This study has been performed to explore process of forming low cost small site housing communities and residential lives of the young elderly around small cities along rural counties of America and Canada, and suggest future implications for Korea. In this study, five low cost small housing zones such as cottage and mobile home parks in non-metropolitan counties of California and Ontario State such as Weed, Paradise, Sun City,, Wellington on the Lake, and Trenton were visited and the elderly residents and service experts were interviewed. The senior concentrating housing clusters were formed primarily from influx of both metropolitan and rural residents for the purpose of seeking warmful localities, traffic connections, and business purposes in theme focused production areas. On the other hand, residential lives in the zones are occasionally negatively influenced by unbalanced concentrations of elderly facilities such as nursing stations and funeral homes. For the future of Korean rural elderly policies, suggestions are made as follows: first, integrated forms of urban and rural township need to be settled as attracting places for early retiring people who seek low cost pastoral oriented but culturally activated environment. Second, a model town of mobile housing structures needs to be initiated as a measure of evaluating adaptation process of those movers. Third, a cooperation system among governmental ministries needs to be formed in order to integrate a long term master plan of establishing traditional rural town of independent housing districts. fourth, productive and active lifestyles need to be maintained for government lead retirement rural villages by limiting expansion of nursing related facilities around the independent areas. Fifth, visiting welfare service programs and volunteer groups need to be further developed for the housing area especially in winter time, when social integration and emotional comforts are extremely limited.
This study has been performed to explore verbal and behavioral expression of sexual desires among male elderly residents who have been living in long tenn care facilities. There are three topics covered in this study; first, in what situations and how seriously do care workers encounter expression of sexual desires of the elderly residents? Second, what kind of negative consequences do they believe those sexual behaviors will lead to? Third, how can we implement defensive measures against the sexual behaviors? In this study, twenty three care workers working full time in five retirement and care facilities were asked about their experience and perception of the above study agendas, and answers of the qualitative interview were drawn as follow; first, the elderly residents apparently show a variety of sexual harassment and provoking behaviors such as sticking to specific women, physically touching and attacking, and induce obscenely activities against female residents, care workers, and volunteer visitors. Second, their sexual behaviors are often influenced by their isolated and abandoned emotionality as well as living situation in rural areas. Third, their sexual behaviors often critically affect care work plan and facility managements by severely discouraging female care givers and community supporters. Therefore in this study, suggestions and defensive measures were made as follows: first, education and counselling programs toward female workers and volunteers need to be developed, and the programs should cover psychological and behavioral mechanism of sexuality in later life. Second, self control plans need to be empowered toward the elderly residents; in the plans, the elderly residents shall be encouraged to evaluate primary cause and proper solutions of sexual behaviors of their peering residents. Third, combination of healthy housing and care facilities for frail elderly need to be integrated in a neighboring location, so that when residents and workers encounter extreme episodes of sexuality of healthy residents in a housing facility, the problematic sexual residents are partially transferred into a neighboring care facility and thereafter other residents and cafe givers are relieved from stressful contacts with the extremely sexual residents.
Objectives: An outbreak of hepatitis A occurred at a residential facility for the disabled in July 10, 2011. This investigation was carried out to develop a response plan, and to find the infection source of the disease. Methods: A field epidemiologist investigated the symptoms, vaccination histories, living environments, and probable infection sources with 51 residents and 31 teachers and staff members. In July 25, 81 subjects were tested for the hepatitis A virus antibody, and specimens of the initial 3 cases and the last case were genetically tested. Results: Three cases occurred July 10 to 14, twelve cases August 3 to 9, and the last case on August 29. Among the teachers and staff, no one was IgM positive (on July 25). The base sequences of the initial 3 and of the last case were identical. The vehicle of the outbreak was believed to be a single person. The initial 3 patients were exposed at the same time and they might have disseminated the infection among the patients who developed symptoms in early August, and the last patient might have, in turn, been infected by the early August cases. Conclusions: The initial source of infection is not clear, but volunteers could freely come into contact with residents, and an infected volunteer might have been the common infection source of the initial patients. Volunteers' washing their hands only after their activity might be the cause of this outbreak. Although there may be other possible causes, it would be reasonable to ask volunteers to wash their hands both before and after their activities.
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.
Purpose: 'The purpose of the present study was to understand students' experiences from their standpoint, to identify relevant variables and to examine into their relations by analyzing and describing what phenomenon 'nursing students' visiting ambulatory bathing service' is, what are the reasons for the phenomenon, and what interactions are in the phenomenon. Method: The subjects were thirteen students. Data were collected through in-depth interviews and analyzed by Strauss and Corbin's analysis method. Result: With regard to ambulatory bathing service, participants responded 'lack of education', 'inexperienced personal relations' and 'disappointment with recipients families'. They recognized 'burden' and 'compassion'. The intensity of generated 'burden' and 'compassion' was determined by volunteering persons, the degree of health care service, recipients' response and interaction of climate. When 'burden' and 'compassion' were generated, participants selected their own coping strategies. Strategies in the situation of 'burden' and 'compassion' were significantly influenced by 'burden' and 'compassion' and structural situation - 'mutual relation structure,' 'volunteers' capability,' 'the degree of volunteering guidance,' 'community participation,' 'recipients' environment,' 'information sharing,' 'special vehicle equipment' and 'economical burden.' Strategies include' service training,' 'receiving volunteering training,' 'preliminary service preparation,' 'volunteering.' 'connection to local medical center,' 'intention,' 'information sharing,' 'passive response to recipients' appreciation' and 'the understanding of publicity'. The results of selected 'burden' and 'compassion' are described with 'worthiness' and 'cohesion' as follows. Conclusion: This study is significantly meaningful in that it examined bathing service welfare in its initial stage. There are not much outcome from previous studies. However. it is meaningful that this study intended to develop theories on the nature of experiences and the relations among concepts derived from the visiting ambulatory bathing service process of nursing students. Professors who taught social volunteering in universities understood the experience of nursing students who did the visiting ambulatory bathing service. Consequently, professors will provide an effective instruction to enable these students to carry out visiting ambulatory bathing services efficiently in order to meet demands when they conduct the services. For the volunteering service activity in major-related fields among college students' social volunteering activities, they recognized the necessity of systematic education and preparation.
