• Title/Summary/Keyword: Community-Based

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Capability for Change at Community Health Centers Serving Asian Pacific Islanders: An Exploratory Study of a Cancer Screening Evidence-based Intervention

  • Sohng, Hee Yon;Kuniyuki, Alan;Edelson, Jane;Weir, Rosy Chang;Song, Hui;Tu, Shin-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7451-7457
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    • 2013
  • Background: Understanding and enhancing change capabilities, including Practice Adaptive Reserve (PAR), of Community Health Centers (CHCs) may mitigate cancer-related health disparities. Materials and Methods: Using stratified random sampling, we recruited 232 staff from seven CHCs serving Asian Pacific Islander communities to complete a self-administered survey. We performed multilevel regression analyses to examine PAR composite scores by CHC, position type, and number of years worked at their clinic. Results: The mean PAR score was 0.7 (s.d. 0.14). Higher scores were associated with a greater perceived likelihood that clinic staff would participate in an evidence-based intervention (EBI). Constructs such as communication, clinic flow, sensemaking, change valence, and resource availability were positively associated with EBI implementation or trended toward significance. Conclusions: PAR scores are positively associated with perceived likelihood of clinic staff participation in cancer screening EBI. Future research is needed to determine PAR levels most conducive to implementing change and to developing interventions that enhance Adaptive Reserve.

The Effects on Home Visiting Nursing Service for Community Based Disabled Persons (지역사회 지체장애인을 위한 방문간호사업 효과 평가 - 재가 뇌병변장애인을 중심으로 -)

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    • Journal of Korean Academy of Nursing
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    • v.31 no.6
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    • pp.1098-1108
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    • 2001
  • To evaluate the effects of planned visiting nursing services for homebound disabled persons in the community who have had a cerebrovascular accident Methods: One group pre-test and post-test research deign was applied to 61 disabled persons who were undergoing rehabilitation with visiting nursing services to evaluate the effects on the health status (SF-36) and activity daily living (ADL/IADL) from March to August, 2001. Results: The health status score by SF-36 of homebound disabled people was significantly improved; the average score was 28.56$\pm$21.24 before service, 34.29$\pm$22.30 at 3 months after, and 40.84$\pm$=27.41 at 6 months after. The activity daily living score by OASIS II was also significantly increased (z= -6.09, p=.000; z= -6.04, p= .000) at 3 months and 6 months after home visiting nursing services. Conclusion: The strategy plan for developing a visiting nursing service in health centers should be prepared to develop community based rehabilitation (CBR) programs as well as to improve the level of health status and ADL/IADL for homebound disabled people in the community.

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Challenges and Supports of Breastfeeding at Workplace in Indonesia

  • Basrowi, Ray Wagiu;Sastroasmoro, Sudigdo;Sulistomo, Astrid W.;Bardosono, Saptawati;Hendarto, Aryono;Soemarko, Dewi S.;Sungkar, Ali;Khoe, Levina Chandra;Vandenplas, Yvan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.4
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    • pp.248-256
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    • 2018
  • Due to increased number of women workers in Indonesia in the last decade, numbers of women living as a worker and a housewife have increased. This also increases the potential risk of breastfeeding discontinuation. Three months of maternal leave policy and inadequate lactation promotion support in workplace have been identified as factors that hinder lactating practices. The World Health Organization recommendation of 6 months of exclusive breastfeeding and joined regulation of three Indonesia ministers (Ministry of Health, Ministry of Labour, and Ministry of Women Empower) have failed to improve the exclusive breastfeeding rate among female workers in Indonesia due to the lack of a standardized guideline on lactation promotion at workplace. In addition, very limited or no studies have been conducted to evaluate the impact of workplace-based lactation intervention programs on exclusive breastfeeding rate among female workers. This is because the relationship of lactation with working performance and productivity could not motivate employer to invest in workplace-based lactation promotion facility or program.

