• 제목/요약/키워드: abstinence

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의사의 금연 건강지도의무와 의료과오책임 (Doctor's Failure to Provide Effective Treatments for Smokers and the Legal Responsibility of Medical Malpractice)

  • 김운묵
    • 의료법학
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    • 제9권2호
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    • pp.231-267
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    • 2008
  • Tobacco has become the world's leading cause of deaths and diseases. And !be tobacco use and dependence itself is a kind of diseases, so-called "mental and be-havioural disorders due to use of tobacco" in "International Statistical Classification of Diseases and Related Health Problems(ICD-10)" and "Korean Standard Classification of Diseases". The tobacco use and dependence is a chronic disease that requires repeated clinical interventions and multiple attempts to quit. But effective treatments to the tobacco use and dependence are developed and exist that can significantly increase the rate of long-tenn smoking abstinence. So the physicians should warn smoking patients about the dangers of smoking to the health and the life, and the clinicians ought to provide one of more of the treatments which have been proven effective in helping smokers quit to smoke. It has been concluded that if a doctor failed to provide effective treatment for smokers, and the smokers subsequently died of the smokers-related conditions(tobaccosis) or became incapacitated by the tobaccosis the smokers were considered in the medical malpractice. Thus the smokers could sue the physician for medical malpractice, claiming that the doctor's legal responsibility of appropriate treatments including smoking-cessation which the physician deliberately or negligently breached.

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청소년을 위한 스마트폰 과다사용 예방교육 프로그램 개발 및 예비효과연구 (Development and Preliminary Outcome Study of Smartphone Overuse Prevention Education Program for Adolescents of Middle School)

  • 김명식;최은미;이신후;배재홍
    • 한국IT서비스학회지
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    • 제12권4호
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    • pp.307-318
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    • 2013
  • This study developed the prevention education program of smartphone overuse for adolescents in middle school and testified its outcome. Finally the 4-session prevention education program for smartphone overuse was developed. 1st session was composed of psychoeducation about smartphone overuse and its side effect by quiz question. 2nd session smartphone addiction and brain change, 3rd session motivational enhancement program for smartphone overuse, 4th session cognitive behavioral program for it. The outcome was testified by internet addiction scale, smartphone addiction scale, and school adaptation scale for 2 classes of middle school students(experimental and control class). 2 Main results were as follows; First, the smartphone addiction total score and cyberworld orientation of the students participating in it were statistically significantly reduced. The difficulty of daily living and abstinence symptom due to smartphone overuse of them tended to reduce. Second, internet addiction total and all subscores of them were not changed. Third, class adaptation of them was statistically significantly increased and school adaptation total score and teacher adaptation of them tended to increase. Its meaning, implication and limitation were discussed.

고혈압 환자의 건강행위 이행 (Compliance with Health Behavior among Patients who are Hypertensive)

  • 정혜선;조옥희;유양숙
    • 기본간호학회지
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    • 제12권2호
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    • pp.223-230
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    • 2005
  • Purpose: This study was done to investigate compliance with health behaviors among patients who are hypertensive. Method: The participants in this study were 121 outpatients with hypertension. Compliance with health behaviors was measured using a questionnaire developed by the researchers. Data were analyzed using t-test, ANOVA, Duncan's multiple range test and chi square test. Results: According to tile general characteristics of the participants, compliance with medication and diet was higher among women than men, among high school graduates than middle school graduates or those with lower academic qualifications, and among those who were unemployed compared to those who were employed. Compliance with alcohol abstinence or not smoking was higher among women than men, and among those who were unemployed compared to those who were employed. According to the risk factors of hypertension, compliance with health behaviors was significantly higher in those who had associated diseases. The participants in the group with a hypertension morbidity period longer than 10 years did exercise more than 3 times a week and regularly weighed themselves once or more a week. The item showing highest compliance concerning medication and diet was 'Take prescribed drugs regularly', while the one showing lowest was 'Take drugs with knowledge about their side effects'.

