• 제목/요약/키워드: preventive effects

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재범위험 성폭력사범 집중교육 프로그램의 효과: 충동성, 분노표현, 강간통념, 자기존중감을 중심으로 (Effects of Intensive Course Program on the Sexual Violence for the Re-crime Risky Group in the Sex Offender: Focused on Impulsivity, Anger Expression, Rape Myth, and Self Esteem)

  • 강춘희;권재환
    • 한국콘텐츠학회논문지
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    • 제21권3호
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    • pp.707-719
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    • 2021
  • 본 연구는 우리나라 교정기관에서 성폭력사범을 대상으로 실시하고 있는 3단계 교육(기본·집중·심화교육) 중 2단계인 '성폭력사범 집중교육 프로그램'이 충동성, 분노표현, 강간통념, 자기존중감에 어떤 영향을 미치는지 알아보는 데 목적이 있다. 이를 위해 J도 M교도소에 복역 중인 성폭력사범 중 2단계 집중교육 대기자 10명을 연구대상으로 선정하였다. 프로그램의 효과에 대한 검증을 위해 사전-사후-추후 실험설계를 하고, 연구대상자들에게 총 200시간으로 구성된 '성폭력사범 집중교육 프로그램'을 실시하였다. 본 연구의 결과는 다음과 같다. 성폭력사범 집중교육 프로그램은 성범죄의 위험요인인 충동성과 분노표현을 감소시키고, 성폭력사범들의 왜곡된 성 인식인 강간통념에 긍정적인 변화를 가져오며, 자기존중감을 향상시키는 데 효과가 있음을 확인하였다. 마지막으로 성폭력사범 대상 재범예방 프로그램의 개선 필요성과 출소 후 교육효과가 유지될 수 있는 체계적인 관리감독 및 연계시스템 구축을 제언하였다.

근무자세가 두통/눈의 피로에 미치는 영향: 제5차 2017년 근로환경조사 (Effects of Working Postures on Headache/Eye Strain in Korean Waged Workers: The 5th Working Condition Survey(2017))

  • 김유현;고석재;조경민;채진경;오현정;장세진
    • 한국산업보건학회지
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    • 제32권2호
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    • pp.116-128
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    • 2022
  • Objectives: The aim of this study was to examine the association of working posture with headache/eye strain in Korean waged workers. Methods: Data were collected from the 5th Korean Working Condition Survey. A total of 30,955 workers participated in this study. A four-items of working postures were measured using a 7-point Likert scale, and we categorized them into three groups ('normal', 'moderate', and 'severe') each 4 items. Headache/eye strain were measured using a self-administrative questionnaire ('yes' vs. 'no'). To examine the relationship between the total working postures score and headache/eye strain, we summed a 4-items of working postures. It was categorized into five groups according to the severity of exposures('normal', 'mild', 'moderate', 'severe', and 'very severe'). The multivariate logistic regression analysis was performed using the IBM SPSS(Ver. 25), and a p<.05 was considered significant. Results: The results show that 'fatiguing and painful posture' and 'posture repetitively using hands or arms' were associated with headache/eye strain after controlling for control variables. The total working posture score was positively associated with headache/eye strain. People with higher levels of the total working posture score were more likely to increase the risk of headache/eye strain compared to those of normal(OR: 1.844, 95% CI: 1.549~2.195 for 'mild'; OR: 2.564, 95% CI: 2.152~3.503 for 'moderate'; OR: 4.140, 95% CI: 3.432~4.994 for 'severe'; OR: 7.613, 95% CI: 5.625~10.304 for 'very severe') (p<.05 for trend). Conclusions: These results indicate that inappropriate working postures might play a crucial role in developing headache/eye strain. It is needed to improve the working environment, especially focusing on reducing inappropriate working posture at the organizational level.

