• Title/Summary/Keyword: 일반인구

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Clinical Course according to Antipsychotics Prescription Pattern in Delirium (섬망 환자에서 항정신병약물 처방 유형에 따른 임상 경과의 차이)

  • Park, Jaesub;Kim, Jae-Jin;Park, Sungjong;Kim, Sungmin;Park, Jin Young
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.2
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    • pp.120-128
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    • 2017
  • Objectives : Although antipsychotics are commonly used to control symptoms of delirium, there is a lack of research on the prescription pattern and its clinical effects. The purpose of this study was to investigate the effect of antipsychotics prescription pattern on clinical course of delirious patients consulted to psychiatry. Methods : During the period from July 2016 to February 2017, 212 patients who were referred for delirium were reviewed for their medical records. The duration of delirium was monitored using CAM-ICU, and duration of admission, mortality, and delirium at discharge were reviewed. Clinical course was compared among three groups according to the antipsychotic drug administration pattern: Continuous use group, optimal use group and PRN use group. Results : The pattern of taking antipsychotic medication longer than duration of delirium did not associated with better clinical course compared with the pattern of adapting to the period of delirium and rather increased the risk of taking antipsychotic medication at discharge. When used for a shorter period than the delirium period, it was associated with poor clinical course. Conclusions : The results of this study suggest that a strategy to administer antipsychotics for a minimum period, according to periods of delirium, is appropriate. Also, efforts are needed to minimize the use of antipsychotic drugs after recovery from delirium.

Overview of Cadmium Exposure from Plant-based Food Consumption in Global Population especially in Asia and Techniques to Reduce the Risks to Human Health (인체 건강에 위해성을 감소시키기 위한 기술과 세계 인구. 특히 아시아에서 식품 소비에 근거한 식물체로부터의 카드늄 노출 개관에서는 전세계 카드늄)

  • Su, S.W.;Chen, Z.S.
    • Korean Journal of Soil Science and Fertilizer
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    • v.42 no.spc
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    • pp.4-7
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    • 2009
  • Agricultural soils contaminated by cadmium (Cd) are common problems in Asia due to rapid industrial development, so the risks of Cd exposure from food crops consumption are concerned by public and authorities. The latest data on Cd concentration in plant-based food and the dietary intakes of Cd around the world are presented in this review. In general, Cd concentrations in major plant-based commodities seldom exceed 0.05 mg/kg fresh weight and decline in the order as: cereals > pulses > vegetables > roots and tubers > fruits in Far Eastern region. In Middle Eastern and European regions, the order is vegetables > cereals > roots and tubers > pulses > fruits. Rice has the highest Cd levels among cereals in Asian countries, but in Middle Eastern and European region the highest level of Cd occurred in leaf vegetables. The dietary intakes of Cd from plant-based commodities around the world declined in the order as: cereals > vegetables > roots and tubers > fruits > pulses. Rice is the largest contributor to total dietary Cd intake (58%) in the Far Eastern region and contributed 36% of Provisional Tolerable Daily Intake (PTDI). For high foodstuffs consumers, intake of Cd from all diets may exceed PTWI, especially for high rice consumers in Asian countries. The World Health Organization (WHO) conducted impact assessment of different maximum levels (MLs) of Cd and demonstrated that each of the four possible MLs for rice had little impact on dietary Cd intake. Since many Cd-contaminated soils in Asian countries still producing crops due to the growing population, the cost-effective techniques for reducing Cd contents in crops especially rice grain are absolutely required.

