• Title/Summary/Keyword: sub-health center

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Bone mineral density deficits in childhood cancer survivors: Pathophysiology, prevalence, screening, and management

  • Kang, Min Jae;Lim, Jung Sub
    • Clinical and Experimental Pediatrics
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    • v.56 no.2
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    • pp.60-67
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    • 2013
  • As chemotherapy and other sophisticated treatment strategies evolve and the number of survivors of long-term childhood cancer grows, the long-term complications of treatment and the cancer itself are becoming ever more important. One of the most important but often neglected complications is osteoporosis and increased risk of fracture during and after cancer treatment. Acquisition of optimal peak bone mass and strength during childhood and adolescence is critical to preventing osteoporosis later in life. However, most childhood cancer patients have multiple risk factors for bone mineral loss. Cancer itself, malnutrition, decreased physical activity during treatment, chemotherapeutic agents such as steroids, and radiotherapy cause bone mineral deficit. Furthermore, complications such as growth hormone deficiency and musculoskeletal deformity have negative effects on bone metabolism. Low bone mineral density is associated with fractures, skeletal deformity, pain, and substantial financial burden not only for childhood cancer survivors but also for public health care systems. Thus, it is important to monitor bone health in these patients and minimize their risk of developing osteoporosis and fragility fractures later in life.

Various Technologies for Simultaneous Removal of NOx and SO2 from Flue Gas (배출가스의 질소산화물과 이산화황 동시 저감 기술)

  • Park, Hyun-Woo;Uhm, Sunghyun
    • Applied Chemistry for Engineering
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    • v.28 no.6
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    • pp.607-618
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    • 2017
  • Harmful air pollutants are exhausted from the various industrial facilities including the coal-fired thermal power plants and these substances affects on the human health as well as the nature environment. In particular, nitrogen oxides ($NO_x$) and sulfur dioxide ($SO_2$) are known to be causative substances to form fine particles ($PM_{2.5}$), which are also deleterious to human health. The integrated system composed of selective catalytic reduction (SCR) and wet flue gas desulfurization (WFGD) have been widely applied in order to control $NO_x$ and $SO_2$ emissions, resulting in high investment and operational costs, maintenance problems, and technical limitations. Recently, new technologies for the simultaneous removal of $NO_x$ and $SO_2$ from the flue gas, such as absorption, advanced oxidation processes (AOPs), non-thermal plasma (NTP), and electron beam (EB), are investigated in order to replace current integrated systems. The proposed technologies are based on the oxidation of $NO_x$ and $SO_2$ to $HNO_3$ and $H_2SO_4$ by using strong aqueous oxidants or oxidative radicals, the absorption of $HNO_3$ and $H_2SO_4$ into water at the gas-liquid interface, and the neutralization with additive reagents. In this paper, we summarize the technical improvements of each simultaneous abatement processes and the future prospect of technologies for demonstrating large-scaled applications.

The pilot study on reclamation of incineration ashes of municipal waste in the demonstrative factory

  • Chang Hui-Lan;Liaw Chin-Tson;Leu Ching-Huoh
    • 한국지구물리탐사학회:학술대회논문집
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    • 2003.11a
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    • pp.573-580
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    • 2003
  • In Taiwan there are 21 Municipal Solid Waste Incinerators (MSWI) built to treat 80% of the MSW nationwide. Approximately 2,000 tons of incineration ashes of municipal waste contain reaction ash and fly ash (3:1 by weight)will be produced daily, and this may cause a serious waste problem. According to EPA regulations, reaction ash and fly ash produced after incineration should be properly treated. Landfill capacity barely meets the general demands. More efficient actions should be planned and taken. The study found 'reclamation' should be the optimal solution to this problem. Only limited research and previous successful experiences are available among other countries. An incinerator in Northern Taiwan is chosen for this study to make environmental bricks from the reaction ash and fly ash. From the previous tests, the results of strength test were measured. From the previous test results, the fly ash products have not reached the desired strength; hence, reaction ash is chosen for further pilot study. In the experiment, incineration ashes, cement and gravel are mixed in the ratio of 1:1:1(by weight), to ground concretization aggregate and pelletization aggregate, the concrete products made from the aggregates were of the strength of 108 $kgf/cm^2$ and 142 $kgf/cm^2$ individually. For the purpose of making nonstructural walls which met the State Building Standards. In the study, 50 tons of concrete products was yielded from aggregate and environmental bricks. Further observation and supervision are recommended to ascertain the resource recycling and reclamation. EPA has planned to build three 'Recycling Plants' in northern, middle and southern Taiwan to develop efficient techniques to produce concrete products, sub-base course, soundproofing wall, gravel, artificial fishing reefs, tiles, drainage, bricks and etc. This experiment of the demonstrative plant solves the problem of the incineration ashes and opens another opportunity to reclaim them.