Risk Factors for COVID-19 Infection Among Healthcare Workers. A First Report From a Living Systematic Review and meta-Analysis

  • Dzinamarira, Tafadzwa;Nkambule, Sphamandla Josias;Hlongwa, Mbuzeleni;Mhango, Malizgani;Iradukunda, Patrick Gad;Chitungo, Itai;Dzobo, Mathias;Mapingure, Munyaradzi Paul;Chingombe, Innocent;Mashora, Moreblessing;Madziva, Roda;Herrera, Helena;Makanda, Pelagia;Atwine, James;Mbunge, Elliot;Musuka, Godfrey;Murewanhema, Grant;Ngara, Bernard
    • Safety and Health at Work
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    • 제13권3호
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    • pp.263-268
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    • 2022
  • Health care workers (HCWs) are more than ten times more likely to be infected with coronavirus infectious disease 2019 (COVID-19) than the general population, thus demonstrating the burden of COVID-19 among HCWs. Factors that expose HCWs to a differentially high-risk of COVID-19 acquisition are important to elucidate, enable appropriate public health interventions to mitigate against high risk and reduce adverse outcomes from the infection. We conducted a systematic review and meta-analysis to summarize and critically analyze the existing evidence on SARS-CoV-2 risk factors among HCWs. With no geographical limitation, we included studies, in any country, that reported (i) the PCR laboratory diagnosis of COVID-19 as an independent variable (ii) one or more COVID-19 risk factors among HCWs with risk estimates (relative risk, odds ratio, or hazard ratio) (iii) original, quantitative study design, and published in English or Mandarian. Our initial search resulted in 470 articles overall, however, only 10 studies met the inclusion criteria for this review. Out of the 10 studies included in the review, inadequate/lack of protective personal equipment, performing tracheal intubation, and gender were the most common risk factors of COVID-19. Based on the random effects adjusted pooled relative risk, HCWs who reported the use of protective personal equipment were 29% (95% CI: 16% to 41%) less likely to test positive for COVID-19. The study also revealed that HCWs who performed tracheal intubations were 34% (95% CI: 14% to 57%) more likely to test positive for COVID-19. Interestingly, this study showed that female HCWs are at 11% higher risk (RR 1.11 95% CI 1.01-1.21) of COVID-19 than their male counterparts. This article presents initial findings from a living systematic review and meta-analysis, therefore, did not yield many studies; however, it revealed a significant insight into better understanding COVID-19 risk factors among HCWs; insights important for devising preventive strategies that protect them from this infection.

스코폴라민으로 유도한 기억력 손상 모델에서 소엽 추출물의 보호 효과 (Perilla Frutescens Extract Protects against Scopolamine-Induced Memory Deficits in Mice)

  • 이지혜;이은홍;정은미;김동현;김성규;박미희;정지욱
    • 동의생리병리학회지
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    • 제35권3호
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    • pp.97-103
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    • 2021
  • Perilla frutescens (P. frutescens) is an important herb used for many purposes such as medicinal, aromatic, and functional food in Asian countries and has beneficial effects such as antioxidant activity, anti-inflammation activity, anti-depression activity, and anxiolytic activity. However, there have been no studies on the protective effect of P. frutescens extract (PFE) on amnesia in vivo. The present study aimed to investigate whether PFE protects memory deficit using a scopolamine-induced mice model and elucidate the underlying mechanisms involved. The protective effect of PFE against scopolamine-induced memory deficits was investigated using Y-maze, passive avoidance, and Morris water maze tests. Furthermore, the potential mechanisms of PFE in improving memory capabilities related to the cholinergic system and antioxidant activity were examined. PFE significantly increased spontaneous alternation in the Y-maze test, step-through latency in the passive avoidance test, and swimming time in the target quadrant in the probe test when compared to the scopolamine-treated group. Likewise, PFE significantly decreased escapes latency in the Morris water maze test. PFE could not regulate cholinergic function in acetylcholine level and acetylcholine esterase activity. However, PFE increased DPPH radical scavenging activity dose-dependently and total polyphenol content was 127.7±1.2 ㎍ GAE/mg. The results showed that the PFE could be a preventive and/or therapeutic candidate for memory and cognitive dysfunction in Alzheimer's disease.