The Disparities in Subjective Health by Employment Form and Gender: Focusing on the Interaction Effects with Health Resources (고용형태와 성별에 따른 주관적 건강에서의 격차: 건강자원과의 상호작용 효과를 중심으로)

  • Kim, Jin-Young;Lim, In-Sook;Song, Yea-Li-A;Han, Sinn-Won
    • Korea journal of population studies
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    • v.35 no.1
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    • pp.181-209
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    • 2012
  • Employment form and gender as stratification factors may generate health disparities in Korea. Previous studies have examined the existence of health disparities by employment form and gender. However, few studies examined how the health disparities can be reduced effectively. This study intends to confirm the existence of health disparities between employment-gender groups and explore the effective health resources which can reduce the possible disparities. Using a national probability sample of Korean adults collected in 2011, we attempts to test the interaction effects between employment-gender groups and health resources on self-rated health. For health resources, 24 variables of five dimensions(social relationship, psychological resource, activity factor, health behavior, and usage of medical service) are taken into account. In results, first, the health levels of the other three employment-gender groups are worse than that of male-regular workers. Second, the effective health resources which can reduce the health disparities are different across the employment-gender groups. An effective health resource for female-nonregular workers is a peaceful relationship with her children. Effective health resources for male-nonregular workers are peaceful relationships with his parents and siblings, low stress, religious activity, and exercise. An effective health resource for female-regular workers is interpersonal trust. These results imply that personal or social interventions for health of specific disadvantaged groups need to focus on specific resources which are more effective for the groups.

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RELIABILITY TESTING OF EATING ATTITUDE TEST FOR KOREAN ADOLESCENTS (한국판 청소년용 식이 태도 검사(EAT-26KA)의 신뢰도 조사)

  • Choi, Joon-Ho;Nam, Jung-Hyun;Cho, Yun-Gyoo;Choi, Bo-Yeul;Ahn, Dong-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.1
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    • pp.91-97
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    • 1998
  • Objectives:This study was designed for testing of Eating Attitude Test for Korean adolescents (EAT-26KA) on internal reliability and test-retest reliability and evaluation of each items through factor analysis. Methods:Total 1,160 middle and high school students were surveyed on June 1996. The questionnaire had been delivered by school teachers two weeks earlier before survey started. Among the 1,160 students, 114 students were selected by random. And then they were retested with same questionnaire on July 1996, four weeks later Result:Internal consistency of EAT-26KA was relatively good(Cronbach’s ${\alpha}$ =.83). There was statistically significance on test-retest reliability(r=.63 p<.01). But two items showed negative correlations(item No. 9, 17). and 5 items had low level correlation(p>.05, item No. 2, 6, 12, 21, 24). We performed factor analysis on whole items except No. 25 item. Result of factor analysis showed that the factor structure of EAT-26KA were different from that of EAT-26. Conclusion:The EAT-26KA is useful for the survey of the eating behavior and problems in Korean adolescents.

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Determination Factors and Satisfaction of Health Screening Center by Health Examination at Hospital (건강검진 수검자의 의료기관내 검진센터 선택요인과 만족도)

  • Im, Bock-Hee;Choi, Hee-Sung
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.457-467
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    • 2014
  • The purpose of this study was to induce continuing health screening of the examinees of the health promotion centers by identifying reason of health screening, selection factors of health promotion center, satisfaction level for health promotion center and revisit intention for the examinees who have utilized the health promotion centers of hospitals in Busan and also understanding the examinees' preferences. This study has been conducted from 2, 22.~4, 5. 2013 with the 892 examinees who had utilized the 10 medical institutes in Busan. And the frequency, ${\chi}^2$-test, t-test, ANOVA, logistic regression was analysed. The summary of the study results is as follows. In terms of health screening type, those with office worker physical examination, those with revisit had the highest frequency whereas the group with no disease and the group of being healthy for subjective health condition had the highest frequency. As for the determination factors of health promotion center, accessibility, partnership work, acquaintance recommendation was found to be the highest and followed. And as for the satisfaction level of health promotion center, satisfaction level for accessibility and medical check-up was found to be the highest with 3.59 points, and followed by satisfaction level for brand name, facility, the economic cost. Finally, as for the revisit intention had the highest frequency. Based on the study results above it would be necessary to establish a reasonable price structure in revitalizing promotion and improving health program.

