Go to the main menu
Skip to content
Go to bottom
REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Journal of agricultural medicine and community health
Journal Basic Information
Journal DOI :
Korean Association of Agricultural Medicine and Community Health
Editor in Chief :
Volume & Issues
Volume 18, Issue 2 - Dec 1993
Volume 18, Issue 1 - Jun 1993
Selecting the target year
Evaluation of Acute Respiratory Infections(ARI) Control Programme in a Korean Rural Community -The Patterns of Antibiotic Prescription-
Lee, Young-Seong ; Kim, Chang-Yup ; Kim, Yong-Ik ; Shin, Young-Soo ; Ko, Jae-Wook ;
Journal of agricultural medicine and community health, volume 18, issue 2, 1993, Pages 105~119
The purpose of this study was to evaluate the program for the control of acute respiratory infections(ARI) in children in a Korean rural area(Yonchon county). Evaluating the program, we focused on the pattern of prescription and appropriateness of antibiotics prescribed by the health personnel who had participated in the ARI Control Program. It was implemented at the primary health care setting in rural area, such as district hospital, health subcenters, and health posts. During six-months programme monitoring period, medical records were reviewed and collected data were analysed by the pediatrician, research coordinator of this study. The baseline data were collected from medical records of the same period(six months) of one year before the implementation of the ARI programme. The study results were as follow : 1. Common cold was the most prevalent disease(78.7%. 594 cases) among the all ARI cases (755 cases). The less frequent cases were bronchitis(11.9%), acute pharyngitis(5.2%), and pneumonia(1.8%). 2. Significant reduction in the use of antibiotics was observed after the programme implementation. Ninety three(15.7%) of 594 common cold cases were received antibiotics compared with 282(35.2%) of 802 in the baseline period. In the cases of bronchitis and acute pharyngitis, the reduction rates were 15.1% and 23.2% respectively compared to the baseline period. 3. Mean duration of antibiotics prescription was 1.81-1.75 days, similar to the baseline data. 4. The appropriateness rate of antibiotics prescriptions were 84.3%(common cold), 35.6% (bronchitis) and 28.2%(acute pharyngitis). In the case of pneumonia, the antibiotics prescription was compatible to the criteria developed. 5. Pediatrician prescribed antibiotics more appropriately for all cases than general practitioners in health sub-center, and nurse practitioners in health posts. 6. Antibiotics therapy was shown to be of no effect in the treatment of the all ARI cases. At the 5 and 10 days check-up of common cold cases after visits, proportion of improved patients were 58.3% in the antibiotics-used group and 51.4% in the control group. In the other cases of ARI, the patterns of response were similar to common cold. None of the differences in outcome between the antibiotics-used and control group was statistically significant. This ARI programme may have substantial a substantial impact on antibiotics use at the public health institutions(district hospital, health subcenters, health posts) which are of major domain for primary health care in Korean rural areas.
A Study on Farming Tool-Machinery Injuries in Chonnam Province
Son, Myung-Ho ; Shin, Jun-Ho ; Lee, Myung-Hak ; Moon, Gang ; Sohn, Seok-Joon ; Choi, Jin-Su ; Kim, Byoung-Woo ;
Journal of agricultural medicine and community health, volume 18, issue 2, 1993, Pages 121~129
This study was conducted to investigate the incidence and related factors of farming tool-machinery injuries developed in the Chonnam rural area in 1992. A total of 9,068 persons (4,571men and 4,497women)were selected in a stratified cluster sampling manner, and interviewed individually to complete a structured questionnaire covering farmer characteristics, duration of farm working, annual income, kind of farming tools and machinery, type of injuries and medical care. The results were as follows : 1. The incidence rate of farming tool-machinery injuries was 63 per 1,000 persons over all, 73 in males and 54 in females. The age standardized incidence rate was 69 per 1,000 persons over all, 83 in males and 65 in females. 2. The associated factors with farming tool-machinery injuries in univariate analysis were sex, age, duration of farming and monthly income. The occurrence of injuries was higher in men than in woman, and the higher in high-income group than in the low-income group. 3. More men than woman were involved in trunk injuries and treated at the large scale medical care units such as hospitals, and they paid much higher medical fees. 4. The complaint rates for each item of farmers' syndrome in the injured group were higher than those of the non injured group in 'shoulder stiffness', 'sleeplessness', 'dizziness', and 'gastric fullness'. 5. When multiple logistic regression was applied to farming tool-machinery injuries, the significant variables were farmer's syndrome, age, and duration of farming in both males and females.
