• Title/Summary/Keyword: Intervention Strategies

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From Excluded Ghettos to Exclusionary Enclaves: A Private Sector Initiative in Guangzhou, China

  • Chen, Huiwei;Chan, Roger C.K.;He, Qicong
    • Land and Housing Review
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    • v.4 no.3
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    • pp.211-223
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    • 2013
  • Massive migration is underway in rapidly urbanizing Guangzhou, the south gate of P. R. China. Over half the migrants choose to rent in "villages-in-the-city" in the downtown area because of the low-cost and prime location. The overpopulation and resulting poor environment and high crime-rate turn villages-in-the-city into de facto ghettos. As a result, these ghettos are undergoing a manner of demolition-development, leaving migrants' housing needs unmet. A private-sector initiative-the Tulou Commune-intends to address this considerable market potential. Targeting low-income groups, the Tulou Commune creates a socio-spatially exclusionary enclave. This paper analyzes the Tulou Commune and the implications if more low-income migrants shifting from village-in-the-city (excluded ghetto) to Tulou Commune (exclusionary enclave). This study argues that the intervention of the private sector causes the demographic, social, and spatial similarities and differences of the two living arrangements. Socioeconomic and institutional factors also affect the initiative. This study also provides more empirical evidence in the field of low-cost housing and socio-spatial development in transitional Chinese cities. As the first project of its kind, the analysis of the case can suggest how to improve strategies for accommodating migrants in the future.

Factors affecting Quality of Life according to BMI of Women College Students (여대생의 체질량지수 군에 따른 삶의 질 영향 요인)

  • Yom, Young-Hee;Chang, Hae Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.20 no.2
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    • pp.168-176
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    • 2013
  • Purpose: The purpose of this study was to identify factors affecting quality of life according to Body Mass Index (BMI) of women college students. Methods: The research design was a descriptive survey design using a convenience sampling. Data were collected using self-report questionnaires. Participants were 348 women college students. Data analysis was done using SPSS/WIN 18.0 program for descriptive statistics, Pearson correlation coefficients and hierarchial multiple regression. Results: According to BMI, 3 groups of students were identified. Differences between the groups for quality of life were significant. The major factors affecting quality of life in the underweight group were departments (college), body stress and ego-resilience which explained 27.9% of the variance in quality of life. Body stress and ego-resilience were significant predictors explaining 23.1% of the variance in quality of life in the normal weight group. Ego-resilience was also a significant predictor in the overweight group explaining 15.2% of the variance in quality of life. Conclusion: Findings indicate a need to decrease body stress and strengthen ego-resilience to improve quality of life of women college students. Further studies are needed to examine nursing intervention strategies for improving quality of life for women college students.

Motor Recovery in Stroke Patients (뇌졸중의 운동신경기능 회복)

  • Jang, Sung-Ho;Kwon, Yong-Hyun
    • Journal of Yeungnam Medical Science
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    • v.22 no.2
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    • pp.119-130
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    • 2005
  • Stroke is a leading cause of chronic physical disability. The recent randomized controlled trials have that motor function of chronic stroke survivors could be improved through physical or pharmacologic intervention in the stroke rehabilitation setting. In addition, several functional neuroimaging techniques have recently developed, it is available to study the functional topography of sensorimotor area of the brain. However, the mechanisms involved in motor recovery after stroke, are still poorly understood. Four motor recovery mechanisms have been suggested, such as reorganization into areas adjacent to the injured primary motor cortex (M1), unmasking of the motor pathway from the unaffected motor cortex to the affected hand, attribution of secondary motor areas, and recovery of the damaged contralateral corticospinal tract. Understanding the motor recovery mechanisms would provide neurorehabilitation specialists with more information to allow for precise prognosis and therapeutic strategies based on the scientific evidence; this may help promote recovery of motor function. This review introduces several methodologies for neuroimaging techniques and discusses theoretical issues that impact interpretation of functional imaging studies of motor recovery after stroke. Perspectives, for future research are presented.

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Mediating Effect of Self-identity on the Relationship between Aggression and School Life Adaptation of Early Adolescent in Single Parent Families (한부모가정 초기 청소년의 공격성이 자아정체성을 매개로 학교생활적응에 미치는 영향)

  • Jun, Soo-Young
    • The Journal of Korean Society for School & Community Health Education
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    • v.19 no.2
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    • pp.31-42
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    • 2018
  • Objectives: This study was conducted to analyze the mediating effect of self-identity on the relationship between aggression and school life adaptation of early adolescents. Methods: This study used the 5th-year data of the Korean Children & Youth Panel Survey (KCYPS) including 159 middle school 2nd students from single-parent families. The data was analyzed with open source statistics program R 3.5.0 to determine whether self-identity had a mediating effect on school life adaptation as an independent variable. Results: A moderate correlation was found among aggression, self-identity, and school life adaptation. As a result of the Sobel test, self-identity of early adolescents demonstrated a significant mediating effect on the relationship between aggression and school life adaptation. Conclusions: Given the significant mediating factor of self-identity, the strategies for early adolescents to boost their overall school life adaptation should be considered through intervention programs that help to enhance their self-identity.

