• Title/Summary/Keyword: rural hospital

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Prevalence and Age, Gender and Geographical Area Distribution of Esophageal Squamous Cell Carcinomas in North China from 1985 to 2006

  • Feng, Xiao-Shan;Yang, Yan-Tong;Gao, She-Gan;Ru, Yi;Wang, Gong-Ping;Zhou, Bo;Wang, Yu-Feng;Zhang, Peng-Fei;Li, Pu-Yu;Liu, Yong-Xuan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.5
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    • pp.1981-1987
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    • 2014
  • Objective: To establish the prevalence and distribution profile of esophageal squamous cell carcinomas (ESCCs) over a 22-yr period in North China. Methods: Using endoscopy for primary diagnosis and histological analysis for the further confirmation, a total of 74,854 ESCC patients aged 20-89 between January 1985 and December 2006 were investigated to analyze the epidemiological profile including prevalence rates, distribution of age-of-onset, gender and geographical area of ESCC in Luoyang, the highest incidence area of North China. Results: A total of 4092 cases of ESCC were finally diagnosed among 74,854 patients who had their first endoscopies. The prevalence among males was higher than that among females (p<0.01), resulting in an overall male:female OR of 1.2 (95%CI, 1.2-1.3). The prevalence in rural areas was higher than in urban areas (p<0.01), resulting in an overall rural:urban OR of 2.6 (95%CI, 2.4-2.9). The rural:urban ORs and the 95% CI increased continuously from 2.6, 2.3-3.0 to 2.7, 2.2-3.3, respectively, for 4 consecutive periods during the 22-yr study period. Moreover, the median age of onset among females was higher than that among males (p<0.01). For both sexes and in both areas, the prevalence rates declined and the median age of onset rose for 4 consecutive periods in the 22-yrs time frame (p<0.01). Conculsions: These data reveal the epidemiological profile of ESCC in the area of North China, and suggest that urban areas and rural people account for a growing proportion of the ESCC patients although the prevalence of ESCC significantly declined and the median age-of-onset postponed over the 22-yrs period. Moreover, the prevalence status of ESCC in rural areas also underlines the need for public health initiatives aimed at reducing risk factors of this fatal disease.

A Study on the Basic Needs of Rural People for the Better Rural Human Settlement (농촌주민(農村住民)의 기초수요(基礎需要) 조사연구(調査硏究))

  • Kim, Soo-Wook
    • Journal of Agricultural Extension & Community Development
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    • v.2 no.1
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    • pp.41-54
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    • 1995
  • The purposes of the study were to find out the basic needs of rural people and to get some implications for the integrated rural regional development. The data were gathered from 376 local government officers and change agents in 8 Provinces. Major results of study were as follows ; (1) Average income of rural households meet $90{\sim}100$ present of average income of urban households. (2) Most of respondents replied that average labor inputs should not exceed $7{\sim}8$ hours per a day. (3) Basic requirement of school career for the rural life was high school graduate. (4) Education expenditure should be less then 6 percent of total consumption expenditure. (5) Rural people should be able to access to basic public facilities such as school, hospital and drag store within thirty minitues. (6) Desirable housing space for rural life was $66{\sim}72.5m^2$. (7) Rural people should enjoy $3{\sim}4$ times of cultural activities and $3{\sim}4$ times of tours in a year.

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A Comparative Study on the Clinical Features and Complications of Snake Bite Patients in Urban and Rural Areas (도시와 농촌에서 발생한 독사 교상 환자의 임상적 양상과 합병증 비교 연구)

