• Title/Summary/Keyword: health assessment index

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Development and analysis of assessment model of a village-level rural living services for response to rural depopulation (농촌 과소화 대응을 위한 마을 단위 농촌생활서비스 평가 모델의 개발 및 분석)

  • Hong, Sangwon;Bae, Seung-Jong;Kim, Dong-Hyeon;Kim, Soo-Jin;Kim, Jungtae;Jang, Taeil
    • Journal of Korean Society of Rural Planning
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    • v.27 no.1
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    • pp.57-70
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    • 2021
  • The degree of benefits of living services related to the quality of life can solve the depopulation problem, and it is necessary to be able to quantitatively analyze problems related to the quality of life in rural areas in order to cope with the rural depopulation. The purpose of this study was to develop the assessment model of a village-level rural living service that reflects the regional characteristics of rural villages to evaluate the level of rural living services for response rural depopulation. Based on the review of previous related studies, the evaluation index was composed of seven sectors of education, health, welfare, culture, environment, safety, and convenience, and the assessment model of a rural living service was established. This model was evaluated through a sample survey of 90 villages in Nonsan-si, Seongju-gun, and Pyeongchang-gun. As a result of the rural life services evaluation by Si and Gun, Seongju-gun, which is affected by nearby large cities, has the largest variation by village level and is assessed at a lower level overall than other Si and Gun. As a result of the rural life services evaluation by 7 sectors, in the case of health and welfare, low scores were shown in the assessment model, but the level of residents' satisfaction was mid-level. In particular, in the case of Seongju-gun, there were significant differences in the assessment model and the survey results of the level of residents' satisfaction in the health and welfare sectors due to the influence of nearby large cities. As a result of analyzing the number of villages corresponding to the top 30% and the bottom 30% of the evaluation results for each sector, it was analyzed that the villages with the highest evaluation results in Pyeongchang-gun in both the assessment model and the level of residents' satisfaction. It implies that quantitative analysis of data based index and accessibility as well as level satisfaction of residents are necessary.

Comparison of the National Park Ecosystem Health Assessment and an Advanced Assessment System (국립공원 생태계 건강성 평가 시스템 개선 연구)

  • Myeong, Hyeon Ho;Kim, Jeong Eun;Kim, Hye Ri;Oh, Jang Geun
    • Ecology and Resilient Infrastructure
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    • v.8 no.2
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    • pp.112-119
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    • 2021
  • In 2012, the National Park Service conducted an ecological health assessment to efficiently preserve and manage the ecosystem. The need for improving pre-existing management indicators was recognized from the revised Natural Park Act because, while the indicators of the existing evaluation system focused on endangered species, ecosystem disturbance, diversity, water quality (BOD, DO), and habitat fragmentation, they did not reflect the lack of indicators for marine ecological assessment, policy changes, and the time demands. The evaluation results comprised a five-point grading system, which made the analysis of immediate changes, difficult. Therefore, the benthic pollution index (BPI) and habitat restoration indicators were added to improve the evaluation system. The National Park was assessed using 10 classifications, however, only four classifications were evaluated. The ratings were divided into five states, and ten classes were presented as pictograms. The assessment results showed a similar trend as the indicators were improved, increasing from level 3 to level 5. However, the results of the Wolaksan National Park after improvement in the indicators were lower than that before the improvement, whereas, for the Juwangsan National Park, it was higher. This study aims at contributing to the scientific and systematic management of the national park ecosystem by improving the ecological health assessment system.

Adverse Outcome Pathways for Prediction of Chemical Toxicity at Work: Their Applications and Prospects (작업장 화학물질 독성예측을 위한 독성발현경로의 응용과 전망)

