• 제목/요약/키워드: Public health systems research

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세계 고구마 재배현황 및 대량생산의 선결과제 (Current status on global sweetpotato cultivation and its prior tasks of mass production)

  • 김호수;이찬주;김소은;지창윤;김성태;김진석;김상용;곽상수
    • Journal of Plant Biotechnology
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    • 제45권3호
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    • pp.190-195
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    • 2018
  • 고구마는 21세기 인류가 당면한 식량, 에너지, 환경, 보건문제 등을 해결하는 21세기 구원투수로 등장하고 있다. 고구마는 식량자원 뿐만 아니라 바이오에탄올, 기능성 사료, 항산화물질 등 고부가가치소재를 생산하는 생체반응기로 평가된다. 미국 공익과학단체(The nonprofit Center for Science in the Public Interest, CSPI)는 고구마가 저분자항산화물질, 식이섬유, 칼륨 등을 고함유하고 있는 고구마를 몸에 좋은 10대 슈퍼식품 가운데 하나로 선정하였다. 미국 농무부는 고구마를 전분작물 가운데 식량수급에 영향을 최소화하는 척박한 토양에 가장 적합한 바이오에너지작물로 평가하였다. UN 식량농업기구는 2050년에 세계인구가 97억 명이 될 것이며 지금 추세로 식량을 사용하면 2050년에는 지금의 1.7배의 식량이 필요하다고 전망했다. 어떻게 미래 식량위기를 극복할 것인가? 이러한 측면에서 척박한 토양에서도 어느 정도 수량을 보장하는 고구마가 지구가 당면한 제반 문제를 해결할 수 있을 것으로 기대된다. 본 논문에서는 세계 고구마 유전자원과 생산현황을 살펴보고, 글로벌 식량자원 및 고부가가치 바이오소재 측면에서 새로운 고구마의 북방로드 개척 및 상업적 대량재배를 위한 선결과제를 기술하고자 한다.

북한 보건의료전략의 분석과 치과 분야에서의 적용 현황 고찰 (Present Status of Healthcare Strategy and its Application to Oral Health in D.P.R Korea)

  • 정서연;주우찬;조재현;안경수;이혜원;최성호;정회인
    • 대한치과의사협회지
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    • 제58권9호
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    • pp.536-545
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    • 2020
  • In preparing for the era of Korean reunification, it is essential to consider the integration of medical systems and human resources. While Korean dental practitioners are expanding their activities in various fields both domestically and internationally, there are many restrictions on the activities for improving the health of North Korean people due to political and historical reasons even nowadays. In addition, there is little is known about the current state of dental health in North Korea. We analyzed the reports published by the World Health Organization (WHO) and the Ministry of Public Health of North Korea prepared individually or in cooperation, and investigated the current status of the health care strategy applied to the dental field by conducting a full investigation of the 2018 『Rodong』newspaper. Based on the above, we tried to grasp the major health care strategies in North Korea and their application. Understanding the direction and status of North Korea's health care system would be an important cornerstone for international cooperation and practical activities to improve oral health care of North Koreans in the future. And there is a need that studies should be steadily conducted in various methods to overcome the heterogeneity of the two Koreas in the long-term perspective.

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간호사의 다문화 여성 출산간호 경험 (Experiences of Nurses Who Provide Childbirth Care for Women with Multi-cultural Background)

  • 김선희;김경원;배경의
    • 한국보건간호학회지
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    • 제28권1호
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    • pp.87-101
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    • 2014
  • Purpose: This study was conducted in order to investigate the experiences of nurses in health care of women with multi-cultural background. The structure of these experiences was identified in a social-cultural context. Methods: Data were collected by means of in-depth interviews using tape-recordings from 16 participants who were providing childbirth care for culturally different women. A phenomenological method proposed by Colaizzi was used to guide the process of data analysis. Results: A total of 138 significant statements were extracted from the data resulting in nine themes and five theme clusters. Theme clusters that emerged from the data were: more in-depth cultural difference, difficulty in providing care in multi-cultured, sticking to care in our own way, not being ready to nurse, and accepting culturally different woman, such as a Korean woman. Conclusion: The findings suggest that systematic educational programs for enhancement of cultural competency and its support systems should be developed for Korean nurses. Useful materials on Korean childbirth care should also be provided to women giving birth.

A periodic case study of diesel vehicle drivers exposed to diesel particulate matter in an underground coal mine

  • Lee, Sugil;Jankewicz, Ganyk;Kim, Jung-Hee;Chung, Kwang Bo
    • Environmental Engineering Research
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    • 제23권3호
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    • pp.265-270
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    • 2018
  • This study was to measure the exposure of diesel vehicle drivers to elemental carbon (EC) as an indicator of diesel particulate matter (DPM) emitted from diesel vehicles in an underground coal mine over 3 years as per NIOSH Method 5040. Our study results (range $10{\mu}g/m^3-377{\mu}g/m^3$ for the loader drivers, $19{\mu}g/m^3-162{\mu}g/m^3$ for the SMV drivers) were similar or less than previous study results (range $5{\mu}g/m^3-2,200{\mu}g/m^3$) for normal mine operations. From this study results, it appeared that the exposures decreased in the second and the third year. It is thought that the reasons for the decreased personal DPM (EC) exposures over the 3 years were related to the following recommendations; more frequent monitoring and maintenance of the diesel vehicles and their DPM filtration systems, more consistent monitoring of the mine's ventilation system and changes of work practices such as minimizing the opening of diesel vehicle windows. An educational program on adverse health effects of exposure to DPM and use of respiratory protection (P2 respirators) also assisted in minimizing driver exposure to DPM.

