• Title/Summary/Keyword: Family planning

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Colorectal Cancer Incidence and Mortality in China, 2010

  • Zheng, Zhao-Xu;Zheng, Rong-Shou;Zhang, Si-Wei;Chen, Wan-Qing
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.19
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    • pp.8455-8460
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    • 2014
  • Background: The National Central Cancer Registry of China (NCCR) affiliated to the Bureau of Disease Control, National Health and Family Planning Commission of China is responsible for cancer surveillance in the entire country. Cancer registration data from each local registry located in each province are collected by NCCR annually to be analyzed and published to provide useful information for policy makers and cancer researchers. Materials and Methods: Until 1st June, 2013, 219 population-based cancer registries submitted data of 2010 to the National Central Cancer Registry of China covering about 207,229,403 population, and 145 cancer registries were selected after quality evaluation for this study. Colorectal cancer cases were selected from the database according to ICD-10 coded as "C18-C20". We calculated the crude incidence and mortality rates by sex, age groups and location (urban/rural). The China population in 2000 and Segi's population were used as standardized populations for the calculation of age-standardized rates. The 6th National Population Census data of China was used to combined with the cancer registries' data to estimate the colorectal cancer burden in China in 2010. Results: Colorectal cancer was the sixth most common cancer in China. It was estimated that there were 274,841 new cases diagnosed in 2010 (157,355 in males and 117,486 in females), with the crude incidence rate of 20.1/100,000, highest in males in urban areas. Age-standardized rates by China standard population of 2000 (ASRcn) and World standard population (Segi's population, ASRwld) for incidence were 16.1/100,000 and 15.9/100,000 respectively. There were 132,110 cases estimated to have died from colorectal cancer in China in 2010 (76,646 men and 55,464 women) with the crude mortality rate of 10.1/100,000. The ASRcn and ASRwld for mortality were 7.55/100,000 and 7.44/100,000 respectively, higher in males and urban areas than in females and rural areas. The incidence and mortality rates increased with age, reaching peaksin the 80-84 year old, and oldest age groups, respectively. Conclusions: Colorectal cancer is one of the most common incident cancers and cause of cancer death in China. Primary and secondary prevention, with attention to a health lifestyle, physical activity and screening should be enhanced in the general population.

The Revised Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder (II) - Diagnosis and Assessment - (주의력결핍 과잉행동장애 한국형 치료 권고안 개정안(II) - 진단 및 평가 -)

  • Lee, Moon-Soo;Park, Su-Bin;Kim, Gyung-Mee;Kim, Hyun-Jin;Park, Sangwon;Kim, Yunsin;Lee, Young Sik;Kweon, Yong-sil;Shin, Dongwon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.2
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    • pp.58-69
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    • 2017
  • Attention-deficit hyperactivity disorder (ADHD) is a highly prevalent, impairing, and comorbid disorder that persists into adulthood. ADHD should be diagnosed in the same manner as other common adult mental health disorders. The three most important components in the comprehensive evaluation of patients with ADHD are the clinical interview, medical examination, and completion and scoring of behavior rating scales. The diagnostic evaluation of ADHD should include questions about the symptoms, family history, prior evaluation and treatment of ADHD, as well as other problems including alcohol and drug use. Screening interviews or rating scales, as well as interviews, should be used. When it is feasible, clinicians may wish to supplement these components of the evaluation with the objective assessments of the ADHD symptoms, such as through psychological tests. These tests are not essential to reaching a diagnosis, however, or to treatment planning, but may yield further information about the presence and severity of cognitive impairments that could be associated with some cases of ADHD. As comorbidity is the rule rather than the exception, clinicians should carefully screen for comorbid disorders as part of a comprehensive assessment of ADHD. To receive a diagnosis of ADHD, the person must be experiencing significant distress or impairment in his or her daily functioning, and must not meet the criteria for other mental disorders which might better account for the observed symptoms, such as mental retardation, autism or other pervasive developmental disorders, mood disorders and anxiety disorders. This report aims to suggest practice guidelines for the assessment and diagnosis of children, adolescents and adults with ADHD in Korea.