중소기업의 기술 및 영업비밀 보호에 대한 보안규정의 법적 근거 강화방안 (Strengthening the Legal Basis for Security Rule to Protect Technology and Trade Secrets for Small Businesses)

  • 안상수;이정훈;손승우
    • 중소기업연구
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    • 제42권1호
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    • pp.57-77
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    • 2020
  • 국내에서는 기술유출을 방지하기 위한 다양한 제도가 시행되고 있으나, 실질적인 효과를 가져오지 못하고 있다. 관련 법·제도는 사후조치에 치중되어 있으며, 사전 예방 측면에서는 기업에 대하여 보안 조치 의무를 부과하거나 실태조사를 하도록 하는 등의 내용을 담고 있음에도 불구하고 실질적인 예방효과를 나타내고 있지 않다. 본 연구는 노동관계법상 근로자에 의한 기술유출 방지 대책에 관하여 검토한다. 이를 위해 노동관계법상 기업의 기술보호와 경업금지에 대하여 검토하고 기술보호를 강화하기 위한 대안을 제시한다. 특히 본 연구에서는 취업규칙상 보안규정의 마련 방안을 제안한다. 노동조합이 조직되어 있지 않은 대부분의 중소기업에서는 취업규칙이 사규의 최고 상위 기준임에도 취업규칙에는 기술유출방지 및 보호에 대한 사항이 없다보니 보안서약서의 법적 근거가 없이 운영되고 있다. 취업규칙은 근로기준법에 따라 기업에 근무하는 모든 근로자들의 합의가 요구되고 이를 공지하도록 하고 있기에, 기술유출방지 및 보호에 대한 내용을 취업규칙에 명시하는 것이 기업의 모든 근로자가 보안에 대한 공통된 인식을 할 수 있고, 보안과 관련한 보안서약서 및 보안 관련 지침 및 절차 등 보안 관련 문서들의 법적 준거성을 제시 할 수 있다고 보이므로 표준취업규칙에 표준으로 반영할 필요성이 있다.

치주 질환관련 세균의 항균 및 세포 염증에 대한 표고버섯 추출물의 효과 (Effects of Shiitake mushroom extract on antimicrobial activity against periodontopathogens and inflammatory condition of human gingival fibroblast)

  • 전열매
    • 구강회복응용과학지
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    • 제38권2호
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    • pp.90-96
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    • 2022
  • 목적: 이 연구의 목적은 표고 버섯 추출물의 치주 병원체에 대한 항균 활성과 인간 치은 섬유아세포에 대한 세포 독성을 조사하는 것입니다. 연구 재료 및 방법: 표고버섯을 물과 아세톤에 닮근 후, 상등액을 건조하여 추출물을 채취하였다. 추출물에 대한 치주 병원체의 감수성을 조사하였다. 인간 치은 섬유아세포에 추출물을 처리하고 CCK-8 용액을 이용하여 세포 생존율을 측정하였다. 결과: 표고버섯 물추출물은 2.5 mg/ml에서 치주병원체의 증식을 유의하게 감소시켰다(P < 0.05). 아세톤 추출물은 0.32 mg/ml에서 Porphyromonas gingivalis와 Tannerella forsythia의 성장을 유의하게 억제하였고, 0.64 mg/ml에서 Treponema denticola의 성장을 유의하게 억제하였다(P < 0.05). 추출물의 세포독성은 2.5 mg/ml의 농도에서 나타났으며, 1.25 mg/ml 농도의 추출물이 4시간 후부터 세포 생존률을 감소시키는 것으로 나타났다. 결론: 표고버섯 추출물은 치주염 유발 세균에 대한 항균 활성과 염증 완화 효과를 보였다. 따라서 추출물은 치주질환 예방 및 치료에 대한 후보물질이 될 수 있다.

