• Title/Summary/Keyword: Prevention model

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Modelling protection behaviour towards micronutrient deficiencies: Case of iodine biofortified vegetable legumes as health intervention for school-going children

  • Mogendi, Joseph Birundu;De Steur, Hans;Gellynck, Xavier;Makokha, Anselimo
    • Nutrition Research and Practice
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    • v.10 no.1
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    • pp.56-66
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    • 2016
  • BACKGROUND/OBJECTIVES: Despite successes recorded in combating iodine deficiency, more than 2 billion people are still at risk of iodine deficiency disorders. Rural landlocked and mountainous areas of developing countries are the hardest hit, hence the need to explore and advance novel strategies such as biofortification. SUBJECTS/METHODS: We evaluated adoption, purchase, and consumption of iodine biofortified vegetable legumes (IBVL) using the theory of protection motivations (PMT) integrated with an economic valuation technique. A total of 1,200 participants from three land-locked locations in East Africa were recruited via multi-stage cluster sampling, and data were collected using two, slightly distinct, questionnaires incorporating PMT constructs. The survey also elicited preferences for iodine biofortified foods when offered at a premium or discount. Determinants of protection motivations and preferences for iodine biofortified foods were assessed using path analysis modelling and two-limit Tobit regression, respectively. RESULTS: Knowledge of iodine, iodine-health link, salt iodization, and biofortification was very low, albeit lower at the household level. Iodine and biofortification were not recognized as nutrient and novel approaches, respectively. On the other hand, severity, fear, occupation, knowledge, iodine status, household composition, and self-efficacy predicted the intention to consume biofortified foods at the household level; only vulnerability, self-efficacy, and location were the most crucial elements at the school level. In addition, results demonstrated a positive willingness-to-pay a premium or acceptance of a lesser discount for biofortification. Furthermore, preference towards iodine biofortified foods was a function of protection motivations, severity, vulnerability, fear, response efficacy, response cost, knowledge, iodine status, gender, age. and household head. CONCLUSIONS: Results lend support for prevention of iodine deficiency in unprotected populations through biofortification; however 'threat' appraisal and socio-economic predictors are decisive in designing nutrition interventions and stimulating uptake of biofortification. In principle, the contribution is threefold: 1) Successful application of the integrated model to guide policy formulation; 2) Offer guidance to stakeholders to identify and tap niche markets; 3) stimulation of rural economic growth around school feeding programmes.

Development of Social Work Strategies for School-linked services - Based on Latent Class Growth Analysis of Delinquent Behaviors in adolescence - (학교연계 서비스를 위한 사회복지실천 전략 개발 - 청소년기 경비행행동의 차별적 발달궤적에 대한 잠재계층성장분석 -)

  • Lee, Sang-Gyun
    • Korean Journal of Social Welfare Studies
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    • v.40 no.3
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    • pp.377-406
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    • 2009
  • This study used laten class growth analysis to identify discrete developmental patterns of delinquent behaviors in adolescence. This present article also examined associations among these trajectories to determine how the development of delinquent behaviors relates to protective and risk factors, which include parental monitoring, attachment with parent, association with deviant peers, self-control, and negative stigma from others. Four-wave panel data from a Korea Youth Panel Study were used for the latent class growth model analysis. The sample consisted of 3,446 adolescents who were assessed at 4 measurement waves with approximately 1-year interval. Four trajectories of delinquent behaviors emerged: delinquency persistence, delinquency increaser, delinquency decreaser, normative group(almost no delinquent behaviors). Association with deviant peers had the most proximal strong influence on the probability of being in the delinquency increaser and delinquency persistence group compared, noed to the normative group. Parental monitoring, self-efficacy and negative stigma also differentiated the four delinquent behavior trajectories from one another after controllig for socio-demographic variables. The study suggested that there is a significant heterogeneity in the timing and change rate of delinquency progression. Adolescent delinquency prevention and intervention programs will need to consider this heterogeneity and enhance attention to protective and risk factors depending on the subpopulation.

