• Title/Summary/Keyword: Health-concern

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Effects on Patient Exposure Dose and Image Quality by Increasing Focal Film Distance in Abdominal Radiography (복부 일반촬영시 초점-필름간거리 변화가 피폭선량 및 화질에 미치는 영향)

  • Kim, You-Hyun;Kwon, Soo-Il
    • Journal of radiological science and technology
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    • v.21 no.1
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    • pp.52-58
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    • 1998
  • We can and must improve the diagnostic images using available knowledge and technology. At the same time we must strive to reduce the patient's integral and entrance radiation dose. Reducing the integral dose to the patient during the radiologic procedure is a primary concern of the patient, especially the pediatric patient, the radiologist and the technologist. A 100cm focal film distance generally is used for most over-table radiography. The early x-ray tubes and screen film combinations required long exposures, which often resulted in motion artifacts. But nowaday, we have the generators and x-ray tubes that can deliver the energy necessary in a very short time and the receptors that can record the information just as rapidly. And, we performed this studies to evaluate the patient exposure dose and the image quality by increasing focal film distance in diagnostic radiography. There are many factors which affected to exposure factor, but we studied to verify of FFD increase, only. Effect of increasing the focal film distance to a 140 cm distance was tested as follows; 1. The focal film distances were set at 100, 120, and 140cm. 2. A 18cm acryl(tissue equivalent) phantom was placed on the table top. 3. An Capintec 192 electrometer with PM 05 ion chamber was placed at the entrance surface of the phantom, and exposure were made at each focal film distances. 4. The procedure was repeated in the same manner as above except the ion chamber was placed beneath the phantom at the film plane. 5. Exit exposure were normalize to 8mR for each portions of the experiment. Based on the success of the empirical measurements, a detailed mathematical analysis of the dose reduction was performed using the percent depth dose data. The results of this study can be summerized as followings ; 1) Increasing FFD from 100 cm to 140 cm, we would create a situation that would have a significant effect on the overall quality of radiograph and achive the 17.42% reduction of entrance dose and the 18.95% reduction of integral dose that the patient receives. 2) Thickness of Al step wedge for equal film density increased with the long distance. 3) Increasing FFD, Magnification of image was lowered. 4) Resolution of image also increased with the FFD. As the results described above, we strongly recommend using the long FFD to provide better information for our patients and profession in abdomen radiographic studies.

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A Study on the Determinants of Purchasing Decision Making for Effective Branding Strategy: Focusing the Medicine Treatment in Infantile Obesity (효과적인 브랜딩 전략을 위한 소비자 구매의사 결정 요인 분석: 소아비만 치료제 유통시장을 중심으로)

  • Park, Mun-Seo;Kim, Hyung-Joon;Lee, Sang-Youn
    • Journal of Distribution Science
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    • v.9 no.3
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    • pp.55-64
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    • 2011
  • This study is important in its focus to find key clues in the marketing strategy, consumer behavior, and communication processes that define the infantile obesity market. The study, the first of its kind, surveyed a target audience, purchasing group, and housewives in their quest to determine purchasing decisions and effective branding strategy planning for the infantile obesity market. Another key component of the study was to focus on the key direct and/or indirect distribution channels for the subject market. Recently, obesity has emerged as a major social concern; some studies show that the onslaught of an adverse eating culture in Korea emanates from the prevalence of fast-food dining establishments. Obesity among children leads to adult obesity, especially if the young people's parents are overweight; notably, if either one or both of the parents are obese, the percentage of young people eventually being obese is approximately 80 to 85 percent. Because obesity is the cause of many major health concerns later in life, the struggle for a healthy life is considerably adversely affected by parents' consumer behavior. Infantile obesity, resulting in adult obesity, is also an important national economic and social issue. The sizable direct and indirect economic costs, as well as the tremendous social costs of obesity, cannot be overstated. Effective food branding and advertising centered on food preferences and dietary behaviors, especially to children, creates an effective marketing effort that, ultimately, leads to positive results. Thus, the purpose of this study is to demonstrate that the treatment of childhood obesity in Korea, through the activation of a brand and retail market, can effectively solve social and economic problems that result from infantile and childhood obesity. In this study, obesity markets and distribution channels in the purchase decision-making factors determining factor based on it effective inspection and branding strategies and brand marketing communications strategy proposed measures contribute to the obesity drug market and further enable the childhood obesity problem is intended to assist in solving.