Improved postoperative recovery profile in pediatric oral rehabilitation with low-dose dexmedetomidine as an opioid substitute for general anesthesia: a randomized double-blind clinical trial

  • Naveen, Naik B;Jaiswal, Manoj Kumar;Ganesh, Venkata;Singh, Ajay;Meena, Shyam Charan;Amburu, Vamsidhar;Soni, Shiv Lal
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제22권5호
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    • pp.357-367
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    • 2022
  • Background: Low-dose dexmedetomidine may be a suitable alternative to opioids for pediatric ambulatory procedures under general anesthesia (GA). However, the recovery profile remains unclear. Herein, we aimed to evaluate the effects of low-dose dexmedetomidine on the recovery profile of children. Methods: Seventy-two children undergoing ambulatory oral rehabilitation under GA were randomly and equally distributed into two groups (D and F). Group D received an infusion of dexmedetomidine 0.25 ㎍/kg for 4 min for induction, followed by maintenance of 0.4 ㎍/kg/h. Group F received an infusion of fentanyl 1 ㎍/kg over 4 min for induction, followed by maintenance at 1 ㎍/kg/h. The primary outcome was the extubation time. The secondary outcomes were awakening time, end-tidal sevoflurane (ET-Sevo) requirement, change in hemodynamic parameters, Richmond Agitation-Sedation Scale (RASS), Children's Hospital of Eastern Ontario pain scale (CHEOPS) score, length of PACU stay, and incidence of adverse events. Results: Statistically significant differences were observed in the recovery profile between the groups: the median time for extubation was 3.65 (3.44-6.2) vs. 6.25 (4.21-7) minutes in groups D vs. F (P=0.001), respectively, while the corresponding awakening times were 19 (18.75-21) and 22.5 (22-24) minutes, respectively (P < 0.001). The mean ET-Sevo was low in group D (1.1 vs. 1.2; P < 0.001). The heart rate was significantly low across all time points in group D, without resulting in bradycardia. The median RASS and CHEOPS scores were also significantly lower in group D. No significant differences were observed in the mean arterial pressure, incidence of adverse events, or length of PACU stay. Conclusion: Low-dose dexmedetomidine was more effective than fentanyl as an opioid substitute at providing a better recovery profile in pediatric ambulatory oral rehabilitation under GA. Dexmedetomidine also significantly reduced sevoflurane consumption without causing adverse events or prolonging hospital stay.

Introduction of Child and Adolescent Mental Health Services in Korea and Their Role During the COVID-19 Pandemic: Focusing on the Ministry of Education Policy

  • Seo Jung Kim;Jongha Lee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제34권1호
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    • pp.4-14
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    • 2023
  • This study aimed to discuss mental health services for children and adolescents that are being implemented as initiatives of the Korean government and to review the functions and roles of these projects during the COVID-19 pandemic. Three government departments are in charge of providing mental health services for children and adolescents: Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare. The Ministry of Education has implemented several policies to facilitate the early detection of mental health issues among school students (from preventive interventions to selective interventions for high-risk students). The Ministry of Gender Equality and Family additionally serves out-of-school children and adolescents by facilitating early identification of adolescents in crises and providing temporary protection or emergency assistance (as required) through the Community Youth Safety-Net Project. Furthermore, the Ministry of Health and Welfare operates relevant mental health agencies for individuals of all ages including children and adolescents. Any high-risk students who have been screened through the projects of the Ministry of Education are supported through referrals to the following institutions for appropriate treatment of their symptoms: specialized hospitals, the Youth Counseling and Welfare Center operated by the Ministry of Gender Equality and Family, the National Youth Healing Center, the Mental Health Welfare Center operated by the Ministry of Health and Welfare, the Suicide Prevention Center, and the Child Welfare Center. To assist students who are facing any psychological difficulties because of the COVID-19 pandemic, the Ministry of Education has established a psychiatric support group for providing emergency mental health care; furthermore, schools are promoting psychological surveillance (e.g., provision of non-face-to-face counseling services that are centered around the Wee Center). The Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare have provided varied mental health support services in order to address the challenges faced by children and adolescents during the pandemic. Nevertheless, the mental health services operated by each ministry do show some limitations because their service provision system is insufficiently collaborative. The present study discussed the positive effects of each initiative as well as its limitations; furthermore, it suggested improvements for facilitating the healthy development of children and adolescents' mental health.

