• Title/Summary/Keyword: Community-Based

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Cervical Cancer Screening in Turkey: A Community-based Experience After 60 Years of Pap Smear Usage

  • Demirhindi, Hakan;Nazlican, Ersin;Akbaba, Muhsin
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6497-6500
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    • 2012
  • Cervical cancer is the second most common cancer in females in the World with around 500,000 new cases occurring annually, but the first in the developing countries with a high mortality if not diagnosed early. Papanicolau (Pap) smear is a cheap, easy-to-apply and widely accepted test which has been long used to detect cervical cancer at very early stages. However, despite being available for nearly 60 years, the test can hardly be considered to have become successfully applied in many communities. We aimed in this study to present the results of a screening survey for cervical cancer which targeted a women population aged between 35 and 40 living in a semi-rural area in the province of Hatay, located in the eastern Mediterranean region of Turkey, with specific aims of increasing early diagnosis, education and raising population awareness about cancers. This community-based descriptive study covered 512 women between 35 and 40 years of age living at Armutlu with a mean age of $37.6{\pm}1.7$. Gynecologic examinations revealed cervical erosion in 8 (1.6%), vaginitis in 193 (37.7%) and normal findings in 311 (60.7%); pathological evaluation reports of the smears were negative in 290 (56.6%), inflammation in 218 (42.6%) and ASC-US in 4 (0.8%), according to the 2001 Bethesda classification. It can be concluded that Pap smear test - proven to be a very valuable test at the clinical level- should also be widely used at the community level to detect cervical cancer at very early stages to reduce both the mortality and morbidity among healthy people. The need for continuous community-based cervical cancer screening programs is strongly suggested.

Effects of Community based case Management Program on Functional Status and Caregiver Burden of Stroke Patients (뇌졸중 환자에 대학 지역사회 중심 사례관리 효과)

  • Kim, E.Y.;Kim, C.Y.;So, A.Y.;Shin, J.Y.;Lee, G.M.;June, K.J.;Choi, J.H.
    • Research in Community and Public Health Nursing
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    • v.15 no.1
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    • pp.18-28
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    • 2004
  • Purpose: The purpose of the study was to analyze the changes in functional status and caregiver burden after a community based case management program for stroke patients. Method: This study was designed as a one group pre and post test. A total of 61 stroke patients and their caregivers were sampled in three urban areas and two rural areas. Face to face interviews were conducted as a pre test one week before intervention, and a post test two weeks after intervention. The case management program consisted of four home visits and two telephone counseling sessions for assessment, education and providing information during the eight weeks. The collected data were analyzed with paired t test. Results: First, significant differences in functional status, and specifically mobility and cognition, were found between pre test and post test. Second, caregiver burden, in particular, objective burden was significantly decreased after 8 weeks. Third, the positive response for the services increased after 8 weeks. Conclusion: The community based case management program was effective to improve the functional status of stroke patients and to decrease the caregiver burden.

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Evaluation of Health Education in the Multi-professional Intervention and Training for Ongoing Volunteer-based Community Health Programme in the North-East of Thailand

  • Promthet, Supannee;Wiangnon, Surapon;Senarak, Wiporn;Saranrittichai, Kesinee;Vatanasapt, Patravoot;Kamsa-ard, Supot;Wongphuthorn, Prasert;Kasinpila, Chananya;Moore, Malcolm Anthony
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.1753-1755
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    • 2012
  • This was a survey research conducted in Northestern Thailand during 2009-2010 and designed to evaluate the success of a health education program by comparing levels of health knowledge in the community before and after the launching of a Multi-professional Intervention and Training for Ongoing Volunteer-based Community Health Programme. The survey questionnaire included items about demographic characteristics and health knowledge. The participants were 1,015 members of various communities, who were randomly selected to be included in the survey before launching the intervention, and 1,030 members of the same communities randomly selected to be included in the survey after the intervention was completed. The demographic characteristics of both groups were similar. Overall knowledge and knowledge of all the diseases, except lung and cervical cancer, were significantly higher after the intervention. In conclusion, a Volunteer-based Community Health Programme has advantages for areas where the numbers of health personnel are limited. The use of trained community health volunteers may be one of the best sustainable alternative means for the transfer of health knowledge.

