• Title/Summary/Keyword: Community Health Assessment

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Factors Affecting Communication Satisfaction of Geriatric Caregiver : Focusing on the case of an urban-rural complex community (노인 돌봄서비스 제공자의 의사소통 만족도에 영향을 미치는 요인 : 도·농 복합 지역사회의 사례를 중심으로)

  • Jongmuk Oh;Juhee Park;Jongnam Hwang
    • The Journal of Korean Society for School & Community Health Education
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    • v.24 no.3
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    • pp.37-50
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    • 2023
  • Objectives: The aim of this study was to identify factors influencing communication satisfaction between geriatric caregivers and older adults in urban-rural complex communities. The ultimate goal was to design local community educational programs and policies to enhance communication satisfaction among geriatric caregivers and improve the quality of care services for older adults. Methods: To identify factors influencing communication satisfaction between elderly caregivers and older adults, a survey titled "CCEP: Assessment of Communication Status between Elderly Care Service Providers and Recipients" was conducted from February to July 2020, focusing on rural-urban complex areas. The survey was administered based on providers of elderly healthcare services. The survey targeted 131 respondents involved in providing care services for older adults. The dependent variable of this study was the communication satisfaction reported by elderly caregivers in their interactions with the elderly. The independent variables included perceptions of older adults, factors associated with communication difficulties, and communication efforts. Additionally, gender, working environment, working experience, and the proportion of face-to-face interactions with older adults during caregiving were controlled for the hierarchical multiple regression analysis. Results: The analysis revealed that communication efforts with older adults significantly influenced communication satisfaction (β=.09, p<0.01). However, perceptions of the elderly and communication hindrance factors did not have a significant impact on communication satisfaction among geriatric caregivers. Conclusion: Effective communication between geriatric caregivers and older adults is crucial for identifying and meeting the needs and demands of caregiving services, and it plays a vital role in overall caregiving service satisfaction. To enhance communication skills and satisfaction among geriatric caregivers and ensure the appropriate fulfillment of elderly care needs in the local community, the development of community-centered, specialized health communication programs and other initiatives will be necessary in the future.

Exposure Assessment on Sub-Populations of the Local Community following a Hydrofluoric Acid Accident (불산 누출사고에 따른 지역사회 구성원들의 노출평가)

  • Kim, Sunshin;Woo, Kuck-Hyeun;Yoon, Seong-Yong;Lim, Hyun-Sul;Kim, Geun-Bae;Yu, Seung-Do;Cho, Yong-Sung;Lee, Seokyong;Lee, Hyunsu;Yang, Wonho
    • Journal of Environmental Health Sciences
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    • v.41 no.1
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    • pp.1-10
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    • 2015
  • Objectives: The purpose of this study was to propose an indirect exposure assessment method using a questionnaire survey at a time when direct exposure assessment would be impossible after a chemical accident. Methods: About two weeks after an accident, a questionnaire survey was performed with 1,264 persons from the local community. Variables related to exposure were extracted from the survey contents, weighted and then graded for comparison with subjective symptoms in order to evaluate the extent of exposure. Survey items suitable for reflecting the previous exposure level during the accident were extracted, weighted and divided into quartile ranges. Subjective symptoms showed an increasing tendency with higher exposure level when compared with final exposure level (p<0.01). Results: For the relationship between the final exposure grade and subjective symptoms, as the exposure grade was increasing the rates complaining of symptom also showed an increasing tendency. However, when adjusted for demographic characteristics, there was a tendency for the eye irritation symptom to appear higher in women, and respiratory organ irritation appeared higher in smokers. Conclusions: When the problem of recall bias is considered, this study may not have completely unraveled exposure and the characteristics of the participants can affect subjective symptoms. Nevertheless, the exposure rating method of using a questionnaire showed a significant relationship with symptom level. It can be deemed that assessment of past exposure may be successfully evaluated by questionnaire in cases such as chemical accidents.