Analysis of Shoreline Change Using Multi-temporal Remote Sensed Data on Songjeong Beach, Busan (다중시기 원격탐사 자료를 이용한 부산 송정해수욕장의 해안선 변화 분석)

  • Jang, Dong-Ho;Kim, Jang-Soo;Baek, Seung-Gyun
    • Journal of The Geomorphological Association of Korea
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    • v.19 no.4
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    • pp.59-71
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    • 2012
  • This research was carried out to analyze long-term shoreline change on Busan Songjeong Beach using multi-temporal remote sensed data, GPS survey data and grain size analysis. As a result of multi-temporal satellite imagery analysis, the beach was stable status till early 2000s, but the erosion occurred over whole beach after the construction of shore protection road since 2000. In the result of DEM analysis, the elevation of beach reduced and the slope of berm increased after construction of shore protection road along the coast, this means the erosion environment was dominant on the beach. But the sedimentation was slightly stronger than the erosion in northern region of the beach, then the slope of berm was gentle. In the result of grain size analysis using in-situ samples, the coarsening-trend was found in southeastern region (Line E) of the beach, it is caused by strong wave energy from the outer sea. Consequently, major causes of the beach erosion in the study area were the interception of sand supply from a dune owing to shore protection road construction and scouring phenomenon by strong wave energy in southeastern region of the beach. If the topographic or artificial change will not occur in the future, the erosion in this area will continue. Therefore the prevention measures are required.

The effects of fermented milk intake on the enamel surface (유산균 발효유 섭취가 법랑질 표면에 미치는 영향)

  • Kim, Kyung-Hee;Choi, Choong-Ho
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.5
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    • pp.507-515
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    • 2021
  • Objectives: The aim of this study was to evaluate the extent of the potential erosion of enamel induced by three different types of commercial fermented milk using the pH cycle model. Methods: Specimens were treated and soaked up in three types of fermented milk and in mineral water for 10 min, four times a day for 8 days, and all of the specimens were immersed in artificial saliva outside of treatment times. The microhardness of the surface was measured by a microhardness tester, and a scanning electron microscope (SEM) was used to identify the enamel surface morphology. Results: The differences in the surface microhardness (ΔVHN) of enamel were different among the groups (p<0.05). The four groups were in descending order of ΔVHN: the liquid type group, condensed-drink type group, condensed-stirred type group, and control group. The liquid type group had a higher ΔVHN than the other two fermented milk groups (p<0.05). Based on SEM observation, the most severe surface damage was due to the liquid type of fermented milk. Conclusions: Customers' careful discretion is advised when purchasing these types of fermented milk. This information is anticipated to be of much value in the prevention of dental erosion.

Cause Analysis and Improvement Suggestion for Flood Accident in Dorimcheon - Focused on the Tripping and Isolation Accidents (도림천에서 발생한 고립 및 실족사고의 원인분석을 통한 개선방안 도출에 관한 연구)

  • Lee, Kyung-Su;Jeon, Jong-Hyeong;Kim, Tai-Hoon;Kim, Hyunju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.4
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    • pp.25-36
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    • 2021
  • This study analyzed the causes of flood accidents, such as isolation and lost footing accidents in Dorimcheon, to provide legal and institutional improvements. For cause analysis, Field Investigation, Stakeholder Interview, Report, manual, Law et al. Review, Analysis of water level change characteristics, automatic alarm issuance standard level analysis, and evacuation time according to river control were evaluated. Dorimcheon has the characteristics of a typical urban river, which is disadvantageous in terms of water control. In addition, the risk of flood accidents is high because the section where fatal accidents occur forms sharply curved channels. Tripping and isolation accidents occur in the floodplain watch and evacuation stage, which is the stage before the flood watch and warning is issued. Because floodplain evacuation is issued only when the water level rises to the floodplain, an immediate response according to the rainfall forecast is essential. Furthermore, considering that the rate of water level rise is up to 2.62 cm/min in Sillimgyo 3 and Gwanakdorimgyo, sufficient evacuation time is not secured after the floodplain watch is issued. Considering that fatal accidents occurred 0.46 m below the standard water level for the flood watch, complete control is very important, such as blocking the entry of rivers to prevent accidents. Based on these results, four improvement measures were suggested, and it is expected to contribute to the prevention of Tripping and Isolation Accidents occurring in rivers.

