• Journal of Preventive Medicine and Public Health
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• 제12권1호
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• pp.13-23
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• 1979

A study was carried out from October 1977 to September 1978 in order to develope health care delively system which will meet to rural area in Korea. For the study objective a model of health care delivery system of Myun (township) area was developed which is adopted the net-work of village health voluntary worker who will play the role of bridge for communication related with health and illness between families or village people and health subcenter, and :he model health care delivery system net-work was set in the area of Soodong Myun, Yangju Gun. which is the rural health demonstration area of Ewha Womans University since 1972. The activities and attitude of 22 village health voluntary workers were observed and analized. during the study period. The results are as follows; 1. For the field activities of village health voluntary workers. a guide line which is described with specific behavioral objectives was developed and used for not only training of the workers but also evaluation of their field activities. 2. During the study period, the number of 971 village people were served primary health care service by village health voluntary worker and the service was classified largely into symptomatic medications (92%) and preventive measures (8%). 3. Comparative percentage of the number of 894 symptomatic cases cared by village health voluntary workers to 5,695 cases of patient treated by Soodong Health Subcenter during the same period was 15.7%. 4. Annual utility rate of village health voluntary worker by Myun total people was 16.1% but utility rate by Rie was varied from 38.2% to 2.8% which shown there were considerable differences in each Rie. In order to settle the village health care service, the obstructive factors of utility should be detected and their counter measure must be taken. 5. As the health need of village people increases, it is expected that the supplement of drug excluding present sit basic drugs is inevitable, but considering the ability of village health voluntary worker, the selection of additional drugs and education, plan should be carefully studied. 6. It is desirable that a financial resource for supplementary purchase of first aid kit, drugs and materials whould be alloted from village public fund like Saemaeul Women's Club fund, which has already practiced in a few villages in the study area. 7. As pointed out by village health voluntary workers, in order to improve the village health, village leaders should be in the center of it and the cooperation of whole village people is a core of healthful village development, and it is reasonable that the health subcenter backs up these voluntary health activities by village people in techniques. 8. It seems effective that a supplementary education for village health voluntary worker be accomplished by a planned education through regular meetings like worker's monthly meeting and irregular post guide when Myun Health Workers can handle the problems found during the round trip of villages. 9. It is desirable that village health voluntary workers, who are recommended by a civil voluntary organization like Saemael Woman's Club, are charged by natural villagc unit, are given a function of village health care service and used through basic education at health subcenter. 10. It is advisable that the village health voluntary worker's service is compensated not by a form of money, but by other way such as an exemption of medical fee of worker herself or her families in health subcenter can be one method. 11. Daily health activities of each village health voluntary worker should be reported to health subcenter by biweekly or monthly in order to get not only for basic data of the program but also for evaluation the program. It is recomandable that the report form should be simple and clear enough for village health voluntary worker to fill it effectively. 12. Village health care service should be developed into a Saemaeul Movement in which village people actively participate. For this, the appointed function of village health voluntary worker should be absorbed into those of living Environment Betterment Section or Family Planning Section of Saemaeul Women's Club or it is desirable that establish a new section, Village Health Promoting Section and make it involve the appointed functions of those sections mentioned above.

• Parasites, Hosts and Diseases
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• 제51권6호
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• pp.727-733
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• 2013

Despite the existence of effective anthelmintics, parasitic infections remain a major public health problem in Southeast Asia, including Thailand. In rural communities, continuing infection is often reinforced by dietary habits that have a strong cultural basis and by poor personal hygiene and sanitation. This study presents a survey of the prevalence of intestinal parasitic infections among the people in rural Thailand. The community-based cross-sectional study was conducted in villages in Khon Kaen Province, northeastern Thailand, from July to August 2013. A total of 253 stool samples from 102 males and 140 females, aged 2-80 years, were prepared using formalin-ethyl acetate concentration methods and examined using light microscopy. Ninety-four individuals (37.2%) were infected with 1 or more parasite species. Presence of parasitic infection was significantly correlated with gender (P=0.001); nearly half of males in this survey (49.0%) were infected. Older people had a higher prevalence than younger members of the population. The most common parasite found was Opisthorchis viverrini (26.9%), followed by Strongyloides stercoralis (9.5%), Taenia spp. (1.6%), echinostomes (0.4%), and hookworms (0.4%). The prevalence of intestinal protozoa was Blastocystis hominis 1.6%, Entamoeba histolytica 0.8%, Entamoeba coli 0.8%, Balantidium coli 0.4%, Iodamoeba b$\ddot{u}$tschlii 0.4%, and Sarcocystis hominis 0.4%. Co-infections of various helminths and protozoa were present in 15.9% of the people. The present results show that the prevalence of parasitic infections in this region is still high. Proactive education about dietary habits, personal hygiene, and sanitation should be provided to the people in this community to reduce the prevalence of intestinal parasite infections. Moreover, development of policies and programs to control parasites is needed.

