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Knowledge, Attitudes and Practices Regarding Cervical Cancer Screening Among Village Health Volunteers

  • Srisuwan, Siriwan;Puapornpong, Pawin;Srisuwan, Supattra;Bhamarapravatana, Kornkarn;Suwannarurk, Komsun
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.7
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    • pp.2895-2898
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    • 2015
  • Background: In the years 2014, coverage rates of cervical cancer screening in Nakornnayok province accounted to 76.5%. This was lower than the government's specified goal of 80%. Community health volunteers are members of a Thai healthcare alliance established to help promoting healthcare service communication and collaboration at the primary level. Such village health volunteers (VHVs) are established in most villages. Objective: To assess the knowledge and attitudes of cervical cancer screening among VHVs. Materials and Methods: The subjects were 128 VHVs from four Nakornnayok sub-districts; namely KlongYai, Chomphol, Buangsan and Suksara, Thailand. The study was conducted from December 2014 to January 2015. The questionnaire was designed to assess the knowledge and attitude of cervical cancer screening provided by the VHVs. In addition, cervical cancer screening coverage rates of each area were collected. The demographic data, scores of knowledge, attitudes, practices and the cervical cancer screening coverage rates were analyzed by one-way ANOVA. Results: The questionnaire reliability was assessed as 0.81. The total knowledge and attitude scores were 10 and 15 points. The mean knowledge scores of KlongYai, Chomphol, Buangsan and Suksara were 6.8, 7.0, 6.5 and 9.0 points, respectively. The VHVs had a high level of overall knowledge about cervical cancer screening. The mean attitude scores were 12.4, 13.2, 13.4 and 13.1 points. VHVs had a positive attitude to the promotion of cervical cancer screening at the overall level. The percentages of VHVs promoting cervical cancer information in respective districts were 72.2, 94.3, 94.9 and 50.0. However, the cervical cancer screening coverage rates were 62.4%, 34.7%, 80.3% and 47.3% respectively. Conclusions: The knowledge, attitudes and percentages of promoting information of cervical cancer screening among VHVs in the four sub-districts were high but did not correlate with the cervical screening coverage rates for each area. VHVs needed to understand socio-cultural beliefs of the women in the target population and design suitable strategies to encourage higher cervical screening coverage.

Economic Analysis of Rural Green-Village Planning with Solar Energy considering Climate Change (기후변화를 고려한 농촌지역 그린빌리지의 태양에너지 활용에 관한 경제성 분석)

  • Kim, Dae-Sik;Wang, Young-Doo
    • Journal of Korean Society of Rural Planning
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    • v.19 no.3
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    • pp.25-36
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    • 2013
  • This study aims to perform the economic analysis to the use of solar power facilities in rural villages considering the climate change scenario. IPCC climate change scenarios in the recently adopted the RCP scenarios (RCP8.5, RCP6.5, RCP4.5, RCP2.6) was used. By RCP scenarios, solar radiation, depending on the scenario in 2100, respectively, 3.6%, 2.5%, 1.9%, 1.1% was assumed to increase. From the economic analysis(payback period is 25 year) on 8 points of each province, in all cases of normal data and four RCP scenarios, at all points analyzed were NPV indicate a negative, BC ratio less than 1.0, respectively. In the case of Mokpo, Chunnam RCP8.5, BC ratio were found to be up to a 0.92, followed by 0.89 in the case of RCP8.5 in Jinju, Kyungnam shows, while the minimum was in Jeju. BC ratio is 1.0 or bigger, in order for the normal solar radiation data in Mokpo, Chonnam was the minimum that it takes 37 years. Similarly, in the case of RCP scenarios, 30 years in Mokpo, Chonnam RCP8.5 and 31 years in the cases of Jinju, Kyungnam and Jeonju, Cheonbuk RCP8.5 were analyzed. It was analyzed that RCP8.5 has the highest value. BC analysis models for each of the factors, the results of the sensitivity analysis, the initial installation costs, electricity sales price, discount rate in the order of economy showed higher sensitivity, and the rest factors showed lower changes. Although there are some differences of solar radiation by region, but in Korea most facilities in rural areas, the use of solar power was considered to be economical enough, considering change of several factors with high sensitivity, such as increasing of government subsidies for the solar power installation of the facility, rising oil prices due to a rise in electricity sales price, and a change in discount rate. In particular, when considering climate change scenarios, the use of solar energy for rural areas of the judgment that there was more economical.

