• Title/Summary/Keyword: rural family

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Impact of increasing the level of copayments on the number of physician visits (의료보험 본인부담금 인상에 따른 외래이용 변화)

  • Chun, Ki-Hong;Kim, Hang-Jung
    • Journal of Preventive Medicine and Public Health
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    • v.25 no.1 s.37
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    • pp.73-87
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    • 1992
  • The level of copayment increased in order to stabilize the financial condition of the health insurance on 1986. An important question regarding the policy was whether the increase in the level of copayments reduced the utilization of medical services in the poor selectively. In spite of the importance of the research question, no study has been reported. This study was designed to find out changes in numbers of physician visits, to explain characteristics influencing the difference of utilization before and after the program. Finally the interaction effect between the program and the level of income was examined for the abover question. A total of 10,421 persons from eight institutions was selected as the study sample. Research findings are as follows. 1. The number of physician visits decreased by ten percent as a result of increasing the level of copayment. 2. The decrease was remarkable in some groups such as children, rural area and large family. 3. The most important factor which explained the difference was the number of physician visits before the introduction of the new program. The more numbers of physian visits during the last year were, the more numbers of physian visits decreased after the program. 4. The interaction term between the program and the level of income was statistically significant in the multiple regression model which explained physician visits and its coefficient was negative. It means that an increase in copayment did not reduced the number of physician visits in the poor, selectively. 5. It can be concluded that imposing adequate copayment reduces the use of medical services as well as medical costs without serious damage in access especially for the poor people.

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Phylogenetics and Gene Structure Dynamics of Polygalacturonase Genes in Aspergillus and Neurospora crassa

  • Hong, Jin-Sung;Ryu, Ki-Hyun;Kwon, Soon-Jae;Kim, Jin-Won;Kim, Kwang-Soo;Park, Kyong-Cheul
    • The Plant Pathology Journal
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    • v.29 no.3
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    • pp.234-241
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    • 2013
  • Polygalacturonase (PG) gene is a typical gene family present in eukaryotes. Forty-nine PGs were mined from the genomes of Neurospora crassa and five Aspergillus species. The PGs were classified into 3 clades such as clade 1 for rhamno-PGs, clade 2 for exo-PGs and clade 3 for exo- and endo-PGs, which were further grouped into 13 sub-clades based on the polypeptide sequence similarity. In gene structure analysis, a total of 124 introns were present in 44 genes and five genes lacked introns to give an average of 2.5 introns per gene. Intron phase distribution was 64.5% for phase 0, 21.8% for phase 1, and 13.7% for phase 2, respectively. The introns varied in their sequences and their lengths ranged from 20 bp to 424 bp with an average of 65.9 bp, which is approximately half the size of introns in other fungal genes. There were 29 homologous intron blocks and 26 of those were sub-clade specific. Intron losses were counted in 18 introns in which no obvious phase preference for intron loss was observed. Eighteen introns were placed at novel positions, which is considerably higher than those of plant PGs. In an evolutionary sense both intron loss and gain must have taken place for shaping the current PGs in these fungi. Together with the small intron size, low conservation of homologous intron blocks and higher number of novel introns, PGs of fungal species seem to have recently undergone highly dynamic evolution.

A Study on School Health Promotion Services (학교보건사업을 통한 건강증진 사업에 대한 연구)

  • Nam, Chul Hyun
    • Journal of the Korean Society of School Health
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    • v.10 no.2
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    • pp.193-211
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    • 1997
  • The study was designed to gain necessary basic data in order to grasp the health knowledge, attitude, and practice level of students and teachers of elementary, middle and high schools. This study was conducted through interviews of 3,400 students and 1,022 teachers attending 14 different schools large, middle and small cities and rural towns during a period of nine months (from Oct. 2 1995 to Jun. 30 1996). By the results of this study, the recommendations can be summarized as follows: 1. A school health development committee should be established of 10 members: school health related teachers (physical trainers, nurses, and teachers in charge of health), parents, persons related to health administration, local medical doctors, and student reprensentatives in order to support and immplement school health development plans. 2. Like advanced countries, a health class of 2~4 hours should beplaced in middle and high schools. A nurse majoring in health from a university should be the teacher. 3. A curriculum of health should contain the following: education on health, sex, alcohol, tabacco, the misuse of the drugs, the structure and function of human body, the growth of the body, mental health, safety and emergency care, the prevention of disease, proper eating habits and nutrition, daily health life, family health education, society health, community health, environmental pollution and individual responsibility. 4. Create a school health promotion center, with a nurse's office, and a sports center which has health machines (bars, aerobics, training, twist machine, belt massage, running machine, bench press, chest waist, hack hip extension machine) as well as a physical strength measuring machine (muscular strength, alertness, flexibility, endurance, lung functions and so on), so that the teaching staff and students can use them and train their bodies. 5. Through a refresher education program, urge teachers to understand school health promotion services. 6. Regulate a standard and establish a system of monitoring the physical enviroment of the school (the height of desks and chairs, illumination facilities, ventilation facilities, safe drinking water). 7. Create a check list of health to evaluate improvement.

