• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7321-7324
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• 2013

Objective: To estimate the incidence and mortality rates for pancreatic cancer in China. Methods: After checking and reviewing the cancer registry data in 2009 from 72 cancer registry centers, we divided cancer registry areas into urban and rural areas. Incidence/mortality rates, age-specific incidence/mortality rates, age-standardized incidence/mortality rates, proportions, and cumulative incidence/mortality rates for pancreatic cancer were calculated. Results: The total number of newly diagnosed pancreatic cancer cases and deaths in 2009 were 6,220 and 5,650, respectively. The crude incidence rate in all cancer registry areas was 7.28/100,000 (males 8.24, females 6.29). The age-standardized incidence rate by Chinese standard population (ASR) was 3.35/100,000, with ranking at 7th among all cancers. Pancreatic cancer incidence rate was 8.19/100,000 in urban areas whereas it was 5.41/100 000 in rural areas. Cancer mortality rate in all cancer registry areas was 6.61/100,000 (males 7.45; females 5.75), with ranking at 6th among all cancers, and 7.42/100 000 in urban but 4.94/100000 in rural areas. Conclusions: Pancreatic cancer incidence and mortality rates have shown a gradual increase in China. Owing to the difficulty of early diagnosis, identification of high-risk population and modification of risk factors are important to reduce the burden of pancreatic cancer.

• 농촌의학ㆍ지역보건
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• 제7권1호
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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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• 제17권3호
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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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• 제13권10호
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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.

• 대한간호학회지
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• 제35권7호
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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.

• 의정연구
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• 제24권1호
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• pp.241-276
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• 2018

본 논문은 제4~6회 시 도의회의원 선거의 표의 등가성을 새로운 지수를 활용하여 측정한다. 본 연구에서 표의 등가성 측정을 위해 사용되는 코사인제곱지수는 계산의 편리성과 더불어 광역시 도 단위로 선거구획정이 이루어지는 시 도의회의원 선거에서 지역 내 인구동등성 정도를 파악하는 데 그 유용성이 크다. 경험적 분석 결과, 제4회 시 도의회의원 선거는 인구수 규모와 상관없이 자치구 시 군마다 일률적으로 2인의 의원을 선출함에 따라 선거구간 인구편차가 지나치게 커지면서 지역 내 인구동등성 정도가 낮게 나타났다. 이후 2007년 헌법재판소의 결정으로 2010년 제5회 시 도의회의원 선거부터는 인구편차 기준이 4:1로 강화됨에 따라 표의 등가성이 대폭 증가함을 알 수 있었다. 그러나 한편으로는 여러 선거에 걸쳐 농촌지역 선거구의 인구수 불균형문제, 도농 간의 과소 과다대표 문제가 지속되고 있음도 동시에 확인할 수 있었다. 이 연구는 지방의회 선거의 선거구획정이 인구대표성 같은 물리적 비교를 바탕으로 하는 획일적인 방식을 지양하고 다양한 기준과 지역의 동질적 가치를 반영하는 방향으로 이루어져야 한다는 점을 강조하며, 이에 대한 시론적 방안을 제시한다.

• 농촌계획
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• 제22권4호
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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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• 제29권3호
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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.

• 감성과학
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• 제12권4호
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• pp.451-460
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• 2009

본 연구는 공공시설물인 버스정류장의 특성을 조사하기 위해 이용자 행동유형(행동조사+선호도)과 관련된 연구를 진행하였다. 세부적인 분석에서는 버스정류장 속성분석과 특성을 조사하기 위해 각 지역자치단체에 설치된 50개의 샘플을 대상으로 수량화 3류(Quantification theory type 3) 분석을 실시하였다. 실험결과 버스정류장은 유동인구가 많음/적음, 기능적인, 단순함의 4개 축과 회사 밀집형 대도시, 지역성이 강한 지방도시, 유동인구가 많은 학교 앞, 한적한 시골마을, 박물관 같은 특정장소, 유동인구가 많은 농촌지역의 특성에 따라 버스정류장의 유형에 차이가 있는 것으로 조사되었다. 위와 같이 본 연구에서는 지역적 특성에 맞도록 시설물 자체의 조형성 이외에도 지역 환경, 이용자 특성 등이 고려된 디자인이 진행될 수 있도록 버스정류장 속성을 종합하여 세부항목을 제시하였다. 또한, 위의 내용을 바탕으로 지역 환경적 특성에 맞는 디자인과 모델이 적용된다면 앞으로 공공시설물로서 이용자에게 보다 긍정적인 평가를 받을 수 있는 공공디자인이 진행될 것이다.

• 한국동물학회지
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• 제17권4호
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• pp.145-158
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• 1974

한국인의 G-6-PD 결핍, acetylator phenotype, acatalasemia 및 hypocatalasemia의 출현빈도를 서울, 경기도 강화군 교동도, 강원도 원성군 문막면 및 강원도 양양군 양야읍에서 각각 조사했다. 한편 교동도 거주집단의 격리 상태를 보기 위해서 색감이상자 빈도도 아울러 조사했으며 그 결과는 다음과 같다. 1) G-6-PD 결핍의 평균 출현빈도는 1.33%로서, 서울에서 0.67%, 교동도 3.41%, 문막면 1.27%, 양양읍에서는 0%를 나타냈다. 2) 색감이상과 G-6-PD 결핍은 열성인자에 의한 반성유전형질이며 인류유전의 표식인자(gene marker)로 사용된다. 교동도 남자집단에서 색감이상 빈도는 5.76%로 서울의 빈도 보다 약간 높았고 색감이상과 G-6-PD 결핍을 동시에 나타내는 샘플은 1예 였었다. 3) acetylator phenotype의 출현빈도는 slow type이 서울, 교동도, 문막면에서 각각 10.36%, 12.96%, 11.05%로 나타났고 slow 와 rapid유전자 빈도는 0.335과 0.665로 나타났다. 4) acatalasemia는 총 3,004명 조사 중 1명도 없었고 hypocatalasemia가 10예 검출되어 0.33%를 나타냈다. 지역적 분포는 서울에서 0.29%, 교동도 0.27%, 문막면 1.15%였다.