• Title/Summary/Keyword: Local effect

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The effect of Self-sufficiency Project on Participants' Self-reliance and Satisfaction -Focusing on Self-sufficiency Participants in Ulsan Metropolitan City- (자활사업이 참여자의 자립의지 및 만족도에 미치는 영향 -울산광역시 자활참여자 중심으로-)

  • Park, Ju Young
    • The Journal of the Korea Contents Association
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    • v.21 no.9
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    • pp.580-594
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    • 2021
  • The purpose of this paper is to investigate the impact on self-reliance and satisfaction of participants participating in the self-sufficiency business program of the Ulsan Metropolitan Regional Self-Sufficiency Center. A self-filled questionnaire was surveyed on self-sufficiency participants in five Borough and Country in Ulsan for 4 weeks from September 1 to 30, 2020, and final 233 copies were used in the actual analysis. As a result of the study, first, the percentage of positive responses of the participants was found to be good at 71.7%, for questions on the degree of support to the government, local governments, and administrative welfare centers. Second, in response to a system or service that would like to be supported or needed in the future, support for living expenses and support for health and medical expenses appeared and as a result of gender difference analysis, it was confirmed that there was a significant difference between support for children's education expenses and support for housing funds. Among the factors of the participant's psychological self-reliance(self-control, confidence, and willingness to work), the factor of self-control was the most significant factor, followed by confidence and willingness to work. Overall satisfaction with work was the highest among 9 satisfaction items such as salary and working hours.

Efficacy of medications in adult patients with trigeminal neuralgia compared to placebo intervention: a systematic review with meta-analyses

  • Peterson-Houle, Georgia M.;AbdelFattah, Magda R.;Padilla, Mariela;Enciso, Reyes
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.5
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    • pp.379-396
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    • 2021
  • Background: Trigeminal neuralgia (TN) is characterized by brief, unilateral, sharp, stabbing, and shooting pain of the fifth cranial nerve. The objective of this systematic review with meta-analysis was to determine the effect of medications compared to placebo in adult patients with TN. Methods: Review authors identified randomized placebo-controlled trials (RCTs) from PubMed, Web of Science, Cochrane, and EMBASE up to February 2021. We assessed the inclusion and exclusion criteria as well as the risk of bias of the studies based on the Cochrane Handbook. A total of 324 unduplicated references were scanned independently and reduced to eight relevant RCTs, with 89 patients included. Medications investigated included oral carbamazepine, subcutaneous sumatriptan, lidocaine (intranasal, 8% spray on the oral mucosa or intravenous), buprenorphine (ganglionic local opioid analgesia), and oral Nav1.7, a selective sodium channel blocker. Results: Meta-analyses showed that overall patients receiving lidocaine reported a significantly lower post-treatment intensity of pain -3.8 points on a 0-10 scale (95% Cl = -4.653 to -2.873; P < 0.001). Patients who received lidocaine were 8.62 times more likely to have pain improvement than patients on placebo (P < 0.001). In one RCT, patients receiving oral carbamazepine showed a significant improvement in pain intensity of -32% compared to the placebo (P < 0.001). In one trial, patients receiving 3 mg subcutaneous sumatriptan had a significantly lower intensity of pain on average -6.1 points on a scale of 0-10 compared to placebo (P < 0.001) and a significant improvement in pain intensity of -75% compared to the improvement in the placebo group (P < 0.001). Patients who received subcutaneous sumatriptan were 10 times more likely to have pain improvement than those who received placebo (P = 0.001) in one study. Due to the unclear/high risk of bias and small sample size, the quality of the evidence for lidocaine in the treatment of TN was low. Conclusion: Further studies are needed for carbamazepine, sumatriptan, buprenorphine, and oral Nav1.7 sodium channel blockers, as only one study reported outcomes.