  • Hong, Seong-Jun;Lee, Joo-Hwan;Choi, Woo-Ik;Jin, Sang-Chan;Jeon, Jae-Cheon
    • Journal of agricultural medicine and community health
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    • v.45 no.3
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    • pp.154-161
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    • 2020
  • Purpose: The purpose of this study is to compare the clinical features and complications of snake bite patients in urban and rural areas. Methods: A retrospective study was conducted on patients over 18 years of age who were hospitalized for snake bites from January 2013 to December 2019. Patients were categorized into urban and rural groups according to their respective locations at the time of the snake bite and the clinical characteristics and complications of the two patient groups were researched and compared. Results: Of the 77 snake bite patients, 44 patients were categorized into the rural group (57.1%). The rura1 group showed significant differences in old age (p=0.011), delayed hospital visits (p=0.010), far hospital distance (p<0.001), high local effect score (p<0.001), high traditional snake-bite severity grading scale (p=0.008) and use of large amounts of antivenins (p=0.026). There was a significantly higher incidence of acute kidney injury (p=0.030), rhabdomyolysis (p=0.026), and coagulopathy (p=0.033) in the rural group as well as a longer hospitalization period (p<0.011). Conclusion: Snake bites that occurred in rural areas resulted in patients with more complications compared to urban areas due to farther distances from hospitals, causing a delay in antivenom treatment.

Effects of Cibotium Barometz on RANKL from Collagen-induced Rheumatoid Arthritis Mice (류마티즘을 유발한 생쥐에서 RANKL에 대한 구척의 효과)

  • Kim, Young-Ock;Kim, Geum-Soog;Lee, Seung-Eun;Seong, Nak-Sul;Cha, Seon-Woo;Jekal, Seung-Joo;Jang, Hyoung-Seok;Shin, Joon-Shik
    • Journal of Acupuncture Research
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    • v.24 no.3
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    • pp.207-213
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    • 2007
  • 목적 : 콜라겐으로 관절염을 유발한 생쥐에서 RANKL발현에 대한 구척의 효과를 연구하였다. 방법 : 면역조직화학법을 이용하여 관절의 염증과 골의 손실 정도를 증명하였다. 콜라겐으로 관절염을 유발한 DBA/IJ종의 생쥐에 관절염 유발 3주후부터 8주까지 구척 (300mg/kg)을 투여한 후 발의 부종과 골 손실의 변화를 Safranin O염색으로 관찰하였다. 결과 : 5주간 구척의 투여로 관절의 부종과 무릎 관절의 염증을 막았다. 파골세포 분화인자인 RANKL은 대조군에 비해 구척 투여군의 관절에서 RANKL이 감소되었다. 결과 : 구척 투여의 결과로 골손실을 보호하였고, 뼈를 만드는 동화작용에 의해 RANKL의 발현을 개선할 수 있었다.

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A Study on Ward Design for the Elderly with Dementia (치매노인을 위(爲)한 병동계획(病棟計劃)에 관(關)한 연구(硏究))

  • Yang, Kum-Suek
    • Journal of the Korean Institute of Rural Architecture
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    • v.3 no.3
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    • pp.35-46
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    • 2001
  • The purpose of this study is to clarify the actual condition of the daily living activities of the elderly with dementia in medical facilities. The thorough investigation and observation works were made to them from the view points of daily living behaviors and behavioral places of the recuperating elderly. This article discusses about the basic characteristics of the elderly and the actual condition of the daily living activities of the elderly with dementia in 2 geriatric hospitals and 1 special hospital for the aged with dementia. The results of this study are summarized as follows; There is no wide difference between geriatric hospital and special hospital for the aged with dementia on the characteristic of living behaviors of the elderly with dementia. The usage of behavioral places in hospitals are influenced by the physical environments and the basic characteristics of the elderly with dementia.

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A Study on the Spatial Organization of Outpatient departments in the Infectious Disease Hospital by Region (권역별 감염병전문병원의 통원진료부문 공간구성에 관한 연구)

  • Lee, Joo Rang
    • Journal of the Korean Institute of Rural Architecture
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    • v.26 no.2
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    • pp.73-84
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    • 2024
  • This study investigated the outpatient departments of Infectious Disease Hospitals by Region, which play an important role in establishing regional medical networking, to find a spatial structure that can provide a safe environment for efficient diagnosis and treatment, as well as a rational medical procedure in case of crisis. Department layout and adjacencies were derived by considering the access procedures according to patient classification, medical procedures by department, and connectivity with other departments. Based on the results derived by setting up zones according to infection control, activities, and objects, and analyzing the division of zones, the composition of areas by activities, movement flows by objects and treatment units, it can be used as basic data for the architectural plan of the Infectious Disease Hospital. Also, there are implications that can be used as basic data for planning related facilities by analyzing spatial relationships according to user behavior.

