• Title/Summary/Keyword: Rural population

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Performance State and Improvement Countermeasure of Primary Health Care Posts (보건진료소(保健診療所)와 업무실태(業務實態)와 개선방안(改善方案))

  • Park, Young-Hee;Kam, Sin;Han, Chang-Hyun;Cha, Byung-Jun;Kim, Tae-Woong;Gie, Jung-Aie;Kim, Byong-Guk
    • Journal of agricultural medicine and community health
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    • v.25 no.2
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    • pp.353-377
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    • 2000
  • This study was performed to investigate the performance state and improvement countermeasure of Primary Health care Posts(PHPs). The operation reports of PHPs(1996 330 PHPs, 1999 313 PHPs) located in Kyongsangbuk-Do and data collected by self-administered questionnaire survey of 280 community health practitioners(CHPs) were analyzed. The major results were as follows: Population per PHP in 1999 decreased in number compared with 1996. But population of the aged increased in number. The performance status of PHP in 1999 increased compared with 1996. A hundred forty one community health practitioners(50.4%) replied that the fiscal standing of PHP was good. Only 1.4% replied that the fiscal standing of PHP was difficult. For the degree of satisfaction in affairs, overall of community health practitioners felt proud. The degree of cooperation between PHP and public health institutions was high and the degree of cooperation of between PHP and private medical institutions was high. The degree of cooperation between PHP and Health Center was significantly different by age of CHP, the service period of CHP, and CHP's service period at present PHP. Over seventy percent of CHPs replied that they had cooperative relationship with operation council, village health workers, community organization. CHPs who drew up the paper on PHP's health activity plan were 96.4 % and only 11.4% of CHPs participated drawing up the report on the second community health plan. CHPs who grasped the blood pressure and smoking status of residents over 70% were 88.2%, 63.9% respectively and the grasp rate of blood pressure fur residents were significantly different according to age and educational level of CHP. CHPs received job education in addition continuous job education arid participated on research program in last 3 years were 27.5%, respectively. CHPs performed the return health program for residents in last 3years were 65.4%. Over 95% of CHPs replied that PHPs might be necessary and 53.9% of CHPs replied that the role of PHPs should be increased. CHPS indicated that major reasons of FHPs lockout were lack of understanding for PHP and administrative convenience, CHPs were officials in special government service governors intention of self-governing body. CHPs suggested number of population in health need such as the aged and patients with chronic disease, opinion of residents, population size, traffic situation and network in order as evaluation criteria for PHP and suggested results of health performance, degree of relationship with residents, results of medical examination anti treatment, ability for administration and affairs in order as evaluation criteria for CHP. CHPs replied that the important countermeasures for PHPs under standard were affairs improvement of PHPs and shifting of location to health weakness area in city. Over 50% of CHPs indicated that the most important thing for improvement of PHPs was affairs adjustment of CLIP. And CHPs suggested that health programs carried out in priority at PHP were management of diabetes mellitus and hypertention. home visiting health care, health care for the aged. The Affairs of BLIP should be adjusted to satisfy community health need and health programs such as management of diabetes mellitus and hypertention, home visiting health care, health care for the aged should be activated in order that PHPs become organization reflecting value system of primary health care.

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Changes of Weed Community in Lowland Rice Field in Korea (한국(韓國)의 논 잡초분포(雜草分布) 현황(現況))

