The purpose of this research was to find out relation between the attitudes toward work and leisure in later life and intention to move to senior community available to work among 50's in Seoul, Incheon, and Kyunggido. The same research questions would be revealed as the previous one done by Cho & Cho(2006). The data were the part of the survey collected from 556 respondents with questionnaire during November, 2002 by the Hong's research team(2004). The results of this study showed that most respondents were somewhat actively preparing toward work in later life and the level of preparation differed by the individual characteristics such as age, health and occupation. They preferred various work items specially managing facility center, raising animals and plants, and managing educating center, which were different from what current elderly workers were mainly involved in. Similarly to the work, most respondents cared for the kind of leisure activities to continue and saved money for the leisure expenses in later life. The better the economic conditions, the more actively prepared for leisure in later life. They were strongly expected to participate in public leisure facilities and programs for the elderly as a user, volunteer, and/or activist. Over two thirds of the respondents preferred to work and live together in later life and over two out of five had intention to move to the senior community available to work. The more active in work and/or leisure in later life, the higher intention to work together and/or to move to the community. Those results generally supported the previous research showed that the needs of work and leisure in later life would be increased and varied, therefor housing for the elderly should considered work space and program as well as leisure. The further study was suggested to focus on the potential and current residents in the sample case of the comprehensive welfare town for the elderly by local administration.
Journal of Physiology & Pathology in Korean Medicine
/
v.21
no.4
/
pp.1045-1050
/
2007
This study was conducted to help oriental medical prevention program policy for improvement of public health in a local community. We have researched respiratory diseases and demands for oriental medical cold preventing therapy of some residents in Chung-Buk. We have conducted individually face-to-face interviews through standardized questionnaires to 141 residents of two towns (76 in Haeng-jung, 65 in Gu-mi) under the jurisdiction of Chung-won Public Health Center. The senior aged over 65 was 53.9%, which was a little more than the average senior age. The rate which could be diagnosed as a disorder of lung function was 2.97% by Lung Function Test. The participants diagnosed as Asthma accounted for 17.9% by Symptom Based Easy Asthma Diagnosis of Easy Asthma Management(EAM). The participants who had intentions of participating in oriental medical cold preventing therapy accounted for 58.6%. And among the oriental medical cold preventing therapy the preference for acupuncture and moxibustion was 77.1 %, which was much higher than any other thing. It is thought that people still have little understanding about the oriental medical cold preventing therapy. Therefore it is considered that the Korean government should try to establish well-organized cold preventing system on the basis of Oriental Medical theory for a local community.
The quality of apartment houses has been gradually upgraded. However the changes in demographic composition of residents such as seniors, disabled persons, and etc. have not been considered in the process of planning. If apartment houses are designed on the base of the concept of universal design, their residents could live as long as they want to live in. This study evaluates the Korean standard-sized apartment housing units and the common spaces of those apartment buildings, and it's outdoor environments from the perspective of universal design. The observation and measuring was conducted with the questionnaire survey with 100 residents living in those housing units. 60 items were designed for evaluating them in relation to the principles of universal design. The results are as follows : 1) In general, the principles of universal design were relatively applied to the apartment houses. However their application needs to be broadened. 2) The number of parking lots needs to be increased and the width of individual parking lot to be increased. Also, the location of gazebo and senior center needs to be placed in easily accessible areas. 3) The shape, color, finishes of the ramp and the entrance area of the apartment building and housing unit should be made more homelike. Also, the entrance area of apartment building and housing unit needs to be made large enough for residents themselves and meeting with neighbors. 4) Among all of the rooms in a housing unit, bathroom should be improved immediately. Also, the width of doors should be at least 80cm wide and the floor should be made even.
Objective: A national survey was conducted to assess orthodontic residents' current concepts and knowledge of cleft lip and palate (CLP) management in Korea. Methods: A questionnaire consisting of 7 categories and 36 question items was distributed to 16 senior chief residents of orthodontic department at 11 dental university hospitals and 5 medical university hospitals in Korea. All respondents completed the questionnaires and returned them. Results: All of the respondents reported that they belonged to an interdisciplinary team. Nineteen percent indicated that they use presurgical infant orthopedic (PSIO) appliances. The percentage of respondents who reported they were 'unsure' about the methods about for cleft repair operation method was relatively high. Eighty-six percent reported that the orthodontic treatment was started at the deciduous or mixed dentition. Various answers were given regarding the amount of maxillary expansion for alveolar bone graft and the estimates of spontaneous or forced eruption of the upper canine. Sixty-seven percent reported use of a rapid maxillary expansion appliance as an anchorage device for maxillary protraction with a facemask. There was consensus among respondents regarding daily wearing time, duration of treatment, and amount of orthopedic force. Various estimates were given for the relapse percentage after maxillary advancement distraction osteogenesis (MADO). Most respondents did not have sufficient experience with MADO. Conclusions: These findings suggest that education about the concepts and methods of PSIO and surgical repair, consensus regarding orthodontic management protocols, and additional MADO experience are needed in order to improve the quality of CLP management in Korean orthodontic residents.
In Intensive Care Units (ICUs), where severely ill patients are treated, importance of reducing Hospital Acquired Infection (HAI) cannot be overstated. One of the simplest and most effective actions against HAI is proper hand hygiene (HH) behavior of Health Care Workers (HCWs). However, compliance varies across different cultures and different job types of HCWs (physicians, residents and nurses). This study aims to understand determinants of HH behavior by HCWs' job types in Korea. Qualitative analysis was performed based on Reasoned Action Approach style interviews with staff physicians, residents and nurses across 7 teaching hospitals. We found that all HCWs strongly believe HH is important in reducing HAI. There were, however, job type-specific HH behavior modifying factors; staff physicians stated feeling pressure to be HH behavior role model. Residents identified Quality Improvement team that measured compliance as a facilitator; a notable barrier for residents was senior physicians not washing their hands, because they were afraid of appearing impudent to their seniors. Nurses designated their chief nurse as a key referent. All participants mentioned heavy workload and lack of access to alcohol-based sanitizer as situational barriers, and sore and dry hand as deterrents to HH compliance.
