• Journal of Preventive Medicine and Public Health
• /
• 제55권4호
• /
• pp.398-406
• /
• 2022

Objectives: While the risk of depression is expected to substantially increase among older adults receiving community care, leisure life satisfaction can be regarded as a key component in enhancing the mental health of those receiving community care. However, it is not yet known whether community care utilization increases the risk of depression, or what role is played by leisure life satisfaction in these settings. This study investigated the relationship between community care utilization and depression, as well as the main effect and the moderating role of leisure life satisfaction on the link between community care utilization and depression among older adults. Methods: This study, using the 2019 Korean Welfare Panel Survey, conducted multiple regression analysis on data from 4494 elderly people aged 65 years or older. Results: After controlling for potential covariates, older community care recipients were more likely to report symptoms of depression than those who did not receive community care. Meanwhile, leisure life satisfaction was negatively associated with depression in older adults. The test for interaction between community care utilization and leisure life satisfaction revealed that leisure life satisfaction significantly attenuated the link between depression and community care utilization. Conclusions: The findings of this study imply that leisure life satisfaction could play a meaningful role in improving the mental health of older adults receiving community care. Welfare policies affecting older adults should consider leisure life satisfaction as an important resource for reducing depression in community care settings.

• 한국보건간호학회지
• /
• 제25권1호
• /
• pp.61-72
• /
• 2011

Purpose: To investigate the behavioural factors of the health promotion for caregivers based on a socio-ecological model. Methods: This study was a cross-sectional descriptive study using a self administered questionnaire. The survey was conducted in 219 people chosen through convenient sampling between September and December 2008. The collected information included general characteristics, individual, interpersonal, community, policy level. Results: For the statistical analysis, the t-test was used for the health promotion according to the general characteristics and to each level of the socio-ecological model, by assessing the high and low values and dividing them into mean points. The influence elicited by different health promotion factors was determined using the hierarchical multiple regression. At the individual level, the factors influencing health promotion in caregivers included perceived seriousness, perceived benefits, and self efficacy. Social support was important at interpersonal level, and the use of community resource was relevant for the community level. We found no statistically significant factors relating to the policy level. Conclusions: In conclusion, the socio-ecological models seems appropriate for explaining health promotion and its associated factors in caregivers. We suggest that, for caregivers, strategies should be developed for their social support and to offer information about how to use community resources in relation with factors relating to the individual level.

• 한국보건간호학회지
• /
• 제24권2호
• /
• pp.302-310
• /
• 2010

Purpose: A comprehensive analysis of demographical, disease, functional status and fall risk related factors identified factors associated with falls in elderly hypertensive. Method: A descriptive research design was used. The participants were 124 persons aged 65 years or older registered at the community center in Daegu city. The data were collected from October, 2008 to February, 2009. Frequency, Fisher's exact test, $X^2$-test, t-test, and logistic regression were done using the SPSS V17.0. Results: Ninety (72.6%) subjects had experienced falls. The occurrence differed according to number of medications, activities of daily living and competence of vision. Logistic analysis revealed number of medication and impaired vision as independent risk factors for subsequent falls. Conclusion: Supportive nursing for the elderly needs to focus on dizziness and impaired vision to prevent falls in community-dwelling elderly with hypertension.

• Journal of Microbiology and Biotechnology
• /
• 제32권10호
• /
• pp.1275-1283
• /
• 2022

Understanding soil microbial community structure in the Arctic is essential for predicting the impact of climate change on interactions between organisms living in polar environments. The hypothesis of the present study was that soil microbial communities and soil chemical characteristics would vary depending on their associated plant species and local environments in Arctic mature soils. We analyzed soil bacterial communities and soil chemical characteristics from soil without vegetation (bare soil) and rhizosphere soil of three Arctic plants (Cassiope tetragona [L.] D. Don, Dryas octopetala L. and Silene acaulis [L.] Jacq.) in different local environments (coal-mined site and seashore-adjacent site). We did not observe any clear differences in microbial community structure in samples belonging to different plant rhizospheres; however, samples from different environmental sites had distinct microbial community structure. The samples from coal-mined site had a relatively higher abundance of Bacteroidetes and Firmicutes. On the other hand, Acidobacteria was more prevalent in seashore-adjacent samples. The relative abundance of Proteobacteria and Acidobacteria decreased toward higher soil pH, whereas that of Bacteroidetes and Firmicutes was positively correlated with soil pH. Our results suggest that soil bacterial community dissimilarity can be driven by spatial heterogeneity in deglaciated mature soil. Furthermore, these results indicate that soil microbial composition and relative abundance are more affected by soil pH, an abiotic factor, than plant species, a biotic factor.

• Journal of Applied Biological Chemistry
• /
• 제65권1호
• /
• pp.63-74
• /
• 2022

Microbial dysbiosis in the gut is associated with human diseases, and variations in mucus alter gut microbiota. Therefore, we explored the effects of mucin on the gut microbiota using a community of 19 synthetic gut microbial species. Cultivation of these species in modified Gifu anaerobic medium (GAM) supplemented with mucin before synthetic community assembly facilitated substantial growth of the Bacteroides, Akkermansia, and Clostridium genera. The results of 16S rRNA microbial relative abundance profiling revealed more of the beneficial microbes Collinsella, Bifidobacterium, Ruminococcus, and Lactobacillus. This increased acetate levels in the community cultivated with, rather than without (control), mucin. We identified differences in predicted cell function and metabolism between microbes cultivated in GAM with and without mucin. Mucin not only changed the composition of the gut microbial community, but also modulated metabolic functions, indicating that it could help to modulate microbial changes associated with human diseases.

