• 제목/요약/키워드: Rural medicine

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전라남도 일부 농촌지역 주민의 사회심리적 스트레스와 양생수준에 관한 연구 (A Study on the Psychosocial Stress and Yangseng (Life Nurturing) Level for Residents of a Rural Area in Jeollanam-do Province)

  • 송정민;이은경;이경준;김인창;박형훈;이혜경;성선희;윤미경;이기남
    • 대한예방한의학회지
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    • 제14권2호
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    • pp.27-42
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    • 2010
  • Objectives : This study purposed to survey psychosocial stress and the yangseng level in rural residents using measuring tools, to determine the correlation of the variables with health, and to suggest directions for rural residents' health promotion based on the theories of oriental medicine. Methods : The subjects were sampled from the residents of a rural area through convenient sampling, and the data on their general characteristics, health related life habits, psychosocial stress, and yangseng level were collected using a questionnaire. Collected data were analyzed through t-test, ANOVA, and correlation test using SPSS 12.0 and the significance level was p<0.05. Results : Stress was lower in those who had a job, whose income level was high, and who had breakfast almost every day, and the yangseng level was higher in those who did exercise 3 times or more in a week regularly. In addition, the stress level was in a negative correlation with the yangseng level, and the correlation was stronger with sleeping yangseng, mind yangseng, and activity and rest yangseng. Conclusion : The results of this study suggest that vocational education, regular life habits and a certain amount of income are essential for health promotion, and measures should be prepared for stress control.

The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study

  • Kim, Mi-Ji;Seo, Sung-Hyo;Seo, Ae-Rim;Kim, Bo-Kyoung;Lee, Gyeong-Ye;Choi, Yeun-Soon;Kim, Jin-Hwan;Kim, Jang-Rak;Kang, Yune-Sik;Jeong, Baek-Geun;Park, Ki-Soo
    • Journal of Preventive Medicine and Public Health
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    • 제52권6호
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    • pp.405-415
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    • 2019
  • Objectives: The aim of this study was to evaluate the associations of frailty with perceived neighborhood walkability and environmental pollution among community-dwelling older adults in rural areas. Methods: The participants were 808 community-dwelling men and women aged 65 years and older in 2 rural towns. Comprehensive information, including demographics, socioeconomic status, grip strength, polypharmacy, perceived neighborhood environment (specifically, walkability and environmental pollution), and frailty, was collected from participants using face-to-face interviews conducted between June and August 2018. Perceived neighborhood walkability was measured using 20 items that were selected and revised from the Neighborhood Environment Walkability Scale, the Neighborhood Walkability Checklist from the National Heart Foundation of Australia, and the Physical Activity Neighborhood Environment Survey. The Kaigo-Yobo Checklist was used to assess participants' frailty. Results: The overall prevalence of frailty in this community-dwelling population was 35.5%. Sex, age, cohabitation status, educational attainment, employment status, grip strength, and polypharmacy were significantly associated with frailty. In the logistic regression analysis, frailty was associated with low perceived neighborhood walkability (adjusted odds ratio [aOR], 0.881; 95% confidence interval [CI], 0.833 to 0.932; p<0.001) and severe perceived neighborhood environmental pollution (aOR, 1.052; 95% CI, 1.017 to 1.087; p=0.003) after adjusting for sex, age, cohabitation status, educational attainment, employment status, monthly income, grip strength, and polypharmacy. Conclusions: More studies are warranted to establish causal relationships between walkability and environmental pollution and frailty.

Immunogenicity of a novel inactivated canine adenovirus type 2 variant vaccine for dogs

  • Dong-Kun Yang;Sangjin Ahn;Hye Jeong Lee;Minuk Kim;Jong-Taek Kim;Ju-Yeon Lee;Yun Sang Cho
    • Clinical and Experimental Vaccine Research
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    • 제13권3호
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    • pp.253-258
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    • 2024
  • Purpose: The immunogenicity of vaccines containing the canine adenovirus (CAdV) type 2 (CAdV-2) variant has not yet been reported. We prepared a novel inactivated CAdV-2 variant vaccine using the CAV2232-41 strain, and evaluated its safety and immunogenicity in raccoon dogs. Materials and Methods: The growth kinetics of CAV2232-41 were determined using Madin-Darby Canine Kidney (MDCK) cells. The nucleotide sequences of CAV2232 and CAV2232-41 were determined by next-generation sequencing. To generate the CAdV-2 variant vaccine, CAV2232-41 propagated in the MDCK cells was inactivated with 0.1% formaldehyde. Two vaccines were prepared by blending inactivated CAV2232-41 with Cabopol and Rehydragel adjuvants. Safety and immunogenicity of the CAV2232C and CAV2232R vaccines were evaluated in guinea pigs. Safety and immunogenicity of the CAV2232C vaccine were also evaluated in raccoon dogs. The virus neutralizing antibody (VNA) titer against CAV2232-41 was measured in sera collected from immunized guinea pigs and raccoon dogs. Results: CAV2232-41 showed the highest viral titer on days 4-6 post-inoculation and had a deletion in the E3 gene, which was confirmed as a CAdV-2 variant. Guinea pigs inoculated with CAV2232C showed slightly higher VNA titers than those inoculated with CAV2232R 2 weeks after booster vaccination. Raccoon dogs immunized with the CAV2232C vaccine developed high mean VNA titers, while non-vaccinated raccoon dogs were antibody-negative. Conclusion: The CAV2232C vaccine is safe and induces a protective VNA titer in raccoon dogs.

