• 제목/요약/키워드: Rural Type

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결핵 환자의 재원기간과 사망에 영향을 미치는 요인(2008-2017): 퇴원손상자료를 중심으로 (Factors Affecting Length of Stay and Death in Tuberculosis Patients(2008-2017): Focus on the Korean National Hospital Discharge In-depth Injury Survey)

  • 이현숙;김상미
    • 한국콘텐츠학회논문지
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    • 제21권4호
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    • pp.487-497
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    • 2021
  • 본 연구의 목적은 2008년부터 2017년까지의 결핵환자의 결핵 종류, 환자 특성, 입원 및 질병관련 특성, 의료기관 특성에 따른 재원기간과 사망에 영향을 미치는 요인을 파악하고자 한다. 질병관리청에서 제공하는 퇴원손상심층조사자료를 활용하였고, 제6차 한국표준질병사인분류(KCD)의 퇴원시 진단 코드가 결핵(A15, A16, A17, A18, A19, U88.0, U88.1, U84.30, U84.31)인 환자를 추출하여 총 10,634건을 최종 분석에 사용하였다. 수집된 자료는 통계 프로그램 STATA 13.0 프로그램을 이용하여 빈도분석, 교차분석(chi-square test), Fisher's exact test와 로지스틱 회귀분석을 실시하였다. 연구결과로 재원기간에 영향을 미치는 요인으로 폐결핵을 기준으로 폐외결핵, 복합결핵, 내성결핵일 때, 남자보다는 여자일 때, 연령이 높을수록, CCI(Charlson Comorbidity Index) 점수가 높을수록, 병원소재지 서울을 기준으로 광역시일 때 14일 이상 재원환자가 많았지만 외래경유, 병상규모가 작을수록 14일 이상 재원환자가 적었다. 그리고 사망에 영향을 미치는 요인은 폐결핵을 기준으로 폐외결핵, 내성결핵 일 때, 남자보다는 여자일 때, 연령이 높을수록, CCI 점수가 높을수록, 병원소재지가 서울을 기준으로 광역시, 도지역일 때 사망이 높았으나 거주지가 특별시일때 보다는 농촌, 외래경유 입원인 경우 사망이 낮았다. 결론으로 기존의 결핵관리가 조기발견에 따른 신속한 진단과 치료의 환자 관리였다면 앞으로는 장기재원과 치료결과 사망률이 높은 고위험군을 파악하고 이를 지원하는 제도를 위한 연구들이 추가적으로 진행되어야 할 것이다.

U자형 베드에서 코이어 자루재배 시 적정 배액구 위치 구명 (Appropriate Drainage Position in Coir Bag Culture Using U-type Bed)

  • 이문행;이희경;김성은;이환구;이순계;박권서;채영;김영식
    • 생물환경조절학회지
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    • 제22권4호
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    • pp.408-412
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    • 2013
  • 본 연구는 토마토 코이어 자루재배시 습해의 원인을 구명하고 습해를 방지하기 위하여 실시하였다. 실험은 미니찰을 고시하고 단동형 2중 플라스틱하우스에서 실시되었다. 배양액은 Yamazaki 토마토 전용배양액을 사용하였으며, 배양액 공급시간은 해뜨고 1시간 후 시작하여 해지기 2시간 전에 종료하였다. 자루당 I자형 찢기 및 L자형 찢기는 6개씩 15cm 길이로 찢었으며, 밑 찢기는 3개씩 15cm 길이로 뚫었다. 배액구 위치에 따른 배지무게는 포습 24시간 후 I자형 찢기는 14.2kg, L자형 찢기는 13.8kg, 밑 찢기는 12.8kg로 밑 찢기가 가장 가벼웠다. 포습 24시간 후 1일 관수하여 무게를 측정한 결과 I자형 찢기는 14.5kg, L자형 찢기 14.2kg, 밑 찢기 13.3kg로 역시 밑 찢기가 가벼웠다. 이것은 밑 찢기에서 배지내 함수량이 가장 적은 것을 의미한다. 부정근 발생정도는 I자형 뚫기 및 L자형 뚫기에서 160 및 170개 발생하였으나 밑 뚫기에서는 53개 발생하였다. 뿌리의 건물중(5주)은 밑 찢기가 57g으로 I자형 찢기 23g 및 L자형 찢기 25g과 비교해서 2배 이상 높았으며, 뿌리길이도 밑 찢기가 31.4cm로 다른 찢기 방법과 비교하여 길었다. 상품수량은 밑 찢기가 26.5kg/20주 로 I자형 찢기 19.7kg, L자형 찢기 24.0kg와 비교해 높은 수량성을 보였다. 따라서 U자형 베드에서 코이어 자루배지를 이용하여 수경재배를 할 경우 배액구는 밑 찢기로 만들어야 습해를 방지하여 생산성을 높일 수 있을 것으로 사료되었다.

