• 제목/요약/키워드: Regional health planning

검색결과 125건 처리시간 0.021초

An Analysis of the Status of Local Currency (Daedeok e-Loom) for the Vitality of Local Commercial Areas and an Empirical Study on the Direction of Development

  • Tae-Chang RYU
    • 유통과학연구
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    • 제21권12호
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    • pp.127-140
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    • 2023
  • Purpose: In a situation where the local economy and alley economy are stagnant, efforts to revitalize the role of small business owners need a virtuous cycle system through consumers' consumption power, not just cash support. Research design, data, and methodology: The study site focuses on Daedeok-gu, the first to introduce local currency as a policy. In the case of the store survey, 254 stores out of 300 stores registered with local currency were analyzed, and the consumer survey was conducted on 1,394 out of 1,500 local people using local currency. Statistical analysis was performed using the SPSS. Result: As a result of time-series checking whether local economic activities are carried out smoothly due to the nature of the local currency, the average daily sales of Daedeok-gu increased by 388,980won compared to 2019. This proved through empirical research in the region that local currency played a priming role in bringing opportunities and rehabilitation to the local commercial districts and small business owners. Conclusions: In the monetary function of simply buying and selling value through payment, points supported as incentives can be used as local currency while inducing direct participation in solving social problems, and the concurrent effect of causing problem-solving and regional economic vitality began to sprout.

상급종합병원의 신생아 집중치료실(NICU) 설치 위치 및 기능 배치 특성 연구 (A Study on the Location and Functional Arrangement Characteristics of the Neonatal Intensive Care Unit(NICU) in a Certified Tertiary General Hospital)

  • 이기환;박서원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제30권3호
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    • pp.35-44
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    • 2024
  • Purpose: The purpose of this study is to present basic data on installation location, functional connection, and arrangement to be considered when planning a neonatal intensive care unit in a certified tertiary general hospital. Method: Review the facility standards related to the neonatal intensive care unit, such as laws and guidelines, and select a Certified Tertiary General Hospital as a case hospital among the Neonatal Intensive Care Regional Centers designated by the Ministry of Health and Welfare to analyze the placement characteristics of major NICU components such as the location of the NICU installation, the connection of movement between adjacent facilities and functions, and the treatment room and accessory room. Results and Implications: NICU is a facility for critically ill babies among newborns and needs to consider more about infection and patient management compared to adult intensive care units, which not only install close to delivery-related facilities to enable immediate action after childbirth, but also divide the treatment room into open rooms and allow access to the attached rooms through dedicated corridors to minimize movement in the treatment room.

정주환경 포용성이 고령층의 정신건강에 미치는 효과 (The Effect of Settlement Inclusivity on Older People's Mental Health)

  • 이새롬;박인권
    • 지역연구
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    • 제36권4호
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    • pp.3-23
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    • 2020
  • 본 연구는 고령층의 사회적 배제와 이로 인한 삶의 질 저하를 극복하기 위해 '정주환경 포용성'을 개념화하고 이를 분석틀로 하여 고령자 정신건강에 미치는 영향을 실증적으로 규명하는 것을 목적으로 한다. 주거지 인근 환경은 일상생활이 시작하는 장소이자 사회적 관계가 맺어지는 공간으로 생활 범위가 좁은 고령자에게 특히 중요하다. 따라서 본 연구에서는 고령자를 대상으로 하는 포용의 공간 범위를 주택을 구심점으로 하는 정주환경으로 삼았다. '정주환경 포용성'은 지역사회의 구성원으로서 통합의 기회를 제공하는 사회적 영역과 주택 내외의 환경에서 안전하게 생활하고 기본적인 서비스에 쉽게 접근할 수 있는 공간적 영역을 포괄하는 개념으로 상호의존, 참여, 안전성, 접근성의 네 가지 차원으로 구성하였다. 2017년도 노인실태조사를 활용하여 개인 및 정주환경의 속성이 고령자 우울 증상 수에 미치는 영향을 영과잉-음이항회귀모형으로 분석한 결과는 다음과 같다. 첫째, 정주환경의 사회적 포용성에 해당하는 지역사회관계망과 사회활동 참여 수준이 우울감을 완화하는 효과가 유의하게 나타난다. 둘째, 정주환경의 공간적 포용성 요인 중 근린환경 만족도와 대중교통시설·구매시설에 대한 우수한 접근성은 우울감의 심화에 부의 영향을 미치는 것으로 확인된다. 셋째, 포용적 정주환경의 공간적 영역과 사회적 영역 사이의 상호조절효과가 유의한 것으로 나타난다. 즉 지역사회관계와 참여가 우울증상의 심화에 미치는 영향은 고령친화형 주택 및 안정적 점유에 의해 강화되는 것으로 분석된다. 분석 결과는 정주환경 포용성이 다면적일 뿐 아니라 복합적으로 고령자의 정신건강에 긍정적인 효과를 미치고 있음을 실증하며, 고령자의 심리적 안녕을 제고하기 위한 도시 계획 및 정책에 시사점을 제공한다.

