• 제목/요약/키워드: Safe and health

검색결과 1,420건 처리시간 0.029초

『상한론(傷寒論)』 처방에서 감초(甘草) 용량의 안전성 및 임상 사용에 대한 문헌 고찰 (A Study for Safe Dose and Clinical Use of Glycyrrhizae Radix in Shanghanlun)

  • 김형섭;이숭인
    • 대한상한금궤의학회지
    • /
    • 제8권1호
    • /
    • pp.1-23
    • /
    • 2016
  • Objectives : The purpose of this paper is to find out the safe dose and clinical use for administration of Glycyrrhizae Radix in Shanghanlun(傷寒論). Methods : Web-databases(OASIS, NDSL, Pubmed, Google) were searched with keywords including 'Licorice', 'Pseudoaldosteronism', 'Glycyrrhizin', 'Testosterone' on 14/10/2016. The searched about 40 papers and books were reveiwed. Results : Glycyrrhizin(GL) and 3-monoglucuronyl glycyrrhetinic acid(3MGA) in Glycyrrhizae Radix are found to be the main compounds vulnerable for inducing pseudoaldosteronism. The dose range of Glycyrrhizae Radix in Shanghanlun prescriptions is from 0.25 g to 12 g as a daily administration, and this dose satisfies the guidelines of WHO, European Union, ABC etc. And risk factors contributing for personal sensitivities are old age(>60), female sex, liver dysfunction, hypokalemia, prolonged gastrointestinal transit time, anorexia nervosa, decreased 11-${\ss}$-hydroxysteroid dehydrogenase-2 activity and hypertension. Conclusions : As a result, dose of Glycyrrhizae Radix in Shanghanlun(傷寒論) is safe. However, the personal sensitivity and unexpected drug interactions are independent from doses of GL, so doctors should monitor those risk factors and symptoms of pseudoaldosteronism when administering Glycyrrhizae Radix.

노인요양시설 입소자의 요양등급별 건강 요구: RAI-MDS-FC를 적용하여 (Health Needs of the Elderly in Long-term Care Facilities: Using RAI-MDS-FC)

  • 방은주;윤순녕
    • 지역사회간호학회지
    • /
    • 제21권2호
    • /
    • pp.263-272
    • /
    • 2010
  • Purpose: This study was to identify health needs of the elderly at nursing homes by long-term care grade. Methods: The health needs of 116 elders at two nursing homes in Seoul were measured with resident assessment protocols (RAPs), activities of daily living (ADL), and cognitive performance scale (CPS), and pain and depression were measured by resident assessment instrument (RAI). Results: With regard to RAPs, 11 out of 18 items had different distribution in the 3 groups significantly. The 1st-grade elders had a higher percentage of 9 items than the 2nd- and 3rd-grade ones but the 3rd-grade ones had the highest health needs related with activity. The 2nd-grade elders had similar health needs to the 1st-grade ones. In terms of functional level, the 1st-grade elders had the highest percentage of CPS and ADL but the 3rd-grade ones had the highest score of pain and depression out of the 3 groups. The standardized assessment instrument to identify specific health needs by the 3 groups should be developed. Therefore, care plans to meet health needs of the 3 groups will be made. Conclusion: It is suggested that nursing care is required to the elderly of the 1st- and 2nd-grade and safe activity and environment to the 3rd-graded ones.

대학생의 생식건강증진행위 측정도구 개발 (Development of a Scale to Measure Reproductive Health Promoting Behavior of Undergraduates)

  • 조호윤;김영혜;손현미
    • 보건교육건강증진학회지
    • /
    • 제31권5호
    • /
    • pp.29-43
    • /
    • 2014
  • Objectives: This study was to develop a reliable and valid instrument measuring the reproductive health promoting behavior of undergraduates. Methods: The initial questionnaires were made of 106 items from four domains through literature review. All questionnaire items were revised by an expert group and a pilot test. Data were collected using the revised initial questionnaire of men's 58 items and female's 64 items from 634 male and 685 female undergraduate students. The collected questionnaires were analyzed by factor analysis using varimax rotation to evaluate the construct validity. Results: According to the gender, two measurement were invented and analysed separately. Four common factors consisting of 'safe sex', 'sexual responsibility', 'genital health management' and 'STD prevention' were discovered in both groups. The 'genital hygiene' factor was added as a female factor. Male students' scale was made up 4 factors 16 items and female students' scale was made up 5 factors 18 items. Cronbach's alpha for male scale was estimated to be .892 and female scale to be .882. Conclusions: This scale will make it possible to measure the level of reproductive health among Korean university students. This scale may be useful for developing effective methods of education as well as policy programs for improving the reproductive health of Korean university students.