Local-food-based complementary feeding for the nutritional status of children ages 6-36 months in rural areas of Indonesia

  • Susanto, Tantut;Syahrul, Syahrul;Sulistyorini, Lantin;Rondhianto, Rondhianto;Yudisianto, Alfi
    • Clinical and Experimental Pediatrics
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    • v.60 no.10
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    • pp.320-326
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    • 2017
  • Purpose: This study aimed to evaluate a pilot project of the Nursing Feeding Center "Posyandu Plus" (NFCPP) through local food-based complementary feeding (LFCF) program designed to improve the nutritional status of children aged 6-36 months at community health centers in Indonesia. Methods: A quasi-experimental design was used to obtain data regarding the nutritional status of 109 children who participated in the project from 6 rural areas. The NFCPP was conducted for 9 weeks, comprising 2 weeks of preintervention, 6 weeks of intervention, and one week of postintervention. The LFCF intervention consisted of 12 sets of recipes to be made by mothers and given to their children 4 times daily over 6 weeks. The weight-for-age z score (WAZ), height-for-age z score (HAZ), weight-for-height z score (WHZ), and body mass index-for-age z score (BAZ) were calculated using World Health Organization Anthro Plus version 1.0.3. Results: LFCF intervention significantly increased WHZ, WAZ, and BAZ scores but decreased HAZ scores (P<0.001). Average scores of WHZ ($0.96{\pm}0.97$) and WAZ ($0.45{\pm}0.72$) increased; BAZ increased ($1.12{\pm}0.93$) after 6 weeks of LFCF. WAZ scores postintervention were 50.5% of normal, and WHZ scores were 77.1% of normal. However, the HAZ score decreased by $0.53{\pm}0.52$, which indicated 57.8% had short stature. Conclusion: The NFCPP program with LFCF intervention can improve the nutritional status of children in rural areas. It should be implemented as a sustained program for better provision of complementary feeding during the period of lactation using local food made available at community health centers.

A Technique for Detecting Interaction-based Communities in Dynamic Networks (동적 네트워크에서 인터랙션 기반 커뮤니티 발견 기법)

  • Kim, Paul;Kim, Sangwook
    • KIISE Transactions on Computing Practices
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    • v.22 no.8
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    • pp.357-362
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    • 2016
  • A social network or bio network is one of the complex networks that are formed by connecting specific relationships between interacting objects. Usually, these networks consist of community structures. Automatically detecting the structures is an important technique to understand and control the interaction objects. However, the topologies and structures of the networks change by interactions of the objects, with respect to time. Conventional techniques for finding the community structure have a high computational complexity. Additionally, the methods inefficiently deal with repeated computation concerning graph operation. In this paper, we propose an incremental technique for detecting interaction-based communities in dynamic networks. The proposed technique is able to efficiently find the communities, since there is an awareness of changed objects from the previous network, and it can incrementally reuse the previous community structure.

Efficacy of PNF Group Exercise Program in Chronic Stroke (만성 뇌졸중 환자에 대한 PNF 집단 운동프로그램의 효과)

  • Kim, Soo-Min;Bae, Sung-Soo
    • PNF and Movement
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    • v.3 no.1
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    • pp.1-15
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    • 2005
  • Objective : The purpose of this study was to evaluate the influence of a community based group exercise intervention on motor functional capacity. To evaluate the immediate(post-treatment) effects after 6-weeks exercise program on the group exercise intervention(PNF and Circuit exercise). Methods : Subjects-Included persons with stroke who were living in the community. Thirty-seven subjects were randomly assigned to the PNF, Circuit exercise and control group participated in a repeated measures design that evaluated the subjects with pre-treatment, post-treatment(6 weeks). Functional ability outcome measures assessed the motor assessment scale(MAS) and EMG. Both treatment groups participated in exercise cJass three times a week for 6 weeks. Group programs focused on balance, functional motor capacity and walking ability. The PNF program was modified PNF pattem and techniques with emphasis on functional tasks when possible, as well as stretching of the more affected limb particularly in the more affected shoulder. The Circuit program with subjects completing practice at a selies of work station as well as participating in walking races and relay with other members of the group. Results : Compared with the control group, the treatment group had larger improvements in the motor function ability after 6 weeks treatment and Post-treatment test scores were more significant than the pre-treatment score. 1. Motor function were assessed by using MAS, sit to stand, walking and upper function were assessed pre-treatment versus post-treatment measures revealed a statically significant(p<.05). There were significant differences between the groups. Compared with the control group, the treatment group had larger improvements. 2. In the treatment groups, demonstrated difference in the electromyographic activation of biceps, triceps, quadriceps and tibialis anterior muscles on the paretic side in the response to the reaching arm movement and stepping motion in stance. The difference in muscle activation improvement were not statically significant. Conclusion : The results of this study showed that the PNF and Circuit group exercise intervention can improve motor functional ability. This study suggests that the PNF and Circuit exercise programs is appropriate for community-based group exercise principles. It leads to gain and maintain potential function for disabled persons after stroke in the community.