유제품 및 가공식품에서 Listeria monocytogenes 검출을 위한 배지법과 신속 검사키트의 유효성 검증 (Evaluation of Conventional Culture Methods and Validation of Immunoassays for Rapid Detection of Listeria monocytogenes in Dairy and Processed Foods)

  • 한소리;현지연;김희연;박종석;허석;신호철;서건호
    • 한국축산식품학회지
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    • 제28권5호
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    • pp.616-622
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    • 2008
  • L. monocytogenes는 최근 전 세계적으로 주목받고 있는 식중독의 원인체 중 하나로서 면역력이 약한 사람에게서 심각한 리스테리아증을 유발한다. 이 때문에 안전한 식품제공과 공중보건 증진 측면에서 L. monocytogenes균을 검출하는 것은 매우 중요하다. 본 연구의 목적은 현재 사용되고 있는 배지법에서 배양시간에 따른 검출능력을 비교해보고, 상용화된 L. monocytogenes 신속검출 키트의 유효성을 검증하는 것이다. 다양한 식품 샘플(훈제연어, 생식용 두부, 우유, 샐러드)에 총 20개의 샘플에서 일부분의 양성 결과가 나오도록 L. monocytogenes를 접종하였다. 이를 예비 증균과 배지에서의 배양을 거쳐 마지막으로 $Microgen^{TM}$ Listeria-ID를 이용하여 균을 확인하였다. 신속검출 키트인 $VIDAS^{(R)}$ Listeria monocytogenes II(LMO2)와 $REVEAL^{(R)}$ for Listeria 도 시행하여 배지법과 검출능력을 비교하였다. 배지법에서 배양시간을 24시간에서 48시간으로 늘리면 훈제연어는 0개에서 9개,두부는 0개에서 10개로, 우유는 2개에서 17개로, 샐러드는 4개에서 16개로 모든 식품 샘플에서 양성결과가 눈에 띄게 증가하였다. 따라서 24시간을 채택하고 있는 배지법에서의 예비증균 시간을 48시간으로 늘리는 것이 필요하다 할 수 있겠다. 신속검출키트와 배지법 사이에는 통계학적 유의차가 없는 것으로 나타나 배지법을 시행하기에 앞서 예비양성시험(presumptive screening)으로 활용하기에 알맞다고 사료된다.

수정 3SFCA 모형을 활용한 응급의료서비스 접근성 분석: 충청남도를 사례로 (Measures of Spatial Accessibility to Emergence Medical Services with a Modified Three-Step Floating Catchment Area Model : A Case Study of the Chungnam Province)

  • 박정환;우현지;김영훈
    • 한국지역지리학회지
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    • 제23권2호
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    • pp.388-402
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    • 2017
  • 본 연구는 중력모델 기반의 접근도 분석 모델을 수정 보완하여 연령별 응급의료 서비스의 접근도를 분석한 내용이다. 보건의료 접근도 분석에 적용되고 있는 Two-Step Floating Catchment Area(2SFCA) 모델을 보완하여 임계거리 차별화, 거리조락 반영, 연령별 응급의료 이용가중치, 관내 응급의료기관 선택가중치 등을 반영하였다. 개선된 접근도 모델(Modified Three-Step Floating Catchment Area model, M3SFCA)을 통해 충청남도 응급의료기관의 공간적 접근성 분석을 하였다. 분석 결과는 다음과 같다. 첫째, 유소년층, 청장년층, 노년층 모두 응급의료기관을 중심으로 접근성이 높고, 임계거리가 중첩되는 지역에서 접근성이 높았다. 둘째, 시군 연령별 공간적 접근성은 연령대별로 지역차가 뚜렷하며, 전반적으로 북부지역이 남부지역보다 접근성이 높게 나타났다. 셋째, 연령별로 접근성 차이가 발생한 이유는 연령별 임계거리, 응급의료기관 이용비중, 관내 기관 이용비중이 각각 다르며, 연령별 총 인구수의 차이로 나타났다. 마지막으로 본 연구는 응급의료 접근도 모델 개선을 통해 이론적 연구를 통한 실제 현장의 활용성의 가능성과 잠재성을 확인하였다. 연구 결과를 바탕으로 보건의료 및 응급의료 관련 정책 개발 및 활용에 기여할 것으로 기대한다.

