• Title/Summary/Keyword: urban poor

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The Association between the Subjective Perception of the Regional Healthcare Environment and Unmet Medical Needs (지역의 의료서비스 환경에 대한 주관적 인식과 연간 미충족의료 발생 간의 연관성)

  • Seohyun Woo;Hyun Woo Moon;Yeong jun Lee;Sun jung Kim
    • Korea Journal of Hospital Management
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    • v.28 no.4
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    • pp.62-72
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    • 2023
  • Based on the basic ideology of health care, this study realized the seriousness of annual unmet medical need and conducted a study to confirm the relationship between the subjective perception of regional healthcare environment and unmet medical needs. The independent variable was classified into attitude 'satisfaction' and 'unsatisfaction' toward regional healthcare, and the dependent variable was classified as whether unmet medical needs occurred annually. Based on previous studies, the control variables were selected as demographic and socioeconomic characteristics that can affect the occurrence of unmet medical care annually and characteristics related to health behavior. Descriptive statistics were conducted for each variable on the extracted sample, and multivariate survey logistic regression analysis was conducted to confirm the association between variables. As a result, more unmet medical needs occurred annually than those who were satisfied with the medical services in the area where they lived. In addition, more unmet medical need occurred annually in "unsatisfied" households compared to households "satisfied" with local medical services. In residential areas, women live in "metropolis" and "rural areas" compared to "urban," women live in men, lower education levels, and poor subjective health levels, and less satisfied with local medical services. As such, the impact of environmental factors in the community on the use of health and medical services is one of the major areas of interest in the field of health science, such as health policy and social dynamics. Therefore, hospitals in each region need to make efforts in terms of hospital management to increase the overall satisfaction of medical services in the region by continuously monitoring the attitude of residents to achieve universal health security, and policymakers should also be interested and propose new policies.

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Assessment of the Impact of Wastewater Treatment Plant Effluents on Shellfish Harvesting Areas in the Dosan-Poonghwa Sea Area of Tongyeong (통영 도산·풍화 해역 내 하수처리장 배출수가 패류생산해역에 미치는 영향 평가)

  • Hyeyoung Shin;Sung Rae Jo;Jang Won Lee;Ji Hoon Kim;Kunbawui Park;Minchul Yoon
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.57 no.4
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    • pp.438-447
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    • 2024
  • Tongyeong is an important shellfish harvesting area, that hosts the largest designated sea area for shellfish exports in South Korea. In particular, the Dosan-Poonghwa Sea Area in Tongyeong is a semi-enclosed bay with poor water circulation and significant pollution due to its proximity to urban areas. This study examined the distribution of fecal pollution indicators (total coliforms, fecal coliforms, male-specific coliphages, and norovirus G1/G2) in the influent and effluent of wastewater treatment plants (WWTP). This study assessed the impact of the effluent discharge on shellfish harvesting areas in the Dosan-Poonghwa Sea Area to better safeguard shellfish farms and guarantee the safety of harvested shellfish. A strong positive correlation was observed between total and fecal coliforms in both influent (r=0.974, P<0.01) and effluent (r=0.779, P<0.05), with no other significant correlations observed. The impacts of the effluent was evaluated according to NSSP guidelines. The volume of seawater required to dilute the effluent discharged per day was calculated. This evaluation indicated that surrounding aquaculture areas were not impacted, and no viruses were detected in oysters collected from the Dosan-Pungwha Sea Area.

Vegetation Structure of Abies holophylla Forest near Woljeong Temple in Odaesan National Park (오대산국립공원 월정사 전나무숲 식생구조 분석)