A Study on the Development of Geological and Geomorphological Landscape Resources to Promote Tourism Geology: A Case Study in Taean Seashore National Park (관광지질학 활성화를 위한 지질 및 지형경관자원 개발에 관한 연구 - 태안해안국립공원을 중심으로)

  • Heo, Chul-Ho;Choi, Sang-Hoon
    • Journal of the Korean earth science society
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    • v.28 no.1
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    • pp.75-86
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    • 2007
  • In Korea, it is significantly deficient in the study about tourism geology, which is a new branch of applied geology that would support the growth of ecotourism world-wide. The objectives of this study include (1) the promotion in geodiversity of tourism geology using the data for type and distribution patterns of geological and geomorphological landscape resources and (2) the redoubling of diversity in the environmental interpretation programs offered by the Korea National Parks Service (KNPS). Our field study discovered 212 geological and geomorphological landscape resources distributed in the area of Taean seashore national park. Coastal topography is the most discovered type followed by weathering topography. It is our belief that the aforementioned resources can be utilized as a tourism geological site in assisting the public to understand geological science and to draw their attention and interests after sorting and filtering it out through discussions with geologists and geomorphologists of a consortium. Furthermore, in order to promote the activation of developing user-oriented geotourism sites, it is recommended to keep monitoring on demographical characteristics of geotourists, behavioral characteristics of geotouconrists within the geotourism site and ducting analysis for developing geotourism program and events. And, the research support of geological engineering dealing with the estimation of weathering degree and the development of conservation techniques for the object of geotourism along with the research of environmental science aspects will improve the activation of tourism geology.

Propensity Adjustment Weighting of the Internet Survey by Volunteer Panel (자원자 패널에 의한 인터넷 조사의 성향조정 가중화)

  • Huh, Myung-Hoe;Cho, Sung-Kyum
    • Survey Research
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    • v.11 no.2
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    • pp.1-28
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    • 2010
  • This paper reports the results of the 2009 Internet volunteer panel version of the social survey conducted by Statistics Korea (Korea National Statistical Office). Authors identify socio-psychological characteristics of Internet survey volunteers and present quantitative evaluation of the propensity adjustment weighting method intended to remove Internet sample bias. The nine criteria used for propensity adjustment were regions, urban/rural, gender, age, education, consumer satisfaction, views on income distribution, newspaper access and Internet news access. Propensity adjustment weighting based on the logit model and rim weights were applied to the online survey of 2,903 respondents using the face-to-face area sample data of 37,049 respondents as reference. A total of 106 items were used for evaluating the propensity adjustment weighting methods. The results showed that in 80% of survey items the propensity adjustment weighting yielded better estimates compared to simple demographic weighting. This suggests that Internet surveys by volunteer panels are useful for conducting the general social study in Korea. The reference survey data for this study contains several items on social-psychological behaviors and attitudes, is large in size and obtained by probability sampling. Thus it may be utilized in propensity adjustment of other Internet surveys.

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Vitamin D and Depression (비타민 D와 우울증)

  • Cho, Su Kyung;Koo, Sle;Park, Kyong
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.43 no.10
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    • pp.1467-1476
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    • 2014
  • Recent studies have shown that insufficient or deficient vitamin D status may be linked to increased risk of depressive conditions or depression. The aim of this study was to review all available evidence on vitamin D, depression, and any association between them. Cross-sectional, case-control, and cohort studies have reported contradictory results. Some have reported that low levels of vitamin D may be associated with higher risk of depression or depressive symptoms while others reported that vitamin D status may not be related to depression. Recent clinical trials examining the effects of vitamin D supplementation on depression have also showed discrepant results. However, meta-analysis study results are consistent regarding the beneficial effects of vitamin D. Several mechanisms that account for these beneficial effects of vitamin D on depression have been reported but remain largely speculative. Vitamin D deficiency is very common, and prevalence of depression is increasing in the Asian population, especially females. However, limited literature is available on this population. Considering research results of a potential inverse association between vitamin D level and prevalence of depression, it is important to advance our understanding of the role of vitamin D in depression and conduct well-designed prospective trials in the Asian population.