A Review Study on Adjustment of College Freshmen for Suggesting Adaptation Program (적응프로그램 제언을 위한 대학신입생 학교적응 관련 문헌분석)

  • Yoo, Kyung Hee;Kim, Jong Kyung
    • The Journal of the Korea Contents Association
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    • v.16 no.8
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    • pp.580-591
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    • 2016
  • The purpose of this study was to review articles and theses on adjustment of college freshmen from domestic researches conducted during the past 11 years, to identify overall research trends, and to suggest direction and strategies for college freshman's adjustment. The final 24 articles were selected from three databases, RISS, KISS, and NAL (National assembly library) using specific inclusion criteria. Twenty were correlation studies and four were experimental studies. In 2009, the first study on adjustment of college freshmen was published. Since then several more studies have been conducted to date. This means that people have recognized the importance of adjustment of college freshmen. Twenty three studies that are reviewed used Baker and Siryk's college adjustment tool. From reviewed correlation studies, mean score of college students' adjustment was 3.25. The related variables with adjustment of college freshmen revealed 20 items, especially self-esteem, self-efficacy, and stress showed important related concepts. The general characteristics related to adjustment of freshmen were outgoing character, living with family, aged students, satisfied with the area of study, and satisfied with school life. The findings of this study indicated that colleges when planning for the freshmen orientation program should focus on improving self-efficacy of students, stress management, mentor program, and freshmen adjustment program for each department of the school and college.

Development of BIM Templates for Vest-Pocket Park Landscape Design (소공원의 조경설계를 위한 BIM 템플릿 개발)

  • Seo, Young-hoon;Kim, Dong-pil;Moon, Ho-Gyeong
    • Journal of the Korean Institute of Landscape Architecture
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    • v.44 no.1
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    • pp.40-50
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    • 2016
  • A BIM, which is being applied actively to the construction and civil construction industries, is a technology that can maximize efficiency of various sectors from initial planning and design, construction, and maintenance, to demolition; however, it is in the introductory phase in the field of domestic landscaping. In order to introduce and promote BIM in the field of landscape design, this study developed a prototype of a library and template and analyzed the performance of trial application. For the development of a prototype, annotations and types were analyzed from floor plans of existing small parks, and components of landscape template were deduced. Based on this, play facilities, pergola, and benches were madeintofamily and templates, making automatic design possible. In addition, annotations and tags that are often used in landscape design were made, and a 3D view was materialized through visibility/graphic reassignment. As for tables and quantities, boundary stone table, mounding table, summary sheet of quantities, table of contents, and summary sheet of packaging quantities were grouped and connected with floor plans; regarding landscaping trees, classification criteria and name of trees that are suitable for domestic situations were applied. A landscape template was created to enable the library file format(rfa) that can be mounted on a building with BIM programs. As for problems that arose after the trial application of the prepared template, some CAD files could not be imported; also, while writing tables, the basis of calculation could not be made automatically. Regarding this, it is thought that functions of a BIM program and template need improvement.

A Study on Curriculum Development for CHPs (보건진료원 직무교육 교과과정개선을 위한 연구)

