• Title/Summary/Keyword: Rural inhabitants

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Epidemiological Note on the Clonorchiasis in Samrangjin Eup, Milyang Gun, Kyongsang Nam Do (=province) (경상남도(慶尙南道) 밀양군(密陽郡) 삼랑진읍(三浪津邑)에 있어서의 간흡충(肝吸虫) 감염실태조사(感染實態調査))

  • Rim, Han-Jong;Joo, Kyoung-Hwan;Eom, Kee-Seon;Park, Soo-Bae
    • Journal of agricultural medicine and community health
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    • v.7 no.1
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    • pp.80-89
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    • 1982
  • In order to observe the endemic status of Clonrchis sinensis infection in Samrangjin eup, Milyang gun, Kyongsang nam do, a total number of 294 stool specimens were collected from the inhabitants who lived in the basin of the Nakdong river. The specimens were examined by cellophane thick smear technique and Stoll's egg dilution technique during the period from May to June 1983. The epidemiological status was analysed statistically by the regression equation and catalytic curv with the results obtained from this area. The results are as follows : 1) The infestation rate of Clonorchis sinensis in 294 was 49.0%. 2) No remarkable difference was observed between male (52.5%) and female (44.8%). 3) Average E.P.G. by Stoll's egg dilution technique in this area was 9,597. 4) The degree of the intensity of Clonorchis infection by E.P.G. count was distributed as 10.5% in very heavy infection, 14.7% in heavy infection, 47.4% in moderate infection, and 29.3% in light infection. 5) The intensity of endemicity in this area was represented with the regression equation calculated with the cumulative percentages of E.P.G. counts. Regression equation was y=3.40+1.23 log x and Cs. $D._{50}$ was 19.99. 6) The two stage catalytic model was applied and the calculation lead to the equation $y=1296(e^{-0.008t}-e^{-0.035t})$ ; a=0.035 > b=0.008 in this surveyed area. 7) Other helminthic infection rate in this area was 7.1% in A. lumbricoides, 9.5% in T. trichiura and 4.1% in E. vermicularis respectively.

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Clinical Characteristics and Nursing Cares of Tsutsugamushi Disease Occurred in Gyongsangbuk-do Community (쯔쯔가무시병의 주요 임상적 특성 및 간호중재 분석)

  • Han, Hee-Ja;Park, Jong-Nam;Eom, Hee-Kyoung;Hong, Hyeon-Suk;Baek, Seol-Hyang
    • Journal of Korean Biological Nursing Science
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    • v.5 no.1
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    • pp.35-44
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    • 2003
  • Objectives : Though Tsutsugamushi disease has been reported with increasing frequencies in rural communities in Korea, it is not easy to find the nursing investigations. Methods : We have conducted a survey on 30 cases who had the fever as a chief complaint, then clinically ruled out the Tsutsugamushi disease in autumn of $2000{\sim}2001$. Data were collected retrospectively by investigation of the general characteristics, clinical and laboratory findings, their nursing care. Findings: Of 30 cases, 46.7% were farmers, and 60.0% had chances of exposure to fields or mountains. The characteristic symptoms and signs were febrile sense and chill(100.0%), headache(80.0%), and eschar(66.7%). Abnormal laboratory findings were anemia (23.3%), elevated AST(60.6%), ALT(63.3%), and abnormal urinalysis findings(50.0%). 53.3% were serologically confirmed as Tsutsugamushi disease. Therapeutic nursing cares were composed with warm up by blancket(50.0%), Ice bag(50.0%) and doxycycline antibiotic therapy(100.0%). Other nursing care for them included fluid therapy(100.0%) and nutritional support with regular(56.7%) or soft diet(43.3%). Conclusion: The above results indicate nurses who take care of acute febrile clients should make her responsible for the fever and pain management as well as give education for infection control for the community inhabitants.

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Factors Associated with Late Diagnosis of Cervical Cancer in Nepal