Youth Health Risk Behavior Survey on Adolescents in Urban Setting (도시지역 청소년의 건강 위험 행위 실태조사)

  • Tak, Young-Ran;Yun, E-Hwa
    • Journal of the Korean Society of School Health
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    • v.20 no.1
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    • pp.11-24
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    • 2007
  • Purpose : Health Risk behaviors are a leading cause of preventable morbidity and mortality. Adolescents is a critical transitional period for establishing health behavior for healthy life. The purpose of this study was to describe the types and frequency of the health risk behaviors being performed by middle school students, examine the gender and grade differences of health risk behaviors, and identify the relationship among health risk behaviors. Methods : A total of 1952 early adolescents recruited from 7 middle schools in a district of urban setting completed questionnaires. Youth Risk Behavior Survey-Middle school questionnaires was used to identify the types of health risk behaviors among early adolescents. Data were analyzed by descriptive statistics and Chi-Square test using SAS program . Results : The results showed the frequency for most health risk behaviors and increased with advancing grade level. Males were more likely than females to behaviors related to smoking and violence, whereas females were more likely than males to have suicidal thoughts, be physical inactive and attempt to lose weight. Among health risk behaviors, the relationship of alcohol experience, smoking, and suicide was high. Conclusion : The findings identify a high risk target group among middle school adolescents and suggest that preventive intervention strategies should take into consideration the types with gender and grade, and provided the evidence that one of health risk behaviors may induce the other health risk behaviors.

Prevalence, Subtypes and Risk Factors of Irritable Bowel Syndrome among Male Adolescents (남자 고등학생의 과민대장증후군 유병률, 증상 유형 및 위험요인)

  • Yang, Yun-Yi
    • Journal of the Korean Society of School Health
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    • v.32 no.1
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    • pp.1-9
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    • 2019
  • Purpose: The purpose of this study was to identify the prevalence, subtypes and risk factors of Irritable Bowel Syndrome (IBS) among male adolescents. Methods: The survey was conducted on male adolescents (n=441) attending a high school. Rome IV criteria was used to diagnose IBS. Data on health promoting behaviors, psychological distress, sleep hygiene practices were collected using self-administered structured questionnaires. Results: The prevalence of IBS was 11.1% and the subtypes were mixed (77.5%), unclassified (10.2%), diarrhea-predominant (8.2%), and constipation-predominant (4.1%). Risk factors influencing IBS were sleeping time (Odds Ratio [OR]=1.00, 95% Confidence Interval [CI]: 0.99~1.00), anxiety, a subfactor under psychological distress (OR=1.12, 95% CI: 1.02~1.22), and arousal-related behaviors, a subfactor under sleep hygiene practices (OR=1.10, 95% CI: 1.03~1.17). Conclusion: Our findings indicated that IBS is a common problem in male adolescents. It is necessary to develop school-based intervention strategies addressing sleeping time, anxiety and arousal-related behaviors in order to prevent and improve IBS in male adolescents.

A Mediator Effect of Social Support in the Association between Stress for College Life and Depression among Nursing Students (간호대학생의 대학생활스트레스와 우울과의 관계 - 사회적 지지의 매개효과 -)

  • Yoo, Kyung Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.1
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    • pp.125-135
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    • 2019
  • Purpose: This study was conducted to determine the mediator effect of social support in the association between stress for college life and depression among nursing students. Methods: The participants of the study were 201 university students in A and C cities. Self-report questionnaires were used to measure the variables. In the data analysis, the SPSSWIN 25.0 program was utilized for descriptive statistics, Pearson's correlation, Sobel test and multiple regression analysis. Results: Mean scores of stress for college life, depression and social support were 2.56, 4.12 and 0.61, respectively. Stress for college life and depression showed a significant positive correlation (r=.60, p<.001), while depression and social support showed a significant negative correlation (r=-.46, p<.001). Lastly, stress for college life and social support showed a significant negative correlation (r=-.55, p<.001). The analysis of the mediator effect of social support in the association between stress for college life and depression showed that social support had a significant mediator effect. Conclusion: Among nursing students, social support may be a mediator in the association between stress for college life and depression. Therefore, strategies for nursing intervention to improve social support should be developed for nursing students.

