• Title/Summary/Keyword: Logistic Support

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The Health and Caregiving Needs of Community-dwelling Elderly Individuals with Cognitive Impairment in Early and Late Stages -Using the 2020 National Survey of Older Koreans- (지역사회 인지저하 전·후기 노인의 건강 및 돌봄 요구 실태 -2020년 노인실태조사를 이용하여-)

  • Ji-On Kim
    • Journal of the Health Care and Life Science
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    • v.11 no.2
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    • pp.361-374
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    • 2023
  • This study was conducted using data from the '2020 National Survey of Older Koreans' to investigate the sociodemographic characteristics, health status, health management practices, and caregiving needs that influence cognitive impairment in early and late-stage elderly individuals. The research targeted 9,885 individuals aged 65 and above. Statistical analyses included descriptive statistics, Chi-square, t-tests, and logistic regression. The study found that cognitive decline in elderly individuals was influenced by age, education, income, location, health status, and depressive symptoms. Those with cognitive decline showed lower health management practices, functional status, and overall health and social satisfaction. There was a high demand for home residency services and assistance with daily activities among cognitively impaired individuals, indicating the need for diverse support and policies within local communities for safe caregiving in the future.

Development of the National Integrated Daily Weather Index (DWI) Model to Calculate Forest Fire Danger Rating in the Spring and Fall (봄철과 가을철의 기상에 의한 전국 통합 산불발생확률 모형 개발)

  • Won, Myoungsoo;Jang, Keunchang;Yoon, Sukhee
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.20 no.4
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    • pp.348-356
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    • 2018
  • Most of fires were human-caused fires in Korea, but meteorological factors are also big contributors to fire behavior and its spread. Thus, meteorological factors as well as topographical and forest factors were considered in the fire danger rating systems. This study aims to develop an advanced national integrated daily weather index(DWI) using weather data in the spring and fall to support forest fire prevention strategy in South Korea. DWI represents the meteorological characteristics, such as humidity (relative and effective), temperature and wind speed, and we integrated nine logistic regression models of the past into one national model. One national integrated model of the spring and fall is respectively $[1+{\exp}\{-(2.706+(0.088^*T_{mean})-(0.055^*Rh)-(0.023^*Eh)-(0.014^*W_{mean}))\}^{-1}]^{-1}$, $[1+{\exp}\{-(1.099+(0.117^*T_{mean})-(0.069^*Rh)-(0.182^*W_{mean}))\}^{-1}]^{-1}$ and all weather variables significantly (p<0.01) affected the probability of forest fire occurrence in the overall regions. The accuracy of the model in the spring and fall is respectively 71.7% and 86.9%. One integrated national model showed 10% higher accuracy than nine logistic regression models when it is applied weather data with 66 random sampling in forest fire event days. These findings would be necessary for the policy makers in the Republic of Korea for the prevention of forest fires.

Role and Prognosis of Extracorporeal Life Support in Patients Who Develop Cardiac Arrest during or after Office-Based Cosmetic Surgery

  • Kwon, Seong Soon;Park, Byoung-Won;Lee, Min-Ho;Bang, Duk Won;Hyon, Min-Su;Chang, Won-Ho;Oh, Hong Chul;Park, Young Woo
    • Journal of Chest Surgery
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    • v.53 no.5
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    • pp.277-284
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    • 2020
  • Background: Cardiac arrest during or after office-based cosmetic surgery is rare, and little is known about its prognosis. We assessed the clinical outcomes of patients who developed cardiac arrest during or after cosmetic surgery at office-based clinics. Methods: Between May 2009 and May 2016, 32 patients who developed cardiac arrest during or after treatment at cosmetic surgery clinics were consecutively enrolled. We compared clinical outcomes, including complications, between survivors (n=19) and non-survivors (n=13) and attempted to determine the prognostic factors of mortality. Results: All 32 of the patients were female, with a mean age of 30.40±11.87 years. Of the 32 patients, 13 (41%) died. Extracorporeal life support (ECLS) was applied in a greater percentage of non-survivors than survivors (92.3% vs. 47.4%, respectively; p=0.009). The mean duration of in-hospital cardiopulmonary resuscitation (CPR) was longer for the non-survivors than the survivors (31.55±33 minutes vs. 7.59±9.07 minutes, respectively; p=0.01). The mean Acute Physiology and Chronic Health Evaluation score was also higher among non-survivors than survivors (23.85±6.68 vs. 16.79±7.44, respectively; p=0.01). No predictor of death was identified in the patients for whom ECLS was applied. Of the 19 survivors, 10 (52.6%) had hypoxic brain damage, and 1 (5.3%) had permanent lower leg ischemia. Logistic regression analyses revealed that the estimated glomerular filtration rate was a predictor of mortality. Conclusion: Patients who developed cardiac arrest during or after cosmetic surgery at office-based clinics experienced poor prognoses, even though ECLS was applied in most cases. The survivors suffered serious complications. Careful monitoring of subjects and active CPR (when necessary) in cosmetic surgery clinics may be essential.