A Study on the Water Quality Improvement of Major Tributaries in Seoul, Applying Watershed Evaluation Techniques (총량관리 단위유역 평가기법을 활용한 서울특별시 주요 유입 지천의 수질개선효과에 관한 연구)

  • Shim, Kyuhyun;Kim, Gyeonghoon;Im, Taehyo;Kim, Youngseok;Kim, Seongmin
    • Journal of Korean Society on Water Environment
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    • v.37 no.1
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    • pp.32-46
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    • 2021
  • South Korea has been divided into quantities and water quality, and due to a revision of the Government Organization law in June 2018, the controversial water management system was integrated into the Ministry of Environment. The total Maximum Daily Loads System has been called the flower of water quality control, and since 2004, all three major river systems which have been introduced into the Han River system, despite its various difficult environments, and subsequently leading to all of the four major rivers undergoing obligatory implementation since 2013. Currently, the target TMDL (Han River Phase 1 and Other Water Systems Phase 3) for the 2020 stage has been implemented. The domestic TMDL established a basic plan for calculating the load which complies with the unit watershed's target water quality, as well as an implementation plan for annual load management, both which have been institutionalized in order to evaluate load compliance on a repeated annual basis. Local governments ask external organizations to conduct investigations every year in order to assess the transition, which thereby requires tens of millions of won every year. Therefore, an assessment and management model that can be easily operated at the TMDL personnel level is required. In this study, when the Han river Water System TMDL was implemented in earnest, we confirmed the the water quality improvement effect when TMDL was introduced to major inflow tributaries (TancheonA, JungnangA, AnyangA) under the Seoul City's jurisdiction through the use of the total amount control unit basin evaluation technique. By presenting customized management measures, we propose the guidelines that are necessary for determining more effective water environmental policies.

Relationships between Personal Competence and Sales Performance of Sales Representatives: Focusing on Sales Representatives of Automobile Dealership (영업사원의 개인역량이 자동차 판매 성과에 미치는 영향 연구: 자동차 대리점 영업사원을 대상으로)

  • Kim, Mee Hoe;Bae, byung Yun;Jeon, Ki Suk
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.14 no.1
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    • pp.17-32
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    • 2019
  • Sales representatives of automobile company play a key role in the circulation system. Given the characteristics of the good, consumers demand high-quality information and guides from the salespersons when they decide to purchase an automobile. Sales representatives provide service to the customers in accordance with their needs to help purchase decision-making process. Therefore, a sales representative's personal competence have a significant effect on sales performance. Based on this hypothesis, we assumed that personal competence of a salesperson has a positive correlation with sales performance. An empirical analysis was conducted to test the hypothesis. This study classifies personal competence into 4 independent variables((1) sales technique professionalism (2) salesperson's attitude and relationship with customers (3) emotion utilization (4) emotion control) and measures the correlation with the dependent variable(sales performance). To verify the relationship, we set and modified the hypothesis based on the precedent studies and researches. In addiction, a survey was conducted targeting 300 local salespersons from Gyeonggi-Gangwon region. 268 valid samples were used and analyzed with SPSS WIN24.0 statistical program. As a result of an empirical analysis, it turned out that sales technique professionalism and emotion utilization have positive correlation with sales performance. However, the result failed to support the assumption that sales representative's attitude and relationship with customers and emotion control have positive correlation with sales performance. At last the result revealed that personal competence should be considered as an important determinant of recruitment specification for sales representatives.

Mesenchymal Stem Cell-derived Exosomes: Applications in Cell-free Therapy (중간엽줄기세포유래 엑소좀: 비세포치료제로서의 활용)

  • Heo, June Seok;Kim, Jinkwan
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.4
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    • pp.391-398
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    • 2018
  • Mesenchymal stem cells (MSCs) are an attractive resource for refractory patients because of their anti-inflammatory/immunomodulatory capability and multi-lineage differentiation potential. The transplantation of MSCs has led to positive results in preclinical and clinical application to various diseases, including autoimmune disease, cardiovascular disease, cancer, liver cirrhosis, and ischemic stroke. On the other hand, studies have shown that paracrine factors, not direct cell replacement for damaged cells or tissue, are the main contributors in MSC-based therapy. More recently, evidence has indicated that MSC-derived exosomes play crucial roles in regulating the paracrine factors that can mediate tissue regeneration via transferring nucleic acids, proteins, and lipids to the local microenvironment and cell-to-cell communication. The use of these exosomes is likely to be beneficial for the therapeutic application of MSCs because their use can avoid harmful effects, such as tumor formation involved in cell transplantation. Therefore, therapeutic applications using MSC-derived exosomes might be safe and efficient strategies for regenerative medicine and tissue engineering. This review summarizes the recent advances and provides a comprehensive understanding of the role of MSC-derived exosomes as a therapeutic agent.