일개 시지역 저소득 골관절염 환자의 보완대체요법 이용실태 및 비용 -의료급여 및 건강보험하위 20% 대상자를 중심으로- (Utilization and Out-of-pocket Expenditure of Complementary and Alternative Medicine in Low-income Patients with Osteoarthritis in a City)

  • 감신;박기수
    • 농촌의학ㆍ지역보건
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    • 제33권2호
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    • pp.181-192
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    • 2008
  • Objective: The use of complementary and alternative medicine (CAM) is common especially among patients with osteoarthritis The aim of this study was to investigate the utilization rate and expenditures of patients who use CAM. Method: Two hundred seventy four patients with osteoarthritis were interviewed by a telephone survey. A structured questionnaire about sociodemographic features and type, cost, satisfaction and reason of CAM utilization was used Results: Among 274 patients with osteoarthritis, 251 patients(91.6%) had used at least one type of CAM during six months. There was a significant difference in sex (female), age (70 years), medical security (insurance), educational level between the user and non-user of CAM. Hyperthermia was the most use. The average cost for CAM utilization was 120 thousands won/person during six months and there was no difference in sociodemographic features among the out-of-pocket cost of users. The scores of satisfaction for CAM use were ranged between 60-70. Conclusions: CAM became a popular source of health care because of elderly and lay referral system. And Korean spent a substantial amount of out-of-pocket money on CAM without benefit. Health care system and professionals should pay more attention to CAM, make a evidence for CAM.

Investments on Pro-poor Development Projects on Goats: Ensuring Success for Improved Livelihoods

  • Devendra, C.
    • Asian-Australasian Journal of Animal Sciences
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    • 제26권1호
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    • pp.1-18
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    • 2013
  • The elements that determine the success of development projects on goats and the prerequisites for ensuring this are discussed in the context of the bewildering diversity of goat genetic resources, production systems, multifunctionality, and opportunities for responding to constraints for productivity enhancement. Key determinants for the success of pro-poor projects are the imperatives of realistic project design, resolution of priorities and positive impacts to increase investments and spur agricultural growth, and appropriate policy. Throughout the developing world, there exist 97% of the total world population of 921 million goats across all agroecological zones (AEZs), including 570 breeds and 64% share of the breeds. They occupy a very important biological and socioeconomic niche in farming systems making significant multifunctional contributions especially to food, nutrition and financial security, stability of farm households, and survival of the poor in the rural areas. Definitions are given of successful and failed projects. The analyses highlighted in successful projects the value of strong participatory efforts with farmers and climate change. Climate change effects on goats are inevitable and are mediated through heat stress, type of AEZ, water availability, quantity and quality of the available feed resources and type of production system. Within the prevailing production systems, improved integrated tree crops - ruminant systems are underestimated and are an important pathway to enhance C sequestration. Key development strategies and opportunities for research and development (R and D) are enormous, and include inter alia defining a policy framework, resolution of priority constraints using systems perspectives and community-based participatory activities, application of yield-enhancing technologies, intensification, scaling up, and impacts. The priority for development concerns the rainfed areas with large concentrations of ruminants in which goats, with a capacity to cope with heat tolerance, can be the entry point for development. Networks and networking are very important for the diffusion of information and can add value to R and D. Well formulated projects with clear priority setting and participatory R and D ensure success and the realisation of food security, improved livelihoods and self-reliance in the future.

밀양23호와 기호벼 교잡 재조합자식계통(RILs)의 품질관련 특성 변이 (Variability of Quality Related Characters in the Recombinant Inbred Lines from Milyang 23 and Gihobyeo)

  • 강현중;김영두;김현순;이영태;은무영
    • 한국작물학회지
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    • 제51권spc1호
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    • pp.58-66
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    • 2006
  • 통일형인 밀양23호와 자포니카인 기호벼를 교잡한 재조합자식계통을 대상으로 품질관련 특성 변이를 살펴본 결과 공시계통들에 대한 품질 관련 형질들의 변이 분포는 매우 폭 넓고 다양했으며 대부분의 형질에서 연속적인 정규분포를 보였다. 조사된 형질간의 상관관계는 립의 두께에 대하여 립폭, 심백과 복백은 고도의 정의 상관관계를 나타냈으나 심백과 알카러 붕괴도는 고도의 부의 상관관계를 보였다. 단백질 함량과는 아밀로스, Mg/K 비율에서 고도의 부의 상관을 나타냈으며, K와 지방 함량과는 고도의 정의 상관을 보였다. 밥의 물리성에서는 딱딱한 정도를 나타내는 경도와 부착성, 탄력성, 검성, 저작성에서 고도의 정의 상관을 보였다.

