• Title/Summary/Keyword: 인구감소지역

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Role of Gait Variability and Physical Fitness as a Predictor for Frailty Status in Older Women (여성노인의 허약 상태 예측을 위한 보행변동성 및 체력의 역할 검증)

  • Jin, Youngyun;Park, Jin Kook;Kang, Hyunsik
    • 한국체육학회지인문사회과학편
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    • v.57 no.6
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    • pp.263-272
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    • 2018
  • This study examined the association of gait variability and physical fitness with frailty status in older women. In a cross-sectional design, 168 elderly women, aged 65 years and older (75.07±5.40 years), measured body composition, gait parameters gait variability, physical fitness variables, MMSE-DS and CES-D. Subjects were classified as robust, pre-frail, and frailty based on the Fried et al.(2001) criteria for frailty weight loss, exhaustion, low hand-grip strength, low gait speed, and physical inactivity. Logistic regression analyses were used to determine the odds ratio (ORs) and 95% confidence interval (CI) of frailty status for having gait variability and physical fitness levels. Compared to the robust group (OR=1), the frailty group had significantly higher ORs of having terminal double limb stance (OR=1.48, 95% CI=0.10-2.21, p=.049), step cadence (OR=2.06, 95%CI=1.20-3.43, p=.009) variability, and significantly lower ORs of having upper-strength (OR=0.49, 95%CI=0.31-0.77, p=.002) even after adjusting for age, education, comorbidity, K-IADL, MMSE-KC and CES-D score. The finding of this study suggested that terminal double limb stance, step cadence and upper body muscular strength were independent predictors of frailty.

The Impact of Work Stress and Job Satisfaction on Turnover Intention: A Study of Long-term Care Workers (노인장기요양 인력의 직무 스트레스와 직무 만족이 이직 의도에 미치는 영향)

  • Lee, Choo-Jae
    • 한국노년학
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    • v.31 no.2
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    • pp.277-290
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    • 2011
  • The present study examined the impact of work stress and job satisfaction on intention to leave among staff including social workers, nurses, and care workers. The study subject included 235 staff in a welfare organization that provides long-term care services. Data was analyzed using multiple linear regression. The findings of the study show that work stress and job satisfaction affect intention to leave in the context of welfare organizations. Demographic variables were not the main focus of this study and thus these results are incidental. Staff with higher levels of work stress were more likely to think about leaving, while those with grater job satisfaction were less likely. There were several limitations in this study. Generalizability of the findings are limited to staff working in the province of Jeonnam. The results have important implications for the development of strategies to minimize turnover intention in long-term care. Reducing the intent to leave is desirable for issues of both cost reduction and quality of care. Managers could perhaps start to consider decreasing work overload assigned to staff. This study also provides some insight into the work status of new staff. Clearly this finding needs to be explored in further research studies. A more comprehensive model is likely required to adequately explain intention to leave the job.

Assessment of Wave Change considering the Impact of Climate Change (기후변화 영향을 고려한 파랑 변화 평가)

  • Chang Kyum Kim;Ho Jin Lee;Sung Duk Kim;Byung Cheol Oh;Ji Eun Choi
    • Journal of Korean Society of Disaster and Security
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    • v.16 no.4
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    • pp.19-31
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    • 2023
  • According to the climate change scenarios, the intensity of typhoons, a major factor in Korea's natural disaster, is expected to increase. The increase in typhoon intensity leads to a rise in wave heights, which is likely to cause large-scale disasters in coastal regions with high populations and building density for dwelling, industry, and tourism. This study, therefore, analyzed observation data of the Donghae ocean data buoy and conducted a numerical model simulation for wave estimations for the typhoon MAYSAK (202009) period, which showed the maximum significant wave height. The boundary conditions for wave simulations were a JMA-MSM wind field and a wind field applying the typhoon central pressure reduction rate in the SSP5-8.5 climate change scenario. As a result of the wave simulations, the wave height in front of the breakwater at Sokcho port was increased by 15.27% from 4.06 m to 4.68 m in the SSP5-8.5 scenario. Furthermore, the return period at the location of 147-2 grid point of deep-sea design wave was calculated to increase at least twice, it is necessary to improve the deep-sea design wave of return period of 50-year, which is prescriptively applied when designing coastal structures.