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Respiratory symptoms occurring among mushroom farmers (느타리버섯 재배 농민에서 발생하는 호흡기 증상)

  • Lim, Hyun-Sul;Bae, Geun-Ryang;Kim, Doo-Hie;Jun, Kyung-Hong
    • Journal of agricultural medicine and community health
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    • v.23 no.2
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    • pp.259-268
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    • 1998
  • It has been reported that among mushroom farmers, respiratory diseases such as hypersensitivity pneumonitis can be developed by inhalation of mushroom (Pleurotus ostreatus) spores. For the evaluation of respiratory symptoms among mushroom farmers, a questionnaire was made. The Questionnaire included general characteristics, past occupational histories, durations of the mushroom cultivation and characteristics of the symptoms. Following the questionnaire we interviewed the 72 mushroom farmers (12 males, 10 females) from Kyungbuk Province. We also examined white blood counts, erythrocyte sedimentation rates, eosinophil counts and total IgE counts for the 5 farmers. The results obtained are as follows. 1. The mean age among the 22 mushroom farmers was 46.9 years, and the mean duration of cultivation was 7.5 years. 2. Among the 22 mushroom farmers. 18 farmers (81.8 %) suffered from respiratory symptoms at work. The main symptom was coughing (100.0%), followed by chilling sensation (50.0 %), sputum (38.9 %) and sore throat (27.8 %). 3. Coughing and other associated symptoms occurred during work and disappeared after work or several days later when the exposure had been stopped. 4. Total IgE counts were elevated in all farmers examined the test. With above results, the respiratory symptoms that developed among mushroom farmers were typical patterns of hypersensitivity pneumonitis. Epidemiological studies and preventive measures for mushroom farmers should be established.

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A Study of the Frequency of Food Purchase for Snacking and Its Related Ecological Factors on Elementary School Children (초등학생의 간식 구매실태 및 관련 생태학적 요인분석)

  • 강석아;이정원;김경은;구재옥;박동연
    • Korean Journal of Community Nutrition
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    • v.9 no.4
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    • pp.453-463
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    • 2004
  • In order to investigate food purchase frequency of elementary school children and its related ecological factors, 431 4th, 5th and 6th grade elementary school children and their mothers, living in Seoul and Daejon, small city and rural area of Chungnam Province, were participated in this study. The subjects and their parents were surveyed by a self-recording questionnaire about food purchase frequency and some ecological factors. Average height and weight of the subjects by gender and grade were similar to or a little bit more than the 1998 Korean Growth Standard. According to relative body weight, 30.6% and 10.8% of the subjects belonged to under-weight and obesity categories, respectively. Of the subjects, 46.9% used PC telecommunication or internet, 53.8% of them used it for less than an hour per day, and 46.4% watched TV for 2 to 4 hours a day. About 42% of the subjects spent 500 Won or less daily to buy snacks. A half of the subjects took snacks once a day because of hunger. Mothers' nutrition knowledge score was averagely 8.16 out of 13 full score and the average attitude score was 43.22 out of 50 full score. Foods purchased more than once a week were milk and yoghurt, cookies, ice-cream, ramyun, and gum in order. Family income, parents' education level, mothers' nutrition knowledge and food attitude score, students' snacking frequency and TV watching time showed significant correlations with purchase frequencies of some individual food items. In conclusion, the elementary school children considered taste most important rather than nutrition in buying snacks and most frequently bought carbohydrate foods and concentrated sugars except milk. Ecological factors such as mothers' nutritional knowledge and food attitude, TV watching time and snacking frequency had influenced the children's food purchase frequency. Accordingly, it is necessary to educate both children and their mothers about good food purchase and the importance of snacking.

