• Title/Summary/Keyword: 병원 종사자

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Analysis of Three Years of Airmen Medical Certificate for Preparing Aviation-related Health Promotion Plan (항공종사자 건강증진활동계획에 반영되어야 할 근거자료: 3년간의 항공신체검사 결과 분석)

  • Han, Bok Soon;Kwon, Young Hwan;Shin, Yun Young
    • Korean journal of aerospace and environmental medicine
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    • v.30 no.1
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    • pp.40-49
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    • 2020
  • In accordance with ICAO SARPs, the states should implement appropriate aviation-related health promotion for airmen subject to an aviation medical examination to reduce future medical risks to flight safety. We aimed to analyze the results of the aviation medical examination to use as objective evidence for establishing an aviationrelated health promotion plan. The results of the final issuance of airmen medical certificate from 2015~2017 were collected from the e-sky computer system. The 30 cases (0.3%) in 2015, 22 cases (0.2%) in 2016, 38 cases (0.3%) in 2017 were unfit for flight duty. The 34 unfit out of the total 90 cases were renewal physical examinations. The cardiovascular disease was most commonly in 11 cases, followed by 8 tumors, 4 psychiatric diseases, 3 ophthalmic diseases, 2 respiratory diseases, 2 neurologic diseases, 2 otolaryngological diseases, 1 endocrine disease and 1 digestive disease. The results of this study can be used as objective data in aviation-related health promotion plan. The health promotion activities based on objective data can contribute to improving aviation safety by improving the lifestyles of airmen.

Fire Response Education for Hospital Healthcare Providers: A Scoping Review (병원 의료종사자 대상 화재 대응 교육 현황: 주제범위 문헌고찰)

  • Min-Ji Kim;Seung-Eun Lee;Hyun-Eun Park
    • Quality Improvement in Health Care
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    • v.29 no.2
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    • pp.32-46
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    • 2023
  • Purpose: Fire response education is critical for healthcare providers working in hospitals to ensure a safe environment for patients and staff. However, a comprehensive review that thoroughly examines the contents, methodologies, and outcomes of fire response education in hospitals is currently lacking. Methods: We conducted a scoping review by adhering to the framework proposed by Arksey and O'Malley. We searched five electronic databases for literature published after 1990, using the key categories of "hospitals," "fires," and "education." As a result, we identified 15 relevant articles that met our inclusion criteria for the review. Results: Of the 15 articles, 12 had adopted a quasi-experimental design and the remaining 3 had employed a true experimental design. The majority of these studies (11 out of 15) were conducted in the United States, with 4 studies forming committees or teams dedicated to education. Simulation methods were used in 13 studies, while 2 studies had employed a combination of methods. All studies focused on first-response procedures based on RACE (Rescue, Alarm, Contain, Extinguish/Evacuation). Outcome measures included the learners' overall experience, performance in the educational settings, and performance in the field, with all studies reporting positive results following the educational interventions. Conclusion: Our review highlights the importance of multi-professional and multi-departmental educational strategies based on institutional-level initiatives for healthcare providers to create a safe hospital environment.

A Study on Reduction of Radiation Exposure by Nuclear Medicine Radiation Workers (핵의학 방사선 작업종사자 피폭 감소 방안에 대한 연구)

  • Lee, Wanghui;Ahn, Sungmin
    • Journal of the Korean Society of Radiology
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    • v.13 no.2
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    • pp.271-281
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    • 2019
  • This study investigated the shielding efficiency of various types of shielding materials and measured the dose by organ using the phantom. Results of Shielding Efficiency Measurement Using Personal Radiation Meter. Among the various shielding materials, 1.1 mm RNS-TX composed of nano tungsten showed the highest shielding efficiency and 0.2 mm lead shielding showed the lowest shielding efficiency. 99mTc 30 mCi was exposed to the phantom for 120 minutes and the result of the measurement of the organs. 20.53 mSv without radiation protective clothing, 8.75 mSv when wearing 0.25 mm Pb protective clothing, 6.03 mSv when wearing 0.5 mm Pb protective clothing. 131I 2 mCi mCi was exposed to the phantom for 120 minutes and the result of the measurement of the organs. 7.71 mSv without radiation protective clothing, 4.88 mSv when wearing 0.25 mm Pb protective clothing, 2.79 mSv when wearing 0.5 mm Pb protective clothing. 18F 5 mCi was exposed to the phantom for 120 minutes and the result of the measurement of the organs. 16.39 mSv without radiation protective clothing, 15.84 mSv when wearing 0.25 mm Pb protective clothing, 12.52 mSv when wearing 0.5 mm Pb protective clothing. None of the radiation workers working in the nuclear medicine department exceeded the dose limit. However, when compared with other workers in the hospital, they showed a relatively high dose. Therefore, it is necessary to prepare measures to reduce and manage the dose of radiation workers in the nuclear medicine department through the wearing of radiation protective clothing made of lightweight, shielding material with good shielding efficiency, circulation task, task sharing, and substitution equipment such as auto dispenser.