$1996{\sim}1998$년 유고슬라비아에서 실시한 한탄바이러스 불활화 백신($Hantavax^{TM}$)의 면역효과에 대한 야외시험 (A Field Efficacy Trial of Inactivated Hantaan Virus Vaccine ($Hantavax^{TM}$) Against Hemorrhagic Fever with Renal Syndrome (HFRS) in the Endemic Areas of Yugoslavia from 1996 to 1998)

  • 주용규;;;;;우영대;안창남;김훈;장양석;박승철;김민자;이은실;이호왕
    • 대한바이러스학회지
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    • 제29권2호
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    • pp.55-64
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    • 1999
  • In Yugoslavia, hemorrhagic fever with renal syndrome (HFRS) is one of the important national health problem, but no vaccine has been used to prevent HFRS. Since first HFRS case in 1952, sporadic cases of HFRS occurred every year and over 4,000 registered cases with $1{\sim}16%$ mortality so far. We performed a prospective, randomized double-blind placebo-controlled trial to evaluate the effectiveness of $Hantavax^{TM}$ against HFRS in 3,900 healthy adults living in the endemic areas of Yugoslavia. 1,900 people were given 0.5 ml of Hantavax subcutaneously twice at one month interval and a booster shot at one year after. For controls other 2,000 healthy people were given 0.5 ml of physiolosical saline as a placebo. We investigated HFRS cases in both the vaccinated and nonvaccinated groups by monitoring the program for patient registration in the areas from 1996 to 1998, and the effect of vaccine was analyzed epidemiologically. No confirmed case of HFRS was observed among 1,900 Hantavax vaccinees, while 20 confirmed cases were observed among 2,000 nonvaccinated control group. There were no remarkable side effects among the vaccinees either locally or in general after inoculation of the vaccine. The Hantavax vaccine showed statistically significant protective efficacy against HFRS among Yugoslavian people.

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골관절염 여성노인의 통증, 수면양상, 생활만족도가 우울에 미치는 영향 (A Study on the Effects of Pain, Sleep pattern, Life satisfaction on Depression in Elderly Women with Osteoarthritis)

  • 이윤정
    • 한국노년학
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    • 제31권2호
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    • pp.211-222
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    • 2011
  • 본 연구는 골관절염 여성노인의 통증, 수면양상, 생활만족도, 우울의 정도를 살펴보고 이들의 관계를 확인하여 우울에 영향을 주는 요인을 파악하기 위한 연구이다. 연구대상자는 C시 소재 노인복지관을 방문하는 여성 노인 중 의료기관에서 골관절염으로 진단받은 노인 140명을 대상으로 하여 설문지를 통해 자료를 수집하였다. 수집한 자료는 빈도, 백분율, 평균과 표준편차, t-test, ANOVA, Pearson's correlation, 다중회귀분석을 이용하여 분석하였다. 본 연구결과 통증은 2.58점, 생활만족도는 65.4점, 수면양상 37.6점, 우울 13.58점으로 나타났고, 연구대상자 중 43.5%가 우울을 경험하고 있는 것으로 나타났다. 본 연구의 대상자의 통증, 수면양상, 생활만족도, 우울간의 상관관계는 모두 유의한 상관관계가 있는 것으로 나타났고, 대상자의 우울은 통증과 정상관관계로, 생활만족도와 수면양상은 역상관관계를 보였다. 즉 통증이 심할수록 우울정도는 높고, 생활만족도와 수면 양상이 양호할수록 우울정도는 낮은 것으로 나타났다. 우울의 영향요인으로 생활만족도, 통증, 수면양상 순으로 나타났으며 이들 변인은 우울을 설명하는데 48%의 설명력을 나타내었다. 우울에 가장 영향을 미치는 변인으로는 생활만족도로 확인되었다. 이상의 결과를 통해 골관절염 여성노인의 노년기 정신건강증진을 위해서 우울 영향요인을 고려한 우울예방 프로그램이나 보다 실질적인 중재프로그램이 개발되어 실무현장에서 다양하게 활용되어야 할 것이다.