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Policy Measures for Improving Health Care Services in Rural Areas (농촌보건의료서비스 향상을 위한 제도 개선방안)

  • Moon, O.R.;Lee, L.S.;Park, J.Y.;Ko, D.H.;Lee, K.H.
    • Journal of agricultural medicine and community health
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    • v.16 no.2
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    • pp.97-119
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    • 1991
  • Korea has made a rapid economic development since the last three decades. This has helped Korea narrow the gap in health service differences in resource availability and in quality of care. However urban and rural differentials are still remarkable. This study has maintained that health status of rural residents is inferior to that of urban dwellers. Therefore, this study was carried out to develop policy measures for improving health services in rural areas. In order to achieve the objective of this study the authors collaborated closely and made field visits, interviews and conducted an extensive literature review regarding rural health services. The following policy options are recommended as a summary ; First, the quality of rural health personnel is a single most important factor influencing the level of rural health services. An innovative program for public health doctors to the internship and/or residency training program such as specialty board program of family medicine. Second, dissatisfaction regarding employment of public health doctors is problematic. More rational employment and deployment programs are needed to meet their personal desire. One way to do this is to make it wide open and competitive. Third this study shows how to increase physician productivity in the rural public health sector. Incentive system needs to be elaborated for the career development of rural health workers. University linked job opportunity as clinical professor is an example. Fourth, without straightening the function of health centers and subcenters, the future of rural health services is doomed to failure. Straightening primary health care is one way to enrich the program of public health facilities and reactivating the operation of health center/hospital is another. A close linkage of public facilities with private hospitals is a minimum requirement for the operation of health delivery system within a health district. Fifth, some measures are urgently required to enhance hospital services in medically underserved areas. Financial subsidy, tax exemption, long-term public loans and higher priority of health manpower deployment are some of them. Sixth, new health programs should be in tiated to meet changing needs of peoples in rural areas. Home health care program, hospice program, nursing home, residential program for the elderly are recommended.

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The Research Trends in Fundamental Nursing - Based on the Analysis of Journal of Korean Academy of Fundamental Nursing - (기본간호학 연구동향 - 기본간호학회지 논문분석을 기반으로 -)

  • Jeong Ihn-Sook;Kang Kyu-Sook;Kim Kyung-Hee;Kim Keum-Soon;Kim Won-Ock;Byun Young-Soon;Sohng Kyeong-Yae;Son Yeong-Hee;Yang Sun-Hee;Jo Hyun-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.2
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    • pp.132-146
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    • 2001
  • Purpose: This study was to analyze the trends and content of all the research (171 research papers) published in the Journal of Fundamentals of Nursing from 1994, when it began to 2000 using an objective tool developed by the researches, and to identify the direction for the future research in Fundamentals of Nursing. Method: Research published in the Journal of Fundamentals of Nursing from 1994 were reviewed. Result: Most of research (94.2%) was non-degree based and funded research was very limited. The average number of researchers per research study was 2.2 and collaborative research has been gradually increasing. The total number of key words was 331 and the average was 2.6 per research. The major key words were not different from other nursing departments and included home care nursing (10 times), health promotion (8 times), self-care (7 times). self-efficacy (7 times), and homo-dialysis (6 times). Eighty seven percent of the research was quantitative research. and there were very few qualitative studies. Considering theory level, it was found that 40% were factor related research For study design, non-experimental studies were most frequent (66%), and the rate, especially of surveys, has remarkably decreased. Selection of subjects by convenience sampling, was most frequent and there were very few studies that provided the rationale for the calculation of sample size. The major subjects of study were patients (44.8%) with various diagnoses. The subjects usually gave oral consent to take part in that study. Giving information (46.9%) and exercise (26.5%) were common nursing interventions, and physiological indices (16.5%). vital signs (10.3%), physical functioning (8.2%), level of knowledge/skill (7.2%) and level of activity (6.2%) were frequently measured as outcome. Variables questionnaires were the major approach used to collect data, and 57.8% of the research provided the Cronbach alpha to guarantee internal consistency of study instruments. Data were analyzed with computerized statistical packages using, ANOVA (42.0%), T test(39.5%), and chi-square test. For the last seven years, nursing research in Fundamentals of Nursing has gradually improved in both quantify and quality. Conclusion: It was difficult to find any uniqueness or difference compared to other departments of nursing. In fact, because the history of the Journal of Fundamentals of Nursing is rather short, we can expect that there will be further improvement in qualify and content in the future.