재난 상황에서의 정보추구: 일반 시민들의 코로나19 상황에서의 대응을 중심으로 (Information Seeking in the Middle of Disaster: Focusing on General Citizens' Coping with COVID-19 Pandemic)

  • 김영주;구정화
    • 정보관리학회지
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    • 제38권2호
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    • pp.277-303
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    • 2021
  • 본 연구는 코로나19 상황 속에서 일반 시민들이 어떻게 재난정보와 건강에 대한 정보를 찾고 추구하는지 파악하는 것을 목적으로 한다. 구체적으로, 재난 및 건강에 대해 어떤 정보요구가 있는지, 어떤 정보원을 통해 정보를 찾고, 어떤 경로를 통해 정보를 이용하고 있는지, 정보 이용에 대한 신뢰 및 불만과 그에 따른 개선책은 무엇인지를 조사하고자 한다. 이를 위해 20세 이상의 일반시민들을 대상으로 온라인 설문조사를 수행하였다. 인구통계학적 특성, 재난에 대한 정보추구행태, 건강에 대한 정보추구행태, 도서관의 역할이라는 주제항목 아래 45개의 질문문항을 구성하여 질의하였다. 조사 결과에 따라 최종적으로 재난상황에 대한 정보와 전염병으로 인한 건강에 대한 정보를 정부나 공공단체가 제공할 때, 시민들의 기본 요구를 중심으로 어떤 종류의 정보를 어떤 방식으로 제공해야 하는지, 특히 어떤 미디어나 시스템을 통해 제공하는 것이 만족도와 신뢰감에 영향을 주는지, 중요한 공적 정보채널이자 시스템 중 하나인 도서관은 재난상황에서 어떤 역할을 수행해야 하는지를 제언하였다.

Challenges of Providing Cervical Cancer Prevention Programs In Iran: A Qualitative Study

  • Bayrami, Roghieh;Taghipour, Ali;Ebrahimipour, Hossein
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권23호
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    • pp.10071-10077
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    • 2015
  • Background: Cervical cancer has become a major public health problem worldwide. Iran, like other developing countries, is facing a number of challenges in managing the disease. This qualitative study documents challenges encountered in cervical cancer preventing programs in Iran. Materials and Methods: In-depth interviews were conducted with 28 participants including eleven patients with cervical cancer, three gynecologic oncologists, five specialists in Obstetrics and Gynecology, five midwives, three health care managers and one epidemiologist in Mashhad Iran, between May and December of 2012. The sample was selected purposively until data saturation was achieved. Data credibility verified via allocated sufficient time for data collection, using member checking and peer debriefing. Data analysis was carried out using conventional content analysis approach with ATLAS. ti software. Results: Findings from data analysis demonstrated 2 major themes and 6 categories about challenges of providing cervical cancer prevention programs including: individual and social challenges (cognitive/behavioral challenges and socio/cultural challenges) and health system challenges (stewardship, financing, competency of health care providers and access to services). Each category included some subcategories. Conclusions: Managing the cervical cancer prevention programs need to include the consideration of individuals, health care providers and health system challenges. Addressing the low level of knowledge, negative attitudes, socio cultural challenges, Poor intersectional collaboration and coordination and intra-sectional management, financing and competency of health care providers are essential steps toward significantly reducing the burdens of cervical cancer.

Synthesis of Evidence to Support EMS Personnel's Mental Health During Disease Outbreaks: A Scoping Review

  • Bronson B. Du;Sara Rezvani;Philip Bigelow;Behdin Nowrouzi-Kia;Veronique M. Boscart;Marcus Yung;Amin Yazdani
    • Safety and Health at Work
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    • 제13권4호
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    • pp.379-386
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    • 2022
  • Emergency medical services (EMS) personnel are at high risk for adverse mental health outcomes during disease outbreaks. To support the development of evidence-informed mitigation strategies, we conducted a scoping review to identify the extent of research pertaining to EMS personnel's mental health during disease outbreaks and summarized key factors associated with mental health outcomes. We systematically searched three databases for articles containing keywords within three concepts: EMS personnel, disease outbreaks, and mental health. We screened and retained original peer-reviewed articles that discussed, in English, EMS personnel's mental health during disease outbreaks. Where inferential statistics were reported, the associations between individual and work-related factors and mental health outcomes were synthesized. Twenty-five articles were eligible for data extraction. Our findings suggest that many of the contributing factors for adverse mental health outcomes are related to inadequacies in fulfilling EMS personnel's basic safety and informational needs. In preparation for future disease outbreaks, resources should be prioritized toward ensuring adequate provisions of personal protective equipment and infection prevention and control training. This scoping review serves as a launching pad for further research and intervention development.

