• Journal of muscle and joint health
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• v.27 no.2
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• pp.81-93
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• 2020

Purpose: We developed and tested the effects of a care program for dementia patients among community- dwelling older adult men. Methods: This study used a non-equivalent control group pre-and post-test design. To verify the effectiveness of the care program for dementia patients, 26 community dwelling older adult men participated in this study. We used multiple intervention strategies including improving understanding of dementia through education, activities for dementia prevention, and promoting psychological change. In particular, based on the current understanding of the care of the men older adults, we used strategies to promote motivation and reinforce strengths. Results: After completing the 6-week intervention program, when compared with the control group, older adult men in the care program intervention group showed significant differences in scores for the following: cognitive functions (p=.035), attitude toward dementia (p=.026), preventive behavior (p=.007), geriatric depression (p=.013), caring confidence (p=.018), and self-esteem (p=.013). Conclusion: These results indicate that the care program for dementia patients has positive effects on increasing their cognitive function, attitude toward dementia, preventive behavior, caring confidence, self-efficacy, and on decreasing depression rates in this population. Based on this, we can recommend this program to men caregivers for the improved care of dementia in community centers.

• Journal of Korean Academy of Nursing
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• v.42 no.6
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• pp.810-818
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• 2012

Purpose: This study was done to explore factors relating to number of falls among community-dwelling elders, based on gender. Methods: Participants were 403 older community dwellers (male=206, female=197) aged 60 or above. In this study, 8 variables were identified as predictive factors that can result in an elderly person falling and as such, supports previous studies. The 8 variables were categorized as, exogenous variables; perceived health status, somatization, depression, physical performance, and cognitive state, and endogenous variables; fear of falling, ADL & IADL and frequency of falls. Results: For men, ability to perform ADL & IADL (${\beta}_{32}$=1.84, p<.001) accounted for 16% of the variance in the number of falls. For women, fear of falling (${\beta}_{31}$=0.14, p<.05) and ability to perform ADL & IADL (${\beta}_{32}$=1.01, p<.001) significantly contributed to the number of falls, accounting for 15% of the variance in the number of falls. Conclusion: The findings from this study confirm the gender-based fall prediction model as comprehensive in relation to community-dwelling elders. The fall prediction model can effectively contribute to future studies in developing fall prediction and intervention programs.

• Korean Journal of Health Education and Promotion
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• v.33 no.4
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• pp.67-77
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• 2016

Objectives: The study was to propose strategies and directions how to manage the hypertension and diabetes in communities. Methods: The survey data from 606 patients with hypertension or diabetes based on Community Health Survey, 2013 were analyzed and the hypertension and diabetes projects in communities for last 10 years were reviewed. Results: The patients visiting the primary clinics had statistically significant lower rates than those of teaching hospitals in physician's recommendation experience, perception level of attention from doctors, self-efficacy and health habit practice level. Since the Hypertension and diabetes registration and management system in 2007, there have been several trials for management of hypertension and diabetes such as Chronic diseases management system on the primary clinics, Community based primary medical care pilot projects, Post-national health screening management, and Pilot project on reimbursement for chronic diseases care services. Conclusions: The upmost urgent task might be to have a support system for patients' self care affiliated with primary clinics. To achieve it, it is necessary to expand the current Hypertension and diabetes registration and management system into nation and to find a way to attract the active participation from primary clinics.

• Proceedings of the SAREK Conference
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• 2009.06a
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• pp.940-945
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• 2009

Energy planning for hybrid energy system is important to increase the flexibility in the urban community and national energy systems. Expected maximum loads, load profiles and yearly energy demands are important input parameters to plan for the technical and environmental optimal energy system for a planning area. The method for energy demand prediction has been based on artificial neural networks(ANN). The advantage of ANN with respect to the other method is their ability of modeling a multivariable problem given by the complex relationships between the variables. This method can produce 10% of errors hourly load profile from individual building to urban community. As the results of this paper, energy demand prediction system has been developed based on simulink.