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Anti-Corrosion Characteristics of Steel Structures with Polyaniline Anti-Corrosive Coatings (강 구조물에 대한 폴리아닐린 함유도료의 방청특성)

  • Song, Min-Kyung;Kong, Seung-Dae;Oh, Eun-Ha;Yoon, Hun-Cheol;Kim, Yoon-Shin;Im, Ho-Sub
    • Journal of Environmental Health Sciences
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    • v.36 no.3
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    • pp.236-246
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    • 2010
  • In preparative anti-corrosive coating experiments, polyaniline was obtained by reacting an oxidizing agent with the monomer aniline. Further, the primer coating was prepared using a variety of widely-used materials such as urethane resin. For the top coating, epoxy resin and acrylic urethane resin were used. Characteristics of the coatings were assessed according to KS and ASTM specifications, and the structure of the polyaniline was characterized using FT-IR and TGA. For analysis of anti-corrosive properties in salt-spray experiments, measurements of the oxidation state of iron and surface atomic analysis were conducted using XPS and SEM-EDX. Unlike general anti-corrosive coatings which exhibit anti-corrosive effects only as a primer coating, the anti-corrosive coatings using polyaniline as the anti-corrosive pigment showed a marked synergistic effect with the top coatings. In other words, the top coatings not only produce a fine view effect, but also increase, through interaction with the primer coatings, the resistance to diffusion of corrosive factors from the external environment. It was also found that, unlike the heavy metal oxide-forming layer of the passive barrier alone, the polyaniline anti-corrosive pigment oxidized iron at the interface with the iron substrate to form a passive barrier in the oxidic layer, and itself formed a potential barrier layer with anti-corrosive factors from the external environment. Although the passive layer was damaged, the damaged area did not become completely oxidized iron; on the contrary, it showed a tendency to reduction. This can be interpreted such that a passive layer is formed again on the damaged area, and that at the same time there is a tendency to self-healing.

Study on Evaluation of Internal Hair Porosity using Optical Microscopy and Improvement of Hair Luster through Internal Hair Density (광학 현미경을 이용한 모발 내부 다공성 평가 및 모발 내부 밀도 증가를 통한 윤기 증가 연구)

  • Hyun-Sub Park;Seong Kil Son;Nae-Gyu Kang;Ik Hyun Lee
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.49 no.3
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    • pp.225-230
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    • 2023
  • In this study, the porous structure inside the hair were observed using an optical microscope without damaging the hair, and the porosity inside the hair was quantitatively expressed using the results. Experiments were conducted on the effect of the decrease in density inside the hair on the bending and tensile properties of the hair, and experiments on endogenous and extrinsic factors were conducted to find out the causes of the decrease in density inside the hair. As for the endogenous factor, the porosity of gray hair, one of the representative symptoms of aging, was compared with normal hair. As for extrinsic factors, it was observed that the internal density of hair decreased by surfactant and heat, which are factors that can cause hair damage in daily life. In addition, we confirmed whether it is possible to increase the internal density and luster of the hair by using an amino acids and material that can prevent hair lipid predisposition.

Effects of a High-Intensity Interval Physical Exercise Program on Cognition, Physical Performance, and Electroencephalogram Patterns in Korean Elderly People: A Pilot Study