Analysis of the Effects of In-service Education Program on Rural Amenity (농촌어메니티 교원 연수 프로그램 효과 분석)

  • Hwang, Jeong-Im;Kim, Eun-Ja;Choi, Yoon-Ji;Rhee, Sang-Young
    • Proceedings of the Korean Society of Community Living Science Conference
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    • 2009.09a
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    • pp.97-97
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    • 2009
  • 본 연구에서는 초 중등 교원들의 농업 농촌에 대한 가치 인식 및 학교 현장에서의 학생 지도력을 높이기 위해 교원들에게 농촌어메니티에 대한 이론과 체험 학습을 제공하는 '농촌어메니티 체험 연수 프로그램'의 개발 적용하고, 프로그램의 효과를 분석하였다. '농촌어메니티 개념 및 정책 이해', '농촌어메니티 현장 이해 및 체험', '농촌어메니티 수업 적용'의 3개 영역으로 구성된 총 20시간의 교원연수 프로그램을 개발하였으며, '09. 7. 23. ~ 8. 13.까지 2박 3일씩 5차에 걸쳐 200명의 교사를 대상으로 연수 프로그램을 운영하고, 연수 전후 설문조사를 실시하여 그 결과를 분석하였다. 연수에 참여한 교원들의 인구통계학적 특성을 분석한 결과, 여성의 비율이 56.9%로 남성(43.1%)에 비해 높았으며, 일반교사의 비율(53.3%)이 부장교사(26.9%)나 교장 교감 (19.8%)의 비율에 비해 높았다. 연령 분포에서는 50대가 35.2%로 가장 많고, 40대가 32.7%를 차지하고 있었으며, 경력이 20년 이상인 교원들이 67.2%인 것으로 나타났다. 근무기관 분포에서는 초등학교 교원들이 54.8%로 가장 많았으며, 중학교, 고등학교 교원이 각각 20.3%, 18.8%인 것으로 나타났다. 근무지역 분포에서는 중소도시에서 근무하는 교원들이 70.6%로 대다수를 차지하고 있었으며, 농촌거주 경험이 있는 교원들이 64.8%인 것으로 분석되었다. 연수 참여 사전-사후 설문조사를 통한 인식 변화를 분석(Paired samples t-test)한 결과 참여 이후 '농업 농촌에 대한 관심 정도', '농업의 중요도에 대한 인식', '농촌의 생활 정주, 관광 휴양 여건에 대한 인식', '농촌어메니티에 대한 이해도'가 모두 개선된 것으로 나타났다. '농촌어메니티에 대한 중요도 인식'(5점 척도)에서는 환경자원, 자연자원, 역사자원, 경관자원, 시설자원, 경제활동자원, 공동체활동자원으로 분류된 37개의 세부자원들에 대한 중요도 인식이 연수 참여 이후 높아진 것으로 나타났다. 단, 환경자원 가운데 '수질'의 평균 점수는 사전 4.8671, 사후 4.8960로 유의미한 차이가 발견되지 않았다. 연수 전반에 대해 만족하는 교원의 비율이 98.5%로 나타났으며, 연수 이후 농업 농촌에 대한 이해도가 증가했다는 응답이 98.0%, 학생 지도력이 증가했다는 응답이 95.0%, 연수에서 학습한 내용을 학생지도시 활용하겠다는 응답이 97.5%로 집계되어, 개발된 연수 프로그램이 설계시 수립한 목적 달성에 기여하고 있는 것으로 분석되었다.

