• Health Policy and Management
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• v.20 no.1
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• pp.125-136
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• 2010

Objectives: The purpose of this study is to analyze the proportion of fundus examination of DM patients for preventing microvascular complication and to examine the factors related to fundus examination in DM patients. Methods: This study used 2005 Korean national health and nutrition survey data. We selected all 1,129 diabetes mellitus patients from the data. And we choose 8 factors related to diabetes mellitus patients. These are sex, age group, type of residential area(rural or urban), education level, income level, comorbidity with hypertension, current insulin use, and duration of suffering from DM. We have analysed these factors by whether he had been examined fundus or no through Chi-square and logistic regression analysis. Results: Female DM patients have tendency to get more fundus examination than Male DM patients. And Young patients, patients who live in urban area, well educated patients, high income patients, comorbidity with hypertension, patients have got the insulin injection, patients have long duration of suffering from DM are to get more fundus examination. According to multivariate logistic regression analysis, sex and education level, income level, and duration of suffering from DM, comorbidity with hypertension, patients have got the insulin injection are significant factors on fundus examination for prevent microvascular diabetes mellitus complications. Conclusions and Discussion: We have concluded that physicians and policy makers should consider to fundus examination especially of man and DM patients who have more shorter disease period and low educated patients and low incomed patients and patients who have taken insulin therapy.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.8
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• pp.3835-3840
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• 2012

Objective: The objective of this study is to determine the practice and associated factors of HPV vaccine among school girls in Melaka, Malaysia. Methodology: A total number of 612 secondary school girls participated in this study. The questionnaire consists of 38 questions which included 3 sections. The first section is about socio-demography. The Second section is about knowledge and awareness of HPV vaccines. The third section is about practices with associated barriers of HPV vaccination. Verbal consent was obtained from all participants, and data were analyzed using SPSS 13. Results: A total number of 612 secondary school girl students participated in this study. The mean age was $13.93{\pm}SD$ (1.09); minimum age was 13 years old and maximum was 17 years old. The majority of them was Malay, from rural areas and had a family monthly income of RM 3000 or less (91.8%, 53.1%, 69.6%; respectively). The majority of the parents of the school girls were with secondary education level (56.4%). The majority of the participants did not have a family history of cervical cancer (99.0%). The prevalence of HPV vaccination was 77.9% among school girls in Melaka. The majority of the participants were vaccinated in their schools (77.0%). About 69% knew about cervical cancer and 77.6% had ever heard about HPV vaccine. Regarding the factors that influence the practice of uptake HPV vaccine, they were age, race, income, parents' education, knowledge about cervical cancer, heard about HPV vaccine and place of getting the vaccine (p<0.001). Conclusions: The prevalence of HPV vaccine among school girls is high. Age, race, income, parents' education, knowledge about cervical cancer, heard about HPV vaccine and place of getting the vaccine were the significant factors that influence the practice of uptake HPV vaccine among school girls.

• 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.

• Korean Journal of Agricultural Science
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• v.23 no.2
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• pp.272-284
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• 1996

The present study has quantitatively assessed the regional production, income and employment impact resulting from the construction and operation of nuclear power plant (NPP) upon the domestic local areas by applying the regional input-output analysis model to the case of Wolsong unit-l site. The conclusions regarding the most likely regional economic impacts upon the wolsong site are summarized as follows: 1. The income multipliers are calculated to be 1.563 for the construction phase and 1.500 for the operation phase. These values are relatively high compared with those of other conventional facilities. 2. The level of total employee's wage induced employment associated with the construction phase has been estimated to be 37,000 while that with the operational phase in 1990 to be 5,610. 3. With relation to the aspect of resident welfare it is found that the industrial sector associated with electricity, gas and water supply have remarkably improved with the construction of the NPP. 4. The NPP siting has induced substantial changes in interindustry (input-output) structures of the Wolsong unit-l site which is one of the rural areas where all the domestic NPPs are sited. Such changes are attributed to the industrial recomposition of the region. 5. With the application of other regional economic analysis models and the use of more sufficient regional data, other detailed studies on the economic impact analysis of domestic NPP-related facility sitings are suggested to be carried out further since the influence of NPP sitings is significant to the national economic impact as well as the regional economic impact.