  • Sun Min Lee;Muncheong Choi;Buong-O Chun;Kyunghwa Sun;Ki Sub Kim;Seung Wan Kang;Hong-Sun Song;So Young Moon
    • Dementia and Neurocognitive Disorders
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    • v.21 no.3
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    • pp.93-102
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    • 2022
  • Background and Purpose: The effects of high-intensity interval training (HIIT) interventions on functional brain changes in older adults remain unclear. This preliminary study aimed to explore the effect of physical exercise intervention (PEI), including HIIT, on cognitive function, physical performance, and electroencephalogram patterns in Korean elderly people. Methods: We enrolled six non-dementia participants aged >65 years from a community health center. PEI was conducted at the community health center for 4 weeks, three times/week, and 50 min/day. PEI, including HIIT, involved aerobic exercise, resistance training (muscle strength), flexibility, and balance. Wilcoxon signed rank test was used for data analysis. Results: After the PEI, there was improvement in the 30-second sit-to-stand test result (16.2±7.0 times vs. 24.8±5.5 times, p=0.027), 2-minute stationary march result (98.3±27.2 times vs. 143.7±36.9 times, p=0.027), T-wall response time (104.2±55.8 seconds vs.71.0±19.4 seconds, p=0.028), memory score (89.6±21.6 vs. 111.0±19.1, p=0.028), executive function score (33.3±5.3 vs. 37.0±5.1, p=0.046), and total Literacy Independent Cognitive Assessment score (214.6±30.6 vs. 241.6±22.8, p=0.028). Electroencephalography demonstrated that the beta power in the frontal region was increased, while the theta power in the temporal region was decreased (all p<0.05). Conclusions: Our HIIT PEI program effectively improved cognitive function, physical fitness, and electroencephalographic markers in elderly individuals; thus, it could be beneficial for improving functional brain activity in this population.

Development of Web-based Multimedia Content for a Physical Examination and Health Assessment Course (웹기반의 건강사정 멀티미디어 컨텐츠 개발)

  • Oh Pok-Ja;Kim Il-Ok;Shin Sung-Rae;Jung Hoe-Kyung
    • Journal of Korean Academy of Nursing
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    • v.34 no.6
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    • pp.994-1003
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    • 2004
  • Purpose: This study was to develop Web-based multimedia content for Physical Examination and Health Assesment. Method: The multimedia content was developed based on Jung's teaching and learning structure plan model, using the following 5 processes: 1) Analysis Stage, 2) Planning Stage, 3) Storyboard Framing and Production Stage, 4) Program Operation Stage, and 5) Final Evaluation Stage. Results: The web based multimedia content consisted of an intro movie, main page and sub pages. On the main page, there were 6 menu bars that consisted of Announcement center, Information of professors, Lecture guide, Cyber lecture, Q&A, and Data centers, and a site map which introduced 15 week lectures. In the operation of web based multimedia content, HTML, JavaScript, Flash, and multimedia technology(Audio and Video) were utilized and the content consisted of text content, interactive content, animation, and audio & video. Consultation with the experts in context, computer engineering, and educational technology was utilized in the development of these processes. Conclusions: Web-based multimedia content is expected to offer individualized and tailored learning opportunities to maximize and facilitate the effectiveness of the teaching and learning process. Therefore, multimedia content should be utilized concurrently with the lecture in the Physical Examination and Health Assesment classes as a vital teaching aid to make up for the weakness of the face-to- face teaching-learning method.

The Study on the Pregnancy Experiences of Unmarried Mothers (미혼모의 임신경험에 관한 탐색적 연구)

  • Han Young-Ran;Yang Soon-Ok
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.194-208
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    • 1997
  • The pregnancy experiences of unmarried mother threatens womens' health by social prejudices. This study was motivated by the fact that nurses do not have much understanding of the pregnancy experiences of unmarried mother and cannot provided fully supportive care of them. This study was done to understand the subjective expriences of pregnancy by unmarried mother. To do this, the grounded theory methodology was used. The research participants were selected from unmarried mothers admitted to the social welfare center in Korea. All interviewee were six and between 17 to 24 years old women. Their confidential information was insured. The data were analyzed in the framework of Grounded Theory methodology as mapped out by Strauss(l991). 21 concepts, 11 sub-category and 6 category were confirmed in the analysis. In the process of data analysis, 'sufferd pregnancy process' was founded to be the core phenomenon. In Conclusion, through their suffered pregnancy experiences, unmarried mothers had been a process to grow up, planned for the future and became a mature woman. This study supports the need to develop a role model for nurses in providing appropriate support to the unmarried mother, which will lead to an improvement in the physical and mental health of the unmarried mothers.

