• International Journal of Advanced Culture Technology
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• 제11권2호
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• pp.109-117
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• 2023

Menstrual cycle irregularity reflects the reproductive health of women of childbearing age, but studies are scant on women in communities. In this study, we identified factors associated with menstrual cycle irregularity among 884 community women of childbearing age (19-40 years) and confirmed the relationship between menstrual cycle irregularity and depressive symptoms. Data were collected through online or mobile platforms. We noted that 25% of participants had menstrual cycle irregularity. Multivariable ordinal logistic regression analysis revealed that age, irregular eating, and depressive symptoms were associated with menstrual cycle irregularity. After adjusting for confounding variables, participants with depressive symptoms were at a slightly higher risk of menstrual cycle irregularity (odds ratio = 1.078, confidence interval = 1.021-1.139). Additional support be provided for community-living women of childbearing age with depressive symptoms, to improve their reproductive health

• 한국보건간호학회지
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• 제30권2호
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• pp.311-325
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• 2016

Purpose: This study was conducted to examine the individual and community level factors associated with physical activity and to identify its relative effects using a multilevel analysis among Korean adults in certain counties. Methods: A cross-sectional data of 39,547 adults (age range of 19~64 years) living in 82 counties from the 2013 Korean Community Health Survey (KCHS) was analyzed. Individual and social correlates from KCHS and physical environmental data from the Korean Statistical Information Service were collected. A multilevel logistic regression was performed using Stata 10.0 IC. Results: Multilevel analyses showed that the effect of social and physical environmental on engaging in moderate or vigorous physical activity (MVPA) was significant in comparison to the influence of individual correlates. The individual factors that were associated with participating in MVPA included gender, marital status, education, job, and household income. In the community level, social environmental factors associated with engagement in MVPA were higher satisfaction with healthcare service (OR=3.410, 95% CI=1.109~11.269), a high level of social support (OR=5.920, 95% CI=1.459~22.657) and social network (OR=1.025, 95% CI= 1.017~1.032). Conclusion: To promote moderate or vigorous physical activity in Korean adults in some counties, social environmental factors should be considered along with individual correlates.

• 한국균학회지
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• 제48권3호
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• pp.251-271
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• 2020

Diversity and community composition of bulb-associated fungi of Fritillaria Cirrhosae Bulbus source plants, which are used in traditional chinese medicine, in the eastern Himalaya-Hengduan Mountains, southwestern China, were estimated based on the internal transcribed spacer rDNA sequence analysis, using host plant species, geographic area, and plant phenology as variables. A total of 1,486 fungal sequences assigned to 251 operational taxonomical units (OTUs) were obtained from the bulbs. Fungal OTUs comprised 96.41% Ascomycotina, 3.52% Basidiomycotina, and 0.07% Zygomycotina. Sordariomycetes, Hypocreales, and Nectriaceae were the most frequent fungal lineages at each taxonomic rank. Fusarium, Ilyonectria, Tetracladium, Leptodontidium, and Tomentella were the top OTU-rich genera. Fusarium sp. 03, Ilyonectria rufa, Fusarium sp. 08, Ilyonectria sp. 03, and Leptodontidium orchidicola 03 represented the most frequent OTUs. Fusarium spp. were the most frequent general taxa. The distribution of fungal community exhibited preferences for host plant species, geographic area, and plant phenology. These findings are the foundation of our research on culturing and active metabolites of bulb-associated fungi of Fritillaria Cirrhosae Bulbus source plants.

• 한국응급구조학회지
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• 제25권1호
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• pp.205-221
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• 2021

Purpose: This paper is to determine whether automatic defibrillators (AEDs) deployed across communities make a contribution to prevent death in patients with acute cardiac arrest out-of-hospital. Methods: A total of 30,179 cases of cardiac arrest investigation data from the Korea Centers for Disease Control and Prevention was matched to those on emergency medical statistics drawn from annual report for the 2018 Central Emergency Medical Center, and statistics from the National Statistical Office in 2018. Results: Multiple logistic regression analyses revealed that availability of emergency medical resources across associated with different survival rates at emergency room after taking variability of the patient's personal characteristics and episodic situational characteristics held constant. The survival rate was 1.71 times higher for patients living in communities with more than 105 AEDs avaiable per 100,000 inhabitants than for those living in communities with less than 55 AEDs. Conclusion: The survival-related factors of patients with acute cardiac arrest that occurred out-of-hospital were found to be associated with patients' and episodic situational characteristics. The hospital stage were found to be associated with patients characteristics and episodic situational characteristics, The variability of AED available in a community has an impact on survival rate after emergency room treatment.

