• Title/Summary/Keyword: 알코올 남용

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A proposal for advanced underwriting method of heavy drinker (알코올 남용자에 대한 Underwriting 선진화 방안)

  • Lee, Bum-Soo;Lee, Kyoung-Mo
    • The Journal of the Korean life insurance medical association
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    • v.25
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    • pp.103-118
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    • 2006
  • 근래에 한국의 생명보험 시장에는 주요 질병의 보장을 위한 상품들이 연일 쏟아져 나오고 있다. 그러나 이와 함께 증가될 수 있는 리스크에 대한 대비는 상대적으로 부족한 실정이다. 특히 간질환에 의한 급부발생이 타질환에 비하여 현격하게 높은 국내 실정에 맞게 언더라이팅 초점이 맞추어져야 할 필요가 있다. 간질환 유발인자로 대표적인 것은 B형 간염이지만, 과다한 알코올 섭취에 의한 간질환 역시 매해 빠른 속도로 증가하는 추세이다. 따라서 본 논문에서는 알코올에 의한 질환의 종류와 이와 관련된 보험금 청구 통계, 그리고 음주로 인한 교통사고의 폐해에 대해 살펴보고, 알코올 남용자를 사전에 판별할 방법을 찾아보고자 한다. 일반적으로 알려져 있는 알코올 관련 질환으로는 지방간, 알코올성 간염, 알코올성 간경변이 있으며, 이로 인한 급부발생율은 급격히 증가하고 있다. 음주로 인한 폐해는 단순히 간질환에 그치지 않고 있으며, 교통사고의 상당수가 음주와 관련이 되어있다. 이러한 리스크에 대해 국내의 상당수 보험사들은 혈액검사를 통하여 간기능에 대한 기준을 설정하여 언더라이팅을 하고 있다. 현재 주로 시행되고 있는 간기능 검사들에 대한 정확도에 대해서는 논란이 있을 수 있다. 따라서 보다 정밀한 검사법들에 대한 연구가 필요할 것이다. 외국의 경우, 보험을 가입하고자 하는 보험 대상자들은 직업이나 흡연, 위험 취미뿐만 아니라 알코올과 관련된 일정한 양식의 질문표에 대하여 성실하게 고지하도록 하고 있다. 국내에도 알코올과 관련된 자세한 고지항목을 첨부하여, 일정 기준에 미치지 못하는 가입자에 대하여 표준미달체로 분류하여 보다 정밀한 검진을 통해 세밀한 언더라이팅이 이루어져야 하겠다. 이와 아울러, 알코올로 인한 사회적 폐해의 심각성에 대한 인식 확대를 위한 각 보험사 및 유관기관의 노력이 전개된다면, 음주에 대한 진사 절차가 수월해질 것으로 기대된다.

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Effectiveness of Incentive-Therapy to Alcohol Abuser Using Single System Design (단일체계설계를 활용한 알코올남용 인센티브치료 효과성 연구)

  • Jang, Soo-Mi;Sim, Jung-Won
    • Korean Journal of Social Welfare
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    • v.58 no.4
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    • pp.291-312
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    • 2006
  • Incentive-Therapy approach on substance abuser has a solid theoretical base in Behavior Psychology and shows the effectiveness empirically in US. The purpose of this exploratory study was to evaluate the effectiveness of Incentive-Therapy on two alcohol abusers using ABA Single System Design in a community welfare agency, Korea. It proceeded for 12 week-baseline stage, 6-week intervention stage and 4-week postintervention stage through scanning whether alcohol abuser drinks or not by the alcohol analyzer as a target behavior. As a results, this study showed that two abusers' drinking were decreased in the middle of intervention stage in incentive-therapy but they showed differently in the postintervention stage : One sustained his abstinence and the other recurred to drink. Thus, we concluded Incentive-Therapy had better adaptability in community welfare agency in that alcohol abusers were driven to motivate for abstinence and then had an opportunity for psycho-social counseling and social welfare intervention consistently.

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Treatment Approaches for Alcohol Dependence in Christian University (기독교 대학에서의 알코올 중독 상담과 재활)

  • Bong, Won Young
    • Proceedings of the Korea Contents Association Conference
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    • 2014.11a
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    • pp.445-446
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    • 2014
  • 알코올 남용과 의존으로 인해 생산성 높은 부양계층의 역할을 효과적으로 감당하지 못하고 미래를 위한 진지한 준비를 제대로 하지 못하는 청년들이 늘고 있다. 음주가 청소년 사망 위험요인 3위인 시점에서 본 연구는 사회의 미래를 짊어져야 할 현존하는 미래인 대학생 시기의 청년들을 기독교 대학이 어떻게 그들을 지도하고 도울 것인지에 대한 방안들을 모색하는 데 그 목적이 있다.

