• Title/Summary/Keyword: health level seven

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The distribution characteristics of persistent organic pollutants in incineration residues at solid waste incinerators (소각시설 소각재의 잔류성 유기오염 물질 분포특성)

  • Kim, Jong-Hyang;Lee, Bang-Hee;Baek, Sung-Bok;Lee, In-A;Lee, Sang-Hee;Park, Kyung-Ho;Kim, Hyun
    • Analytical Science and Technology
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    • v.22 no.2
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    • pp.119-127
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    • 2009
  • This study was carried out to investigate the distribution characteristics of persistent organic pollutants in incineration residues at industrial waste incinerators and municipal solid waste incinerators, which were analyzed by the official analytical method for the endocrine disrupting chemicals and the waste. Seven of 12 persistent organic pollutants were quantitatively analyzed by GC-MSD (SIM-mode). Hexachlorobenzene was detected in 21 samples among 44 incineration residues. The level of hexachlorobenzene was 0.132-8.138 ng/g in incineration residues, 0.195-5.765 ng/g in fly ash at industrial waste incinerators, 0.270-1.828 ng/g in bottom ash and 0.154-50.643 ng/g in fly ash at municipal solid waste incinerators, respectively.

Impact of Trauma due to Sexual Violence on Psychopathology and Quality of Life in Children and Adolescents (성폭력 외상이 소아청소년의 정신병리와 삶의 질에 미치는 영향)

  • Kim, Hye-Young;Hwang, Jun-Won;Choi, Seung-Mi;Lee, Hye-Kyoung;Kim, Byul-Nim
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.4
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    • pp.217-223
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    • 2014
  • Objectives : This study was conducted in order to investigate the influence of sexual trauma on the psychopathology and quality of life of children and adolescents in Korea. Methods : Twenty-seven children and adolescents and their caretakers who visited the Kangwon Sunflower Center participated in a cross-sectional study. Participants completed the Korean version of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version, Child Behavior Checklist (CBCL), and Child Health Questionnaire-Parent Form-50 (CHQ-PF-50). Their scores were compared with those of a age and sex-matched control group of 27 healthy children and adolescents. Results : Victims of sexual violence showed higher t score in Withdrawn, Social problems, Delinquent behavior, Externalizing problems, and Total problems in CBCL, compared with control group. In CHQ-PF-50, there were lower scores on Bodily pain/discomfort, Behavior, Mental health, Time impact in parents, and Family activities subscales in victims of sexual violence. While Behavior and Family activities subscale showed negative correlations with Delinquent behavior, Externalizing problems, and Total problems in CBCL. Mental health subscale showed negative correlations with Social problems, Delinquent behavior, Externalizing problems, and Total problems. In addition, Time impact on parent subscale showed a negative association with Delinquent behavior in CBCL. Conclusion : The current study provided evidence suggesting that victims of sexual violence had a higher level of psychopathology and lower level of quality of life.

The Effects of Coenzyme Q10 Supplementation on Oxidative Status and Lipid Profile in Migraine Patients: A Randomized Double-Blinded Controlled Clinical Trial