  • Kwon Myung-Soon
    • Journal of Korean Public Health Nursing
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    • v.13 no.2
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    • pp.26-44
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    • 1999
  • The study was done to improve the job training course for Community Health Practioners (CHPs) by evaluating the level of help that the training provided to the CHPs in carrying out their work and to analyze the management activities of the CHPs in order to develop a more effective CHP training program. The methodologies used in the study were a questionnaire survey. The survey results were analyzed using SPSS Windows. The study results are as follows. 1. The total average level of help from the job training(Theory. Practice and Field Practice) for carrying out the CHP work was found to be $3.04\pm.53$ (of a possible 4), which indicates a high level of help. The average for clinical practices was $3.16\pm.60$. for theory. $3.11\pm.40$ and for field practice. $2.84\pm.60$. 2. For the theory content of the job training courses. the help level was low in the area of mother and child health management/family planning with an average of $2.65\pm.62$ and in the area of health information system development with an average of $2.62\pm.83$. The reason for these deficiencies were. in order of frequency. few opportunities to apply learning. training content that was inadequate. training methodologies which were incongruent with content. improper training items and insufficient class hours. For the practice. the clinical work in rehabilitation/orthopedics departments and in ENT/Opthalmology departments had averages of $2.96\pm.86$ and $2.97\pm.80$ respectively. This low level resulted from the lack of direct experience. lack of sincerity during the practice time. lack of practice guidance. insufficient time and lack of practice equipment. in that order. For the field practice. the delivery management averaged $2.06\pm.90$ as the lowest help level. In this case 68% of respondents replied that there were no relevant reasons for this deficiency. 21% responsed that there was a lack of direct experience, 7%, a lack of practice guidance and 4.8%, insufficient time. 3. There were significant differences for several demographic variables when comparing the help level of the clinical courses (practice and Field Practice). A higher help level was reported by older nurses as compared to younger ones, experienced nurses as compared to scholarship nurses, and married over single. Also for nurses who had finished more other programs and were qualified or licensed in several areas the level was high. Although it was not statistically significant the level was higher if the work area was in a rural county, not a city, and if one had more recently completed the job training(P<,05). 4. Of the respondents 58.6% replies stated the period of job training for the CHP was adequate, but 51.7% reported that the period for theory courses was too short while an other 48.3% responded that it was sufficient. For practice locations, 50% responsed that it was good to practice in medical institutions(primary, secondary and tertiary) at the same time. While 48.3% agreed that doing theory and practice simultaneously was good, and 56.9% agreed that field practice should be done after completing theory and practice training. Hence, the development of new field practice guidelines suitable for changing environments of health management are required in place of the existing ones which were considered low in help level to the practical work of the CHPs.

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The role of dry land forests for climate change adaptation: the case of Liben Woreda, Southern Oromia, Ethiopia

  • Amanuel, Wondimagegn;Tesfaye, Musse;Worku, Adefires;Seyoum, Gezahegne;Mekonnen, Zenebe
    • Journal of Ecology and Environment
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    • v.43 no.2
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    • pp.85-97
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    • 2019
  • Background: Despite the increasing role of dry forests in climate change adaptation and mitigation, these versatile resources has got less attention in the national and regional planning, their potential to enhance the local and national economy has been overlooked, and their contribution to sustainable environmental management has not been recognized. Hence, the objective of this study was to assess the socioeconomic contribution of dry forests and forest products to climate change adaptation in the Liben Woreda, Southern Oromia region of Ethiopia. Methods: For this study, an integrated qualitative and quantitative approach was used. A total of 74 households from villages in the Bulbul, Boba, and Melka-Guba kebeles were randomly selected for the household survey. Results: Results showed that 75% of the respondents in the area indicated that climate change has become their major sources of vulnerability, where drought has been manifested in the form of crops failure and massive death of livestock particularly cattle species. The main income strategies of the study households include livestock, crop, forests such as gum and resins, firewood and charcoal and non-farm activities such as in the form of petty trade, wage and aid. The average total household income was ETB 11,209.7. Out of this, dry forest income constituted 15% of the total income. In addition to using dry forests as rangeland for livestock, the communities collect wood for construction, fodder, traditional medicine, and forest food both for subsistence and for sale. On the other hand, dry forest products could be considered as less vulnerable, rather resilient livelihood strategies to climate- and environment-related risks compared to livestock and crop production such as in the face of drought periods. More than 48.6% of the households argued that the income generated from dry forests increased substantially due to increment in the level of engagement of family members in forest based income activities. On the other hand, 35.8% of the households responded that livestock production, particularly camels and goats, have been making the livelihood strategies of the respondents more resilient indicating the shift made from grazers browsers to livestock. In general trends show that, the trends of livelihood dependency on dry forest were highly increasing indicating the importance of dry forest income in responsse to frequent droughts. Conclusions: Dry forest income has been becoming crucial livelihood staretgy in response to frequent droughts in the study area and hence, it is important to improve the management of dry forests for livelihood enhancement, while also securing their long-term ecological functions.