A Study on Measures to Achieve Performance and Safety of Air Respirators for Fire Fighters (소방대원용 공기호흡기의 성능안전확보 대책에 관한 연구)

  • Son, Bong-Sei;Oh, Suk-Hwan;Kim, Yeop-Rae
    • Fire Science and Engineering
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    • v.26 no.4
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    • pp.77-81
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    • 2012
  • This study of aims to provide basic data for improve the performance of air respirators that generate by bad influencing elements in fire emergency field. With three types of conditions set up for these tests, the pressures of containers have been extracted; the ambient temperatures have been checked, and the generation of moisture inside and outside container have been checked and identified. Specifically, these tests have been conducted at temperatures ranging between $-20{\sim}40^{\circ}C$. The pressures of containers have been extracted to reach between 0.4~0.8 MPa, using a pressure regulating valve. These tests have resulted in no change in the temperature and moisture outside the containers and no generation of moisture inside the containers as well. Although moisture has been generated inside the pressure gauge, the amount of moisture has not exceeded 25 $mg/m^3$, i.e. the limit suggested by the Korean Government. Therefore, it is judged that the moisture generated inside air respirators, which can be the most critical issue in the equipment, is likely to be caused in the process of managing the equipment or replacing air in the equipment at places of end-users, rather than in the process of manufacturing and production of the equipment.

The Profile of Milling Plants in Korea (우리나라 양곡가공공장의 현황분석)

  • 정창주;금동혁;강화석
    • Journal of Biosystems Engineering
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    • v.3 no.1
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    • pp.47-63
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    • 1978
  • This study was conducted to obtain a basic information necessary to assess present rice milling technology in Korea The profiles for milling plants was analyzed by survey work.For the private custom-work mills, which process about 80 percent of domestic rice consumption ,their actual milling test for the identical samples as used for filed mills was conducted. Two rice varieties Japonica and Tongil-type were associated with the experiments. The results are summarized as follows: 1. Analyses for private custom-work mills showed their general aspects as; about 91 percent of the mills belonged to an individual owner ship ; more than 93 percent of the mills was established earlier than 1950 ; about 80 percent of the mills was powered with electric motor; mills having less than two employees were about 75 percent; about 45 percent of the mills provided for warehouse in storing customers cereal grains. 2. The polishers installed in 1,255mills within the surveyed area (7 counties) have been supplied by 44 different domestic manufacturers ;in but about 60 percent of which was supplied by 6major manufacturers. The polishers could be classified into two categories in terms of principles of their polishing actions ;jet-pearler and friction types. About 51 percent of the mills was equipped with the former which has been recognized as giving greater milling recovery than the friction types. 3. Reason for owners of private mills to supplement new machines was due mainly to pgrading their mills to meet the requirements that established by the Government. However, about 60 percent of the mill owners intended to replace with new pearler by their own needs to meet with new high yielding varieties. 4. Processing systems of each previate rice mills surveyed could be classified into three categories, depending upon whether the systems posessed such components as precleaner and paddy separator or not. Only 36.7 percent of mills was installed with both precleanr ad paddy seperrator, 5.0 percent of mills did have neither percleaner nor paddy seperator, and rest of them equipped only one of the two. Hence,it is needed for about 63% of rice miils to be supplemented with these basic facilities to meet with the requirements for the standaized system. 5. Actual milling capacity measured at each field rice mills was shown a wide variation, having range from about 190 to 1,210 kg/hr. The percentages of mills classified according to daily milling capacity based on this hourly capacity were 24.3% for the capacity less than 3 M/T a day; 20.0% for 3-4 M/T; 15.6% for 4-5 M/T; 6.7% for 5-6 M/T; 22.3% for 6-7 M/T; and 11.0% for more than 7 M/T a day. 6. Actual amount of rice processed was about 310 M/T a year in average. About 42% of total milled rice was processed during October to Decembear, which formed a peak demand period for rice mills. The amount of rice milled during January to May was relatively small, but it had still a large amount compared to that during June to September. 7. Utilization rate of milling facility, i. e., percentage of the actual amount of milled rice to the capacity of rice mills, was about 18% on the year round average, about 41% in the peak demand season, and about 10% during June to September. Average number of operating days for mills surveyed was about 250 days a year, and about 21 days a month. 8. Moisture contents of paddy at the time of field mill tests were ranged 14.5% to 19.5% for both Japonica and Tong-i] varieties, majority of paddy grains having moisture level much higher than 1530. To aviod potential reduction of milling recovery while milling and deterioration of milled rice while storage due to these high grain mJisture contents, it may be very important for farmers holding rice to dry by an artificial drying method. 9. Milling recovery of JapJnica varieties in rice mills was 75.0% in average and it was widely ranged from 69.0% to 78.0 % according to mills. Potential increase in milJing recovery of Japonica variety with improvement of mill facilities was estimated to about 1.9%. On the other hand, milling recovery of Tong-il varieties in the field mill tests was 69.8% in average and it ranged from 62% to 77 %, which is much wider than that of Japonica varieties. It is noticed that the average milling recovery of Tong-il variety of 69.8% was much less than that of the Japonica-type. It was estimated th3.t up to about 5.0% of milling recovery for Tong-il variety could be improved by improving the present lo'.ver graded milling technology. 10. Head rice recoveries, as a factor of representing the quality of commercial goods, of Japonica and Tong-il varieties were 65.9% and 53.8% in average, and they were widely ranged from 52% to 73% and from 44% to 65% , respectively. It was assessed that head rice recovery of Japonica varieties can be improved up 3.3% and that of Tong-il varieties by 7.0% by improving mill components and systems.

