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Patterns of Health-related Quality of Life in Men Who Inject Drugs: A Survey in Southeast Iran

  • Marzieh Nojomi;Maysam Rezapour;Neda Soleimanvandi Azar;Mehdi Darabi;Mehran Asadi-Aliabadi
    • Journal of Preventive Medicine and Public Health
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    • 제57권2호
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    • pp.148-156
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    • 2024
  • Objectives: Understanding patterns of quality of life in people who inject drugs (PWID) can help healthcare providers plan and manage their health problems in a more focused manner. Therefore, the current study aimed to identify patterns of health-related quality of life in PWID in southeast Iran. Methods: This cross-sectional study was conducted in southeast Iran on men who had injected drugs at least once during the last year. We used convenience sampling in 2 drop-in centers and venue-based sampling at 85 venues. Demographic characteristics, high-risk behaviors, and health-related quality of life were evaluated using the 5-level EQ-5D version (EQ-5D-5L) questionnaire. Latent profile analysis was used to identify patterns of quality of life. Results: This study enrolled 398 PWID, who had a mean age of 34.1±11.4 years. About 47.9% reported a prison history in the last 10 years, 59.2% had injected drugs in the last month, and 31.6% had a history of sharing syringes. About 46.3% reported having 2 or more sexual partners in the last 6 months, and 14.7% had a history of sex with men. Out of the 5 EQ-5D-5L profiles, the fifth profile had the most people (36.6%). Most variations in quality of life were related to pain and discomfort. Conclusions: We showed that the pain and discomfort dimension of EQ-5D-5L had more variation in PWID. This finding will be useful for allocating appropriate interventions and resources to promote health-related quality of life in this population.

(기술노트) PMIP4의 제4기 기후 재현 실험 소개 ((Technical Note) Introduction of PMIP4 Experimental Design for Simulating Quaternary Climates)

  • 전상윤;김성중
    • 한국제4기학회지
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    • 제33권1_2호
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    • pp.49-58
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    • 2021
  • 4차 고기후모델링간 상호비교연구 (Paleoclimate Modeling Intercomparision Project phase 4; PMIP4)는 6차 접합모델간 상호비교연구 (Coupled Model Intercomparison Project phase 6; CMIP6)와 연계하여 제4기의 여러 시기에 대한 기후 재현 실험을 수행하고 있다. 여러 모델링 기관은 고유의 모델을 이용하여 CMIP6 DECK 실험군의 산업혁명기 이전 기후 실험(piControl)을 바탕으로, 6 ka 홀로세 중기 실험 (midHolocene), 21 ka 마지막 최대빙하기 실험(lgm), 127 ka 마지막 간빙기 실험 (lig127k)의 평형 기후실험들과, 850-1849 CE 마지막 천년 실험 (past1000), 21-9 ka 마지막 퇴빙기 실험, 140-127 ka 두 번째 마지막 퇴빙기 실험 등의 점진적 기후변화 실험들을 수행하고 있다. 이 기술노트에서는 이 PMIP4-CMIP6의 Tier 1 실험들과 경계 조건들을 소개하고 제4기 기후의 이해를 위해 추가적으로 수행중인 Tier 2와 Tier 3 실험들을 정리하였다.

핵의학 체외검사의 진료재료비용 절감 방안 (The Reduction ways of Medicine Material Costs of Nuclear Medicine In Vitro)