TLC-DM을 이용한 Rubus속 4종 식물의 Triterpenoid 함량 비교 (Comparison of Triterpenoid Contents of the Four Rubus Plants in Korea Using TLC-DM)

  • 남정환;정현주;최종원;김원배;박희준
    • 생약학회지
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    • 제38권2호통권149호
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    • pp.187-191
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    • 2007
  • The extraction yield of the methanolic extracts and 19${\alpha}$-hydroxyursane-type triterpenoid (19${\alpha}$-HUT) fraction were investigated in the unripe and ripe fruits and the leaves of the four Rubus plants (Rubus coreanus, R. crataegifolius, R. phoenicolasius, R. pungens var. oldhami) to develop the biomaterial 19${\alpha}$-HUT mixture as functional foods. Thin layer chromatogaphy-Densitometer (TLC-DM) was used to analyze the individual quantity of 19${\alpha}$-HUTs using standard compounds (euscaphic acid, tormentic acid, 23-hydroxytormentic acid, kaji-ichigoside F$_1$, rosamultin, niga-ichigoside F$_1$). The content of methanolic extract of the fruits were higher in the ripe stage than in the unripe stage whereas the content of 19${\alpha}$-HUT mixture varied with each Rubus species. The Rubus plants containing the highest amount of 19${\alpha}$-HUTs in the leaves were R. coreanus, R. phoenicolasius and R. pungens var. oldhami while only R. cratagefolius showed the highest content in the ripe fruits. The mean of total genin content of 19${\alpha}$-HUTs was 0.94 mg/g; that of the glycosides was 0.60 mg/g. The genin quantity was found in the order of 23-hydroxytormentic acid> euscaphic acid> tormentic acid; the glycoside was observed in the order of niga-ichig-oside F$_1$> kaji-ichigoside F$_1$> rosmaultin, by which the biosynthetic pathway of 23-hydroxytormentic acid and its glucoside niga-ichigoside F$_1$ via the intermediates tormentic acid and/or rosamultin was presumed. It is also suggested that the ripe fruits of R. crataegifolius will be desirable to use as functional foods rather than unripe fruits.

인천시 초등학교의 급식운영 및 관리와 영양교육실태 (A Study on Food Service Administration and Nutrition Education in Elementary Schools in Inchon)

  • 천종희;최은옥;홍성야;우경자;김영아
    • 한국식생활문화학회지
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    • 제14권4호
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    • pp.417-429
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    • 1999
  • The status of general food service administration and nutrition education was investigated in 111 elementary schools located in Inchon Metropolitan Area by questionnaires. The results are as follows ; 1. Most schools served 5 lunches per week. Meal cost per capita was 1212.1 won in urban type school and 979.0 won in rural type school. Most schools(91.9%) had 1 regular dietitian and 1 regular cook. With increasing number of students the number of temporary employees increased significantly. Most school dietitians(86.5%) were in their twenties and had 2 year careers. 2. Most dietitians(90.1%) planned the menu based on the RDA with the first consideration in nutritional needs of the students. Many dietitians(81.8%) surveyed on the food preferences of the students at least once a year. About 86% of the schools had the food service committee which was helpful. Dietitians were the first one in charge of food purchasing and checking, and sometimes a manager in general school affairs worked together. One third of the schools used the volunteer parents in food services. 3. Most school dietitians(97.2%) gave the students nutrition education using handouts once a week. However, they could not teach the students through the classroom lecture because they are not the regular teachers. Food garbages were removed by the professional trash collecting company or by using fermentation machines or by giving them to animals as feeds. School events concerning the food and nutrition were mostly drawing pictures and composition. Only 36.4% of the school dietitians had experienced in nutrition counseling for an individual student. Most of them(99.1%) thought that individual counseling is necessary if they have enough time and chances to do.

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공적(公的)관리에서의 참여형 관개관리(PIM) 모델 (A Study on the Participatory Irrigation Management under Public Irrigation Management System)