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Application development that provide contents for Treatment of alcoholism using App Inventor (앱 인벤터를 활용한 알코올 중독자 치료를 위한 콘텐츠 제공 앱 개발)

  • Han, YoungSin;Huh, WonWhoi
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.5 no.4
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    • pp.63-70
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    • 2015
  • There is an increasing trend to alcoholics patients due to social factors of the aftereffect of the recession in Korea. Accordingly, study of the impact on society as well as alcoholism impact on individuals is becoming active. To solve the problem of addiction, we needed an integrated management system because the evils of alcoholism and addiction caused by a variety of social, economic and cultural factors. However, alcoholism research investment is less than the health problems like drugs, gambling, internet and we also did not provide proper treatment services for alcohol addiction. In this study, we will develop a customized smart phone application then the patient can acts for the individual circumstances by providing the aggregated information relates to treatment.

Alcohol Craving in Subjects with Alcohol Use Disorders in Response to Alcohol Cues (알코올 사용 장애자의 알코올 단서에 의해 유발된 갈망 특성)

  • Park, Mi-Sook;Sohn, Sun-ju;Park, Ji-Eun;Kim, Suk-Hee;Yu, In-Kyu;Sohn, Jin-Hun
    • Science of Emotion and Sensibility
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    • v.10 no.4
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    • pp.603-611
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    • 2007
  • Initially, this study was to develop reliable and effective alcohol-associated visual cues. Alcoholic picture cues were chosen from the Normative Appetitive Picture System (NAPS). Additional images consisted of Korean beer and mild liquor was pre-tested to select the pictures that would induce craving most intensely. The images that recorded the highest scores on a scale were chosen through the pre-test. And then, the reliability and validity were examined for the selected alcohol cues from NAPS and pre-test via another psychometric test. Secondly, the study was to investigate differences in craving between subjects with alcohol use disorders (AUDs) and non-alcoholic control subjects when exposed to the alcohol visual cues. Alcohol abusers with AUD (n=9) and demographically similar non-abusers (n=9) participated in this study. After given 5cc of alcohol, subjects were exposed to different types of stimuli (i.e., alcohol, nonalcoholic beverage, and visual control pictures and one rest (cross-hair)). Craving levels were rated through self-report on a Likert scale immediately after the presentation of visual cues. Results showed statistically significant differences between the AUD group and the control group in the Obsessive Compulsive Drinking Scale (OCDS) scores, pre-sip and post-sip alcohol craving. Also, the AUD group showed significantly a higher level of craving during alcohol cues compared to the control group. In conclusion, alcohol craving induced by alcohol cues among subjects with AUD was found to be different from that of non-abusers.

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Analysis of ethyl glucuronide (EtG) in Hair for the diagnosis of chronic alcohol abuse of Korean (한국인의 만성 알코올 중독 진단을 위한 모발에서 Ethyl Glucuronide (EtG) 분석법 연구)

  • Gong, Bokyoung;Jo, Young-Hoon;Ju, Soyeong;Min, Ji-Sook;Kwon, Mia
    • Analytical Science and Technology
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    • v.33 no.3
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    • pp.151-158
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    • 2020
  • Alcohol, which can easily be obtained in the same way as ordinary beverages, is harmful enough to cause death due to excessive drinking and chronic alcohol intake, so it is important to maintain a proper amount of drinking and healthy drinking habits. In addition, the incidence of behavioral disturbances and impaired judgments that can be caused by chronic alcohol drinking of more than adequate amounts of alcohol is also significant. Accordingly it is very useful for forensic science to check whether the person involved is drunken or is alcoholism state in various accidents. Currently, in Korea, alcohol consumption is determined by detecting the level of alcohol or alcohol metabolism 'ethyl glucuronide (EtG)' in blood or urine samples. However, analysis of alcohol or EtG in blood or urine can only provide information about the current state of alcohol consumption because of a narrow window of detection time. Therefore, it is important to analyze the EtG as a long-term direct alcohol metabolite bio-marker in human hair and to investigate relationship between alcohol consumption and EtG concentration for the evaluation of chronic ethanol consumption. In this study, we established an analytical method for the detection of EtG in Korean hair efficiently and validated selectivity, linearity, limits of detection (LOD), limits of quantification (LOQ), matrix effect, recovery, process efficiency, accuracy and precision using liquid chromatography tandem mass spectrometry (LC-MS/MS). In addition, the assay performance was evaluated in Korean social drinker's hair and the postmortem hair of a chronic alcoholism. The results of this study can be useful in monitoring the alcohol abuse of Korean in clinical cases and legal procedures related to custody and provide a useful tool to evaluate postmortem diagnosis of alcoholic ketoacidosis in forensics.