The Study of Wave, Wave-Induced Current in CHUNG-UI Beach (충의휴양소 전면 해수욕장의 파랑 및 해빈류에 관한 연구)

  • Chang, Pyong-Sang;Bae, Sung-Gyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.142-149
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    • 2019
  • In this study, the past erosion history and current status in the CHUNG-UI beach of Eulwang-dong, Jung-gu, Incheon-Si, South Korea were investigated and analyzed the wave with wave-induced current to investigate the causes of coastal erosion. As a result, the significant wave height ($H_{1/3}$) was in the range of 0.07~1.57 m and the mean value was 0.21 m. The maximum wave height ($H_{max}$) was in the range of 0.02-4.76m and the mean value was 0.27m. The vertical wave height and cycles were estimated through numerical model experiments of wave transformation. The 50-year frequency design wave height ranged from 0.82m to 3.75m. As a result of the experiment of wave-induced current, wave-induced current in the CHUNG-UI beach was decreased after the installation of the Detached breakwater and the Jetty. On the other hand, when the crest elevation was increased up to 5 m, there was no significant change, but when the crest elevation was increased to 8m, strong wave-induced current occurred around the submerged breakwaters due to lowered depth of water. In addition, the main erosion of the CHUNG-UI beach is due to the intensive invasion of the wave characteristics coming from the outer sea into the white sandy beach. The deformation of the wave centered on the front of the sandy beach caused additional longshore currents flowing parallel to the sandy beach and rip currents in the transverse direction, thus confirming that the longshore sediment was moved out of the front and out of the sea. The results of this study can be used as preliminary data for the recovery of the sand and the selection of efficient erosion prevention facilities.

A Review on Disaster Response through Critical Discourse Analysis of Newspaper Articles - Focused on the November 2017 Pohang Earthquake (신문기사의 비판적 담론분석을 통한 재난대응에 대한 고찰 - 2017년 11월 '포항지진'을 중심으로)

  • Lee, Yeseul;Jeon, HyeSook;Lee, Kwonmin;Min, Baehyun;Choi, Yong-Sang
    • Journal of the Society of Disaster Information
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    • v.15 no.2
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    • pp.223-238
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    • 2019
  • Purpose: This study aims at exploring implications of discourse and social practice produced by various stakeholders in politics, economy and society to provide useful material for effective disaster response in South Korea. Method: Applying the Critical Discourse Analysis model of Fairclough, this study analyzes the newspaper articles of three domestic press companies mainly about the November 2017 Pohang earthquake. Results: As a result, first, the three media companies point out the low effectiveness of disaster response manuals and evacuation training. Second, strengthening shelter services and expanding support for the victims are important for recovery from the earthquake. Third, to prevent the future damages, they suggest the implementation efforts to improve the seismic design and short message service based disaster alert system. Conclusion: Based on the findings, this study suggests to improve the practicality and effectiveness of disaster prevention measures, establish an organic and integrated disaster response system, emphasize the roles and participation of citizens, check the responsibility of experts, and make the media to form sound discourse on disaster response.

Analysis on Displacement Characteristics of Slow-Moving Landslide on a slope near road Using the Topographic Map and Airborne LiDAR (수치지형도와 항공 LiDAR를 이용한 도로인접 사면 땅밀림 발생지 변위 특성 분석)

  • Seo, Jun-Pyo;Kim, Ki-Dae;Woo, Choong-Shik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.27-35
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    • 2019
  • The purpose of this study is to analyze the displacement characteristics in slow-moving landslide area using digital elevation model and airborne LiDAR when unpredictable disaster such as slow-moving landslide occurred. We also aimed to provide basic data for establishing a rapid, reasonable and effective restoration plan. In this study, slow-moving landslide occurrence cracks were selected through the airborne LiDAR data, and the topographic changes and the scale of occurrence were quantitatively analyzed. As a result of the analysis, the study area showed horseshoe shape similar to the general form of slow-moving landslide occurrence in Korea, and the direction of movement was in the north direction. The total area of slow-moving landslide damage was estimated to about 2.5ha, length of landsldie scrap 327.3m, average width 19.3m, and average depth 8.6m. The slow-moving landslides did not occur on a large scale but occurred on the adjacent slope where roads were located, caused damage to retaining walls and roads. The field survey of slow-moving landslides was limited by accessibility and safety issues, but there was an advantage that accurate analysis was possible through the airborne LiDAR. However, because airborne LiDAR has costly disadvantages, it has proposed a technique to mount LiDAR on UAV for rapidity, long-term monitoring. In a slow-moving landslide damage area, information such as direction of movement of cracks and change of scale should be acquired continuously to be used in restoration planning and prevention of damage.

