• Title/Summary/Keyword: Rural Center

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Establishing cleft services in developing countries: Complications of cleft lip and palate surgery in rural areas of Indonesia

  • Ruslin, Muhammad;Dom, Lawrence;Tajrin, Andi;Yusuf, Andi Sitti Hajrah;Arif, Syafri Kamsul;Tanra, Andi Husni;Ou, Keng Liang;Forouzanfar, Tymour;Thamrin, Sri Astuti
    • Archives of Plastic Surgery
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    • v.46 no.6
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    • pp.511-517
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    • 2019
  • Background Cleft treatment is frequently performed in Indonesia, mostly in charity missions, but without a postoperative protocol it is difficult to establish the risks and complications of cleft treatment. The present study was designed to give an overview of current cleft lip and palate treatment strategies in Indonesia and to assess the complication rates during and after surgery. Methods This prospective study evaluated anesthetic, intraoperative surgical, and short-term postoperative complications in patients undergoing primary, secondary, or corrective surgery for cleft lip and palate deformities. The population consisted of 98 non-syndromic cleft patients. The main anesthetic complication that occurred during general anesthesia was high blood pressure, whereas the main intraoperative surgical complication was excessive bleeding and the main early postoperative complication was extremely poor wound hygiene. Results In this study, there were no cases of perioperative or postoperative mortality. However, in 23 (23.4%) of the 98 operations performed, at least one perioperative complication related to anesthesia occurred. The intraoperative and early postoperative complications following cleft lip and/or palate were assessed. There was a significant difference in the complication rate between procedure types (χ2=0.02; P<0.05). However, no relationship was found between perioperative complications related to anesthesia and the occurrence of postoperative complications (χ2=1.00; P>0.05). Nonetheless, a significant difference was found between procedure types regarding perioperative complications and the occurrence of postoperative complications (χ2=0.031; P<0.05). Conclusions Further evaluation of these outcomes would help direct patient management toward decreasing the complication rate.

Monitoring the Wildlife Use of Culverts and Underpasses Using Snow Tracking in Korea (야생동물의 도로 횡단 특성 분석 -도로횡단구조물 상의 눈 위 발자국 조사를 통하여-)

  • Choi Tae-Young;Lee Yong-Wook;Whang Ki-Young;Kim Seon-Myoung;Park Moon-Sun;Park G-Rim;Cho Beom-Joon;Park Chong-Hwa;Lee Myung-Woo
    • Korean Journal of Environment and Ecology
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    • v.20 no.3
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    • pp.340-344
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    • 2006
  • The objective of this paper was to investigate the potential of road-crossing structures as biological corridors that can overcome wildlife habitat fragmentation caused by road construction. Snow tracking on animal trace adjacent to and under bridges, underpasses, and culverts of eight rural highways in Korea was carried out. A total 89 structures were monitored and the results follow. First, the probability of road crossing increases with the increasing cross sectional size of crossing structures. Second, small to medium sized carnivores such as raccoon dog, leopard cat, and Siberian weasel use all types of structures. Finally, water deer, or large herbivore crossed only under bridges. Consequently, further studies are necessary to identify suitable types of road crossing structures that can mitigate the probability of road-kills and habitat fragmentation of water deer.

Epidemiological Investigation for Outbreak of Clostridium perfringens Enteritis among Students at a College in 2018 (2018년 중부지방 일개 대학에서 집단 발생한 클로스트리듐 퍼프린젠스 감염증)

  • Bae, Eun-Joo;Hwang, Se-Min;Kwon, Guen-Yong;Lee, Moo-Sik
    • Journal of agricultural medicine and community health
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    • v.45 no.2
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    • pp.69-78
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    • 2020
  • Purpose: This study was conducted to provide the results of the epidemiological investigation for outbreak of Clostridium perfringens enteritis among students at a college in Sejong City. Methods: This investigation was performed between May 25 and May 28, 2018. The Sejong City public health authority received a complaint which was about 40 university students experienced vomiting or diarrhea. We immediately set up an epidemiological investigation team and conducted a field epidemiological investigation. Results: The overall incidence was 86 out of 153 (56.2%). The estimated risk exposure time was 12 o'clock on the previous day, and the cause was contaminated during distribution and storage of the lunch box provided for lunch on the day of the athletic competition, with 13 hours of average incubation period. The outbreak was closed on May 28, and the identified pathogen was Clostridium perfringens. Conclusions: It was proposed that food poisoning by Clostridium perfringens was likely and contaminated during group meal.