• Korean Journal of Adult Nursing
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• v.27 no.6
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• pp.684-694
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• 2015

Purpose: The purpose of this study was to explain fall prevention behaviors of community-dwelling elderly with osteoarthritis based on the Health Belief Model. Methods: A total of 200 older adults with osteoarthritis residing in community was recruited from July 10 to August 30, 2013. The direct and indirect effects of perceived fall risk, perceived benefits and barriers, and self efficacy of fall prevention were examined on fall prevention behaviors. Data were collected with structured questionnaires and analyzed using SPSS/WIN 20.0 and AMOS 20.0 program. Results: The hypothetical model was a good fit for the data based on the model fit indices. Among socio-demographic variables, age and fall knowledge showed significant direct effects on fall prevention behaviors. The constructed model explained 34.2% of the variance of fall prevention behaviors, including perceived fall risk and efficacy of fall prevention behaviors as significant predictors. Conclusion: The findings revealed the need to develop an effective nursing intervention to promote fall prevention behaviors of community-dwelling elderly with osteoarthritis by focusing on perceived fall risk and efficacy of fall prevention behaviors. Knowledge about fall can also be increased by an age-based education program.

• Journal of Korean Society of Rural Planning
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• v.29 no.4
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• pp.93-103
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• 2023

The purpose of this study was to explore the experiences and future challenges in providing of social service based on agro-healing. The study conducted was a general qualitative research which involved the collection and analysis of experiences shared by four representatives of participating in Gyeonggi-do community service investment pilot project. The data were gathered through individual in-depth interviews, and the findings were thoroughly analyzed to draw meaningful insights. The study revealed three main topics of discussion: "knowing the necessity of entering social services," "thresholds to be crossed to enter social services," and "future tasks". Based on the these results, implications for the development of community social services related to agro-healing were suggested, and the limitations were also discussed.

• Perspectives in Nursing Science
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• v.7 no.1
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• pp.10-22
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• 2010

Purpose: Through a thorough examination of the CCSC (Community Comprehensive Support Center) system in Japan, this study suggests a scheme to provide community-based preventive health care services for the elderly in Korea. Methods: The study inquired into the applicability of the Japanese model by reviewing the data related to the CCSC project, aided by both in-depth interviews with staff in the field and consultations with specialists. Results: Rearrangement of the Visiting Health Management Project system is needed to manage the collective or individual visiting care management for frailty prevention of the elderly in communities. The delegated service system for preventive care in the community, including direct management by one of the public health centers, also needs to be reviewed and the application of stricter standards for the selection of the agency or corporation to run the delegated service is necessary. Long-Term Care Insurance, along with national and local grants, is to be considered as a financial resource for the community-based preventive health care model for the elderly. By making active use of education rooms at district offices, senior citizen centers in neighborhoods for the elderly with easy access can be created. The project needs to raise active supports from communities, develop programs which can be absorbed into particular local cultures, and promote the understanding of the preventive project in local communities. The preventive program should focus on first solving the problems of depression, seclusion, and lack of mobility of the elderly. Second, the program should instruct physical self-management for exercise-nutrition-dental maintenance, and third, the program should strengthen the cognitive abilities of the elderly. In addition, it is necessary to systematize and implement counter-plans of the family and community to protect the elderly who has mental and cognitive problems. Finally, by establishing a network of public health welfare resources based upon research on a community level, assessment and planning for the health of the elderly should be one with their family, and comprehensive consultation and recommendations should be provided to the family. Conclusion: Taking into consideration the experience Japan has had with respect to a similar project, it is appropriate to develop and implement a service system which would combine the Visiting Health Management Project system which has already been established and a preventive health care model for the elderly on a community level.