Immunomodulatory and anti-metastatic activities of polysaccharide isolated from red cabbage (적양배추에서 분리한 다당의 면역 및 항전이 활성)

  • Lee, Sue Jung;Shin, Kwang-Soon
    • Korean Journal of Food Science and Technology
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    • v.51 no.3
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    • pp.263-271
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    • 2019
  • In this study, we examined the immunostimulating characteristics of a hot water extract (RCW) and crude polysaccharides (RCP) of red cabbage. RCW and RCP did not show any cytotoxicity in B16BL6 cells and macrophages. Although the sugar compositions of RCW and RCP were similar, the uronic acid content of RCP was higher than that of RCW RCP significantly increased the production of various cytokines and NO, whereas RCW did not affect the production of cytokines and NO. In an ex vivo assay of natural killer (NK) cell activity, intravenous (i.v.) administration of RCP significantly augmented NK cytotoxicity against Yac-1 tumor cells at 3 days after RCP treatment. In an experimental lung metastasis model using B16BL6 melanoma cells, i.v. administration of RCP at a dose of $1,000{\mu}g$ per mouse significantly inhibited 47.3% of lung metastasis. These results suggest that crude polysaccharide isolated from red cabbage is a promising food ingredient for the prevention of tumor metastasis.

Cost-Utility Analysis of Pegfilgrastim and Pegteograstim in Patients with Breast Cancer using Doxorubicin and Cyclophosphamide (Doxorubicin과 Cyclophosphamide를 투여받는 유방암 환자에서 Pegfilgrastim과 Pegteograstim의 비용-효용 분석)

  • Kwon, Su Ji;Geum, Min Jung;Kim, Jae Song;Son, Eun Sun;Kwon, Kyeng Hee
    • Journal of Korean Society of Health-System Pharmacists
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    • v.35 no.4
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    • pp.409-417
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    • 2018
  • Background : Febrile neutropenia (FN) is one of the side effects in the patients treated with chemotherapy, and the patients who have FN generally need immediate treatment with extended-spectrum antibiotics and hospitalization. Pegfilgrastim and pegteograstim, which are used for the prevention of FN as a granulocyte-colony stimulating factor (G-CSF), have been granted insurance coverage in the Republic of Korea for certain breast cancer patients using doxorubicin and cyclophosphamide (AC) from September 2016. Methods : The data of the patients with breast cancer using AC regimen and G-CSF were collected retrospectively. This study involves cost-utility analysis of pegfilgrastim and pegteograstim. In this study, we constructed a simple decision tree model for short-term observation and calculated quality-adjusted life year (QALY) and the direct medical costs from the medical provider's perspective. Results : From September 2016 to May 2017, 15 patients were treated with pegfilgrastim and 15 patients were treated with pegteograstim. As a result of dividing the average cost by QALY for each treatment group, it was observed that pegfilgrastim and pegteograstim were consumed 24,923,384 won and 22,808,336 won per 1QALY, respectively. Consequently, incremental cost effectiveness ratio (ICER) showed 2,115,048 won more per pegfilgrastim than pegteograstim per 1QALY, and the cost per 1QALY of both the drugs was lower than 30,500,000 won; the Koreans were willing to pay this amount. Conclusions : This study suggests that pegfilgrastim and pegteograstim can be used to improve the quality of life of breast cancer patients undergoing AC therapy. Among the two drugs, pegteograstim seems to be more cost-effective. However, since this study was conducted as a retrospective observation method on a small scale, it is associated with many limitations. Therefore, a long-term prospective cohort study is needed to supplement the present findings.