The Mineralogical and Chemical Characteristics of Slag from Kazakhstan and Leaching of Cu and Fe (카자흐스탄 구리 슬래그의 광물학적, 화학적 특성 및 구리와 철의 용출 특성)

  • Kim, Bong-Ju;Cho, Kang-Hee;Shin, Seung-Han;Choi, Nag-Choul;Park, Cheon-Young
    • Journal of the Mineralogical Society of Korea
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    • v.28 no.1
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    • pp.17-28
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    • 2015
  • In order to study the mineralogical and chemical characteristics of copper slag, optical microscopy, SEM/EDS, EPMA, AAS and XRD analyses were carried out. In addition, sulfuric acid leaching experiments were performed to investigate the potential of the slag as a copper resource. It was confirmed that fayalite, chromite, bornite and chalcopyrite were contained in the slag. The slag mainly consisted of acicular fayalite and skeletal lath -euhedral chromite crystals. Also a very large amount of bornite and chalcopyrite grains were contained in the slag. The content of Fe and Cu in the slag was 18.37% and 0.93%, respectively. As a result of sulfuric acid leaching experiments, the leaching rates of Cu and Fe were increased through decreasing the slag particle size, increasing the sulfuric acid concentration and the leaching temperature. The maximum efficiency of Cu and Fe leaching were obtained under the conditions of particle size of 32 mesh, sulfuric acid concentration of 2.0 M, and leaching temperature of $60^{\circ}C$. Accordingly, it is expected that the slag could be available as a potential and alternative resource of metallic copper.

A Study on the Traditional Color Analysis of Chinese Historic Village - Focus on Cuandixia Village of Mentougou District in Beijing - (중국 민속(民俗)마을의 전통(傳統)색채 분석에 관한 연구 - 북경(北京)시 문두구(門頭溝)구 천저하마을(爨底下村)을 대상으로 -)

  • Ma, Yuan;Lim, Jin-Kang;Kim, Dong-Chan
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.33 no.4
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    • pp.112-128
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    • 2015
  • To consider an identity about traditional folk village, this study analyzes color characteristic of traditional folk village by targeting Cuandixia folk village in China. For method of study, color is analyzed by KSCA(Korea Standard Color Analysis) program and images of color are drawn by I.R.I. Based on these, four results are came out. First, color distribution of Cuandixia is appeared in YR, R, Y, GY order. Furthermore, there are no affiliation of BG, and B but a lot of affiliation of YR. Second, the whole is made up of color that is applied to mist gray/low chroma in the value and chroma stakes. Especially, high chroma is extracted by only commercial old house, the rest is made up of middle and low chroma color. Third, dark color is the most by KS Color System and dark reddish gray and medium gray are occupied most part. Fourth, the whole atmosphere of village is static and hard, and the image is researched as gentle. Through the research, It applies extracted color palette for plan and preservation of traditional folk village. As using the color that is reflected in national and local distinct characteristic, preserving the color reflected in history and culture of the village, and applying color planning considered harmony with surrounding environment, it is expected that it can help to direct the color involved traditional and cultural meaning.

A Customized Cancer Radiation Treatment Planning Simulation (ccRTPs) System via Web and Network (웹과 네트워크 기술을 이용한 환자 맞춤식 암치료 계획 시뮬레이션 시스템)

  • Khm, O-Yeon
    • Progress in Medical Physics
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    • v.17 no.3
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    • pp.144-152
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    • 2006
  • The telemedicine using independent client-server system via networks can provide high quality normalized services to many hospitals, specifically to local/rural area hospitals. This will eventually lead to a decreased medical cost because the centralized institute can handle big computer hardware systems and complicated software systems efficiently and economically, Customized cancer radiation treatment planning for each patient Is very useful for both a patient and a doctor because it makes possible for the most effective treatment with the least possible dose to patient. Radiation planners know that too small a dose to the tumor can result in recurrence of the cancer, while too large a dose to healthy tissue can cause complications or even death. The best solution is to build an accurate planning simulation system to provide better treatment strategies based on each patient's computerized tomography (CT) image. We are developing a web-based and a network-based customized cancer radiation therapy simulation system consisting of four Important computer codes; a CT managing code for preparing the patients target data from their CT image files, a parallel Monte Carlo high-energy beam code (PMCEPT code) for calculating doses against the target generated from the patient CT image, a parallel linear programming code for optimizing the treatment plan, and scientific data visualization code for efficient pre/post evaluation of the results. The whole softwares will run on a high performance Beowulf PC cluster of about 100-200 CPUs. Efficient management of the hardware and software systems is not an easy task for a hospital. Therefore, we integrated our system into the client-sewer system via network or web and provide high quality normalized services to many hospitals. Seamless communication with doctors is maintained via messenger function of the server-client system.