Effects of Anticancer Drug Delivery based on Microbubble and Microbubble-Nanoparticle Complex using Low-Intensity Focused Ultrasound in Breast Cancer Animal Model (유방암 동물모델에서의 저강도 집속초음파를 이용한 마이크로버블 및 마이크로버블-나노물질 복합체 기반 항암제 전달 효율 검증)

  • Baek, Hee Gyu;Ha, Shin-Woo;Huh, Hyungkyu;Jung, Byeongjin;Han, Mun;Moon, Hyungwon;Kim, Sangkyun;Lee, Hak Jong;Park, Juyoung
    • Journal of Biomedical Engineering Research
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    • v.40 no.2
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    • pp.39-47
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    • 2019
  • Ultrasound sonication along with microbubble (MB) could enhance drug delivery to promote the absorption of anticancer drugs into cancers in a noninvasive and targeted manners. In this study, we verify the acute drug delivery enhancement (within an hour) of two representative focused ultrasound driven drug delivery enhancement methods (MB and Doxorubicin-coated Nanoparticle complex (MB-NP) based). Experiments were conducted using in vivo mouse model with MDA-MB-231 breast cancer cell line. Ultrasound generated by single-element 1 MHz focused ultrasound transducer was delivered in pulsed sonication consisted of 0.125 msec bursts at a pulse repetition frequency of 2 Hz for 20 seconds without a significant increase in local temperature (less than $0.1^{\circ}C$) or hemorrhage. Doxorubicin concentrations in tumors were improved by 1.97 times in the case of MB-NP, and 1.98 times by using Doxorubicin and MB separately. These results indicate anticancer drug delivery based on MB and MB-NP can significantly improve the effect of anticancer drugs delivered to tumors in a short time period by using low-intensity focused ultrasound.

The Effects of Emotional Awareness Level and Stress on Social Participation in Stroke Disabled Persons Living in the Community (지역사회에 거주하는 뇌졸중 장애인의 정서적 자각 수준과 스트레스가 지역사회 참여에 미치는 영향)

  • Lim, Young-Myoung;Yoo, Doo-Han
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.323-331
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    • 2019
  • The purpose of this study was to identify the emotional and stress factors of the stroke victims living in the community and to investigate the effect of these factors on the level of social participation. Data collection collected data on the level of emotional awareness, stress, and social participation in welfare centers, public health centers, and stroke disabled people using community services. The level of social participation according to general characteristics was analyzed by descriptive statistics and one-way ANOVA. Emotional factors, stress factors, and social participation levels were analyzed by pearson correlation analysis and multiple regression analysis. As a result, there were no statistically significant factors in the sub-domains of emotional factors that affect social participation performance and satisfaction. In the sub-areas of stress factors, personal internal stress and interpersonal stress were statistically significant variables. The explanatory power showed social participation accomplishment was 34% and satisfaction was 33%. Therefore, various approaches should be made considering stressful factors to achieve rehabilitation into the local community, and additional research is needed to identify psychosocial variables that affect social participation.