A Study on the Defaulters of Tuberculosis Patient Registered at Health Center in Kyongnam Area (보건소 등록결핵환자중 중단자에 관한 조사연구)

  • Kim, Yong-Joon
    • Journal of agricultural medicine and community health
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    • v.6 no.1
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    • pp.73-81
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    • 1981
  • This study was designed to analyze the result of Tb worker's activities on the performance of follow up program as part of the government tuberculosis program. The specific objectives of this study was also to improve the method of managing the patient who were registered at health center by the setting the priorities depend upon in their results of sputum examination and X-ray examination. All the medical records of 509 patients who were dropped out from government health center in Kyongnam area during 1978, were analyzed and interpreted. Followings are the result of the study. 1. The number of investigated cases were 509 (356% males and 153 females), by age the most prevalent group was 20~29 year old group as 27.3% and 20~40 year old group was 61.5%, above 61 year old was 14.9%. 2. The microscopic result of their sputum was positive in 52.1%, and by X-ray examination moderate advanced case was 63.9% minimal 18.5% and far advanced 17.6% in order. 3. Average duration of treatment was 9.03 months, 11.4 months in microscopic positive cases and 6.5 months in negative cases. 4. Conversion rate of microscopic positive case was 42.9% on sputum culture, in the negative cases, it was confirmed in negative 20.1% only by the initial sputum culture. 5. The rate who get take X-ray and sputum examination among any family member of the patients was 43.4% in positive cases, 20.9% in negative cases. 6. 80.2% of positive cases took X-ray for following up in every 6 month after registration, 41.0% in negative cases. 7. Defaulting reasons which recorded in individual card were undetermined reason (42.0%), treating elswhere (22. 4%), refused treatment (17.9%) and moved out (17.7%).

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The Study on Dietary Patterns of Korean food and the Level of Proper Eating Habits According to the Recognition of the Kimchi Cooking Method - Based on the Result of 2014 National Dietary Survey - (김치조리법 인지 여부에 따른 한식식사패턴 및 바른식생활 실천에 관한 연구 - 2014 국민식생활실태조사 결과를 토대로 -)

  • Kim, Juhyeon
    • Journal of the Korean Society of Food Culture
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    • v.32 no.6
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    • pp.465-475
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    • 2017
  • Purpose: This study investigated the dietary patterns associated with Korean food and the level of proper eating habits according to recognition of the Kimchi cooking method, and aimed to suggest the necessity of dietary education of traditional foods such as Kimchi. Methods: Based on the results of the national dietary survey conducted in 2014 by Ministry of Agriculture, Food and Rural Affairs of Korea, a total of 1200 subjects were classified into two groups, one that knew how to make Kimchi (53.8%) and another that did not (46.2%). Results: The group that knew how to make Kimchi (FG) showed significantly higher scores in knowledge of how to cook most types of Korean foods and traditional fermented foods than the other group (NG). Moreover, FG showed significantly higher scores in regularity in meals and a higher frequency of Korean foods such as rice, Kimchi, and grilled or stewed food, while it showed significantly lower scores in dietary risk factors than NG. In addition, FG showed significantly higher scores in dietary education interest and number of meals with family during the week than NG. Finally, FG had significantly higher scores in the degrees of practice of all eight items related to proper eating habits. Conclusion: Since recognition of Kimchi cooking has a great influence on maintenance of dietary life, dietary education to improve the cooking ability of traditional foods should be further strengthened.

The Vegetation Characteristics of Small Palustrine Wetland in Rural Area (농촌지역 소규모 소택형습지의 식생특성)