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만성 간 질환자의 음주행위에 영향을 미치는 요인 (Factors Influencing the Drinking Behavior of Chronic Liver Disease)

  • 김태경;민혜숙
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.261-273
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    • 2013
  • The purpose of this study is a chronic liver disease that affects the drinking behavior is to identify the factors. The subjects of the study was diagnosed with chronic liver disease outpatient visit were studied in 120 patients. The collected data were analyzed by using SPSS WIN 18.0. Drinking behavior of chronic liver disease to determine the factors influencing the results of the multiple regression analysis, the regression model was found to be significant(F=8.58, p<.001), drinking behavior of chronic liver disease a major contributor to the drinking habits(${\beta}$ = -.29, p = .004)was found in, followed by drinking motives(${\beta}$ = .20, p = .044), drinking refusal self-efficacy(${\beta}$ = -.17, p = .037), after which the diagnosis of the disease(${\beta}$ = .15, p = .041), respectively. These variables showed explanatory power of 44.1%. Drinking behavior is a serious health problem in patients with chronic liver disease. The factors that influence drinking behavior by considering the management of chronic liver disease drinking continued to provide information and education is needed abstinence.

청소년기 흡연의사결정-유혹 유형과 유형별 흡연 관련 특성 (Types of Smoking Decision Making-Temptation in Adolescents and Related Characteristics)

  • 장성옥;송준아;이수정
    • 기본간호학회지
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    • 제15권1호
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    • pp.60-70
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    • 2008
  • Purpose: This study was done to identify types of smoking decision making-temptation in adolescents and characteristics related to type among student smokers. Method: Data collection was done from March to July. 2006. A survey was administered to 275 students in 13 high schools and 15 middle schools in Seoul, South Korea. To identify types and characteristics smoking decision making-temptation in adolescents, cluster analysis using the K-mean method was employed. Characteristics of the influential variables according to the identified types of adolescent smokers were evaluated using ANOVA. Results: Four types of smoking pattern in adolescents were identified: habitual craving (17.7%), nicotine dependence (35.8%), feeblemindedness (28.4%), and self control (18.1%). The score for nicotine dependency was higher in the habitual craving type than any other type (F=11.79, p=.001), while the score for self efficacy for smoking abstinence was higher in the self control type (F=23.06, p=.000). Conclusions: Findings from this study suggest that effective interventions for smoking cessation in adolescents require not only active implementation of nicotine replacement therapy but also development of individualized approaches for each person targeting change in the social environment that may lead to positive smoking decisional balance.

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Validity and Reliability of the Fagerstrom Test for Cigarette Dependence in a Sample of Arabic Speaking UK-Resident Yemeni Khat Chewers

  • Kassim, Saba;Salam, Mohamed;Croucher, Ray
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권4호
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    • pp.1285-1288
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    • 2012
  • Background: The Fagerstrom Test for Cigarette Dependence (FTCD) (formally FTND) is widely used for measuring physical dependence on nicotine. Objective: To explore the cross cultural validity and reliability of FTCD amongst Arabic speaker cigarette consumers who chew khat leaf, a stimulant green leaf. Methods: The psychometric properties of the FTCD were assessed in a subsample (91regular cigarette smokers) of purposively selected 204 UK-resident Yemeni khat chewers recruited during random visits to khat sale outlets. Data were collected via a structured face-to-face interview. Data analyses included descriptive tests and factor analysis. Results: Two factors were obtained by a principle axis factor analysis and these were termed as urgency of restoring the level of nicotine after abstinence during sleeping and maintaining the level of nicotine during waking. The internal reliability (Cronbach's alpha coefficient) of the whole FTCD is low (.68) as well as for the two subscales (.60) and (.62) respectively. Conclusion: The psychometric properties of the Arabic version of the FTCD scale in this sample of Yemeni khat chewers who smoked regularly confirmed what has been established in other cultural settings. The findings of this study have yet to be cross validated amongst other appropriately representative sample of Arabic speakers.

Quitline Activity in the Republic of Korea

  • Yun, E Hwa;Lim, Min Kyung;Oh, Jin-Kyoung;Ki, In Ha;Shin, Sang-Hwa;Jeong, Bo Yoon
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup2호
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    • pp.1-5
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    • 2016
  • To reduce tobacco use and related harm in Korea, telephone based cessation services (Quitlines) began full operation to provide regular behavioral counseling for smoking cessation in 2006. After registration in the cessation program, at least 21 calls per year are given to each client to help quit and encourage maintenance. Tailored programs for males, females, and adolescent smokers have been offered taking into account smokers' characteristics and smoking behavior. Mailing self-help quit packs and e-mail and SMS services are allowable as additional services.A total of 23,201 smokers were registered on the Quitline program from 2006 to 2014. In 2014, an average of 13,343 calls per month have been received by 28 coaches, the 1 year abstinence rate of clients is 26%, and clients' satisfaction rate is 81.6%. After introduction of the call system in 2007, client convenience and effective operations have been achieved with high technology support of a computer-based telephone system. Systematic education and evaluation programs for quit coaches have contributed to quality assurance of the services. Currently, research into development of new programs and evaluation of Quitline performance is being undertaken. A Comprehensive Multi-channel Cessation Center (CMCC) has been suggested and is now planned as a next step in the national program for smoking cessation.

