• Title/Summary/Keyword: Excessive use

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Gender Differences in the Relationship between Alcohol Use Behaviors and Metabolic Syndrome - Korean National Health and Nutrition Examination Survey (KNHANES) V 2010 - (성별에 따른 알코올사용행태와 대사증후군과의 관계 - 제5기 2010년 국민건강영양조사 자료를 이용하여 -)

  • Ryu, Ji Young;Kim, Dae-Hwan
    • Korean Journal of Health Education and Promotion
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    • v.30 no.1
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    • pp.83-93
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    • 2013
  • Objectives: The objective of this study was to assess the gender differences in the relationship between alcohol use behaviors and the risk of metabolic syndrome among Korean adult population. Methods: Data from the Korean National Health and Nutrition Examination Survey (5th, 2010) was analyzed. Using the Alcohol Use Disorders Identification Test, subjects were classified into 4 groups including non-drinking, low-risk drinking, medium-level alcohol problem, and high-level alcohol problem group. Metabolic syndrome and its components were compared among the alcohol behavior groups by gender. Results: The odds ratio vs. non-drinking group for metabolic syndrome was significantly higher in male medium and high-level alcohol problem group. In female, high-level alcohol problem group showed significantly higher odds ratio for metabolic syndrome. Blood pressure and HDL-cholesterol were likely to be higher with the excessive drinking behaviors in both men and woman. Triglyceride level in men was significantly higher in the medium and high-level alcohol problem group than non-drinking group. Although fasting glucose level did not show differences among drinking groups, the odd ratios vs. non-drinking group for the hyperglycemia (${\geq}$ 100mg/dl) were significantly higher in female drinking groups. Conclusions: Problematic alcohol drinking is likely to increase the risk of metabolic syndrome in Korean adults.

Patterns of Antibiotics Utilization in Some Respiratory Diseases in Clinics (일부 호흡기질환에서 의원의 항생제 사용양상 분석)

  • Park, Sylvia;Moon, Ok Ryun
    • Quality Improvement in Health Care
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    • v.5 no.1
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    • pp.58-75
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    • 1998
  • Background : In Korea, the rational use of antibiotics are rarely controlled, and their patterns of utilization are not understood. In order to reduce the excessive use and to improve the appropriate use of antibiotics, it is necessary to accurately determine present uses of antibiotics in hospitals. Methods : Analysis of the use of prescription drugs was performed on NFMI(National Federation of Medical Insurance) 1994 medical expense claim data. A stratified sampling by types of hospitals, departments, and diseases was obtained from 1994 August data. Patients with secondary diseases were excluded. In this study, 2,697 adults with URI, 6,397 children with URI, 704 adults with bronchitis, and 1,838 children with bronchitis were included. Results : Most patients were prescribed medication (95.2-99.6%). Of the patients prescribed medication, more than 85% of URI patients and more than 91% of bronchitis patients were prescribed antibiotics. Antibiotics expenses accounted for 14% of total medical expenses in adults and 9% of total medical expenses in children. In adults with URI, antibiotics expenses accounted for 52% of drug expenses. Of the patients prescribed antibiotics, average number of antibiotics used was 1.6-1.7. For patients who are prescribed antibiotics, drug expenses were 62-97% greater than patients not prescribed antibiotics. When children were prescribed antibiotics, the highest price of drugs prescribed were 3.4-fold greater. In addition, the number of drugs prescribed also increased by more than one. Elderly patients, more than 60 years, were prescribed antibiotics less frequently. Children less than 10 years and elderly patients greater than 60 years old were prescribed fewer antibiotics than other patients. And they were prescribed medications for longer days than other patients. Conclusion : This study demonstrated that the average rate of prescribing antibiotics was higher in Korea than other countries. Measures to reduce overuse of antibiotics and to improve the appropriate prescription of antibiotics must be considered for cost effective treatment and overall health of people.

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Torsional Behavior of Reinforced Concrete Multi-Story Building under Seismic Loading

  • Hong, Sung-Gul;Moritz, Alex P.;Kim, NamHee
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 2000.10a
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    • pp.314-321
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    • 2000
  • Excessive torsional behavior of asymmetric building structures is observed to be the main cause of the poor seismic performance. Concepts of current design provisions for torsion are based on the assumption that the strength of the lateral load resisting elements can be adjusted without changing their stiffness. This paper investigates inelastic torsional effects of multi-story high rise residential building in Korea on increase of strength demand and ductility of members using some methods published in literature. The methods analyze the reduction of strength and member ductility resulting from torsional mechanisms. This study shows that use of these concepts control inelastic torsion during preliminary seismic design of multi-story building of irregular plans.

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Use of TLD and MTLD for Control of Wind-Induced Vibration of Tall Buildings

  • Kim, Young-Moon;You, Ki-Pyo;Ko, Nag-Ho;Yoon, Sung-Won
    • Journal of Mechanical Science and Technology
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    • v.20 no.9
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    • pp.1346-1354
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    • 2006
  • Excessive acceleration experienced at the top floors in a building during wind storms affect the serviceability of the building with respect to occupant comfort and discomfort. Tuned liquid damper (TLD) and multiple tuned liquid damper (MTLD), which are passive control devices consisting of a rigid tank filled with liquid, are used to suppress vibration of structures. These TLD and MTLD offer several potential advantages-low costs, easy installation in existing structures and effectiveness even for small-amplitude vibrations. This study carries out a theoretical estimation of the most effective damping ratios that can be achieved by TLD and MTLD. Damping by TLD an MTLD reduced the frequency response of high-rise buildings by approximately 40% in urban and suburban areas.