• 농촌지도와개발
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• 제20권2호
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• pp.407-429
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• 2013

농산어촌지역은 전체국토의 80%이상을 차지하고 있으나 대부분 낙후되고 생활환경이 불편하여 청년층의 도시로 이동 및 고령화로 인구가 감소하여 마을 공동화현상은 물론 지역사회의 침체가 가중되고 있다. 이 연구는 농산어촌지역 중하나인 충청남도 부여군 외산면 면소재지를 대상으로 면소재지 종합정비사업에 있어서 단순한 거점기능강화를 위한 계획이 아닌 지역특성을 고려한 복합적 개발계획의 방법론을 제시하였다. 읍면소재지 기능강화 측면에서 하드웨어 중심의 계획수립이 불가피하나, 대상지역 주민의 역량강화 역시 중요한 요소로 작용한다. 즉, 계획에 의해 추진된 각 사업은 지역주민이 중심이 되어 운영될 것이므로, 이에 대한 관리체계 확립이 필요하다. 수립된 계획의 성패는 대상지역에 대한 현안와 수요에 대한 정확한 조사가 바탕이 되며, 이는 대상지역 주민들의 참여와 호응에 달려있다. 즉, 계획수립지역의 주민참여효과를 높이기 위하여 '지역주민 연결망'분석과 같은 방안이 필요하다.

• 농촌계획
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• 제24권4호
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• pp.121-134
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• 2018

By using the raw data of the 2015 Agriculture, Forestry and Fishery Consensus that surveyed the farmers engaged in agriculture, forestry and fishery in 2015, this study investigated the effects of the characteristics of the farms in Gangwon-do on the utilization of the digital devices, which was classified into computers usage only, smartphones usage only, both computers and smartphones usage, and no digital device usage. This study used the Multinomial Logit Model for the above purpose. Moreover, the IIA(Independence of Irrelevant Alternatives) method of the Multinomial Logit Model was analyzed to be suitable. Upon the result of the analysis, when all the other variables were constant in the average, the probability of choosing both computers and smartphones increased by 0.02% as the family member living together with the farm owner increased by 1 person. In addition, the farms with agricultural machineries have 0.03% increased probability of using smartphones to sell their agricultural products, when compared with the farms without agricultural machinery. Moreover, for the farms with high sales profit of the agricultural products, the probability of using computers and the probability of using smartphones increased by 0.04% and 0.01%, respectively, and the probability of using both computers and smartphones increased by 0.02%. On the other hand, for the farms affiliated with the agricultural organization, the probability of using both computers and smartphones increased by 0.17%, and the probability of using only smartphones and the probability of using only computers increased by 0.16% and 0.15%, respectively. In case of selling to the National Agricultural Cooperative Federation(NACF), the probability of using smartphones increased by 0.11% if all other variables were to be constant in the average. In particular, the farms participating in the agriculture-related industries have 1.09% increased probability of using computers, have 0.92% increased probability of using smartphones, and 0.85% increased probability of using both computers and smartphones. Therefore, the implications suggested based on the results of the analysis are as follows. First, the farms' choices of the digital devices are made independently. Hence, the future agricultural industry business platform establishment should necessarily consider the types of farms' choices of the digital devices in the future. Second, since the usage of digital devices has a generally positive influence on the farm household income, digital education to improve farmers' ability to use the digital devices should be urgently provided in order to improve the farm household income in the farms in Gangwon-do. Third, because the digital devices used to sell agricultural products differ depending on the age of the farm owner, it would be desirable to target the younger generation of the farm owners rather than establishing the agricultural industry business platform for the farms in the aged farm villages. Fourth, it would be advisable for the future agricultural business platform to consider the characteristics of agricultural products sales source.