  • Park, K.H.;Oh, Y.J.;Ku, Y.C.;Kim, H.D.;Sa, J.K.;Park, J.S.;Kim, H.H.;Kwon, S.J.;Shin, H.R.;Kim, S.J.;Lee, B.J.;Ko, M.S.
    • Korean Journal of Weed Science
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    • v.15 no.4
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    • pp.254-261
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    • 1995
  • The nationwide weed survey was conducted in lowland rice fields over whole country of Korea in 1992 in order to determine a change of weed community and to identify a major dominant weed species and/or problem weed. Based on morphological characteristics of weeds, population ratio of broad leaf weed was 42.6%, grasses weed-9.0%, sedges-33.4% and others were 15.0%. Annual weed was 33.4% while perennial weed was 66.6% in terms of life cycle of weeds. Meanwhile, there was different weed occurrence as affected by planting method of the rice plant. In hand transplanted paddy fields predominant weed species was Sagittaria trifolia L., Monochoria vaginalis Presl., and Aneilema japonica Kunth. In machine transplanted rice fields of infant and young rice seedling Eleocharis kuroguwai Ohwi. and S. trifolia L. were more predominant. There was high occurrence of M. vaginalis, Echinochloa crus-galli L., and Leesia japonica Makino in water seeding while E. crus-galli and Cyperus serotinus Rottb. were predominant weed species in dry seeded rice. Monoculture of the rice plant would cause to high occurrence of E. kuroguwai, S. trifolia, M. vaginalis, E. crus-galli, and Sagittaria pygmaea Miq and there was higher population of S. trifolia, S. pygmaea, M. vaginalis, E crus-galli, and E. kuroguwai in double cropping system based on rice culture. In particular, there was high different weed occurrence under different transplanting times. E. kuroguwai, S. trifolia, S. pygmaea, M. vaginalis, and C. serotinus were higher population at the transplanting of 25 May and S. trifolia, E crus-galli, C. serotinus, and M. vaginalis at 10 June and S. pygmaea, E. kuroguwai, M. vaginalis, S. trifolia, and E. crusgalli at 25 June in Korea, respectively. Autumn tillage in terms of tillage time would cause more predominant weed species such as S. trifolia, E. kuroguwai, M. vaginalis, and S. pygmaea while spring tillage was higher population of E. kuroguwai, S. trifolia, E. crusgalli, M. vaginalis, and S. pygmaea. In plain area of paddy field there was higher occurrence of E. kuroguwai, S. trifolia, M. vaginalis, E. crus-galli, and S. pygmaea and in mid-mountainous area S. trifolia, E. kuroguwai, M. vaginalis, E. crus-galli, and Ludwigia prostrate Roxb. while in mountainous area S. trifolia, M. vaginalis, Potamogeton distinctus Ben., E. kuroguwai, and E. crus-galli were. In 1992 the most ten predominant weed species at the rice field of Korea based on summed dominant ratio(SDR) were E. kuroguwai > S. trifolia > E. crus-galli > M. vaginalis > S. pygmaea > C. serotinus > L. prostrate > P. distinctus > A. japonica > Scirpus juncoides Roxb.

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Chemical Control of the Pine Gall Midges (Thecodiplosis japonensis Uchida et Inouye) ( I ) -Low-volume Foliar Spray of the Insecticides- (솔잎혹파리의 약제방제에 관한 연구 -고농도미량엽면살포-)

  • Choi S.Y.;Song Y.H.;Lee H.R.
    • Korean journal of applied entomology
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    • v.18 no.2 s.39
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    • pp.111-116
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    • 1979
  • The experiments were carried out to evaluate the effectiveness of some insecticides in the control of the pine gall midges (Thecodiplosis japonensis Uchida et Inouye) when the low-volume of the insecticides were applied by the mist foliar sprayer. The insecticides, Salithion $(24\%\;Ec)$, Omethoate $(Folimat^{(R)}\;50\%\;Ec)$, Monocrotopos $(Azodrin^{(R)}24\%\;Ec)$, Acephate $(Ortran^{(R)}\;50\%\;Wp)$, Metalkamate $(Bux^{(R)}24\%\;Ec)$. BPMC $(Bassae^{(R)}50\%\;Ec)$ and MIPC $(Mipcin\;50\%\;Wp)$ were tested with 100, 200 and 400 times of water solution on the basis of single application at the six different intervals. Salithion was the most effective for the pressure of the gall formation by the pine gall midges and Omethoate, Monocrotophos and Metalkamate were relativey effective and others no effective. The most reliable concentration of the insecticides was 100 times of water solution, and the feasible timing of insecticide application on the basis of single application would be from May 9 to July 1 with Salithion, June 6 with Metalkamate and June 20 with Omethoate and Monocrotophos. The number of pine needles with the larval injured signs (no larvae in the needles) excluded the gall-formed needles were relatively higher in the treatments of Omethoate, Salithion and Monocrotophos than other insecticides. The treatments of Omethoate, Salithion and Monocrotophos caused the lower larval population in the gall than other insecticides.

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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.

Regional Disparity of Ambulatory Health Care Utilization (시공간 분석을 이용한 외래 의료이용의 지역적 차이 분석)

  • Shin, Ho-Sung;Lee, Sue-Hyung
    • Journal of the Korean Association of Geographic Information Studies
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    • v.15 no.4
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    • pp.138-150
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    • 2012
  • The purpose of this study was to examine the regional disparity of ambulatory health care utilization considering spatio-temporal variation in South Korea during 1996-2008(precisely, in 1996, 1999, 2002, 2005, and 2008) using bayesian hierarchial spatio-temporal model. The spatial pattern uses an intrinsic gaussian conditional autoregressive (CAR) error component. Ornstein-Uhlenbeck method was applied to detect the temporal patterns. The results showed that substantial temporal-geographical variation depending on diseases exists in Korea. On the Contrary to the pattern of total outpatient utilizations, for example, the areas that chronic diseases distributed relatively high were most in rural where the proportion of elderly population was higher than in the urban. Chungcheongnam-do, Junlabuk-do, and Kyeongsangbuk-do had higher risks in hypertension, whereas arthritis was higher risk in the Kyeonggi-do, Chungcheongbuk-do, Junlanam-do, and Junlabuk-do. The results of this study suggested that the effective health intervention programmes needed to alleviate the regional variation of health care utilization. These outcomes also provided the foundation for further investigation of risk factors and interventions in these high-risk areas.