Assessment of Fecal Pollution and Bacterial Community Structure in Restored Section of Cheonggyecheon Stream (청계천 복원구간 내 분변오염도 평가와 미생물 군집 연구)

  • Park, Youngbin;Lee, Heetae;Kim, Seiyoon;Ko, GwangPyo
    • Journal of Korean Society on Water Environment
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    • v.25 no.1
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    • pp.76-83
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    • 2009
  • In 2005, the 5.84-Km length of Cheonggyecheon stream, previously covered with concrete road, was uncovered in the middle of Seoul, Korea. We investigated microbial water quality in various sites in Cheonggyecheon stream. We took water samples on three different days. The sampling sites included inflow water from upper stream (Mojeongyo), midstream (Ogansugyo), and downstream (Muhakgyo). Fecal pollution indicator microorganisms were measured by both IDEXX $Colilert^{(R)}$ and $Enterolert^{(R)}$. Microbial community from these sampling sites was also characterized based on 16S rRNA gene sequences. The average concentrations of total coliform are 5 CFU/100 mL, 1474 CFU/100 mL, and 1776 CFU/100 mL at Mojeongyo, Ogansugyo, and Muhakgyo, respectively. The average concentrations of fecal coliform were 28 CFU/100 mL, 47 CFU/100 mL in Ogansugyo, and Muhakgyo, respectively. The concentrations of other fecal indicator microorganisms including E. coli and Enterococcus sp. increased in downstream. When we characterized the microbial community, unique microbial community were discovered at different sampling sites. This study suggests that Cheonggyechoen stream is likely affected by non-point fecal sources and has unique microbial environment as the river flows downstream.

Evaluation of Cholangiocarcinoma Risk and its Related Factors In Wetland Geographical Communities of Ubon Ratchathani, Thailand

  • Songserm, Nopparat;Woradet, Somkiattiyos;Bureelerd, Onanong;Charoenbut, Pattaraporn
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.1811-1815
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    • 2016
  • Wetland geographical areas have a higher incidence of Opisthorchis viverrini-associated cholangiocarcinoma (CCA), confirmed by data from geographic information systems, than other areas. Behavioral data also indicate that people in these areas traditionally eat uncooked freshwater fish dishes, a vehicle for O. viverrini infection. The best approach to reducing CCA incidence is decreasing risk factors together with behavior alteration. Evaluation of CCA risk and its related factors are first needed for planning the prevention and control programs in the future. We therefore aimed to evaluate the CCA risk and explore its related factors among people in wetland communities of Ubon Ratchathani, Thailand. A cross-sectional study was conducted between July and August 2014. In total 906 participants, with informed consent, completed questionnaires. Overall risk of CCA was determined by multiplying odds ratios (ORs) of the risk factors for CCA from literature reviews. A mean score of 5.95 was applied as the cut-off point. Assessment of factors related to overall risk of CCA was accomplished using conditional logistic regression. Of all participants, 60.15% had a high level of the overall risk of CCA. Factors related to the overall risk of CCA were gender (p<0.001), marital status (p<0.001), perceived susceptibility (p=0.043) and prevention behavior for CCA (p<0.001). In conclusion, most participants in this community had a high level of overall risk of CCA. Therefore, integrated prevention and control programs continue to be urgently required.

The Correlates of Influenza Vaccination among Korean Elderly Men and Women (남.녀 노인의 인플루엔자 백신 접종 실태와 영향요인)

  • Kang, Hee-Sun;Lee, Han-Ju;Kim, Mi-Won
    • Research in Community and Public Health Nursing
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    • v.22 no.1
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    • pp.45-55
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    • 2011
  • Purpose: This study aimed to investigate the rate of and factors associated with influenza vaccination in Korean elderly people. Methods: For this retrospective cross-sectional study, we used data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008. A total of 1,516 men and women aged 65 or above were included. The data were analyzed using descriptive statistics and logistic regression. Results: The overall rate of influenza vaccination in 2008 was 73.6%. The vaccination rate was lower in women (73.2%) than in men (74.2%; p<.001). It was lower in the elderly aged 80 and above, those living in metropolitan areas, smokers, those who did not receive regular health screening, those who had no history of hospitalization within one year, and those who had liver diseases than in the other groups. The rate of vaccination was higher in those with cancer. Logistic regression analysis revealed that for both men and women, the significant correlates associated with vaccination were demographic factors, chronic disease and health behavior. Conclusion: The influenza vaccination coverage needs to be improved. Efforts should be made to reach the elderly population with relatively low influenza vaccination rates and to increase awareness about the importance of vaccination at a personal and community level.

