• Title/Summary/Keyword: Institute for Rural Health

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Effect of feeding raw potato starch on the composition dynamics of the piglet intestinal microbiome

  • Yi, Seung-Won;Lee, Han Gyu;So, Kyoung-Min;Kim, Eunju;Jung, Young-Hun;Kim, Minji;Jeong, Jin Young;Kim, Ki Hyun;Oem, Jae-Ku;Hur, Tai-Young;Oh, Sang-Ik
    • Animal Bioscience
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    • v.35 no.11
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    • pp.1698-1710
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    • 2022
  • Objective: Raw potato starch (RPS) is resistant to digestion, escapes absorption, and is metabolized by intestinal microflora in the large intestine and acts as their energy source. In this study, we compared the effect of different concentrations of RPS on the intestinal bacterial community of weaned piglets. Methods: Male weaned piglets (25-days-old, 7.03±0.49 kg) were either fed a corn/soybean-based control diet (CON, n = 6) or two treatment diets supplemented with 5% RPS (RPS5, n = 4) or 10% RPS (RPS10, n = 4) for 20 days and their fecal samples were collected. The day 0 and 20 samples were analyzed using a 16S rRNA gene sequencing technology, followed by total genomic DNA extraction, library construction, and high-throughput sequencing. After statistical analysis, five phyla and 45 genera accounting for over 0.5% of the reads in any of the three groups were further analyzed. Furthermore, short-chain fatty acids (SCFAs) in the day 20 fecal samples were analyzed using gas chromatography. Results: Significant changes were not observed in the bacterial composition at the phylum level even after 20 d post feeding (dpf); however, the abundance of Intestinimonas and Barnesiella decreased in both RPS treatment groups compared to the CON group. Consumption of 5% RPS increased the abundance of Roseburia (p<0.05) and decreased the abundance of Clostridium (p<0.01) and Mediterraneibacter (p< 0.05). In contrast, consumption of 10% RPS increased the abundance of Olsenella (p<0.05) and decreased the abundance of Campylobacter (p<0.05), Kineothrix (p<0.05), Paraprevotella (p<0.05), and Vallitalea (p<0.05). Additionally, acetate (p<0.01), butyrate (p<0.05), valerate (p = 0.01), and total SCFAs (p = 0.01) were upregulated in the RPS5 treatment group Conclusion: Feeding 5% RPS altered bacterial community composition and promoted gut health in weaned piglets. Thus, resistant starch as a feed additive may prevent diarrhea in piglets during weaning.

Analysis of Utilization and Expenses of Medical and Oriental Medical Care Services in a Designated Rural Areas (군보건소의 진료제공량 및 양·한방 진료비 분석)

  • Kim, Jin-Soon
    • Journal of agricultural medicine and community health
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    • v.17 no.1
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    • pp.17-24
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    • 1992
  • The medical care insurance system has been adopted in rural areas in 1988, since then, the utilization of medical care services has increased rapidly in rural areas. The government has restructured the 15 health centers, which are located in remoted rural areas and these 15 health centers were strengthend to provide the curative care to the residents in order to meet the curative can demand of the residents. Besides the reorganization of the health centers, the government has implemented the oriental medical care demonstration project at the health center in a designated rural areas. This study was aimed to analyze the utilization and expenses of medical and oriental medical care services in a designated rural areas. Number of annual visits of residents to health centers in 1991 showed slightly decreased compared with that in 1989. However number of annual visits to the hospitalized health centers was an increase of 49.3%~64.5%. Regarding the coverage of curative care for the residents in rural areas, the hospitalized health centers are functioning more effective than that of health center. Expenses per case of medical care rendered by health center was lower than that of oriental medical care, while the expenses of the medical care was quit higher than that of oriental medical care in the hospitalized health centers. According to the above mentioned study results, the hospitalized health centers were more effective and suitable to provide a curative care to the residents than the health centers, and also the oriental medical care could be needed to be provided by public health network in the near future.