Impact of Changes in Maternal Age and Parity Distribution on Low Birth Weight Incidence Rate (모성연령과 출산순위의 변화가 저체중아 출생률에 미친 영향)

  • Kim, Young-Ae;Park, Jung-Han
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.2 s.26
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    • pp.276-282
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    • 1989
  • The objective of this study was to examine the impact of changes in maternal age and parity distribution on birth weight. The study population included 7,786 single live births in 1977 and 8,671 single live births in 1987 delivered at 9 medical facilities in Pusan. Data were obtained from the delivery record. The proportion of infants born to the mothers of 25-29 years increased from 56.475 in 1977 to 65.1% in 1987 and the proportion to the mothers of 30-34 years increased from 18.8% in 1977 to 21.6% in 1987. In the same period, the proportions of 1st and 2nd birth order were increased from 56.9% and 28.8% to 59.9% and 36.8%, respectively. The proportion of infants born to the age group of ${\leq}24\;and\;35{\leq}$ years were decreased in 1987. The proportion of births of the third or higher birth order was decreased from 14.2% in 1977 to 3.3% in 1987. Low birth weight (<2500gm) incidence rate was 5.3% in 1977 and it was decreased to 4.0% in 1987. It was estimated that changes in maternal age-parity distribution accounted for 10.7% of the decreased in low birth weight incidence rate. Rest of the change (89.3%) was attributed to the reduction of age-parity specific low birth weight incidence rate. Application of the direct adjustment method was considered to be an adequate tool for evaluating the impact of family planning on neonatal health.

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Distribution of Biota and Removal Efficiency of Organic Matter in Natural Wetland (농촌배수처리용 습지의 생물상 및 유기물 제거율)

  • Kim, Bum-Chul;Jeon, Man-Sik;Jung, Geun;Jung, Yeon-Sook;Hwang, Gil-Soon
    • Korean Journal of Environmental Biology
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    • v.17 no.4
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    • pp.407-414
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    • 1999
  • Distribution of biota and removal efficiency of organic matter in natural wetland systems were examined from June to October 1998. The aquatic macrophyte communities were consisted of 13 families and 22 species. The composition of occurrence species were as follows: Phragmites communis Trinius are 35%, Persicaria thunbergii Nakai are 19%, Typha angustifolia L. are 17%, Bidens tripartita L. are 16%, Echinochloa crus-galli (L.) Beauv. are 12% and others are l%. The fauna collected from 5 sites consisted of total 6 classes of macroinvertebrates. The composition of occurrence classes were as follows: Insecta are 76%, O1igochaeta are 19%, Gastrapoda are 4% and others are 1%. These included 18 families, 7 orders of Insects. The larve and mosquito and midges were found in wetlands. Preventive strategies are needed for the suppression of mosquito at the stage of wetland planning and design. In wetland, removal efficiency of dissolved organic carbon is low because of primary production and the background level of DOC in the wetland discharge seems to be 5 mgC/1, but those of BOD was ca. 50%. Wetlands receiving water of low concentration can not work as purification field.

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Implication for Korean Adolescent Sexuality (한국청소년의 성실태고찰)