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A Study on the Family Planning Status of an Urban Slum Population (일부도시영세민의 가족계획 실태에 관한 연구)

  • 노순영
    • Journal of Korean Academy of Nursing
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    • v.3 no.3
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    • pp.50-61
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    • 1973
  • Despite the intensive family Planning program of the government, which has reduced the :average population growth to 2.0 percent in 1970, the continuing high fertility rates and poor family planning services in urban slum areas has been continually pointed out by various evaluation seminars. Thus, it was felt that a study of the current status of family planning in an urban slum population was needed. The aims of the study were to: (1) delineate the general characteristics of the urban slum population (2) discover the knowledge, attitudes, and practice of family planing. (3) determine what was felt to be the ideal number of children. (4) determine the status of induced abortion. A random stratified sample of 200 women was selected from a population of 3, 118 married women, 20-49 years of age, living in the Yonsei Community Health Project area and registered at the Yonhee Community Health Service Institute. The respondents were interviewed by the investigates, using a pretested questionary, from the period of October 1 to October 30, 1972. The findings of the Study were as follows: 1. Afore than half of the respondents were in the high fertility age group (25-34): of lower educational level (under primary School) : from rural areas: and with unstable sources of income. 2. The average respondent had 3.6 living children. 3. Most of the respondents had knowledge of contraceptive methods such as the Loop(78, 5%) and Oral pill (87.0%). 4. Seventy seven percent of the respondents recognized the Health Center as an available source for family planning. 5. About seventy percent of the respondents approved of family planning. 6. Eighty four point five percent of all the respondents answered that using contraceptives is harmful to maternal health. 7. Currently, 21.0 percent of the respondents were using contraceptives, while 40.0 percent of the respondents were current users or had used contraceptives. 5. Of the respondents who had ever stopped using contraceptives, 78.0 percent gave side effects as the reason they discontinued the method. 9. The average number of ideal children reported by the respondents was 3.5. 10. If they had only 2 daughters, 85.5 Percent of the respondents thought they must have more children. 11. Sixty nine point five percent of the respondents approved of induced abortion for unwanted pregnancies, while 34.5 percent of the respondents had experienced induced abortion for unwanted pregnancies. The mean number of induced abortion for unwanted pregnancies was 0.7. 12. The result of this study showed that such urban slum population would be one of the most important target of the family planning services, therefore further social-psychological researches with technical development on this area are recommended.

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Condition of Use on Management Support System of Private Forest by Forest Ownership Type - Focus on subjects of Sincere forest manager, Forest successor and Forest owner - (산림 경영주체별 사유림 경영 지원제도의 이용실태 - 독림가, 임업후계자, 일반산주를 대상으로 -)

  • Kang, Jin Taek;Jeon, Jun Heon;Lee, Seong Youn;Jeon, Ju Hyeon
    • Journal of Korean Society of Forest Science
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    • v.105 no.4
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    • pp.486-495
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    • 2016
  • This study was conducted to contribute to propose the improvement by looking into the use of private forest support system and then analyzing the status of support system and problems among forest owners. The study result showed that the recognition of private forest support system was 57.8% in sincere forest managers and 47.6% in forest successors, but only 17.6% in forest owner. The application experience was 79.2% in sincere forest managers, and 58.6% in forest successors, but 28.6% in forest owner which was significantly low as was shown in the recognition. Response on 'not knowing the support system' as the reason they were not able to ask for support was 36.1%, 43.0%, 78.6% in sincere forest managers, forest successors, and forest owner respectively in that order, which were the same results with the recognition. In the contrast, the effects of support for private forest management were higher in forest owner than sincere forest managers and forest successors, and overall level of satisfaction was also 28.5% in sincere forest managers and 36.8% in forest successors and 41.5% in forest owner. It turned out that forest owner who had somewhat low numbers of application had rather high satisfaction on overall management. Therefore, in order to attract active forest management from forest owner who take up most of forest owners in South Korea, the recognition on private forest support system is needed to improve and the local government and the Forestry Association should come up with active plans for public relations and support.