Effect of Organizational Support Perception on Intrinsic Job Motivation : Verification of the Causal Effects of Work-Family Conflict and Work-Family Balance (조직지원인식이 내재적 직무동기에 미치는 영향 : 일-가정 갈등 및 일-가정 균형의 인과관계 효과 검증)

  • Yoo, Joon-soo;Kang, Chang-wan
    • Journal of Venture Innovation
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    • v.6 no.1
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    • pp.181-198
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    • 2023
  • This study aims to analyze the influence of organizational support perception of workers in medical institutions on intrinsic job motivation, and to check whether there is significance in the mediating effect of work-family conflict and work-family balance factors in this process. The results of empirical analysis through the questionnaire are as follows. First, it was confirmed that organizational support recognition had a significant positive effect on work-family balance as well as intrinsic job motivation, and work-family balance had a significant positive effect on intrinsic job motivation. Second, it was confirmed that organizational support recognition had a significant negative effect on work-family conflict, but work-family conflict had no significant influence on intrinsic job motivation. Third, in order to reduce job stress for medical institution workers, it is necessary to reduce job intensity, assign appropriate workload for ability. And in order to improve manpower operation and job efficiency, Job training and staffing in the right place are needed. Fourth, in order to improve positive organizational support perception and intrinsic job motivation, It is necessary to induce long-term service by providing support and institutional devices to increase attachment to the current job and recognize organizational problems as their own problems with various incentive systems. The limitations of this study and future research directions are as follows. First, it is believed that an expanded analysis of medical institution workers nationwide by region, gender, medical institution, academic, and income will not only provide more valuable results, but also evaluate the quality of medical services. Second, it is necessary to reflect the impact of the work-life balance support system on each employee depending on the environmental uncertainty or degree of competition in the hospital to which medical institution workers belong. Third, organizational support perception will be recognized differently depending on organizational culture and organizational type, and organizational size and work characteristics, working years, and work types, so it is necessary to reflect this. Fourth, it is necessary to analyze various new personnel management techniques such as hospital's organizational structure, job design, organizational support method, motivational approach, and personnel evaluation method in line with the recent change in the government's medical institution policy and the global business environment. It is also considered important to analyze by reflecting recent and near future medical trends.

High-Risk Area for Human Infection with Avian Influenza Based on Novel Risk Assessment Matrix (위험 매트릭스(Risk Matrix)를 활용한 조류인플루엔자 인체감염증 위험지역 평가)

  • Sung-dae Park;Dae-sung Yoo
    • Korean Journal of Poultry Science
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    • v.50 no.1
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    • pp.41-50
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    • 2023
  • Over the last decade, avian influenza (AI) has been considered an emerging disease that would become the next pandemic, particularly in countries like South Korea, with continuous animal outbreaks. In this situation, risk assessment is highly needed to prevent and prepare for human infection with AI. Thus, we developed the risk assessment matrix for a high-risk area of human infection with AI in South Korea based on the notion that risk is the multiplication of hazards with vulnerability. This matrix consisted of highly pathogenic avian influenza (HPAI) in poultry farms and the number of poultry-associated production facilities assumed as hazards of avian influenza and vulnerability, respectively. The average number of HPAI in poultry farms at the 229-municipal level as the hazard axis of the matrix was predicted using a negative binomial regression with nationwide outbreaks data from 2003 to 2018. The two components of the matrix were classified into five groups using the K-means clustering algorithm and multiplied, consequently producing the area-specific risk level of human infection. As a result, Naju-si, Jeongeup-si, and Namwon-si were categorized as high-risk areas for human infection with AI. These findings would contribute to designing the policies for human infection to minimize socio-economic damages.