Contents of Total and Organic Mercury in Bone, Muscle and Fin of Carassius carassius Middle Steam of Nakdong River, Korea
Choi, Young ; Kim, Doo-Hie ;
Journal of agricultural medicine and community health, volume 18, issue 2, 1993, Pages 131~140
This study was conducted to examine the levels of mercury in tissue of Carassius carassius collected at five areas(Andong, Sangju, Waekwan, Gangjung and Gaejin) in Nakdong river from February to March, 1993. The contents of total and organic mercury were determined by methods of Gold amalgam and Selective atomic absorption with mercury analyzer(Model SP-3A). The total mercury contents in muscle were
ppm by the Gold amalgam, and
ppm by the Selective atomic absorption, but in all parts of Carassius carassius were
ppm respectively. These two methods were extremely high correlated(r=0.9812, p<0.001). The mean value of total and organic mercury by the two methods was high in the order of bone>fin>muscle, respectively, and the proportion of organic mercury to the total was 69.0%. Mean value of total and organic mercury in the muscle was the highest at Wakeman located in middle basin of Nakdong river, and in the bone and fin was the highest at Andong dam located in upper basin. According to sizes and parts of fish, the concentration of mercury was the highest in the muscle of 15-19 cm group, the highest in the bone of 10-14 cm group and in the fin of 20-24 cm group.
Status of Tuberculosis Control in Rural Area
Park, Chan-Byoung ; Chun, Byung-Yeol ; Yeh, Min-Hae ;
Journal of agricultural medicine and community health, volume 18, issue 2, 1993, Pages 141~151
This study was done about 371 tuberculosis(TB) patients composed 195 newly registered at Kyungju Gun Health Center from May 1989 to April 1990 (Group A) and 176 being treated at hospitals or private clinics from January 1988 to November 1989(Group B). When Group A patients visited and newly registered at Health Center, data was obtained by interviewing with a prepared questionnaire paper. And well trained inquirer visited Group B patients and obtained data by the same method from February 1990 to April 1990. The results are as follows ; Group A was generally lower than Group B in socioeconomic status and in family history of TB, the rate of Group A was 24.1% and higher than 11.9% in Group B(p<0.05). Knowledge about TB was improved more than past, but those who answered that TB is 'a communicable disease' were 59.5% in Group A and 51.7% in Group B(p<0.05). Those answered that TB is 'a inherited disease' were 9.2% and 11.4% each. And 1.7% of Group B answered that TB is 'a incurable disease'. Knowledge about TB treatment also was improved more than past, but in the rate of those who answered that TB is a curable disease provided by well treatment Group B(77.8%) was worse than Group A(91.3%). The rate of those who answered that TB were been able to cure by regularly anti-TB medication were 98.0% in Group A and 89.8% in Group B. Its difference was statistically significant. The rate that patients took the first diagnosis and wanted to receive treatments at the same organ were 34.9% of Group A at Health Center and 72.2% of Group B at hospitals or private clinics. And its difference was statistically significant. In the reasons that Group B knew Health Center treated pulmonary TB but they was treated at hospitals or private clinics, unreliability to Health Center was 48.1%. The reasons that Group A was treated at Health Center were 'because of trust' 63.1%, 'because of low cost' 50.3%, 'because of low cost except trust' 9.3%, 'no specific reasons' 27.7%. In the courses of knowing that TB was controlled at Health Center, 'by neighborhood, health worker and doctors' were 84.9% in Group A and 69.0% in Group B. But 'by TV or radio' were 8.2% in Group A and 14.7% in Group B, 'by school education' 2.5% in Group A and 6.2% in Group B. Conclusively, Group A patients were lower than Group B in socioeconomic status, but better than in knowledge about TB. Its reasons was suggested that Health Center had controlled TB patients better than hospitals and private clinics. But considering, that difference in the rate of the same organ for the first diagnosis and treatment, that the only 63.0% of Group A have treated due to 'reliability to Health Center', and that 48.1% of Group B knew that Health Center treated pulmonary TB but didn't visit it due to 'unreliability to Health Center', that public relations(PR) about use Health Center for pulmonary TB and health education for TB was thought to have to strengthened.