  • Lee, Kyong-Jae;Kim, Ji-Seok;Choi, Jin-Woo;Han, Bong-Ho
    • Korean Journal of Environment and Ecology
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    • v.22 no.2
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    • pp.173-183
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    • 2008
  • This research was aimed at looking into the vegetation structure of Abies holophylla forest distributed between Iljumun of Woljeong Temple and Keumgang bridge in Odaesan National Park. It was found that existed a total of 977 tree of Abies holophylla which are more than 20cm in DBH within the target site, and in 2006 when the survey was made, the number of fallen trees and poor growth trees was about 96, accounting for 9.8% of all. The age of Abies holophylla ranged from 41 years to 135 years($11\sim82cm$ in DBH). The number of Abies holophylla over 100cm in DBH was 8 and the largest Abies holophylla was 175cm in DBH and 31m in height. Its density was 5.9 individuals per $400m^2$. As a result of the analysis of the plant community structure using the TWINSP AN classification, Abies holophylla was divided into four community types. Firstly, Pinus densiflora-Abies holophylla community was predicted to vary into Abies holophylla community. In case of other three other communities, Abies holophylla communities were predicted to compete with deciduous broadleaf trees, such as Tilia amurensis and Acer pictum subsp. mono. Abies holophylla forest adjacent to Woljeong Temple of Odaesan National Park has a high value as sustainable resources for culture, landscape and tourism. Thus, it is necessary to clarify the reason for the incidence of poor growth trees and fallen trees among all trees of Abies holophylla and take counter-measures against it for the preservation and management of Abies holophylla forest. In addition, a more aggressive managrment like getting rid of the deciduous broadleaf trees, such as Tilia amurensis and Acer pictum subsp. mono, which appear mostly on understory layer or shrub layer within Abies holophylla, and continuous management is also needed for the young trees of Abies holophylla which are feared to be pressurized outside from their neighboring trees because their initial growth after germination is very slow.

Impacts of Urban High Temperature Events on Physiology of Apple Trees: A Case Study of 'Fuji'/M.9 Apple Trees in Daegu, Korea (도심지역 고온현상이 사과나무 생육과정에 미치는 영향: 대구광역시 '후지'/M.9을 사례로)

  • Sagong, Dong-Hoon;Kweon, Hun-Joong;Park, Moo-Yong;Song, Yang-Yik;Ryu, Su-Hyun;Kim, Mok-Jong;Choi, Kyung-Hee;Yoon, Tae-Myung
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.15 no.3
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    • pp.130-144
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    • 2013
  • In this study, we examined the effect of high temperature of urban area on the physiological response of apple tree including the photosynthesis, shoot growth, and fruit quality of 'Fuji'/M.9 apple trees planted at Daegu urban area (DUA) and Gunwi rural area (GRA) for 2 years (2009-2010). During the apple growing season (April-October), the average air temperature of DUA was about $3.0^{\circ}C$ higher than that of GRA and the total rainfall of DUA was 130 mm more than that of GRA. During fruit enlargement stage (June-August), the number of days that recorded daily mean temperature of over $30^{\circ}C$ were ten on DUA in 2010, but there was no day when such temperature was experienced in 2009. Average air temperature of DUA during the maturation stage (September-October) was $19.8^{\circ}C$, which was $4.0^{\circ}C$ higher than that of GRA. The higher temperature of over $30^{\circ}C$ during fruit enlargement stage decreased the photosynthetic rate, shoot growth, fruit weight, and soluble solid content of 'Fuji'/M.9 apple tree. The moderate temperature of about $20^{\circ}C$ during maturation stage increased the photosynthetic rate and soluble solid content of 'Fuji'/M.9 apple tree, but decreased fruit red color. In regional comparison with GRA, photosynthetic rate of DUA was changed from lower before rainy season to higher after rainy season. Fruit weight was higher in DUA than that of GRA. However, fruit weight between DUA and GRA did not show the difference when accumulated days that recorded daily maximum temperature over $35^{\circ}C$ of DUA was increased. Compared to the GRA, soluble solid content of DUA was higher, but fruit red color of DUA was less. These results indicate that the poor red coloring is the most problematic in 'Fuji'/M.9 apple tree by global warming and urbanization.

Experimental Study for Confirmation of Relaxation Zone in the Underground Cavity Expansion (지중 내 공동 확장에 따른 이완영역 확인을 위한 실험적 연구)