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A Fundamental Study on Survey and Diagnostic of Residents Health for Development of Villages' Health Indices (농촌마을단위 건강지표 개발을 위한 주민건강 측정 및 진단에 관한 기초연구)

  • Lee, Wang-Lok;Lee, Young-Ran;Whang, Jung-Min;Kim, Dae-Sik
    • Korean Journal of Agricultural Science
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    • v.37 no.3
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    • pp.535-542
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    • 2010
  • The purpose of this study was to survey and diagnostic the self-related health cognition, stress, culture life and health-related fitness for residents of rural area. For this study, Total 126 people answered by a written questionnaire and took part in health-related fitness test for old adults in rural area. According to the normal distribution, the indexes were divided into five grades(very poor 5, poor 4, average 3, good 2, very good 1). The self-related health cognition(SF-36) was third grades. The index was as same as average old adults in rural area. The old adults stress level was third grades. The degrees of stress were as same as average old adults in rural area. The participation in the culture life was fourth grades. The health-related fitness test were third-fifth grades. The results of this experiment could be functioned as a very important fundamental source in order to establish satisfying health system, social welfare for the old people in rural area. Taken together, it seemed that self-related health cognition, stress level, participation in the culture life and health-related fitness have to be considered and improved. The indexes should be further investigated and some practical method should be developed for the olded people in rural area.

Health Promotion Programs in Primary Health Care Posts in Rural Areas and Factors Influencing Service (일 지역 보건진료소 건강증진사업 실태와 관련요인 분석)

  • Park, Choon-Hee;Bang, So-Youn;Hyun, Sa-Saeng
    • Journal of Korean Academy of Rural Health Nursing
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    • v.2 no.2
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    • pp.91-101
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    • 2007
  • Purpose: The purpose of this study was to identify health promotion services in rural areas and factors influencing this service. Method: From March to April, 2007, a structured questionnaire on services in 2006 was used to collect data from community health practitioners in all of the Primary Health Care Posts (PHCP) in North Chungchong Province. Collected data were analyzed using SPSS 12.0 Win program. Results: The most frequently offered programs were health gymnastics, walking exercise, bathing and vaccination service, and hypertension management. The main obstacles to these health services were lack of adequate space, insufficient budget, and overwork. The most frequently offered health education programs were education on hypertension, exercise, diabetes, volunteer work, and smoking cessation. The main obstacles to health education were lack of adequate space, insufficient education materials and equipment, and lack of cooperation from the citizens. Improvement and reinforcement of health promotion programs should include support of specialist, development of appropriate methods of service delivery, and education materials, and increase ease in using community resources. Conclusions: The research results show that a new model of health promotion must be developed for efficient health promotion programs in rural PHCP.

Research on the Safety and Health Management and Asphyxiation Gas Concentration in Ginger Storage Tunnel (생강 저장굴의 질식 가스 농도 및 안전보건 관리 방향에 관한 연구)

  • Kim, Hyocher;Lee, Minji;Kim, Insoo;Lee, Kyeongsuk;Seo, Mintae;Cha, Jongjin;Kim, Kyungran
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.28 no.2
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    • pp.222-229
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    • 2018
  • Objectives: The aim of this study was to evaluate gas concentrations such as oxygen in ginger storage tunnels, which are the causes of asphyxiation in confined spaces and suggest directions for safety and health management at ginger farms. Methods: Five farms in the Seosan and Taean areas which use underground ginger storage tunnels were chosen and examined with a walk-through survey and direct reading device for oxygen, hydrogen sulfide, ammonia, and carbon monoxide. Results: The oxygen concentration in the storage tunnels with no ventilation was found to be under 18% in summer, which may cause health effects. The concentration in those with ventilation was about 19%. The difference in temperature by measurement day had little effect on the concentration of oxygen. Conclusions: Even though some of farms had used compulsory ventilation systems, none of the farms visited possessed any direct reading device for oxygen. Warning systems using a direct reading device can be more effective, helpful, and required compared to ventilation, considering the difficulty and expense of periodical maintenance of ventilation systems and the fact that a farmer can be placed in danger when unaware of the malfunction of the ventilation system. In addition, a warning system may make farmers more cognitive of agricultural safety and health actions while a ventilation system can cause them to become passive and ignorant of workplace hazards.

