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Related Factors on Health Service Utilization and Satisfaction of Health Center Clients -Using '2010 Community Health Survey'- (보건기관 이용 현황 및 만족도와 관련 요인 -'2010지역사회건강조사' 자료를 이용하여-)

  • Kim, Hye-Sook;Park, Young-Hee
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.95-109
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    • 2013
  • The objective of this study is to assess the utilization and satisfactions about public health centers in Korea. For the analysis, the study utilize the nationwide data of 229,229 person on '2010 Community Health Survey' of Ministry of Health & Welfare. The statistical methodology used in the study is ${\chi}^2$, ANOVA, logistic regression model and multiple regression model. This study have four major findings. First, the significant affecting socio-demographic factors in utilizing public health center were gender, age, region, national basic living secured, married, income, education, job, state of health, chronic disease, unmet medical needs and utilization reason. Second, the most serviced category of health center user was vaccination both city and rural area and the next was certificate, primary care, health screening, other use, the mother and child in city area, primary care, health screening, certificate, home visiting health in rural area. Third, the significant affecting socio-demographic factors in satisfaction degree on health center service were age, region, national basic living secured, income, education, job, state of health, utilization degree and reason. Fourth, the most satisfied service of health service center was home visiting health in city area and mental health service in rural area and the next was nutritive control and the lowest satisfied service was user of certificate. The utilization and satisfaction on health center service were identified as different with residental area and user's characteristics. The politic effort are needed to support socially disadvantaged class and to narrow regional gap.

A Structural Equation Model of Pressure Ulcer Prevention Action in Clinical Nurses (임상간호사의 욕창예방행위 구조모형)

  • Lee, Sook Ja;Park, Ok Kyoung;Park, Mi Yeon
    • Journal of Korean Academy of Nursing
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    • v.46 no.4
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    • pp.572-582
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    • 2016
  • Purpose: The purpose of this study was to construct and test a structural equation model for pressure ulcer prevention action by clinical nurses. The Health Belief Model and the Theory of Planned Behavior were used as the basis for the study. Methods: A structured questionnaire was completed by 251 clinical nurses to analyze the relationships between concepts of perceived benefits, perceived barriers, attitude, subjective norm, perceived control, intention to perform action and behavior. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting pressure ulcer prevention action among clinical nurses. Results: The model fitness statistics of the hypothetical model fitted to the recommended levels. Attitude, subjective norm and perceived control on pressure ulcer prevention action explained 64.2% for intention to perform prevention action. Conclusion: The major findings of this study indicate that it is essential to recognize improvement in positive attitude for pressure ulcer prevention action and a need for systematic education programs to increase perceived control for prevention action.

Preference and Dietary Behavior for Kimchi among Elementary School Students in Chungnam (충남 일부지역 초등학생의 김치에 대한 기호도 및 식행동 조사)

  • Oh, Su-Jin;Choi, Mi-Kyeong
    • The Korean Journal of Food And Nutrition
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    • v.27 no.2
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    • pp.203-212
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    • 2014
  • The purpose of this study was to estimate the preference, intake frequency and eating behavior for kimchi as well as analyze the differences by gender among fourth to sixth grade students (n=410) in a Chungnam region. Approximately 64% of the students liked the spicy taste of kimchi, 75.9% liked the saltiness, and 48.5% liked well-fermented kimchi. The disliking factors of kimchi were its sour taste (38.5%), strong scent (20.1%), and salty taste (15.4%). The most preferred type of kimchi was Baechukimchi, followed by Kkakduki, Yeolmukimchi, and Chonggakkimchi. Further, the most frequently consumed type of kimchi was Baechukimchi, followed by Kkakduki, Chonggakkimchi and Yeolmukimchi. Oisobaki, welsh onion kimchi, sesame leaf kimchi, Gatkimchi, Nabakkimchi and Baekkimchi were rarely consumed. About 34% of the students consumed 5 to 7 pieces of kimchi per meal, and 84.1% enjoyed eating kimchi, mostly because of its good taste (61.3%). The reason for not eating kimchi was because other side dishes are more delicious (30.2%). About 80% of the students responded that they prepared kimchi at home. Moreover, 74.3% of the students eat kimchi much more at home than at school. Improvements to be made for kimchi at school were as follows: less salty (34.9%), less spicy (27.6%), and sweet (22.5%). In conclusion, students enjoyed eating kimchi because of its good taste. Further, they showed preference for Baechukimchi, Kkakduki, and Yeolmukimchi and consumed them frequently. Because kimchi appears to be more preferred and more frequently consumed, it is necessary to develop a menu using kimchi along with the proper eating guidance for helping students consume various types of kimchi at school or at home.

