• Journal of Korean Academy of Nursing Administration
• /
• v.14 no.4
• /
• pp.421-431
• /
• 2008

Purpose: Using comprehensive and valid instrument, MDS-HC 2.0, this study aimed to analyze the functional status and to evaluate the care needs of the community-dwelling disabled with cerebral impairment. Method: With a convenient sample of 88 disabled with cerebral impairment, the data were collected at a community health center located in rural area in Choongchung providence in August 2005. Subject's functional status and care needs were evaluated using Minimum Data Set-Home Care version 2.0. Result: Significant proportion of subjects were totally dependent for locomotion-outdoor (26.1%), personal hygiene (24.1%), bathing (24.1%). For IADLs, over 40% of subjects were totally dependent for ordinary house work, managing finances, or shopping. Top five ranked care needs were preventive health care measures (100%), communication disorders (71.6%), visual function (55.7%), health promotion (52.3%), and pressure ulcers (48.9%). The proportion of triggered clinical assessment protocols were significantly higher in disability level I group for the risk of institutionalization (p=<.001), communication disorders (p=.004), cognitive problems (p=.001), pressure ulcers (p=<.001), skin and foot conditions (p=.010), and urinary incontinence and indwelling catheters (p=<.001). Conclusions: It is necessary to provide community based rehabilitation services that are individualized for their service needs thus enhance optimal level of functioning.

• Korean Journal of Community Nutrition
• /
• v.14 no.5
• /
• pp.576-589
• /
• 2009

The purpose of this study was to analyze the status of school foodservice facilities, utilities and equipment & sanitary education in provinces, This study was carried out from September 2008 until December 2008 and is targeted towards schools' dietitians that work at schools with school foodservice. 1,623 schools participated in this research and Kangwondo, Choongchungdo including the metropolitan area with frequent occurrence of food bone disease were the targets of this research. The regional distribution of this research is as follows; 377 schools in Seoul, 648 schools in Gyeonggido, 160 schools in Kangwondo, 438 schools in Choongchungdo equaling 1,623 schools in total. And out of the total 1,623 schools, 815 (50.2%) were elementary schools and 808 (48.8%) were middle and high schools (p < 0.001). Most of the elementary schools, excluding 4 schools, were self-operated. In the case with middle and high schools, 81.5% (513 schools) were self-operated and 18.4% (295 schools) were contracted. When dealing with the sanitation management of school foodservice in Kangwondo and Seoul, elementary schools were less equipped with equipment and facilities than middle and high schools which proved that they were in need of improvements (p < 0.01). Schools with self-operated foodservice, in particular, were in need of preparation zone improvements. 52.3%~88.0% of stainless equipment such as utensils, spoons/chopsticks, subsidiary food tray, and food trays were sterilized by dryers. Work tables, vegetable slicers, and mincers were chemically sterilized and plastic materials were sterilized by ultraviolet rays. Data from newspapers, Internet and TV are collected beforehand and then an annual hygiene educations plan for employees are put together. Hygiene education for employees are carried out monthly through oral method.

• Journal of Korean Society of Environmental Engineers
• /
• v.31 no.4
• /
• pp.241-248
• /
• 2009

A farming area located near an abandoned copper mine in GuPo-ri, Choongchung province is heavily contaminated with heavy metals such as As, Pb, Cd, Cu and Zn of which concentrations are higher than the values typically detected in Korean soil environment. In this work, laboratory and field studies were conducted to examine feasibility of using Ca-citrate-phosphate solution in stabilizing heavy metals in the polluted soils. In laboratory batch experiments with field soil, the addition of Ca-citrate-phosphate solution resulted in decrease of aqueous phase concentration of phosphate and improvement of heavy metal stabilization, compared to those for sterilized soil samples. This indicates that microbial uptake of phosphate may have provided positive effects on availability of phosphate toward heavy metal stabilization. According to microbial community analysis for the field experiment, the use of Ca-citrate-phosphate led to increased diversity of microbial populations, and strict anaerobic microorganisms such as Anaerofilum and Treponema became the most dominant populations in the solution-amended field experiments. These findings suggest that, when Ca-citrate-phosphate is used for heavy metal stabilization in soils, microbial processes may have important roles in improving the stabilization of heavy metals by providing reducing conditions to the treatment locations or/and by making phosphate available to heavy metal stabilization.