• Title/Summary/Keyword: excessive drinking

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Village Voices: Lessons about Processes for Disease Prevention from a Qualitative Study of Family Health Leaders in a Community in Northeastern Thailand

  • Jongudomkarn, D;Singhawara, P;Macduff, C
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.10
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    • pp.4401-4408
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    • 2015
  • Background: Cancer is a primary source of concern in Thailand and other countries around the world, including the Asian-Pacific region. Evidence supports that an important contributing cause of cancer and other chronic illnesses such as stroke, diabetes, and hypertension is excessive alcohol consumption. Studies conducted in Thailand reveal a worrisome rise in the number of new and regular drinkers in communities. Therefore, actions for primary, secondary and tertiary prevention of problem drinking are necessary. In recent years nurses in North East Thailand have been developing and implementing the Khon Kaen Family Health Nursing model to embed disease prevention in communities through the actions of family health nurses and local family health leaders. Aim: The aim of this qualitative research was to better understand the experiences of the local family health leaders using this model and to synthesize lessons learned. Materials and Methods: As part of a participatory action research approach involving analysis of focus group discussions and individual interviews, the experiences of 45 family health leaders were synthesized. Results: Four main themes were identified, namely: i) Family first: role modeling beginning at the personal and family level. ii) Local leverage: using village community forums to reduce alcohol drinking. iii) Gentle growth: making the first step and treading gently; and iv) Respect, Redemption, Rehabilitation: valuing the person to re-integrate them in the village society. Conclusions: As alcohol consumption in the village declined significantly following the prevention program, these findings illuminate how low-tech integrated prevention approaches may be very useful, particularly in rural communities. The lessons learned may have relevance not only in Thailand but in other countries seeking to prevent and mitigate behavior that conduces to diseases such as cancer.

Community health promotion and improvement of business for No-Smoking (지역사회의 건강증진을 위한 금연사업의 개선방안)

  • Han, Myung-Yee;Kim, No-Ma;Chandrkant, Mehta Jaydip
    • Journal of Digital Convergence
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    • v.10 no.4
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    • pp.317-322
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    • 2012
  • Public Health "NO-Smoking Clinic" smokers nine times more than 6 months smoking cessation counseling services and CO measurement, nicotine aids(patches, gum and candy) to provide. Behavioral enrichment items and memorabilia, including the provision of smoking cessation, smoking, andsmokingreducesinductionpracticeto improve the health of local residents to promote. Lifestyle habits such as smoking and excessive drinking, such as hyperlipidemia, and obesity is a major factor causing chronic disease, economic loss, and even new philosophy of life as a healthy culture is a factor that destroys. Smoking, heavy drinking, such as healthy life styles and cultural values of life as well as the economic value of medical care and also when you consider that there is a close relationship, such as smoking prevention and smoking cessation and moderation of the business and institutions involved in health education institutional support for the "NO-Smoking Clinic" should be parallel to the landing.

Excessive State of Pollutant Load Allocation and Penalty Application Schemes based on Pollutant Reduction Plan Types for Solving Excessive Problem of Allocation (오염할당부하량의 초과현황 및 초과해소를 위한 삭감계획 유형에 따른 페널티 적용방안)

  • Park, Jae Hong;Park, Bae Kyoung;Oh, Seung Young;Hwang, Ha Sun;Lee, Jae Kwan
    • Journal of Korean Society on Water Environment
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    • v.29 no.1
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    • pp.66-73
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    • 2013
  • Total Maximum Daily Loads (TMDLs) system was introduced to manage pollution load of watershed and to improve water quality of unit watershed so that it is possible to protect dringking water soureces. Load allocation observation is the most important factor in TMDLs system. Because if load allocation is not observed, it is difficult to achieve water quality goal of unit watershed. Also it is impossible to improve water quality of the drinking water sources. Therefore it is necessary to apply some kind of sanctions (penalty) in case of excess of load allocation. The sanctions have to be, however, applied differently based on various reduction plan types, i.e., using the reduction load planed in 2nd phase, delay the completion, additional reduction in 2nd phase, error of the pollution sources, etc. Moreover, the penalty load should be properly imposed, lest it should be overburden the provence. The reduction load trade inter province must be restrictively permmitted only the same unit watershed.

A Literature Study of the Epistaxis (A Focus of External Treatment) (뉵血에 대한 文獻的 考察 (外治法을 中心으로))

