• Journal of Home Health Care Nursing
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• v.22 no.2
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• pp.256-264
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• 2015

Purpose: This study aimed to identify the prevalence of lower urinary tract symptoms (LUTS), evaluate factors affecting LUTS among community-dwelling older adults, and provide basic data for a community-based LUTS management program. Methods: A community-based cross-sectional study was conducted from April to November 2010 by using a structured questionnaire. Participants were 157 individuals recruited from 5 community senior centers. Results: The mean LUTS score of the older adults was 9.4 (International Prostate Symptom Score range 0-35). For each LUTS (range 0-5), nocturia was the highest (2.3). Of all older adults, 24.8% had experienced urinary incontinence more than once a month during the past 6 months. Urinary incontinence was found to be an important factor associated with LUTS. Conclusion: A community-based management program for both LUTS and urinary incontinence in community-dwelling older adults should be implemented.

• Journal of Preventive Medicine and Public Health
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• v.17 no.1
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• pp.121-126
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• 1984

Several detailed aspects of medical care services during one year (Aug 1, $1982{\sim}$July 31, 1983) were compared between two community health sub-centers; one (A) was served by a local clinician, the other (B) by a trainee of preventive medicine. The results were analysed as follows: 1. Total spells of medical services during the same period in 'A' sub-center was 4,087 and that in 'B' 2,347. Medicaid visitors in 'A' was 1,051 (25.7% of the total), that in 'B' was 250 (10.7%). Significant difference was observed. 2. Average number of visits for the same case in 'A' was 2.0, that in 'B' was 1.4. Average duration of service by day for the same case in 'A' was 3.9, that in 'B' 3.0. 3. Average cost of service for a case in 'A' was 6,770 won, that in 'B' 4,230 won. 4. Difference in age distribution of visitors in the two sub-centers was insignificant. $0{\sim}9$ year group was 38.5% of the total. Difference in distribution by sex (between two sub-centers) was minimal. Male utilisers more than female by ca. 10%. 5. Concerning distribution of visitors by month, utilisation in July, August and September was the highest; the sum of them was 32.7% of the total in 'A' and 32.9% in 'B'. 6. Distribution by diagnoses in 'A' in decreasing order of frequency was Respiratory system diseases (26.1%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (17.4%), Accidents and poisoning (11.5%) and Diseases of musculoskeletal system and connective tissue (5.4%). That in 'B' was Respiratory system diseases (39.0%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (14.2%), Accidents and poisoning (10.9%) and Infection and parasitic diseases (9.1%). 7. The 10 most frequent diagnoses comprised 68.5% of the total in 'A' and 65.5% in 'B' 8. Utilisation by accessibility to each sub-center was studied. It is shown that the nearer the distance or the easier the accessibility, the more visits to services. The distinct pattern is manifested in the utilisation in 'A'-Myun.

• Korean Journal of Health Education and Promotion
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• v.16 no.1
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• pp.101-126
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• 1999

As the WTO system launches through the agreement of Uruguay Round, the Government has to revise the office regulations or reform the system. Also, Integrating and Coordinating the like affair in health care (i. e., children's home, industry health, school health, health manpower, the administration of health center, the administration on food hygiene, health environmental education, and so on.) which is now scattered into some government departments like the Ministry of Labor, the Ministry of Education, the Ministry of Home Affairs, the Ministry of Agriculture, and the Ministry of Environment, the Government has to prevent unspecialty, inefficiency, inconsistency, and uneconomy. The Government has to review and adopt above suggested the Proposal 1),2),3),4) of the Health Centers on the basis of the local autonomy law and it will help the successive settlement of the local autonomy system in Korea. According to the suggested proposal, the Central Government mainly takes charge of the Macro affairs as hardware, and transfer the Micro affairs as software into the Local Governments to attempt the appropriate functional allocation. To achieve it successfully, the Central Government also has to do the financial support, manpower training and technical support, allocation of health care resources, direction and control, research and development and the health care plan on the macro level. Local Governments which divided into the wide local government and basic local government also have to do their best for health improvement of the community societies like plan of health care program, implementation of health care service program, taking charge of the affairs of health insurance, activation of community residents' participation and security of health care resources etc. To achieve this goal, the Government have to be more active and reformative, the related social and health agencies and educational agencies have to cooperate and support for the goals, and especially, the community residents have to participate actively and voluntarily, When all these conditions promote, local health care administration will be developed, and health level of community residents will be secured. And going one step forward, the country and people will be more healthy