The purpose of this study was to examine present condition of social work field education, students' stress/stress coping strategies in their field practicum, and to find out the difference according to the factors related field education. This study carried out a survey targeting 202 students who finished their social work field practicum and took their course work in 2012, from 4 different universities in the northern Gyeonggi province & Seoul. As the result, in the area of stress, the highest rank was the lack of professional knowledge/skills, the second was the environment of field practicum, and the third was the burden of tasks that they had to perform. About the coping strategies, it was found that students utilized 'problem-solving focused' the most, pursuing 'social support' as the second, and 'avoidance' strategies as the least. Factors influencing on differences of stress level depending on field work experiences were whether they had previous field experience, how much time they participated in previous volunteer activities, whether they attended orientation for their field practicum, regularity/frequency of supervision, the satisfaction on their social work/welfare major, and the satisfaction on their field practicum or supervision. Based on the results, suggestions for development in field education system were presented.
The object of this study is to evaluate confounding effect of sleeping behavior on heart rate variability (HRV) in healthy volunteers during a randomized clinical trial. From 6 healthy volunteer, we acquired circadian electrocardiography(ECG) with a Holter monitoring device(DigiTrak Plus, Philips). The compatible analytical program, Zymed, was used for calculation of RR intervals of 24h ECG signal. Then, we generated HRV signals and calculated 9 HRV parameters in time domain and frequency domain for every 30 minute with Matlab 6.x software. We also encoded participants' activities as follows; stable condition(1), sleeping behavior(2), eating behavior(3), and undefined condition(4). Using SPSS 12.0, we tested if there was any difference between HRV parameters of day-time and night-time and between those of a subject in stable condition and in sleeping behavior. As a result, one of the most important parameter-LF/HF ratio, which indicates the autonomic balance between sympathetic and parasympathetic nervous systems, as same the other parameters, showed large inter-individual variations in circadian profiles. And, the mean LF/HF ratio of each participant was different between in stable condition and in sleeping behavior (p<.05). Consequently, the effect of sleeping behavior must be considered when one or more of HRV parameters, especially LF/HF ratio, are used as assessment index in clinical studies.
This study lays its purpose on providing basic material for managing dental hygiene care programs by grasping images of the elderly perceived by dental hygienists and their behaviors toward the elderly, who have an important role in improving the elderly's dental health in the aging society. For these purposes, the researcher conducted a self-administrative questionnaire survey of 370 dental hygienists working in dental clinics or offices located in the Seoul and Daejeon areas from June 2 to 21 in 2008 and collected data, statistical analysis of the $x^2$-test, t-test, one-way ANOVA, Pearson Correlation used. resulting in the following findings. 1. In perceived images of the elderly according to their general characteristics, a subject group with under 8-year career showed 85.38 points, indicating the statistically significant difference (p=0.001). 2. When we look at perceived images of the elderly and behaviors toward them according their characteristics, in images of the elderly, a subject group with positive perceptions of the elderly showed 85.51 points (p=0.000), a subject group with meaningful old person(s), 84.66 points (p=0.000), a subject group living with old person(s), 86.04 points (p=0.001), and a subject group with experience in volunteer service activities, 84.11 points (p=0.001), and in behaviors toward the elderly, a subject group with positive perceptions of the elderly and with meaningful old person(s) showed 56.46 (p=0.036) and 55.91 points respectively, indicating the statistically significant difference (p=0.040). 3. Images of the elderly and behaviors toward them showed a positive correlation, indicating that the more positive images of the elderly, the more positive behaviors toward them (r=0.317). Putting these results together, it is thought that it is time to need continuous education and efforts regarding the formation of desirable relationships with and images of the elderly and behaviors toward them, for dental hygienists who have an important role in managing and enhancing the elderly's dental health in the aging society.
To enhance the quality of disaster management service, the paradigm shift is necessary from the supplier-centered approach to demander-centered approach. In this paper, demander means all the policy actors that participate in the field of disaster such as central & local governments, emergency rescue systems, civil volunteer groups as well as the disaster victims. In this study, we analyze the current problems of disaster management service in demanders' point of view through in-depth interviews and then address suggestions based on each entity's recognitions and understandings related. The results are as follows: 1) Lack of systemicity in the current disaster management service. 2) The mutual distrust and understanding among the policy actors participating in the disaster site. 3) In the field of disaster, not only the disaster victims but also people related to entities are deprived of a stable living due to a long period of rescue activities. Furthermore, the conflicts derived from allocations of the aid fund can bring about the collapse of local community involved in disaster. 4) The life of the disaster victims that have been damaged mentally and financially is earnestly necessary to be conveniently served by disaster management service.
This study obtained licenses for dental hygienists and dental technicians and analyzed the data by sampling convenience as those currently working in hospitals. It was selected as the final data using 75 dental hygienist questionnaires and 90 dental technician questionnaires. The analysis found that both groups had high ethical values and that they were willing to serve if given volunteer opportunities, indicating a high sense of professional and professional mission. In addition, more than a majority of both groups surveyed said ethical issues would emerge in clinical activities, and that job ethics education was desperately needed. Measures should be sought to foster professional expertise by developing sustainable professional education and programs with established ethical foundations.
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