• Title/Summary/Keyword: Institute for Rural Health

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Socio Demographic and Reproductive Risk Factors for Cervical Cancer - a Large Prospective Cohort Study from Rural India

  • Thulaseedharan, Jissa V.;Malila, Nea;Hakama, Matti;Esmy, Pulikottil O.;Cheriyan, Mary;Swaminathan, Rajaraman;Muwonge, Richard;Sankaranarayanan, Rengaswami
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2991-2995
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    • 2012
  • Background: India shows some of the highest rates of cervical cancer worldwide, and more than 70% of the population is living in rural villages. Prospective cohort studies to determine the risk factors for cervical cancer are very rare from low and medium resource countries. The aim of this study was to quantify the effect of risk factors related to cervical cancer in a rural setting in South India. Material and methods: Sociodemographic and reproductive potential risk factors for cervical cancer were studied using the data from a cohort of 30,958 women who constituted the unscreened control group in a randomised screening trial in Dindigul district, Tamilnadu, India. The analysis was accomplished with the Cox proportional hazard regression model. Results: Women of increasing age (HR=2.4; 95% CI: 1.6, 3.8 in 50-59 vs 30-39), having many pregnancies (HR=7.1; 1.0, 52 in 4+ vs 0) and no education (HR=0.6; 0.2, 0.7 in high vs none) were found to be at significantly increased risk of cervical cancer. Conclusion: This cohort study gives very strong evidence to say that education is the fundamental factor among the sociodemographic and reproductive determinants of cervical cancer in low resource settings. Public awareness through education and improvements in living standards can play an important role in reducing the high incidence of cervical cancer in India. These findings further stress the importance of formulating public health policies aimed at increasing awareness and implementation of cervical cancer screening programmes.

Community Care for Cancer Patients in Rural Areas: An Integrated Regional Cancer Center and Public Health Center Partnership Model

  • Kang, Jung Hun;Jung, Chang Yoon;Park, Ki-Soo;Huh, Jung Sik;Oh, Sung Yong;Kwon, Jung Hye
    • Journal of Hospice and Palliative Care
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    • v.24 no.4
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    • pp.226-234
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    • 2021
  • Purpose: The accessibility of medical facilities for cancer patients affects both their comfort and survival. Patients in rural areas have a higher socioeconomic burden and are more vulnerable to emergency situations than urban dwellers. This study examined the feasibility and effectiveness of a cancer care model integrating a regional cancer center (RCC) and public health center (PHC). Methods: This study analyzed the construction of a safety care network for cancer patients that integrated an RCC and PHC. Two public health institutions (an RCC in Gyeongnam and a PHC in Geochang County) collaborated on the development of the community care model. The study lasted 13 months beginning in February 2019 to February 2020. Results: The RCC developed the protocol for evaluating and measuring 27 cancer-related symptoms, conducted education for PHC nurses, and administered case counseling. The staff at the PHC registered, evaluated, and routinely monitored patients through home visits. A smartphone application and regular video conferences were incorporated to facilitate mutual communication. In total, 177 patients (mean age: 70.9 years; men: 59%) were enrolled from February 2019 to February 2020. Patients' greatest unmet need was the presence of a nearby cancer treatment hospital (83%). In total, 28 (33%) and 44 (52%) participants answered that the care model was very helpful or helpful, respectively. Conclusion: We confirmed that a combined RCC-PHC program for cancer patients in rural areas is feasible and can bring satisfaction to patients as a safety care network. This program could mitigate health inequalities caused by accessibility issues.

Improvement Strategies for Optimum Usage of Community Facilities by the Rural Elderly in Korea (농촌 노인의 마을 공동시설 이용실태 분석 및 개선방향)

  • Lee, Jeong-Hwa;Kang, Kyeong-Ha;Jung, Nam-Su;Park, Gong-Ju;Yoon, Soon-Duck
    • Journal of Korean Society of Rural Planning
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    • v.11 no.3 s.28
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    • pp.19-27
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    • 2005
  • Rural Korea has been becoming heavily aged societies from the end of 20th century due to the massive depopulation of young generation and extension of the average span of human beings. Although rural communities in Korea had been traditionally based on closely webbed social relations, almost all of community self-help organizations disappeared in recent time with very strong urbanization trend. However, almost all rural villages in Korea have the village seniors' union -'NO-IN-HOE' in Korean speaking- of which members usually use, operate and maintain community facilities in terms of voluntary base. Using these facilities, most of public/common/private services and community activities have been being served or provided. So, the purpose of this study is to investigate the usage tendency of community facilities and needs of the rural elderly and to propose the improvement strategies for their optimum usage. For this purpose, data was gathered both from community (107 villages) and individual level surveys(881 older people). The statistical method used for data analysis was descriptive statistics. The major findings were as follows : It was found that the dominant family type of the rural elderly was elderly-only household (75%) with very limited economic capability. There are 2$\sim$3 common community facilities with village including the seniors' center -'KYOUNG-RO-DANG' in Korean speaking. Many of the elderly (74%) use the center once or twice per week. There are several rooms in the center, like as kitchen bathroom and health room, of which usage frequency differs respectively. Many rural elderly want assistance from out-of-village for good maintenance and free use of these facilities.