  • Kim, Sung-Hun;Yu, Mi-Kyoung;Jeong, Dong-hwan;Sim, Sang-hee;Park, Su-Yeon;Kim, Jong-han;Choi, Jung-hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.3
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    • pp.1-37
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    • 2003
  • The epistaxis is commonplace and temporary disease in the field of ENT. In most cases, it is a slight illness, but sometimes, it leads to death because of copious bleeding. The first treatment of epistaxis is stoping hemorrhage, but the real state of treatment in oriental medical is not thoroughgoing enough. So we referred to oriental medical journals and sundry records about etiology and remedy of epistaxis, we got this results. 1. The etiology of epistaxis was mostly bleeding due to heat in the blood by dysfunction of Jang and Bu Gi, there were affection wind-cold by exopathogen, spleen heat to liver, excessive fire of lung meridian, stagnated fire-heat of upper Cho, excessive drinking, bruise and so on. 2. The treatment was used much to remove heat from the blood and activating blood, in case of getting no better, it's used to enriching the blood or clear Gi. 3. The internal remedy of epistaxis was the most used 20times SeogakJihwangtang(犀角地黃湯) to remove heat from the blood and activating blood, and used Jihwangtang(地黃湯), Samhwangbohyultang(三黃補血湯), Jiyuksan(止육散), hueksinsan(黑神散), etc. The drugstuffs were the most used 51times Radix Rehmanniae Preparata((生地黃) to clear heat and remove heat from the blood, produce the body fluids, yin, and used Radix Paeoniae Alba(芍樂) and Radix Glycyrrhizae(甘草), Radix Angelicae Gignatis(當歸), Radix Scutellariae(黃岑), Rhizoma Coptidis(黃連) and Fructus Gardeniae(梔子), etc. 4. The external medical treatment of epistaxis was the most used 16times spraying the granular medication into the cavity and attaching Allii Bulbus(大蒜) to center of the sole or binding the middle finger, etc.

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Optimization of Synthesis Condition and Determination of Residue for Polyamine Type Flocculant (폴리아민계 고분자 응집제의 합성조건 최적화 및 잔류물분석)

  • Choi, Soo-Young;Park, Lee-Soon;Im, Sung-Hyun;Ryoo, Jae-Jeong;Choi, Sang-June;Hwang, Won-Joo
    • Applied Chemistry for Engineering
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    • v.9 no.7
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    • pp.1043-1046
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    • 1998
  • Aluminium based inorganic flocculants are extensively used in this country in the removal of fine particles present in the raw water for the production of drinking water. These inorganic flocculants, however, have potential hazard of high residual aluminium ions in the treated waters, which is known to be one of the reasons of alzheimer's disease. Inorganic flocculants alone are sometimes incapable of treating water when there are excessive turbidity in the raw water sources due to flooding. A polyamine type polymeric flocculant has long been used to treat raw water in the drinking water production in the European countries and United State of America. The optimum reaction conditions such as mole ratio of epichlorohydrin(EPI) to dimethylamine(DMA), reaction temperature and time for each stage for the pilot scale preparation of polyamine from EPI-DMA was studied in this work. The variation of intrinsic viscosity and flocculating efficiency in the water treatment of the synthesized polyamines were evaluated. The residual materials after polymerization reaction were analyzed by gas chromatography to study the effect of variation of reaction conditions.

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A study on aerological disorders and performance evaluation of Korean air force pilots (한국 공군 조종사의 직업성 질환 실태 및 임무 수행도에 관한 연구)

  • 변승남;김철수;이동훈
    • Journal of the Ergonomics Society of Korea
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    • v.15 no.2
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    • pp.25-36
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    • 1996
  • The purposes of the present study were: (1) to investigate aeromedical dissorders prevalent among ROK air force pilots and (2) to evaluate their detrimental effects on flight performance. The study examined the eight flight-induced disorders primarily responsible for permanent grounding and flying restrictions. According to the survey of 600 randomly selected pilots, 80.2% of the respondents have experienced low back pain, which was 20% higher than the lifetime prevalence in Swedish male workers. Bradyacusia ranked second (56.0%) resulting from continuous exposure to high aircraft noise. The cardiovascular disorders, the most common cause for permanent grounding of Canadian forces pilots, were found in 16.0% of the Korean pilots. Due to the high prevalence of the disorders, in 1993 the Korean pilots received medical treatments 10 times as many as factory workdes. Compared to the flight performance of Israeli and British pilots in wars, the flight performance of the Korean pilots was found to be inferior. Such poor performance can be attributable to the high incidence rates of disorders. Statistical analyses revealed that the aeromedical disorders were related to personal variables such as age, flight career- related factors, and fatigue. Cigarette smoking and drinking habit contributed to worsening back pain, barotitis media, and pulmonary disorders. More comprehensive research was recommended to identify health hazards, combined with intervention to minimize disorders that could lead to early termination of flight careers or excessive loss of flight time. This study further suggests that aeromedical institutions in Korean air force should be fostered more professionally and financially.

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Copper, Zinc, and Aluminium Level in Scalp Hair Samples of Daegu and Kyungbuk Residents

  • Kim, Min-Jeong;Kim, Ki-Sok
    • Biomedical Science Letters
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    • v.16 no.4
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    • pp.323-330
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    • 2010
  • Although copper and zinc are essential metals for human health, excessive level of these metals is toxic. Besides, aluminum is known to induce various adverse health effects including neurological disorders. Therefore, monitoring the human body burden of these metals is important in preventing adverse health effects. In this study, we assessed the exposure to copper, zinc, and aluminum among an adult population residing in Daegu and Kyungbuk areas. Based on data from 171 participants, we found that the geometric mean copper, zinc, and aluminum concentrations in hair were $15.1\;{\mu}g/g$ [95% confidence interval (CI): 13.1~17.5], 76.9 (95% CI: 70.4~84.1), and $1.11\;{\mu}g/g$ (95% CI: 0.81~1.51), respectively. The copper concentrations in hair were significantly related to age, education, and residence area. In addition, zinc concentrations in hair were significantly related to age, whereas higher hair aluminum concentrations were related to alcohol drinking. Correlations between copper and zinc in hair had a significant positive correlation. Our findings suggest that the body burden of copper, zinc, and aluminum varies according to demographic factors, and hair could be used as a valuable biological medium for metal exposure.