농촌 지역 남성들에서 혈청 Gamma-glutamyltransferase 활성도와 혈압 및 혈청 지질의 관련성 (Blood Pressure and Serum Lipids in Relation to Serum Gamma-glutamyltransferase Activity in Men of Rural Area)

  • 오명주;조병만;황인경;이상돈;정문기
    • 농촌의학ㆍ지역보건
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    • 제28권2호
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    • pp.123-133
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    • 2003
  • 농촌 지역 남성 주민들을 대상으로 혈청 GGT 활성도와 혈압 및 혈청 지질의 관련성을 검토해 보기 위하여 경상남도 내 농촌 지역인 울주군 두동면과 창녕군 장마면에 거주하는 40세 이상의 남성으로서 1997년과 2000년에 실시한 주민 건강 검진에 참여하였던 사람들 중 379명의 자료를 분석하였다. 혈청 GGT 활성도의 수준을 중앙값을 기준으로 이분하여 두군에서의 수축기및 이완기 혈압, 혈청총 콜레스테롤, HDL-콜레스테롤의 평균치를 비교하였고 중성지방은 중앙값을 비교하였으며 통계학적 유의성은 t-검정과Wilcoxon rank sum 검정을 이용하여 검토하였다. 교란변수로 작용할 가능성이 있는 연령, 신체비만지수와 커피음용에의한영향은공분산분석으로보정하였다. 수축기 혈압과 이완기 혈압은 비음주자에서 GGT 활성도 수준이 높은 경우에 더 높은 값을 보였고 통계학적 유의수준에 접근하였다(P=0.055와 P=0.074). 음주자에서도 역시GGT 활성도가 높은 경우에 더 높은 값을 보였으나 통계학적 유의성은 없었다. 혈청 총 콜레스테롤은 비음주자에서 GGT 활성도가 높은 경우에 더 높은 값을 보였으며 통계학적 유의수준에 접근하였다(P=0.052). 음주자에서는 GGT 활성도 수준에 따라 비슷한 값을 보였다. 중성지방은 비음주자와 음주자 모두에서 GGT 활성도가 높은 경우에 더 높은 값을 보였다(P=0.035와 P=0.002). 이상의 소견으로 보아 혈청 GGT 활성도의 증가는 비음주자에서 혈청 중성지방, 총 콜레스테롤 및 혈압의 상승과 관련성이 있음을 암시한다.

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농촌지역 여성들의 무릎 골관절염 유병률 및 관련요인 (Prevalence and Related Factors of Knee Osteoarthritis in Rural Woman)

  • 강복수;김석범;이경수;윤성호
    • Journal of Preventive Medicine and Public Health
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    • 제34권4호
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    • pp.331-336
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    • 2001
  • Objectives : To assess the prevalence of knee osteoarthritis through proper diagnosis in a rural community and to elucidate the relevant factors of this health problem in order to develop educational methods for the prevention of female knee osteoarthritis as well to provide basic data for prospective research. Methods : Over a period of three months starting from August, 2000, 432 women over the age of 40 and living in a rural area were selected by a multistage cluster sampling method in order to investigate the prevalence of knee osteoarthritis and the related factors. The study utilized interviews and radiological examination. The criteria of knee osteoarthritis used was the American College of Rheumatology classification criteria for osteoarthritis of the knee(1995). Results : The adjusted prevalence of knee osteoarthritis among the subjects was 55.0%, and multiple logistic regression analysis showed that the odds ratio(OR) of knee osteoarthritis among subjects 50-59 years of age and subjects older than 60 years of age as compared to subjects 40-49 years of age were 2.43(95% CI: 1.30-4.70) and 4.40(95% CI: 2.47-7.83), respectively. The OR of knee osteoarthritis among factory workers or farmers as compared to others was 1.79(95% CI: 1.03-3.12). The OR of knee osteoarthritis among subjects who had a family history and subjects who had knee injury or surgical history against those subjects had neither were 2.56(95% CI: 1.42-4.03) and 4.70(95% CI:1.45-15.19), respectively. The OR of knee osteoarthritis among smokers against non smokers was 0.47(95% CI: 0.22-0.97). Conclusions : Related factors of knee osteoarthritis included age, occupation, family history, smoking, knee injury and history of surgery In order to prevent knee osteoarthritis in high risked rural woman, education concerning self-care methods and safety guideline must be provided at the work place by the public and private health sectors. Additionally, these women should be continually encouraged to exercise, including jogging and swimming regularly.