Community Structure and Health Status of Macrobenthic Animals in the Nakdong River Estuary, Busan, Korea (낙동강 하구역에 서식하는 대형저서동물의 군집구조와 건강도)

  • Youn, Seok Hyun;Lee, Jin Woo;Oh, Chul Woong;Choi, Byoung-Mi;Yoon, Kon-Tak;Na, Jong-Hun;Seo, In-Soo
    • Ocean and Polar Research
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    • v.43 no.2
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    • pp.73-88
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    • 2021
  • The community structure and health status of macrobenthos assemblages were investigated in the subtidal area of the Nakdong River estuary, Southern Coast of Korea. Benthic fauna samples were collected seasonally at 8 stations in the subtidal area of the Nakdong River estuary from February 2013 to October 2015. During the survey, a total of 380 species and 4,603 ind./m2 of macrobenthos in all sampling areas were collected. The major dominant species were the polychaetes Minuspio japonica, Pseudopolydora kempi, Heteromastus filifomis, Capitella capitata, the amphipod Grandidierella japonica and the bivalvia Arcuatula senhousia. Some species of polychaetes found in the study area consisted of opportunistic species that showed high densities when habitat condition was poor. On the other hand, macrobenthos assemblages in the study area were divided into brackish water and marine groups. Abundance was high in the brackish group, while the number of species and diversity index were high in the oceanic group. The three indices (AMBI, M-AMBI, and BHI) in the assessment of health levels based on the ecological characteristics and number of species in macrobenthic were commonly shown to be in good condition in the group of oceanic stations, while relatively poor conditions were reflected in the group of brackish stations. Compared to other indices, the M-AMBI index of the three indices for health assessment was considered to be a relatively more suitable one to assess benthic ecological conditions.

Structural monitoring and identification of civil infrastructure in the United States

  • Nagarajaiah, Satish;Erazo, Kalil
    • Structural Monitoring and Maintenance
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    • v.3 no.1
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    • pp.51-69
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    • 2016
  • Monitoring the performance and estimating the remaining useful life of aging civil infrastructure in the United States has been identified as a major objective in the civil engineering community. Structural health monitoring has emerged as a central tool to fulfill this objective. This paper presents a review of the major structural monitoring programs that have been recently implemented in the United States, focusing on the integrity and performance assessment of large-scale structural systems. Applications where response data from a monitoring program have been used to detect and correct structural deficiencies are highlighted. These applications include (but are not limited to): i) Post-earthquake damage assessment of buildings and bridges; ii) Monitoring of cables vibration in cable-stayed bridges; iii) Evaluation of the effectiveness of technologies for retrofit and seismic protection, such as base isolation systems; and iv) Structural damage assessment of bridges after impact loads resulting from ship collisions. These and many other applications show that a structural health monitoring program is a powerful tool for structural damage and condition assessment, that can be used as part of a comprehensive decision-making process about possible actions that can be undertaken in a large-scale civil infrastructure system after potentially damaging events.

A Study on the Actual Conditions of Health Management, and Health Management Levels According to The Types of Industries (전북지역 산업장의 제특성에 따른 보건관리 수준에 관한 연구)