• 농촌의학ㆍ지역보건
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• 제46권1호
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• pp.23-31
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• 2021

노쇠(frailty)와 근감소증(sarcopenia)은 최근 노인건강 관리에 중요한 개념이다. 근감소증은 노쇠에 영향을 주는 가장 대표적인 요인이고, 운동, 영양수준 등이 근감소증에 영향을 주는 것으로 알려져 있다. 이 연구에서는 특히 영양 수준과 근감소증, 노쇠와의 연관성을 파악하는 것을 목적으로 두었다. 연구 대상자는 경남 10개 마을 65세 이상 노인 411명으로, 성별, 연령, 학력, 동거인 유무와 같은 사회인구학적 변수를 조사하고, GDS-SF로 우울감, K-FRAIL로 노쇠, 한국판 SARC-F로 근감소증, DETERMINE으로 영양 수준을 평가하였다. 연구결과, 단순분석에서는 영양 수준과 노쇠, 근감소증 의심과는 유의한 관련이 있었다.(p<0.001) 그리고, 성별, 동거인 유무, 연령, 학력, 우울감을 보정했을 때 영양 수준은 노쇠, 근감소증 각각과 유의한 관련성을 가졌고(p<0.001), 근감소증을 보정하였을 때도 노쇠와 유의한 관련성을 가졌다.(p<0.001) 더하여, 근감소증 역시 노쇠와 유의한 관련성을 가지는 것으로 나타났다.(p<0.001) 영양 수준은 노쇠에 직접적인 영향과 근감소증을 통한 간접적 영향 모두 미칠 수 있고, 근감소증 역시 노쇠에 영향을 미치는 것으로 파악되었다. 따라서 노인들에게 근감소증과 영양 수준을 평가하고 적절한 개입을 하는 것이 필요하다.

• 한국농촌건축학회논문집
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• 제24권4호
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• pp.85-95
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• 2022

This study is about the story of 'Saemi', existing in the Sacheon Alluvial fan area. Saemi is a local word for Dumbeong, which is the traditional water irrigation facilities in this area that could be formed according to the geographical characteristics of a Alluvial fan site. In the meantime, although Saemi has been an important source of water, related research has been mainly done from an ecological point of view. Accordingly, the researcher paid attention to the functional aspects of Saemi itself, grasped its location, distribution status, and usage including the construction method, and considered its intrinsic value through classification and characteristic analysis of Saemi. As a result of five field surveys from September 2021 to October 2022, 129 Saemies remained in the Sacheon alluvial fan area. According to the structure and shape, Saemi could be divided into basic type, complex type, and buried type. The basic type was subdivided into bucket-type and stairs-type along with the complex type, and the buried type was subdivided into all buried-type and some buried-type. Saemies were mainly distributed at the distal end of the Sacheon alluvial fan site, individual Saemies were built on farmland, and common Saemies were usually built along roadsides adjacent to villages. The reason why the Saemies are concentrated at the distal end is the geographical characteristics of the alluvial fan where the water underflows. Saemi was an important multifunctional water supply source equivalent to the main water source for people at the distal end of the pond who did not receive a stable supply of water from the reservoir. Saemi was at the center of the underground water irrigation network agricultural system in the Sacheon alluvial fan area according to the principles of 'bbaeim(drop out)' and 'gaepim(pooling)' It has provided a foundation for establishing itself as an appropriate technology in this area. Such Saemi contributed to the rural landscape and agricultural biodiversity through its own system and served as a public interest function. It is necessary to know, conserve, manage, and continuously utilize the value of this Saemi as an agricultural heritage.