  • Kim, Youngho;Kim, Hoyeon;Kim, Yeonsam;You, Seung-Kyong;Han, Jung-Geun
    • Journal of the Korean Geosynthetics Society
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    • v.16 no.4
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    • pp.231-240
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    • 2017
  • Recently, there have been frequent occurrences of ground sink in the urban area, which have resulted in human and material damage and are accompanied by economic losses. This is caused by artificial factors such as soil loss, poor compaction, horizontal excavation due to the breakage of the aged sewage pipe, and lack of water proof at vertical excavation. The ground sink can be prevented by preliminary restoration and reinforcement through exploration, but it can be considered that it is not suitable for urgent restoration by the existing method. In this study, a model experiment was carried out to simulate the in-ground cavities caused by groundwater flow for developing non-excavation urgent restoration in underground cavity and the range of the relaxation zone was estimated by detecting the around the cavity using a relaxation zone detector. In addition, disturbance region and relaxation region were separated by injecting gypsum into cavity formed in simulated ground. The shape of the underground cavity due to the groundwater flow was similar to that of the failure mode III formed in the dense relative density ground due to water pipe breakage in the previous study. It was confirmed that the relaxed region detected using the relaxation zone detector is formed in an arch shape in the cavity top. The length ratio of the relaxation region to the disturbance region in the upper part of the cavity center is 2: 1, and it can be distinguished by the difference in the decrease of the shear resistance against the external force. In other words, it was confirmed that the secondary damage should not occur in consideration of the expandability of the material used as the injecting material in the pre-repair and reinforcement, and various ground deformation states will be additionally performed through additional experiments.

A Proposal of Bus Stop Park for the Improvement of Urban Street Environment (도시 가로환경 개선을 위한 버스정류장 소공원화 방안)

  • Sim, Woo-Kyung;Kim, Soo-Jin;Choi, Young-Jin;Jung, Hae-Joon
    • Journal of the Korean Institute of Landscape Architecture
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    • v.36 no.2
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    • pp.1-13
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    • 2008
  • Bus stops are places that a variety of things happen including waiting, meeting and taking breaks. Therefore, these locations need to be made to meet the usage demands. They should be landscaped to provide a comfortable and satisfying environment for users. At present, bus stops are made with artificial materials and are all unified in form without consideration to landscape, ecology and other characteristics. Users are exposed to the poor surroundings. However, if small urban parks, which are of vital importance as well as extremely convenient, were connected to bus stops, the results would be a quantitative increase in the leisure locations and a qualitative change in the form of improved landscape and various forms of parks. The research was carried out to determine the effects of connecting bus stops and small parks, and the results are as follows. First, small parks provide resting areas for waiting passengers and buses. Second, it provides presently insufficient rest areas with convenience facilities and makes it more comfortable to take buses and use the park. Third, it provides a multi-functional efficient use of space that functions as both bus stop and park. Fourth, it can be a symbolic landmark that can represent the color of the area by adding a cultural element. Fifth, the existing green space in the park can contribute to the natural environment of the city. This study deduced general problems surrounding bus stops on the basis of selected indices and researched bus stops which are being used as parks and the places which have the potential for such purposes, in order to suggest a plan of attack. In addition, this proposal can create a new form of space, the bus stop park, and try to create a module of cases to establish it.

CHANGES IN WATER USE AND MANAGEMENT OVER TIME AND SIGNIFICANCE FOR AUSTRALIA AND SOUTH-EAST ASIA

  • Knight, Michael J.
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 1997.11a
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    • pp.3-31
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    • 1997
  • Water has always played a significant role in the lives of people. In urbanised Rome, with its million people. sophisticated supply systems developed and then fled with the empire. only to be rediscovered later But it was the industrial Revolution commencing in the eighteenth century that ushered in major paradigm shifts In use and altitudes towards water. Rapid and concentrated urbanisation brought problems of expanded demands for drinking supplies, waste management and disease. The strategy of using water from local streams, springs and village wells collapsed under the onslaughts of rising urban demands and pollution due to poor waste disposal practices. Expanding travel (railways. and steamships) aided the spread of disease. In England. public health crises peaks, related to water-borne typhoid and the three major cholera outbreaks occurred in the late eighteenth and early nineteenth century respectively. Technological, engineering and institutional responses were successful in solving the public health problem. it is generally accepted that the putting of water into pipe networks both for a clean drinking supply, as well as using it as a transport medium for removal of human and other wastes, played a significant role in towering death rates due to waterborne diseases such as cholera and typhoid towards the end of the nineteenth century. Today, similar principles apply. A recent World Bank report Indicates that there can be upto 76% reduction in illness when major water and sanitation improvements occur in developing countries. Water management, technology and thinking in Australia were relatively stable in the twentieth century up to the mid to late 1970s. Groundwater sources were investigated and developed for towns and agriculture. Dams were built, and pipe networks extended both for supply and waste water management. The management paradigms in Australia were essentially extensions of European strategies with the minor adaptions due to climate and hydrogeology. During the 1970s and 1980s in Australia, it was realised increasingly that a knowledge of groundwater and hydrogeological processes were critical to pollution prevention, the development of sound waste management and the problems of salinity. Many millions of dollars have been both saved and generated as a consequence. This is especially in relation to domestic waste management and the disposal of aluminium refinery waste in New South Wales. Major institutional changes in public sector water management are occurring in Australia. Upheveals and change have now reached ail states in Australia with various approaches being followed. Market thinking, corporatisation, privatisation, internationalisation, downsizing and environmental pressures are all playing their role in this paradigm shift. One casualty of this turmoil is the progressive erosion of the public sector skillbase and this may become a serious issue should a public health crisis occur such as a water borne disease. Such crises have arisen over recent times. A complete rethink of the urban water cycle is going on right now in Australia both at the State and Federal level. We are on the threshold of significant change in how we use and manage water, both as a supply and a waste transporter in Urban environments especially. Substantial replacement of the pipe system will be needed in 25 to 30 years time and this will cost billions of dollars. The competition for water between imgation needs and environmental requirements in Australia and overseas will continue to be an issue in rural areas. This will be especially heightened by the rising demand for irrigation produced food as the world's population grows. Rapid urbanisation and industrialisation in the emerging S.E Asian countries are currently producing considerable demands for water management skills and Infrastructure development. This trend e expected to grow. There are also severe water shortages in the Middle East to such an extent that wars may be fought over water issues. Environmental public health crises and shortages will help drive the trends.