  • 이성희;김태철
    • 한국농공학회논문집
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    • 제53권3호
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    • pp.13-17
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    • 2011
  • There was a transition from participatory irrigation management (PIM) to public irrigation management (PubIM) in Korea when Korea Rural corporation and Community (KRC) merged with Farm Land Improvement Associations (FLIAs), which had managed 60 % of irrigation areas. While making a number of achievements, some problems occurred in the public irrigation management, such as lack of farmers' participation, increased amount of water usage, and elevating operating costs. Accordingly, this paper suggested ways to increase efficiency in water usage and reduce operating costs under the public management through the motive power of farmers participation. First, WUGs replaced the discarded water management committee should be reorganized to revive the concept of PIM in the form of autonomously reinforced one and the roles and functions of WUGs and the board of representatives should be strengthened. The member of new type of WUGs should participate in the national and regional water management committees as a stakeholder of irrigation water user. And also new type of WUGs initiates not only the management of irrigation water but also the management of irrigation water quality and non-point source pollution in the watersheds. Those additional activities of WUGs should be properly compensated. Second, subsidies (direct payments) should be provided to faithful farmers as an incentive for their labor supply. Third, water fees could be charged to large scale agriculture companies. Fourth, professional managers could be hired, management targets would be adjusted, and incentives should be offered. These efforts are expected to improve the irrigation management by encouraging farmers' participation under public system.

인문계 중.고등학교 재학생이 비타민.무기질 보충제 복용 행동 조사 (Behaviors of Vitamin Mineral Supplement Usage by Healthy Adolescents Attending General Middle or High Schools in Korea)

  • 한지혜
    • Journal of Nutrition and Health
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    • 제33권3호
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    • pp.332-342
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    • 2000
  • Vitamin mineral supplement usage by self-prescription is popular behavior among adolescents. This study was conducted to investigate the behaviors of vitamin·mineral supplement usage and the relationship between demographic variables and supplement usage by healthy adolescents. Nine hundred seventy two boys and girls, aged 13-18 years, attending general middle or high schools were chosen from various cities and rural communities in Korea. As a result, vitamin·]mineral supplements were taken by 31.3% of subjects. Users tended to take vitamin·mineral supplements more frequently when they were healthy than when they suffered from disease. The taking period of supplements was different according to school type such as middle or high school(p<.05), sex(p<.001) and residence of subjects(p<.01). The main information source of supplements was newspaper/magazine/TV, and it was affected by sex(p<.05) and residence(p<.01). Vitamin·mineral supplements were generally recommended by their mothers instead of health professionals. The commonly cited taking reason of supplements was affected by sex(p<.01)and socioeconomic status of family(p<.05). The frequently responded effect obtained from supplement use was recovery from fatigue and it was different according to sex(p<.01). The major mentioned reason of not taking vitamin·mineral supplements by non-users was 'I eat a balanced diet'. The most frequently consumed supplements were vitamin C, followed by multi-vitamins supplements, and this pattern was different according to school type(p<.001), sex(p<.01) and residence(p<.05). These findings show that the behaviors of vitamin·mineral supplement usage by subjects are not resonable, and their supplement usage tends to be affected by demographic variables. Therefore, nutritional understanding and education that are intended to form the resonable behaviors toward vitamin·mineral supplement usage of adolescents should be provided with considering the relationship between demographic variables and supplement usage.

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제면 적성 시험을 위한 쌀국수 제조 방법 (A Rice Noodle Making Procedure for Evaluating Rice Flour Noodle-Making Potential)

  • 최수영;조준현;고봉경
    • 한국식품영양과학회지
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    • 제41권12호
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    • pp.1823-1829
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    • 2012
  • 국내에서 육종된 쌀 품종들의 제면성을 시험하기 위하여 실험실 규모의 소규모(시료 쌀가루 100 g 이하)로 실험이 가능한 표준화된 쌀국수 제조 방법을 개발하였고, 이 방법에 따라서 제조된 국수의 품질을 평가하여 제면성이 우수한 품종을 판별하였다. 쌀국수를 제조하는 두 가지 방법 가운데 압출 면은 반죽의 수분 첨가량에 비교적 예민하지 않아서 수분 첨가량 결정이 용이한 방법이었으나 세절 면은 수분 첨가량에 따라서 제조과정에서 면대 형성이 달라지므로 수분 첨가량을 가루의 수분 흡수력에 따라서 조절해야 한다. 제조방식에 따라서 국수의 물성에는 차이가 있지만 Chenmaai가 두 가지 방법 모두에서 가장 우수한 제면 적성을 나타내었다. 제면성이 우수한 품종일 경우 제분 방법에 비교적 영향을 적게 받으며 제면 방법에 관계없이 우수한 품질의 면을 만들 수 있음을 확인할 수 있었다. Chenmaai는 두 가지 제면방법에 따라서 제면하였을 때 조리 손실률이 가장 낮고 조리된 면의 탄성이 높아서 우수한 제면 적성을 나타내었다. Goamibyeo는 제면용으로 국내에서 널리 사용되고 있어 익히 잘 알려져 있으나(8,13), 초 다수성인 Chenmaai도 제면용으로 사용하면 경제성과 더불어 우수한 제면용 쌀로서 사용될 수 있을 것으로 판단된다.