의료기술평가 기반으로서의 데이터 연계 (Data-Linking Infrastructure for the Health Technology Assessment)

  • 박종연
    • 보건의료기술평가
    • /
    • 제6권2호
    • /
    • pp.81-87
    • /
    • 2018
  • With the recent change of healthcare environment including rapid technological development, evidences are more and more important and necessary to support relevant policies in health technology assessment to provide safe and effective health services, utilizing medical resources efficiently. Despite of the emphasis on the importance of real world data and real world evidence in health care research, current infrastructure supporting clinical research is considerably weak due to absence of legal and institutional basis. However, in accordance with the Article 26 of the Health and Medical Technology Promotion Act, there is a limited legal apparatus that can be used only in public data with other dataset for the purpose of healthcare technology assessment at the National Evidence-based Collaborating Agency. Although the use of linked data from various sources was often required in the field of clinical research, it was not yet working well due to insufficient environmental conditions. In order to support the decision-making of medical practice and health care policies, data-linking platform for clinical research is needed. If the legal system that can link up to the data of the private institutions without violating the significant value such as the protection of private informations is established, it will be a decisive foundation reinforcing the researches and policy making processes for the improvement of the national health care system.

Multimax Reactor System을 이용한 안료제조시 중화공정의 열적위험성 평가 (Evaluation of Thermal Hazard in Neutralization Process of Pigment Plant by Multimax Reactor System)

  • 이근원;한민수
    • 한국안전학회지
    • /
    • 제23권6호
    • /
    • pp.91-99
    • /
    • 2008
  • The identification of thermal hazards associated with a process such as heats of reaction and understanding of thermodynamics before any large scale operations are undertaken. The evaluation of thermal behavior with operating conditions such as a reaction temperature, stirrer speed and reactants concentration in neutralization process of pigment plant are described. The experiments were performed by a sort of calorimetry with multimax reactor system The aim of the study was to evaluate the results of heat of reaction in terms of safety reliability to be practical applications. It suggested that we be proposed safe operating conditions and securities for accident prevention on reactor explosion through this study.

복강내침술과 관련 혈위의 자침 깊이에 대한 고찰 (Review on Intraperitoneal Acupuncture and Needling Depth)

  • 김소연
    • Korean Journal of Acupuncture
    • /
    • 제40권3호
    • /
    • pp.55-61
    • /
    • 2023
  • Objectives : To review the needling depth, therapeutic and adverse effects of intraperitoneal acupuncture and related acupoints. Methods : Studies and reports from the literature, Korean medical health insurance data and databases were searched and selected. Results : The depth of needle insertion for acupoints related to intraperitoneal acupuncture has been documented to range from 0.9 to 10.5 cm depending on the acupoints and literature. In studies of safe needling depth, the justice of safe needling depth varied from study to study, but was generally based on the peritoneum, and the depth varies by patient age, sex, body type, and weight. Clinical studies in China have shown good efficacy and no side effects of abdominal long needle acupuncture, but there have been case reports of adverse events following abdominal acupuncture. Conclusions : To ensure both therapeutic effectiveness and safety of intraperitoneal acupuncture, It is necessary to utilize the ultrasound in clinical practice and conduct related research.

INCIDENT FREQUENCY AND SEVERITY FOR CONSTRUCTION FACILITIES

  • Jong-Hyun Park;Jae-Su Jeong;Chan-Sik Lee
    • 국제학술발표논문집
    • /
    • The 4th International Conference on Construction Engineering and Project Management Organized by the University of New South Wales
    • /
    • pp.234-240
    • /
    • 2011
  • Preventing incidents occurred in construction process is important for safe implementation of construction projects. Due to the complexity and magnitude of the project and moreover, poor safe planning and management, construction incidents in Korea have been increasing. Reducing construction incidents effectively, appropriate safety management program in consideration of the incident rate of each facility is to be adapted. This study analyzes incident frequency and severity rate of each facility based on the data of construction sites(about 1,560 thousand cases) recorded by Korea Occupational Safety & Health Agency for 3 years from 2007 to 2009, and the incident related data (about 40 thousand cases) of Korea Workers' Compensation & Welfare Service. The results of this study revealed that construction incident rates of 'cold refrigeration storage facilities' are the highest among building types, followed by traditional building religious building, arcade department store and shopping center. In case of other facilities, the incident rate and the rate of intensity of 'pipelining project' are the highest, followed by 'tunneling project'. These results would be used in providing safety programs beneficial for preventing construction incidents.