• The Journal of the Korea Contents Association
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• v.14 no.2
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• pp.257-269
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• 2014

This study examines the effects of community child care center workers' perception of professionalism on their job satisfaction. This study conducts a survey of 221 community child care workers in Seoul, Gyeonggi, and Gangwon provinces in Korea. Results show that the level of perception of professionalism and job satisfaction are over intermediate. The perception on professional values and ethics are slightly higher than the perception on professional knowledge and skills. The workers are more satisfied with intrinsic job factors such as achievement and responsibility than extrinsic job factors such as compensation and working conditions. Regression analysis reveals that the workers' perception of professionalism is positively associated with both intrinsic and extrinsic job satisfaction. Based on the findings, this study provides suggestions to enhance the workers' professionalism and job satisfaction, which will contribute the quality of services in community child care centers.

• Korean Journal of Child Studies
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• v.29 no.2
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• pp.89-108
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• 2008

This study used Family Group Theraplay (Munns, 2005) to investigate the effects of enhancing interaction between child and mother on mitigating developmental risks for children growing up in low-income households. The subjects for the study were selected from among Community Child Care Centers and Community Welfare Centers in Seoul. The children were in the first, second, and third grades of elementary school. Eleven child-mother dyads participated in Family Group Theraplay once a week for a total of 12 45-minute sessions. The control group consisted of 9 child-mother dyads. The Family Group Theraplay program improved interaction between the children and their mothers and also reduced children's behavior problems and mothers' parenting stress.

• Journal of agricultural medicine and community health
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• v.35 no.3
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• pp.301-313
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• 2010

Objectives: The purpose of this research is to provide foundational data for reeducation concerning prehospital emergency care in order to improve the performance of emergency medical technicians (EMTs) working at 119 fire safety centers. Methods: Data were collected using a mail-in questionnaire developed by researchers from 288 subjects, who were EMTs working at 119 fire safety centers and local units in the Gwangju Metropolitan City and South Jeolla Province, from March 1, 2009 to April 31, 2009. Results: The mean score for EMTs' knowledge on drug intoxication was7.04 out of a total of 10 points. The mean score for EMT's attitude of emergency treatment performance on drug intoxication was 2.96 out of a total of 4 points. The level of EMT's knowledge is relatively high regarding prehospital care for drug intoxication. The EMT's attitude of performances demonstrated an understanding of the patients' conditions. However EMTs did not actively explain the prognosis and medical conditions for their patients. Conclusions: This research will contribute to making plans for reeducating emergency crew working at 119 fire centers so that can they have a more active attitude towards prehospital emergency medical care.

• Korean Journal of Community Nutrition
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• v.18 no.3
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• pp.243-256
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• 2013

The purpose of this study was to evaluate the effectiveness of Centers for Child-care Foodservice Management (CCFSM)'s support on menu management in child-care centers and kindergartens by comparing two perspectives of pre-support vs. post-support and established vs. non-established. To evaluate dietary variety, we used methods that considered both Dietary Diversity Score (DDS) and Dietary Variety Score (DVS). For surveying pre-support and post-support state by CCFSM, we collected and analyzed menus of June and September, 2012, targeting 7 CCFSM supported institutions. Meanwhile, for surveying state in CCFSM established and non-established areas, we collected and analyzed menus of June, 2012, which were implemented in institutions in CCFSM established (181 places) and non-established (106 places) areas. The results of evaluation on the dietary support by CCFSM showed that post-supporting state by CCFSM (95.3%) was significantly higher than pre-supporting state (77.2%) (p < 0.001) and established areas (87.4%) were significantly higher than non-established ones (77.2%) (p < 0.05) on 'Meeting the DRI for infant'. Evaluation of dietary variety between pre- and post-support state by CCFSM showed that post-support state (total 77.3 point) was higher than pre-support state (total 76.4 point). Evaluation of dietary variety between established and non-established areas showed that established areas (total 81.1 point) were significantly higher than non-established ones (total 77.1 point) (p < 0.001). Therefore, it is considered that dietary support service conducted by CCFSM contributes to improve variety level of diet provided by child-care centers and kindergartens.