  • 홍문식
    • Korean Journal of Health Education and Promotion
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    • v.6 no.1
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    • pp.22-33
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    • 1989
  • Rapid socio-cultural and economic changes in the country has brought with it changes in the society's value system. For a traditional society that is increasingly being exposed to modernization but where sex norms are still very restrictive, the adolescent sexual mores takes on added significance. Adolescents are caught between two opposing forces, the changing environment that allows for freer and liberal mores and the traditional society that cannot keep pace with the changing environment and therefore demands resistance to changes. This paper focuses on problems of adolescent sexuality in this country and considers the countermeasures for the existing problems. Amongst the problems are: (a) increasingly younger age of the adolescents who start sexual intercourse (b) non-use of contraception, (c) unwanted pregnancies, (d) increase in the number of induced abortion and (e) increase in the number of unwanted children and unmarried mothers. The Korean adolescent's sexual behavior seems to follow that of the developed countries. In other words, many western modes of life and sexual values seem to bave been copied in Korea and yet Korean adolescents lack in their knowledge of sex related matters such as reproductive physiology and contraception. Among middle and high school students, female students are reported to have less knowledge on sex than male students according to a 1988 survey by KIPH. Even among the unmarried famale factory workers, only 42.5 percent replied they know of the condom, and 25.1 percent and 23.1 percent said they had knowledge of spermicide and menstrual regulation respectively. However, 14.9 percent and 13.9 percent reported that they had a knowledge of the loop and female sterilization respectively according to the 1984 study by KIPH. Among the middle school students 0.8 percent said they had experience in sexual intercourse, while 7.3 percent of the high school students reported having had sexual intercourse. The sexual intercourse experience rate among the unmarried female factory workers is 37.8 percent. Among those female factory workers with sexual experience, 46.7 percent had more than one sex partners. Only 39.1 percent of male students and 18.9 percent of female students among those with sexual intercourse experience have used contraceptives. mostly condoms and oral pills 45.1 percent of female factory workers with sexual intercourse experience used contraceptives such as pills, condoms and rhythm methods. The pregnancy experience rate among the female factory workers who had experience in sexual intercourse is 29.5 percent, which is 11.1 percent among the total respondents. Out of the 102 pregnant female workers, 98 workers(96.1 percent) terminated their pregnancy by induced abortion and 2 workders(2 percent) in natural abortion, while 1 worker(1 percent) was in pregnancy and another 1 worker had normal birth that was subsequently sent to orphanage. In order to cope with the problem of adolescent sexuality, a drastic and strong policy measures should be taken by the government. The most effective countermeasure to the adolescent sexual problems appears to the education. The sex and population education in the school is very much in need. In addition, sex education program through mass media and at the job sit-should be promoted for a healthy development of adolescents' sexual behavior. Also, the existing national family planning program, which has focused on the married couples, should be extended to the unmarried people in its scope and contents of the program.

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A study on the Knowledge and Attitudes of Abortion in 3 Junior College's Freshmen (일부 전문대학 여학생들의 인공유산에 대한 지식 및 태도에 관한 연구)

  • Kim, Eun-Hee
    • Research in Community and Public Health Nursing
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    • v.7 no.2
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    • pp.313-332
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    • 1996
  • This study was conducted to grasp the condition of freshman's knowledge and attitudes on abortion and to offer the basic materials to prevent abortion in family planning and health promotion. The objects were comprised of 290 who volunteered from 3 Junior colleges. The material of this study was by questionaire(chronbach a=.8589, .8959) suited to the purpose of this research which has been made through studying references. All the questionaires were collected immediately without explanation. The data was collected from the 29th of April to the 17th of May in 1996. Analysis of the data was done utilizing SPSS program for percentage, $mean{\pm}$ standard deviation and ANOVA. The results are as follows: 1. General features of the objects of study. Mean age was 20.47, mean of brothers and sisters was 2.93. Those who had no experience in abortion with her mother was 59.0%, and the middle social level was the highest (95.5%). 2. The conditions of attitudes about abortion. 5 points were given to 'very affirming' and, 1 point was given to 'strong denial' the total average was 4.00, and the range was $4.83\sim2.99$. 3. The condition of knowledge about abortion. 5 point were given to 'very affirming' and, 1 point was given to 'strong denial', the total average was 2.75, the range was $3.65\sim2.18$. Also knowledge of abortion was 6.2 points. Knowledge of medical and therapeutic abortion was 9.4 points. Knowledge of the physical complications of abortion was 3.4 points. 4. Correlation between general features and attitude variables. Age groups may have a higher affirmative attitude score in abortion(F=8.097, p<.000). The having 2 sisters group may have a low attitude towards abortion(F=10.34l, p<.000). Experience in abortion with mother group may have a lower affirmative score concerning abortion (t=8.925, p<.000). 5. Correlation between general features and knowledge variables. Age groups may have a higher knowledge score in abortion (F=10.829, p<.000). The having brothers group may have more high knowledge in abortion(F=2.534, p<.050). The $22\sim23$ years group may have higher knowledge in abortion (F=3.075, p<.028). The having more than 2 sisters group have more higher knowledge in abortion(F=5.605, p<.004). The having more the 3 brothers group may have higher knowledge the physical complications in abortion(F=4.022, p<.019). 6. Correlation between regions of the major variables and knowledge, attitude variables. There was no significance in the statistics.

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