Study on the Characteristics and Quality Level of Single Subject Researches in the Stroke Patients : The Field of health care ~ (뇌졸중 환자를 대상으로 한 단일대상연구의 특성과 질적 수준에 관한 연구: 보건의료 분야를 대상으로)

  • Sim, Kyoung-Bo
    • The Journal of Korean society of community based occupational therapy
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    • v.8 no.2
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    • pp.15-28
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    • 2018
  • Objective : This study sought to characterize and determine the qualitative level of a single target study for stroke patients. Methods : The National Science and Technology Information Center (NDSL), DBpia (DBpia), RISS (Radical Research Information Service), Korea Research Information (KISS), and the National Assembly Library's original case study from 2002 to 2017. A total of 24 single target research papers were selected through the screening process to analyze the quality level of research methods and research design. Results : ABA design was th most common study design method. One person was the most with 12(50%). and three were the second with 8(33.3%). Imagination was the most used as an independent lawyer. Dependent variables had the highest level of situability and one-sidedness. The study was also conducted with a variety of target behaviors, including 'memory', 'visual attention', 'dysphagia', 'visual-motor coordination', 'balance', 'activity of daily life' and 'edema' behaviors. It also showed a positive effect on all dependent variables. The Qualitative level was found to be above the intermediate level except for one study. Conclusion : It is academic significance that this study analyzes the items to be prepared for in the performance of a single target study and further studies may require the establishment of a weak but good-quality single target study for researchers conducting research in local communities and clinical sites.

Factors Influencing Death Anxiety in Community-Dwelling Elderly: Based on the Ecology Theory (재가 노인의 죽음불안에 영향을 미치는 요인: 생태학 이론을 바탕으로)

  • Kim, Yeonha;Kim, Minju
    • Journal of Hospice and Palliative Care
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    • v.22 no.1
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    • pp.30-38
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    • 2019
  • Purpose: This study analyzed a path through which factors influencing death anxiety in the community-dwelling elderly, assuming personal organismic factors and microsystemic factors based on the ecology model purported by Belsky (1980). Methods: This study was performed with 189 elderly people. Data were collected through a self-report questionnaire. The data were analyzed using the SPSS and AMOS programs. Results: The factors influencing death anxiety in the elderly were depression, family support, social network, and familism value, and the explanatory power of these variables was 22%. Death anxiety increased with higher depression, higher familism value, larger social network, and lower family support. Spiritual well-being and elderly discrimination experience had indirect effects on death anxiety, and these effects were mediated by depression. Conclusion: Depression, family support, social network, and familism value were found to influence death anxiety in the elderly, and the strongest effect came from depression. To reduce death anxiety in the elderly, it is important to improve their relationship with their family and friends. Moreover, support should be provided by establishing local systems, and intervention should be provided to alleviate depression.

Impact Fracture Behavior under Temperature Variation and Compressive·Flexural Strength of Cement Composites using VAE Powder Polymer and PVA Fiber (PVA 섬유와 VAE 분말 폴리머를 사용한 시멘트복합체의 압축·휨강도 및 온도변화에 따른 충격파괴거동)

  • Heo, Gwang-Hee;Park, Gong-Gun;Kim, Chung-Gil;Lee, Hyung-Joon;Choi, Won-Seok
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.23 no.1
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    • pp.102-112
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    • 2019
  • This paper studies impact fracture behavior under temperature variation and compressive flexural strength of cement composites using VAE(vinyl acetate ethylene) powder polymer and PVA(polyvinyl alcohol) fiber. Impact test were conducted in the temperature range selected for the $-35^{\circ}C$, $0^{\circ}C$ and $35^{\circ}C$. In this experimental study, impact test were carried out using a drop impact testing machine (Ceast 9350) to obtain such as displacement, time, and impact fracture energy of normal specimen and and cement composites specimen. As test results, the use of VAE powder polymer and PVA fiber were observed to enhance the flexural strength of mortar. The compressive strength of PVA fibers reinforced cement composites was slightly decreased at 28 days, but the flexural strength was observed to increase 24.4% of normal mortar strength. As a result of the drop impact tests, PVA fiber reinforced cement composites specimens showed microcracks due to energy dispersion and crack prevention with bridge effect of the fibers, and scabbing or perforation by impact was suppressed. On the other hand, the normal mortar and VAE powder polymer cement composites specimens were carried out to the perforation and macro crack. Most of normal mortar and the cement composites subjected to impact load on specimens shows mostly local brittle failure. The impact resistant performance of the specimen with PVA fiber was greatly improved due to the increase of flexure performance.