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Trends in Child Sexual Abuse Literature -Articles Published from 2000 to 2008- (아동성학대 연구 경향 -2000~2008에 발표된 국내외 주요 학술지 논문을 중심으로-)

  • Yoon, Hye-Mee
    • Journal of the Korean Society of Child Welfare
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    • no.32
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    • pp.129-160
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    • 2010
  • This paper provides a review of research in the area of child(hood) sexual abuse. Particularly, the paper focuses on understanding the direction of research trends in Korea on this topic by evaluating the methodological changes, diversity of topics, and factors associated with research participants. The systemic, comprehensive review includes 28 articles in 14 primary Korean Journals and 261 articles in "Child Abuse and Neglect" and "Child Maltreatment" published from 2000 to 2008. Foci of the reviewing process were; (1) Do the transition of research methods follow scientific saturation? (2) What are the main subject areas of the field? (3)Who are the research participants and from where were they recruited? The review finds that overall, the number of CSA studies fluctuated in early 2000, but remained stable which means that academic interests have remained along with the social concern. The Korean CSA studies are imbalanced in terms of scientific saturation. Studies with theoretical methods are short in numbers, but there is a rapidly growing number of research using qualitative approaches. The review also highlights that most quantitative research utilized cross-sectional survey methodology. The major research themes that were most frequently found were studies on factors associated with CSA and evaluation of treatment modalities. However, research on perpetrators and measurement scale development were rather rare. In the CA&N and CM articles, study participants are frequently recruited from mental health clinics or related social agencies. Korean samples usually come from schools than communities and young children and their mothers seem to be excessively represented. Balanced research efforts are strongly suggested.

Atmospheric Dispersion of Particulate Matters (PM10 and PM2.5) and Ammonia Emitted from Livestock Farms Using AERMOD (AERMOD를 이용한 축산 미세먼지, 초미세먼지, 암모니아 배출의 대기확산 영향도 분석)

  • Lee, Se-Yeon;Park, Jinseon;Jeong, Hanna;Choi, Lak-Yeong;Hong, Se-Woon
    • Journal of The Korean Society of Agricultural Engineers
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    • v.63 no.5
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    • pp.13-25
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    • 2021
  • The particulate matters (PM10 and PM2.5) and ammonia emitted from livestock farms as dispersed to urban and residential areas can increase the public's concern over the health problem, social conflicts, and air quality. Understanding the atmospheric dispersion of such matters is important to prevent the problems for the regulatory purposes. In this study, AERMOD modeling was performed to predict the dispersion of livestock particulate matters and ammonia in Gwangju metropolitan city and five surrounding cities. The five cities were divided into 40 sub-zones to model the area-based emissions which varied with the number of livestock farms, species and growth stages of the animals. As a result, the concentrations of PM10, PM2.5 and ammonia resulted from livestock farms located in the surrounding cities were 2.00 ㎍ m-3, 0.30 ㎍ m-3 and 0.04 ppm in the southwestern part of Gwangju based on the average concentration of 1 hour. These values accounted for 0.7% of PM10 concentration, 0.5% of PM2.5 concentration, and 0.4% of the ammonia concentration in Gwangju, contributing to a small amount of air pollution compared to other sources. As preventive measures, the plantation was applied to high emission source areas to reduce particulate matters and ammonia emissions by 35% and 31%, respectively, and resulted in decrease of the area of influence by 57% for particulate matters and 59% for ammonia.

Clinical Effect of Traditional Chinese Medicine Shenhuang Granule in Critically Ill Patients with COVID-19: A Single-Centered, Retrospective, Observational Study