A Study of the Effectiveness of Policies in Response to Low Fertility (저출산 정책의 효과성에 관한 연구)

  • Chung, Sung-Ho
    • Korea journal of population studies
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    • v.35 no.1
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    • pp.31-52
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    • 2012
  • The purpose of this study is to analyze the effectiveness of policies in response to low fertility in Korea. Using a recent nationwide survey on marriage and fertility, this study analyzes the effect of low fertility policies on plan of further birth among young married women according to the number of their children. Awareness of polices in response to low fertility is relatively high, showing the great differences among policy measures. In contrast, the degree of polices in response to low fertility is very low. ranging from 2.0% to 27.6%. The distribution of awareness and experience is different according to the number of children. The results of logistic regression analysis show that awareness of polices in response to low fertility such as economic support, promotion of equality of the sexes significantly affects on plan of further birth. However, this effects disappear when we apply parity specific approach. For example, the plan for first child is quite universal as no difference is found by their awareness of policies in response to low fertility. Similar results are found in married women having plan for second child and third child. With respect to the degree of experience of policies in response to low fertility, the results show that economic support, work-family coexistence, and promotion of equality of the sexes significantly affects the plan of further birth. Like awareness of policies in response to low fertility, these effects disappear as we apply parity specific approach. The results indicate that the effect of policies in response to low fertility differs by the current number of children. Thus, consideration of such difference would help us deepen our understanding of fertility behaviors and polices in response to low fertility.

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Burdens, Needs and Satisfaction of Terminal Cancer Patients and their Caregivers

  • Chang, Yoon-Jung;Kwon, Yong Chol;Lee, Woo Jin;Do, Young Rok;Lee, Keun Seok;Kim, Heung Tae;Park, Sook Ryun;Hong, Young Seon;Chung, Ik-Joo;Yun, Young Ho
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.209-215
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    • 2013
  • Objectives: Terminal cancer patients and their caregivers often experience traumatic stress and need many types of assistance. In the present study we interviewed terminally ill cancer patients and caregivers to determine how much burden they experienced and to find out what factors are most important for satisfaction. Design: We constructed a questionnaire including overall care burden and needs experienced, and administered it to 659 terminal cancer patients and 659 important caregivers at 11 university hospitals and 1 national cancer center in Korea. Results: Finally, 481 terminal cancer patients and 381 caregivers completed the questionnaire. Care burden was not insubstantial in both and the caregiver group felt more burden than the patient group (P<0.001). While the patient group needed financial support most (39.0%), the caregiver group placed greatest emphasis on discussion about further treatment plans (44.8%). Stepwise multiple logistic regression analyses showed that in the patient group, patient's health status (OR, 2.03; 95%CI, 1.16-3.56) and burden (OR, 2.82; 95%CI, 1.76-4.50) influenced satisfaction about overall care, while in the caregiver group, high education level (OR, 1.84; 95%CI, 1.76-4.50), burden (OR, 2.94; 95%CI, 1.75-4.93) and good family function (OR, 1.94; 95%CI, 1.24-3.04) were important. Conclusions: Our study showed that burden was great in both terminal cancer patients and their caregivers and was perceived to be more severe by caregivers. Our study also showed that burden was the factor most predicting satisfaction about overall care in both groups.

Relationship between Psychosocial Factors, Job Stress Contents, Fatigue Symptoms and Quality of Nursing Services among General Hospital Nurses (종합병원 간호사들의 사회심리적 요인, 직무스트레스 및 피로와 간호서비스의 질과의 관련성)

  • Lee, Myung-Jun;Yoon, Seok-Han;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.569-581
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    • 2016
  • The purpose of this study was to define the quality of nursing services in relation to a nurse's psychosocial factors (type A behavior pattern, self-esteem, locus of control, and anxiety), job stress, and fatigue. This study targeted 503 nurses currently working at one of six general hospitals in Daejeon city, the data were collected by a self-administered questionnaire, which was surveyed from April 1 to June 30, 2014. According to multivariate logistic regression analysis, the high self-esteem, locus of control, and strong support by supervisor and co-workers decrease the risk of a low career quality. In contrast, high situational fatigue and overall fatigue increase the risk of a low career quality. According to the results of hierarchical multiple regression analysis, the quality of nursing services increased with age, the subjective health condition was satisfying, aptitude corresponded to the jobs, self-esteem was high, anxiety was low, support by co-workers was strong, and the overall fatigue was low. Above results suggest that the quality of nursing services of nurses who work at a general hospital has a strong correlation with the psychosocial factors, job stress, and fatigue.