Sepsis and Acute Respiratory Distress Syndrome: Recent Update

  • Kim, Won-Young;Hong, Sang-Bum
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.2
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    • pp.53-57
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    • 2016
  • Severe sepsis or septic shock is characterized by an excessive inflammatory response to infectious pathogens. Acute respiratory distress syndrome (ARDS) is a devastating complication of severe sepsis, from which patients have high mortality. Advances in treatment modalities including lung protective ventilation, prone positioning, use of neuromuscular blockade, and extracorporeal membrane oxygenation, have improved the outcome over recent decades, nevertheless, the mortality rate still remains high. Timely treatment of underlying sepsis and early identification of patients at risk of ARDS can help to decrease its development. In addition, further studies are needed regarding pathogenesis and novel therapies in order to show promising future treatments of sepsis-induced ARDS.

Creating and Using BIM waste energy map Study on Energy Management

  • Kim, Hye-Mi;Hong, Won-Hwa
    • Proceedings of the Korean Association of Geographic Inforamtion Studies Conference
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    • 2010.09a
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    • pp.291-291
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    • 2010
  • Emerging global economic growth and increasing demand for energy supply and demand imbalance and the excessive use of fossil fuels existing the rapidly increasing greenhouse gas emissions and resource depletion of global energy crisis is deepening. Accordingly, improvement of living conditions around and through the natural ecological preservation and the need for a comfortable life for the meeting the importance of energy management and consumption are emerging. Many in the field of architecture for energy-saving measures and conducts research and analysis from the early stages to verify the energy performance of BIM (Building Information Model) technology development and commercialization through the building's energy performance to an objective technology forecasts Analysis of the existing building energy performance in waste management also possible that "BIM-based green building process, the possibility of" suggested. In this study, BIM through the analysis of information using the structures for the management of waste, energy and physical data collected by Mapping it can effectively plan resources for recycling were analyzed.

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Origins of Addiction Predictably Embedded in Childhood Trauma: A Neurobiological Review

  • Wiet, Susie
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.1
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    • pp.4-13
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    • 2017
  • The seeds of addiction are typically sown years prior to the onset of addictive substance use or engagement in addictive behaviors, due to the priming of the reward pathway (RewP) by alterations in the mechanism of stress-signaling from the hypothalamic-pituitary-adrenal axis (HPA) and related pathways. Excessive stress from a single-event and/or cumulative life experiences during childhood, such as those documented in the Adverse Childhood Experiences Study, is translated into neurobiological toxicity that alters the set-point of the HPA axis and limbic system homeostasis [suggested new term: regulation pathway (RegP)]. The resultant alteration of the RegP not only increases the risk for psychiatric and physical illness, but also that for early onset and chronic addictions by dysregulating the RewP. This paper reviews the interface of these symbiotic pathways that result in the phenotypic pathology of emotional dysregulation, cognitive impairment, and compulsive behaviors, as well as morbidity and shorter life expectancy when dysregulated by chronic stress.

Slip Characteristics of Reinforced Concrete Beams to Corroded Steel State (철근부식상태에 따른 철근콘크리트 보의 슬립특성)

  • 권영웅;최봉섭;정용식
    • Journal of the Korea Concrete Institute
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    • v.11 no.6
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    • pp.129-135
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    • 1999
  • Reinforced concrete structures are constructed under the basic assumption of perfect bonding between steel and concrete. The corrosion of steel in the reinforced concrete beams results in the excessive cracks and gradual deterioration of concrete. This paper are concerned about the slip characteristics of reinforced concrete between steel and concrete. The accelerated test by external power supply was conducted with the three corrosion rates in the laboratory. As a result, it was obtained as follows: (1) the yield strength of steel was reduced according to corrosion states. (2) the equivalent steel area should be considered for detailed analysis. (3) According to the use of corroded steel or not, slip amounts between concrete and steel in test beams increased as the corrosion rate increased. These results can be explained from the bond loss between concrete and steel in test beams.

Cancer-Related Sleep Disorders (암과 관련된 수면장애)

  • Seo, Wan-Seok
    • Sleep Medicine and Psychophysiology
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    • v.16 no.1
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    • pp.10-15
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    • 2009
  • Sleep problems and disorders are common in patients with cancer. Sleep of the cancer patients is affected by various factors, including thermoregulatory changes associated with chemotherapy and radiotherapy, cancer related symptoms, such as pain, fatigue, and emotional difficulties. As one of the most common symptoms in cancer patients, fatigue is positively correlated with sleep difficulties. Cytokine is also frequently associated with chemotherapy and radiotherapy. It provokes excessive daytime sleepiness and hypersomnia. Medications for controlling pain, depression, and anxiety can affect sleep of the cancer patients. Medications as well as behavior therapy are reported to be effective for controlling sleep problems, and the physicians need to be accustomed to use the modalities appropriately. This paper reviews causative factors, evaluation, and management of sleep problems and disorders, experienced by cancer patients.

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Multiple Response Optimization for Robust Design using Desirability Function

  • Kwon, Yong-Man;Hong, Yeon-Woong;Chang, Duk-Joon
    • Journal of the Korean Data and Information Science Society
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    • v.14 no.2
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    • pp.325-335
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    • 2003
  • Robust design is to identify appropriate settings of control factors that make the system's performance robust to to changes in the noise factors that represent the source of variation. In the Taguchi parameter design, the product array approach using orthogonal arrays is mainly used. However, it often requires an excessive number of experiments. An alternative approach, which is called the combined array approach, was suggested by Welch et. al. (1990) and studied by others. In these studies, only single response variable was considered. We propose how to simultaneously optimize multiple responses when we use the combined array approach.

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