  • Rim, Kyung-Taek;Choi, Heung-Koo;Lee, In-Seop
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.29 no.2
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    • pp.141-158
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    • 2019
  • Objectives: An adverse outcome pathway is a biological pathway that disturbs homeostasis and causes toxicity. It is a conceptual framework for organizing existing biological knowledge and consists of the molecular initiating event, key event, and adverse output. The AOP concept provides intuitive risk identification that can be helpful in evaluating the carcinogenicity of chemicals and in the prevention of cancer through the assessment of chemical carcinogenicity predictions. Methods: We reviewed various papers and books related to the application of AOPs for the prevention of occupational cancer. We mainly used the internet to search for the necessary research data and information, such as via Google scholar(http://scholar.google.com), ScienceDirect(www.sciencedirect.com), Scopus(www.scopus. com), NDSL(http: //www.ndsl.kr/index.do) and PubMed(http://www.ncbi.nlm.nih.gov/pubmed). The key terms searched were "adverse outcome pathway," "toxicology," "risk assessment," "human exposure," "worker," "nanoparticle," "applications," and "occupational safety and health," among others. Results: Since it focused on the current state of AOP for the prediction of toxicity from chemical exposure at work and prospects for industrial health in the context of the AOP concept, respiratory and nanomaterial hazard assessments. AOP provides an intuitive understanding of the toxicity of chemicals as a conceptual means, and it works toward accurately predicting chemical toxicity. The AOP technique has emerged as a future-oriented alternative to the existing paradigm of chemical hazard and risk assessment. AOP can be applied to the assessment of chemical carcinogenicity along with efforts to understand the effects of chronic toxic chemicals in workplaces. Based on these predictive tools, it could be possible to bring about a breakthrough in the prevention of occupational and environmental cancer. Conclusions: The AOP tool has emerged as a future-oriented alternative to the existing paradigm of chemical hazard and risk assessment and has been widely used in the field of chemical risk assessment and the evaluation of carcinogenicity at work. It will be a useful tool for prediction, and it is possible that it can help bring about a breakthrough in the prevention of occupational and environmental cancer.

Residue analysis and risk assessment of ethoxyquin and ethoxyquin dimer in farmed fish (양식어류 중 Ethoxyquin과 Ethoxyquin dimer의 잔류분석 및 위해평가)

  • Choi, Young-Hee;Ko, Suk-Kyung;Ryu, Seung-Hee;Jin, Young-Hee;Kwak, Jae-Eun;Lee, Myung-Sook;Kim, Bog-Soon;Hang, In-Sook
    • Korean Journal of Food Science and Technology
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    • v.53 no.3
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    • pp.239-244
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    • 2021
  • In the present study, liquid chromatography tandem-mass spectrometry was used to conduct a risk assessment of ethoxyquin and ethoxyquin dimer residues in 288 farmed fish sold in wholesale and traditional markets in Seoul. The detection range (detection rate) of ethoxyquin and ethoxyquin dimer was 0.005~0.309 mg/kg (4.9%) and 0.001~2.828 mg/kg (69.8%), respectively. Ethoxyquin was detected only in freshwater eels, loaches, catfish, and flatfish, whereas ethoxyquin dimer was present in all fish species. To estimate the dietary exposure levels of ethoxyquin and ethoxyquin dimer, the hazard index, calculated using the acceptable daily intake and estimated daily intake, ranged from 0.001 to 0.300%. Our results indicate that there is no significant exposure risk to humans from these farmed fish despite 10 farmed fish samples exceeding the maximum residue level (1.0 mg/kg as the sum of ethoxyquin and ethoxyquin dimer).

A Study on Health Impact Assessment and Emissions Reduction System Using AERMOD (AERMOD를 활용한 건강위해성평가 및 배출저감제도에 관한 연구)

  • Seong-Su Park;Duk-Han Kim;Hong-Kwan Kim;Young-Woo Chon
    • Journal of the Society of Disaster Information
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    • v.20 no.1
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    • pp.93-105
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    • 2024
  • Purpose: This study aims to quantitatively determine the impact on nearby risidents by selecting the amount of chemicals emitted from the workplace among the substances subject to the chemical emission plan and predicting the concentration with the atmospheric diffusion program. Method: The selection of research materials considered half-life, toxicity, and the presence or absence of available monitoring station data. The areas discharged from the materials to be studied were selected as the areas to be studied, and four areas with floating populations were selected to evaluate health risks. Result: AERMOD was executed after conducting terrain and meteorological processing to obtain predicted concentrations. The health hazard assessment results indicated that only dichloromethane exceeded the threshold for children, while tetrachloroethylene and chloroform appeared at levels that cannot be ignored for both children and adults. Conclusion: Currently, in the domestic context, health hazard assessments are conducted based on the regulations outlined in the "Environmental Health Act" where if the hazard index exceeds a certain threshold, it is considered to pose a health risk. The anticipated expansion of the list of substances subject to the chemical discharge plan to 415 types by 2030 suggests the need for efficient management within workplaces. In instances where the hazard index surpasses the threshold in health hazard assessments, it is judged that effective chemical management can be achieved by prioritizing based on considerations of background concentration and predicted concentration through atmospheric dispersion modeling.

