Journal of agricultural medicine and community health
/
v.30
no.2
/
pp.127-135
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2005
Objectives: This study was conducted to investigate the trend of tuberculosis mortality rate by years and by areas. Methods: We calculated raw and age-adjusted mortality rate of tuberculosis from 1995 to 2002. The calculation was based on the data from resident registration data and death certification registration data gathered by 232 basic local authority. We used direct age standardization method for calculating age-adjusted mortality rate. We compared patterns of change in tuberculosis mortality rate of metropolitan areas, cities, and countryside by determinating the comparability of medels to explore linear relationship. We also analyzed the data of mortality rate between urban and rural area by comparing ANOVA and post-hoc by two periods: one from 1995 to 1998, and the other from 1999 to 2002. Results: In national mortality rate, both raw and age-adjusted mortality rate showed negative linear relationship. However, the graph become more horizontal: the slope line is close to zero. From 1995 to 1998, countryside showed significantly higher age-adjusted mortality rate than in metropolitan areas and cities. Ever after considering more horizontal graph in national mortality rate, the data shows that the countryside still have significantly higher mortality rate from 1999 to 2002. In model diagnostic checking, metropolitan areas and cities showed apparently linear pattern on the decrease of age-adjusted mortality rate. Pattern of mortality rate in countryside was decreased initially, but became flat. Conclusions: Further research is necessary to explore the characteristics of quality of tuberculosis control program in rural area. Different approach and strategies should be considered to decrease tuberculosis mortality rate in rural areas.
This study is about the verification of the effectiveness of 'Resilient Parenting Program' based on Walsh's family resilience approach. The program was developed for strengthening parenting self-efficacy and increasing parent satisfaction and family relation as well. The program was practiced once a week for 8 weeks at the B community service center and each session lasted for 2 hours. The participants of the program were 13 mothers of elementary schools who had a need to increase their parenting skills and satisfaction. Among the 13 participants, 7 of them were arranged to the experimental group and 6 of them were included to the control group. The scores of the two groups at the point of pre-test, post-test and follow-up test, 3 months after the termination of the program, were analysed and compared through the Wilcoxen matched pairs signed rank test and Mann-Whitney U test. The scales adapted in this study were the Parent Satisfaction Scale, the Parenting Self-efficacy Scale, and the Family Relation Scale. As the results of the analyses, there were significant differences of the increases in the area of parent-child relationship satisfaction, general parent satisfaction, parenting self-efficacy, and family relation between the two groups. In conclusion, the effectiveness and utilization of the program were confirmed. Also, it is verified that the program can be an important tool for strengthening healthy family functioning through the interventions of parents in the field of community based social work practice.
This study represents a first attempt in Korea to develop the simultaneous freight supply-demand model which considers the relationship between freight supply and demand. As the existing study was limited in one area, or the supply and the demand was separated and assumed not to affect each other, this study take it into consideration the fact that the demand affects supply and simultaneously vice versa. This approach allows us to diagnose a policy carried on and helps us to make a resonable alternative for the effectiveness of freight transportation system. To find a relationship between them, we use a method of econometrics. a structural equation theory and two stage least-squares(2SLS) estimation technique, to get rid of bias which involves two successive applications of OLS. Based on the domestic freight data, this study consider as explanatory variables a number of population(P), industry(IN), the amount of production of the mining and manufacturing industries(MMI), the rate of the effectiveness of freight capacity(LE) and the distance of an empty carriage operation(VC). This study describes well the simultaneous process of freight supply-demand system in that the increase of VC from the decrease of VC raises the cargo capacity and cargo capacity also augments VC. By the way. it is analyzed that the increment of VC due to the increase of the cargo capacity is larger than the reduction of VC owing to the increase of the quantify of goods. Therefore an alternative policy is needed in a short and long run point of view. That is to say, to promote the effectiveness of the freight transportation system, a short term supply control and a long run logistic infrastructure are urgent based on the restoration of market economy by successive deregulation. So we are able to conclude that gradual deregulation is more desirable to build effective freight market.
Chlorpyrifos is an organophosphate insecticide and one of the most commonly and widely used insecticide. However, a little known about the dermal risk of chlorpyrifos on human being. Therefore, this study was conducted for the dermal risk assessment after exposure to chlorpyrifos in Korean farmers. First, skin irritation by chlorpyrifos (10 mg/$\textrm{cm}^2$, 50 mg/$\textrm{cm}^2$, 100 mg/$\textrm{cm}^2$, 250 mg/$\textrm{cm}^2$ in acetone) was determined in rabbits for 5 days considering the usage of chlorpyrifos short term highly exposure. The index of skin irritation by chlorpyrifos was increased in each dose and length of exposure dependent manners. Next, using benchmark dose (BMD$_{5}$) approach, the dose-response relationship was assessed to calculate the reference dose (RfD). The value of RfD was 2.84 $\mu\textrm{g}$/kg/day from 142.16 $\mu\textrm{g}$/kg/day BMD5 value divided uncertainty factor 50. Finally, we assessed human dermal risk of chlorpyrifos with exposure level and RfD. Skin absorbed levels were assumed with several exposure scenarios encounting the circumstances of exposure that application method, protection equipment and cloth, exposure time and exposure frequency during chlorpyrifos spraying. By the comparison of skin absorbed dose with the reference dose, it was identified that risk values (risk index) to skin chlorpyrifos exposure were 0.958 from the point of above results and it was recommended that the occurrence of hazard effect (skin irritation toxicity) of chlorpyrifos would not be expected. Risk index was smaller than 1 in the case of spraying vehicle mounted application, 1hour exposure time and wearing protective cloth exposure. Whereas, risk index was above 1 in the case of hand-held application, 2hour exposure time and wearing common cloth. Comparing two kinds of application method, total risk index of the hand held application (1.67) was higher than vehicle mounted (0.27). Therefore, chlorpyrifos skin exposure was mainly affected by application equipment and applied form. The results of risk assessment on the human dermal toxicity of chlorpyrifos should be required to control in keeping safety rules, skin surface area available for contact, spraying time ,and spraying frequency.y.