  • Monireh Dahri;Atefeh Sarafan Sadeghi;Naseh Pahlavani;Elyas Nattagh-Eshtivani;Mazyar Hashemilar;Mohammad Asghari-Jafarabadi;Hanieh Barghchi;Ali Tarighat-Esfanjani
    • Clinical Nutrition Research
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    • v.12 no.4
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    • pp.257-268
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    • 2023
  • Migraine is a common neurological disease correlated with oxidative stress and lipid profile disorders. The present study was designed to determine the effects of Coenzyme Q10 (Co-Q10) supplementation on oxidative status and lipid profile in migraine individuals. This clinical trial was conducted on 84 females aged 18-50 years, diagnosed for episodic migraine according to the International Headache Society. Subjects were randomized to receive either Co-Q10 supplement (400 mg/day) or placebo for 12 weeks. Lipid profile and oxidative stress indices including malondialdehyde (MDA) and total antioxidant capacity (TAC) were measured before and after intervention in both groups. Also, anthropometric indices, dietary intakes, and clinical features were collected. Data analysis was conducted using SPSS version 16. Seventy-seven of the participants, with mean age of 33.70 ± 7.75 years, completed the study. After 12-week intervention, Co-Q10 led to a significant decrease in MDA levels compared to placebo (p = 0.009), with no effect on TAC levels (p = 0.106). A significant increase in serum Co-Q10 concentration and high-density lipoprotein cholesterol (HDL-C) level in Co-Q10 group was observed, but no significant differences were found in other lipid profile variables (low-density lipoprotein cholesterol, triglycerides and total cholesterol). Among anthropometric variables, Co-Q10 only caused a significant reduction in body fat percentage (BFP), but we did not find any significant changes in others. A 12-week Co-Q10 supplementation led to significant improvement in clinical features, BFP, and HDL-C level among migraine individuals.

Cognition and Experience about Sexual Harassment in Elementary School Students (초등학생의 성희롱에 대한 인식과 경험)

  • Yang, In-Hye;Chun, Jin-Ho
    • Journal of the Korean Society of School Health
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    • v.15 no.2
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    • pp.233-248
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    • 2002
  • Purpose : Sexual abuse especially in younger group have been growing. This study was performed to propose the fundamental data for developing early education program to prevent damage from sexual harassment in elementary school students. Method : Questionnaire survey on cognitions and experiences about sexual harassment was done on 3125 elementary school students from seven elementary schools in Busan area from January to March, 2002. Data analysis was done with SPSS (ver 10.0). Results : Though 82% of the students have ever herd about sexual harassment previously, but self assessment of 'well-known' was only 5%. About 40% of them have ever experienced audio-visual sexual materials mainly through PC (18%), media (14%), etc. And, 60% of them have ever educated about sexual harassment. In cognitions, they agreed 'unwanted touch', 'intentional showing his (her) own body', 'send lewd mails and pictures', but disagreed 'ask massage from aged', 'gaudy joke' as one of sexual harassment. In attitudes, 'no response', 'defense with friends and family', 'express unpleasantness apparently' were desirable pattern, instead, 'his (her) own responsibility', 'problem only between person concerned', 'neglect is the best way' were undesirable. About 24% of them have ever experienced at least one of the fifteen types of sexual harassment with major types of lewd mails pictures (11%), hugging (5%), ask massage (4.7%) and unwanted touch (3.3%). The experience by gender was higher in girls (25.0%) than boys (22.4%) with no statistical significance. The mean level of cognition and attitude out of one hundred was $70.3{\pm}28.1$ and $73.5{\pm}15.9$, respectively. The mean frequency of experience was $0.4{\pm}1.1$ times. The level of cognition and attitude was higher in girls, 6th graders, and in ever educated group (p<0.001). Conclusions : The cognition level of elementary school students about sexual harassment assessed considerable. And, they also experienced several types of sexual harassment, though not too much. Therefore, compatible education program let them able to protect themselves from sexual harassment should be developed and applied even in early school age.

The Use of Rasch Model in Developing a Short Form Based on Self-Reported Activity Measure for Low Back Pain