• Journal of Korean Public Health Nursing
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• v.24 no.2
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• pp.237-248
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• 2010

Purpose: The study assessed the effects of a 12-session empowering program to promote health quality of life, decision making self-efficacy, self-care competency, and reasonable medical care utilization among low income women households in one rural area. Methods: A quasi-experimental, one-group pre-posttest design was employed. A total of 28 women enrolled as medicaid recipients in the Public Health Center of W city agreed to participate. The empowering program consisted of 12 sessions addressing health education for self-care of disease, medication management, and counseling for psycho-social support. The intervention was delivered by five nurses and one social worker. Women completed a structured questionnaire measuring the study variables with demographic characteristic before and after the intervention. Data were analyzed by PAWS Statistics 17 utilizing descriptive statistics and paired t-test. Results: After the intervention, significant increases were evident in participant health quality of life (t=-5.83, p<.001), decision making self-efficacy (t=-4.86, p<.001), self-care competency (t=-8.16, p<.001), and reasonable medical care utilization (t=-3.97, p<.001). Conclusion: The 12-session empowering program on health quality of life as well as self-care competency was effective when delivered to low income women households. Further studies with larger numbers of participants and a control group are necessary to validate the results.

• International Area Studies Review
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• v.13 no.3
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• pp.73-91
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• 2009

In this paper, we attempt to study the trend of regional disparity among Chinese provinces and examine the effects of globalization on the disparities adapting panel data approach. The panel data set utilized consists of the annual variables of 29 provinces during 18 years from 1990 to 2007. The trend of inter-provincial disparities in the 1990s with the expansive trend but the trend has started to decrease since 2000. The results of the China case study show clearly that the provincial international trade level and ratio variables perform on regional income disparities remarkably in all cases. It means that the large development of international trade do with increased among provincial disparity. While due to the large area in the provinces, there exist urban-rural disparities within provinces could be one of the main source of regional disparities. Therefore, along with western regions development policy various development policies against small cities are necessary for balanced regional economic growth in China.

• Journal of agricultural medicine and community health
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• v.49 no.2
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• pp.102-110
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• 2024

Objective: This study evaluated the health behavior level of urological cancer survivors after surgery. Understand the experience of change and identify the factors that affect it for health. Selection of the best intervention steps and effective intervention adopt a lifestyle. It is intended to contribute to the creation of basic data for development of guidelines. Methods: The study was conducted with patients diagnosed with urological cancer at a hospital in Seoul. Study data were obtained by having 100 patients who agreed to the study self-fill out a questionnaire through interviews, and the 2018 World Cancer Research Fund and American Institute for Cancer Research Score (2018 WCRF/AICR SCORE) was used to estimate the level of health behavior. Results: The study examines health behavior among urolgical cancer survivors based on the 2018 WCRF/AICR SCORE. Higher household income and younger age were associated with better health behavior scores, with those under 60 and earning over 3 million won being more likely to have higher scores. Conclusion: Based on these results, this study requires comprehensive data collection considering the missing variables, suggesting that high household income and young age can positively affect healthy behavior. In addition, we conclude that education for cancer survivors and development of strategies to bridge the health gap for low-income and elderly populations are necessary.

• Journal of Korean Society of Rural Planning
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• v.21 no.3
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• pp.155-169
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• 2015

As an essential means to the exploitation of new demands, the export of agri-food has the price-supporting effect on the domestic agri-food and its expansion can be a good way to increase farms' income. Of course, to enhance farms' income under the liberalization of the market, it is necessary to have countermeasures considering various factors. To this end, the study understood the experiences of farms doing exports and looked into ways to improve them by reviewing their motivations to export, difficulties, requirements, etc. In this context, the study conducted the purposive sampling among tomato export farmhouses in Jeongseon-gun in the export enforcement phase and executed the theme analysis. The research findings and suggestions are as follows. First, in order to enhance the level of commercialization of Jeongseon-gun tomatoes and reinforce the trade bargaining power, it is necessary to form the consensus on policy and make the scaling of the site based on the strong organization power. To this end, it requires the active role of agricultural cooperatives that take a big portion of distribution in the site and distribute its profits directly to farmhouses. Second, it is necessary to set clear target markets for Jeongseon-gun tomato export farms and set sales strategies for each target market. That is, in order to expand the export of Jeongseon-gun tomatoes, after clarifying local sales and export sales, export farmhouses should focus on quality management and secure the quantity for export. Third, to expand the export to Japan which already has the foundation for the export of Korean tomatoes, and to new export countries of China, Russia, etc., it is necessary to set the 'Two-Track Strategies for Export Market (particular item for focus and particular area for focus)' through the building of network of tomato export areas in Gangwon-do. In conclusion, to expand the export of Jeongseon-gun tomatoes, agricultural cooperatives and leaders together should build the strong organizational power with farmhouses and secure the quantities for export. And, according to the 'Two-Track Strategies for Export Market (particular item for focus and particular area for focus)', export infrastructure and export operational system should be built and to do so, the solidarity of tomato export farmhouses in Gangwon area should precede.

