• Title/Summary/Keyword: warning signs

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Analysis of Alcoholism Treatment Programs in North America - Focused on Relapse Prevention - (북미지역 알코올중독 치료 프로그램 분석 - 재발방지를 중심으로 -)

  • Kim Sung-Jae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.5 no.2
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    • pp.206-218
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    • 1999
  • Relapse is one of the most serious problem in alcoholism treatment area. But there is no proper post-treatment management program for preventing relapse in Korea. The purposes of this study are the analysis of several alcoholism treatment programs and recommendation about consideration for developing our alcoholism treatment program to prevent relapse in our country. Five different alcoholism treatment programs were collected for this study, two programs were collected by participant observation and three were collected by instruction manuals, references, and briefing materials. The followings are the criteria for this analysis of the five treatment programs. 1. the specific characteristics of the treatment program 2. the criterion of the patients, the duration and period (or the treatment, the special activities, and goals of the treatment. 3. the common characteristics of the five treatments. The common characteristics of those treatment programs are; 1 preparation for post-treatment from the beginning of the treatment (hospitalization) 2. assessment of relapse related factors 3. assessment of the relapse-warning signs 4. development and plan of individualized intervention strategy 5. practice of the plan The common characteristics of those treatment programs are 1. groups are classified the recovery training groups and the self-help groups 2 all kind of treatment programs carried out as groups rather than individuals. 3. usefulness which apply to various settings and various types 4. multidisciplinary and interdisciplinary approach As results, those programs were developed as post-detoxication management program, follow up program, and continued care program and their theoretical framework was from social learning theory. Those programs used the principles of cognitive-behavioral therapy for the classes, groups, and social skill training. These finding can be used for developing culturally appropriate alcoholism treatment programs focused on relapse prevention.

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A Study of Eighteen Incompatible Medicaments (십팔반(十八反) 에 관한 연구)

  • Park, Pil-Sang;Kang, Ok-Hwa;Lee, Go-Hoon;Lee, Kye-Suk;Shin, Dong-Won;Kwon, Dong-Yeul
    • Herbal Formula Science
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    • v.14 no.2
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    • pp.1-8
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    • 2006
  • ElM (Eighteen Incompatible Medicaments) is an important component in Oriental pharmacology and is directly related to clinical prescriptions. Medical practitioners argued that the definite cause and meaning of ElM was ambiguous and therefore debated the issue of clinical application of the ElM. This study conducted an in-depth literary research on the origin, meaning and contents of ElM with the purpose to contribute in its efforts to be used clinically. Even after thousands of years have past since establishment of Oriental medicine. ElM is still tabooed and was an obstacle that hindered ideologies. Modern herbal medicine texts claim that the use of ElM can reduce treatment effects and promote poisoning and side effects. However, since long ago, there has been medical practitioners who reject this as false. Recently, poisoning caused by ElM has been claimed to be from the toxicity of the drug itself, rather than the result of interaction between the drugs. and therefore they suggest that ElM is not a forbidden domain. In addition. ElM showed a difference in number depending on the era. However, this can be understood not as a definite number. but instead as a warning to be careful during combination of drugs for use as clinical medicine. Historically. there were very few cases in which ElM was used for clinical tests and thus, the clinical value is not yet clear. However. some medical practitioners clinically applied it and found clear results for it. while others applied ElM directly to their bodies. which showed signs for the usefulness and potential of ElM for us. A more concrete and in-depth study must be made on ELM.

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Middle East Consensus Statement on the Diagnosis and Management of Functional Gastrointestinal Disorders in <12 Months Old Infants

  • Vandenplas, Yvan;Alturaiki, Muath Abdurrahman;Al-Qabandi, Wafaa;AlRefae, Fawaz;Bassil, Ziad;Eid, Bassam;El Beleidy, Ahmed;Almehaidib, Ali Ibrahim;Mouawad, Pierre;Sokhn, Maroun
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.19 no.3
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    • pp.153-161
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    • 2016
  • This paper covers algorithms for the management of regurgitation, constipation and infantile colic in infants. Anti-regurgitation formula may be considered in infants with troublesome regurgitation, while diagnostic investigations or drug therapy are not indicated in the absence of warning signs. Although probiotics have shown some positive evidence for the management of functional gastrointestinal disorders (FGIDs), the evidence is not strong enough to make a recommendation. A partially hydrolyzed infant formula with prebiotics and ${\beta}$-palmitate may be considered as a dietary intervention for functional constipation in formula fed infants. Lactulose has been shown to be effective and safe in infants younger than 6 months that are constipated. Macrogol (polyethylene glycol, PEG) is not approved for use in infants less than 6 months of age. However, PEG is preferred over lactulose in infants >6 months of age. Limited data suggests that infant formula with a partial hydrolysate, galacto-oligosaccharides/fructo-oligosaccharides, added ${\beta}$-palmitate may be of benefit in reducing infantile colic in formula fed infants in cases where cow's milk protein allergy (CMPA) is not suspected. Evidence suggests that the use of extensively hydrolyzed infant formula for a formula-fed baby and a cow's milk free diet for a breastfeeding mother may be beneficial to decrease infantile colic if CMPA is suspected. None of the FGIDs is a reason to stop breastfeeding.