  • Gyenwali, Deepak;Pariyar, Jitendra;Onta, Sharad Raj
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4373-4377
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    • 2013
  • Background: The majority of cervical cancers, the most prevalent cancer among Nepali women, are diagnosed in advanced stage leading to high mortality in Nepal. The present study explored factors associated with late diagnosis. Materials and Methods: A cross-sectional study was carried out in two specialized cancer hospitals of Nepal from August 12 to October 12, 2012. Randomly selected 110 cervical cancer patients were interviewed and their medical records were reviewed. Multivariate logistic regression analysis was performed to predict associations. Results: Mean age of patients was 52.7years (SD=10.6), 66% were illiterate and 77% were rural inhabitants. Medical shops (33.6%) and private hospitals (31%) were major first contact points of patients with health care providers (HCP). There was no cervical/per-speculum examination (78.2%) and symptoms misinterpretation (90%) of patients occurred in initial consultation with HCP. Four in every five cases (80.9%) of cervical cancer had late diagnosis. Literate women (adjusted OR=0.121, CI: 0.030-0.482) and women having abnormal vaginal bleeding as early symptom (adjusted OR=0.160, CI: 0.035-0.741) were less likely to suffer late diagnosis. Women who shared their symptoms late (adjusted OR=4.272, CI: 1.110-16.440) and did so with people other than their husband (adjusted OR=12.701, CI: 1.132-142.55) were more likely for late diagnosis. Conclusions: High level of illiteracy among women and their problematic health seeking behavior for gynecological symptoms are responsible for late diagnosis of cervical cancer in Nepal. In the absence of a routine screening program, prevention interventions should be focused on raising awareness of gynecological symptoms and improving health seeking behavior of women for such symptoms.

Cancer Registration in Basrah-Southern Iraq: Validation by Household Survey

  • Hussain, Riyadh Abdul-Ameer;Habib, Omran S
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.197-200
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    • 2016
  • On an international scale, the burden of cancer in absolute numbers continues to increase, mainly due to aging of population in many countries, the overall growth of the world population, changing lifestyle with increasing cancer-causing behavior, like cigarette smoking, changing dietary habits and sedentary life. Cancer is the second-leading cause of death and disability in the world, after only heart disease. Recently, increasing incidence and mortality of cancer have also become evident in the developing world. In Iraq and particularly in Basrah in the southern part of the country, the burden has definitely increased and deserves extensive research. The present paper is part of an extensive household survey carried out in Basrah in 2013. Among the objectives was to validate official cancer registration in the governorate. The cross-sectional survey had a retrospective component to inquire about the incidence of cancer and cancer-related deaths during the three years preceding the date of inquiry (2010-2012). A convenient sample of 6,999 households with 40,688 inhabitants using multistage cluster sampling was surveyed involving all urban and rural areas of Basrah. The official cancer registration activities in Basrah seemed to have attained a high level of registration coverage (70-80%) but the gap, represented by missed cases, is still high enough to criticize the system. Most of the missing cases were either not notified by treating facilities or they were diagnosed and treated outside Basrah. Using a set of parameters, the pattern of cancer was consistent based on data of the household survey and data of the cancer registry but a gap still existed in the coverage of incident cancer and mortality by cancer registration. Integrated serious steps are required to contain the risk of cancer and its burden on the patient through improving the registration process, improving early detection, diagnostic and management capabilities and encouraging scientific research to explore the hidden risk factors and possible causes of low registration coverage. Periodic household surveys seemed feasible and essential to support routine registration.

The Evaluation Analysis of the Local Fishing Port Construction Project in Connection with Fishery and Fishing Village (어장·어촌과 연계한 지방어항건설사업의 평가분석)

  • Shin, Seung-Sik;Park, Ju-Sam
    • Journal of Fisheries and Marine Sciences Education
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    • v.20 no.3
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    • pp.369-380
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    • 2008
  • The government has promoted the local fishing port construction project since 1972 for conquest of the crisis of the fishing village by withering of a fishery, the improvement in fishermen's living environment and quality of life, and promotion of fisheries. In order to estimate the local fishing port construction project objective and synthetically, and to grope for the method proposal of system establishment of the project, the monitoring survey was carried out. The monitoring survey was classified into the program and the performance monitoring. The program monitoring was carried out in order to investigate the project fit for the inhabitants of a fishing village. The performance monitoring was carried out in order to investigate the development latent powers, fishery latent powers, tourism latent powers of a fishing village, rural settlement conditions, etc. using various statistical materials. Since investigating the measured value before executing a policy was not completed, the project effect was compared with the measured value of other areas. According to the local fishing port construction project, the development latent powers, fishery latent powers, and tourism latent powers of the fishing village where the project was undertaken improved greatly, and income of the fishing village increased greatly. As a result of comparing project fit in order to evaluate the project, the project fit of the local fishing port construction project area was higher than the non-project area. Desirable method proposal of monitoring survey was established and the method for raising the efficiency of monitoring survey was extracted.