Experiences in Spiritual Nursing Care by Student Nurses before Starting Nursing Practice in Hospital: Part I (간호대학생의 임상실습 전 영적 간호경험 I : 사례연구를 중심으로)

  • Koh Myung-Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.3
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    • pp.462-472
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    • 2002
  • The purpose of this study was to describe the spiritual care experiences of student nurses after they have received 2 credits in a spiritual nursing care course at a university in Seoul, Korea. The major finding are as follow: 1 The problems that students reported for their patients were. loss of self- confidence, anxiety about outward appearance, anxiety about his(her) health and illness, maladaptability, guilt, problems with dating, uncertainty about his (her) future. 2. The methods which students used to help solve the patients' problems were: prayer with patients, use of Scripture, conversation, advice, frequent meetings listening, frequent phone call, writing letters, exploring problem solving methods together, and introduction of similar patients. 3. After the students had experienced spiritual nursing care they felt satis-faction, lack of knowledge of spiritual care, understood that spiritual nursing care courses at the university are important for education and experience, and understood the need for experience to increase sensitivity to the spiritual needs of their patients. Conclusion : Maintaining spiritual wellness is a important as maintaining physical fitness and essential for optimal well being. Therefore educating student nurses in developing and maintaining spiritual wellness is essential in order for them to help their patients achieve holism.

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Comparison Analysis of Dietary Behavior and Nutrient Intakes of the Elderly according to Their Family Status: The Korea National Health and Nutrition Examination Survey 2013-2016 (가족 동거 여부에 따른 남녀 노인의 식 행동과 영양소 섭취 실태 비교 분석: 국민건강영양조사 2013~2016)

  • Oh, Ji-Hong;Jung, Bok-Mi
    • Korean Journal of Community Nutrition
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    • v.24 no.4
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    • pp.309-320
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    • 2019
  • Objectives: This study was undertaken to compare dietary life of the elderly living alone and in a family, and to compare differences based on gender, for the 2013-2016 Korea National Health and Nutrition Examination Survey (KNHANES). Methods: The subjects included 2,612 elderly people aged over 65 years who participated in the health survey, health examination and nutrition survey. Subjects on a diet therapy were excluded. This study analyzed the general characteristics, dietary habits, daily energy and nutrient intakes, CPF ratio, estimated average requirement (EAR), nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR), index of nutrient quality (INQ), and food consumption of the elderly living alone and in a family. We also compared the differences based on gender. Results: Daily intake of food, water, dietary fiber, potassium, retinol, and riboflavin were low in the male elderly subjects living alone. The elderly living with family revealed higher NAR and MAR as compared to the elderly living alone. Although all MAR values were <1, the elderly living alone had lower values. Considering the intake of food, the consumption of seaweed, fish and shellfish, and oils (animal) was higher in elderly men living with families, whereas women living with families consumed more vegetables, fruits, seaweeds and seafood, as compared to their counterparts living alone. Furthermore, analyzing the foods consumed by the elderly people living alone, female subjects consumed more seaweed, milk and animal oil as compared to male subjects. Conclusions: The results of this study indicate that the elderly living alone have poor nutrient intake as compared to the elderly living with families. Based on this research data, we recommend that it is necessary to improve the health and nutritional status of the elderly living alone.

The Estimation of Benzo(a)pyrene Emission from Fuel Combustion in the Seosan Area (서산지역에서 연료연소에 의해 배출된 benzo(a)pyrene의 배출량 산정)

  • Kim, Ok;Song, Youngho;Lee, Jinheon
    • Journal of Environmental Health Sciences
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    • v.43 no.1
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    • pp.55-63
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    • 2017
  • Objectives: This study estimated the emission quantity of benzo(a)pyrene(BaP) produced by fuel combustion in the Seosan area, and analyzed the uncertainty regarding the emissions. Methods: It was based on data from a national agency and from public institutions. Emissions were estimated by using national-level guidelines. The total estimated emissions were analyzed by performing Monte Carlo analysis. Results: The full emission quantity of BaP which was discharged by fuel combustion in the Seosan area stood at 1,194.79 g/yr. The point source emissions came to 184.16 g/yr (95% CI; 158.40-209.39). The line source emissions reached 315.33 g/yr (95% CI; 284.99-344.03). The area source emissions accounted for 695.31 g/yr (95% CI; 605.10-793.88). Chemical and compound manufacturing was the highest with 639.13 g/yr (95% CI; 542.95-728.24) in terms of emissions and oil refinery emissions were high with 153.10 g/yr (95% CI; 129.19~177.46). It was found in the Seosan area that the major source of BaP is the manufacturing of chemicals and chemical products. Conclusion: The emission quantity of BaP which was discharged by the fuel combustion in Seosan area reached 1,194.79 g/yr. Research needs to be continued for the definite estimation of emission of BaP henceforth.