Time Trends of Ovarian Cancer Incidence in China

  • Wang, Bing;Liu, Shu-Zheng;Zheng, Rong-Shou;Zhang, Fang;Chen, Wan-Qing;Sun, Xi-Bin
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.1
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    • pp.191-193
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    • 2014
  • The aim of this study was to examine the trend of ovary cancer incidence from 1999 to 2010 in China and predict the burden up to 2020. Crude incidence, age specific incidence and age-adjusted incidence rates were calculated. Joinpoint regression was performed to obtain estimated annual percentages and Bayesian age-period-cohort modeling was used to predict the incidence rate until the year 2020. In China, the crude rate of ovary cancer was 7.91/100,000 and the age-adjusted rate was 5.35/100,000 overall during period 1999-2010. The rates in urban regions were higher than in rural regions. A significant rising trend during 1999-2006 was followed by a drop during 2006-2010 in age-adjusted rates for urban females. In contrast, constant rise was observed in rural women. The decrease in ovary cancer of urban areas tended to be restricted to women aged 50 years and younger. In contrast, increases of ovary cancer in rural areas appeared in virtually all age groups. Although the age-adjusted incidence rate for ovary cancer was predicted to be reduced after year 2011, the crude rate was likely to be relative stable up to 2020. The burden of ovary cancer in China will continue to be relative stable due to the aging population.

Evaluation of Vulnerability on Rural Emergency Relief Service using Text Mining (Text Mining 기법을 활용한 농촌마을 긴급구호서비스 접근 취약성 평가)

  • Woo, Jaehyeong;Park, Jinseon;Yoon, Seongsoo
    • Journal of Korean Society of Rural Planning
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    • v.24 no.1
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    • pp.67-74
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    • 2018
  • The rural areas are large residential space with fewer people than urban areas. That is why they are vulnerable to social services such as health care and security. This research analyzed the vulnerability of emergency relief service in rural village through text mining and the weighting value have been calculated. Based on the calculated statistics data, the police facilities are the most important, While the fire fighting and hospital facilities are important as well. In addition, the distance from the emergency relief service facility to the rural village was confirmed by using Open API. By combining these results, The vulnerable areas of the rural villages and the emergency relief service facilities were calculated and classified into 5 levels. For rural areas, the 1st class will have 33 places, following by 1,179 in 2nd class, 199 in 3rd class, 17 in 4th class and 8 in 5th class. Hence in order to further supplement the vulnerable areas to emergency relief service in villages, geographical relocation and policy approach of emergency relief service facilities are necessary.

Telehealth for Rural Health Problems: Experiences in The U.S.A and Korea (농촌의 보건의료문제 해결을 위한 원격보건 : 미국과 한국의 경험)

  • Lee, Won-Jae
    • Korea Journal of Hospital Management
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    • v.1 no.1
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    • pp.188-202
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    • 1996
  • Telehealth is widely tested in the U.S.A and other developed countries. This system is expected to solve rural health problems reducing professional isolation. Some demonstration projects showed that the system can provide quality care in reasonable prices to rural residents. However, few study has been done on whether telehealth system can attract physicians by reducing professional isolation. The system is not available to most of the rural hospitals because the price for the equipment and telephone charges are not low enough. It is promising that the system cost and telephone charges are decreasing gradually. As time passes, rural hospitals will be more viable for the system. Satisfaction of the physicians and patients is a key factor for the implementation of the system. The physicians need to understand more about telecommunication and computer systems. After physicians are well-versed about the system, we can expect wide use of telehealth in rural areas. Effort for the confidentiality and standardization should be devoted to assure patient's privacy and compatibility of patient records and exam results. In Korea, two projects are being operated in Uljin and Kurye. A study evaluated the economic efficiency of the projects suggesting that increase of the number of patients up to three times of current number or decrease in hardware costs and telecommunication charges into two thirds of the current costs. The hardware and telecommunication charges are decreasing. Another area telehealth system can be applied is psychiatric accommodation facilities. Establishment of telehealth in the psychiatric facilities will increase the access of psychiatric care for patients and is expected to be economically efficient.

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