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Health Related Lifestyle and Stress Among Inhabitants of a City in Korea (일부 도시지역 주민들의 일상생활습관과 스트레스와의 관련성)

  • 손철준;조영채
    • Korean Journal of Health Education and Promotion
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    • v.21 no.2
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    • pp.17-32
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    • 2004
  • The purpose of this study was to evaluate the patterns of stresses arising from various life styles and their related sociodemographic factors in urban residents. The subjects were recruited from the population of two ‘Dong’s (administrative blocks) representative of Daejeon city through stratified cluster random sampling during the period ranging from June I st to Aug. 31 st, 2003. Self-administered questionnaires, including items asking about subjects' sociodemographic characteristics, daily life styles, measurement of stresses by General Health Questionnaire (Goldberg, 1978), were delivered to 396 residents and their responses were analyzed with the following results. 1. Based on the discriminant scores of HPI, 46.7% of the subjects were found to have less than 4 points (poor life style), whereas 53.3% had points higher than 5 (good life style). Higher than 5 points were scored more frequently in females than in the male, in the age group of 40's - 60's than the 30's, in the group with spouse than without, in the group with both spouse and offsprings than without, and in the group owning a house than not. 2. Based on the degree of stress, 17.7% of the subjects were determined to be healthy, 74.5% were potentially under stress, and 7.8% were at higher risk of stress. The proportion of healthy individuals were significantly higher in the male, advanced aged group(40's and 60's), the group with higher education years( over highschool), with higher monthly income over two million Won, and with spouse, than their respective counterparts. On the other hand the proportion of the individuals potentially under stress and at higher risk of stress was significantly higher in the female, in the age group of 30's and over 60's, in the group with academic career lower than middle school, with monthly income lower than two million Won, and without spouse. 3. Based on the relation of HPI with degree of stresses, subjects with HPI scores lower than 4 had increased rate of falling into the groups under potential stress and at higher risk of stress, while on the other hand those with over 5 points were found to be healthy in light of stress. 4. Based on the specific relation of each item of HPI with degree of stress, the proportion of healthy individuals was higher in the groups who take appropriate hours of sleep(7-8hours), who take breakfasts everyday, who take physical exercises everyday, who don't smoke, who don't drink alcohol, who take snacks everyday, who are overweight and obese, whereas the proportion of the group under potential stress and at higher risk of stress was higher in their comparable counterparts. 5. The relation of mean scores of HPI with stress scores in both male and female subjects showed negative correlation that the higher HPI scores, the lower stress scores. 6. Multivariate regression analysis to reveal the factors influencing the stress of the subjects showed that for men the significant factors were age, education, presence of job or not, exercise, subjective health status, with the explanatory power of 26.3%. For women, they included educational years, presence of spouse or not, job, owning a house or not, sleeping hours, drinking habit, taking snacks, subjective health status, with the explanatory power of 31.8%. The above study results suggests that stresses of urban residents have significant correlation with daily life styles and this correlation is also remarkably distinguished by different age and sex.