Background: The Boileau classification distinguishes three surgical neck fracture patterns: types A, B, and C. However, the reproducibility of this classification on plain radiographs is unclear. Therefore, we questioned what the interobserver agreement and accuracy of displaced surgical neck fracture patterns is categorized according to the modified Boileau classification. Does the reliability to recognize these fracture patterns differ between orthopedic residents and attending surgeons? Methods: This interobserver study consisted of a randomly retrieved series of 30 plain radiographs representing clinical practice in a level 1 and a level 2 trauma center. Radiographs were included from patients (≥18 years) who sustained an isolated displaced surgical neck fracture if they were taken ≤1 week after initial injury. A ground truth was established by consensus among three senior orthopedic surgeons. All images were assessed by 17 orthopedic residents and 17 attending orthopedic trauma surgeons. Results: Agreement for the modified Boileau classification was fair (κ=0.37; 95% confidence interval [CI], 0.36-0.38) with an accuracy of 62% (95% CI, 57%-66%). Comparison of interobserver variability between residents and attending surgeons revealed a significant but clinically irrelevant difference in favor of attending surgeons (0.34 vs. 0.39, respectively, Δκ=0.05, 95% CI, 0.02-0.07). Conclusions: The modified Boileau classification yields a low interobserver agreement with an unsatisfactory accuracy in a panel of orthopedic residents and attending surgeons. This supports the hypothesis that surgical neck fractures are challenging to categorize and that this classification should not be used to determine prognosis if only plain radiographs are available.
With the continuous rise of elderly population and rapid progression of aging in our society, greater emphasis is placed on the importance of local seniors welfare centers as representative service space that meets the diverse needs of local residents. In addition, there is a growing tendency among current users to seek high-quality service as their educational level, economic ability and lifestyle have changed for the better compared to past generations. Accordingly, this study analyzed the satisfaction of senior welfare centers according to life-style type of the elderly, using a lifestyle measurement tool which incorporates indicators of gerontographics. A survey was conducted with users of seven senior welfare centers located in Seoul. Analysis results are as follows: First, four types of lifestyle were derived through cluster analysis; independent activity type, protective activity type, active challenge type, and passive challenge type. Second, it was found that the overall satisfaction of seniors welfare centers by the life-style of the elderly is highest for the protective activity type followed by the passive challenge type, the active challenge type, and the independent activity type. Third, upon examining the effect of spatial characteristics of welfare centers on the satisfaction of elderly users by type of lifestyle, it was found that the independent activity type and the passive challenge type users are most influenced by intimacy, the protective activity type users by comfort, and the active challenge type users by convenience.
This study aimed to develop Korean types of the university-based continuing care retirement community. CCRCs (Continuing care retirement communities), where senior residents are guaranteed to get continuous cares without moving out even under their deteriorating health condition, has been identified as the appropriate residences that can accommodate aging-in-place needs. Aging-in-place may be ideal for the increasing senior population and older households. Recently in the United States, as many retirees looked for intellectually and physically active environments that also offer intergenerational programs, university-based retirement communities (UBRCs) became popular and their number reached 60 campuses nationwide. This numbers is expected to grow significantly over the next two decades. We conducted case studies that targeted two representative UBRCs and identified four categories of main features. They were general characteristics, architectural features, services or programs, and management system. This study result highlighted key features of the UBRCs that can be the foundation for the future UBRCs development in Korea.
The purpose of this study was to examine the characteristics of service facilities, and needs for service facilities using for leisure in multi-family housing properties. The multi-family housing complexes in Seoul were selected in this study. Site visits, analysis of drawing of complex and questionnaire survey were conducted. The statistical techniques used for data analysis included frequencies. The research results were as follows; The studied apartment complexes provided the appropriate and adequate service facilities in accordance to the regulations of multi-family housing. Playground for children, senior center, resting place were found in all the complexes, but the presence of exercise facilities, shared spaces, green spaces, and community parks was somewhat different across the studied complexes. Satisfaction with leisure facilities were different with the apartment complexes. The respondents who had lived older apartment complexes were more likely to increase dissatisfaction, and the reason was attributed to no presence of the leisure facilities they wanted to use. The respondents said that such service facilities using for leisure facilities as playground for children, senior center, community parks, walkways, reading room, and fitness center were highly needed.
This study was conducted to examine elderly users' satisfaction with welfare services and the environments of the senior citizen centers in mid-sized and small cities in Korea. Three hundred and two elderly users were surveyed for this study. Age and gender differences in the level of satisfaction were found. The male elderly users and older users were more satisfied with the education programs than the female and younger users. The elderly people who reside in single-family residences were more satisfied with the educational programs and part-time job opportunities offered at the center than the elderly users who were living in apartment buildings. This could be explained by the fact that dwellers of single housing had more freedom and more room for self-regulation in scheduling their program participation, whereas the apartment building residents had rarely experienced social exchanges with their neighbors. There were significant differences in satisfaction with the environments of the centers by gender, marital status, age, level of education, religion, and housing type. The group differences were explained by the abundance of community activities that are centered around younger and female participants. Based on these findings, it is suggested that more specialized educational and social programs should be developed for the younger users in their early 60s, that co-ed religious activities and hobby programs should be expanded, and that the home-visiting welfare staff should regularly provide the elderly users the information on programs and activities.
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