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Toxin Gene Profiles and Toxin Production Ability of Food-borne Pathogens Isolated from Indoor Air from Lunchrooms at Child Care Centers (보육시설 급식실 실내공기에서 분리된 식중독 세균의 독소 유전자 및 독소 생산 특성)

  • Kim, Jung-Beom;Kim, Jong-Chan
    • Journal of Environmental Health Sciences
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    • v.38 no.6
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    • pp.510-519
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    • 2012
  • Objectives: This study was conducted in order to evaluate the microbiological contamination of the indoor air of the lunchrooms at child care centers and investigate the toxin genes and toxin production ability of food-borne pathogens. Methods: A total of 64 child care centers were sampled to test total aerobic bacteria, coliform bacteria, fungi, Staphylococcus aureus, Bacillus cereus and Salmonella spp. according to the Korea Food Code. All toxin genes of pathogens were detected using the Polymerase Chain Reaction method. The Sthaph. aureus enterotoxin was detected by a Staphylococcus aureus enterotoxin-reversed passive latex agglutination kit. The heamolysin BL (HBL) and non-heamolytic enterotoxin (NHE) produced by B. cereus were detected using a B. cereus enterotoxin-reversed passive latex agglutination kit and Bacillus diarrheal enterotoxin visual immunoassay kit, respectively. Results: The means of total aerobic bacteria and coliform bacteria were $1.91{\pm}1.84$ log CFU/plate and $0.47{\pm}0.62$ log CFU/plate, respectively. The mean of fungi also showed $0.59{\pm}0.71$ log CFU/plate. Among the pathogenic bacteria tested in this study, Staphy. aureus and B. cereus were detected in four (6.3%) and 21 (32.8%) out of 64 indoor air samples from lunchrooms in child care centers, respectively. All Staphy. aureus tested in this study possessed no toxin genes and did not produce enterotoxin. The detection rate of nheABC, hblCDA, entFM and ces toxin gene in B. cereus was 100, 57.1, 76.2 and 0%, respectively. B. cereus isolates were classified into four groups according to the presence or absence of toxin genes. The nheABC gene was the major toxin gene among B. cereus tested in this study. The HBL was detected in 11 out of 21 B. cereus isolates (52.4%) and three B. cereus isolates produced NHE (14.3%). Conclusion: The results indicated that the contamination by microorganisms in the indoor air of lunchrooms was unqualified to supply safe catering in child care centers. The ongoing control of indoor air quality is required.

Correlation of Breast Cancer Incidence with the Number of Motor Vehicles and Consumption of Gasoline in Korea

  • Park, Boyoung;Shin, Aesun;Jung-Choi, Kyunghee;Ha, Eunhee;Cheong, Hae-Kwan;Kim, Hyun Jeong;Park, Kyung Hwa;Jang, Sungmi;Moon, Byung-In;Ha, Mina
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.7
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    • pp.2959-2964
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    • 2014
  • While several reproductive and lifestyle-related factors are already well-known as established risk factors for breast cancer, environmental factors have attracted attention only recently. The objective of the current study was to assess the association between the breast cancer incidences in females, the mortality rate and the number of motor vehicles on the one side and the consumption of gasoline which could work as a major source of air pollution at the other side. The breast cancer incidences and the mortality trends were compared with various indices of westernization like dietary patterns or industrialization with 10 years lag of time. Geographical variations with 10, 15 and 20 years lag of time were assessed between the breast cancer incidence in 2010 and the number of motor vehicles as well as the consumption of gasoline. The upward trend of motor vehicle numbers proved to be comparable to those of breast cancer incidence and mortality. However, the consumption of gasoline started to decrease since the mid-1990s. The geographic distribution of motor vehicle numbers and gasoline consumption in 1990 is in a positive correlation with the breast cancer incidence rates in 2010 and the 20-year lag time ($R^2$ 0.379 with the number of motor vehicles and 0.345 with consumption of gasoline). In a linear relationship between the breast cancer incidences in 2010 and the log transformed number of motor vehicles, the log transformed consumption of gasoline in 2000 also showed a positive relationship ($R^2$ 0.367 with the number of motor vehicles and 0.329 with consumption of gasoline). The results of the current study indicate that there may be a positive relation between the number of vehicles, gasoline consumption and the incidence of breast cancer from the aspects of long-term trends and geographical variation.

