• Journal of agricultural medicine and community health
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• v.7 no.1
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• pp.57-65
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• 1982

A special law on health care for rural areas was enacted, as of Dec. 31, 1980, in order to provide effective health care service in rural areas through the primary health care approach. The implementation of the PHC developed the CHP(Community Health Practitioner) and provided the training program lasted 24 weeks. The qualification of CHP is a registered nurses or midwivies. This study was conducted in order to analyze the characteristics of trainees of CHP and training environments. The data was collected from personal questionnaire by means of mailing. Respondent was 338 out of 356 trainees. The summary of the findings are as follows : 1) The 38.0% out of trainees is 25-29 years of age (minimum : 20, maximum 55, mean : 30.3). 2) The 59.0% of respondent come from county area and the 52.5% are married. 3) The 61.0% didn't receive any in-service education. 4) In their experience related to health care service, the 29.8% of them experienced during 4 year 6 year and the 50.8% of the holders in experience was engaged in clinical field. 5) As to motivation of application of CHP, the 55.1% respond to "Independently workable" and the 35.1% respond to "Worthwhile". 6) The 45.1% got any information sources on CHP from Newsletter of KNA. 7) The 46.8% of respondent showed that instructor had utilized both teaching materials and reference book. 8) During the training, the 49.4% stayed at own house but the 35.0% stayed with lodgings and flat. 9) The 52.8% of trainees comment on very short of living allowance. 10) The 19.3% of respondent is willing to serve as CHP for ten years or more, but the 42.1% respond to serve for obligation namely 2 years. This study result could be utilized as a basic data for improving the CHP training program and management of the CHP's field activity in the future.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.3
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• pp.1083-1088
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• 2016

Background: Cervical cancer is the second commonest cancer among Indian women and its association with human papilloma virus (HPV) is well established. This preventable cancer accounts for the maximum number of cancer related deaths among rural Indian women. Unlike in developed countries there are no organized cervical cancer screening programmes in India due to lack of resources and manpower. Objective: To detect genital HPV infection using urine samples among asymptomatic rural women in the age group of 18-65 years. Materials and Methods: The study area chosen was Perdoor village in Udupi Taluk, Karnataka State and all the women in the age group of 18-65 years formed the study cohort. A cross sectional study was conducted by house visits and 1,305 women were enrolled in the study. After taking written informed consent a data sheet was filled and early stream random urine samples were collected, transported to a laboratory at 4OC and aliquoted. Samples were tested using nested HPV PCR with PGMY09/11 and GP5+/6+ primers. Positive cases were genotyped by sequence analysis. Results: Study participants included 1,134 sexually active and 171 unmarried women with a mean age at marriage of 22.1 (SD=3.9) years. Study area showed high female literacy rate of 86.6%. Five urine samples tested positive for HPV DNA (0.4%). Conclusions: We found very low genital HPV infection rate among women from monogamous community. This is the first major population based study carried out among asymptomatic rural women to detect genital HPV infectio from Karnataka using urine samples.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.10
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• pp.5189-5193
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• 2012

Kemerovo is an industrial region of the Russian Federation characterized by highly developed mining, chemical, metallurgical and power industries. Many of the factories were closed down due to the socioeconomical crisis in the early 90's, and economic potential of the survivors has also decreased significantly. Paradoxically, this has led to the improvement of the ecological situation in the region and elimination of exposure to many chemical carcinogens. This factor, in combination with the improvement of oncological care, might be expected to have lead to a decline of cancer incidence and mortality in the region. To assess trends of cancer incidence and mortality in Kemerovo Region, we therefore carried out an analysis of relevant epidemiological data during 1991-2010. In fact, a significant increase of cancer incidence overall was revealed during 2001-2010. Male cancer incidence was significantly higher than female cancer incidence. Regarding gastric cancer incidence, statistically significant differences during 2001-2010 were found only for men, and male incidence exceeded female incidence. Concerning colorectal cancer incidence, it was lower during 2001-2005 and 2006-2010 as compared to the period of 1991-1996. Lung cancer incidence was significantly higher during 1991-2000 compared to 2001-2010. Among urban populations, cancer incidence was higher in comparison with rural population, but a gradual steady convergence of trends of cancer incidence among urban and rural populations was noted. Lung cancer, breast cancer, colorectal cancer, non-melanoma skin cancer, and gastric cancer are the most prevalent cancer forms in Kemerovo Region. There were no differences in cancer mortality between 2001-2005 and 2006-2010; however, male cancer mortality exceeded female cancer mortality. A similar situation was observed for gastric cancer, colorectal cancer, and lung cancer. Cancer mortality among urban populations exceeded mortality among rural population, for both genders. We suggest that these data can be used for development of modern programs of cancer prevention and early diagnostics in industrial regions of Siberia.