  • 송훈강;서정미;양준호;김은정;김창호
    • 핵의학기술
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    • 제15권2호
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    • pp.111-115
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    • 2011
  • 체외 검사는 각 검사 마다 6-7개의 standard 농도를 이용한 표준곡선(Dose response curve)을 사용하여 검사 결과를 분석하며, 표준곡선 사용은 진료재료 소모에 많은 부분을 차지하고 있다. 현재 원내에서 검사하는 검사항목 가운데 일부 검사 항목은, standard 농도를 이용한 환자의 검사 결과 분석수치가 대부분 낮은 결과의 분포를 보이고 있었으며, 이러한 검사 들은 마지막 standard 농도의 사용이 불필요하다고 판단하였다. 이에 낮은 검사 결과의 분포를 보이는 검사항목들을 선정하고, 마지막 standard 농도의 자리에 사용했던 진료 재료를 절감하여 진료재료의 소모비용을 줄였다. 원내 검사 항목 중 11개의 검사 항목을 진료재료 절감 대상항목으로 하였고, 검사가 진행한 횟수 만큼 마지막 standard농도에 사용되었던 진료재료(검사 Tube)를 절감할 수 있었다. 2009년 7월부터 2011년 2월까지 월별 진료재료 절감 개수, 절감 개수를 진료재료 단가로 계산하여 진료재료 절감액과, 절감된 진료재료를 환자 검사용 진료재료로 사용하여 발생한 수익을 ABC 원가계산을 근거로 산정하였다. 2009년 7월부터 2011년 2월까지 절감된 진료 재료는 3,131개였다. 이는 약 31kit의 검사 시약에 해당되는 진료재료를 절감하였다. 이것을 진료재료 단가로 계산하면 약 640만원의 진료재료비가 절감되었고, 이러한 진료 재료는 환자 검사 진료재료로 사용되어 약 1,370만원의 수익이 발생하였다. 환자의 검사 결과가 정상이거나, 낮게 분포하는 검사항목들은 마지막 standard 농도를 사용하지 않고 범위를 줄여서 검사를 진행하여도 검사 결과를 분석하는데는 영향이 없었고, standard 농도 범위 조정이 검사 결과의 신뢰성에는 영향이 없는 것으로 분석 되었다. 따라서 이 활동은 핵의학 체외검사의 진료재료 사용에 효율성을 높이고 진료재료 절감 및 병원 수익에 많은 효과가 있을 것으로 생각한다.

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티머시 우점초지에서 예취빈도와 최종예취시기가 목초의 재생 및 생산성에 미치는 영향 (Effects of cutting Frequency and the Last cutting Date on Regrowth and Production in Timothy-dominated Sward)

  • 신재순;이병석;신기준;이효원
    • 한국초지조사료학회지
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    • 제6권2호
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    • pp.84-90
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    • 1986
  • 본(本) 시험(試驗)은 고랭지(高冷地) Timothy 우점초지에서 목초(牧草)의 적정(適正) 예취회수(刈取回數)와 최종(最終) 예취시기(刈取時期)를 구명(究明)하고자 DM 생산량(生産量), 월동후(越冬後) 초기생육특성(初期生育特性), 다음해 1차수량(次收量) 조단백질(粗蛋白質) 및 조섬유(粗纖維) 생산량(生産量)을 조사(調査)하고 그들간(間)의 상관관계(相關關係)를 분석(分析)한 결과(結果)를 요약(要約)하면 다음과 같다. 1. 초기생육(初期生育)이 개시(開始)되는 시기(時期)는 예취회수(刈取回數)가 증가(增加)함에 따라 빨라지는 경향(傾向)이었으나 유의차(有意差)가 없었으며 최종예취일(最終刈取日)에 따른 영향은 일정하지 않았다. 2. 예취회수(刈取回數)가 증가(增加)함에 따라 건물생산량(乾物生産量)은 감소하였으나 최종예취일(最終刈取日)에 따른 차이(差異)는 없었다. 3. 월동후 1 차수량(次收量)은 예취회수(刈取回數)에 따라 현저히 감소하였으나 최종예취일(最終刈取日)에 따른 차이(差異)는 뚜렷하지 않았다. 4. 조단백질(粗蛋白質) 생산량(生産量)은 예취회수(刈取回數)가 증가(增加)할수록 많아졌으나 건물율(乾物率)은 낮아지는 경향이었고 조섬유(粗纖維) 생산량(生産量)은 일정하지 않았다. 5. 건물수량(乾物收量)과 건물율(乾物率)($\gamma=0.78$) 및 다음해 1차수량(次收量)($\gamma=0.82$)간(間)과 건물율(乾物率)과 다음해 1차수량(次收量)($\gamma=0.83$)간(間)에는 정(正)의 상관(相關)이 있었고(p<0.01), 조단백질(粗蛋白質) 생산량(生産量)과 건물율(乾物率)($\gamma=-0.67$) 및 다음해 1차수량(次收量)($\gamma=-0.68$)간(間)에는 부(負)의 상관(相關)이었다(p<0.01). 6. 이상(以上)의 결과(結果)를 종합(綜合)해 볼 때 건물생산(乾物生産)에 있어서는 년간(年間) 예취회수(刈取回數)는 3회(回)호 하고 최종예취일(最終刈取日)은 9월(月) 30일(日)로 하는 것이 적당(適當)하다고 생각되며 조단백질(粗蛋白質) 수량(收量)을 고려한다면 4회(回) 예취(刈取)에 최종예취일(最終刈取日)은 9월(月) 30일(日)로 하는 것이 좋다고 사료(思料)된다.