• Asian Pacific Journal of Cancer Prevention
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• 제17권2호
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• pp.719-722
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• 2016

Background: Cholangiocarcinoma (CCA) is a serious health problem in Thailand, particularly in northeastern and northern regions, but epidemiological studies are scarce and the spatial distribution of CCA remains to be determined. A database for the population at risk is required for monitoring, surveillance and organization of home health care. This study aim was to geo-visually display the distribution of CCA in northeast Thailand, using a geographic information system and Google Earth. Materials and Methods: A cross-sectional survey was carried out in 9 sub-districts and 133 villages in Chum Phuang district, Nakhon Ratchasima province during June and October 2015. Data on demography, and the population at risk for CCA were combined with the points of villages, sub-district boundaries, district boundaries, and points of hospitals in districts, then fed into a geographical information system. After the conversion, all of the data were imported into Google Earth for geo-visualization. Results: A total of 11,960 from 83,096 population were included in this study. Females and male were 52.5%, and 47.8%, the age group 41-50 years old 33.3%. Individual risk for CCA was identifed and classified by using the Korat CCA verbal screening test as low (92.8%), followed by high risk (6.74%), and no (0.49%), respectively. Gender ($X^2$-test=1143.63, p-value= 0.001), age group ($X^2$-test==211.36, p-value=0.0001), and sub-district ($X^2$-test=1471.858, p-value=0.0001) were significantly associated with CCA risk. Spatial distribution of the population at risk for CCA in Chum Phuang district was viewed with Google Earth. Geo-visual display followed Layer 1: District, Layer 2: Sub-district, Layer 3: Number of low risk in village, Layer 4: Number of high risk in village, and Layer 5: Hospital in Chum Phuang District and their related catchment areas. Conclusions: We present the first risk geo-visual display of CCA in this rural community, which is important for spatial targeting of control efforts. Risk appears to be strongly associated with gender, age group, and sub-district. Therefor, spatial distribution is suitable for the use in the further monitoring, surveillance, and home health care for CCA.

• 한국조경학회지
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• 제47권6호
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• pp.37-44
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• 2019

본 연구의 목적은 금산군에 위치한 마을습지 분포를 파악하고, 선행 연구된 서천군 마을습지와의 지형특성에 따른 마을습지 분포현황을 비교하는 것이었다. Arc-GIS(v10.1)를 이용하여 지형, 수문, 습지 코드를 추출하여 마을습지 가능지 607개소가 도출되었고, 위성영상, 항공사진, 지형도, 한국토지정보시스템(KLIS), 토지이용도, 토지피복도(중분류), 토지이용현황도 등을 바탕으로 실내 판별작업 결과, 192개소가 도출되었다. 192개소를 대상으로 현지답사와 실내판별 작업을 통해 123개소의 최종 마을습지가 도출되었으며, 금산군 마을습지와 생태환경이 다른 서천군의 마을습지와 분포특성을 비교해 보았을 때 내륙산지지역인 금산군 소규모 마을습지 분포 특성은 해안평야지역인 서천군에 비해 면적은 60%이상 넓음에도 마을습지 가능지는 큰 차이가 없었으며, 최종 판별된 마을습지는 오히려 훨씬 적은 2/3 수준에 불과한 것으로 확인되었다. 소규모 마을습지는 생태적 중요성에도 불구하고, 관리의 사각지대로서 급격히 사라지고 있어 종합적이고 체계적인 관리를 위해서는 마을습지의 기능과 보전가치 등의 평가와 더불어 마을습지 분포, 생태적 기능, 보전가치 평가 등을 종합한 마을습지 DB구축 및 관리가 중요하다. 일상생활을 통해 지역 생태계의 생태적 질을 향상하고, 지역주민과 탐방객에게 양질의 생태계 서비스 혜택을 제공하기 위해서는 마을습지의 보전과 조성으로 양적 질적 확대를 도모하여 생태네트워크를 구축하는 것도 중요하다. 아울러 후속연구로서 마을습지 입지별 유형별 규모별 관리전략과 현명한 이용전략 수립 연구가 필요하다. 마지막으로 본 연구 성과는 지역의 생태계 서비스 평가를 위한 기초자료는 물론 생태자연도 및 국토환경성평가도 등 토지의 생태적 가치를 평가하기 위한 근거로 활용할 수 있을 것이다.