• Journal of Korean Academy of Nursing
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• v.35 no.7
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• pp.1285-1294
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• 2005

Purpose: This study was done to evaluate the predictive value of aspects of the Transtheoretical model (TTM) of behavior change as applied to smoking cessation in a rural population. Method: A convenience sample was recruited from a public health center in a community. A total of 484 participants were recruited, including 319 smokers, 116 ex-smokers and 49 non-smokers. A cross-sectional and descriptive design was used in this study. Data was analyzed using descriptive statistics, frequency statistics, ANOVA and Logistic regression. Result: The major findings were 1) The participants were assessed at baseline for their current Stage of Change resulting in a distribution with $42.1\%$ in Precontemplation, $24.1\%$ in Contemplation, $9.7\%$ in Preparation, $6.2\%$ in Active, and $17.9\%$ in the Maintenance stage. 2) There were statistically significant differences of processes of change, decisional balance and situational temptation across the stages of change. 3) The main factors that affect smoking cessation were age, number of years smoking, age when began smoking, self-liberation and negative/affective situations, which combined explained $33.2\%$ of the smoking cessation. Conclusion: TTM variables measured prior to a smoking cessation program added little predictive value for cessation outcome beyond that explained by demographic and smoking history variables.

• Korean Journal of Legislative Studies
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• v.24 no.1
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• pp.241-276
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• 2018

This article measures equal weighted voting to evaluate the fairness of a redistricting system operated in the $4^{th}$ to the $6^{th}$ metropolitan council elections using a new index. The cosine square index using in the article would be useful on what we see the ratio of the equality of population among metropolitan regions and the fairness of the whole electoral system, along with its simple calculation. The results of the fairness of the $4^{th}$ to the $6^{th}$ metropolitan council elections calculated by the cosine square index are as follow: Because the $4^{th}$ metropolitan council election uniformly elects two members for each electoral district regardless of the size of the population, it has a low equality of population between districts. But as a result of the decision of the Constitutional Court in 2007, standard of population variation in electoral district has been strengthened to 4 : 1 from the $5^{th}$ metropolitan council election. It increases significantly equality of population between districts from the $5^{th}$ metropolitan council election. But in the elections from the $4^{th}$ to the $6^{th}$ metropolitan council elections, Rural electoral districts continuously show the lowest equality of population between districts. It also shows the growing disparity between urban and rural areas as well as between capital and non-capital. This paper emphasizes that electoral apportionment in local council elections should reflect regional diversity and community identity.

• Journal of Korean Society of Rural Planning
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• v.22 no.4
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• pp.1-11
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• 2016

Public transportation is public service that is contributed to the convenience of the public. However, opportunity for public services in rural areas is weaker than the chance in urban areas. The purpose of this study is to evaluate accessibility of various public facilities using public transportation. To evaluate the accessibility, we calculate the various time from community center to the nearest bus stop, walking time, riding time in bus, and waiting time for transfer. The results of this study ares as follows; (1) Villages occupy 19.8% in rural areas that walking time from community center to the nearest bus stop takes over 10 minutes in integrated Chungju-si; (2) The average speed is 21.9 km/hr estimated to departure and arrival time of bus route; (3) The accessibility time from community center using the average bus speed takes 15.43 minutes to public facilities, 35.15 minutes to emergency center, 8.70 minutes to medical center, 9.70 minutes to elementary school, 16.26 minutes to middle school, and 22.61 minutes high school; (4) The transfer time of public transportation takes 13.46, 21.96, 10.48, 7.78, 11.11, 16.10 minutes to public facilities, emergency center, medical center, elementary school, middle school, and high school, respectively; (4) Traffic accessibility using bus vehicles in the East and South Chungju-si is lower than areas in the West and North Chungju-si. Some villages surrounding public offices (eup-myeon office) which have a high density of population, indicate a high traffic accessibility.