• The Journal of Korean society of community based occupational therapy
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• v.5 no.1
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• pp.55-62
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• 2015

Objective : The purpose of this study was to investigate the satisfaction of occupational therapy service for parents of children with disabilities using specialized child-care centers for disabled in Gyeongbuk. Methods : The subjects of this study were 104 parents who have experience in occupational therapy at 14 specialized child-care centers for disabled in Gyeongbuk. A questionnaire was conducted from July, 2014 to March, 2015. Descriptive statistics of frequency, mean, standard deviation, and One-Way ANOVA study were used to analyze data. Results : Disabled children got occupational therapy at first when they were 3.25 years, on average. Duration of occupational therapy use were 31.84 month, on average. The subjects determined to got occupational therapy mostly through consultation nurseries(40.4%). Most of them got speech therapy(78.0%) other than receiving occupational therapy service, responded very necessary to occupational therapy(69.3%). Satisfaction of occupational therapy service were 4.49 point at attitude of occupational therapists, 4.36 point at occupational therapy program, and 4.26 point at environment of occupational therapy room. Attitude of occupational therapists were the highest satisfied. Conclusion : This study would contribute to effective and meaningful occupational therapy through objective view

• Journal of the Korean Home Economics Association
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• v.27 no.2
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• pp.53-63
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• 1989

A untrition survey of early childhood was undertaken among 102 rural young children, aged 3 to 6, attending three day care centers of Hongcheon-gun, Kangwon province, in July of 1987, to investigate dietary and nutritional status. The results were obtained as follows: Mean values of height and arm circumference ranged from 96 to 97% of the KSRI's standards. However, mean value of weight met 91% of that standard. Mean value of hematocrit was 37.3±3.5%. According to the criterion established by the WHO, 3% of the subjects were proven to be anemic. Mean value of urinary urea nitrogen/creatinine ratio was 13.8±7.6; the higher the age lower the ratio was shown. Intake of energy and nutrients ranged from 63 to 88% of the RDAs. Carbohydrate provided 68% of total energy intake; protein accounted for 14%; fat provided 18%. Energy intake was divided among breakfast, lunch supper and snacks in a percentage ratio of 21:35:26:18. The survey clarified that the day care feeding largely supplemented the inadequate dietary intakes of these young children at home. Family factors, anthropometric measurements, biochemical results were positively correlated with nutrient intakes. Authors with this study can be contributed, as a reference, to develop the community nutrition programs as well as improving the quality of day care feeding.

• Journal of Korean Public Health Nursing
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• v.35 no.2
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• pp.254-267
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• 2021

Purpose: This study aimed at identifying the factors affecting the service satisfaction of urban elderly, focusing on the outreach community health service in Seoul, and suggesting policy directions for the successful implementation of community care. Method: Individuals aged 65 and 70 who used the outreach community health service from July 2017 to June 2019 were eligible for the survey. A total of 2,028 people were sampled using a proportional allocation method for each autonomous district in the survey which covered 25 districts. A multi-level logistic regression analysis was conducted, taking into account the individual's socioeconomic level, health status, type of service provided, and the healthcare-related environment and service provision period of the autonomous district. Result: The results revealed that the health status of the urban elderly, the type of services provided (health screening, linkage to community health center and clinic/hospital, medical checkup results counseling, frailty evaluation), and personal experience of the service were the major factors associated with the satisfaction with the outreach health services. Conclusion: The development of customized health services based on the close relationship between visiting nurses and the elderly may be considered to promote a sustainable community health care model.