Purpose: This qualitative study was designed to explore and describe the nursing staff reported experiences of managing the medical needs of nursing home residents in South Korea. Methods: Using a focus group interview method, qualitative data were collected from March to May 2012. Twenty five registered nurses and nurse aids working in nursing homes were recruited through a convenient sampling method. Participants participated in one of four focus group interviews lasted up to two hours in which their day-to-day experiences of taking care of the medical needs of the elderly residents. All interviews were recorded and transcribed in verbatim, and analyzed according to the qualitative thematic analysis method using MAXQDA software. Results: The overriding theme was 'experiencing differences between the requirements of the regulatory system and the actual reality of the work place.' The findings of differences between what were true and what is required was based in four subcategories. The nursing home residents had far more medical needs than what were reported. Another finding was that the family members were seen as non-supportive and negligent towards the residents. Conclusion: The findings of the study support the need for changes in the regulatory system. The regulatory limitations of current system with a shortage of resources pushed the participants to experience discrepancies between the required regulation and the reality. Additional research could contribute more exemplars to support changes.
Lee, Joon Woo;Lee, Guen Young;CHONG, Le Roy;Kang, Heung Sik
Investigative Magnetic Resonance Imaging
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제22권1호
/
pp.10-17
/
2018
Purpose: To evaluate interpretation errors involving spine MRIs by residents in their second to fourth year of training, classified as minor, intermediate and major discrepancies, as well as the types of commonly discordant lesions with or without clinical significance. Materials and Methods: A staff radiologist evaluated both preliminary and final reports of 582 spine MRIs performed in the emergency room from March 2011 to February 2013, involving (1) the incidence of report discrepancy, classified as minor if there was sufficient description of the main MR findings without ancillary or incidental lesions not influencing the main diagnosis, treatment, or patients' clinical course; intermediate if the correct diagnosis was made with insufficient or inadequate explanation, potentially influencing treatment or clinical course; and major if the discrepancy affected the main diagnosis; and (2) the common causes of discrepancy. We analyzed the differences in the incidence of discrepancy with respect to the training years of residents, age and sex of patients. Results: Interpretation discrepancy occurred in 229 of the 582 cases (229/582, 39.3%), including 146 minor (146/582, 25.1%), 40 intermediate (40/582, 6.9%), and 43 major cases (43/582, 7.4%). The common causes of major discrepancy were: over-diagnosis of fracture (n = 10), missed cord lesion (n = 9), missed signal abnormalities associated with diffuse marrow (n = 5), and failure to provide differential diagnosis of focal abnormal marrow signal intensity (n = 5). No significant difference was found in the incidence of minor, intermediate, and major discrepancies according to the levels of residency, patients' age or sex. Conclusion: A 7.4% rate of major discrepancies was found in preliminary reporting of emergency MRIs of spine interpreted by radiology residents, probably related to a relative lack of clinical experience, indicating the need for additional training, especially involving spine trauma, spinal cord and bone marrow lesions.
The purpose of this study is to examine the residents' preference to community facilities in national rental apartment complexes. Twelve housing complexes were sampled and researched with questionnaire and field-surrey methods. The data from the questionnaire survey were processed with SPSS 14 and analyzed by regional group, size of complex, and arrangement plan of facilities. The complexes are located in two legions, Seoul and Gyounggi province. They were also sorted into three groups by size: less than 500 households, 500 to 1,000, and more than 1,000. Lastly, the complexes were categorized into three types: those where facilities are concentrated in or around a single building, dispersed into several places, and located in residential buildings. The results are as follows: Majority of the community facilities are established outdoor and, therefore, the indoor facilities are relatively more insufficient. Especially, there is a shortage of indoor gymnasium while the demand is increasing. It is partly because there is no regulatory guideline on indoor gym requirements in housing complexes. The resident satisfaction measurement shows significant comparison according to region and complex size. The level of satisfaction with garden/kitchen-garden, pond/fountain/streamlet is higher at the complexes in Gyunggi. The residents of larger complexes give positive feedback about spells facilities while those of smaller complexes are more satisfied with education-related facilities such as library and study. The measurement of resident needs shows significant comparison according to complex size and facility arrangement plan. The residents of smaller complexes are more in need of community facilities. In both regulatory standards and actual condition, community facilities are more insufficient at small complexes with less than 500 households.