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A Study on the Cause of Noise and Vibration of an Elevator (엘리베이터 소음 및 진동의 원인에 관한 연구)

  • 이성춘;김준호;김두훈
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 1994.04a
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    • pp.94-99
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    • 1994
  • 최근 인구의 과밀화와 이에 따른 지가의 상승 등으로 대표적인 주거용 빌딩인 아파트의 고층화가 급속하게 진행되고 있고 아파트에 설치되는 엘리베이터도 점차 대형화, 고속화 되고 있다. 실례로 15층 아파트의 경우 11인승, 60m/min의 엘리베이터가 일반적으로 사용되는 반면, 20층 아파트의 경우 17인승, 90m/min이 주로 사용된다. 이와 같이 엘리베이터의 용량과 운행 속도가 증가함에 따라 필연적으로 소음 및 진동 문제가 발생하게 된다. 특히 아파트의 경우 침실, 공부방 등 고도의 정숙을 요하는 생활 공간이 많고, 내부 공간의 활용도를 높이기 위하여 이들 방들이 엘리베이터 기계실 또는 운행 통로와 직접 접하여 있는 경우도 있어 이 경우 소음, 진동 문제는 아주 심각한 문제로 대두된다. 본 연구소가 측정한 방에 의하면 S신도시 L아파트의 경우 아파트 최상층 방에서 실내 소음도가 46dB(A), 벽의 진동가속도가 3.4mm/s$^{2}$(RMS)으로 나타났다. 진동의 경우 생활에 직접적인 악영향을 미칠 수준은 아니지만 소음의 경우 ASHRAE 권장 주택소음 기준치가 35dB(A) 이하임ㅇㄹ 감안하면 주거에 곤란한 수준이다. 수년전, 고층 아파트가 보급될 초기에는 아파트에 엘리베이터가 설치되어있다는 그 자체만으로 충분한 장점이 되어 다소음 소음, 진동문제는 큰 불만거리가 되지 않았지만 엘리베이터가 보편화된 지금에는 엘리베이터의 편리성만으로는 점점더 크게 요구되는 정숙성이 보상되지 않는다. 따라서 전반적인 아파트의 소음, 진동 문제에 큰 비중을 차지하는 엘리베이터에 의한 소음, 진동에 관하여 체계적인 연구가 필요하다. 이에 본고에서는 엘리베이터에 의한 아파트의 소음 및 진동에 관하여 그 현황, 원인 그리고 대책에 관한여 논하고자 한다.감 방법을 연구하였고, T.Sakai는 5자유도 모델을 이용하여 엔진 공회전시 발생하는 치타음에 대해 이론과 실험을 통해 해석하고, 엔진 회전수 변동, 클러치 특성, 변속기의 드래그(drag) 토크의 영향과 치타음 저감을 위한 개선된 클러치 특성을 제시하였다. 이 외에도 Thomas C.T.와 E.P.Petkus는 특정 차량에 대한 동력전달계의 비틀림 진동 현상에 대해 연구하였다. 이러한 연구들로 볼 때, 자동차 동력전달계에서 발생하는 진동은 이론과 실험을 통해 그 해석이 가능하며 설계에 매우 유용하게 이용되고 있음을 알 수 있다. 따라서, 본 연구는 4 실린더 4 싸이클 1.5 L 엔진을 장착한 경승용차의 실차 주행실험을 통해 가속 페달의 급조작에 따른 차체의 종진동 현상을 측정하고, 엔진-변속기-타이어-차체의 반환정계 4자유도 진동모델로 시뮬레이션을 수행하여 실차 주행실험의 결과치와 비교, 분석한 후 클러치 비틀림 특성을 비롯한 자동차 동력전달계의 각 설계인자들이 차체의 종진동에 어떠한 영향을 미치는가를 해석하고자 한다.be presented.LIFO, 우선 순위 방식등을 선택할 수 있도록 확장하였다. SIMPLE는 자료구조 및 프로그램이 공개되어 있으므로 프로그래머가 원하는 기능을 쉽게 추가할 수 있는 장점도 있다. 아울러 SMPLE에서 새로이 추가된 자료구조와 함수 및 설비제어 방식등을 활용하여 실제 중형급 시스템에 대한 시뮬레이션 구현과 시스템 분석의 예를 보인다._3$", chain segment, with the activation energy of carriers from the shallow trap with 0.4[eV], in he amorphous regions.의 증발산율은 우기의 기상자료를 이용하여 구한 결과 0.05 - 0.1

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