The Factors related to Long Hours of Smartphone Usage and the Characteristics of High-risk Group in Female Middle School Students (중학교 여학생의 스마트폰 장시간 사용 관련요인 및 고위험군 특성)

  • Park, Sung Hee;Yi, Jee Seon
    • Journal of the Korean Society of School Health
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    • v.31 no.3
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    • pp.135-145
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    • 2018
  • Purpose: The study aimed to investigate the factors associated with long hours of smartphone usage and to identify the characteristics of the high-risk group among female middle school students in South Korea. Methods: The study analyzed the data of 13,648 female middle school students using their own smartphone extracted from the 13th Youth Health Behavior Online Survey (2017). The factors related to using smartphones for a long time was analyzed by binomial logistic regression. The characteristics of the high-risk group was defined by a decision tree analysis. Results: The average hours spent on smartphone usage was 269.54 minutes per day. The significant factors associated with the long hours of smartphone usage were grade, living with parents, perceived household economic status, perceived academic achievement, stress, sadness and hopelessness, the main purpose of smartphone usage, drinking, body mass index, breakfast, and satisfaction with sleep quality. The subjects showing low academic performance and having breakfast four times a week or less were more likely to use their smartphone for a long time. Conclusion: Based on the results of the research, we need to establish intervention strategies focusing on the factors influencing long-time usage of smartphone. Particularly, the subjects who show poor academic performance and skip breakfast frequently should be considered as the high-risk group for spending long hours on smartphone usage.

Effects of Social Support on Health Promotion Behavior through the Mediating Effect of Self-efficacy in Older Women Living Alone (여성 독거노인의 사회적 지지가 자기효능감의 매개효과를 통하여 건강증진행위에 미치는 영향)

  • Oh, Ji Hyun
    • Journal of Korean Gerontological Nursing
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    • v.20 no.3
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    • pp.177-184
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    • 2018
  • Purpose: Self-efficacy encompass one's belief in one's ability to organize and achieve goals. Previous studies have not adequately examined the mediating role of self-efficacy between social support and health promotion behavior. Therefore, this study explored the mediating role of self-efficacy in the relationship between social support and health promotion behavior among older women living alone. Methods: Participants were 145 older women living alone attending a local welfare center for seniors. They completed the Self-efficacy Scale, Medical Outcome Study Social Support Survey Scale, and Health Promoting Lifestyle Profile II. Data were analyzed using Descriptive statistics, Pearson correlation coefficients, Baron and Kenny's regression analysis and the Sobel test with the SPSS program. Results: The average social support, health promotion behavior, and self-efficacy were not high. Self-efficacy was a partial mediating role in the relationship between social support and health promotion behavior. Social support was positively correlated with self-efficacy (r=.31, p<.001) and with health promotion behavior (r=.43, p<.001), and self-efficacy was positively related with health promotion behavior (r=.39, p<.001). Conclusion: To enhance health promotion behavior in older women who live alone, intervention strategies to increase social support and self-efficacy for these women should be developed.

The Influences of Type D Personality, Burnout and Work Environment on Nurses' Intention to Stay in the Hospitals (병원간호사의 type D 성격, 소진, 간호근무환경이 재직의도에 미치는 영향)

  • Kim, Sook Young;Suh, Yeonok
    • Journal of East-West Nursing Research
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    • v.24 no.2
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    • pp.163-170
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    • 2018
  • Purpose: The purpose of this study was to identify the influences of type D personality, burnout and work environment on nurses' intention to stay at the hospitals among nurses. Methods: A cross-sectional descriptive design was used. Participants were 135 nurses working at general hospitals. Data were collected using self-report questionnaires. Data were analyzed using the SPSS/WIN 23.0 program for descriptive statistics, independent t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation, and hierarchical multiple regression. Results: The score of nurses' intention to stay was 4.78. 39.3% of participants were classified as type D personality group. The scores of burnout and work environment were 2.92 and 2.39, respectively. Intention to stay was negatively correlated with burnout and positively correlated with nurse participation in hospital affairs, nursing foundations for quality of care, nurse manager ability, leadership, and support of nurses, staffing and resource adequacy. Burnout and manager ability, leadership, and support for nurses explained 46.0% of variance of nurses' intention to stay in the hospitals. Conclusion: The results of the study indicate that nursing intervention programs for increasing intention to stay for nurses should include strategies for decreasing the burnout and increasing manager ability, leadership, and support for nurses.