The Burden of the Population and People during the Reign of Tang Taizong before His Invasion of Goguryeo in 645 (당 태종 '정관(貞觀)의 치'와 가정(苛政) - 645년 고당 전쟁 이전 조세·요역 수탈의 실상 -)

  • Choi Jin-yeoul
    • Journal of the Daesoon Academy of Sciences
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    • v.49
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    • pp.365-399
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    • 2024
  • Tang Taizong was regarded as the emperor with the idea of cherishing the common people, paying close attention to his subjects' military service, and mobilizing of the people as recorded in Zhenguan Zhengyao (Essentials for Government), from the Zhenguan period during the reign of Tang Taizong. Contrary to the above, in reality, Li Shimin, the name of Tang Taizong, mobilized many subjects in the construction of Luoyang Palace in second capital city called Dongdu and Jiucheng Palace, a summer palace during Sui-Tang dynasty, and he requisitioned the subjects of Guannei Province and Longyou Province to install and protect provisional powers and a county in the Gaochang Kingdom. Given his antinomic behavior, the evaluation of Li Shimin as an ideal Confucian monarch should be reconsidered based on Zhenguan zhengyao and other historical records. Dividing the 19 years before Goguryeo-Tang War in 645 into two periods, from the throne to 637 and from 639-644, the subjects were burdened by the construction of Luoyang Palace and Jiucheng Palace in the former period. In the latter period, after the conquest of the Gaochang Kingdom, there was a requisition for the transport of troops and supplies to be stationed in Xizhou, a reorganized prefecture and counties in the Gaochang Kingdom territory; probably mainly limited to the provinces of Guannei and Lungyou, which were geographically close to the West Regin that is now known as Xinjiang Uygur Autonomous Region. The burden in the latter period was relatively less than in the former period. Even so, the number of households in 639, fourteenth year of Tang Taizong's reign, was only 34.1% and 26.8%, respectively, in 609, the sixth year of Sui Yangdi's reign. In this situation, Taizong's Goguryeo Invasion was not conducted in an economically situation during the early days of the Tang Dynasty.

Factors Affecting Concerns About Economic Damage of Adults Due to COVID-19 (COVID-19로 인한 성인의 경제적 피해 염려에 영향을 주는 요인)

  • Seung-Ok Shin
    • Journal of the Health Care and Life Science
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    • v.9 no.2
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    • pp.355-361
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    • 2021
  • In the context of COVID-19, the economic downturn affects health as well as concerns about economic damage to individuals. In this study, among a total of 15,047 people who were economically active during the community health survey for those aged 19 and over, health behaviors related to the impact of changes in daily life due to the demographic and social and economic characteristics of COVID-19 were concerned about economic damage. was analyzed to determine whether it had an effect on Factors affecting the fear of economic damage were gender, education level, monthly income level, status, subjective health level, physical activity, and smoking, which had more influence on the fear of economic damage than other characteristics. In this study, males(p=0.024), high school graduates(p<0.001), monthly income level of 1,000,001 to 3,000,000won(p-=0.002), wage workers(p<0.001), subjects who responded that their subjective health level was 'similar'(p=0.009), subjects who responded 'similar' in physical activity(p<0.001), and smoked 'similar'(p=0.016) Those who answered high were more concerned about economic damage. Considering that COVID-19 is highly likely to be prolonged and social distancing cannot be ruled out, which affects health care due to economic damage, it is necessary to reflect it in health program development and economic-related fiscal policies.

Strategies for Public Health Service Development in the Times of Local Autonomy (지방자치시대의 공공보건사업 발전 전략)