  • Feng, Jun;Fang, Bangjiang;Zhou, Daixing;Wang, Junshuai;Zou, Dengxiu;Yu, Gang;Fen, Yikuan;Peng, Dan;Hu, Jifa;Zhan, Daqian
    • Journal of Microbiology and Biotechnology
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    • v.31 no.3
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    • pp.380-386
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    • 2021
  • The coronavirus disease 2019 (COVID-19) pandemic has become a public health emergency of global concern. In China, traditional Chinese medicine has been widely administered to COVID-19 patients without sufficient evidence. To evaluate the efficacy of Shenhuang Granule (SHG) for treating critically ill patients with COVID-19, we included in this study 118 patients who were admitted to the ICU of Tongji Hospital between January 28, 2020 and March 28, 2020. Among these patients, 33 (27.9%) received standard care plus SHG (treatment group) and 85 (72.1%) received standard care alone (control group). Enrolled patients had a median (IQR) age of 68 (57-75) years, and most (79 [67.1%]) were men. At end point of this study, 83 (70.3%) had died in ICU, 29 (24.5%) had been discharged from ICU, and 6 patients (5.2%) were still in ICU. Compared with control group, mortality was significantly lower in treatment group (45.4% vs. 80%, p < .001). Patients in treatment group were less likely to develop acute respiratory distress syndrome (ARDS) (12 [36.3%] vs. 54 [63.5%], p = 0.012) and cardiac injury (5 [15.1%] vs. 32 [37.6%], p = 0.026), and less likely to receive mechanical ventilation (22 [66.7%] vs. 72 [84.7%], p = 0.028) than those in control group. The median time from ICU admission to discharge was shorter in treatment group (32 [20-73] days vs. 76 [63-79] days, p = 0.0074). These findings suggest that SHG treatment as a complementary therapy might be effective for critically ill adults with COVID-19 and warrant further clinical trials.

Inhalation of Bacterial Cellulose Nanofibrils Triggers an Inflammatory Response and Changes Lung Tissue Morphology of Mice

  • Silva-Carvalho, Ricardo;Silva, Joao P.;Ferreirinha, Pedro;Leitao, Alexandre F.;Andrade, Fabia K.;da Costa, Rui M. Gil;Cristelo, Cecilia;Rosa, Morsyleide F.;Vilanova, Manuel;Gama, F. Miguel
    • Toxicological Research
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    • v.35 no.1
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    • pp.45-63
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    • 2019
  • In view of the growing industrial use of Bacterial cellulose (BC), and taking into account that it might become airborne and be inhaled after industrial processing, assessing its potential pulmonary toxic effects assumes high relevance. In this work, the murine model was used to assess the effects of exposure to respirable BC nanofibrils (nBC), obtained by disintegration of BC produced by Komagataeibacter hansenii. Murine bone marrow-derived macrophages ($BMM{\Phi}$) were treated with different doses of nBC (0.02 and 0.2 mg/mL, respectively 1 and $10{\mu}g$ of fibrils) in absence or presence of 0.2% Carboxymethyl Cellulose (nBCMC). Furthermore, mice were instilled intratracheally with nBC or nBCMC at different concentrations and at different time-points and analyzed up to 6 months after treatments. Microcrystaline $Avicel-plus^{(R)}$ CM 2159, a plant-derived cellulose, was used for comparison. Markers of cellular damage (lactate dehydrogenase release and total protein) and oxidative stress (hydrogen peroxidase, reduced glutathione, lipid peroxidation and glutathione peroxidase activity) as well presence of inflammatory cells were evaluated in brochoalveolar lavage (BAL) fluids. Histological analysis of lungs, heart and liver tissues was also performed. BAL analysis showed that exposure to nBCMC or CMC did not induce major alterations in the assessed markers of cell damage, oxidative stress or inflammatory cell numbers in BAL fluid over time, even following cumulative treatments. $Avicel-plus^{(R)}$ CM 2159 significantly increased LDH release, detected 3 months after 4 weekly administrations. However, histological results revealed a chronic inflammatory response and tissue alterations, being hypertrophy of pulmonary arteries (observed 3 months after nBCMC treatment) of particular concern. These histological alterations remained after 6 months in animals treated with nBC, possibly due to foreign body reaction and the organism's inability to remove the fibers. Overall, despite being a safe and biocompatible biomaterial, BC-derived nanofibrils inhalation may lead to lung pathology and pose significant health risks.

An Integrated Review on Main Caregiver's Burden of Elderly in Korean Nursing Home (한국 요양시설 노인의 주 돌봄자 부담감에 대한 통합적 고찰)

  • Kim, Eun Jeong;Sung, Kyung Mi
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.267-277
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    • 2019
  • The purpose of this study is to investigate the burden of caring for the care-givers of the elderly in Korea by using an integrated literature review method. A total of 23 studies were analyzed using a search database. When care-givers had higher sense of filial and guilt or more than two diseases, they showed high level of feeling of burden. Also, they had high level of feeling of physical burden by their oldness, service period (especially at the period of 1-3 years). In the feeling of economic burden, they had high level of feeling of burden by their oldness, or elderly's disease periods. The feeling of burden by psychological condition was found in elderly in aged and the beginning of admission of nursing home. The feeling of burden by environment situation was found when the functional status of the elderly was bad. Therefore, we need to concern care-givers's feeling of burden with elderly people in the nursing home. In the future, I believe that the findings of this study will be helpful for development of the intervention program for alleviate burden for the care-giver.