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Epidemiology of Breast Cancer among Females in Basrah

  • Habib, Omran S;Hameed, Lamis A;Ajeel, Narjis A;Al-Hawaz, Mazin H;Al-Faddagh, Zaki A;Nasr, Ghalib N;Al-Sodani, Ali H;Khalaf, Asaad A;Hasson, Hasson M;Abdul-Samad, Aida A
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.191-195
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    • 2016
  • Breast cancer is the most frequent cancer in females. Its incidence is higher in developed countries than in developing ones partly due to variation in risk exposure and partly due to better detection methods. Scattered evidence in Basrah, Iraq, suggests that breast cancer has been increasing at a significant pace in recent years. This study aimed to measure the current level of risk of breast cancer among females in Basrah and to describe the time trend over almost a decade of years. Data on breast cancer cases from all sources of cancer registration in Basrah governorate were compiled for the years 2005-2012. The data for each year were first checked separately for duplicate reporting of cases among various sources. Then the eight files were pooled together and checked again for any duplicate cases among years of registration. The final set of data contained 2,284 cases of breast cancer (2,213 female cases and 71 male cases). All patients were inhabitants of Basrah governorate at the time of diagnosis. Figures on the Basrah population were obtained from various sources including the Ministry of Health, Ministry of Planning and Developmental Collaboration and local household surveys. It was possible to have total population estimates for each year and by age and sex. The data were imported into SPSS (version 17) software. Age specific and year specific incidence rates were calculated. The age standardized incidence rate was also calculated using world population as the standard population to be 34.9 per 100,000 females. Age-wise, no case was reported among children aged less than 15 years and the incidence increased with advancing age reaching a peak of 123.8/100,000 females at the age range of 50-54 years. The time trend of the crude incidence rate showed only modest increased risk with passage of years and no age shift could be documented in this study. Breast cancer in females in Basrah is a significant health problem. The current incidence rate (crude, 23.7/100,000, age-standardized, 34.9/100,000) is high and justifies intensive efforts to improve early detection of cases, provide better treatment amenities and introduce long term preventive measures. Using the age standardized incidence rate as reported in this paper, it is possible to put the risk in Basrah within a regional and international context.

Comparison of Dosimetrical and Radiobiological Parameters on Three VMAT Techniques for Left-Sided Breast Cancer

  • Kang, Seong-Hee;Chung, Jin-Beom;Kim, Kyung-Hyeon;Kang, Sang-Won;Eom, Keun-Yong;Song, Changhoon;Kim, In-Ah;Kim, Jae-Sung
    • 한국의학물리학회지:의학물리
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    • 제30권1호
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    • pp.7-13
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    • 2019
  • Purpose: To compare the dosimetrical and radiobiological parameters among various volumetric modulated arc therapy (VMAT) techniques using restricted and continuous arc beams for left-sided breast cancer. Materials and Methods: Ten patients with left-sided breast cancer without regional nodes were retrospectively selected and prescribed the dose of 42.6 Gy in 16 fractions on the planning target volume (PTV). For each patient, three plans were generated using the $Eclipse^{TM}$ system (Varian Medical System, Palo Alto, CA) with one partial arc 1pVMAT, two partial arcs 2pVMAT, and two tangential arcs 2tVMAT. All plans were calculated through anisotropic analytic algorithm and photon optimizer with 6 MV photon beam of $VitalBEAM^{TM}$. The same dose objectives for each plan were used to achieve a fair comparison during optimization. Results: For PTV, dosimetrical parameters such as Homogeneity index, conformity index, and conformal number were superior in 2pVMAT than those in both techniques. $V_{95%}$, which indicates PTV coverage, was 91.86%, 96.60%, and 96.65% for 1pVMAT, 2pVMAT, and 2tVMAT, respectively. In most organs at risk (OARs), 2pVMAT significantly reduced the delivered doses compared with the other techniques, excluding the doses to contralateral lung. For the analysis of radiobiological parameters, a significant difference in normal tissue complication probability was observed in ipsilateral lung while no difference was observed in the other OARs. Conclusions: Our study showed that 2pVMAT had better plan quality and normal tissue sparing than 1pVMAT and 2tVMAT but not for all parameters. Therefore, 2pVMAT could be considered the priority choice for the treatment planning for left breast cancer.