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Effects of Dementia Caregiver Program on Caregiver Burden (치매가족교실 프로그램이 치매 가족의 부양부담감에 미치는 효과)

  • Oh, Hye Jee;Kim, Do Hyun;Kim, Kyung Min;Lee, Jung Jae;Lee, Kyung Kyu;Lee, Seok Bum
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.184-190
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    • 2021
  • Objectives : Dementia is one of the most distressing mental health problems in the older population. Caregivers also experienced physical, psychological, and emotional stress from taking care of dementia patients. So, we developed program for supporting dementia caregiver and evaluated its efficacy on reducing caregiver burden. Methods : We provided 5 sessions of dementia caregiver supporting program to 30 caregivers who were taking care of dementia patient in their home. Program was held in Cheonan Center for Alzheimer's disease and other dementia that was established by Cheonan city government for supporting dementia patients and their caregivers. We evaluated caregiver burden using short Zarit burden inventory consisted of 12 items scoring 0 (no burden) to 4 (everyday burden) before and after program. We evaluated satisfaction of caregiver about program using satisfaction survey consisted of 10 items scoring 0 (very dissatisfy) to 4 (very satisfy) after program. Results : Mean age of caregiver was 61.9. 40.0% (n=12) of caregivers were spouse. 53.3% (n=16) of caregivers were son or daughter. Caregiver burden that was estimated by short Zarit burden inventory were significantly decreased after program (p<0.001). When each item was compared, 4 items (7, 10, 11 and 12) were significantly decreased after program (p=0.036, p=0.018, p=0.01, p=0.024). All mean scores of 10 items about satisfaction were over 3 meaning that participants generally satisfied to program. Conclusions : Our study suggested that dementia caregiver supporting program could reduce caregiver burden and provide satisfaction. Therefore, programs for supporting dementia caregivers might be important as well as treating dementia patients. So, we should be interested in developing and providing efficiently this kind of program to reduce caregiver burden.

National Genetic Evaluation (System) of Hanwoo (Korean Native Cattle)