Research and Development of Urban Health Infrastructure for Home Health Care for the Elderly (도시의 노인보건방문서비스를 위한 자원 및 모델 개발에 관한 연구)

  • Kang, Pock-Soo;Hwang, In-Soo;Kim, Chang-Yoon;Kim, Seok-Beom;Lee, Kyeong-Soo
    • Journal of agricultural medicine and community health
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    • v.21 no.1
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    • pp.47-60
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    • 1996
  • Home health care is one of the important components of health care services. Today, the need and demand for the home health care is increasing. To assess the effects of home visit health services by public health nurses in health center on the stat of health, use of medical services and quality of life by elderly people living at home, a randomized controlled trial was implemented for 65 years or more old people randomly allocated to intervention(93) and control(118) group. Intervention group received 2 visits a month over 6 months. Control group received no home visits. The data was collected in a one-year follow-up survey conducted at Kyongju before and after the intervention which composed of health risk assessment, risk factor education and health related behavior counseling. The prevalence rate of chronic illness was more decreased in intervention group than control group after intervention. The intervention group visited medical facilities less frequently than control group. And the home visit health services encouraged the elderly to practice regular exercise. After the intervention, the score of ADL(activities of daily living), LSI(life satisfaction index) and SSI(social support index) in intervention group were more increased than control group. And the increase of scores was more prominent in 70 years or more old people, female, non-smoker and non-chronic illed elderly rather than others. In conclusion, the regular home visit health services provided by public health nurses were beneficial for the elderly in terms of health promotion and quality of life.

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Assessment of Riverine Health Condition and Estimation of Optimal Ecological Flowrate Considering Fish Habitat in downstream of Yongdam Dam (용담댐 하류의 하천건강성 평가 및 어류 서식처를 고려한 최적 생태유량 산정)

  • Hur, Jun-Wook;Kim, Jeong-Kon
    • Journal of Korea Water Resources Association
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    • v.42 no.6
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    • pp.481-491
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    • 2009
  • In this study, a comprehensive field monitoring was conducted to understand habitat conditions of fish species in the upper Geum river. Based on the monitoring data, riverine health conditions such as composition ratio of fish species, richness and dominance indexes, bio-diversity (dominance index, diversity, evenness and richness), and index of biological integrity were assessed, and optimal ecological flowrates were estimated using the habitat suitability indexes established for three fish species Coreoleuciscus splendidus, Zacco platypus and Pseudopungtungia nigra selected as icon species using the physical habitat simulation system (PHABSIM). The total number of species sampled was 20 species, and two sensitive species of C. splendidus (22.4%) and Z. platypus (22.0%) dominated the fish community. The estimated IBI values ranged from 34 to 42 with average being 38 out of 50, rendering the site ecologically fair to good health conditions. An optimal ecological flowrate of 9.0 cms was recommended for the representative fish species at the site.

A National-wide Survey of Public Health Promotion Programs in Traditional Korean Medicine Targeted on Public Officials (한의약건강증진사업 현황 및 인식도 조사 : 보건소 건강증진사업담당자를 대상으로)

  • Park, Jeong-Su;Jang, Soobin;Lee, Ju Ah;Ko, Ho-Yeon;Park, Sunju
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.2
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    • pp.61-68
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    • 2017
  • Objectives : This study aimed to examine the status of public health promotion programs in Traditional Korean Medicine (PHPP-TKM) from program managing public officials. Methods : The survey was a self-administered questionnaires based on internet service, survey monkey. The survey included the conducting status, obstacles, and improvement points of PHPP-TKM. Results : A total number of 179 officials participated the survey (response rate 71.0%), comprising 92.8% female. The survey demonstrated that 70.3% of participants conducted PHPP-TKM. The most frequent PHPP-TKM were stroke and bone/joint program. The reasons for not conducting PHPP-TKM were lack of financial support and program contents. The obstacles during conducting PHPP-TKM were insufficient contents and assessment index in PHPP-TKM. To develop necessary program for local residents and to secure financial support were required for managing future PHPP-TKM. Conclusions : The results suggests that various contents, validated assessment index, stable funds are to promote PHPP-TKM.

