• 제목/요약/키워드: follow up database

검색결과 165건 처리시간 0.025초

119와 1339에 접수되는 중독 상담 정보의 변화 비교: 응급의료정보센터(1339) 통합 이후의 소방구급상황센터(119)에서의 병원 전 독성 물질 노출자료 현황 분석 (Changes of Poison Data Characteristics Collected from Telephone Response in 1339 and 119: Discrepancy in Characteristics of Post-toxin Exposure Data Obtained through Telephone Counselling Provided by 1339 and 119)

  • 박광훈;박종수;이성우;김수진;한갑수;이의중
    • 대한임상독성학회지
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    • 제15권2호
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    • pp.116-121
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    • 2017
  • Purpose: The aim of this study was to compare the toxicologic profiles and outcome of poisoned patients by comparing the data obtained through telephone counselling, each provided by emergency medical information center (1339) and emergency dispatch center (119). Methods: We analyzed the telephone-based poison exposure data before and after Seoul 1339 merged to 119. We compared the Seoul 1339 call response data in 2008 with Seoul and Busan 119 call response data between 2014 and 2016. We analyzed the changes in the trend and quality of data obtained, as well as the quality of service provided by each center before and after this reallocation, by comparing the data each obtained through telephone counselling. Results: The data was collected for a total of 2260 toxin exposure related calls made to Seoul 1339 in 2009, and 1657 calls to 119 in Seoul and Busan between 2014 and 2016. Significant difference was observed for age, sex, and reason for exposure to toxic substance between the two groups. Conclusion: After the integration of 1339 with 119, 119 focused on role of field dispatch and hospital transfer, lacking the consulting on drug poisoning. Moreover, data on exposure to toxic substances at the pre-hospital stage indicate that drug information and counseling are missing or unknown. In addition, first aid or follow-up instructions are not provided. Thus, systematic approach and management are required.

흡연, 음주, 폐결핵과 폐암 발생 위험에 관한 코호트 연구 (Cigarette Smoking, Alcohol Consumption, Tuberculosis and Risk of Lung Cancer: The Korean Multi-center Cancer Cohort Study)

  • 배지숙;곽진;박수경;신해림;장성훈;유근영
    • Journal of Preventive Medicine and Public Health
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    • 제40권4호
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    • pp.321-328
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    • 2007
  • Objectives : The aim of this study was to evaluate the roles of cigarette smoking, alcohol consumption, tuberculosis, and their interactions in the risk of lung cancer in a Korean cohort. Methods : The study subjects comprised 13,150 males and females aged above 20 years old. During the follow up period from 1993 to 2002, 79 lung cancer cases were identified by the central cancer registry and the national death certificate database. Information on cigarette smoking, alcohol consumption and the history of physician-diagnosed tuberculosis was obtained by interview. Indirect chest X-ray findings were also evaluated to ascertain tuberculosis cases. Cox proportional hazard models were used to estimate relative risks (RR) and 95% confidence intervals (CI) after adjusting for age and gender. Results : Cigarette smoking was statistically significantly associated with an increased risk of lung cancer [for current smokers, RR = 2.33 (95% CI = 1.23 - 4.42) compared to non-smokers]. After further adjustment for cigarette smoking, both alcohol consumption and tuberculosis showed no statistically significant association with the risk of lung cancer [for current drinkers, RR = 0.80 (95% CI = 0.48 - 1.33) compared to non-drinkers] [for tuberculosis cases, RR = 1.17 (95% CI = 0.58 - 2.36) compared to non-cases]. There was no statistically significant interaction between cigarette smoking and alcohol consumption (p-interaction = 0.38), or cigarette smoking and tuberculosis (p-interaction = 0.74). Conclusions : Although cigarette smoking was confirmed as a risk factor of lung cancer in this cohort study, this study suggests that alcohol consumption and tuberculosis may not be associated with the risk of lung cancer.