• Journal of Preventive Medicine and Public Health
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• v.29 no.3 s.54
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• pp.483-494
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• 1996

The objectives of this study are to estimate the prevalence of diabetes mellitus (DM) and to identify risk factors associated with fasting blood sugar in a rural adult population. We carried out a cross - sectional study on the residents over 30-year old. Among the 1077 eligible subjects, 725 persons responded to the study;the study consisted of interview on family and past history of DM, anthropometry, blood pressure, and blood sugar level in each subjects. Only 707 subjects of 725 participants had fasting blood sugar(FBS) examined and the rest, 18 subjects were had casual blood sugar examined due to failure of fasting over 8 - hour. When subjects had $FBS\geq140mg/dl$, 2 hours postprandial blood sugar level was checked after 75g oral glucose loading. The prevalence of DM was 8.9%, and age standarized prevalence rate adjusted to Korean population of 1995 was 5.8%. Mean and SD of fasting blood sugar in men was $99.8{\pm}22.6$, and in women was $111.5{\pm}29.9$. Mean levels of fasting blood sugar were significantly higher in women than in man and as their ages advanced the prevalences increased in both sexes. PP2 blood sugar levels were significantly higher in elder age and in persons with higher FBS levels than others. The risk factors associated with FBS were past history of diabetes, sex, socioeconomic status and waist - to - hip circumference ratio;the risk of diabetes was increased in female, people with past DM history, central obesity and low socioeconomic state. The low socioeconomic status associated with DM in this study, which is different from other study results, should be pursued in further studies.

• Science of Emotion and Sensibility
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• v.12 no.4
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• pp.451-460
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• 2009

This study had been carried out based on the users' behavioral pattern in order to survey characteristics of bus station, a public facility. As a detailed analysis, quantification theory type 3 was performed based on 50 number of samples installed at each local governments as targets in order to evaluate bus station attributes and to survey its characteristics. As a result of this experiment, it was revealed that installation pattern of bus station would differ depending on characteristics of four axis of migrating population density, functionality and simplicity, metropolitan city of densely populated companies, local city with strong locality, the front of school with dense migrating population, secluded rural village, specific place like museum, rural area with dense migrating population. Therefore, in this study, detailed items were suggested comprehensively so that the design considering local environment and users' characteristics, in addition to modeling features of bus stations suitable for local characteristics, could be progressed. If any design and model complying with local environmental features based on above contents should be applied, bus station would be assessed by the users more positively in the future.

• The Korean Journal of Zoology
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• v.17 no.4
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• pp.145-158
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• 1974

The present paper is concerned with the frequencies of G-6-PD deficiency acetylator phenotypes, hypocatalasemia and acatalasemia among Korean populations. The examination was carried out in the rural (Kyodong island, Moonmak Myeon and Yangyang Eup)and urban (Seoul) areas. The average frequency of G-6-PD deficiency in the total male population was 1.33%. A significant difference was observed among four areas. Tests on the color-blindness were performed in order to compara the two populations(Kyodong island and Seoul) and to obtain relationship between the color-blindness and G-6-PD deficiency. The frequency of color-blindness was 5.76% in the male rural population, and this rate was nearly consistant with that of the urban. The frequencies of the slow acetylator phenotype were 12.96% in Kyodong island, 10.36% in Seoul and 11.05% in Moonmak Myeon. Of the 3,004 persons investigated, no one has acatalasemia, but 10 cases of hypocatalasemia were found. The overall frequency was 0.33% which is slightly different from one area to another; 0.29% in Seoul, 0.27% in Kyodong island, and 1.15% in Moonmak Myeon.

• Journal of Korean Medical Science
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• v.33 no.46
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• pp.288.1-288.12
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• 2018

Background: Diarrheal and intestinal infectious disease caused by inadequate drinking water, sanitation, and hygiene (WASH) is not only a great concern in developing countries but also a problem in low-income populations and rural areas in developed countries. In this study, we assessed the exposure to inadequate WASH in Korea and estimated the burden of disease attributable to inadequate WASH. Methods: We used observational data on water supply, drinking water, sewage treatment rate, and hand washing to assess inadequate WASH conditions in Korea, and estimated the level of exposure in the entire population. The disease burden was estimated by applying the cause of death data from death registry and the morbidity data from the national health insurance to the population attributable fraction (PAF) for the disease caused by inappropriate WASH. Results: In 2013, 1.4% of the population were exposed to inadequate drinking water, and 1.0% were living in areas where sewerage was not connected. The frequency of handwashing with soap after contact with excreta was 23.5%. The PAF due to inadequate WASH as a cluster of risk factors was 0.353 (95% confidence interval [CI], 0.275-0.417), among which over 90% were attributable to hand hygiene factors that were significantly worse than those in American and European high-income countries. Conclusion: The level of hand hygiene in Korea has yet to be improved to the extent that it shows a significant difference compared to other high-income countries. Therefore, improving the current situation in Korea requires a continuous hand washing campaign and a program aimed at all people. In addition, continuous policy intervention for improvement of sewage treatment facilities in rural areas is required, and water quality control monitoring should be continuously carried out.