Reliability of Scapular Downward Rotation Measurement in Subjects With Scapular Downward Rotation Syndrome

  • Choi, Woo-Jeong;Lee, Ji-Hyun;Jeong, Hyo-Jung;Yoon, Tae-Lim;Cynn, Heon-Seock
    • Physical Therapy Korea
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    • v.21 no.3
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    • pp.73-79
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    • 2014
  • The purposes of the current study were to (1) estimate the inter-rater agreement for visual assessment of scapular downward rotation (SDR), (2) develop the scapular downward rotation index (SDRI) as a method to measure SDR objectively and quantitatively, and (3) analyze the intra- and inter-rater reliability of the SDRI. Twenty subjects with scapular downward rotation syndrome (SDRS) were recruited for this study. The visual assessment and the measurement for the SDRI were conducted by two examiners in two sessions each. The SDRI [$(a-b){\div}a{\times}100$] is calculated with the measurement of two linear distances: One is a perpendicular distance from the root of the scapular spine to the thoracic mid-line (a), and the other is a perpendicular distance from the inferior angle of the scapula to the thoracic mid-line (b). Cohen's kappa coefficient was calculated to estimate the inter-rater agreement for visual assessment. Intra-class correlation coefficients (ICCs) with a 95% confidence interval (CI), the standard error of measurement, and minimal detectable differences were calculated to assess intra- and inter-rater reliability of SDR measurement using the SDRI. The results indicated that the kappa coefficient of inter-rater agreement for visual assessment was fair (${\kappa}=.21$). The intra-rater reliability of SDR measurement using the SDRI was excellent for examiner 1 (ICC=.92, 95% CI=.78~.97) and good for examiner 2 (ICC=.82, 95% CI=.55~.93). The inter-rater reliability was moderate (ICC=.73, 95% CI=.32~.89). These findings showed that SDR measurement using the SDRI for subjects with SDRS may be considered reliable and better than the visual assessment.

Risk Assessment for Heavy Metals in Soil, Ground Water, Rice Grain nearby Abandoned Mine Areas (국내 폐금속 광산지역에서의 토양, 지하수, 쌀의 중금속 노출에 따른 인체 위해성평가)

  • Na, Eun-Shik;Lee, Yong-Jae;Ko, Kwang-Yong;Chung, Doug-Young;Lee, Kyu-Seung
    • Korean Journal of Environmental Agriculture
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    • v.32 no.4
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    • pp.245-251
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    • 2013
  • BACKGROUND: The objectives of this study are to investigate the contamination levels of heavy metals in soil, ground water, and agricultural product near the abandoned Boeun and Sanggok mine areas in Korea and to assess the health risk for these local residents exposed to the toxic heavy metals based on analytical data. METHODS AND RESULTS: By the results of human health risk assessment for local residents around Boeun and Sanggok, human exposure to cadmium, copper, arsenic from soil and to lead, cadmium, and arsenic from rice grain were higher in Sanggok, but human exposure to zinc and arsenic from ground water was higher in Boeun. By the results of hazard index (HI) evaluation for arsenic, cadmium, copper, lead, and zinc, HI values in both areas were higher than 1.0. This result indicated that the toxicity hazard through the continuous exposure to lead, cadmium, arsenic from rice, ground water, and soil would be likely to occur to the residents in the areas. Cancer risk assessment for arsenic, risks from the rice were exposed to one to two out of 10,000 people in Boeun and one of 1,000 people in Sanggok. These results showed that the cancer risks of arsenic in both areas were 10~100 times greater than the acceptable cancer risk range of US EPA ($1{\times}10^{-6}{\sim}1{\times}10^{-5}$). CONCLUSION(S): Therefore, if these two local residents consume continuously with arsenic contaminated soil, ground water, and rice, the adverse health effects (carcinogenic potential) would be more increased.