Fish Composition and Trophic Guild Analysis as a Collection of Basic Data for Ecosystem Health Assessments in Yeongsan Lake

  • Choi, Ji-Woong;An, Kwang-Guk
    • Korean Journal of Ecology and Environment
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    • v.40 no.4
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    • pp.546-552
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    • 2007
  • The objectives of this study were to analyze fish compositions, based on trophic guilds and tolerance guilds and determine community characteristics structure at five sampling sites of Yeongsan Lake during July 2006-May 2007. Total number of species sampled was 30 species and the number was 1350. Cyprinidae (77%) and Centrarchidae (15.7%) dominated the community and then followed by Cobitidae(2.7%), Gobiidae(2.4%), Mugilidae (0.5%), and others (0.1%). The relative abundance of tolerant and omnivore species at all sites was 63% and 77% of the total, respectively, suggesting an ecological degradations in the Lake. Exotics species such as large mouth bass (Micropterus salmoides), which is a top-carnivore in the water distributed at all sampling sites, implying that ecological disturbance was severe based on previous reference of US EPA (1991). Also, we found external anomalies such as external deformities, bleeding and tumors and not found migratory fish. Analysis of fish community structure showed that species diversity index and richness index was the highest in Site 1 and the dominance index was the highest in Site 2. In this study, high proportions of tolerant species and omnivore species, widespread exotic species, and frequent observations of abnormal fish. Such problems may be directly or indirectly associated with high nutrient enrichments and the reduced flow velocity by the dam construction. The ecosystem restoration by dam removal or removal of exotic top-carnivore fish may be one of the best strategies for better lak management.

A Qualitative Study on the Experiences of Losing a Hometown among Korea's Divided Families (남북이산가족의 실향 경험에 관한 질적연구)

  • Yang, Sung-Eun
    • Journal of Families and Better Life
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    • v.29 no.2
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    • pp.143-152
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    • 2011
  • The aim of this study was to achieve an understanding of the experiences of divided families in South Korea. The study adopted a qualitative method based on the interpretive science paradigm The participants were 14 elderly people who came from North Korea around 1950 and identified as belonging to the first generation of divided families. In-depth individual interviews were carried out, focusing on what divided families experienced after leaving their hometown, how these experiences affected their meaning-making about their homecoming, and how the divided community has changed. The result of theme analysis indicated that the first generation of divided families identified themselves as "people who lost their hometown." their hometown implied multiple losses, including their family members, socioeconomic status, and psychological support systems. The participants explained the process of their settlement and adaptation to South Korea based on the cohesion of the divided family community. However, they anticipated that the divided family community would fade away because of the aging of the first generation, the indifference of the second generation, and the frustration that existed about the reunion of the divided family members. The participants showed a realistic view on returning to their hometown after the reunification of North Korea and South Korea.

A Study on the Composition and Characteristic of Coworking Space (코워킹 공간구성과 특성에 관한 연구)

  • Han, Hye-Sun
    • Korean Institute of Interior Design Journal
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    • v.22 no.5
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    • pp.276-283
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    • 2013
  • Coworking space is the ideal concept of small companies, freelancers, startups, and entrepreneurs operating out of a shared office space while working independently of one another. The coworkers share the core values of coworking: collaboration, openness, accessibility, sustainability, and community. Little academic research has been completed on the composition of coworking spaces and the businesses that use them. The purpose of this study is to examine the organization and characteristic of coworking space based on domestic and international cases for providing basic data on the coworking space plan. This study examined existing academic literature, media, online sources to assess the environmental background of worldwide coworking space, the current status, conceptualization, and membership plan that can be appled coworking spaces. The case study for coworking space is limited to the space where there is web site that is showed floor plan. Coworking spaces are designed to be environmentally friendly, offering common area with many facilities to encouraging community and collaboration. For creating ideal coworking space, the concept of coworking space must be recognized as a community space for interaction and creativity between people and space. Based on the result of this study, the appropriate zoning, circulation and specific floor plan of coworking space is needed for the next research.

Oversubscription factors for Community Wireless Services using AODV Routing

  • Ajith, P.K.;Yan, Huai-Zhi;Park, Dong-Won
    • The Journal of Engineering Research
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    • v.7 no.1
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    • pp.53-60
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    • 2005
  • Community Wireless Networks define the next generation wireless services. Multimedia usages for financial services over community Wireless LAN (WLAN) based mesh networks require link stability. Several new services are being proposed for multimedia over WLANs. Portable Internet Services are implemented by several wireless carriers to proliferate their customer base. However, these services are still expensive and require a central telecom/wireless carrier whose monopoly and preference defines the availability of new services. Our research project identifies the usage of these critical services in public places over the financial services backbone architecture to provide efficient easy-to-use and economical services to their customers and merchants without being dependent on the central wireless carrier. The user connects to the network using his regular WLAN NIC using the Mesh Router/Bridge interconnectivity and obtains the needed multimedia and financial services from the ATM-AP Gateway, In our proposed scenario, the ATN AP-MR use AODV protocol and MR-MC is based on 802.11g/a/b IEEE standard. We use multi path routing protocols for reducing the congestion over a particular route. We demonstrate the results of our simulations and test-bed outcome to evaluate link failure rate and oversubscription factors to eliminate network congestion and non-availability of the critical financial services.