A Study on the Characteristic of Garden through Okhojeong Garden(玉壺亭) And Seokpajeong Garden(石坡亭) in the 19th Century Seoul (19세기 서울 옥호정(玉壺亭)과 석파정(石坡亭)을 통해 본 정원 특성)

  • Lee, Won-Ho;Kim, Dong-Hyun;Kim, Jae-Ung;Shin, Hyun-Sil
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.32 no.3
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    • pp.21-31
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    • 2014
  • This study aims to comparison of spatial composition that Okhojeong garden and Seokpajeong garden. Construct background and space structure in both of Okhojeong garden and Seokpajeong garden is analyzed. The results were as follows. First, Okhojeong garden and Seokpajeong garden of the nobles gardens in late Joseon dynasty. They had the advanced techniques of contemporary based on their political power and wealth, and therefore could built garden and enjoy the garden culture of the upper layer. Furthermore, composition of the Okhojeong garden can be assumed that it is related to construction of the Seokpajeong garden through analysis of the relationship between builders. Secondly, Space structure of Okhojeong garden and Seokpajeong garden is divided into pavilion unit of small gardens with living space as the center. Construction pavilion in each garden space imbues certain landscape theme. In addition, authorization of characteristics of a place in each area is attempted through boundary establishment and selective garden culture of varied seasonal landscape. Thirdly, In Seokpajeong garden, most of construction characteristics of Okhojeong garden are appeared. This indicates that Seokpajeong garden was affected by space-configuration-technique of Okhojeong garden such as acceptation or modification recreation. Fourth, In many cases, fanciers regarding floriculture are expanded to enthusiasts in late Joseon dynasty. In Okhojeong garden and Seokpajeong garden, herbaceous ornamental is considered to be precious and garden materials such as water tray, stone couch, oddly shaped stone, potted plant, artificial hill, wisteria trellis are diversified at the time.

The Effectiveness of Bladder Training on Self Voiding after Removal of Catheter in Female Patients with Craniotomy (개두술 여성환자에게 시행한 방광훈련이 유치도뇨관제거후 자가배뇨에 미치는 효과)

  • Lee, Jung-Lim;Kim, Keum-Soon
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.1
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    • pp.72-84
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    • 1999
  • The purpose of this study was to identify the effectiveness of bladder training on self voiding after removal of catheter in female patients with craniotomy, finally to develop a bladder rehabilitation program for cognitive impaired patients. Nonequivalent control group posttest design was used. The population of this study consisted of 34 hospitalized neurosurgical patients, all patients have been received craniotomy. 17 patients were assigned to the experimental group and another 17 patients to the control group. The homogeneity of general characteristics of the subjects was no significant difference. Bladder training program consisted of pre-training education, the bladder training, positive verbal reinforcement. The experimental group has been received bladder training and the control group has been received gravity drainage. The dependent variable, the frequency of voiding trial untill self voiding achieves, the frequency of urinary retention, the amount of residual urine, the occurrence, of urinary incontinence, were measured during 3 days after catheter removed. The data analyzed with SPSSWIN ; frequency, percentage, t-test and $X^2$-test were used to analyze homogeneity of general characteristics of subjects between the experimental and the control group. T-test, Mann-Whitney U test, and $X^2$-test were used to determine the effect of bladder training. The result of the study were as follows : There was significant difference in the frequency of voiding trial untill self voiding achieves between the experimental group and the control group. There was no significant difference in the frequency of urinary retention between the experimental group and the control group. There was no significant difference in the amount of residual urine between the experimental group and the control group. However, there was significant difference in the amount of residual urine in urinary retention patients. There was significant difference in the occurrence of urinary incontinence between the experimental group and the control group. In conclusion, bladder training program as a nursing intervention was effective in conclusion, bladder self voiding ability after removal of catheter for craniotomy patients. Therefore, it is recommended to use the bladder training program clinically for the bladder management of cognitive impaired patients.