Validation of Serum Aminotransferases Levels to Define Severe Dengue Fever in Children

  • Srivastava, Geetika;Chhavi, Nanda;Goel, Amit
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.4
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    • pp.289-296
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    • 2018
  • Purpose: We aimed to study the pattern of liver-injury in children with dengue fever (DF) and validate serum aminotransferase ${\geq}1,000IU/L$ as a marker of severe DF. Methods: Children admitted with DF were included. DF was defined by presence of clinical criteria and positive serological or antigen tests in absence of other etiology. DF severity was graded as dengue without or with warning signs and severe dengue. Liver-injury was defined as alanine aminotransferase (ALT) more than twice the upper limit of normal (boys, 30 IU/L; girls, 21 IU/L). Results: Of 372 children with DF, 144 (38.7%) had liver-injury. Risk of liver-injury and aminotransferase levels increased with DF severity (p<0.001). Recommended ALT and aspartate aminotransferase (AST) cut-off at ${\geq}1,000IU/L$ had sensitivity 4.8% (5/105), specificity 99.3% (265/267) for detection of severe DF. In children with ALT and AST <1,000 IU/L (n=365), the area under receiver operating curves for prediction for severe DF, were 0.651 (95% confidence interval [CI], 0.588-0.714; p<0.001) for ALT and 0.647 (95% CI, 0.582-0.712; p<0.001) for AST. Serum ALT at 376 IU/L and AST at 635 IU/L had sensitivity and specificity comparable to ${\geq}1,000IU/L$ for defining severe DF. Conclusion: Liver-injury is common in DF. The ALT and AST levels increase with DF severity. ALT and AST levels of ${\geq}1,000IU/L$ could be lowered to 376 IU/L and 635 IU/L respectively for defining severe DF.

A Study on the Main Characteristics and Factors of the Process of Beginning Egress during the Fire at the Buildings - Focus on Overseas Fire Cases including the Japanese - (건축물 화재 시 피난개시과정의 주요 특성 및 요소에 관한 연구 - 일본 등 해외 화재사례를 중심으로 -)

  • Park, Jae-Sung
    • Fire Science and Engineering
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    • v.26 no.2
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    • pp.59-68
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    • 2012
  • Predicting occupants' behaviors from the start of the fire to egress and reducing the time required for such process are critical matters that can decide success and failure of safe egress. In this research, research literatures and theories and fire cases were compared and analyzed so as to prepare logical grounds that could predict the process of beginning egress. As a result of this research, there was a significant difference in the time elapsed until people start evacuating due to spatial positions and quarantine from the place from which the fire originated and their auditive and olfactory signs did not recognize the fire instantly and they showed a strong tendency to recognize the fire by visual sign, warning announcement for egress and notice by others. And the results also showed that only a very small minority of occupants evacuated as soon as they perceived the fire and that variation in the time elapsed until evacuation begun for occupants were wider as the size of building was bigger and that accommodations such as hotel had wider variation in the time elapsed regardless of the size of buildings.

Performance Evaluation and Economic Analysis for the Road Visibility Measurement System using the CCTV Camera (CCTV 카메라를 이용한 도로시정측정시스템의 성능평가 및 경제성 분석)

  • Kim, Bong-Keun;Lee, Gwang
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.385-392
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    • 2013
  • A key element of the fog warning system to prevent large traffic accidents is a visibility measurement device. Recently, the need for it that is similar to the human visual sense and cheap and accurate than expensive fog sensors is increasing. In this paper, we present the performance evaluation and the economic analysis of the Road Visibility Measurement System (RVMS), which is developed for measuring the road visibility through a CCTV camera. For experiments, we have installed a CCTV camera, a fog sensor, and visibility signs at the Yeo-ju Test Road on the Central Inland Expressway. We evaluated the measurements from RVMS and the fog sensor based on observations. The result shows RVMS outperforms the fog sensor with respect to measurement stability and correctness. We also show RVMS has higher economic feasibility and various applications. RVMS can prevent the traffic accidents caused by severe fog and enhance the process of the wide-area visibility information system significantly.