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지역거점병원 간호사의 신종인플루엔자 관련 지식, 감염관리 인지도 및 이행도 (Influenza A (H1N1) Regional Base Hospital Nurse's Knowledge, Awareness and Practice of Infection Control)

  • 양남영;최정실
    • 성인간호학회지
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    • 제21권6호
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    • pp.593-602
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    • 2009
  • Purpose: This study was to provide baseline data about nurses' Influenza A (H1N1) knowledge, awareness, and practice of infection control and to identify the significant factor affecting the level of practice. Methods: The subjects of this study were 144 nurses who worked at Influenza A (H1N1) regional base Hospital in D city. Data were collected by self-reported questionnaires during September 2009. The collected data were analyzed using SPSS/WIN 12.0 program. Results: The knowledge of Influenza A (H1N1) was statistically different according to age, unit, career and experience of seasonal influenza vaccination during the last year. The awareness of infection control was statistically different according to age, career, experience of seasonal influenza vaccination for last year and intention to get seasonal influenza vaccination for this year. The practice of infection control was statistically different according to unit, experience of seasonal influenza vaccination for last year, intention to get seasonal influenza vaccination for this year and intention to get Influenza A (H1N1) vaccination for this year. There was positive correlation among knowledge, awareness and practice (p < .05). Awareness was the significant factor affecting the level of practice. Conclusion: An educational program focusing on strategy to change nurse's awareness can be effective for infection control of Influenza A (H1N1) in regional base hospitals.

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Monitoring of Deforestation Rate and Trend in Sabah between 1990 and 2008 Using Multitemporal Landsat Data

  • Osman, Razis;Phua, Mui-How;Ling, Zia Yiing;Kamlun, Kamlisa Uni
    • Journal of Forest and Environmental Science
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    • 제28권3호
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    • pp.144-151
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    • 2012
  • Deforestation is a major and very critical problem faced by many tropical countries including Malaysia. Sabah is the second largest state in Malaysia and its deforestation rate has been accelerating. This study was conducted to monitor the deforestation in Sabah in the last two decades with Landsat images of 1990, 2000 and 2008. Supervised classification with maximum likelihood algorithm was conducted using the Landsat data for monitoring deforestation. In total, between 1990 and 2008, Sabah lost half of its intact forest, or more than 1.85 million ha in less than two decades. Overall, the deforestation rate for all forest types combined for the last two decades was 1.6% per year. Deforestation seemed to be accelerating because the deforestation rate between 1990 and 2000 was 0.9% per year and it had increased to 2.7% per year between 2000 and 2008. The deforestation trend seemed to follow a negative exponential from 1990 to 2008. In contrast, the agricultural areas increased rapidly with a total of increment more than 1 million ha. This confirmed that agriculture especially establishment of commercial plantation was the major factor of deforestation in Sabah for the last two decades.

Climate Events and Cycles During the Last Glacial-Interglacial Transition

  • Lee, Eun Hee;Lee, Dae-Young;Park, Mi-Young
    • Journal of Astronomy and Space Sciences
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    • 제34권3호
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    • pp.207-212
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    • 2017
  • During the last glacial-interglacial transition, there were multiple intense climatic events such as the Bølling-Allerød warming and Younger Dryas cooling. These events show abrupt and rapid climatic changes. In this study, the climate events and cycles during this interval are examined through wavelet analysis of Arctic and Antarctic ice-core $^{18}O$ and tropical marine $^{14}C$ records. The results show that periods of ~1383-1402, ~1029-1043, ~726-736, ~441-497 and ~202-247 years are dominant in the Arctic region, whereas periods of ~1480, ~765, ~518, ~311, and ~207 years are prominent in the Antarctic TALDICE. In addition, cycles of ~1019, ~515, and ~209 years are distinct in the tropical region. Among these variations, the de Vries cycle of ~202-209 years, correlated with variations in solar activity, was detected globally. In particular, this cycle shows a strong signal in the Antarctic between about 13,000 and 10,500 yr before present (BP). In contrast, the Eddy cycle of ~1019-1043 years was prominent in Greenland and the tropical region, but was not detected in the Antarctic TALDICE records. Instead, these records showed that the Heinrich cycle of ~1480 year was very strong and significant throughout the last glacial-interglacial interval.