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A Review of the Operation Community Health Practitioner System as a Reorientation of Primary Health Care (보건 진료원 제도 운영 평가에 관한 연구 -우리나라 1차 보건의료 제도 방향 재설정을 위하여 -)

  • 홍여신;이인숙
    • Journal of Korean Academy of Nursing
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    • v.24 no.4
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    • pp.568-583
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    • 1994
  • In the changing social and economic conditions, reorientation of the health care system is a process of rearranging health care resources keeping in mind the appropriativeness, relevancy, and efficacy of health care programs. Also it has been recognized recently that the CHP program is in need of review for the same reasons, that is to say, the ease in which health care facilities are available, the high rate of coverage with insurance and the development of an effective transportation system. Therefore there is a social inclination to think that there are no remote areas and to question the roles of public health facilities, health centers, health sub centers and CHP posts. This paper was done to review problems and to propose new directions for the CHP system. The findings of this study are as follows ; 1) It is necessary that primary health care should be simplified into three parts, medical treatment, preventive care services and the organization of administration and logistics. Also each department should be supplemented with the appropriate professional personnel in order to develop a task oriented system. The reorientation of the CHP system should be managed in keeping with that of other public health care systems. Therefore it is necessary to look at the CHP system problems as one aspect of the reorientation process of public health care systems, and to work to find new ways to address these problems. 2) The location of the CHP post should be decided by the needs of the community in both the medical and preventive areas. If the people have a minimum need, the location of the CHP post should be altered and the existing roles of the CHP should be modified to allow for flexibility according to the community needs. 3) Use of the problem solving method in regular team meetings will prove to be as efficient as continuing education programs in improving job competancy. 4) The supervision of CHP's activities should be made by the same type professional personnel, that is, senior CHPs or charge nurses in the public health center at the county level. 5) The operational expensies of CHP post should be supported by the administrative department of the public health center and should create working conditions that will allow the CHP to concentrate on community health service programs. 6) The organizations for community participation, working committees, community health workers and a number of the local assembly, should be activated to provide for participation in finding solutions to health related problems in the com-munity.

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Evaluation of Acute Respiratory Infections(ARI) Control Programme in a Korean Rural Community -The Patterns of Antibiotic Prescription- (한 농촌지역에서 실시한 소아 급성호흡기감염 관리사업의 평가 -항생제 사용을 중심으로-)

  • Lee, Young-Seong;Kim, Chang-Yup;Kim, Yong-Ik;Shin, Young-Soo;Ko, Jae-Wook
    • Journal of agricultural medicine and community health
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    • v.18 no.2
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    • pp.105-119
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    • 1993
  • The purpose of this study was to evaluate the program for the control of acute respiratory infections(ARI) in children in a Korean rural area(Yonchon county). Evaluating the program, we focused on the pattern of prescription and appropriateness of antibiotics prescribed by the health personnel who had participated in the ARI Control Program. It was implemented at the primary health care setting in rural area, such as district hospital, health subcenters, and health posts. During six-months programme monitoring period, medical records were reviewed and collected data were analysed by the pediatrician, research coordinator of this study. The baseline data were collected from medical records of the same period(six months) of one year before the implementation of the ARI programme. The study results were as follow : 1. Common cold was the most prevalent disease(78.7%. 594 cases) among the all ARI cases (755 cases). The less frequent cases were bronchitis(11.9%), acute pharyngitis(5.2%), and pneumonia(1.8%). 2. Significant reduction in the use of antibiotics was observed after the programme implementation. Ninety three(15.7%) of 594 common cold cases were received antibiotics compared with 282(35.2%) of 802 in the baseline period. In the cases of bronchitis and acute pharyngitis, the reduction rates were 15.1% and 23.2% respectively compared to the baseline period. 3. Mean duration of antibiotics prescription was 1.81-1.75 days, similar to the baseline data. 4. The appropriateness rate of antibiotics prescriptions were 84.3%(common cold), 35.6% (bronchitis) and 28.2%(acute pharyngitis). In the case of pneumonia, the antibiotics prescription was compatible to the criteria developed. 5. Pediatrician prescribed antibiotics more appropriately for all cases than general practitioners in health sub-center, and nurse practitioners in health posts. 6. Antibiotics therapy was shown to be of no effect in the treatment of the all ARI cases. At the 5 and 10 days check-up of common cold cases after visits, proportion of improved patients were 58.3% in the antibiotics-used group and 51.4% in the control group. In the other cases of ARI, the patterns of response were similar to common cold. None of the differences in outcome between the antibiotics-used and control group was statistically significant. This ARI programme may have substantial a substantial impact on antibiotics use at the public health institutions(district hospital, health subcenters, health posts) which are of major domain for primary health care in Korean rural areas.

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