  • 박정한
    • Health Policy and Management
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    • v.12 no.3
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    • pp.1-22
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    • 2002
  • Health is a fundamental human right and a sine qua non for happiness of people and for national development. Government has a responsibility for the provision of health services for their people. Recent changes of disease pattern, i.e. decrease of Infectious diseases and increase of chronic and degenerative diseases Including cancer and cardiovascular diseases, together with universal coverage of health insurance and improved living standard have prompted medical care utilization and skyrocketed the national health expenses. The goal of national health policy is improving the quality of life through the betterment of health level. To achieve this goal it is necessary to establish a healthcare system for lifetime, to improve the efficiency of healthcare delivery system, and to strengthen the public health services for disease prevention and health promotion. The current public health service programs are Inefficient due to an inconsistent policy for health service program, lack of health information system, irrational health program planning and evaluation, and Inadequate training of health workers. Local government has a legal responsibility for health service program planning and promoting the competence of health workers. Thus, municipal and provincial health departments should expand their roles and strengthen their function. The strategies for developing public health service programs at local level are ${\circled}1$ stipulating the goals of health policy, ${\circled}2$ promoting the ability for health program planning and evaluation, ${\circled}3$ establishing health information and surveillance system, ${\circled}4$ training of health workers, ${\circled}5$ establishing an institution for health information management and training of health workers, and ${\circled}61$ collaboration with local universities.

A Case Study for the Utilization of Food Safety Health Indicators in Korea: Computation of Composite Indices to Verify Important Indicators and Understand Correlations with Socioeconomic Status (우리나라 식품안전보건지표를 활용한 사례연구: 다양한 통합지수 산출을 통한 주요 지표 확인 및 사회경제적 지위와의 상관성 파악)

  • Choi, Giehae;Byun, Garam;Lee, Jong-Tae
    • Journal of Food Hygiene and Safety
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    • v.30 no.3
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    • pp.227-235
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    • 2015
  • Food-Health indicators have been developed and utilized internationally in the 'Food' domain of environment and health indicators. In Korea, however, Food Safety Health Indicators which are in the introductory stage had been developed separately from Environmental Health Indicators. The aim of the current study is to suggest feasible applications of the domestic Food Safety Health Indicators as a case study. We introduced 3 possible applications which are as follows: 1) production of two types of Integrated Food Safety Health Index; 2) conduction of correlation analysis between the Integrated Food Safety Health Index and Food Safety Health Indicators; 3) conduction of regression analysis to evaluate the relationship between the Integrated Food Safety Health Index and socioeconomic status. As a result, we provided the calculated Integrated Food Safety Health Index I and Integrated Food Safety Health Index II, which represents the regional food safety level in relative and absolute terms, respectively. Integrated Food Safety Health Index I was significantly correlated with the outbreaks of food-borne diseases (caused by Campylobacter jejuni, Bacillus cereus, Salmonella spp. and unknown cause) and incidence of E.coli infections. Integrated Food Safety Health Index II significantly decreased as the proportion of foreigners and women increased, and increased as the population density increased. Utilization of such Integrated Food Safety Health Indicators may be helpful in understanding the overall domestic food safety level and identifying the indicators which must be considered with priorities to enhance the food safety levels regionally and domestically. Furthermore, analyzing the association between Integrated Food Safety Health Index and factors other than food safety could be useful in conducting risk management and identifying susceptible populations. Food Safety Health Indicators can be useful in other applications, and may serve as a supporting material in establishing or modifying policy plans to enhance food safety. Therefore, keen interests by researchers accompanied by further studies on food safety health indicators are needed.

Loneliness and Death Anxiety among Older Adults Living in Urban and Rural Communities: The Moderating Effect of Social Capital (도시와 농어촌 노인의 고독감과 죽음불안: 사회적 자본의 조절효과를 중심으로)

  • Kim, Sujee;Kim, Soon Eun
    • 한국노년학
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    • v.39 no.1
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    • pp.127-144
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    • 2019
  • The purpose of this study is to compare the perceptions of loneliness, death anxiety, and social capital among older adults living in urban and rural communities and to examine the moderating effects of social capital on the relationship between loneliness and death anxiety. Utilizing the survey data collected by the Aging Society and Social Capital Research Center in 2018, we analyzed 839 older adults living in urban areas and 322 rural older adults living in rural areas. We used descriptive statistics, results from t-tests, and χ2 tests to compare the rates of loneliness, social capital, and death anxiety perceived by older adults across urban and rural areas. The moderating effects of social capital on the relationship between loneliness and death anxiety were tested by logistic regression analyses for each group of urban and rural older adults. Compared to older adults living in rural areas, a greater number of older adults in urban areas reported death anxiety and higher levels of loneliness. However, the perceived levels of social capital were higher among rural older adults. The moderating effects of social capital on the relationship between loneliness and death anxiety were not found among older adults living in urban area, but, for older adults living in rural areas, social capital including social cohesion and social support moderated the relationship between loneliness and death anxiety. The results of this study suggest that regional differences shown in the perceptions of loneliness, death anxiety, and social capital should be addressed, when considering extensions of social capital and related interventions to deal with loneliness and death anxiety among older adults.

