6卷1期

• Link 原著 Original Article
• 貢寮鄉群體醫療執業中心醫學生／住院醫師訓練教材貢寮鄉群體醫療執業中心醫學生／住院醫師訓練教材
• 季璋珠、李建廷
  季璋珠、李建廷
• 無
  none
• 吾人根據在台北縣貢寮鄉社區工作實務經驗，設計並提出此一社區醫學訓練教材一－「進入社區」。其目的?協助前來受訓的住院醫師及醫學生認識社區，進而成功的提供社區健康服務。全文分六個階段：1.開宗明義，2認識我們的貢寮鄉，3.認識社區資源及生活型態，4.認識社區健康問題，5.我們如何提供社區醫療保健服務，與6對此段課程的意見。其中包含的活動計有：閱讀相關資料，認識民情環境，拜訪社區人士、參與社區活動，與醫療保健實務工作。初步試行一年，反應良好，且頗具推廣性，對前來本中心有志學習社區醫療與保健服務的住院醫師與學生幫助頗大。
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• 1 - 5
• 10.6288/JNPHARC1986-06-01-01

• Link 原著 Original Article
• 日本垃圾焚化技術的沿革及最近發展趨勢日本垃圾焚化技術的沿革及最近發展趨勢
• 陳清南、陳龍吉
  陳清南、陳龍吉
• 無
  none
• 無
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• 6 - 10
• 10.6288/JNPHARC1986-06-01-02

• Link 原著 Original Article
• 作業環境中甲苯暴露恕限值之探討Discussions on Permissible Exposure Limit for Toluene in Workplace
• 林宜長
  Yi-Chang Lin
• 無
  toluene ; permissible exposure limit ; average ; ceiling ; peak ; log-normal distribution
• 在工業過程及日常生活中，甲苯是一種用途?廣、用量也大的有機溶媒，同時它也是苯系衍生物製造時的一種重要的基本原料，與此有關的作素員工為數甚為可觀，且由它致的健康危害事件亦時有所聞。因此如何保護雇工健康，使之免受甲苯之危害，向為學界及勞動安全衛生主管單位所重視。 預防甲苯職業曝露所致健康危害的最重要方法之一是妥善控制作業環境空氣中甲苯的濃度並使之等於或更小於容許濃度標準。目前國內作業環境空氣中甲苯之法定容許濃度標準與美國工業衛生技師協會(U。S. C GIH)所建議者雷同，但與美國職業安全衛生著(U。S。OSHA)所頒之法定標準，在哲理上似乎有差異。 因為在可見的將來，前述OSHA所頒訂的甲苯容許濃度標準值可能被我國引用作為來日國內甲苯容許濃度標準修訂之基本參考實料，故有關美國之甲苯法定標準實有加以探討的必要。依據Jones及Brief的構思並參考有關文獻，筆者認為美國OSHA對作業環境空氣中甲苯容許曝露濃度所訂的三種標準值（即average, ceiling及peak）堪稱合理。此外，對由於不同的採樣時間所得甲苯曝露濃度資料如何以對數正規分佈方式來做圖以及如何將所得到的圖形加以解析，在文中亦有討論。
  One of the most important means for the prevention of health impairment from occupational exposure to toluene is to control the airborne toluene concentration to a level just at or below the permissible exposure limit. The term of this limit currently established by the Ministry of Interior, R.O.C., is indicative of almost the same concept as that recommended by the U.S. ACGIH, but different from that promulgated by the U.S. OSHA. It can be expected to see that in the future, however, the above mentioned OSHA's standard might be used as a basis of this country for renewing the permissible limit for toluene exposure. Recognizing this situation, a rational and simple procedure basically originated from the notion of the Jones and Brief has been developed, that permits toluene exposure data to be compared with the three types of occupational exposure limits (average, ceiling, and prak) given in the U.S. OSHA standards. Discussions of how to plot log-normal toluene exposure data for various sampling periods and interpret the resulting graph are also included.
• 11 - 22
• 10.6288/JNPHARC1986-06-01-03

• Link 原著 Original Article
• 職業衛生裡的有機溶劑中毒職業衛生裡的有機溶劑中毒
• 優頓蘭、王榮德
  優頓蘭、王榮德
• 無
  none
• 無
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• 23 - 29
• 10.6288/JNPHARC1986-06-01-04

• Link 原著 Original Article
• A型與B型人格特質者對於運動訓練醣皮質類固醇變化的比較The Comparison of Post-Exercise Cortisol Level between Type A and Type B Personality Groups
• 吳愛琼
  Ai-Chung Wu
• 無
  none
• 無
  This quasi-experimental study was conducted on 20 healthy volunteers (mean age=23.6, Female=9, Male=11) to investigate whether Type A group responded differently from Type B group in the post-exercise plasma cortisol level (PCL), following a 5 week exercise training program. The Jenkins Acticity Survey (JAS) was used to divide them into type A group (n=11) and type B group (n=9). The subjects exercised (bicycle ergometer) 3 times/week at 70-85% of their maximal capacity for 30 minutes at the same time when the resting control cortisol was taken. Six PCLS were taken and measured by the radioimmunoassay method. The 6 PCLs were all higher than the resting control but with no increasing or decreasing tendency throughout the 5 week training program. However, the type A group showed greater increase in the 1st PCL and the type B group showed siqnificantly qreater increase in the 6th PCL (p<0.05). The analysis of variance was used to show that behavioral pattern, Type A or Type B, did not influence the PCL significantly.
• 30 - 39
• 10.6288/JNPHARC1986-06-01-05