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Wastewater-based epidemiology for the management of community lifestyle and health: An unexplored value of water infrastructure (하수기반역학을 이용한 커뮤니티 생활상 및 건강 관리: 물 인프라의 새로운 가치)

  • Jho, Eun-Hea;Kim, Hyoung-Il;Choi, Yongju;Youn, Youngho;Lee, Doyeon;Kim, Geunyoung
    • Journal of Korean Society of Water and Wastewater
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    • v.33 no.1
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    • pp.63-77
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    • 2019
  • Traditional wastewater research mainly focuses on 1) estimating the amount of waste entering sewage treatment facilities, 2) evaluating the treatment efficiency of sewage facilities, 3) investigating the role of sewage treatment effluent as a point source, and 4) designing and managing sewage treatment facilities. However, since wastewater contains a variety of chemical and biological substances due to the discharge of human excreta and material used for daily living into it, the collective constituents of wastewater are likely a reflection of a community's status. Wastewater-based epidemiology (WBE), an emerging and promising field of study that involves the analysis of substances in wastewater, can be applied to monitor the state of a defined community. WBE provides opportunities for exploiting indicators in wastewater to fulfill various objectives. The data analyzed under WBE are those pertaining to selected natural and anthropogenic substances in wastewater that are a result of the discharge of metabolic excreta, illicit or legal drugs, and infectious pathogens into the wastewater. This paper reviews recent progress in WBE and addresses current challenges in the field. It primarily discusses several representative applications including the investigation of drug consumption across different communities and the management of community disease and health. Finally, it summarizes established indicators for WBE.

A Study on Measures to Promote Rural Community Empowerment Project for Residents in Jinja, Uganda: Focused on On-Site Investigation on the Feasibility of Creating a Tourism Agriculture Complex

  • Jung, Yong Jo
    • Journal of People, Plants, and Environment
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    • v.23 no.1
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    • pp.1-14
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    • 2020
  • The purpose of this research is to strengthen rural community empowerment by creating a tourism farm as a plan to reduce relative poverty and to improve the quality of life by creating jobs and increasing the income of local residents in underdeveloped countries. To do so, literature review, stakeholder interviews, on-site investigations, focus-group interviews, a project meeting for residents and a questionnaire survey were performed and analyzed and the results were as follows. First, Uganda has the potential to increase agricultural production based on its warm climate, fertile land and abundant natural resources. The quality of life of local residents is expected to be improved by realizing high-added values through the convergence of the conventional existing agricultural industry and other industries if the agricultural technology is properly transferred based on abundant labor force and low labor expenses. Opportunities for the success of the project can be spread to other rural villages across the country. Second, since local residents are now cultivating sugar cane, cassava, matoke, banana, coffee and so on as a farm owner, tourism agriculture with high-added values can be promoted by vitalizing communities based on farming technology to be transferred and a cooperative farm. It is also necessary to implement a rural community empowerment project to do so. Third, the university that is the cooperative partner of the project is positively considering to train experts by establishing a community development department, and, if necessary, a technical training center to educate the general public, which is expected to create synergic effects through the convergence of education, agriculture and tourism.

Online Network Analysis of the Impact of Local Market-based Communities on Regional Revitalization (시골장터 기반 로컬 커뮤니티가 지역활성화에 미치는 영향에 대한 온라인 네트워크 분석)

  • Park, Jeong Sun;Park, Sang Hyeok;Oh, Seung Hee
    • The Journal of Information Systems
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    • v.33 no.1
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    • pp.45-68
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    • 2024
  • Purpose This paper examines the role of local market-based communities in driving regional revitalization, using detailed analysis of online networks. We aim to dissect a local community's communication network, highlighting members with high engagement levels and exploring their characteristics. Our goal is to identify the conditions that allow local community networks to grow independently and to demonstrate how the activation of these networks contributes to regional revitalization. Design/methodology/approach We employ a mixed-methods approach, combining social network analysis with statistical techniques to investigate the structure of online communication networks. Specifically, we use ANOVA to determine the statistical significance of our findings, ensuring their reliability. To complement our quantitative data, we include qualitative insights from interviews, adding depth and context to our analysis. Findings Our results show that individuals with high centrality in the online network are crucial for maintaining active local communities. We find that leveraging local resources to create a supportive and adaptable environment is essential for the communities' sustainability and expansion. Importantly, our research draws a direct connection between the vitality of local community networks and the broader process of regional revitalization. We argue that energizing local communities is an effective way to address the risk of regional decline. By integrating quantitative analysis with qualitative feedback, this study contributes to the understanding of local market-based communities as key drivers of regional development. It emphasizes the importance of building vibrant, resourceful community networks to revitalize areas experiencing socio-economic challenges.

Plain Fingerprint Classification Based on a Core Stochastic Algorithm

  • Baek, Young-Hyun;Kim, Byunggeun
    • IEIE Transactions on Smart Processing and Computing
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    • v.5 no.1
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    • pp.43-48
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    • 2016
  • We propose plain fingerprint classification based on a core stochastic algorithm that effectively uses a core stochastic model, acquiring more fingerprint minutiae and direction, in order to increase matching performance. The proposed core stochastic algorithm uses core presence/absence and contains a ridge direction and distribution map. Simulations show that the fingerprint classification accuracy is improved by more than 14%, on average, compared to other algorithms.