생물다양성 평가기법의 국내외 연구동향 분석 및 환경영향평가 적용가능성에 대한 연구 (A Study on the National and International Research Trend of Biodiversity Assessment method and Its Application of Environmental Impact Assessment)

  • 구미현;이동근
    • 환경영향평가
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    • 제21권1호
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    • pp.119-132
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    • 2012
  • Biodiversity is a key element of ecosystem of which function provides essential product and service in human life. In the course since development projects often causes damages to biodiversity, environmental impact assessment technique must be capable of accurately assessing potential impact from flora and fauna and to entire ecosystem. Korea needs improvement of its assessment technique that is compatible with Korean environmental regulatory standard that is generally stricter than that of most countries. This study attempts to explore both domestic and overseas biodiversity assessment techniques and analyze each stage of environmental impact assessment. The data is collected from numbers of literatures selected by navigating both domestic and overseas literature database with certain keywords. Among the 44 selected papers, overseas publications outnumber those of domestics, and there are more researches on assessment methodology of biodiversity than assessment tool and model. In terms of environmental impact assessment, the number of papers on environmental impact forecast exceeds the numbers of papers on current state of environment and the impact minimizing solution. Therefore, contents and trends of those researches in the different stages of environmental impact assessment discussed in this paper not only suggest potential impact on biodiversity and minimization solutions in detail, but is also a valuable resource particularly for biodiversity relevant environmental assessment technique improvement in Korea. Proposing of a new direction of improvement in biodiversity assessment techniques makes this study significant, and further research for preservation of biodiversity should follow up to provide an improvement scheme for biodiversity assessment techniques in the future.

여대생에서 비타민 A 섭취 현황 및 급원식품 조사 (Vitamin A Intakes and Food Sources of Vitamin A in Female University Students)

  • 연지영;배윤정
    • 대한지역사회영양학회지
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    • 제17권1호
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    • pp.14-25
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    • 2012
  • The purpose of this study was to estimate the daily intake of vitamin A in Korean female university students. Vitamin A intake was estimated using an inconsecutive 3-day dietary intake survey from 481 young women. Vitamin A intake values were calculated based on the data in USDA database. Average age, height, and weight of the subjects were 20.05 years, 162.13 cm and 54.38 kg, respectively. The subject's average intake of energy was 1645.67 kcal. The mean vitamin A, retinol and ${\beta}$ carotene intakes were $908.35{\pm}863.18$ ug retinol equivalent/day, $199.19{\pm}166.00$ ug/day and $3872.59{\pm}4972.17$ ug/day, respectively. The 21.83% of the subjects consumed less than the Estimated Average Requirement (EAR) for vitamin A. And subjects consumed 141.69% of the Recommended Nutrient Intake (RNI) for vitamin A. Food groups consumed with high vitamin A content in our subjects included vegetables (423.96 ug RE/day), potato and starches (213.64 ug RE/day), cereals (62.60 ug RE/day), eggs (55.17 ug RE/day) and milks (53.45 ug RE/day). The major food sources of vitamin A were sweet potato, carrot, spinach, egg, and cereal, and the top 30 foods provided 89.57% of total vitamin A. Also animal-derived food provided 9.65% of the vitamin A intake from the top 30 foods. In conclusion, judging from RNI, the vitamin A intake of the Korean female university students in this study was generally adequate. The result of our study may be used as a basis for follow-up studies of vitamin A intake like assessment of vitamin A nutritional status or evaluation of carotenoid food sources in Korean young women.

Chemical Risk Assessment Screening Tool of a Global Chemical Company

  • Tjoe-Nij, Evelyn;Rochin, Christophe;Berne, Nathalie;Sassi, Alessandro;Leplay, Antoine
    • Safety and Health at Work
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    • 제9권1호
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    • pp.84-94
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    • 2018
  • Background: This paper describes a simple-to-use and reliable screening tool called Critical Task Exposure Screening (CTES), developed by a chemical company. The tool assesses if the exposure to a chemical for a task is likely to be within acceptable levels. Methods: CTES is a Microsoft Excel tool, where the inhalation risk score is calculated by relating the exposure estimate to the corresponding occupational exposure limit (OEL) or occupational exposure band (OEB). The inhalation exposure is estimated for tasks by preassigned ART1.5 activity classes and modifying factors. Results: CTES requires few inputs. The toxicological data, including OELs, OEBs, and vapor pressure are read from a database. Once the substance is selected, the user specifies its concentration and then chooses the task description and its duration. CTES has three outputs that may trigger follow-up: (1) inhalation risk score; (2) identification of the skin hazard with the skin warnings for local and systemic adverse effects; and (3) status for carcinogenic, mutagenic, or reprotoxic effects. Conclusion: The tool provides an effective way to rapidly screen low-concern tasks, and quickly identifies certain tasks involving substances that will need further review with, nevertheless, the appropriate conservatism. This tool shows that the higher-tier ART1.5 inhalation exposure assessment model can be included effectively in a screening tool. After 2 years of worldwide extensive use within the company, CTES is well perceived by the users, including the shop floor management, and it fulfills its target of screening tool.