Objectives: The purpose of this study was to investigate the changes in factors on unmet dental scaling rate before and after the national health insurance. Methods: This study used the $2^{nd}$ data from the Community Health Survey. The study participants numbered 209,341 in 2011 and 219,517 in 2013.The average age was $51{\pm}17$ in 2011 and $52{\pm}17$ in 2013. Data were analyzed by descriptive statistics, chi -squared test and logistic regression using SPSS 23.0. Results: The scaling experienced rate of Korean adults has fallen by 3.5% from 66% to 69.5%. Logistic regression analysis showed that 2.7 times more 'people who were educated at elementary school level or lower' did not use dental scaling compared to higher educated children. Agriculture, forestry and fisheries workers did not use scaling at 2.0 times. Local residents with an income of less than one million won did not use 1.7times scaling. Local residents of 'no private insurance' did not use scaling at 1.5 times. In the case of the predisposing factors, the 20s had less than 1.8 times scaling compared to 50s. In the case of needs factor, local residents who experienced 'bad oral health status' and 'dental calculus' were treated scaling 1.3 times less compared to people with good oral health status and normal periodontal symptoms. Conclusions: In Korea, local residents are less frequently treated scaling due to enabling factors such as accessibility. In addition, predisposing factors such as age and sex, and oral health status and periodontal symptoms were related to not using the dental scaling. Therefore, the universality of health care services should be considered so that people who need periodontal care can use scaling.
최근 개인의 자아실현을 도모하고 삶의 질을 높여 도시 전체의 경쟁력을 향상시키고 도시와 도시 주민이 함께 성장 발전 할 수 있도록, 언제, 어디서나, 누구든 원하는 것을 배우고 즐길 수 있는 학습도시를 만들고자 하는 움직임이 활발해 지고 있다. 세계 많은 선진국들은 학교와 공공시설을 활용하여 학습도시를 만드는 프로젝트를 지원하고 있는데, 이를 통해 지역주민들에게 자기 성장의 기회를 제공하고, 지역사회의 문제를 해결하고자 하고 있다. 우리나라 역시 학교 유휴시설을 활용하여 다양한 프로그램을 제공하고 있지만, 지역 주민들을 대상으로 하는 교육 프로그램이나, 지역 공동체와의 파트너쉽에 의한 학습 프로그램 제공이 부족한 실정이다. 성공적인 학습도시 구현을 위해 공간적 소프트웨어적 전략이 필요한 때이다. 따라서 학습 가능한 시설의 공간 데이터를 체계적으로 정리하고, 현재의 문제점을 분석하여 다양하게 활용할 수 있는 방안을 모색하고자 한다. 또한 주민들이 필요로 하는 프로그램을 분석하여 실질적이고 효율적인 학습도시를 구현하고자 한다.
Since low-floor apartments ate vertically closer to patting lots and roadways, it is hypothesized that residents in low-floor apartments may be exposed to elevated ambient levels of motet vehicle emissions compared to residents in high-floor apartments. The present study examined this hypothesis by measuring two motor vehicle source-related pollutants(CO and PM10) in ambient air of high-rise apartment buildings within the boundary of industrial complexes according to atmospheric stability The ambient air concentrations of CO and PM10 were higher for low-floor apartments than for high-floor apartments, regardless of atmospheric stability, The median concentration ratio of the low-floor air to high-floor alt ranged from 1.3 to 2.0, depending upon atmospheric stabilities, seasons and compounds. Moreover, the CO and PM10 concentrations were significantly higher in the winter and in the summer, regardless of the Hoot height. Atmospheric stability also was suggested to be important for the residents' exposure of high-rise apartment buildings to both CO and PM10. The median ratios of surface inversion air to non-surface inversion air ranged from 1.2 to 1.7 and from 1.0 to 1.6 lot PM10 and CO, respectively, depending upon seasons. Conclusively, these parameters(apartment floor height, season, and atmospheric stability) should be considered when evaluating the exposure of residents, living in high-rise apartment buildings, to CO and PM10. Meanwhile, the median PMl0 outdoor concentrations were close to or higher than the Korean annual standards for PM10, and the maximum PM10 concentrations substantially exceeded the Korean PM10 standard, thus suggesting the need for a management strategy for ambient PM 10. Neither the median nor the maximum outdoor CO concentrations, however, were higher than the Korean CO standard.
This study investigated and tested the overall level of dietary habits and health status/health management of the residents in a rural area. The interview survey was performed in March 2004 with a structured questionnaire to 510 residents who lived in Muan-Gun of Jeonnam province. The questionnaire was the abridged Scale of Dietary Habits and Health Status which surveys the morbidity, subjective health status, health management, and health examination. The Chi-squire method was used for some of the cross-sectional data. The 510 adult respondents were composed of 61.2% male and 38.3% female. In regularity of meal time, 56.3% of the subjects had a meal regularly(eating time), while 73.5% had a balanced diet(eating number). The habit of regular meal time was significantly higher in old people than in young people. The majority of the subjects had an appropriate meal amount. Unbalanced diet was higher in young people than in old people. 51.4% had the dining out and was significantly higher in younger people than in old people. In other questions, 60.7% of the subjects took a snack, 77.3% were under regular health management, and 49.6% had health examination. A minority of the respondents (31.3%) had disease, while 13.5% chronic disease, and 17.8% had acute disease. The level of dietary habits and general characteristics were positively correlated with each other, as were habits and health status. These results suggest the need for nutritional education programs directed at young people with a special emphasis on regularity of meal time. unbalanced diet, dining-out and a snack.
