권자의 금지청구에 대한 판단에 있어 가장 중요한 기준으로 등장한 것은 분명하나 EU 전역의 수렴을 달성했다고 보기는 어렵다. 다만, 향후 영국과 독일 외에 다른 EU 내 국가들에서의 후속 판결과 영국 및 독일의 상급심 판결 동향을 지속적으로 추적하여야 할 것이다.
본 연구에서는 초임계 이산화탄소 추출을 이용해 도라지(Platycodon grandiflorum A. DC) 종자로부터 유지를 제조하여 새로운 식용유지로서의 물리화학적 특성을 조사하였다. Soxhlet 용매 추출에 비해 6,000 psi 압력 및 40℃ 온도조건에서의 초임계 이산화탄소 추출로 더 많은 유지를 얻을 수 있었고 특히 볶은 종자로부터는 32.7%까지 얻을 수 있었다. 볶은 종자로부터 얻은 초임계 도라지 종자유는 시판 대두유나 들깨유와 마찬가지로 대부분 중성지질로 구성되어 있음을 TLC 분석으로 확인하였다. 또한 이 유지는 고도로 불포화된 지질로 대두유나 들깨유보다 linoleic acid(73.27%) 함량이 훨씬 높았으며 그 다음으로 oleic acid(13.16%) 함량이 높았다. 유지의 물리화학적 특성으로, 비중 0.92, 점도 45.37 cP, 굴절률 1.48, 색도 L=47.30, a=-3.69, b=25.72, 요오드가 141.57 g I2/100 g oil, 비누화가 191.21 mg KOH/g oil, 산가는 2.60 mg KOH/g oil 였다. 이런 특성들 중에서 지질의 불포화도와 관련이 있는 굴절률, 점도 및 요오드가는 두 시판 유지들의 중간값을 나타내었다. Rancimat 법으로 측정한 산화유도기간을 비교한 결과에서도 초임계 추출 도라지 종자유(2.03 hr)는 대두유(2.94 hr)보다는 낮으나 들깨유(1.79 hr)보다는 높은 중간값을 나타내었다. 종자 볶음 공정은 유지의 추출 수율을 증가시킬 뿐만 아니라 콜레스테롤에스터 함량과 산가 감소에 긍정적 효과도 있었다. 이상으로부터, 초임계 이산화탄소 추출을 통해 볶은 도라지종자로부터 높은 수율로 유지를 제조할 수 있었고 이 유지는 식용유지로서 적합한 특성을 가진다고 판단되었다.
This study was carried out to investigate the presence of a correlation between heavy metals in urine samples and upper airway diseases. For the study, 51 household residents of Gwangyang, both with and without upper airway disease, were targeted. Urine samples were collected from the subjects along with a questionnaire from April 24th to 27th, 2017. The heavy metals in the urine samples were preprocessed and analyzed using an inductively coupled plasma/mass spectrometer. The geometric mean concentration of urinary arsenic and cadmium was 138.66 μg/L and 0.75 μg/g creatinine among those with upper airway disease and 166.42 μg/L and 1.19 μg/ g creatinine among those without upper airway disease. This was not a statistically significant difference. The concentration of urinary arsenic and cadmium was found to be increased by 1.19 times (95% CI; 0.15-9.31) and 1.26 times (95% CI; 0.31-5.04) in household residents with upper airway diseases with more than 144.86 μg/L and 0.85 μg/g creatinine, respectively.
This paper presents a Cocos2d-x-based mobile game using a twisted GFSR-PRNG (Generalized Feedback Shift Register - Pseudo-Random Number Generator), known as the Mersenne Twister, with a super astronomical cycle of 219937 - 1, and good virtual randomness in up to 623 dimensions, to deal with random factors for use on Android. Especially, if there are several rand() function calls at the same time, when a user plays the game, the dots do not fit. The Cocos2d-x-based mobile game shows the Mersenne Twister MT19937 is suitable and much faster than rand(). In addition, anyone who has a smart phone can easily install the game and play it. In this game, the player controls his or her own aircraft to destroy the enemy while avoiding obstacles. One key point of this game is that various effects are assigned to each image frame. Moreover, this game is special because it allows the player to produce something called small boss mobs and large boss mobs, providing various types of attached projectiles, upgrading to 10 stages in total and enemies that appear accordingly, and giving items that burst out laughing during the game.