The Development of Fashion Design, Based on the Symbolism of the Color White

  • Wi, Mi-Kyung;Choy, Hyon-Sook
    • International Journal of Costume and Fashion
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    • 제8권1호
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    • pp.18-35
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    • 2008
  • As an essential factor of plasticity in fashion, color reflects socio-cultural trends and has possessed different symbolism in its historical development. This study aims to search for an academic approach towards finding out how the concepts and symbolism of the color white were expressed in actual clothing. This will be realized through the investigation of the various meanings this particular color possesses. The secondary purpose of this study is to give shape to the results of above said academic investigation by proposing their integration into actual fashion design. The methodology employed in this study and results are as follows. First, the symbolism of the color white abstracted from the research of literature on this subject was classified into six categories; purity, grace, abstinence, sublimity, decorativeness, and avant-garde. Second, for empirical research, six designs were developed and produced into white dresses. The development of these dress designs was realized by presenting the symbolism of the aforementioned six categories into images, and the formative constructions of these images by applying various design details, expressive techniques, and characteristics of the materials. Through an investigation into the color white, which has been excluded from previous chromatics research as a major color, integration of the symbolism and chromatic image of this color into the actual fashion design process is made possible. The significance of this study is in that it proposes multifarious possibilities in fashion design, and also in extending the horizon of chromatics research in fashion through the realization of the above process.

The plaque-removing efficacy of a single-tufted brush on the lingual and buccal surfaces of the molars

  • Lee, Dong-Won;Moon, Ik-Sang
    • Journal of Periodontal and Implant Science
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    • 제41권3호
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    • pp.131-134
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    • 2011
  • Purpose: To test the plaque-removal efficacy of a single-tufted toothbrush on the posterior molars compared with a flat-trimmed toothbrush. Methods: Forty-nine subjects were selected. Professional instruction and written brushing instructions were given. After thorough supra-gingival scaling and polishing, all subjects were asked to abstain from oral hygiene procedures for 24 hours prior to the first experiment. The subjects were randomized to a treatment sequence. The modified Quigley and Hein plaque index was recorded pre- and post-tooth brushing, at 6 surfaces of the posterior molars. After a wash-out period, all the remaining plaque was removed professionally. Twenty-four hours of brushing abstinence was again performed. The plaque index was recorded pre- and post-tooth brushing after the subjects were given the second toothbrush in the cross-over sequence. Results: The percentage reductions in plaque scores achieved with the single-tufted brushes were significantly higher than those of the flat-trimmed brush at the maxillary buccal interproximal, marginal and mandibular lingual interproximal site. The other locations showed no significant difference. Conclusions: The results of the present study implied that the single-tufted brush could be an effective tool for the removal of plaque at some, but not all, sites of the posterior molars.

Acupuncture treatment of drug addiction

  • Oh, Jin-Kyung;Chae, Youn-Byoung;Shim, In-Sop;Park, Hi-Joon;Lee, Hye-Jung
    • Advances in Traditional Medicine
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    • 제4권2호
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    • pp.65-69
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    • 2004
  • Acupuncture as a therapeutic intervention has been widely used for treatment for many functional disorders, such as substances abuse and mental dysfunction. In general, acupuncture is known to be simple, economic; painless, non-traumatic, and without untoward reaction, being able to inhibit the abstinence syndrome. Although a number of studies on acupuncture have been reported, a few studies described acupuncture effect on drug addiction. Evidences suggest that substances abuses including nicotine, cocaine and alcohol are in part related to its effects on dopamine neurons in the reward pathways of the brain. The effects of acupuncture on drug addiction may be mediated through the neuronal cells within the limbic structures, which are known to be involved in rewarding properties of drug abuse. This essay reviews clinical and experimental evidences for its effectiveness on the drug addiction, and discusses a plausible explanation for the mechanism of acupuncture on substances abuse.