• The Korean Journal of Community Living Science
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• v.15 no.4
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• pp.45-60
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• 2004

The purpose of this study was to set related variables for leadership measurement in the leader of a community organization as an effort to Community development constantly. Therefore, in this study, first, various theories on leadership were reviewed. Second, approaches and variable relationships were reviewed by leadership theory study. Third, leadership measurement variables were set based on Bass's Transformational theory, one of new trend theory, to measure the leadership of the community organization leader. As a follow up, clear and scientific analysis, through empirical analysis, based on the variables set in this study will be made to measure leadership of a community organization after creating investigation tools based on the variables set in this study A literature study was mainly used. 'Human Behavior' by Dr Han-geom Lee, 'Leadership Theory' by Eung-seop Shin, many other related books, articles of the Human Relation Organization Association, and theses and Bass's writings. Major findings of this study, through the literature study, were as follows. As conventional leadership theories, characteristics theory, behavior theory and situational leadership theory were proposed. First, characteristics theory searches the characteristics of an effective leader. It proposes that effective leaders and ineffective leaders have different characteristics, respectively. Therefore, it proposes to study the leader's characteristics. However, there is not a flexed definition for leader's characteristics. Scholars make different definition on leader's characteristics, and they are very subjective. Thus it cannot be a valid theory. Second, behavior theory describes how the leader behaves to his fellows. It studies leader's behavior focusing on what type and what combination is the most effective in all situations. However, it has weakness in that it focuses on a leader's behavior only, and ignores the situational features. Third, situational theory describes the relationship between leadership type and situation. It suggests that there is not a single leadership style that can suit all situations. It emphasizes the relationship between leadership type and situation. Although situational theory considers more variables than characteristics theory or behavior theory, it also sees situations as static and flxed. Although Fiedler's theory tried to comply with situations, he did not analyze interactions between a leader and his fellows.

• 한국노년학
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• v.29 no.1
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• pp.37-50
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• 2009

The purpose of the present study was to develop a community-based intensive health care program for the community dwelling elderly to strength their functional status and to verify the effect on their geriatric syndrome. A one-group pretest-posttest design was used for the study. A total of 69 frail elderly, who lived in the area within 20 minutes by car, were committed themselves to the day care center(Sangikjae), and had the ability of verbal communication were selected from G city in Kyunggi province. The participants completed a set of questionnaires to measure the sub-score of frailty, fall, urinary incontinence, malnutrition, and mild cognitive disorder domain, using the Otasha-Kensin through the physical examinations and interviews. After 4 weeks of intervention, the outcome was measured to evaluate the effects of the program, and the data obtained were analyzed using descriptive statistics, paired t-test and McNemar test. The results showed that the sub-score of frailty, fall, urinary incontinence, and malnutrition domain were statistically significantly decreased after intervention except those of urinary incontinence and mild cognitive disorder domain, implying that the risk of frailty, fall, and malnutrition was decreased. These findings indicated that community-based the intensive health care program is effective for relieving geriatric syndrome of the community dwelling elderly.

• Journal of Soil and Groundwater Environment
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• v.20 no.7
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• pp.34-42
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• 2015

Feasibility tests for the hydraulic fracturing were conducted in order to secure additional saline groundwater for irrigating to the land-based aquaculture farm. Two boreholes were placed to the aquaculture farm A and B, respectively. A hydraulic fracturing using single packer was applied to major fracture zones within two boreholes. To identify effects of hydraulic fracturing on securing additional saline groundwater, some selective methods including well logging methods, pumping tests, and groundwater quality analysis were commonly applied to the boreholes before and after the hydraulic fracturing. Enlarging/creating fracture zones, increasing water contents in bedrock near boreholes, and increasing transmissivity were observed after the hydraulic fracturing. Even though the hydraulic fracturing could be an alternative to secure additional saline groundwater to the land-based aquaculture farm, salinity of the groundwater did not meet optimal thresholds for each fingerling in two farms: Fresh submarine groundwater discharge flowed the more into borehole of the farm A that resulted in decreasing a salinity value. Increased saline groundwater quantity in the borehole of the farm B rarely affect to the salinity. Although salinity problem of groundwater limited its direct use for the farms, the mixing with seawater could be effectively used for the fingerlings during the early stage. A horizontal radial collector well placed in the alluvial layer could be an alternative for the farms as well.