  • Park, B.;Choi, T.;Kim, S.;Oh, S.H.
    • Asian-Australasian Journal of Animal Sciences
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    • v.26 no.2
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    • pp.151-156
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    • 2013
  • Hanwoo (Also known as Korean native cattle; Bos taurus coreanae) have been used for transportation and farming for a long time in South Korea. It has been about 30 yrs since Hanwoo improvement began in earnest as beef cattle for meat yield. The purpose of this study was to determine the trend of improvement as well as to estimate genetic parameters of the traits being used for seedstock selection based on the data collected from the past. Hanwoo proven bulls in South Korea are currently selected through performance and progeny tests. National Hanwoo genetic evaluations are implemented with yearling weight (YW), carcass weight (CW), eye muscle area (EMA), backfat thickness (BF) and marbling score (MS). Yearling weights and MS are used for selecting young bulls, and EMA, BF, and MS are used for selecting proven bulls. One individual per testing room was used for performance tests, and five individuals per room for progeny tests. Individuals tested were not allowed to graze pasture, but there was enough space for them to move around in the testing room. Feeds including roughages and minerals were fed ad libitum, and concentrates were provided at the rate of about 1.8% of individual weight. Overall means of the traits were $352.8{\pm}38.56$ kg, $335.09{\pm}44.61$ kg, $77.85{\pm}8.838\;cm^2$, $8.6{\pm}3.7$ mm and $3.293{\pm}1.648$ for YW, CW, EMA, BF and MS. Heritabilities estimated in this study were 0.30, 0.30, 0.42, 0.50 and 0.63 in YW, CW, EMA, BF and MS, respectively, which are similar to results from previous research. Yearling weight was 315.54 kg in 1998, and had increased to 355.06 kg in 2011, resulting in about 40 kg of improvement over 13 yrs. YW and CW have improved remarkably over the past 15 yrs. Breeding values between 1996 and 2000 decreased or did not change much, but have moved in a desirable direction since 2001. These improvements correspond with the substantial increase in use of animal models since the late 1990s in Korea. Hanwoo testing programs have practically contributed to the improvement in aspects of quality and quantity. In sum, the current selection system is good enough to accommodate circumstances where fewer sires are used on many more cows. Although progeny tests take longer and cost more, they seem to be appropriate under the circumstances of the domestic market with its higher requirement for better meat quality. Consequently, accumulative data collection, genetic evaluation model development, revision of selection indices, as well as cooperation among farms, associations, National Agricultural Cooperative Federation, universities, research institutes, and government agencies must be applied to the Hanwoo selection program. All these efforts will assist the domestic market to secure a competitive position against imported beef under Free Trade Agreement trade system and will provide farmers with higher profits as well as the public with a higher quality of beef.

Efficiency of Various Nutritional Sources to Improve Physical Properties of Saline-Sodic Soil

  • Noor-Us-Sabah, Noor-Us-Sabah;Sarwar, Ghulam;Ibrahim, Muhammad;Tahir, Mukkram Ali;Iftikhar, Yasir;Haider, Muhammad Sajjad;Han, Kyung-Hwa;Ha, Sang-Keun;Zhang, Yong-Seon
    • Korean Journal of Soil Science and Fertilizer
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    • v.45 no.1
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    • pp.93-97
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    • 2012
  • This study was conducted to evaluate the efficiency of various inorganic and organic materials to improve physical properties of soil. Saline sodic soil (saturation percentage = 40.36%, $EC_e=5.15dS\;m^{-1}$, $pH_s=8.70$, $SAR=18.84(m\;mol\;L^{-1})^{1/2}$, bulk density =$1.49Mg\;m^{-3}$) was collected, brought to wire house and filled in pots after laboratory analysis for various parameters. Different sources of organic nutrients like farm manure (FM), press mud, compost, poultry manure and sesbania green manure were analyzed for their chemical composition. The experiment comprised of 12 treatments replicated thrice; $T_1$: control (recommended NPK), $T_2:{\frac{1}{2}}$ recommended NPK, $T_3$: FM at 1.5% by soil weight, $T_4$: pressmud at 1.5% by soil weight, $T_5$: compost at 1.5% by soil weight, $T_6$: poultry manure at 1.5% by soil weight, $T_7$: sesbania green manure at 1.5% by soil weight, $T_8:T_2$ + FM at 0.75% by soil weight, $T_9:T_2$ + pressmud at 0.75% by soil weight, $T_{10}:T_2$ + compost at 0.75% by soil weight, $T_{11}:T_2$ + poultry manure at 0.75% by soil weight, $T_{12}:T_2$ + sesbania green manure at 0.75% by soil weight. These treatments were applied using completely randomized (CR) design and appropriate time was given to decompose these organic nutritional sources. Seeds of wheat cultivar Sahar-2006 were sown. After harvesting the wheat, soil samples were collected from each pot and analyzed for various physical properties like bulk density, porosity and saturation percentage. An improvement in physical properties (bulk density, porosity and saturation percentage) of soil was noticed with the application of various organic nutritional sources but role of compost alone ($T_5$) remained prominent.