A Study for Injuries due to Agricultural Machines in Kyeongsangnam Province (경상남도 농촌지역의 농기계손상에 관한 조사연구)

  • Kim, Byung-Sung;Chon, Hae-Jung
    • Journal of agricultural medicine and community health
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    • v.20 no.1
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    • pp.15-23
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    • 1995
  • As compared before, agricultural machines are used more commonly instead of animal or manpower in rural areas and the injuries due to those are common. This study was conducted by questionnaire method in order to find out the current status of injuries due to agricultural machines for farmers who was selected from three Gun's in Kyeongsangnam Province. The study subjects were 385 persons in all(210 male persons, 175 female reasons) and the study period was from July through September 1993. The results were as follows; 1. The injury rate due to agricultural machines was high in male(p<0.05), and it was higher in younger age group and higher educated group. 2. The injury occurred high in summer and autumn seasons(77.6%), in the afternoon(60.6%), and during harvest(35.2%). 3. The major injuries were contusion, fracture, amputation in order and the injured sites were arms, legs, and chest in order. 31.7% of the injured farmers had been admitted, and they were treated at hospitals, home, drugstores and health centers in order. 4. The casualty damage was highest by cultivators, and agricultural instruments, threshing machine were followed. Among traumatic injuries concerned with cultivators contusions were most common, and fractures, amputations were followed. In case of agricultural instruments bruises were most common, and incisions, contusion were followed. In case of threshing machines fractures were most common and contusion, bruise were followed.

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A Study of Farmer's Syndrome in Choongju Area (충주지역 전업농민의 농부증에 관한 연구)

  • Chang, Soung-Hoon;Lee, Kun-Sei;Lee, Won-Jin
    • Journal of agricultural medicine and community health
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    • v.23 no.1
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    • pp.15-26
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    • 1998
  • To find the prevalence of the Farmer's syndrome and the related factors, we investigated 909 farmers who and older than 30 years and live in Choongju area. The farmers were interviewed individually with a questionnaire from July 18 through 31, 1997. The results are as follows; The prevalence of Farmer's syndrome was 21.0% in male and 45.1% in female. The age prevalence of Farmer's syndrome was higher in thirties and forties than fifties and over sixties in both sex. Farmer's syndrome was significantly higher in low educational status, low income, low family members and more than 20 years of farming group. However, Farmer's syndrome was significantly higher in non smoking and non alcohol intake group, there were no significant differences according to smoking and alcohol intake after stratification by sex. The most frequent symptom in male was lumbago(60.5%), the second was numb limb(49.8%), the third was shoulder stiffness(43.2%) and the fourth was dizziness(31.5%). In female, the most frequent symptom was lumbago(81.3%), the second was numb limb(70.2%), the third was dizziness(62.2%) and the fourth was shoulder stiffness(55.9%). All of these four symptoms are significantly higher in female than in male. With multiple logistic regression for Farmer's syndrome, sex(OR of female=3.3) number of family(OR of <=1.9) and duration of farming(OR of $\geq$2.0 yr=1.5) were turned out to be significant variables.

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Conceptual Directions of Village Community Center into a Rural Elderly's Welfare Service Space in Chonbuk Province (농촌 마을회관의 노인 복지서비스 공간으로의 활용 방안 - 평면과 이용행태 분석을 중심으로 -)

  • Choi, Byungsook;Park, Sunhee;Oh, Chanok;Hong, Chansun;Im, Sangbong
    • Journal of the Korean Institute of Rural Architecture
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    • v.8 no.2
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    • pp.80-93
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    • 2006
  • This purpose was to explore various directions of elderly service welfare space in village community center. Data were collected 3 types that floor plans of village community centers from 24 villages, interview data of these centers use and needs from 24 aged leaders or 96 elderly. The results were as followed: 1) The floor plans of more than 50% was type IV that was composed a basic spaces(entrance, living room, two rooms, kitchen), a toilet space, a heating system space and a storage space. This type was a current basis of the rural village community centers for elderlies. 2) Elderlies used the centers at winter or out of agricultural season, and visited these to pass the time and to promote friendship among them. 3) Also they went these to take a meal together and to save down personal heating expenses. Their needs for centers were a temporary share dwelling space at winter, a maintain social relationship throughout a health, a education and a side work activity, supplying health or sports facilities, and setting up toilet space. Therefore the current centers were needed to add functions of a temporary share dwelling, a energy saving heat system and a social promoting relationship, and so these could be represented to a elderly welfare service center in rural villages.