• 지역사회간호학회지
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• 제33권4호
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• pp.418-431
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• 2022

Purpose: The aims of this study were to examine the rate of depression among older adults living alone and to identify factors associated with depression in older adults living alone during the COVID-19 pandemic. Methods: A secondary data analysis was performed using data from the 2020 Korea Community Health Survey. The study participants were 18,824 older adults aged 65 years and over living alone. The data of the complex sample design was analyzed with consideration for weights, stratification, and clustering. Complex sample multiple logistic regression was conducted to identify factors associated with depression in older adults living alone during the COVID-19 pandemic. Results: The results showed that the rate of depression in older adults living alone was 6.3%. Older adults living alone with decreased physical activity, decreased hours of sleep, and an increased or similar frequency of meeting with friends or neighbors were found to be more likely to have depression. In terms of factors related to the practice of COVID-19 infection prevention and control rules, not disinfecting regularly and not wearing a mask indoors were related to depression. For health-related factors, fair or poor self-rated health status, not having breakfast every day, and feeling stressed were related to depression. Conclusion: It is recommended to develop tailored interventions to prevent depression among older adults living alone by considering the factors related to their depression during the COVID-19 pandemic.

• 가정과삶의질연구
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• 제34권4호
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• pp.127-138
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• 2016

The purpose of this study is assess the perspectives of residents in apartment complexes regarding the 'Projects to Promote Community Activities' publicly implemented by the Seoul Metropolitan City since 2011 to derive necessary suggestions thereof. For this purpose, community leaders in the 7 apartment complexes selected as leading communities of 2015 were interviewed to determine the application process for participation in such projects and the issues associated with the operation of respective community activities. In addition, 159 residents living in these apartment complexes were surveyed to assess the respective community activities along with changes in the sense of community and community consciousness. The subjects selected for the survey conducted through prepared questionnaires rendered positive assessment(3.82~4.09) on the effects of participation in community activities and in such programs with a higher level of the sense of community. The leaders of community activities also provided positive assessments regarding the projects financially supported by the local government that consequently promoted community activities to the extent they desired. However, the community leaders experienced and appealed difficulties in preparing financial reports according to administrative requirements together with the timing of financial appropriation. They also reported difficulties in preparing a sufficient pool of instructors to cultivate the capabilities of professional community planners.

• 지역사회간호학회지
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• 제23권2호
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• pp.189-200
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• 2012

Purpose: The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension. Methods: Participants were 323 patients with hypertension. Sociodemographic/medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered. Results: Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and self-liberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence. Conclusion: The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.

• 보건교육건강증진학회지
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• 제28권2호
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• pp.75-85
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• 2011

Objectives: This study is to identify factors associated with intention to quit smoking among male adult smokers in 13 communities of Korea. Methods: Data from 2010 Community Health Survey (CHS) in 13 communities of Honam region, Korea, were analyzed. Multiple logistic analysis method was used to determine the influence of selected factors on the intention to quit smoking among male smokers. Results: Residential area, smoking amounts per day, exposure to secondhand smoking, past attempts to quit, walking activity, brushing teeth after lunch, and stress were found to be independently associated with intention to quit smoking. Socio-demographic factors including age, marital status, educational level, and monthly income were not associated. Conclusions: Identifying factors associated with intention to quit smoking provides possibilities for shaping effective policies and programs for increasing smoking cessation in Korea.

• Pediatric Infection and Vaccine
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• 제16권1호
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• pp.1-5
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• 2009

Methicillin-resistant Staphylococcus aureus (MRSA), a leading cause of nosocomial infections, has been increasingly recognized in communities of the United States. This article will review the clinical spectrum and treatment of MRSA infections in children in the context of recent epidemiological changes of MRSA infections. In general, community-associated (CA) MRSA most frequently causes skin and soft tissue infections and has an increased association with invasive infections, particularly pneumonia and musculoskeletal infections. Hospital-associated (HA) MRSA strains tend to be associated with bloodstream infections, pneumonia, and surgical site infections. Different from the United States, CA-MRSA infections are not common in Korea (only 5.9%); however, there are some CA-MRSA clones that are different from HA-MRSA clones in Korea and from CA-MRSA clones in other countries. The treatment of MRSA infections should be guided by antimicrobial susceptibility testing, the site of infection, and the infection severity. Vancomycin is the treatment of choice for invasive MRSA infections. Other agents such as trimethoprim-sulfamethoxazole, clindamycin, linezolid, quinupristin-dalfopristin, and daptomycin have been used for some conditions.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.141-158
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• 2009

Community-Based Participatory Research(CBPR) has gained attention as a public health approach to develop community health interventions to address health disparities in recognition of the community relevance of specific health issues associated with social determinants of health. It emphasizes community involvement in equal partnership with researchers and public health professionals to address community-identified needs. The characteristics and principles of CBPR discussed in this paper highlight participatory nature, capacity development, partnership building, and process-orientation of CBPR. A 6-step process model for community empowerment is then introduced as a CBPR operationalization strategy. Mixed methods research approaches are valuable in CBPR as well as process evaluation. For the application of CBPR in Korean contexts, the Diffusion of Innovation theory is suggested as a theoretical framework for implementation. Building public health partnerships between public and private sectors to create partnership synergy is a necessary condition for successful CBPR for health promotion in Korea. Accompanying critical factors for the CBPR application include: common understanding of CBPR and its values, establishment of the definition of 'community,' 'community-based' and 'participation' in community health, development of accommodating research infrastructure for CBPR, recognition of the importance of program evaluation (particularly process evaluation), and training CBPR specialists.