An Experience Needs Analysis on the Rural Amenity Resources of Urbanites (도시민의 농촌어메니티자원 체험욕구 분석)

  • Yun, Hee-Jeong
    • Journal of the Korean Institute of Landscape Architecture
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    • v.36 no.1
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    • pp.28-37
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    • 2008
  • This study intends analyzes the experience urbanites need regarding rural amenities when visiting rural areas for leisure. For this purpose, 18 rural amenities that can be experienced at 65 traditional rural villages and are designated by the rural development administration(RDA) were selected. Based on rural amenity selection, a questionnaire survey was conducted in 10 cities with 1,052 urban residents. The cities were divided into 5 metropolitan cities(Seoul, Busan, Daegu, Kwangju and Daejeon) and 5 small cities in each province(Chuncheon, Suwon, Jeonju, Chungju and Pohang). The study results suggest that of the 18 rural amenities, urbanites want greater experience with landscape resources near water and forests, health resources related to food and traditional resources such as traditional architecture and culture. Those amenities not chosen were animals, famous people and agricultural landscapes. In addition, women indicated more experience needs than men. Specifically, women want to experience the rural amenities dealing with tradition and health. In addition, people under 40 want to experience active program related festivals(events) and arts and crafts, whereas the group over 40 prefers a non-active program, such as observing the rural landscape and planting. College graduates want to experience the landscape while college students prefer arts and crafts and festivals(events). Those with below average salaries want to experience the most rural amenities. There were no differences in experience needs between those surveyed in metropolitan cities and those in small cities. Finally, the people who visited rural areas within the last year want to experience water, plants, agricultural landscape, health and rural life resources more than other groups, and there is correlation between plans to visit rural villages and experience needs. The results of this study provide insightful information for rural planning strategies such as selection of the type of marketing segments.

A Study on the Architectural Characteristics of the Health Care Center Branch in Rural Area Ik-san city (농촌지역 보건지소 건축의 특성에 관한 연구 - 익산시 보건소 관할 지소를 중심으로 -)

  • Lee, Dong-Suk;Kim, Eun-Young;Youn, Chung-Yeul
    • Journal of the Korean Institute of Rural Architecture
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    • v.19 no.4
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    • pp.9-16
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    • 2017
  • There are an increasing number of healthcare facilaties, especially branch offices, in rural areas to serve the aging population living there. However, there has been a gradual decline in the ratios of recognition, satisfaction and utilization by people who live in the regions. A significant reason of declining the ratios should be the population decline, but the most of population hierarchy shows the groups of elderly people over 60. This result appears to be limited to visit the public health centers. According to the result of population hierarchy, a branch office of public health center has been re-established as a complex welfare facility which can be fulfilled in the functions of basic medical supports and cultural supports. This research is focused on collecting the meaningful information of the status of physical facilities and utilization with 15branch offices of public health care centers in the rural regions near the city of Ik-San city. In addition, this research has a purpose of getting fundamental data for future architectural plans of the branch offices in rural regions with the results about the status of facility operation systems and users' needs.

A Comparison of Nicotine Diffusive Sampler and XAD-4 Tube for Determination of Nicotine in ETS

  • Kim, Hyo-Cherl;Paik, Nam-Won;Kim, Kyoung-Ran;Kim, Kyoung-Su;Lee, Kyoung-Suk;Cho, Kyung-Ah
    • Proceedings of the Korean Environmental Health Society Conference
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    • 2005.06a
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    • pp.371-372
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    • 2005
  • Active sampler has been widely used to measure nicotine concentration in air. The experiments were conducted to compare the active sampler method with diffusive sampler in exposure chamber and smoking areas, respectively. The result of these tests that indicated that passive sampler can be used instead of active sampler in ETS, because coefficient of determination was 0.9292 between active and passive sampling in smoking area