The Rice Price Support Program in the midst of Structural Change (미곡시장(米穀市場) 구조변화(構造變化)와 가격지지정책(價格支持政策))

  • Kim, Ji-hong
    • KDI Journal of Economic Policy
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    • v.12 no.3
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    • pp.3-26
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    • 1990
  • Encouraged by the investment in the rice paddy, the introduction of new varieties (Tong-Il), and the price support program, there has been great success in increasing rice production. Meanwhile, the demand for rice has decreased rapidly as per capita income continues to rise. Rice self-sufficiency has been attained, and a new over-supply problem is emerging. Moreover, the Uruguay Round Agricultural Negotiation would prohibit government price support for agricultural products. In October the Korean government decides the government purchase amount and support price, which works as the price guideline. All interested parties exert political efforts to influence the decision. The continued increase of the government purchase price of rice due to political pressure pushed the government purchase price above the market wholesale price in 1988. Also, the farmers preferred to sell to the government than to the wholesaler. This has discouraged the market mechanism, and the government is to take over the three functions of the market mechanism: stockpiling, seasonal price fluctuation adjustment, and circulation. Another big increase may cause the government purchase price to rise above the consumer price, which might lead to arbitrage opportunities for the farmers and suffocate the market mechanism. However, the current political situations limits the options for the Korean government. This paper argues that a supply control policy will reduce the social cost resulting from the high level of producer price support, and it proposes several second best policies: First, the production of new varieties should be reduced rapidly. Second, the old rice in the government warehouse should be auctioned or disposed of in order to reduce the government handling and management costs. Third, the acreage diversion program should be launched in order to control rice paddy acreage. Fourth, a social welfare program in rural areas should be introduced, since the share of population over 60 is increasing rapidly. Fifth, instead of the price support which is forbidden by the Uruguay Round, Korea should restructure the agricultural industry by developing new crops, by enhancing productivity and by improving the agricultural infrastructure.

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Risk Assessment of Groundwater Used for Washing GAP-certified Agricultural Crops after Harvest (GAP 농산물의 수확 후 처리에 사용되는 지하수의 위해성평가)

  • Kim, Hwang-Yong;Paik, Min-Kyoung;Kim, Areumnuri;Lee, Dong Gyu;Jeong, Mihye;Kim, Won-Il;Oh, Jin-A;Kim, Se-Ri;Hong, Su-Myeong
    • Journal of Food Hygiene and Safety
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    • v.34 no.6
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    • pp.551-556
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    • 2019
  • Recently, due to the fact that the mineral content in the wash water of the GAP-certified melon exceeds the GAP wash water standards, there are cases where the certification cannot be maintained. Therefore, agricultural industry demand requesting relaxation of the inorganic elements standard for water quality has been increasing, taking into account the consumption characteristics of Korean melon, which is eaten after removing the peel. This study was conducted to evaluate the human risks of four inorganic materials (fluorine, arsenic, iron and manganese) based on the water quality data of 142 samples of groundwater that was used for washing GAP-certified Korean melon in Seongju area from 2017 to 2019. As a result, the HQ of four minerals in Koreans who consumed groundwater used for washing GAP-certified Korean melons in the Seongju area was below 0.10 on average. In particular, in the case of iron and manganese which are esthetic influence substances, the average HQ was 0.00. The overexposure group showed 0.01, which was lower than the HQ (average 0.01, overexposure group 0.03) of the group that consumed Korean melon. Based on all the results, even if the groundwater of the Seongju area is used to wash GAP-certified Korean melon, the impact from these four inorganic materials, including iron and manganese, for Korean population consuming Korean melon will be minimal.

Problems on Pesticide Safe-Use and Their Counter-Measures (농약안전사용상의 문제점과 그 대책)