Epidemiological Study on Paragonimus Infections in Hoengseong-Gun, Gangweon-Do (강원도(江原道) 횡성군(橫城郡) 산간지역(山間地域)에 있어서 폐흡충감염(肺吸虫感染)의 역학적조사(疫學的調査))

  • Lee, Young-Woo;Bae, Kyoung-Hoon;Ahn, Yung-Kyum
    • Journal of agricultural medicine and community health
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    • v.6 no.1
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    • pp.5-12
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    • 1981
  • Paragonimus infection is prevalent in Korea, establishing several endemic foci. Kim(1969) reported an endemic area in Hyeonbuk Myeon. Yangyang-Gun, but thereafter no further epidemiologic study of Paragonimus infection was performed in the Gangweon-Do. Hoengseong-Gun is mountainous area which is located in the southwestern part of Gangweon-Do and borders with Hongcheon-Gun on the east, with Pyeongchang-Gun on the east, with Yeongweol-Gun and Weonseong-Gun on the south, and with Yangpyeong-Gun on west. The author carried out an epidemiologic study of Paragonimus infection by intradermal test with V.B.S antigen, and of intermediate host (crayfish) in Hoengseong-Gun, Gangweon-Do. The results are summarized as follows: 1. The positive skin test reaction to Paragonimus antigen was 14.5% from 2,807 examiness; 16.0% in male and 11.6% in female and no sex or age difference on the skin test positive reactions was noticed among the villages. 2. The positive skin test reactions were 31.3% in Gapcheon-Myeon, 20.5% in Cheongil-Myeon and 19.8% in Woocheon-Myeon. Primary school children in Byeongjibang-ri, Gapcheon-Myeon showed positive in 36.4%. 3. The prevalence by skin test reaction by social strata was 16.1% (226 out of 1,408) in primary school children, 12.8% out of 725) in middle school, 6.4% (11 out of 172) in high school students, and 15.3% (77 out of 502) in inhabitants of Heongseong-Gun. 4. Metacercarial positives of Paragonimus in crayfish were 20.9%. Through the survey results, it is postulated that Heongseong-Gun, Gangweon-Do is to be categorized as an endemic area of Paragonimus infection.

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Future Domestic Water Demand, Surface Water Availability and Vulnerability Across Rapidly Growing Asian Megacities

  • Panda, Manas Ranjan;Kim, Yeonjoo
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.144-144
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    • 2021
  • The rapid urbanization in many Asian countries has taken millions of people from the rural countryside to concentrated megacities, which eventually putting pressure on the existing water resources. The over-growing population and increasing living standard of people in the urban region of developed as well as developing countries such as Korea, China, Japan and India have witnessed a drastic change in terms of domestic water demand for the past few decades. In this study, we used the concept of potential surface water availability in the form of surface runoff for future vulnerability assessment. We focused on 42 megacities having population more than 5 million as per the United Nations (UN) census data 2020. The study shows that 30 out of 42 cities having more than 180L/p/d demand for domestic use based on various references. We have predicted the domestic water demand for all the cities on the basis of current per capita demand up to 2035 using UN projected population data. We found that the projected water demand in megacities such as Seoul, Busan, Shanghai, Ghuanzou are increasing because of high population as well as GDP growth rate. On the contrary, megacities of Japan considered in our stud shows less water demand in future due to decreasing trend of population. As per the past records provided by the local municipalities/authorities, we projected different scenarios based on the future supply for various megacities such as Chennai, Delhi, Karachi, Mumbai, Shanghai, Wuhan, etc. We found that the supply to demand ratio of these cities would be below 75% for future period and if such trend continues then the inhabitants will face serious water stress conditions. Outcomes of this study would help the local policy makers to adopt sustainable initiatives on urban water governance to avoid the severe water stress conditions in the vulnerable megacities.

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Housing Policy for Low-income Households (Ger Areas) in Mongolia: Based on Generic Characteristic of Developing Countries

  • Ishdorj, Saruul;Lee, Hyun-Soo;Park, Moonseo
    • International conference on construction engineering and project management
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    • 2017.10a
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    • pp.138-145
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    • 2017
  • As that experienced in other developing countries, Mongolia has already faced multilateral side issues for two decades due to economic growth that created Ger areas or internationally 'Slum', public housing and living conditions for low-income citizens, on the basis of rapid migration from rural areas to urban. Ger areas appear to be the main cause of environmental pollution problems and impending comfortable living conditions of the city's residents by covering more than half area of Ulaanbaatar city. Also, the spread of the Ger areas has many side issues such as prevention of urban development and unaesthetic. Most inhabitants of the areas are on low-incomes, and living in the detached houses or felt yurts (Ger) usually build within a low budget, by themselves or unprofessional people, and by using materials of poor quality. Therefore, Ger areas are an inevitable issue that requires effective, proper and immediate housing policy coordination under the government and even the housing market. Unfortunately housing policies, laws, and projects adopted by Mongolian government have shown inefficient results. The government housing policies, unlike other developing countries did not target low-income households' housing which is the priority issue for two decades. But only in 2014, the Long-term housing policy with the strategy for affordable housing initiated the housing policy for low-income households. This policy has five main broad directions such as redevelopment of Ger area, the land readjustment, public rental housing, new settlements and new city and reconstruction for old apartments, which are rather general and would require tremendous financial resources if each of the directions is implemented simultaneously without prioritization. Therefore this research aims to suggest the efficient and adequate housing policy direction for the low-income households in Ger area based on achievement of other developing countries' strategies, performances and generic characteristic with explanatory models. Also, this research adopts a literature analysis method that uses various research reports, related papers in domestic and international journals, and theses by experts, researchers, public institutions, and agencies.