A Cross-sectional Study of Cancer Knowledge and Beliefs Among Faith-based Chinese in the USA Versus Taiwan

  • Hou, Su-I;Cao, Xian
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.1
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    • pp.60-65
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    • 2019
  • Objectives: This study examined cancer knowledge, beliefs, and practice among faith-based Chinese in the USA versus Taiwan to gain better understandings on how environment and culture might play a role for tailored cancer education programs. Methods: A self-administered survey included a validated 10-item Cancer Screening Belief Scale (CSBS), an 8-item Cancer Screening Knowledge Test (CSKT), and a 14-item cancer Warning Signs Test (CWST) was administered. Participants were recruited from 9 Chinese churches (5 in the USA and 4 in Taiwan). Results: A total of 372 Chinese participated, 50% lived in the USA and 50% in Taiwan. Mean age was 44.31 (standard deviation, 14.74), 60% males, and majority had college education (85%). Taiwan participants scored higher on both CSKT (6.13 vs. 5.52; p<0.001) and CWST (6.80 vs. 5.38; p<0.001). Although perceived screening benefits and barriers were similar, Taiwan participants endorsed higher on screening norms (11.67 vs. 10.82; p<0.001). Taiwan participants also indicated more doctor recommending cancer screenings (42.1% vs. 29.6%; p=0.015), USA participants were more likely to have had annual health exams (65.4% vs. 48.9%; p=0.002). Regression results showed that those resided in the USA were 2.38 times more likely to report annual health exams. Married status (odds ratio [OR], 2.85), college education (OR, 2.38), doctor's recommendation (OR, 2.87), no family cancer history (OR, 2.47), and those with lower barriers were significant factors on annual health exams. Conclusions: Taiwan participants scored higher on cancer knowledge and screening norms, while more USA participants reported annual health exams. Taiwan's universal healthcare might play a role on the different healthcare seeking patterns.

A Convergence Study on the Topic and Sentiment of COVID19 Research in Korea Using Text Analysis (텍스트 분석을 이용한 코로나19 관련 국내 논문의 주제 및 감성에 관한 융합 연구)

  • Heo, Seong-Min;Yang, Ji-Yeon
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.31-42
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    • 2021
  • The purpose of this study was to explore research topics and examine the trend in COVID19 related research papers. We identified eight topics using latent Dirichlet allocation and found acceptable validity in comparison with the structural topic model. The subtopics have been extracted using k-means clustering and plotted in PCA space. Additionally, we discovered the topics bearing negative tones and warning signs by sentiment analysis. The results flagged up the issues of the topics, Biomedical Related, International Dynamics and Psychological Impact. The findings could serve as a guideline for researchers who explore new research directions and policymakers who need to make decisions about which research projects to support.

High school teachers' knowledge and misconception on youth suicide (청소년 자살에 대한 고등학교 교사의 지식과 오해)

  • Seung-yeon Lee
    • Korean Journal of Culture and Social Issue
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    • v.13 no.2
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    • pp.97-117
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    • 2007
  • The goal of this study was to find out how prepared Korean high school teachers are to identify suicidal students and connect them to appropriate resources. This study surveyed 390 high school teachers in terms of their level of knowledge on youth suicide and their misconception on suicide. In addition, this study examined what kind of actions they usually take once they identify suicidal students. Results indicated that high school teachers in Korea did not have sufficient knowledge to identify suicidal students and they did not think they are capable of identifying those students. Although their misconception on youth suicide was not as pervasive as expected, some of the misconception were still problematic in relation to suicide intervention. Furthermore, their intervention strategies for suicidal students were quite limited, focusing on isolated individual efforts. It is critical to develop and implement teacher training programs for youth suicide prevention which address suicide risk factors, warning signs, crisis response, and referral procedures.

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Results and Implications of Unannounced Supervision of MSDS Implementation Status at Chemical Handling Workplaces (화학물질 취급사업장 대상 물질안전보건자료 제도 이행실태 불시감독 결과 및 시사점)

  • Woo Sub Shim;Yoo Jin Ahn
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.3
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    • pp.265-272
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    • 2023
  • Objectives: Since the material safety data sheets(MSDS) submission and non-disclosure review system was introduced in January 2021, the implementation status of MSDS for chemical manufacturing and importing workplaces being supervised for the first time. Methods: A supervisory team consisting of two labor inspectors and one from the Korea Occupational Safety and Health Agency directly visited the selected workplaces to check compliance with the MSDS system as a whole. Results: As a result of supervising 214 chemical substance manufacturing/importing workplaces, a total of 241 violations of the law were found in 121 workplaces, or 57% of them. In response, the Ministry of Employment and Labor took legal action on 8 cases in 6 locations, imposed a fines totaling of 249.69 million won on 120 chemical handling workplaces, and took action to correct the violations immediately. Conclusions: Major violations were in the order of non-request for warning signs, non-submission of MSDS, non-execution of MSDS training, and non-posting of MSDS. This shows the reality that employers who handle chemical substances are sufficiently communicating chemical information to workers. In the future, the government will actively implement preparation and submission support and system guidance for the implementation of the MSDS system, while making efforts to ensure that the MSDS system works well in the field through thorough on-site supervision in the future.