  • Kang, Bang Hun;Son, Jin-Kwan;Lee, Sang-Hwa;Kim, Nam-Choon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.12 no.3
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    • pp.33-48
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    • 2009
  • A palustrine wetland is a type of a wetland that prevails in Korea as well as an ecosystem that provides various ecological functions and has affluent biodiversity. This study was conducted to understand the characteristics of vegetation in a palustrine wetland by analyzing a life form and naturalized plants, in order to present the maintenance and utilization plan of a small wetland. A total of 249 taxa including 76 families, 188 generics, 209 species, 38 varieties and 2 forma were found at six investigated wetlands. As a result of the appearance ratio analysis, Therophytes (37.8%) with 94 taxa and Hemicryptophytes (31.3%) with 78 taxa were in order of life form, and Gramineae (14.1 %) with 35 taxa and Compositae (11.2 %) with 28 taxa were in order of family level. These were deemed representative vegetation in a palustrine wetland. Equosetum arvense, Phragmites communis, Commelina communis, Persicaria thunbergii, Arenaria serpyllifolia, Stellaria media, Erigeron annuus, Erigeron canadensis and Artemisia princeps var, orientalis were found continuously for a period of investigation in all sites. Equosetum arvense, Phragmites communis and Persicaria thunbergii were species with high appearance frequency. Especially, Persicaria thunbergii was construed high in a cover ratio in May as it develop first among Hydrophytes and form a canopy sooner than anything else. We found that a degree of naturalization and an urbanization index appear comparatively high in Yeongok-ri, Cheonan, Gangjang-ri, Asan and Yodang-ri, Hwasung, which is construed due to artificial interference, such as fanning, fishing, swimming and green-tour program. These results would be used to utilize in restoring a deserted and damaged wetland and to provide fundamental data in creating a wetland as follows.

A Study on the Space Analysis of Apartment Floor Plans in New·Old Town Using the Space Syntax (공간구문론을 이용한 신·구 신도시 아파트의 평면 구성 비교 분석)

  • Hwang, Yong-Woon
    • Korean Institute of Interior Design Journal
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    • v.25 no.2
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    • pp.123-130
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    • 2016
  • Industrialization and Urbanization caused a great influx of rural population into the cities, which caused housing types to change from detached homes to more apartments homes. The official 2014's Statistics (http://kossir.kr) show that half (49.6%) of the Korean population live in apartment buildings and 37.5% live in detached houses. For this reason, the apartments have become the typical housing in Korea. So, the aim of this study is to compare and analyze the internal apartment space of Budang (New-Town) and Wirye (New-Town), since these Budang apartments are the first new-town housing and Wirye apartments are the last new-town housing in Korea. I have used the Convex Analysis of Space Syntax Program in analyzing the inside space of both of these locations' apartments. The results are as follows : First, the inside space of Wirye apartments have more convex space than that of the Budang apartments. Second, the common inside space of the Budang apartments were planned by integration space, on the other hand the inside space of Wirye apartments were planned by segregation space. Third, the master bedroom in both of the locations' apartments were analyzed for their strong integration space which they may have in common. The K (Kitchen) + D (Dining) space in Budang apartments are classified as integration space, on the other hand L (Living) + K + D space is also classified as integration space. The L+K+D space of the Wirye apartments is classified as integration space. Finally, the inside space of the Wirye apartments were planned more for various spaces than that of Budang apartments. The concept of master bedroom in both new-town was not planed for a couple privacy space but the heart of the family.

A Study on the Roadiside Forest in Jungeup-Gun, Chunbuk-Do -ase Study on the Roadside Forest from Wonpyung to Kamgok- (전북 정읍지역 도로 주변림에 관한 연구 -김재 원평에서 정읍 감곡 사이의 지방도 사례로-)

  • 박재철
    • Journal of the Korean Institute of Landscape Architecture
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    • v.22 no.1
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    • pp.53-63
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    • 1994
  • There are lots of forests around the Korean rural village. This study was conducted to investigate the state of the forests by the 15 forests case study of the Kamgok region in Chon-guk-Do province, Korea. The results are as follows. 1. The forests lose mostly original form by the construction of road and forest clearing for the land development business. And almostly the form of the forests is a trapezoid or roundness. 2. The forests were remained on account of the Korean cemetery customs which is burying underground. 3. The conservation of the forests becomes more difficult because of the continuous development pressure. 4. Because the scale of the forests is so small, they aren't named as the natural resort forest by the forest law. So it will be the better alternative that they are conserved and used by inducing the concept of the village resort forest. 5. Because the owenership of the forests exists in a person or a family, the forests will be destructed continuously by the cemetery development. 6. The vegetation of the upper trees in the forests is the simple forests of Pinus densiflora, Pinus rigida and bamboo. The height of upper tree is average 10-12m. And average root diameter is 13-29cm. The age of the tree is average 50 years old. The state of the forests is mostly fine. 7. It is clarified that the price of the forest land is 3-5 times expensive than the other cultivated land. 8. The forests were made by the forefathers for the purpose of the practical use and were reforested in the era 1960s, 1970s.

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