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Intestinal Parasitic Infections and Environmental Water Contamination in a Rural Village of Northern Lao PDR

  • Ribas, Alexis;Jollivet, Chloe;Morand, Serge;Thongmalayvong, Boupha;Somphavong, Silaphet;Siew, Chern-Chiang;Ting, Pei-Jun;Suputtamongkol, Saipin;Saensombath, Viengsaene;Sanguankiat, Surapol;Tan, Boon-Huan;Paboriboune, Phimpha;Akkhavong, Kongsap;Chaisiri, Kittipong
    • Parasites, Hosts and Diseases
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    • v.55 no.5
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    • pp.523-532
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    • 2017
  • A field survey studying intestinal parasites in humans and microbial pathogen contamination at environment was performed in a Laotian rural village to identify potential risks for disease outbreaks. A parasitological investigation was conducted in Ban Lak Sip village, Luang Prabang, Lao PDR involving fecal samples from 305 inhabitants as well as water samples taken from 3 sites of the local stream. Water analysis indicated the presence of several enteric pathogens, i.e., Aeromonas spp., Vibrio spp., E. coli H7, E. coli O157: H7, verocytotoxin-producing E. coli (VTEC), Shigella spp., and enteric adenovirus. The level of microbial pathogens contamination was associated with human activity, with greater levels of contamination found at the downstream site compared to the site at the village and upstream, respectively. Regarding intestinal parasites, the prevalence of helminth and protozoan infections were 68.9% and 27.2%, respectively. Eight helminth taxa were identified in fecal samples, i.e., 2 tapeworm species (Taenia sp. and Hymenolepis diminuta), 1 trematode (Opisthorchis sp.), and 5 nematodes (Ascaris lumbricoides, Trichuris trichiura, Strongyloides stercoralis, trichostrongylids, and hookworms). Six species of intestinal protists were identified, i.e., Blastocystis hominis, Cyclospora spp., Endolimax nana, Entamoeba histolytica/E. dispar, Entamoeba coli, and Giardia lamblia. Questionnaires and interviews were also conducted to determine risk factors of infection. These analyses together with a prevailing infection level suggested that most of villagers were exposed to parasites in a similar degree due to limited socio-economic differences and sharing of similar practices. Limited access to effective public health facilities is also a significant contributing factor.

Prevalence and Related Factors of Clonorchis Sinensis for High Risk Population in the Han Riverside Area (한강 유역 간흡충 고위험군의 감염과 관련요인)

  • Kim, Hee-Gerl;Kang, Hee-Kyoung;So, Ae-Young;Kim, Young-Si;Park, Jeong-In;Han, Eun-Hyae;Tak, Kyung-Sook;Lee, Sun-Hee;Kim, Jin-Soon;Han, Myung-Ja;Cha, Sun-Sook;Sung, Myung-Soon;Choi, Sun-Ja
    • Journal of Korean Academy of Rural Health Nursing
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    • v.4 no.1
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    • pp.13-21
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    • 2009
  • Purpose: This study was done to investigate the prevalence and related factors of Clonorchis Sinensis for inhabitants of the Han riverside area and to identify knowledge related to Clonorchis Sinensis and intended behavioral changes to decrease risk of infection. Method: The data were collected from December 16, 2008 to January 10, 2009. Participants were 555 people who responded to a questionnaire. Frequency, percentage, $X^2$-test, and t-test were used to analyze the data. Results: The prevalence of Clonorchis Sinensis was 7.9% in this population. Related factors for Clonorchis Sinensis were gender (male=10.8%, female=3.6%, p=0.002) and smoking (p=0.007). but habits related to ingestion of alcohol and raw fish were not significant. As for knowledge of Clonorchis Sinensis, the Clonorchiasis group had a mean score of 10.09 $({\pm}3.95)$ of a possible 17 compared to a score of only 8.27$({\pm}4.60)$ for the negative group (p=0.011). The intended behavioral change related to risk of infection, according to presence of infection or not, was significant (p=0.004). Conclusion: These results suggest that Clonorchiasis is still highly endemic in all risk areas such as the Han riverside, indicating that it is necessary to set up effective management programs for patient care and prevention of Clonorchis Sinensis.