Clinical Characteristics of Acute Drug Intoxication in Emergency Department

  • Kim In Byung;Chun Sung Pil;Kim Seung Whan
    • Biomedical Science Letters
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    • v.10 no.3
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    • pp.299-303
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    • 2004
  • The number of acute drug intoxication who visiting to emergency department which is located near urban and rural area concomitantly is inclined to increase slightly, The purpose of this study was the investigation of methods and strategies of management of acute drug intoxication in emergency department Clinical trials were done on 92 cases of acute drug intoxication visiting to Emergency Department of Chungnam National University Hospital during 4 months from April to July 2003. 1. The total number of acute drug intoxication during this period was 92 patients, which presented 0.95% of all the emergency department visiting patients during the study. The intentional ingestions were observed in 84 cases (91.3%). 2. The maximal point of age distribution was 4th decade. The number of that was 21 cases (22.8%). 3. The number of patients who had ingested benzodiazepines and doxylamine succinates was 26 cases (28.2%), organophosphorus was 20 (21.7%), paraquat was 10 (10.8%), others were 36 (39.3%). 4. Five kinds of po1ydrug ingestion was observed in 3 cases, four kinds was observed in 3, three kinds was observed in 5 and co-ingestion of alcohol was observed in 28 cases (30.4%). 5. The mortality was occurred in 4 cases, 2 of them were caused by paraquat, 1 of them was caused by organophosphorus (OP), 1 of them was caused by acetic acid. 6. The gastric larvage as a mean of treatment modality was done in 57 cases (61.9%). The use of activated charcoal was done in 8 (8.69%). The maintenance of tracheal intubation was done in 6 (6.52%). 7. The mean observational period in emergency department was 8 hours 42 minutes in benzodiazepine and doxylamine succinate group, 21 hours 46 minutes in OP, 20 hours 39 minutes in other germicidal except OP, 23 hours 9 minutes in paraquat group. Without a drug information and intoxication center in Korea, We should minimize the exhaustion of medical resources by establishment of determinant criteria which can be seen in relatively less-complicated cases of acute drug intoxication. Thus, we should consider the introduction of simple toxicology treatment protocol and toxicologic observation unit in emergency department as possible means to reduce economical and social burdens.

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Development of Moisture Loss Index Based on Field Moisture Measurement using Portable Time Domain Reflectometer (TDR) for Cold In-place Recycled Pavements (휴대용 TDR 함수량계로 측정한 현장 함수비를 이용한 현장 상온 재활용 아스팔트 포장의 수분 감소계수 개발)

  • Kim, Yong-Joo;Lee, Ho-Sin David;Im, Soo-Hyok
    • International Journal of Highway Engineering
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    • v.13 no.2
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    • pp.139-145
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    • 2011
  • The practice of asphalt pavement recycling has grown rapidly over the decade, one of which is the cold in-place recycling with the foamed asphalt (CIR-foam) or the emulsified asphalt (CIR-emulsion). Particularly, in Iowa, the CIR has been widely used in rehabilitating the rural highways because it significantly increases the service life of the existing pavement. The CIR layer is typically overlaid by the hot mix asphalt (HMA) to protect it from water ingress and traffic load and obtain the required pavement structure and texture. Most public agencies have different curing requirements based on the number of curing days or the maximum moisture contents for the CIR before placing the overlay. The main objective of this study is to develop a moisture loss index that the public agency can use to monitor the moisture content of CIR layers in preparation for a timely placement of the wearing surface. First, the moisture contents were measured in the field using a portable time domain reflectometry (TDR) device. Second, the weather information in terms of rain fall, air temperature, humidity and wind speed was collected from the same location. Finally, a moisture loss index was developed as a function of initial moisture content, air temperature, humidity and wind speed. The developed moisture loss index based on the field measurements would help the public agency to determine an optimum timing of an overlay placement without continually measuring moisture conditions in the field.