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A Study on the Characteristics of Space for Complex type Rural Community Center -Focused on the Rural New Town Project District- (단지형 마을 커뮤니티센터의 공간구성 특성에 관한 연구 -농어촌뉴타운 조성지구를 대상으로-)

  • Lee, Jae-Yoon;Chai, Hee-Jai
    • Journal of the Korean Institute of Rural Architecture
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    • v.15 no.4
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    • pp.87-94
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    • 2013
  • This study aims to research the characteristics of space composition and location for the rural community center. The phenomenon of urban areas from rural areas by the dismantlement of the community is being increasingly deepened. The current village welfare center in the rural villages of the dismantlement phenomenon of the community in rural areas can not be solved alone. The location of the Community Center in rural villages for the interaction of existing local inhabitants and should be located where possible near existing villages. This thesis studies and analyzes the characteristics of rural villages in the rural new town project districts. The basic function of the community center space analysis model is the Public service space, the Communication space, the Health space, the Amenity space, the Education space(including the childcare). This study analyze the local characterristics, the location type and the floor plan characteristics about the Community Center in rural villages by the rural new town example project.

Exploring the Allotment Gardens and Its Implication - Case Study on Kleingarten in German, Dacha in Russia and Civic Garden in Japan - (외국 가족농원의 비교 분석을 통한 정책적 시사점 - 일본, 독일, 러시아 사례를 중심으로 -)

  • Park, Duk-Byeong;Lee, Sang-Duk;Lee, Hye-Hyun;Lee, Min-Soo;Jang, Myun-Ju
    • Journal of Korean Society of Rural Planning
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    • v.12 no.2 s.31
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    • pp.75-85
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    • 2006
  • The study aims to explore the situation of allotment garden and its implication from case study on the Kleingarten in German the Dacha in Russia and the Civic Garden in Japan. It has shown that the allotment gardens have gradually been an important for urban people to have recreation and health from agricultural activities. The results suggest that whereas most of kind of allotment gardens in three countries was perspectively enhanced according to their historic and social contexts, the basic rationales initiated were to provide recreation areas for supporting people health and preserving green areas in urban areas. To expand these kind of allotment gardens, we conclude that the establishment and amendment of the related law are needed to activate and enhance the allotment garden in Korea.

A Study on the Healthy Orientation of Rural Community Center Users (농촌 마을회관 이용자의 건강성 지향에 관한 연구)

  • Kim, Eun-Ja;Yu, A-Hyeon;Cho, Han-Sol;Park, Mee-Jung;Lim, Chang-Su
    • Journal of the Korean Institute of Rural Architecture
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    • v.21 no.1
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    • pp.25-36
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    • 2019
  • This study is a basic study for the planning of rural community center space, which introduced the concept of healthcare. As the rural community center is a place where the elderly in rural areas live mainly during the day, this place is very important place for the healthy life of the rural elderly. We conducted an interview survey for 207 users over 65. The survey was organized with three regions to consider the regional characteristics of the community center users and geographical characteristics. As a result of the analysis of planning elements, the main preferences for indoor and outdoor space elements are planning elements such as safety, air quality, light, and the thermal environment and safety handle, night lights, safety walkway. These preferences should be considered for the more healthy friendly rural community center.

A Review of Mercury Exposure and Health of Dental Personnel

  • Nagpal, Natasha;Bettiol, Silvana S.;Isham, Amy;Hoang, Ha;Crocombe, Leonard A.
    • Safety and Health at Work
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    • v.8 no.1
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    • pp.1-10
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    • 2017
  • Considerable effort has been made to address the issue of occupational health and environmental exposure to mercury. This review reports on the current literature of mercury exposure and health impacts on dental personnel. Citations were searched using four comprehensive electronic databases for articles published between 2002 and 2015. All original articles that evaluated an association between the use of dental amalgam and occupational mercury exposure in dental personnel were included. Fifteen publications from nine different countries met the selection criteria. The design and quality of the studies showed significant variation, particularly in the choice of biomarkers as an indicator of mercury exposure. In several countries, dental personnel had higher mercury levels in biological fluids and tissues than in control groups; some work practices increased mercury exposure but the exposure levels remained below recommended guidelines. Dental personnel reported more health conditions, often involving the central nervous system, than the control groups. Clinical symptoms reported by dental professionals may be associated with low-level, long-term exposure to occupational mercury, but may also be due to the effects of aging, occupational overuse, and stress. It is important that dental personnel, researchers, and educators continue to encourage and monitor good work practices by dental professionals.