• Asian Pacific Journal of Cancer Prevention
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• 제16권10호
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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.

• 디지털융복합연구
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• 제10권4호
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• pp.317-322
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• 2012

보건소 '금연클리닉사업'은 흡연자들에게 6개월 동안 9회 이상의 금연상담서비스와 CO측정, 니코틴 패치, 니코틴 껌, 니코틴 사탕 등의 니코틴보조제를 제공한다. 또한 행동 강화 물품과 금연 성공 기념품을 제공하는 등, 금연 실천을 유도하고 흡연율을 감소시켜 지역주민의 건강증진을 도모한다. 흡연과 과음 등의 생활습관은 고지혈증 및 비만 등 만성질환을 유발시키는 주요인자이며, 경제적인 손실, 나아가 건전한 문화교양인으로서의 삶을 파괴하는 한 요인이 된다. 흡연, 과음 등의 생활습관이 건전한 삶이라는 문화적 가치와 더불어 의료비라는 경제적 가치와도 밀접한 관계가 있음을 고려해 볼 때, 흡연 예방 및 금연과 절주 등의 보건교육에 동참하는 사업장과 기관에 대한 제도적 지원이 병행되어야 할 것으로 사료된다.

• 한국물환경학회지
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• 제29권1호
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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.

• 한방안이비인후피부과학회지
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• 제16권3호
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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.

• 공업화학
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• 제9권7호
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• pp.1043-1046
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• 1998

국내에서 상수원중의 부유물질 및 용존 유기물질의 제거를 위하여 사용하는 알루미늄계 무기응집제들은 응집처리 과정에서 노인성 치매의 한 원인으로 알려져 있는 알루미늄 이온을 상수원수에 잔류시킬 수 있으며, 상수의 탁도가 일시적으로 매우 높아질 때 효과적인 응집에 한계가 있다. 따라서 이들을 대신한 epichlorohydrine-dimethylamine(EPI-DMA) poly(amine)계 고분자 응집제가 선진국을 중심으로 사용이 되어 왔으며, 우리나라에서도 이것을 도입하기 위한 준비가 필요한 상태에 있다. 본 연구에서는 먼저 EPI-DMA poly(amine)계 고분자 응집제의 국산화를 위해 EPI와 DMA의 조성비를 달리하거나 또는 반응시간, 반응온도 등의 합성조건을 변화시키면서 이들의 합성조건에 대한 최적화 연구를 수행하여 대량생산을 위한 최적합성 조건을 구하였다. 그리고 이 과정에서 조건을 달리하여 얻은 각각의 고분자 응집제들에 대한 점도를 측정하여 합성 방법에 따른 고분자 응집제의 효율을 조사하였으며, EPI, DCP, DCIPA, 그리고 CPDO 등 유해 잔류물의 양을 Gas Chromatography(GC)에 의해 정량하였다.

• 대한인간공학회지
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• 제15권2호
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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.

• 대한의생명과학회지
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• 제16권4호
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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.

• Earthquakes and Structures
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• 제18권3호
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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.

• 대한간호학회지
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• 제49권6호
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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.

• The Journal of Korean Physical Therapy
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• 제4권1호
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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.