Environmental Contamination of the Vinylhouse and Human Exposure to Heavy Metals
Yang, Jae-Ho ; Park, Jung-Han ; Lee, Ju-Young ;
Journal of agricultural medicine and community health, volume 18, issue 2, 1993, Pages 153~160
Health complaints among vinylhouse workers in Sungjoo county, Kyungpook province led to the investigation of heavy metal levels of air, soil and humans as well as physical conditions of the vinylhouse. The average temperature and humidity inside the vinylhouse were 8 higher and 10% point lower, respectively, as compared to the outside. While discomfort index(D. I.) outside was pleasant level(69.2), D. I. inside was 82 at which point 100% of people feels discomfort. Cadmium concentration of soils inside the vinylhouse(0.116 mg/kg) was 1.8 times higher than the soils outside. Arsenic concentration of soils inside the vinylhouse(4.882 mg/kg) was only slightly higher than the soils outside(4.182 ng/kg). However, both heavy metal concentrations detected in soils inside or outside the vinylhouse were within the normal range. Analysis of 10 air samples taken inside the vinylhouse showed that only one sample had a cadmium concentration above the detectable level and the rest of samples were below the detectable levels. While there were no difference of arsenic concentrations in urine between male and female, cadmium concentrations in urine samples of female (3.31 ug/l) was slightly higher than male(2.38 ug/l). Age-dependent increases of cadmium concentrations in urine samples were also observed. However, there was no concentration difference of these heavy metals in urine between vinylhouse workers and non-vinylhouse workers. Urine concentrations of cadmium and arsenic detected from vinylhouse workers or non-vinylhouse workers were within the normal range. The present study represents a first attempt to evaluate physical and environmental risk factors of the vinylhouse affecting the vinylhouse farmer's health. The study revealed that, while physical conditions of the vinylhouse such as temperature and humidity are the possible factors associated with the farmer's complaints, environmental contamination as judged from heavy metal levels in soil, air and humans is not a risk factor contributing to the vinylhouse farmer's health problem.
A Study of Mycoplasmal Pneumonia developed around a Chunnam Coastal Area in 1993
Byun, Joo-Nam ; Yang, Eun-Suck ;
Journal of agricultural medicine and community health, volume 18, issue 2, 1993, Pages 161~171
Mycoplasma pneumoniae(M. pneumoniae) is a primary pathogene of the respiratory tract in children. Most studies of such pneumonia involve a group of admitted patients in hospital, usually with major medical illness. We retrospectively studied the epidemiologic and clinical feature of 105 patients with serologically proven M. pneumoigic pneumonia treated at Gwang-Yang Hospital during a epidemic period of Jun. 1993 to Dec. 1993. All cases of pneumonia developed in this period were also reviewed and compared with serologically proven group. The results were as follows. 1. There were 63 males and 42 females, and the male /female ratio was 1.5 : 1. 2. More than half(57%) of cases belonged to 5-9 years of age group, and mean age was 6.5 years old. 3. Mean age was steadily decreased as prevalence of mycoplasmal pneumonia had been subsided. 4. The date of index case was June 26th, and that of median case was 3 months after the index case. 5. A major determinant of the outbreak seemed to be the population density rather than the population size. 6. Recurrence and serious complication were not observed in this period. 7. All cases of pneumonia developed in this period might be attributed to M. pnemoniae. These epidemiologic and clinical characteristics would contribute to the prevention and diagnosis of mycoplasmal pneumonia.
The Relationship between Life-style and Physical, Mental Health Status in College Students
Rhee, Jung-Ae ; Lee, Youn-Ji ;
Journal of agricultural medicine and community health, volume 18, issue 2, 1993, Pages 173~183
This study reports the relationship between life-style and physical, mental health status in college students. The questionnaire survey was carried out from September to October, 1991. The questionnaire included life-style, physical health condition centered on unhealthy habits and complaints about physical symptoms, and mental condition which was assessed by Zung's self-rating depression scale(SDS). Days absent from school during the last year in males(3.6) were significantly more than those in females (1.0). Days catching the common cold were more in females than in males. The amount of complaints and the SDS score were significantly higher in females than in males. In the relationship between physical and mental health status and individual health habits, abscence-days from school significantly correlated with regular life, snacking, physical exercise, smoking, drinking. The amount of complaints and the SDS score were significantly associated with regular life, regular meal-time, eating breakfast, nutritional balance and physical exercise. In the relationship between health practice index to health status, the group having good habits showed significantly less days catching the common cold, less complaints, less SDS score and less amount of stress. It was also shown that life-style correlated with physical and mental health status.