  • PDF

벤젠의 위험성 평가를 위한 연소 특성치 고찰 (Investigation of Combustible Characteristics for Risk Assessment of Benzene)

  • 하동명
    • 한국안전학회지
    • /
    • 제24권5호
    • /
    • pp.28-33
    • /
    • 2009
  • The thermochemical parameters for safe handling, storage, transport, operation and process design of flammable substances are explosion limit, flash point, autoignition temperatures(AITs), minimum oxygen concentration(MOC), heat of combustion etc.. Also it is necessary to know explosion limit at high temperature and pressure. For the safe handling of benzene, lower explosion limit(LEL) at $25^{\circ}C$, the temperature dependence of the explosion limits and flash point were investigated. And the AITs for benzene were experimented. By using the literatures data, the lower and upper explosion limits of benzene recommended 1.3 vol% and 8.0 vol%, respectively. This study measured relationship between the AITs and the ignition delay times by using ASTM E659-78 apparatus for benzene, and the experimental AIT of benzene was $583^{\circ}C$. The new equations for predicting the temperature dependence of the explosion limits of benzene is proposed. The values calculated by the proposed equations were a good agreement with the literature data.

해외 이민 한국인의 정신건강관리를 위한 웹기반 지능형 전문가시스템 개발 및 적용 (Development and Application of a Web-based Expert System using Artificial Intelligence for Management of Mental Health by Korean Emigrants)

  • 배정이
    • 대한간호학회지
    • /
    • 제43권2호
    • /
    • pp.203-214
    • /
    • 2013
  • Purpose: The purpose of this project was to develop an international web-based expert system using principals of artificial intelligence and user-centered design for management of mental health by Korean emigrants. Using this system, anyone can access the system via computer access to the web. Methods: Our design process utilized principles of user-centered design with 4 phases: needs assessment, analysis, design/development/testing, and application release. A survey was done with 3,235 Korean emigrants. Focus group interviews were also conducted. Survey and analysis results guided the design of the web-based expert system. Results: With this system, anyone can check their mental health status by themselves using a personal computer. The system analyzes facts based on answers to automated questions, and suggests solutions accordingly. A history tracking mechanism enables monitoring and future analysis. In addition, this system will include intervention programs to promote mental health status. Conclusion: This system is interactive and accessible to anyone in the world. It is expected that this management system will contribute to Korean emigrants' mental health promotion and allow researchers and professionals to share information on mental health.

보건의료인의 코로나19에 대한 예방행위 영향 요인: 혼합연구방법 (Factors Influencing the Preventive Behaviors of COVID-19 by Health Care Workers: A Mixed Methods Study)

  • 이지혜;한숙정
    • 한국보건간호학회지
    • /
    • 제36권3호
    • /
    • pp.347-360
    • /
    • 2022
  • Purpose: The purpose of this study was to identify the risk perception, safety climate and preventive behaviors of COVID-19 infections, and to verify the factors influencing the adoption of preventive behaviors by health care workers. Methods: A mixed-method approach was used based on a survey carried out in a general hospital. Quantitative data (N=181) were collected through a questionnaire and analyzed using multiple regression. Qualitative data (N=8) were collected through individual interviews and analyzed through Colaizzi's phenomological research method. Results: The factors influencing adoption of preventive behaviors by health care workers were safety climate (β=.41, p<.001), education (β=-.20, p=.025), work unit (β=-.16, p=.032), and risk perception (β=.15, p=.020). The explanatory power was 28.3%, and they have shown that these health care workers felt 'the threat of a pandemic like a battlefield', experienced 'struggle with quarantine rules' and realized 'the reality of infection control and the reorganization for change'. Conclusion: The findings of this study indicate that to increase the adoption of infection control preventive behaviors by health care workers when faced with new infectious diseases in the future, it is necessary to establish organizational support and a safe climate. This study confirms the need for preemptive support and education.