Effect of Self-care Education at a Diabetes Camp on Diabetes Management Behaviors, Knowledge and Self-efficacy in Children with Type 1 Diabetes (당뇨병 캠프의 자가간호 교육이 제1형 당뇨병 아동의 당뇨관리행위, 당뇨지식 및 당뇨관리 자아효능감에 미치는 영향)

  • Kang, Narae;Ahn, Youngmee;Lee, Ji Eun;Sohn, Min
    • Child Health Nursing Research
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    • v.20 no.3
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    • pp.168-175
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    • 2014
  • Purpose: Study purposes were to exam effects of self-care education for children with type 1 diabetes on their diabetes management behaviors and to explore the relationship among diabetes management behaviors, knowledge, self-efficacy and clinical variables. Methods: This study was a one group quasi-experimental study. Study participants were children with type 1 diabetes and attended a four hour self-care education of a diabetes camp. Data were collected using structured questionnaires including Diabetes Management Behavior Scale (DMBS), Michigan Diabetes Research and Training Center's Brief Diabetes Knowledge Test and Self-Efficacy for Diabetes Self-Management. Results: The mean age of the participants was 12 (${\pm}2.3$) years. After the education, their DMBS and knowledge improved, but the improvement was not statistically significant (t=1.758, p=.101; t=0.528, p=.606). Two areas of DMBS, daily prevention behaviors and modification of care plan, were associated with study variables. Daily prevention behaviors were associated with duration of diabetes (r=.653, p=.008), HbA1c (r=.563, p=.038) and having a complication (r=-2.788, p=.015). Modification of care plan was associated with age at diagnosis (r=-.552, p=.033). Conclusion: Children with type 1 diabetes could improve some parts of their diabetes management behaviors even after a short diabetes camp.

A Study on the Water Reuse Systems (중수도개발연구(中水道開發研究))

  • Park, Chung Hyun;Lee, Seong Key;Chung, Jae Chul
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.4 no.4
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    • pp.113-125
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    • 1984
  • Water supply has been mainly dependent on the construction of the dams in Korea. It is difficult, however, to continue to construct dams for many reasons, such as the decrease of construction sites, the increase of construction costs, the compensation of residents in flooded areas, and the environmental effects. Water demands have increased and are expected to continue increasing due to the concentration of people in the cities, the rise of the living standard, and rapid industrial growth. It is acutely important to find countermeasures such as development of ground water, desalination, and recycling of waste water to cope with increasing water demands. Recycling waste water includes all means of supplying non-potable water for their respective usages with proper water quality which is not the same quality as potable water. The usages of the recycled water include toilet flushing, air conditioning, car washing, yard watering, road cleaning, park sprinkling, and fire fighting, etc. Raw water for recycling is obtained from drainage water from buildings, toilets, and cooling towers, treated waste water, polluted rivers, ground water, reinfall, etc. The water quantity must be considered as well as its quality in selecting raw water for the recycling. The types of recycling may be classified roughly into closed recycle systems and open recycle systems, which can be further subdivided into individual recycle systems, regional recycle systems and large scale recycle system. The treatment methods of wastewater combine biochemical and physiochemical methods. The former includes activated sludge treatment, bio-disc treatment, and contact aeration treatment, and the latter contains sedimentation, sand filtration, activated carbon adsorption, ozone treatment, chlorination, and membrane filter. The recycling patterns in other countries were investigated and the effects of the recycling were divided into direct and indirect effects. The problems of water reuse in recycle patterns were also studied. The problems include technological, sanitary, and operational problems as well as cost and legislative ones. The duties of installation and administrative organization, structural standards for reuse of water, maintenance and financial disposal were also studied.

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