  • Choi, Bong-Sam
    • Physical Therapy Korea
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    • v.21 no.4
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    • pp.56-66
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    • 2014
  • For maintaining adequate psychometric properties when reducing the number of items from an instrument, item level psychometrics is crucial. Strategies such as low item correlation or factor loadings, using classical test theory, have traditionally been advocated. The purpose of this study is to describe the development of a new short form assessing the impact of low back pain on physical activity. Rasch measurement model has been applied to the International Classification of Functioning, Disability and Health Activity Measure (ICF-AM). One hundred and one individuals with low back pain aged 19-89 years (mean age: $48.1{\pm}17.3$) who live in the community were participated in the study. Twenty-seven items of lifting/carrying construct of the ICF-AM were analyzed. Ten items were selected from the construct to create a short form. Item elimination criteria include: 1) high or low mean square (out of the range: .6-1.4 for the fit statistics), 2) similar item calibrations to adjacent items, 3) person separation value, and item-person map for potential gap in person ability continuum. All 10 items of the short form fit to the Rasch model except one item (i.e., carrying toddler on back). Despite its high infit and outfit statistics (1.90/2.17), the item had to be reinstated due to potential gaps at the upper extreme of person ability level. The short form had a slightly better spread of person ability continuum compared to the entire set of item. The created short form separated individuals with low back pain into nearly 4 groups, while the entire set of items separated the individuals into 6 groups. The findings prompted multidimensional models for better explanation of the lifting/carrying domain. The item level psychometrics based on the Rasch model can be useful in developing short forms with rationally retained items.

An Empirical Analysis on Overhead Cost Drivers in the South Korea Hospitals (병원 간접비에 영향을 미치는 원가동인에 관한 연구)

  • 설동진;이경태;이해종;정종암
    • Health Policy and Management
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    • v.10 no.4
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    • pp.116-143
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    • 2000
  • Considerable attention has been devoted in the accounting literature to identify the factors that cause or drive the costs of overhead activities. This paper extends recent cost driver research to the health care provider. In various case studies, it has been suggested that overhead costs are driven by volume and complexity variables. This paper investigates the significance of these variables in determining hospital overhead costs, how they are structurally related and how the cost impacts of these variables can be estimated in practice. This paper analyzes the determinants of hospital costs using the sample of South Korea hospitals for seven year during the period 1952-1997. The paper focuses on the extent to which hospital overhead costs depend on complexity, efficiency in addition to depending on more conventional volume based measures of hospital activity. The results of regression analysis suggest that volume and complexity factors positively and significantly affect overhead costs in the hospital industry. The results show that the complexity-related cost drivers strongly affected on the overhead costs in tile health care provider industry more than manufacturing industry which is mainly affected by volume-related cost drivers. That means each Industry may have different cost structures. Therefore it Is Important to find their proper cost structures and cost drivers and use them. Futhermore identification of overhead or indirect cost drivers is likely to be particularly useful in heath care. The identification of cost drivers can be of benefit to all health care stakeholders because these facilitates more efficient management of the national resources devoted to health care. While this study has documented that the level of service complexity is a significant determinant of hospital overhead costs, caution should be exercised in interpreting this as supportive of the cost accounting procedures associated with ABC. It is an open question whether even a well-designed ABC system will provide suitable proxies for marginal costs for decision making purposes.

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Evaluation of strength according to surface abrasion of lithium disilicate glass ceramic by 3-point bending strength test (3점 굽힘강도 시험을 통한 Lithium disilicate glass ceramic의 표면 연마 정도에 따른 강도 평가)

  • Lee, Ha-Na;Kim, Eo-Bin;Kang, Seen-Young;Lee, Kyung-Eun;Kim, Ji-Hwan;Kim, Woong-Chul
    • Journal of Technologic Dentistry
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    • v.40 no.1
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    • pp.9-15
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    • 2018
  • Purpose: The purpose of this study is to investigate the effect of lithium disilicate glass ceramic polishing on the strength of the final prosthesis. Methods: Fourteen lithium disilicate glass ceramic specimens were prepared. These were randomly divided into two groups of seven(LPG: low polishing group, HPG: high polishing group). In LPG, SiC paper was sequentially polished using 300, 600, 800, 1000 grit, and the specifications of the test piece were adjusted. HPG was sequentially polished using 300, 600, 800, 1000, 1200, 1500, and 2000 grit. Two groups of specimens are executed 3- point bending test. Using the statistical program SPSS 22.0, the average values of the strengths of the two groups were compared in the Mann-Whiteney test. The significance level was set at 0.05. Results: The mean strength value of HPG was measured at $307.14{\pm}23.28MPa$ significantly higher than LPG(p<0.001). Conclusion : The final polishing of the prosthesis is aesthetically important but has proven to play an important role in the flexural strength, early fracture, and prolongation of the prosthesis.