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A Comparative Study on Medical Utilization between Urban and Rural Korea (도시 농촌간 의료이용 수준의 비교분석)

  • Joo, Kyung-Shik;Kim, Han-Joong;Lee, Sun-Hee;Min, Hye-Young
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.2 s.53
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    • pp.311-329
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    • 1996
  • This study was designed to compare the level of medical utilization between the urban and rural areas of Korea and to explain the differences between the two regions. Data from the National Health Interview Survey performed by the Korean Institute of Health & Social Affairs in 1992 were used for this study utilizing a sample size of 21,841 people. The level of medical utilization such as the number of physician visits and the number of hospital admissions was compared between the regions with ANOVA. Various determinants for medical use were also compared by univariate analysis. Statistical models which included enabling factors, predisposing factors, need factors and region were constructed for bivariate analysis in order to further elucidate the level of medical utilization. The results were as follows: 1. There was greater medical use, both in terms of physician visits and inpatient care in the rural areas in spite of insufficient health resources. The particular reasons for higher medical utilization in rural areas were attributed to a higher number of initial physician visits as well as a longer the length of stay per hospital admission. Therefore, indicators representing the degree of met need (utilization/need) showed no significant difference between rural and urban areas in spite of the fact that the medical need is larger in rural areas. 2. Use of public health facilities received a significant portion of physician visits in the rural area. The government's effort to enhance primary health care through health centers, health subcenters and the nurse practitioner's post in rural areas has contributed to the increase of access to medical care in the rural areas. 3. There were some differences in the socio-demographic characteristics between two regions ; There were more elderly people over the age of 65: unstable marital status, less education and lower incomes also characterized the rural areas. Therefore, among rural people, there were more predisposing factors for medical use. Additionaly, need factors such as poor self-reported health status and high morbidity level were also high in the rural area. 4. In contrast it was learned that, the supply of health resources was mostly concentrated in the urban areas except for public health facilities. Therefore, geographical access to medical care was lower in the rural area both in terms travel time and travel cost. 5. The coefficient of the region variable was insignificant in the regression model which controlled the supply factor only. However, utilization was significantly higher in urban areas if the model included predisposing factors and need factors in addition to the supply factor. The results were interpreted as rural people have greater medical needs.

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Differences in Oral Health Status between Rural and Urban Populations of Korean Elders: A Population-Based Study from the Korean National Health and Nutrition Examination Survey VI (2013~2015)

  • Choi, Yong-Keum;Kim, Eun-Jeong
    • Journal of dental hygiene science
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    • v.19 no.3
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    • pp.181-189
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    • 2019
  • Background: Edentulism is associated with socioeconomic status, rural residence, and chronic disease, but no studies have investigated edentulism and residence factors together. All information that drives a better understanding of the factors related to edentulism plays an important role in the planning and delivery of appropriate dental services for the elderly by national and oral health professionals. This study was designed to investigate the prevalence of edentulism in adults aged over 60 years in Korea and to examine whether there are differences in dentate status between people living in urban and rural areas after controlling for sociodemographic and other related factors. Methods: The data for this study were collected from 2013 to 2015 as part of the Korea National Health and Nutrition Examination Survey VI, those individuals aged over 60 years and who had complete datasets were included (5,071). The number of teeth and residence status were categorized into two groups: edentate and dentate (1 or more); urban and rural. Multiple multivariate logistic regression analyses were sequentially applied to assess the association between dentate status and residence status after adjusting for potential confounders. Results: Rural areas, lower household income, and lower education levels were associated with a higher edentate rate. The number of teeth was lower in rural areas than in urban areas. After adjusting for various factors, statistically significant associations were present for women, low household income, low education level, poor perceived health status, and alcohol consumption in participants. Conclusion: Elders living in rural areas had poorer oral health than elders living in urban areas. The government will need to provide effective systems for promoting oral health for elders living in rural areas.