  • Yang, Kyoung-Hee;Kim, Young-Hee
    • Research in Community and Public Health Nursing
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    • v.4 no.1
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    • pp.45-57
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    • 1993
  • The study was conducted with 27 health mangers working in manufacturing industries. The purpose of this study was to analyze the health manager's employment status, health examination, and it's follow. up health management level(about the industrial type). The results are as follows: 1. Characteristics of Manufacturing Industries: The ratio of nurse to employees is 1 : 552.6 and the percentage of physician employed was 51.9% All of the physicians were part time except one. 2. Health Examination and Follow Up ; 1) Periodic screening examinations were provided to 92.39% of the employees. Of these 11.56% required a detailed examination. Follow up on routine cases were done for 51.69%. Follow up on intensive cases were done 13.97%. 2) 62% of all employees working in hazardous conditions(noise, artificial light 74.1%) are required to receive a special health examination bi annually. Of these 96.66% were examined. 11.24% of these employees required a detailed follow up examination. 3. Relevancy between health management level, industrial type, and health manager's status 1) Health clinic operated separately except one case. Nursing activity level :. health diagnosis(0.27) Occupational condition (0.97) Health education(0.81) Health assessment(0.74) Health education level is higher at the industries working in environmental technician(P=0.017). The other's significance is not shown by any type of the staff.

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The Concurrent Validity of the Korean Occupational Balance Assessment(OBA) Tool (한국형 작업균형 평가(Occupational Balance Assessment)의 동시타당도 연구)

  • Hong, So-Young;Hong, Deok-Gi
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.2
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    • pp.1-9
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    • 2020
  • Objective : The purpose of this study was to establish the concurrent validity of the Korean Occupational Balance Assessment(OBA) tool. Methods : This study was conducted on 1016 people from October 1 to October 25, 2019. Data collection was performed using OBA and Occupational Balance Questionnaire11(OBQ11). The data were analyzed by descriptive statistics, Pearson correlation. Results : There was a significant correlation between the scores of the three areas of OBA and the total score of OBQ11(p<.01). All three areas were analyzed with positive correlations. The time use area (r = .554) and occupation frequency area (r = .574) were found to be correlated. Most of the sub-factors in the occupation characteristics area (importance r = .582, goal achievement r = .633, enjoyment r = .649, health r = .650) were analyzed with high correlation. Conclusion : OBA has proven to be a valid and reliable assessment tool for measuring occupational balance. Further research needs to provide guideline on occupational balance for usefulness in clinical area.

A Study on High School Health Education Teachers' Activities and Other Influential Variables (고등학교 보건교육 관련 교사의 보건교육수행 및 관련요인에 대한 연구)

  • Yoo, Jae-Soon
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.183-203
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    • 1999
  • High school is regarded as the period when many important physical, mental and social developments occur, and when many health-related behaviors are formed. School health education is one of the major learning resources influencing health potential in the home and community as well as for the individual student. High school health education in Korea has a fundamental systemic flaw however, in that health -related subjects are divided and taught under various subjects at school. In order to achieve quality health education, it is essential to assess the learners' and teachers' educational needs. So far, most of the research projects that had been carried out for improving high school health education were limited to only the learners' educational need. They failed to in elude an educational assessment of the teachers. Therefore, in this study the high school health education teachers' needs relating to health education were investigated through a focus on the teachers' health education activity level, health education activity self-efficacy level, and perceived level of importance in health education content. In this study, research instruments these factors were constructed by Yoo(1997) on the basis of the PRECEDE model. The data for this study were collected from a sample consisting of twenty general and vocational high schools in Seoul and Chongju for a two month period beginning in July, 1996. In analyzing the data, an ANOVA test and stepwise multiple regression were accomplished using an SPSS - PC+ program. The results were as follows: The average level of health education activity and self-efficacy among high school health edu cation teachers were found to be low. But, teachers' perceived importance of health education contents was high. Teachers' activity and perceived importance concerning sex education were lower than in other health education areas. Health education activity of Military drill teachers was higher than that of physical education teachers as well as school nurses. But it was not significant. Health education activity self-efficacy of school nurses was higher than that of other teachers(p<.05). Perceived level of importance of health education contents was the most influential variable in teachers' health education activity. Health education activity self-efficacy level was not an influential variable in teachers' health education activity. The significance of this study is that it has diagnosed the needs of high school health education through the teachers' assessment of a variety of health factors related. These findings suggest that the management of an integrated health education, program requiring large changes in the curriculum of health education is necessary.

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