• Journal of Preventive Medicine and Public Health
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• 제48권6호
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• pp.271-273
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• 2015

Quaternary prevention should be implemented to minimize harm to patients because the ultimate goal of medicine is to prevent disease and promote health. Primary care physicians have a major responsibility in quaternary prevention, and the establishment of clinical epidemiology as a distinct field of study would create a role charged with minimizing patient harm arising from over-medicalization.

• 보건교육건강증진학회지
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• 제32권4호
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• pp.59-65
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• 2015

Objectives: Health screening in Korea is very active in both the public and private sector. However, primary prevention for health promotion has not been activated yet. Quaternary prevention is the prevention of unnecessary medical interventions or the prevention of overmedicalization. Methods: Data was collected after a search of the literature focusing on keyword. The curriculum guidelines for family medicine residents were collected from the homepage of the American Academy of Family Physicians. Results: This quaternary prevention is just beginning. The first step to enhance the health promotion services in the community is to identify the barriers pertaining to the delivering of health promotion activities. These barriers are related to the patient, the physician, attitudes, health promotion programs and the healthcare system. The second step is to establish new changes, such as expansion of insurance coverage, improvement of medical payment system, provision of consumer-oriented services, connection and integration of providers, and the service provider education and training. Conclusions: In order to enhance the health promotion services in the community we need to identify the barriers and to establish several changes to overcome them.

• Journal of Preventive Medicine and Public Health
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• 제49권6호
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• pp.343-348
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• 2016

Since noncommunicable diseases (NCDs) are generally controllable rather than curable, more emphasis is placed on prevention than on treatment. For the early detection of diseases, primary care physicians (PCPs), as well as general practitioners and family physicians, should interpret screening results accurately and provide screenees with appropriate information about prevention and treatment, including potential harms. The concept of quaternary prevention (QP), which was introduced by Jamoulle and Roland in 1995, has been applied to screening results. This article summarizes situations that PCPs encounter during screening tests according to the concept of QP, and suggests measures to face such situations. It is suggested that screening tests be customized to fit individual characteristics instead of being performed based on general guidelines. Since screening tests should not be carried out in some circumstances, further studies based on the concept of prevention levels proposed by Jamoulle and Roland are required for the development of strategies to prevent NCDs, including cancers. Thus, applying the concept of QP helps PCPs gain better insights into screening tests aimed at preventing NCDs and also helps improve the doctor-patient relationship by helping screenees understand medical uncertainties.

• Journal of Preventive Medicine and Public Health
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• 제49권2호
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• pp.139-140
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• 2016

• Journal of Preventive Medicine and Public Health
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• 제49권2호
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• pp.141-141
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• 2016

• 한국제4기학회지
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• 제31권2호
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• pp.31-42
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• 2017

오아후섬은 태평양 중앙에 가까운 북반구에 위치하여 북반구와 남반구에서 발생하는 폭풍과 쓰나미의 영향을 고루 받는다. 파고가 높고 에너지가 강한 파도가 동계와 하계에 집중적으로 형성되어 오아후섬의 연안은 항상 활발한 침식 환경에 놓이게 된다. 이러한 자연적인 효과는 지구온난화와 더불어 해수면이 상승하면서 더욱 심화될 것으로 보인다. 그리고 1972년 연안관리법이 제정되기 전까지 연안에서의 무분별한 난개발이 있었고, 그 이후에도 도로 건설 및 확장이 계속되어 인위적 요인이 연안 침식의 주원인으로 작용하였다. 그러나 현재의 연안 침식 현상을 살펴본 결과, 생각보다 심각하지 않았다. 하와이 주 정부는 연안관리법 제정 이전에 축조되었던 경성 호안공법은 다른지점에서의 침식 심화와 부작용 등이 커서 더 이상 적용하지 않는다. 그래서 하와이에서는 침식방지공법으로 모래를 공급하거나 인공 사구를 만드는 등의 연성 공법을 주로 적용하고 있다. 우리나라에서도 부분적으로 연성 공법을 적용하는 곳도 있지만, 호안 구조물 등의 경성 공법이 주를 이루고 있어 타산지석으로 삼아야 할 것으로 생각된다.

• 보건교육건강증진학회지
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• 제32권3호
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• pp.1-9
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• 2015

Objectives: The purpose of this article was to assess epidemiological characteristics and recommendations for strengthening national response and preparedness after MERS-CoV outbreak in Korea, 2015. Methods: The author reviewed epidemiological reports and policy recommendations on MERS-CoV outbreak in Korea, 2015. Results: There was no evidence that genetical difference between the MERS viruses in the Republic of Korea and recent viruses in the Middle East. From the index case to last laboratory-confirmed case, there were 186 laboratory-confirmed cases that included 36 deaths(19.4%), all of whom appear epidemiologically linked to the index cases or subsequent secondary, tertiary, and quaternary cases. This outbreak spread to hospitals through nosocomial transmission. At least, three large clusters were investigated. However, there was at least one case of community transmission of MERS-CoV. Several factors had contributed to the MERS outbreak in Korea, 2015 that including epidemiological characteristics, and infrastructure of national healthcare system for preventing and controlling emerging infectious diseases. Conclusions: It is very important that to share experiences and identify underlying causes of this outbreak for prevention and control of emerging infectious disease in the future; including epidemiology, clinical features, and public health response and preparedness.