Web 정보서비스 평가를 위한 기존 측정지표 분석 I (Analysis of Quality Measurement & Evaluation Index in applying Web Information Service I)

  • 유사라
    • 한국문헌정보학회지
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    • 제34권3호
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    • pp.133-156
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    • 2000
  • 본 연구는 국내 Web 정보서비스 측정기준과 평가지표 개발을 위한 일차 연구로, 국내 Web 정보검색 서비스를 제공하는 사이트를 대상으로 기존의 온라인 검색환경의 측정기준과 평가지표의 적용문제를 사례연구로 분석한 것이다. 실제 검색실험을 통해 평가내역을 조사하고 기존방식과 기준이 Web 정보 서비스 평가적용에 어떤 문제점을 갖고 있는지를 구체적으로 조사함으로써, 현재 디지털도서관의 정보서비스의 주요 문제로 제기되고 있는 Internet 정보자원의 품질과 연계 지어 국내 Web 정보서비스 평가를 위한 지표개발(이차연구)에 필요한 기본적인 자료로 활용함을 목적으로 한다. 최종 이용자인 수요자 관점에서 디지털도서관 QIS의 조건으로 정보 자체보다 더욱 강조되고 있는 정보 서비스의 품질을, 탐색 서비스를 지원하는 국내 환경공학 Web 사이트만을 엄선하여 진단하고 최종 이용자들을 상대로 설문 조사하였다.

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Impacts of the Journal Evaluation Program of the Korean Association of Medical Journal Editors (KAMJE) on the Quality of the Member Journals

  • Yang, Hee-Jin;Oh, Se Jeong;Hong, Sung-Tae
    • Journal of Korean Medical Science
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    • 제33권48호
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    • pp.305.1-305.5
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    • 2018
  • Background: In 1997 the Korean Association of Medical Journal Editors (KAMJE) instituted a program to evaluate member journals. Journals that passed the initial evaluation were indexed in the KoreaMed. Here, we report changes in measures of quality of the KAMJE member journals during the last 20 years. Methods: Quality measures used in the study comprised 3 assessment categories; self-assessment by journal editors, assessment of the journals by KAMJE reviewers, and by Korean health science librarians. Each used detailed criteria to score the journals on a scale of 0 to 5 or 6 in multiple dimensions. We compared scores at baseline evaluation and those after 7 years for 129 journals and compared improvements in journals indexed vs. not-indexed by the Web of Science (Science Citation Index Expanded; SCIE). Results: Among 251 KAMJE member journals at the end of 2015, 227 passed evaluation criteria and 129 (56%) had both baseline and 7-year follow-up assessment data. The journals showed improvement overall (increase in median [interquartile range; IQR] score from baseline, 0.47 [0.64]; 95% confidence interval [CI], 0.44-0.61; P < 0.001) and within each category (median [IQR] increase by editor's assessment, 0.17 [0.83]; 95% CI, 0.04-0.26; P = 0.007; by reviewer's, 0.45 [1.00]; 95% CI, 0.29-0.57; P < 0.001; by librarian's, 1.75 [1.08]; 95% CI, 1.77-2.18, P < 0.001). Before the foundation of KAMJE in 1996, there were only 5 Korean medical journals indexed in the MEDLINE and none in SCIE, but 24 journals in the MEDLINE and 34 journals in SCIE were indexed by 2016. Conclusion: The KAMJE journal evaluation program successfully contributes improving the quality of the member journals.