  • Han Ki-Hak
    • Korean journal of applied entomology
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    • v.22 no.2 s.55
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    • pp.138-146
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    • 1983
  • With the increase of pesticide consumption, not only pesticide handling population would grow greater but also the chances to be exposed to the pesticides would be also increased. Thus, safe use and handling of the pesticides are becoming more important and serious in these days. The pesticides are well known to most pepole, however there are very limited number of persons who have correct understanding of chamicals. Intoxication cases caused by pesticides have been reported very rarely through the mess media, even they were lack of scientific evidences. In this paper, problems related to pesticide manufacture, transportation, storage, sprays, and residues and their countermeasures were discussed in connection with public health and enviromental aspects. Acute intoxication cases by pesticide handling might be caused accidently either through manufacture, marketing, transportation, or spraying. Safety aspects of workers in manufacturing plants include not only exposure to toxic chemicals, but also posibilities of of explosion and brought about by pesticides and their diluents. The problems of water pollution by waste chemicals from the manufacturing factories were discussed. Packing and loading methods of pesticides for transportation are considered in safety scheme and discussions are given in association with traffic accidents. With regard to warehouse, the pesticide storage, location structure, keepers, and standing materials for emergency are concerned with safety aspects. Concerning the spraying of chemicals, there are some problems to be discussed about clothes, spray equipment, wind direction, spray period, and spray workers condition. After the spray, treatment of used containers, remainder of Pesticides, and spray tools are also discussed. For the dissolutions of problems on public health and environmental danger arising from pesticide residues, there are two legal sanctions; 'Pesticide Tolerances' and 'Pesticide Safe Use Standards'. These regulations are legally effective, however, some problems still remain in practices to implement the acts properly, because these provisions are followed by the far mers mostly. With these regards, most problems are concerned with various sectors and persons, affecting public health and environment from the producers to the end users and consumers. As a whole persons concerned with pesticides, every possible effort has to be assembled to protect hazards from the chemicals. For the foremost place, special training and education are required for managing groups; such as factory managers and agricultural extension workers who are responsible for training the factory workers and farmers. The education is the only way to solve the hazard problems caused by the pesticides.

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A Study on Role Development for Social Workers Providing Health Center-based Health and Welfare Services for the Elderly in Community (사회복지사의 보건소 노인보건복지사업 참여를 위한 사회복지사 역할개발연구)

  • Cho So-Young
    • Journal of Korean Public Health Nursing
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    • v.11 no.1
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    • pp.138-162
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    • 1997
  • This study was conducted to, develop the social workers role participating health and welfare services production of health centers The sharp increase rate on the elderly population in Korea lead the social issues as that health and social services are not developed enough to cope with the increase on the elderly's hearth care needs. The priority in the elderly's care service development should be put on public sectors. so that could prevent financial catastrophy of the elderly's care. The pulbic sector was concerned with health center services : as health center in Korea provide :mainly medical-oriented services. this study focused on to combine the existing health center's services into social services. The study method was based on needs survey with 322 patients aged over than 55 in rural area. "The needs survey include general health and disease care needs and daily life caring needs. The latter was applied with ADL and IADL with modificiation for the use of Korea environment. The findings were as follows : Social workers should be able to care diseases of muscular and skeletal. circulatory, digestive and general chronic disease in social service needs. aspect. Mostly the chronic pateints quit their care services because of shortage of finanical support$(18.3\%)$ and transportation problem$(19.5\%)$, but still prefer to be cured and cared from general hospitals. and at least clinic and health centers in community. The univisible dramatic effect. of health. care services also should be concerned and cared by xocial workers. The ADL and! IADL shown the most needs on transportation needs and problems caused by weaken legs. Mostly daily activities were supported by family members $(53.3\%\;spousers\;and\;35.0\%\;children)$, and the most demands were shown on helps for transportation visiting hospitals$(37\%)$ and getting similar care services for health care needs $(31.2\%)$ and daily hygeieal needs$(11.2\%)$ Social workers' role should include health care participation with social and health promotion approach as well as socio-economic supports: during health care receiving. Social workers also should provide social services for the elderly's daily needs solving for these are not in available family supporters.

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A Study on the Labor Change in Mountainous Villages (산촌(山村)의 노동력(勞動力) 변화(變化)에 관(關)한 연구(硏究))

  • Yo, Byoung Il;Park, Myoung Kyu
    • Journal of Korean Society of Forest Science
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    • v.45 no.1
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    • pp.37-45
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    • 1979
  • The purpose of the study was to define the labor change in the moutainous villages, So this study analyzed the mass dram of the population from the mountainous villages created by the unequal development between the first and second under the high economic development and the large difference in the income between city and rural area. The content of the study was (1) the foundation of the production in the survey area (2) labor change in the mountainous villages (3) the supply and the demand of the labor in this area. The date were collected from 118 household of 2 villages (one with a high level of brest product, and the other with a low level of forest products) in Cheon-nam Province through a questionarie. The results of the study were as follows. 1. The mass drain in the mountainous villages started in the middle of 1970's, and the rate of drain has been very rapid and accelerated. 2. The drain of the mountainous village with a low level of forest products is more than that of the mountainous village with a high level of forest products. 3. In the mountainous village with high level of forest products, the specialization in the farmer class has begun and the farmers with a side job are now increasing. 4. Generally the major drain consisted of the young class (16-30 age), and consequently it caused a change in the composition of labor power into old age and women. 5. The character of the forest labor market is how changing from closed to open.

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