The Present Status and a Proposal of the Prospective Measures for Parasitic Diseases Control in Korea (우리나라 기생충병관리의 현황(現況)과 효율적방안에 관(關)한 연구(硏究))

  • Loh, In-Kyu
    • Journal of Preventive Medicine and Public Health
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    • v.3 no.1
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    • pp.1-16
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    • 1970
  • The present status of control measures for public health important helminthic infections in Korea was surveyed in 1969 and the following results were obtained. The activities of parasitic examination and Ascaris treatment for the positives which were done during 1966 to 1969 were brought in poor result and could not decrease the infection rate. It is needed to improve or strengthen the activities. The mass treatment activities for paragonimiasis and clonorchiasis in the areas which were designated by the Ministry of Health were carried out during 1965 to 1968 with no good results in decrease of estimated number of the patients. There were too many pharmaceutical companies where many kinds of anthelmintics were produced. It may be better to reduce the number of anthelmintics produced and control the quality. The human feces, the most important source of helminthic infections, was generally not treated in sanitary ways because of the poor sewerage system and no sewage treatment plant in urban areas and insanitary latrines in rural areas. The field soils of 170 specimens were collected from 34 areas out of 55 urban and tourist areas where night soil has been prohibited by a regulation to be used as a fertilizer, and examined for parasites contamination with the result of Ascaris egg detection in 44%. Some kinds of vegetables of 64 specimens each from the supply agents of parasite free vegetables and general markets were collected and examined for parasites contamination with the results of Ascaris egg detection in 25% and 36% respectively. The parasite control activities and the ability of parasitological examination techniques in the health centers of the country were not satisfactory. The budget of the Ministry of Health for the parasite control was very poor. The actual expenditure needed for cellophane thick smear technique was 8 Won per a specimen. As a principle the control of helminthic infections might be led toward breaking the chain of events in the life cycle of the prasites and eliminating environmental and host factors concerned with the infections, and the following methods nay be pointed out. 1) Mass treatment might be done to eliminate human reservoirs of an infection. 2) Animal reservoirs which are related with human infections night be eliminated. 3) The excretes of reservoirs, particularly human feces, should be treated in sanitary ways by the means of sanitary sewerage system and sewage treatment plant in urban areas and sanitary latrines such as waterborne latrine, aqua privy and pit latrine in rural areas. The increase of national economical development and prohibition of the habit of using night soils as a fertilizer might be very important factors to achieve the purpose. 4) The control of vehicles and intermediate hosts might be done by the means of prohibition of soil contamination with parasites, food sanitation, insect control and snail control. 5) The improvement of insanitary attitudes and bad habits which are related with parasitic infections night be done by the means of prohibition of habit of using night soils as a fertilizer, and improving eating habits and personal hygiene. 6) Chemoprophylactic measure and vaccination may be effective to prevent the infections or the development of a parasite to adult in the bodies when the bodies were invaded by parasites. Further studies and development of this kind of measures are needed.

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Evaluating the Imbalance of Green Space and Establishing its Management Zone Using Spatial Analysis - Focused on the Use of Green Space - (공간분석을 활용한 녹지의 불균형 평가 및 관리권역 설정 - 녹지의 이용적 측면을 중심으로 -)

  • Lee, Woo-Sung;Jung, Sung-Gwan
    • Journal of the Korean Association of Geographic Information Studies
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    • v.15 no.2
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    • pp.126-138
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    • 2012
  • The purpose of this study is to evaluate the imbalance of green space using various spatial analysis methods and to establish the management zone for green space with service supply in the aspect of its use in Daegu. The total green space of Daegu is 48,936.1ha which is the second among 7 metropolitan cities of Korea. According to the imbalance analysis of green space, the Gini's coefficient based on the area was not high, on the other hand, the Gini's coefficient based on the population was high by above 0.6. According to an evaluation of service supply of green space in Dalseo-gu, the area within about 100m around large green space was supplied with green spaces of above $25m^2$/pop. On the other hand, the area such as Sangin, Jukjeon, and Yongsan was not almost supplied with green space. Finally, 'Rich zone', 'Fair zone', 'Poor zone', and Broken zone' could be established based on the service supply for the management direction of green space. The findings from this study can be used as the basic data for selecting the construction priority of new green spaces.