The purpose of this study is to help out the settlement of the Green Map in Korea, and to suggest how to map, and help community people and environmental planner systematically take care of their own towns. This study is also to introduce the green mapping and its usefulness, based on the Green Map Movement, which originated from Net York City and has been expanding through the World. Environmental elements shown on the Green map vary between countries and for the Seocho-Gu Green Map, we have decided to indicate the places that we are proud of, and dishonored of. Especially, this paper is focused on finding the hidden environmental resources in our daily lives. Seocho-Gu, one of 25 self-governmental resources. Since the citizens and government officials are open-minded in their environments, it is a suitable area to start the first Green Map in Korea. As a method of locating the environmental resources, the "Foot Sensing Method" by which residents directly research, is the main difference from typical maps by the "Remote Sensing" which focused on the variety participation of the residents such as questionnaires, investigation with youth volunteers, users interviews which may be more meaningful than the Green Map itself. The purpose of application plan is to preserve the environmental resources through the smooth feedback with the residents. Thus, it must be acted as a opening window linking them with the local circumstances. In line with this, this study proposed the trial-version Web Green Map and Green tour plan. Recently, a need for an environmental map has been reflected in the environmental policies of Seoul Metropolitan City, and it is in place now. If environmental experts of different disciplines use the Green Map for landscape architecture, design, and city planning, it will help them make a better understanding of the needs of the community and to practice the user-centered design. Eventually, the Seocho-Gu Green Map will help its residents, tourists, government, and environmental planners continue establishing the healthy city environments. It is expected that the green map will be employed as a useful method for establishing healthy city and town through right way of use and contents.of use and contents.
Background: From 2018 to 2020, the Expert Study on Public Understanding after the Fukushima Daiichi Nuclear Power Plant Accident (the Expert Study Group) identified and analyzed activities designed to promote public understanding of science and radiation since the Fukushima accident, and held discussions on how to achieve public understanding in the situation where public confidence has been lost, and how experts should prepare for dealing with the public. This panel session was held at the 53rd meeting of the Japan Health Physics Society on June 30, 2020. Materials and Methods: First, three subgroup (SG) leaders reported their research methods and results. Then, two designated speakers, who participated as observers of the Expert Study Group, commented on the activities. Next, the five speakers held a panel discussion. Finally, the rapporteur summarized. Results and Discussion: SG leaders presented reports from researchers and practitioners in health physics and environmental risks who provided information after the Fukushima accident. During the discussion, experts in sociology and ethics discussed the issues, focusing on the overall goals of the three groups, local (personal) and mass communication, and ethical values. Many of the activities instituted by the experts after the accident were aimed at public understanding of science (that is, to provide knowledge to residents), but by taking into account interactions with residents and their ethical norms, the experts shifted to supporting the residents' decision-making through public engagement. The need to consider both content and channels is well known in the field of health communication, and overlaps with the above discussion. Conclusion: How to implement and promote the public engagement in society was discussed in both the floor and designated discussions. Cooperation between local communities and organizations that have already gained trust is also necessary in order to develop relationships with local residents in normal times, to establish an information transmission system, and to make it work effectively.
This study analyzed users' acceptance and intention to use in addition to needs and preferences of smart home technologies, and identified the differences in technology preference and acceptance by different factors. The subjects were residents in the 40s and 60s residing in the Seoul or suburbs of Seoul, and questionnaires were conducted in the 40s while interviews with questionnaires were conducted in the 60s. A total of 105 questionnaires were used as data, and frequency, mean, crossover, independent sample t test, one-way ANOVA and multiple regression analysis were performaed using SPSS23. The results of this study are as follows. First, hypertension, hyperlipidemia and hypercholesterolemia were the most common diseases among respondents and if there was no discomfort, they would like to continue living in the homes of the current residence. Therefore, the direction of smart home development should support the daily living and health care so that residents can live a healthy life for a long time in their living space. Second, the technologies that residents most need were a control technology of residential environments and a monitoring technology of residents' health and physiological changes. The most preferred sensor types are motion sensors and speech recognition while video cameras have a very low preference. Third, technology anxiety was the most significant factor influencing intention to accept smart home technology. The greater the technology anxiety is, the weaker the acceptance of technology. Fourth, when applying smart residential technology in homes, various resident characteristics should be considered. Age and technology intimacy were the most influential variables, and accordingly there were differences in technology preference and acceptance. Therefore, a user-friendly smart home plan should be done in the consideration of the results.
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