스마트 기기 기반 언어재활 프로그램 개발 (Development of Language Rehabilitation Program Using the Smart Device-based Application)

  • 황유미;박기남;정영희;편성범
    • 디지털융복합연구
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    • 제17권10호
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    • pp.321-327
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    • 2019
  • 본 연구의 목적은 언어장애 환자군의 의사소통 능력 향상을 위하여 스마트 기기 기반의 언어재활 프로그램 개발에 있다. 이를 위하여 기존에 개발된 다양한 국내외 의사소통 언어훈련 프로그램을 비교분석하여 구체적인 의사소통 범위 및 훈련 과제, 문항 등을 검토하여 과제 구성에 필요한 콘텐츠를 선별하였다. 다양한 의미범주와 문법요소를 포함하고 언어학적 단위에 기초하여 단어수준, 의미범주, 문장수준, 담화수준의 이해산출 능력 향상을 위하여 17개의 의미범주를 추출하고 29개의 훈련과제와 3780개의 훈련 문항을 제작하였으며, 윈도우를 기반으로 하는 관리 프로그램과 안드로이드 기반 재활 훈련 애플리케이션을 개발하였다. 본 언어재활 프로그램은 가정에서 쉽고 편리하게 홈 프로그램으로 사용되어 언어훈련 효과를 증대시킬 수 있으며, 환자 관리 및 훈련 결과 데이터베이스 구축 등 언어장애 환자군의 치료에 유용하게 사용될 것으로 기대된다. 향후 언어장애 환자군 별 언어재활 효과 검증 등의 후속 연구가 진행될 예정이다.

항만물류 정보서비스의 만족도 분석에 관한 연구 (A Study on the Satisfaction Analysis of Information Service for Port Logistics)

  • 이홍걸
    • 한국항만경제학회지
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    • 제30권1호
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    • pp.57-71
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    • 2014
  • 항만이 선사를 비롯한 항만 이용자들에게 제공하는 정보는 업무 수행을 위한 필수적인 정보들로서 매우 중요한 가치를 지니고 있다. 따라서, 항만이 제공하는 정보서비스 역시 항만이 선사에게 제공하는 중요한 서비스 중 하나에 해당되나, 이와 관련한 연구는 매우 부족한 실정이다. 본 연구는 이러한 점에 주목하여, 항만물류 정보서비스의 만족도를 분석하는 것을 목적으로 수행되었다. 연구의 목적을 달성하기 위해, 선행연구를 바탕으로 16개의 평가항목으로 구성된 평가기준을 확립하고, 만족도의 수준을 일목요연하게 파악할 수 있는 만족도 지수체계를 구축하였다. 분석결과, 부산항 이용자들의 정보서비스의 만족도 지수는 61.9로 나타났다. 또한, 3가지 평가영역 모두가 63이하로 나타나, 정보서비스 전반에 관한 개선책 수립이 필요하다는 점을 지적하였다. 끝으로, 분석결과를 바탕으로 추적조사를 실시한 결과, 정보처리의 신속성과 통합된 정보의 제공의 측면에 있어, 부산항의 정보서비스가 취약점을 가지고 있는 것으로 나타났다.

Effects of garlic intake on cancer: a systematic review of randomized clinical trials and cohort studies

  • Lee, Jounghee;Zhao, Naisi;Fu, Zhuxuan;Choi, Jihee;Lee, Hae-Jeung;Chung, Mei
    • Nutrition Research and Practice
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    • 제15권6호
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    • pp.773-788
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    • 2021
  • BACKGROUND/OBJECTIVES: Due to the rapid increase of global cancer incidence and mortality and a high level of interest in cancer prevention, a systematic review of garlic intake and cancer risk is needed. SUBJECTS/METHODS: We implemented a systematic review to examine the effects of varying levels of garlic intake on cancer. We conducted comprehensive literature searches in three electronic databases (MEDLINE, Embase, and Web of Science) for studies published between database inception and July or September of 2018. Two investigators independently screened abstracts and full-texts, extracted data, and assessed risk of bias (RoB). A total of one medium-quality randomized controlled trial (RCT) and 13 cohort studies graded as high RoB were included. RESULTS: The 1-year follow-up results from a RCT showed that a significant decrease in the number and size of colorectal adenomas among participants with colorectal adenomas who received high-dose aged garlic extract (AGE) compared with those who received low-dose AGE (P < 0.05). The results of prospective observational studies provided inconsistent associations of colorectal cancer risk with garlic supplements and garlic intake as food. CONCLUSIONS: In summary, the AGE was effective in reducing the number and magnitude of colorectal adenomas in one RCT, but there were inconsistent associations between garlic intake and colorectal cancer in cohort studies. Therefore, we could not draw a firm conclusion regarding the effects of garlic on cancer, because the current strength of evidence is inadequate due to a lack of number of high-quality RCTs.