A Pre-Feasibility Test of Introducing Renewable Energy Hybrid Systems -Case Studies for 3 Off-Grid Islands- (도서지역 신·재생복합 전력시스템 보급 타당성 분석 -3개 도서지역 분석결과-)

  • Jang, HaNa;Kim, Suduk
    • Environmental and Resource Economics Review
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    • v.15 no.4
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    • pp.693-712
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    • 2006
  • A pre-feasibility test is done for renewable energy hybrid power systems at off~grid islands in which the current power supply is provided only by diesel generation. We apply Homer (Hybrid Optimization Model for Electric Renewables) which was developed by the National Renewable Energy Laboratory (NREL) for the analysis to identify the cost-minimizing combination of power generating facilities for the given load profiles. Chuja-Do, Geomun-Do and Youngsan-Do have been selected for our analysis considering the wind resources data of the Korea Institute of Energy Research (KIER). Information on wind speed, solar radiation and temperature is also used for the analysis. System component cost information from overseas market has been used due to the lack of domestic information. Site specific Load profile for electricity demand for those islands are reconstructed based on the partial survey results obtained form other sources. The LCOE of the least cost hybrid power systems for Chuja-Do, Geomun-Do and Youngsan-Do are $0.278/kWh, $0.234/kWh and $0.353/kWh, respectively Considering the fact that diesel generation is being subsidized at the price of $0.300/kWh by the government, first 2 cases are economically feasible for the introduction of renewable energy hybrid systems to those islands. But the third case of Youngsan-Do does not meet the criteria. The basic differences of these pre-feasibility test results are from the differences of the site specific renewable energy conditions, especially wind resources. In summary, promoting hybrid systems in the off-grid remote island should be based on the economic feasibility test results. Not all the off-grid islands are feasible for introducing this renewable energy hybrid system.

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Measure of Agreement between Prehospital EMS Personnel and Hospital Staffs using Guidelines for Field Triage of Injured Patients (외상환자의 병원 전 및 병원단계 중증도 평가의 일치도)

  • Kim, Dae Kon;Hong, Ki Jeong;Noh, Hyun;Hong, Won Pyo;Kim, Yu Jin;Shin, Sang Do;Park, Ju Ok
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.126-132
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    • 2014
  • Purpose: The field trauma triage for injured patients is essential for trauma care system. In this study, agreement of patient evaluation between by prehospital EMS personnel and by hospital staffs and the appropriateness of prehospital triage were evaluated. Methods: This observational study was conducted from September to October 2012 for 5 weeks. During this period, EMT evaluated patient's severity according to guideline for field triage and recorded. Same guideline was applied in 26 hospitals for patients with EMS use. Kappa statistics were used to measure agreement for each item of guideline. Finally, over-triage and under-triage rate of EMT were calculated. Results: During study period, total 3,106 patients were transferred to 26 hospital emergency departments with EMS use. Kappa statistics for "vital signs" items were 0.45 for mentality lower than V and 0.44 for systolic blood pressure lower than 90 mmHg as a moderate agreement. In "anatomy of injury" items Kappa statistics were very low. In "mechanism of injury" items Kappa statistics were 0.28 for high-rise fall down and 0.27 for high energy traffic accident but in other items Kappa statistics were very low. 362 patients (12.0%) were over-triaged and 281 patients (9.3%) were under-triaged. Conclusion: Field triage can be applied but need to evaluate and modify in order to become accurate and sensitive for decision of transportation.

An Evaluation of the Linear Thermal Transmittance for the Internal Insulation versus the External Insulation in Apartment Housings (공동주택의 단열형태별 선형열관류율 평가)

  • Lee, Jong-Sung;Lee, Do-Heun;Jun, Myoung-Hoon
    • Land and Housing Review
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    • v.5 no.4
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    • pp.315-323
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    • 2014
  • In this study, thermal transmittance which is a parameter to measure the thermal performance was evaluated for an internal insulation versus an external insulation. Then the ISO regulation was applied to evaluate it, and the superiority of an external insulation was verified by the thermal transmittance values. The three zones of apartment housing were selected to evaluate the performance. (1) The junction of an outer wall and a protruded slab : If there is no a thermal bridge protection system, then the values are about same in the two insulation systems, so the protection system should certainly be installed. If it is installed, then the value for the external insulation is 2 times lower than internal system. (2) The junction of a side wall and a flat slab: The value is 0.509W/mK for the internal insulation and about zero for the external insulation. (3) The junction of an outer wall and a division wall: The value is 0.451W/mK for the internal insulation and also about zero for the external insulation. A domestic regulation that could evaluate a thermal transmittance has to be established by applying the ISO regulation for the evaluation of external insulation systems in apartment housing in the future. Additionally, the government must decide which length should be used for the national standard.