• Clinical Nutrition Research
• /
• 제11권3호
• /
• pp.204-213
• /
• 2022

Metabolic syndrome (MetS) is a multifactorial disease with its exact causes not completely clear. Micronutrients such as vitamin A, vitamin D, zinc, and magnesium have been associated with MetS components. Our objective was to investigate the association of nutrient adequacy (NA) with MetS components. The present cross-sectional study consisted of 850 adults between 18-59 years from Tehran, Iran. Dietary intake, socio-demographic data, medical history, and anthropometric indices were collected by trained personnel. NA was calculated as the mean intake ratio to the recommended amount of 16 micronutrients. MetS were defined by the consensus of National Cholesterol Education Program-Adult Treatment Panel III criteria. The association between NA and MetS was examined using linear regression analyses after controlling potential confounders. More participants in the highest quartile were obese in terms of general obesity (p = 0004) and abdominal obesity (p = 0.003) compared with subjects in the least quartile. A significant positive correlation was found between waist circumference (WC) and NA even after controlling for all potential confounders (p < 0.001). NA was positively associated with WC among adults living in Tehran.

• Tuberculosis and Respiratory Diseases
• /
• 제68권6호
• /
• pp.319-327
• /
• 2010

Pneumonia represents a spectrum of diseases that range from community-acquired to health care-associated pneumonia. Despite advances in diagnosis, antimicrobial therapy, and supportive care, pneumonia remains an important cause of morbidity and mortality, particularly in elderly patients and in those with significant comorbidities. Community-acquired pneumonia (CAP) is the leading cause of death from infectious disease in Korea. This article provides a synopsis of recent studies regarding various types of pneumonia, with a focus on CAP.

• 한국노년학
• /
• 제39권2호
• /
• pp.213-229
• /
• 2019

이 연구는 서울시 찾아가는 동주민센터(이하 '찾동') 노인 방문건강관리 서비스를 이용해 본 경험이 있는 노인들을 대상으로, 건강관리 서비스 미충족에 영향을 미치는 요인을 분석하고, 향후 효과적인 커뮤니티케어 정착을 위한 동 단위 방문건강관리 사업의 방향성을 제시하고자 하는 목적으로 수행하였다. 이를 위해 찾동 2단계('16. 7. 1 ~ '17. 6. 30) 사업에 참여한 17개 자치구 만 65세, 만 70세 노인 중 1,000명을 자치구별 비례할당 및 임의 추출하여 대면 설문조사를 실시하였다. 서비스 미충족 영향요인의 경우, 개인 및 자치구 환경적 요인으로 나누어 다수준 회귀분석을 실시했다. 연구결과 서비스 미충족을 높이는 개인적 요인으로 사회경제적 수준(고소득, 독거 및 노인가구), 건강수준(복합만성질환, 건강문해력, 우울), 찾동 경험(간호사 1회 방문, 적은 서비스 제공시간 및 낮은 이해도), 사회신뢰(낮은 정부신뢰)로 나타났으며, 자치구 요인으로는 사업 시행기간이 짧을수록, 재정자주도가 낮을수록 서비스 미충족 확률이 높았다. 이를 통해, 커뮤니티케어의 효율성 제고를 위한 다음의 제언을 하고자 한다. 첫째, 건강관리 서비스 수혜 대상을 현재의 65세 및 70세 노인 전수 방문에서 중장기적으로 경제적 또는 건강 취약가구로 사업의 초점대상을 좁혀서, 제한된 예산 속에서 서비스의 질을 높이는 방안에 대한 고민이 요구된다. 둘째, 방문 대상 연령을 만 65세에서 만 66세로 전환하고 국민건강보험공단 생애주기별 건강검진사업과 결과를 공유하여, 사업의 효율성이 높이는 것을 고려할 필요가 있다. 서울시 찾동 사업은 시군구를 중심으로 운영되던 국민건강관리를 행정동 단위로 낮추어 국민들이 체감도를 높이고, 지역사회 건강관리의 패러다임을 바꾸었다는 점에서 의미가 크다. 이 연구가 향후 커뮤니티케어의 효과적인 정착을 위한 기초자료 및 정책 대안으로 활용되기를 기대한다.

• 한국환경과학회지
• /
• 제17권1호
• /
• pp.1-6
• /
• 2008

The characters of Castanea crenata community which is associated with human activities recently extended around the field of Saengbiryang-myeon at Sanseong-gun in Gyeongsangnam-do. The C. crenata community and its outskirts were investigated for several ecological parameters and the results can be summarized as fellows. C. crenata is prevailing in the plantation area, whereas Pinus densiflora and Quercus mongolica are prevailing in its outskirts. The mean species diversity of plantation was lower than that of natural forests. In stratification of investigated areas, overstory tree layer was dominant in the zone of plantation and dominant layers in the natural forest were understory tree layer, shrub, and herb. Plant biomass and net production which estimated from degree of green naturality were much higher in natural forests than those of the plantation community. Least significant differences (LSD) post hoc analysis revealed that P. densiflora and Q. mongolica community had significantly greater than densities than C. crenata community.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제15권1호
• /
• pp.53-62
• /
• 2009

Healthcare facilities undergo substantial renovation and remodeling to accommodate changing technologies and regulatory requirements, thereby generating significant quantities of construction-related wastes, and subjecting building occupants to noise, dust, and other health impacting disruptions associated with construction. By designing flexible, adaptive, generic spaces, buildings can better respond to changes imposed by architectural composition of interpersonal and community space of hospital ward with minimum needs renovation and remodeling. This study focuses on the design principles of enhancing flexibility in architectural composition of interpersonal and community space of hospital ward. The purpose of this study is to provide fundamental data for designing interpersonal and community space of hospital ward through ecological flexible design principles with case on interpersonal and community space of hospital ward.