• Proceedings of the Korean Society of Crop Science Conference
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• 2017.06a
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• pp.352-352
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• 2017

Recently, the South Korean government encourages the cultivation of upland crops in the paddy field to maintain an adequate level of rice production and then to balance the demand and supply of rice. This is mainly because the rice consumption per capita per year has continued to decline from 135 kg in 1979 to 61.9 kg in 2016, although the rice production was relatively stable. As a result, the rice overproduction became a big social problem. As a part of that, various upland crops such as soybean, maize, minor cereals and forage crops are planted in the paddy field 10 years ago. The cultivation of these crops may settle the problem of short supply and mass import of the crops to some extent. However, a systematic remote observation of upland crops in the paddy field is very scarce. This study investigated the cultivation status of upland crops and any changes of crop harvesting in the paddy field by using an unmanned aerial vehicle (UAV). Also, we analyzed the kind of upland crops and cultivation area in the paddy field by utilizing time series observation images. A fixed wing UAV is used for the investigation. This is because it is easy to use the flight operation and to control flight management software, and it can automatically cope with various emergency states such as a strong wind and battery discharge. The material of UAV is expanded polypropylene, which has an advantage of less equipment damage and risk during takeoff and landing. We acquired observed images in Buljeong-myeon, Goesan-gun, Chungcheongbuk-do, South Korea by using fixed wing UAV in 2015 and 2016. The total investigated area reaches 6,045 ha, and among them the agricultural area was 1,377 ha. For the next step, we created an orthoimage from all images taken using Pix 4D mapper program. According to the results of image analyses in 2015, the paddy field covered total 577 ha (75.9%) with crop plant. The cultivation area of beans, ginseng, maize, tobacco and peach was 256 ha (36.6%), 63 ha (9.2%), 37 ha (5.4%), 31 ha (4.5%) and 27 ha (3.8), respectively. And in 2016, the total covered area was 586 ha (77.1%), and it was comprised of 253 ha (35.5%), 88 ha (12.3%), 29 ha (4.1%), 22 ha (3.1%) and 32 ha (4.5%) in the same order. In this study, we focused on identifying the paddy field which was converted to the cultivation of upland crops by using UAV. And, it has been indicated that the cultivation area of rice decreased from 141 ha in 2015 to 127 ha in 2016, although that of ginseng increased by 25 ha. As a result, it is expected that a lot of paddy field could be replaced by high-income crops such as ginseng and fruit tree (peach) instead of relative low-income rice. More specific and widespread research on the remote sensing in the paddy field needs to be done.

• Journal of Nutrition and Health
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• v.5 no.4
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• pp.151-159
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• 1972

Protein malnutrition of children is one of the most serious nutritional deficiencies in developing country. Urea nitrogen excretion in ureotelic animals is the function most sensitive to dietary protein. The 24 hours excretion of creatinine in the urine of a given subject is remarkably constant from day to day. The creatinine excretion of different individuals of the same age and sex is also quite constant. Low ratios of urinary urea to creatinine are found children low protein intake. The foregiving world-wide investigations indicate that the urea nitrogen/creatinine ratios seems to be a good biochemical indicator to distinguish among group with different levels of protein intake. The purpose of this study is to evluate an indicator of protein intake on the elementary school children ranged from 6 to 8 years of age living in rural and urban areas. Each child measured for height and weight of body. weight measured by means of a plate from scale and height by a vertical measuring rod. Biochemical test were taken from a finger-tip and urine. Hemoglobin level in the blood was measured by cyanomethemoglobin method. From the urine samples, urea nitrogen and urea creatinie were determined by Folin-Wu method and: calculate the ratio. The following result were obtained: 1) Mean of the body weight and height in urban children(Seoul) was higher and heavier than rural children(Kyunggi, Kangwon). And 12% of boys, 18% of girls in Kyunggi and 25% of boys, 22% of girls in Kangwon area weight less than 80% of Korean Physical Standard weight level. 2) The mean hemoglobin values of boys and girls in Seoul are children were 13. 3g/100ml, 13.1g/100ml and the mean of hemoglobin values in Kyunggi 12.9g/100ml of boys, 12.4g/100ml of girls, and 12.4g/100ml of boys, 12.9g/100ml of girls in Kangwon children. It is found that 22% to 24% children inrural area (Kyunggi, Kangwon) had hemoglobin level less than 12g/100ml which means anemia. 3) The mean of hematocrit level of Seoul, boys and girls children were 33.5%, 34.1% and 33.4%, 33.1%, in Kyunggi area and 33.1%, 32.9% in Kangwon area. 4) Urea nitrogen/creatinine ratios in Seoul children were 9. 0, 10. 0 of boys and girls, the ratio were 8.2, 8.0 in Kyunggi boys and girls children, and 7.5 and 7.4 in Kangwon boys, girls children. Low-income rural and upper-income urban background large differences between two groups in the urea nitrogen/creatinine ratio(Seoul: Kangwon in male, female children. p<0.05, p<0.001). The urea nitrogen/creatinine ratio definetly seems to be a good indicator of the quantity of the protein intake. However, whether or not it is an indicator of the quality of the ingested protein ramains to be seen.