• 지질공학
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• 제33권1호
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• pp.121-136
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• 2023

Microstructural characterization, identification of mineral assemblages, and K-Ar age dating of fault gouges from five Quaternary fault sites segmented along the northern Yangsan Fault, SE Korea were performed to understand formation condition and multiple activity of faults. The mean and median sizes of particles of bulk gouges vary among the studied faults: 1.75 ㎛ and 1.43 ㎛ for the Danguri Fault, 1.94 ㎛ and 1.79 ㎛ for the Yukjae Fault, 5.57 ㎛ and 4.16 ㎛ for the Yugye Fault, and 5.55 ㎛ and 2.31 ㎛ for the Bogyeongsa Fault. Fault gouges contain abundant secondary minerals, including smectite, chlorite, illite, kaolinite, laumontite, and mordenite, which are found in association with quartz and feldspar. K-Ar dating of the fault gouges (both bulk samples and separate size fractions) yields ages ranging from 59.1 to 18.8 Ma, with bulk ages of 47.6 Ma for the Yukjae Fault, 59.1 Ma for the Ansim Fault, 39.4 Ma for the Yugye Fault, and 22.6 Ma for the Bogyeongsa Fault. The finer fractions generally have younger K-Ar ages compared with the coarser fractions, and the finest fraction (<0.2 ㎛) is the youngest for each fault. Hydrothermal alteration of the gouges is considered to have occurred under low-temperature (100~200℃) conditions during faulting. Microstructural features and clay mineral assemblages of fault gouges and brecciated rocks should be considered when interpreting fault events and reactivation, in addition to age dating of faulting.

• 한국안전학회지
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• 제19권3호
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• pp.51-56
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• 2004

Conductive polymer blends and composites are widely used for different safety application such as electrostatic charge dissipation(ESD), electromagnetic interference(EMI) shielding, electrostatic prevention and safety chemical sensor. In order to prepare a impedance-type humidity sensor that is durable at high humidities and high temperature, electically conductive polymer blends based on diallyldimethylammonium chloride(DADMAC) and epoxy were prepared in this study. The polymer blends type conductive ionomer exhibits reaction each other DADMAC and epoxy in FT-IR and DSC analysis. The blends material was traced by new peak at 1600cm-1 and appeard improvement of thermal resistance by melting point shift. Alumina substrate was deposited a pair of gold electrodes by screen printing. The blend material were spin-coated with a thin film type on the surface of alumina substrate. The polymer bleld type sensor exhibits a linear impedance increasing better than DADMAC coated humidity sensor. Also it shows good sensitivity, low hysteresis and durability against high humidity.

• 한국키틴키토산학회지
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• 제23권4호
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• pp.220-227
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• 2018

Amyloid plaque is a product of aggregation of ${\beta}$-amyloid peptide ($A{\beta}$) and is an important factor in the pathogenesis of Alzheimer's Disease (AD). $A{\beta}$ is a major component of amyloid plaque and vascular deposits in the AD brain. The enzyme ${\beta}$-secretase is required for the production of $A{\beta}$; thus, prevention of the formation of $A{\beta}$ through the inhibition of ${\beta}$-secretase is a major focus in the study of the treatment of AD. In this study, we investigated ${\beta}$-secretase inhibitory activity of an Arctoscopus japonicus peptide. An Alcalase hydrolysate had the highest ${\beta}$-secretase inhibitory activity. A ${\beta}$-secretase inhibitory activity peptide was separated using ion exchange column chromatography (carboxy-methyl: CM, quaternary methyl ammonium: QMA) and reverse phase high performance liquid chromatography (RP-HPLC) on a C18 column. The $IC_{50}$ value of the purified peptide was $248.2{\pm}1.73{\mu}g/mL$. The ${\beta}$-secretase inhibitory peptide was identified as a six amino acid residue of Gly-Pro-Val-Gly-Ala-Pro (MW: 497.27 Da). In cell viability experiments, the final purified fraction, the carboxy-methyl ion exchange column fraction (CM-F1) showed no significant cytotoxic effect in SH-SY5Y cells at concentrations below $100{\mu}g/mL$ in 24 h. The results of this study suggest that peptides separated from Arctoscopus japonicus may be beneficial as ${\beta}$-secretase inhibitor compounds in functional foods.