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A Case Study on Villagers' Participation and Project Achievement in Rural Development - Focusing on Saemaul Undong Project in Myanmar - (농촌지역개발의 주민참여와 사업성과에 관한 사례 연구 - 미얀마 농촌공동체 개발사업을 중심으로 -)

  • Lee, Seung-won;Shim, Sung-hee
    • Journal of Korean Society of Rural Planning
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    • v.26 no.3
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    • pp.79-89
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    • 2020
  • Since the Republic of Korea had been registered as the 24th member of OECD DAC in 2009, recent trend of Korea's ODA has showed drastic increase including agriculture and rural development sector. Particularly, various rural development projects have been implemented adopting development experience and methodology of Saemaul Undong (SMU, New Village Movement). This study implemented statistical analysis between villagers' participation and achievement of rural community development project, based on practical data out of 'Saemaul Undong Project in Myanmar', to suggest meaningful implication in terms of participatory rural development. It emphasized the importance and necessity of villagers' participation in rural development through regression analysis that proved positive correlation between villagers' participation and rural development project. It proves that income-generation part has significantly greater influence than capacity-building and living environment part in terms of rural community development project: Based on the analysis, comparing impact of each independent variable, income generation has 1.88 and 1.68 times greater impact than capacity-building and living environment respectively. The result, on the other side, rather raise the importance of careful consideration for project design and implementation to harmonize those three parts altogether especially rural development for developing countries: capacity-building and living environment parts suggests essential foundation to make income generation successful that enables to secure project achievement and sustainability.

Awareness and Opinions of Inhabitants on Vivax Malaria in Two Endemic Areas, Gyeonggi-do, Korea

  • Bahk, Young Yil;Cho, Shin-Hyeong;Na, Byoung-Kuk;Hong, Sung Jong;Lee, Sung-Keun;Kim, Tong-Soo
    • Parasites, Hosts and Diseases
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    • v.59 no.5
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    • pp.513-518
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    • 2021
  • The incidence of vivax malaria in Korea was reduced to a low plateau. For successful elimination of vivax malaria, socio-behavioral changes in the communities are essential. This study aimed to figure out awareness of the inhabitants on the vivax malaria endemicity. The 407 participants including vivax malaria patients and uninfected inhabitants in Gimpo- and Paju-si, Gyeonggi-do, known as high-risk areas in Korea. We used a community-based study design and non-probability sampling method using primary data. Except for the perception about the public health facilities' capability to cope with anti-malaria programs, the 2 groups of participants shared the same level of awareness about public promotional and educational measures and opinions for malaria elimination from the community. Thus, our future goals for malaria prevention and elimination are to develop more active and well-organized community-based education and evaluation programs collaborating with the community healthcare authorities and local governments.

The Relationship between Social Capital and Self-rated Health in Korean Adolescents: Mediating Effects of Resilience (청소년의 사회적 자본과 주관적 건강수준의 관계: 탄력성의 매개효과)

  • Kim, Ji Hye;Tak, Young Ran
    • Journal of the Korean Society of School Health
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    • v.32 no.1
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    • pp.41-49
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    • 2019
  • Purpose: The purpose of the this study was to examine the mediating effect of resilience on the relationship between social capital - family, school, and community - and self-rated health in adolescents. Methods: The study is a secondary data analysis based on a cross-sectional design, using the data of 2016 Korean Children and Youth Panel Survey (KCYPS). The study analyzed the data of 2,001 adolescents by descriptive analysis, t-test, ANOVA, Pearson's correlation coefficients and structural equation modeling, using the SPSS and AMOS program. Results: The model's fit was adequate ($x^2/df=4.51$, CFI=.98, RMSEA=.04, SRMR=.02). The adolescents' social capital - family, school and community - had direct effects on their self-rated health. Resilience was found to play a partially mediating role in accounting for self-rated health. Conclusion: Resilience partially mediated the relationship between social capital and self-rated health in adolescents. Based on the results of this study, nursing strategies to build and strengthen social capital at the family, school and community level and to promote resilience are needed to improve the health of adolescents.