Effect of biaxial stress state on seismic fragility of concrete gravity dams

  • Sen, Ufuk;Okeil, Ayman M.
    • Earthquakes and Structures
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    • v.18 no.3
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    • pp.285-296
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    • 2020
  • Dams are important structures for management of water supply for irrigation or drinking, flood control, and electricity generation. In seismic regions, the structural safety of concrete gravity dams is important due to the high potential of life and economic loss if they fail. Therefore, the seismic analysis of existing dams in seismically active regions is crucial for predicting responses of dams to ground motions. In this paper, earthquake response of concrete gravity dams is investigated using the finite element (FE) method. The FE model accounts for dam-water-foundation rock interaction by considering compressible water, flexible foundation effects, and absorptive reservoir bottom materials. Several uncertainties regarding structural attributes of the dam and external actions are considered to obtain the fragility curves of the dam-water-foundation rock system. The structural uncertainties are sampled using the Latin Hypercube Sampling method. The Pine Flat Dam in the Central Valley of Fresno County, California, is selected to demonstrate the methodology for several limit states. The fragility curves for base sliding, and excessive deformation limit states are obtained by performing non-linear time history analyses. Tensile cracking including the complex state of stress that occurs in dams was also considered. Normal, Log-Normal and Weibull distribution types are considered as possible fits for fragility curves. It was found that the effect of the minimum principal stress on tensile strength is insignificant. It is also found that the probability of failure of tensile cracking is higher than that for base sliding of the dam. Furthermore, the loss of reservoir control is unlikely for a moderate earthquake.

Incidence of Colon Cancer Related to Cigarette Smoking and Alcohol Consumption in Adults with Metabolic Syndrome: Prospective Cohort Study (대사증후군 성인의 흡연 및 음주 상태가 대장암 발생 위험에 미치는 영향: 전향적 코호트 연구)

  • Jo, Ahra;Oh, Heeyoung
    • Journal of Korean Academy of Nursing
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    • v.49 no.6
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    • pp.713-723
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    • 2019
  • Purpose: The purpose of this study was to identify the impact of cigarette smoking and alcohol consumption on the incidence of colon cancer in adults with metabolic syndrome. Methods: This study employed a longitudinal study design and utilized secondary data drawn from the Korean Genome and Epidemiology Study (KoGES). The data of a sample of 2,327 adults with metabolic syndrome tracked every two years from 2001 to 2014 were used in this study. Statistical data analyses of the frequency, number of cases per 100,000 person-years, log-rank test, Kaplan-Meier curve, and Cox's proportional hazards regression were performed using IBM SPSS statistics version 24. Results: During the observation period, the number of colon cancer cases was 46, and the total person-years were 252,444. The incidence of colon cancer was higher in current, over 10 pack-year smokers when compared to non-smokers (hazard ratio=3.38, 95% confidence interval=1.09~8.42). Conclusion: Excessive and long-term smoking should be avoided to prevent colon cancer, especially in adults with metabolic syndrome, since it might exacerbate the risk factors of colon cancer. Particularly, health professionals need to provide individualized smoking cessation interventions to those at high risk of colon cancer.

A Clinical Study of Lunbago Patients (요통환자에 관한 임상적 연구)

  • Cheon Jae-Kyun
    • The Journal of Korean Physical Therapy
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    • v.4 no.1
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    • pp.59-67
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    • 1992
  • This study was carried out by using questionnaires with 230 lumbago patients who visited the general hospitals, orthopedic clinics, neurosurgery clinics and physical treatment centers in Taequ. Korea for one month from December 20, 1991 to January 20, 1992. The result of this study is summarized as follows. 1. 203 patients consisted of 113 males and 90 females, while 65 patients were was which was the highest percentage. 2. The relation between their occupational properties and lumbago indicated that there was significant relation in their total employed period, job hours, monthly average incomes(P<0.01), job satisfaction, working posture, mental stress(P<0.01), excessive usage of bark during working, lifting of heavy thing and serious noises. 3. The relation between social properties and lunbago showed that there was a remarkable relation in their introspective character(P<0.05). daily average riding hour(P<0.05), smoking(P<0.01), drinking(P<0.01) and insufficient physical exercise. 4. The relation between the clinical properties and lunbago indicated that the lumbago was mainly caused by lifting the heavy thing, which was continued fur three months or longer. And, it was shown that they consider the lumbago as one of serious diseases. In addition. they positively evaluated their physical treatment. Therefore, it is required to accomplish the comprehensive treatment of this lumbago on the basis of the educational contents centering around its prevention by performing more suitable health education.

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