Our nation have several procedures and law for national airspace management, however those procedures and law not enough to manage airspace. Therefore, I have studied this paper for improving flight safety and for providing economics flight of civcil aircraft and military aircraft, also, for increasing efficiency of airspace through systematic airspace management, additionally, for improving nation defense ability and for preventation our nation damage when occuring airspace problem. Nowaday. in using airspace. two theory which freely use theory and use theory under jurisdiction is opposed by every nation in worldwide. Consequently. we can realize every nation endeavour to increase their jurisdiction airspace. However. our nation is not still prepared to cope with other nation when occuring airspace trouble. because airspace definition is not prescribed on our aviation law. Therefore. several problems which are improved in our airspace management are presented on this paper. The presented matters are as follows. First, The airspace definition is not prescribed on aviation law and responsibility limit of airspace management is ambugious. Second. problem on structure of approach control area and special airspace, Third. problem on airway system. Fourth. civil agency and military agency apply respectively different regulation in establishment of aircraft flight route, To grasp these problems, considered the airspace conception, airspace classfication. legal character of airspace. our nation airspace state and management together with other nation airspace state and management. also compared our nation airspace management with other nation airspace management. And. improvement methods to solve problems which was appeared by comparing and analysis are presented on this paper.
The goal of medicine is to contribute to promoting national health by preventing diseases and providing treatment. The scope of modern medicine isn't merely confined to disease testing, treatment and prevention in accordance to that, and making experiments by using the human body is widespread. The advance in modern medicine has made a great contribution to valuing human dignity and actualizing a manly life, but there is a problem that has still nagged modern medicine: treatment and healing for terminal patients including cancer patients. In advanced countries, pain care and hospice medicine are already universal. Offering a helping hand for terminal patients to lead a less painful and more manly life from diverse angles instead of merely focusing on treatment is called the very hospice medicine. That is a comprehensive package of medical services to take care of death-facing terminal patients and their families with affection. That is providing physical, mental and social support for the patients to pass away in peace after living a dignified and decent life, and that is comforting their bereaved families. The National Hospice Organization of the United States provides terminal patients and their families with sustained hospital care and home care in a move to lend assistance to them. In our country, however, tertiary medical institutions simply provide medical care for terminal patients to extend their lives, and there are few institutional efforts to help them. Hospice medicine is offered mostly in our country by non- professionals including doctors, nurses, social workers, pastors or physical therapists. Terminal patients' needs cannot be satisfied in the same manner as those of other patients, and it's needed to take a different approach to their treatment as well. Nevertheless, the focus of medical care is still placed on treatment only, which should be taken seriously. Ministry for Health, Welfare & Family Affairs and Health Insurance Review & Assessment Service held a public hearing on May 21, 2008, on the cost of hospice care, quality control and demonstration project to gather extensive opinions from the academic community, experts and consumer groups to draw up plans about manpower supply, facilities and demonstration project, but the institutions are not going to work on hospice education, securement of facilities and relevant legislation. In 2002, Ministry for Health, Welfare & Family Affairs made an official announcement to introduce a hospice nurse system to nurture nurse specialists in this area. That ministry legislated for the qualifications of advanced nurse practitioner and a hospice nurse system(Article 24 and 2 in Enforcement Regulations for the Medical Law), but few specific plans are under way to carry out the regulations. It's well known that the medical law defines a nurse as a professional health care worker, and there is a move to draw a line between the responsibilities of doctors and those of nurses in association with medical errors. Specifically, the roles of professional hospice are increasingly expected to be accentuated in conjunction with treatment for terminal patients, and it seems that delving into possible problems with the job performance of nurses and coming up with workable countermeasures are what scholars of conscience should do in an effort to contribute to the development of medicine and the realization of a dignified and manly life.