Adoption of MFER and HL7 Standard for Shared Electronic Medical Record (공유 전자의무기록을 위한 MFER과 HL7 표준 적용)

  • Kim, Hwa-Sun;Park, Chun-Bok;Hong, Hae-Sook;Cho, Hune
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.57 no.3
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    • pp.501-506
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    • 2008
  • Medical environments incorporate complex and integrated data networks to transfer vast amounts of patient information, such as images, waveforms, and other digital data. To assure interoperability of images, waveforms and patient data, health level seven(HL7) was developed as an international standard to facilitate the communication and storage of medical data. We also adopted medical waveform description format encoding rule(MFER) standard for encoding waveform biosignal such as ECG, EEG and so on. And, the study converted a broad domain of clinical data on patients, including MFER, into a HL7 message, and saved them in a clinical database in hospital. According to results obtained in the test environment, it was possible to acquire the same HL7 message and biosignal data as ones acquired during transmission. Through this study, we might conclude that the proposed system can be a promising model for electronic medical record system in u-healthcare environment.

Trace elements analysis in some medicinal plants using graphite furnace-atomic absorption spectroscopy

  • Anal, Jasha Momo H.;Chase, Petevino
    • Environmental Engineering Research
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    • v.21 no.3
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    • pp.247-255
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    • 2016
  • Ten trace elements (Mg, Ca, V, Cr, Mn, Fe, Cu, Zn, Mo, and Cd) were determined in seven traditionally used wild medicinal plants of the Nagas in the North-East India viz Cynoglossum furcatum Wallich, Elsholtzia blanda Bentham, Lycopodium cernuum Linnaeus, Potentilla fulgens Wallich ex Hooker, Swertia macrosperma C.B. Clarke, Thalictrum foliolosum DC and Valeriana jatamansi Jones. Plant samples were dried, weighed, digested and analyzed for their mineral distribution level ranging from trace to major elements by graphite furnace-atomic absorption spectroscopy. All the medicinal herbs studied were found to contain the ten elements analyzed. The elemental concentration is given in mg/kg. Mg and Ca are present in high concentrations in both the roots and leaves of the plant samples. Among trace transition metals Fe had the highest concentration, followed by Mn, Cr, Cu, V, Zn, and Mo. Analysis showed that the toxic Cd element was at a lower concentration and is within the permissible limit of FAO/WHO, California standards and United States Pharmacopeia Limit for Nutritional Supplements.

Clinical Competency for Directing of Registerd Nurses정 National Examination. (간호사 국가시험 방향설정을 위한 임상수행 능력- 기본간호학, 성인간호학, 정신간호학, 여성건강간호학, 지역사회간호학, 아동간호학, 간호행정을 중심으로 -)

  • 김분한;김소야자;이정섭;탁영란;김희순;최의순;신경림;최경숙;김귀분
    • Journal of Korean Academy of Nursing
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    • v.28 no.4
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    • pp.1075-1087
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    • 1998
  • For producing large numbers of professional nurses who could manage 21th century's human health, it is necessary to review the direction of registered nurses' national examination which evaluates the nursing education and is granted a licence. For adapting to social expectation of the nurse, we have to nurture the nurses' problem solving capability in clinical setting. Seven divisions of Korean Academy of Nursing suggested clinical competency according to their categories. This paper was presented in the work-shop for setting up direction of registered nurses' national examination. We expect that this paper would be more refine and confirm through reviewing subdivisions' learning objectives and discussing clinical minimum level of competence contents with clinical leaders.

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