Converged Influencing Factors on the Stages of Change of Exercise in Middle Aged Women (중년여성의 운동행위변화단계에 미치는 융합적 영향요인)

  • Lee, Hyea-Kyung;Shin, Eun-Hee;Kim, Yeon-Kyung
    • Journal of the Korea Convergence Society
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    • v.6 no.5
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    • pp.187-197
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    • 2015
  • The purpose of this study is to analyse the convergent factors which influence on the stages of exercise behavior change of middle-aged women. 200 middle-aged women surveyed, 41 to 64years old, is residing D city, Chung-Nam province, who understand the purpose of this study and agree to participate in this study. This study data is analyzed by using frequency, percentage, standard deviation, t-test, $x^2$ test and Logistic regression analysis. The study show that the social support factors(${\beta}$=.998, p=.010) and the motives of exercise(${\beta}$=3.407, p<.001) among middle aged women have an effect on the stages of exercise behavior change meaningfully. That is, the social support of middle aged women who have exercise behavior change is 2.5 times higher than middle aged women who don't have exercise behavior change, and the motives of exercise is 20.1 times higher. Based on theoretical ground, this study suggests that government and community seek programs for promoting the exercise behavior, considering the motives of exercise and the social supports.

The factors associated with suicidal ideation among the elderly living alone received the elderly care service in a rural area (일부 농촌지역 노인돌보미 대상 독거노인의 자살생각 관련요인)

  • Choi, Hee-Young;Ryu, So-Yeon;Kwak, Gwang-Il;Choi, Cheol-Won
    • Journal of agricultural medicine and community health
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    • v.39 no.2
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    • pp.81-93
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    • 2014
  • Objectives: The objective of this study was to identify the factors associated with suicidal ideation among the elderly living alone received the elderly care service in a rural area. Methods: This study was surveyed 206 the elderly living alone who received the elderly care service in G-gun, Jeollanamdo. The collected data were socio-demographic and health-related characteristics, family support and suicidal ideation. The used methods for statistical analysis were used t-test, analysis of variance, Pearson's correlational analysis and the multiple logistic regression analysis. Results: In univariate analysis, the suicidal ideation of the elderly living alone was statistically significant associated with age, monthly income, sufficiency of sleeping, depression, stress, activities of daily living, instrumental activities of daily living, perceived health status and family support. As a result of multiple regression analysis, the associated factors with suicidal ideation were age, depression, stress and the activities of daily living. Conclusions: The suicidal ideation of the elderly living alone in the rural area was associated with age, mental health and independency of living. It will be needed the multidisciplinary approaches to prevent the suicidal ideation and attempts of the elderly living alone.

Status and Influencing factors of health behavior in pregnant women in Yanbian area (연변지역 임부의 건강행위 이행실태 및 영향요인)

  • Zhang, Hai-Lian;Li, Chun-Yu;Kim, Hyun-Li
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7863-7869
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    • 2015
  • Purpose: To Examine the status of health behavior and identify the influencing factors of health behavior among pregnant women. Method: The participants were 1011 pregnant women who visited outpatient hospital of in Yanbian, China. Participants were interviewed using Chinese version of Edinburgh Postnatal Depression Scale(EPDS), Perceived Social Supports(PSSS), general self-efficacy, and characteristics. Descriptive statistics, t-test, ANOVA, pearson correlation coefficient, binary logistic regression were used for data analysis with SPSS 19.0. Results: The mean score of health behavior was $28.93{\pm}6.59$ scores(0~45 scores). Antepartum depression(OR=0.94[0.90-0.98]), perceived social supports(OR=1.07[1.05-1.09]), self-efficacy(OR=1.36[1.04-1.79]) were predictor of health behavior among pregnant women, on the contrary to this the characteristics of pregnant women were not statistically significant. Conclusion: The implement of the health behavior among pregnant women was not ideal. It's necessary to develop a health behavior intervention focus on antepartum depression, social support, and self-efficacy for pregnant women.

The Effects of Mothers' Previous Financial Support and Grandchild Care on Intergenerational Co-Residence - Focusing on Long-Term Reciprocity Model - (과거 모(母)의 경제적 지원과 손자녀 돌 봄이 성인자녀와의 동거에 미치는 영향 - 장기적 호혜 모델을 중심으로 -)

  • Ha, Seok Cheo
    • Korean Journal of Family Social Work
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    • no.53
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    • pp.161-198
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    • 2016
  • This study examined how previous financial and time transfers from mothers to their adult children affect co-residence of elderly mothers and their adult children in South Korea. This study employed multi-level logistic analysis considering hierarchical relationship structures between mothers and their adult children. A sample of 1,925 elderly mothers and 7,460 adult children was extracted from data which were from the first wave (in 2006) to the forth wave (in 2012) of Korean Longitudinal Study of Ageing (KLoSA). The result of the analysis suggested that past financial transfer from mothers to their adult children was not significantly associated with co-residence between elderly mothers and their adult children. However, likelihood of co-residence increased with the amount of time transfer, which was measured by unit of time for elderly mothers' caring for their grandchildren. This study discussed that long-term reciprocal relationships between elderly mothers and their adult children are built by intergenerational support relationships. However, the result that showed only grandmaternal child care affected intergenerational co-residence implies that intergenerational care may play an important role in intergenerational reciprocal relationships. Through these findings, this study suggested theoretical, practical, and policy implications.