2002년 농약중독 사망자 통계청 자료 분석 및 제초제 중독으로 인한 사망사고 예방 대책 (Analysis of 2002 year's Pesticides Poisoning Deaths' data of Korea National Statistical Office and Counterplan to Prevent Deaths Due to Herbicides Poisoning)

  • 김욱진;김효윤;김승환;김선욱;조영순;정성필;이한식
    • 대한임상독성학회지
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    • 제2권2호
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    • pp.77-82
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    • 2004
  • Backgrounds: Deaths from pesticides poisoning has increased annually, but no studies have been reported. Especially paraquat is suspected to be a major material in pesticide poisoning deaths. In Korea, simple epidemiology of pesticides poisoning is not well known. So, there is no effective method to prevent pesticides poisoning. We tried to investigate the present status of pesticides poisoning with data from Korea National Statistical Office and suggest an effective counterplan. Methods: We analysed death cause data derived from Korean Statistical association, deaths causes being pesticides poisoning in the year 2002. Also, we investigated data from internet, mainly from Korea National Statistical Office home page. Results: Total 2,875 persons died after pesticides poisoning in 2002 year. Average age is 54.2 year, standard deviation being 17.7 year. Many victims (about $41\%$) died during the herbicides' non-necessary period (JanuaryMarch, October-December) Conclusion: Herbicides sale should be restricted only during herbicides' necessary period, and so called a pesticides safety supervisor system shall effectively prevent herbicides poisoning.

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Tumour Markers in Peritoneal Washing Fluid - Contribution to Cytology

  • Yildirim, Mustafa;Suren, Dinc;Yildiz, Mustafa;Alikanoglu, Arsenal Sezgin;Kaya, Vildan;Doluoglu, Suleyman Gunhan;Aydin, Ozgur;Yilmaz, Necat;Sezer, Cem;Karaca, Mehmet
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.1027-1030
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    • 2013
  • Background: Peritoneal washing cytology (PWC) that shows the microscopic intra-peritoneal spread of gynaecologic cancers is not used in staging but is known as prognostic factor and effective in planning the intensity of the therapy. False negative or false positive results clearly affect the ability to make the best decision for therapy. In this study we assessed levels of tumour markers, carcinoembryonic antigen (CEA), cancer antigen 125 (CA-125) and carbohydrate antigen (CA19-9), in peritoneal washing fluid to establish any possible contribution to the peritoneal washing cytology in patients operated for gynaecologic cancer. Materials and Methods: Preoperative tumour markers were studied in serum of blood samples obtained from the patients for preoperative evaluation of a gynaecologic operation. In the same group peritoneal tumour markers were studied in the washing fluid obtained for intraoperative cytological evaluation. Results: This study included a total of 94 patients, 62 with malignant and 32 with benign histopathology. The sensitivity of the cytological examination was found to be 21% with a specificity of 100%. When evaluated with CEA the sensitivity of the cytological examination has increased to 37%. Conclusions: In addition to examination of PWC, the level of CEA, a tumour marker, in peritoneal washing fluid can make a diagnostic contribution. Determining the level of CEA in peritoneal washing fluid will be useful in the management of gynaecologic cancers.

Dyna-CLUE 모델을 이용한 양평·여주 지역의 토지이용 변화 예측 및 평가 (Analyzing the Future Land Use Change and its Effects for the Region of Yangpyeong-gun and Yeoju-gun in Korea with the Dyna-CLUE Model)

  • 이동근;류대호;김호걸;이상혁
    • 한국환경복원기술학회지
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    • 제14권6호
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    • pp.119-130
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    • 2011
  • Land-use changes have made considerable impacts on humans and nature such as biodiversity and ecosystem services. It is recognized as important elements for land use planning and regional natural resources conservation to identify the major causes of land use changes and to predict a process of changes and effects. This study, by using a spatially explicit Dyna-CLUE model, analyzed correlations between driving factors, quantified location characteristics of different land use types using logistic regression analysis and examined future land use changes and its effects in Yangpyeong and Yeoju region. We expected land use changes based on the three scenarios with different future land demands and simulated future changes for spatial variations of land use for the 20 years. The outcomes shows that larger change was found in agricultural areas than forest areas, based on the change in built-up areas. The changes in forest areas, which were mainly occurred in edge area, were expected to affect a large impact on its ecotone. It was found to be the importance of the management of forest edge and the necessity of the environmentally sound and sustainable development in order to conserve natural resources of the region.