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Acute toxicity of lambda-cyhalothrin to Chironomus riparius in water alone and sediment-water systems (저니토독성시험법(sediment toxicity test)을 이용한 lambda-cyhalothrin의 깔따구 (Chironomus riparius)에 대한 급성독성)

  • Kim, Byung-Seok;Hamer, M.J.;Kim, Jin-Hwa;Park, Yoen-Ki;Kim, Jeong-Gu;Ahn, Young-Joon
    • The Korean Journal of Pesticide Science
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    • v.3 no.1
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    • pp.57-65
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    • 1999
  • The midge Chironomus riparius is a member of widespread dipteran insect which has been used for sediment toxicity test. The 2nd-3rd larvae Chironomus riparius were exposed to $^{14}C$-lambda-cyhalothrin in laboratory water only system(A) and sediment-water system(B) at $20{\pm}2^{\circ}C$. The concentration was nominally in the range of 0.16 to $20{\mu}g/{\ell}$ and 62.5 to 8000 ${\mu}g/kg$, respectively. System(A) was prepared by applying the chemical to 250 ml water and introducing Chironomus riparius larvae into the system(day 0). System(B) was prepared by applying the chemical to the 25 g of soil and 250 ml water and shaking and rolling them for two hours. After allowing the system to settle for two days, Chironomus riparius larvae were introduced into the system. After 72 hours, the two systems were terminated and dead larvae were observed. The measurement of residue in water was conducted at the start(day 0) and the end of the study(day 3). The residue of $^{14}C$-lambda-cyhalothrin in water was accounted for approximately 65% of nominal concentration in system(A) and $0.2{\sim}0.4%$ in system) on 3 days. $LC_{50}$ was less than $0.156{\mu}g/{\ell}$ in system(A) and 889 ${\mu}g/kg$ in system(B), based on the nominally applied concentration.

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A Study on Suggesting Directions for Course Improvement at College of Engineering Based on Comparison of Instructors' Self Evaluation and Students' Evaluation of Courses (수업에 대한 교수의 자기평가와 학생평가의 비교를 통한 공과대학 수업개선 방안 연구)

  • Min, Hyeree
    • Journal of Engineering Education Research
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    • v.19 no.3
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    • pp.35-43
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    • 2016
  • The purpose of this study is to explore directions for improvement of teaching at college of engineering based on analysis of differences from course evaluation of students and instructors. Data was collected from 86 instructors' ratings on courses and their 3004 students' ratings on courses at college of engineering in a two-year, a three-year college and a University from 2010 to 2013. The results of the survey indicate significant differences in the statistics from the several questions between the instructors and the students as well as between the course in a two-year, a three-year college and in a University. First, instructors' self evaluation of the course is higher than students' satisfaction ratings of the course on the average. Instructors' self evaluation are high on the questions 'The subject was proper for the course', 'The course provided the latest theory and trend of the field', and 'Fairness and objectivity about the exams and the assignments'. Also, the difference between Instructors and students on the questions is significant in the statistics. The professor must make sure that students know well how to organize the course content and the method for feedback to test result and homework. Second, instructors have higher satisfaction ratings on the six questions and students have higher satisfaction ratings on the one question('Make students participate in the class effectively') at a two-year and a three-year college. However, students have higher satisfaction ratings on the three questions('Make students participate in the class effectively', 'Concern about students' learning process', and 'Use of E-learning and media equipments') and instructors have higher satisfaction ratings on the one question. It means instructors at a University feel pressure on a teaching and they are unsatisfied with their teaching skills. Third, the result of comparing six parts of the questions shows that students' satisfaction ratings are higher on 'Students participation' and 'Application of media equipments' parts whereas instructors' self evaluation are higher on 'Exams and assignments' part. Fourth, the question 'Make students participate in the class effectively' is significant in statistic based on comparison of instructors and students, and comparison of in a college and a University. Students' satisfaction ratings are higher than instructors' self evaluation.