EFFICIENT SCREWING : last developments and Korean experience

  • Ines MEYUS;Maurice Bottiau;Myung-Whan Lee;Jong-Bae Park;Yong-Boo Park
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 1999년도 가을 학술발표회 논문집
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    • pp.405-414
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    • 1999
  • The auger and screw piles have known an important evolution during the last decade. Besides the large success of augercast (CFA) piling systems, new systems have been developed combining, to a variable extent, the classical extraction auger with especially designed displacement tools in order to develop screw piles with partial or total lateral soil displacement. These last developments cover the whole range of lateral soil displacement and are more difficult than ever to compare. The authors present the latest evolutions in auger piling systems and compare them with respect to penetration performances, bearing capacities and amount of spoil generated. A special focus is given to a new efficient system: the OMEGA(H) pile in use in Korea since 1997. The results of the Hongcheon site are presented where this R system was applied for a new investment of the Korean National Housing Corporation (KNHC). This first important experience, with the execution of some 1,500 Omega piles with diameter 410 mm, is presented. The piles were installed through loose silty sands down to very dense sands and layers of gravel. The results of full-scale load tests are analysed and show the conformity with requirements of the clients.

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수산물 냉동냉장설비의 현황 및 분석 (Present Situation and Analysis of Cold Storage Facilities for Fisheries Products)

  • 손창효;오후규
    • 설비공학논문집
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    • 제23권6호
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    • pp.406-412
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    • 2011
  • This paper describes the analysis on freeze and refrigeration capacity of cold storage facilities for fisheries products during the last 15 years. And based on the analysis results, we prospect the number and scale of cold storage facilities in the near future. The main analysis results are summarized by the followings; Under the present conditions, the number and scale of our facilities is 879 and 3,586,824 ton, respectively. In comparison of the present and last 15 years ago, the business number increases about 22%, the accommodation capacity increases approximately 80%. In the reported update reference with the related data during the last 15 years, the capacity of cold storage facilities in 2011 expects to reach up to 4,600,000 ton. The newlyestablished facility in 2011 has the function of a multi-purpose distribution center as well as the existing cold storage, but this facilities converges in the capital area. Therefore, in this paper, we provided the basic reference data for the present situation and prediction of our cold storage facilities. But it is necessary to investigate and analyse widely our cold storage facilities for fisheries products in the near future.

지난 20년간의 앙코르유적 보호를 위한 국제사회의 노력 - 도쿄선언, 파리선언, 앙코르선언에 대한 분석을 통해서 - (International cooperations for the Safeguarding on Angkor during two decades - by analysis of Tokyo, Paris and Angkor Declarations -)

  • 박동희;신보람
    • 건축역사연구
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    • 제23권3호
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    • pp.21-34
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    • 2014
  • The international community has been collaborated for the preservation of Angkor site in the last twenty years. This case which is the heritage conservation through cooperation is an exemplary instance for developing countries and warring nations. For this study, we analyze each of declarations that is adopted through three intergovernmental conferences for the preservation of Angkor and study how the policies of the conservation work. Tokyo Declaration at 1993 is included a pledge of the cooperation from all the countries of the world and an emergency measure and an advice of the policy for conservation on Angkor. Paris Declaration at 2003 is mentioned that the emergency measure for last ten years is effective for conservation of Angkor and emphasized the necessity of practical use of heritage like sustainable development and ethical sightseeing. Angkor Declaration at 2013 assures exertions of last 20 years and convinces that all of activities about Angkor is a commendable precedent to another World Heritages in danger. And it is mentioned a practical use of heritage which is more crucial and new conservation of Angkor.