Differences of Participation in Common Activities and Life Satisfaction in Swedish Senior Cohousing by Longitudinal Analyses : Focus on Differences Between the Years of 2001 and 2010 (스웨덴 노인용 코하우징 주민의 공동활동 참여도와 생활만족도 시계열 차이 : 2001년도와 2010년도 비교)

  • Choi, Jungshin;Cho, Jaesoon
    • Journal of Families and Better Life
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    • v.34 no.1
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    • pp.1-12
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    • 2016
  • The purpose of this research is to find out the differences of participation in common activities and life satisfaction of Swedish senior cohousing residents between the years of 2001 and 2010 by conducting a longitudinal study. The same questionnaire were surveyed nationwide to 186 residents of 8 Senior $G{\aa}rden$ cohousings in 2001 and 127 residents of 4 +40 cohousings in 2010, resulting in total 313 respondents' data. The results show that the +40 cohousing respondents are more likely than Senior $G{\aa}rden$ cohousing respondents to participate in all common activities, especially common meals and common coffee meetings. However, the subjective evaluation of the quantity as well as the contents of participating in common activities does not statistically differ in the two groups and life satisfaction is similarly high with a few differences. The +40 cohousing respondents are less likely to stay at and more likely to move into age-mixed cohousing if they have a chance to move when compared to their Senior $G{\aa}rden$ cohousing counterparts. The result of this research reveals that the general characteristics of senior cohousing residents have been changed and they have become more likely to be active participants of various common activities and have high life satisfaction.

Regional Sociocultural Linkages in the Province of Young-nam : A Social Network Analysis (영남권 사회문화적 연계의 지역구조 -사회네트워크분석을 중심으로 -)

  • Yim, Seokhoi;Song, Minjeong
    • Journal of the Korean association of regional geographers
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    • v.21 no.1
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    • pp.62-78
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    • 2015
  • This paper aims to consider regional linkages in the Province of Young-nam mainly through a social network analysis of sociocultural activities such as leisure, friendly relations and visiting relatives. Passenger O-D data as of 2012 provided by National Transportation DB Center are analyzed using the NetMiner 4.0. The analytical results show that the sociocultural relationship between Daegu-Kyoungbuk and Busan-Ulsan-Kyioungnam is not so close. In particular, some north regions of Kyoungbuk are relatively isolated in the Province of Young-nam. This implicates that regions in the Province of Young-nam are not closely united at least in terms of sociocultural linkages although they are in the homogeneous natural environment of the basin of the Nakdong-river and share a same historical background for a long time. Consequentially this work suggests the Province of Young-nam may not be an united single region on the contrary to a notion of it so far.

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Validation of Predictive Liquid Model Systems for the Growth of Listeria monocytogenes and Yersinia enterocolitica on Pork at Various Temperatures

  • Rho, Min-Jeong;Chung, Myung-Sub;Kim, Jeong-Weon;Park, Ji-Yong
    • Food Science and Biotechnology
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    • v.14 no.1
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    • pp.42-45
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    • 2005
  • The present study was carried out to envisage the aerobic growth of Listeria monocytogenes and Yersinia enterocolitica on pork, which is one of the major meat sources in Korea. The results were compared with the previously developed predictive model systems for the verification of microbial growth in a real situation during pork processing. Pork loin samples (8.0 g, 5 mm thick) were aseptically prepared and inoculated with each pathogen by immersing into the respective inoculums for one min. Each of the samples were then wrapped with PE film and stored at 5, 10, and $15^{\circ}C$ up to 36 days to measure the growth profile of the respective pathogens. The growth parameters were calculated by using Gompertz equation and were compared with the previously reported data. The predicted generation time (GT) of L. monocytogenes at 5, 10 and $15^{\circ}C$ was 28.74, 7.85 and 4.02 hr, respectively, and for Y. enterocolitica was 10.29, 4.74 and 2.50 hr, at the same temperatures respectively. In this study, the GT values predicted on pork were slightly higher than the values predicted in other studies using liquid model systems. Unlike previous reports, both the pathogens were found to grow at $5^{\circ}C$ on pork. This finding recommends the necessity of controlling the growth of both the pathogens during the slaughtering process and distribution.