Un-met Supportive Care Needs of Iranian Breast Cancer Patients

  • Abdollahzadeh, Farahnaz;Moradi, Narges;Pakpour, Vahid;Rahmani, Azad;Zamanzadeh, Vahid;Mohammadpoorasl, Asghar;Howard, Fuchsia
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권9호
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    • pp.3933-3938
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    • 2014
  • Background: Assessment of supportive needs is the requirement to plan any supportive care program for cancer patients. There is no evidence about supportive care needs of Iranian breast cancer patients. So, the aims of present study were to investigate this question and s predictive factors. Materials and Methods: A descriptive-correlational study was conducted, followed by logistic regression analyses. The Supportive Care Needs Survey was completed by 136 breast cancer patients residing in Iran following their initial treatment. This assessed needs in five domains: psychological, health system and information, physical and daily living, patient care and support, and sexuality. Results: Patient perceived needs were highest in the health systems and information (71%), and physical and daily living (68%) domains. Logistic regression modeling revealed that younger participants have more un-met needs in all domains and those with more children reported fewer un-met needs in patient care and support domains. In addition, married women had more un-met supportive care needs related to sexuality. Conclusions: The high rate of un-met supportive care needs in all domains suggests that supportive care services are desperately required for breast cancer patients in Iran. Moreover, services that address informational needs and physical and daily living needs ought to be the priority, with particular attention paid to younger women. Further research is clearly needed to fully understand supportive care needs in this cultural context.

복합나트륨염의 Salmonella gallinarum 감염 육계에 대한 치료효과 (Therapeutic Effect of a Sodium Salt Mixture Against Salmonella gallinarum Infection in Broiler)

  • 이여은;차춘남;손송이;유창열;박은기;김석;이후장
    • 한국임상수의학회지
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    • 제30권1호
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    • pp.17-21
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    • 2013
  • The objectives in the present study were to evaluate the therapeutic effect of a sodium salts mixture against Salmonella gallinarum infection in broiler. Of this study, sixty broilers at two weeks of age (body weight, $450{\pm}35$ g) were used to estimate the efficacy of a sodium salts mixture (3.25 mg sodium azide, 2.45 mg sodium cyanide, 0.8 g sodium chlorate) against Salmonella gallinarum infection in broiler with drinking water. Broilers challenged with S. gallinarum were administered with ${\times}$ 1(group I) and ${\times}$ 2(group II) sodium salt mixture for seven days, and cecal content samples were collected at the gate of treatment and on 1st, 3rd, 5th, and 7th day after administration. Changes in body weight and cecal shedding of S. gallinarum were monitored during the experimental period. All groups treated with the sodium salt mixture slightly increased body weight compared to control group but there is no significant difference. At 7th day after administration, the number of S. gallinarum in group I and II was significantly decreased compared to control group (p < 0.001). In the hematological and blood biochemical analysis, values of parameters were not significantly different between the treated groups and control group. From results of the present study, the sodium salt mixture had therapeutic effect on S. gallinarum infection in broilers.

Integrating market chain assessments with zoonoses risk analysis in two cross-border pig value chains in Lao PDR

  • Okello, Anna L;Tiemann, Tassilo T;Inthavong, Phouth;Khamlome, Boualam;Phengvilaysouk, Ammaly;Keonouchanh, Soukanh;Keokhamphet, Chattouphone;Somoulay, Virasack;Blaszak, Kate;Blacksell, Stuart D;Okello, Walter O;Allen, John
    • Asian-Australasian Journal of Animal Sciences
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    • 제30권11호
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    • pp.1651-1659
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    • 2017
  • Objective: Lao PDR's recent accession to the World Trade Organization necessitates a greater understanding of the patterns and risk of livestock production in order to better align national policy with the Agreement on the Application of Sanitary and Phytosanitary Measures. This eco-health study was conducted to improve understanding of the interrelations between market chains and zoonotic infection risks at two strategic cross border points between Lao PDR, Thailand and Viet Nam. Methods: Information gained from smallholder farmer/trader interviews was integrated with serological surveys for pig-associated zoonoses-including hepatitis E virus (HEV), Taenia solium (T. solium) and trichinella-to identify potential linkages between disease risk and pig production and slaughter in low input systems common across the country. Results: Trichinella and HEV exposure was high in both humans and pigs in both study areas, significantly associated with pig slaughter and the subsequent consumption and handling of raw pork products. T. solium demonstrated a strong geographical and ethnic association with the northern study area bordering Vietnam. With the right knowledge and accessible, affordable inputs, the majority of smallholder farmers indicated a willingness to invest more in pig production, which could simultaneously improve livelihoods and decrease exposure to HEV, Trichinella, and T. solium through increased access to formal markets and an improved slaughter processes. Conclusion: The linkages identified when assessing disease risk in the context of potential economic and cultural drivers of transmission highlight the importance of a systems-based approach for the detection and control of zoonotic disease, and contributes to an improved understanding of the Lao PDR livestock sector.