Research Trends of Temperament and Character Inventory in Korean Journals Published from 1998 through 2018 (기질 및 성격 검사(Temperament and Character Inventory: TCI)의 국내 연구 동향: 1998-2018년 학술지 게재 논문을 중심으로)

  • Lee, Soo Jin;Kim, Min Jin;Shin, Hee Eun;Yeo, Jeong Mi;Jeong, Su Dong;Jung, Eun Jung;Chae, Han
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.537-549
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    • 2021
  • The purpose of the present study was to investigate the research trends of published articles in Korean journals dealing with Temperament and Character Inventory (TCI) from 1998 through 2018. A total of 185 papers were analyzed about an affiliation of corresponding author, type and dimension of TCI, and research contents considering the major publication regarding the Korean version of the TCI and major event in Korea. The results were as followed. First, most researchers belonged to university (53%) and hospital (44%). Second, both temperament and character dimensions (65%) were often used rather than temperament dimension only (34%). Third, regarding the subjects, adults (52%), children and adolescents (38%), and preschoolers (10%) appeared the most frequently used in the order. Fourth, we found that psychopathology (36%), personality (22%), health (16%), addiction (10%), assessment (8%) were the most popular areas of concern. Based on these results with the focus of analysis on the relationships between research subjects and research contents, implications and directions for future research and clinical settings regarding the treatment effect using the TCI character dimensions and diverse age groups were discussed.

Molecular detection of blaVIM, blaBIC, blaKPC, and blaSIM genes from isolated bacteria in retail meats (육류용 고기로부터 분자진단을 이용한 항생제내성 유전자 양상)

  • Hwang, You Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.413-419
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    • 2021
  • The purpose of this study was to investigate the ability to treat and prevent infection by multiple Gram-negative bacterial pathogens as a last choice option in the treatment of serious infections in clinical settings. The global spread of extended-spectrum 𝛽-lactamases (ESBLs) and/or carbapenemases in microorganisms are of enormous concern to health services because they are often associated with multi-drug resistance which significantly restricts the antibiotic treatment options. In this study, the antimicrobial resistance profiles of bacteria isolated from South Korean market-derived meat samples were determined by the disc diffusion method. PCR was used to detect the presence of antibiotic resistance genes and ESBL producing genes. In total, we tested 181 isolated colonies from 36 market-derived meat samples. Single PCR and DNA sequencing results revealed that genes blaVIM, blaBIC, blaKPC, and blaSIM were present in the bacteria isolated from retail meat. The bacteria in the meat were separately sequenced and based on alignment, four different bacteria were identified. These findings suggest that bacteria found in retail meats are a reservoir for the spreading of ESBL blaVIM, blaBIC, blaKPC, and blaSIM resistance genes and bacteria strains.

Assessment of the Caries Detection Ability of Quantitative Light-induced Fluorescence (QLF) in Primary Teeth in vitro (유치의 치아우식증 확인을 위한 정량형광분석(QLF) 검사법의 우식탐지능력 평가)

  • Cho, Kyung Hyun;Kang, Chung-Min;Jung, Hoi-In;Lee, Tae Yang;Song, Je Seon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.1
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    • pp.65-75
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    • 2022
  • The aim of this study was to evaluate QLF (quantitative light-induced fluorescence) technology for the caries detection in primary teeth and validate the relationships between the cavity volume of carious lesions and QLF analysis results. Total 125 tooth surfaces include 53 occlusal surfaces, and 72 proximal surfaces were investigated with the portable QLF device for detection of dental caries in primary molars. Micro-CT radiograph was also performed to classify carious lesions and calculate the cavity volume. QLF showed good accuracy and reliability (sensitivity 0.75 - 0.94, specificity 0.82 - 0.95, and AUROC 0.88 - 0.98) for the caries detection in primary teeth except 𝚫R average results of proximal caries which showed relatively low values. Statistically significant relationships were found between 𝚫F average, QS-Index and the cavity volume according to Spearman rank-order correlation coefficients (r = 0.805 - 0.832, p < 0.001). QLF detection method would be a harmless and reliable way for children to diagnose dental caries without the concern about radiation exposure.