Benthic Polychaetous Community in Northern Kyeonggi Bay in December 1995 (1995년 12월 경기만 북부해역에서와 저서다모류 군집)

  • Shin, H.C.;Koh, C.H.
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.3 no.4
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    • pp.261-270
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    • 1998
  • This study was carried out in order to investigate the distribution and species composition of benthic polychaetous community in northern Kyeonggi Bay in September 1995. Mean density of benthic animals was 557 indiv./$m^2$. Benthic polychaetes were the most dominant faunal group, comprising 60 species with a mean density of 488 indiv./$m^2$. Benthic polychaetes were most abundant in Yumha Channel centering on Incheon Harbor, whereas relatively poor in the intertidal zones fringing Yongjong Island and Songdo area, and in the offshore main channel. The most dominant polychaete was Heteromastus filiformis (47.3% of polychaetous community), followed by Nephtys palybranchia, Tharyx sp., Sternaspis scutata and so on. Kyeonggi Bay could be divided into 4 regions from cluster analysis based on the dominant species composition: offsea/channel region, Incheon Harbor, intertidal zone of Yongjong Island, and intertidal zone of Songdo area. Highest species number and diversity index (H') were recorded at offsea/channel region, whereas highest faunal density at Incheon Harbor. Incheon Harbor was characterized by high abundance of H. filiformis. Compared with the previous studies carried out in Kyeonggi Bay, faunal density and species number have little changed for the recent 10 years. Dominant species was different between each study, but has been among opportunistic species of small-sized polychaetes belonging to capitellids, cirratulids or spionids. These results indicate that Kyeonggi Bay has been organically polluted steadily; specifically, this study reveals that Incheon Harbor has been the center of pollution and that the benthic community in the outer sea off Sihwa dike has become unstable.

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Tar Colors in Foods Distributed throughout the Gyeong-In Region;Monitoring Favorite Food Items of Children Near Elementary Schools (경인지역 유통식품 중 타르색소 실태 조사;학교주변 어린이 기호 식품을 중심으로)

  • Kim, Hee-Yun;Nam, Hye-Seon;Jung, Yong-Hyun;Lee, Jin-Ha;Ha, Sang-Chul
    • Korean Journal of Food Science and Technology
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    • v.40 no.3
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    • pp.243-250
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    • 2008
  • In Korean, nine tar colors are permitted in foods. This study assessed these compounds in the favorite food items of children found near elementary schools. A total of 439 items categorized under six food types were included in the analysis. The most frequently detected tar colors were tartrazine (Y4), Brilliant Blue FCF (Y5), Allura Red, and Sunset Yellow FCF, respectively. One or a mixture of two tar colors were commonly found in products such as gums, ice bars, soft drinks, and cereals. However, most often, combinations of two or three tar colors were detected. The levels of tar colors in candies, chocolates, gums, ice bars, cereals, and soft drinks were 0.11-1169.58 mg/kg, 0.73-468.02 mg/kg, 0.10-602.46 mg/kg, 0.25-162.32 mg/kg, 0.11-753.68 mg/kg, and 0.21-69.45 mg/kg, respectively. Tar color levels were higher in chocolates and gums than in soft drinks and ice bars. And Y4 and Y5 were detected at the highest levels. For ages 7-12, the total estimated daily intake (${\sum}EDI$) of each tar color ranged from 0.004 to 1.017 mg/day/person. These values were 0.02-5.98% of the FAO/WHO's acceptable daily intake (ADI).