The purpose of this contribution is to develop the framework of a methodology for identifying potential errors in georeferencing and in an application of it using specimens of Ox-Knee, Achyranthes bidentata Blume in Korea. At infraspecific level, uncertainty of identification showed that 41% of A. bidentata var. japonica and 28% of var. bidentata were misidentified, suggesting that the uncertainty level was independent of the reliability of experts' identification. For georeference specimen records, 71 specimens out of total 303 were selected and utilized as occurrence data: Uncertainty was 32.4 km at maximum and was 0.1297 km at minimum (mean = 4,055 m, s.d. = 5,772 m). Var. japonica is common throughout most of the southeastern Korea and west coastal areas, while var. bidentata has been found as far north as Gyeonggi and Gangwon provinces. We modelled the potential distribution of two varieties using Bioclim approach in Korea based on several environmental factors. Our results indicated the most important region for var. japonica lies the west coast ranges and southern area, while for Chungcheongnam-do of potential high diversity occurs for var. bidentata. This study shows that the major factors to determine the distribution patterns of two varieties were thermal factors, rather than precipitation. The Bioclim model using geocode and georeferencing data makes the information increasingly useful and reliable. To improve data quality, it requires full management from data collection to final databases including data cleaning.
The area of security service has been maintaining the high growth curve annually by improving security consciousness from increase of the income and the progress of public services's level by the accomplishment in the info-communication field, recently the demand for unmanned security system is extended form commercial purposes into public offices and individual's houses. In addition to, the possible distance of offering services is scheduled to magnify. At the period when security company's influence has been becoming significant, the injustice transaction is the serious factor which obstructs the development of security companies. Therefore, it is urgent thing to devise counterplans to extirpate injustice transactions. There are the legalistic approaches of the breakthroughs against injustice transactions. One thing is settling the standard of the judgment and the other is renovating the provision of injustice transactions. Utilizing the principles of the fair competitions and importing self-obedience programs within the range of trade actions which is permitted by law, acted as the system approach. Moreover, there are such three things which can achieve mutual balances as establishing the range of the permitted action toward business corporations, applying spontaneously the fair competition principles and introducing the system of standard agreements. Gong further, this can establish order of security service areas and control them. Besides, it is possible for every organizations to make and operate the system appropriately by importing the self-observance system.
Ju, Hyeji;Kim, Hyun Cheol;Kim, Byeong-Uk;Ghim, Young Sung;Shin, Hye Jung;Kim, Soontae
Journal of Korean Society for Atmospheric Environment
/
v.34
no.1
/
pp.101-119
/
2018
In this study, we analyzed long-term measurements and air quality simulation results of four criteria air pollutants ($PM_{10}$, $O_3$, $NO_2$, and $SO_2$) for 10 years, from 2006 to 2015, with emphasis on trends of annual variabilities. With the observation data, we conducted spatial interpolation using the Kriging method to estimate spatial distribution of pollutant concentrations. We also performed air quality simulations using the CMAQ model to consider the nonlinearity of the secondary air pollutants such as $O_3$ and the influence of long-range transport. In addition, these simulations are used to deduce the effect of long-term meteorological variations on trends of air quality changes because we fixed the emissions inventory while changing meteorological inputs. The nation-wide inter-annual variability of modeled $PM_{10}$ concentrations was $-0.11{\mu}g/m^3/yr$, while that of observed concentrations was $-0.84{\mu}g/m^3/yr$. For the Seoul Metropolitan Area, the inter-annual variability of observed $PM_{10}$ concentrations was $-1.64{\mu}g/m^3/yr$ that is two times rapid improvement compared to other regions. On the other hand, the inter-annual variability of observed $O_3$ concentrations is 0.62 ppb/yr which is larger than the simulated result of 0.13 ppb/yr. Magnitudes of differences between the modeled and observed inter-annual variabilities indicated that decreasing trend of $PM_{10}$ and increasing trend of $O_3$ are more influenced by emissions and oxidation states than meteorological conditions. We also found similar patterns in $NO_2$. However, $NO_2$ trends showed greater regional and seasonal differences than other pollutants. The analytic approach used in this study can be applicable to estimate changes in factors determining air quality such as emissions, weather, and surrounding conditions over a long term. Then analysis results can be used as important data for air quality management planning and evaluation of the chronic impact of air quality.
The Soil and Water Assessment Tool (SWAT) developed by the USDA-Agricultural Research Service for the prediction of land management impact on water, sediment, and agricultural chemical yields in a large-scale basin was applied to Daecheong Reservoir basin to estimate the amount of soil losses from different land uses. The research outcomes provide important indications for reservoir managers and policy makers to search alternative watershed management practices for the mitigation of reservoir turbidity flow problems. After calibrations of key model parameters, SWAT showed fairly good performance by adequately simulating observed annual runoff components and replicating the monthly flow regimes in the basin. The specific soil losses from agricultural farm field, forest, urban area, and paddy field were 33.1, $2.3{\sim}5.4$ depending on the tree types, 1.0, and 0.1 tons/ha/yr, respectively in 2004. It was noticed that about 55.3% of the total annual soil loss is caused by agricultural activities although agricultural land occupies only 10% in the basin. Although the soil erosion assessment approach adopted in this study has some extent of uncertainties due to the lack of detailed information on crop types and management activities, the results at least imply that soil erosion control practices for the vulnerable agricultural farm lands can be one of the most effective alternatives to reduce the impact of turbidity flow in the river basin system.
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