• 한국환경보건학회지
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• 제5권1호
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• pp.76-85
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• 1978

This survey was undertaken for the period seven month beginning January 15, 1977 and ending July 31, 1977 to detect the general sanitary status of the villages and the villagers and, at the same time, analyse quality of water sources with emphasis on a total of 1,256 households dividing into three different groups: such as, 280 households were selected as random samples from the area of the sophisticated piped water supply system, 122 households from the area of the simplified water supply system and finally 854 households from the area of nonpi-ped water supply system. The following results were concluded after quality of water sources had been analysed and conditions of the environmental sanitation had been reviewed: 1. 11.2% of the respondents from the area of the sophisticated piped water supply system responded that quantity of drinking water lacked to meet their demand while 30.6% of the villagers from the area of nonpi-ped water supply system responded quantity of drinking water didn't meet their demand. 2. 30.8% of the.respondents from the area of the sophisticated water supply system responded that contaminating source located within 15 meters from the water source while 54.4% of the respondents from the non-piped water supply system claimed the same. 3. It was found that water from all sampling areas were positive in coliform group with exception of Moonsan which is one of the sophisticated piped water supply system groups and the number of general bacteria exceeded the government standard criteria of water quality in the area of the nonpi-ped water supply system. 4. In relation with time requirement to draw water in the area of non-piped water supply system, 76 respondents claimed it requires less than 15 minutes to draw water, 15.0% claimed 15 to 30 minutes and 9.0% claimed more than 30 minutes. 5. In relation with knowledge on sanitation of drinking water, 30.8% of respondents from the area of the sophisticated piped water supply system and 41.8% of respondents from the area of nonpiped water supply system denied possible existence of germ in drinking water they drink, while 17.4% of the respondents from the area of the sophisticated water supply system and 50.2% of non-peped water supply system thought it safe to drink water without any treatment. 6. 60.0% of the respondents from the area of non-piped water supply system and many of them believed that their health status will be improved by installation of a sophisticated water supply system in their area. 7. The respondents from the areas of piped water supply sytem expressed greater concern over drinking water sanitation than those from the areas of non-piped water supply system and sanitary conditions were found the same. It was, therefore, proved that knowledge of environmnntal sanitation contributed a great deal to improve sanitary conditions of the villages and villagers and at the same time health education, especially environmental sanitation, will be played a important role to improve their sanitary conditions.

• 한국산학기술학회논문지
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• 제12권2호
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• pp.813-820
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• 2011

본 연구는 건강도시 지자체를 대상으로 국내 생활터 중심의 건강증진사업 사례들을 살펴봄으로써 국내 건강증진사업의 성공적인 확산을 위한 기초자료를 제공하고자 실시되었다. 2008년부터 2010년까지 국내 건강도시에서 실시한 생활터 중심 건강증진사업 자료, 건강도시 현황자료, 보고서, 논문, 워크숍 및 심포지엄 자료집 등 관련 이차자료를 수집하고 전문가 회의를 통해 시사점을 도출하였다. 2008년 수행한 건강도시 총 사업 중 건강한 생활터 사업은 27개 사업(14.7%), 2009년의 경우에는 42개(21.8%)였다. 생활터 종류를 살펴보면 2008년에는 마을과 학교가 각각 6개(22.2%)로 가장 많았다. 2009년에는 학교 12개(28.6%), 아파트 8개(19.0%), 마을 6개(14.3%), 어린이집 5개(11.9%), 직장 및 경로당이 각각 4개(9.5%), 시장 3개(7.1%)의 순이었다. 대도시 지역의 경우 학교, 아파트를 중심으로 생활터 접근을 하고 있고, 농촌 지역의 경우 마을이나 경로당을 중심으로 생활터 접근을 하고 있다. 국내 생활터 중심의 건강증진사업 사례를 건강증진학교, 건강한 작업장, 건강마을과 건강한 아파트, 건강증진병원, 건강한 시장, 건강경로당을 중심으로 살펴보았다. 생활터 중심의 건강증진사업을 지속적으로 하기 위해서는 '생활터'와 '건강증진'에 대한 인식을 바꾸고 이를 위해 생활터가 건강한 도시(지역사회)를 만들기 위한 중요한 역할을 할 수 있도록 노력하여야 할 것이다.