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Unsafe Disposal of Child Faeces: A Community-based Study in a Rural Block in West Bengal, India

  • PS, Preeti;Sahoo, Sanjaya Kumar;Biswas, Dhiraj;Dasgupta, Aparajita
    • Journal of Preventive Medicine and Public Health
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    • 제49권5호
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    • pp.323-328
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    • 2016
  • Objectives: A clean India is the responsibility of all Indians. One of the objectives of the Swachh Bharat Abhiyan (Clean India Initiative) is to bring about behavioural changes regarding healthy sanitation practices. While large-scale programs in India have increased latrine coverage, they have to some extent failed to bring behavioural changes ensuring optimal latrine use, including the safe disposal of child faeces, which is a significant source of exposure to faecal pathogens. Hence, this study was done to explore child faeces disposal practices in rural West Bengal and to elicit the determinants of unhygienic faeces disposal. Methods: Data collection was done using an interview method among the mothers of 502 under-5 children, following a pre-designed, semi-structured schedule during house-to-house visits in a set of villages in the Hooghly district of West Bengal. Results: The prevalence of unsafe disposal of child faeces was 72.4%, and maternal education, per capita income, and water source were found to be significantly associated with unsafe child faeces disposal. Conclusions: This study draws attention to the unsafe disposal of child faeces in this area of India and raises questions about the efficiency of sanitation campaigns in rural India that focus on expanding coverage rather than emphasizing behavioural changes, which are crucial to ensure the safe disposal of child faeces. Thus, it is urgently necessary to strengthen efforts focusing on behavioural changes regarding the safe disposal of child faeces in order to minimise adverse health outcomes.

포도재배 농업인의 근골격계 증상 관련 인간공학적 위험요인 (Ergonomic risk factors related to musculoskeletal symptoms in the vineyard workers)

  • 이용호;이재훈;이경숙;김경란;이수진
    • 한국산업보건학회지
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    • 제18권2호
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    • pp.122-132
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    • 2008
  • The purpose of this study is to present the basic materials of a developmental counterplan by assessing prevalence of musculoskeletal symptoms and characteristics of work-related ergonomic risk factors. The prevalence of musculoskeletal symptoms of 64 vineyard workers was investigated by using a self-reported questionnaire. And the vineyard workers' tasks were also collected and analyzed during 9-month period by observing and videotaping methods to identify the ergonomic risk factors. The prevalence rate of musculoskeletal symptoms of female(84.4%) was much higher than that of male(62.5%) and a total prevalence rate was 73.4%. There was no different prevalence of musculoskeletal symptoms between age over 60 years and under 60 years. The prevalence rates of musculoskeletal complaints for each body part were 48.4%, 42.2%, and 35.9% for the wrist, legs/knee, and shoulder, respectively. In postural risk analysis, 7 works(REBA score) represented the high risk tasks such as delivering harvest boxed(12), picking cluster(11) and so on. The main works(exposure score) were orderly ranked as picking cluster(1590), pruning branch(388), and cluster thinning(327). The risk factors of vineyard work were identified as follows: shoulder flexion(${\geq}45^{\circ}$), wrist Flex./Ext.(${\geq}15^{\circ}$), hand force(power/pinch-grip), and prolonged standing(${\geq}4hr$). The engineering solutions including an improvement of hand tools, working process, and working environment should be applied to the high risky tasks in order to resolve the ergonomic problems. The administrative solutions such as improving a distribution of resting time, an exercise cure, an early recognition of symptoms and rehabilitation might be another solution for reducing musculoskeletal symptoms in vineyard workers.

Pathological observations on diseased cockerels in rural areas of Bangladesh

  • Ehsan Md-Aminul;Rahman Md-Siddiqur;Baek Byeong-Kirl;Kim Byeong-Su;Chae Joon-Seok;Eo Seong-Kug;Lee John-Hwa
    • 한국동물위생학회지
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    • 제27권4호
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    • pp.371-378
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    • 2004
  • The poultry farmers of rural area in Bangladesh usually prefer raising cockerel to broiler due to availability, low price of chicks, requirement of less space and feed, and high price of meat and the farmers believe that the cockerels are less susceptible to diseases in comparison to broilers. This study was carried out to observe the pathology of diseased cockerel in 3 farms of rural area in Bangladesh. A total of 974 birds were examined and the diagnoses of different disease/conditions were based on the history, clinical signs, characteristic gross, tissue alterations, clinical pathology and isolation and identification of the pathogenic organisms. The diseases in this study included infectious bursal disease, yolk sac infection, vitamin E deficiency, coccidiosis, and other diseases. The proportionate mortality rate were $7.29\%,\;0.62\%,\;0.72\%,\;0.21\%\;and\;0.10\%$, respectively, which indicated that most of the fatal causes of death were due to infectious bursal disease. Age group of 2-8 week old were the most susceptible to this disease and E coli was suggested as a cause of yolk sac infection. The data also suggested that the coccidiosis in rural areas of Bangladesh has decreased due to awareness of the farmers and routine use of coccidiostates.