Radiation Exposure of Hands and Feet from $^{18}F$-FDG in Radio-technologists (방사선 작업 종사자의 작업화 및 작업복의 방사선 오염 분석)

  • Lee, Seung-Jae;Jeong, Seok;Seo, Soo-Hyun;Park, Yong-Sung;Park, Hoon-Hee;Oh, Shin-Hyun;Lim, Han-Sang;Kim, Jae-Sam;Lee, Chang-Ho
    • The Korean Journal of Nuclear Medicine Technology
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    • v.15 no.2
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    • pp.94-98
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    • 2011
  • Purpose: The radiation exposure from radioisotope at the hands and foots of radiation workers who works in PET/CT part at the department of nuclear medicine was investigated in this study. Materials and Methods: From 4th August 2010 to 14th January 2011, 6 radio-technologists' radiation on hands and feet were measured. All radio-technologist have been examined around 8; morning, 12; afternoon, and 16 o'clock; evening, respectively. SPSS version 17 was used for statistical analysis. Results: The statistical significances were calculated in several ways. The radiation from both hands and feet in the Morning was lower than Afternoon and Evening. In some cases, the detected radiation showed extremely high values in data. In order to find the effect of the ${\gamma}$-ray on the hand, the estimated doses were presumably calculated, however, the exposure dose on feet were unmeasured. Conclusion: Even if the radiation exposure from the radioisotope at the hands and feet were under the limitations, it is definitely needs to prevent the radiation-contamination. Therefore, the radio-technologists need to have a proper radiation-dealing-procedure of their own, and must try to prevent a radiation exposure by themselves.

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Influences of role conflict, workload, secondary traumatic stress and self-efficacy on burnout of social workers working with trauma survivors (외상생존자와 일하는 사회복지사의 소진에 대한 역할갈등, 업무부담과 이차적 외상 스트레스 및 자기효능감의 영향)

  • Park, Yun-Mi;Yoon, Hyemee
    • Journal of the Korean Society of Child Welfare
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    • no.36
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    • pp.289-322
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    • 2011
  • The purpose of this study is to examine the relationship between job characteristics such as role conflict, workload, and self-efficacy, secondary traumatic stress(STS), and burnout of social-workers who are working with survivors of child abuse, spouse abuse and sexual assault. While burnout has been studied over two decades all over the world, secondary traumatic stress(STS) is a less familiar term in the field of social work. Studies explaining the relationship between job-demands, STS, and burnout for social workers working with violence victims lack integrative insights across agencies serving children and adults. Thus, we examine whether the relationships between change based on wheter the survivor is a child or an adult. Two hundred thirty three social workers in Korea who work with violence victims participated in the survey. The data were analyzed with Amos 7.0. Results indicate that STS plays a key role in explaining social worker burnout across the agencies, and Child Protective Service workers were found to have the highest STS symptoms. The pathways to social worker burnout proved to be different based on who you served. Theoretical and practical implications of these findings were discussed.

The Impact of Environmental Factors and Job Satisfaction of Medical Institution Workers on Reduction Rate Based on Life Style (라이프 스타일에 따른 의료기관 종사자의 환경요인과 직무만족도가 삭감률에 미치는 영향)

  • Yang, Yu-Jeong;Baek, Jae-Seong
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.4
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    • pp.381-392
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    • 2020
  • This study identified the impact of environmental factors and job satisfaction of health organization workers on a reduction rate depending on their lifestyles. The research used 575 questionnaires as final assay data, which were obtained by health care workers who work for hospitals or higher-level hospitals, which are located in Jeolla-do through direct survey method. The results are as follows. First, with the result, which is an analysis of differences in environmental factors, job satisfaction, and reduction rates (inpatient/outpatient), there was a significant difference in the environmental factors of medical institutions based on the age, marital status, job position, and the years of employment, and there was also a significant difference in job satisfaction based on the age, academic career, marital status, occupational description, and monthly income. In an inpatient reduction rate, a significant difference was shown in the age, academic career, and occupational description. In an outpatient reduction rate, a significant difference was shown in the age, marital status, job position, and the years of employment. Second, with the results of correlation analysis, which are determinations of a relationship between environmental factors, job satisfaction, and reduction rate, it was figured out that there is a negative correlation between inpatient reduction rate and job satisfaction, a negative correlation between inpatient reduction rate and the environmental factors, and also a negative correlation between outpatient reduction rate and job satisfaction. There is a significant positive correlation between the outpatient reduction rate and environmental factors, and between job satisfaction and environmental factors. Third, with the results of the impacts that the environmental factors and job satisfaction have on the reduction rate, there was a negative influence of the environmental factors on the inpatient reduction rate, and also a negative influence of job satisfaction on the inpatient reduction rate. There was a significant positive influence of the environmental factors on the outpatient reduction rate, but there was no negative influence of job satisfaction on the outpatient reduction rate.

The Study on a Various Parameter for the CT Test and the Patients-Anxiety of Factor Related (CT검사 시 다양한 매개변수와 환자의 불안 요인에 관한 연구)

  • Baek, Cheol-Oh;Han, Man-Seok
    • Journal of radiological science and technology
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    • v.34 no.2
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    • pp.149-156
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    • 2011
  • This study is to identify perceptions and response degrees of anxiety for each factor, targeting patients for CT test and analyze the relations between factors. It is to provide scientific fundamental data to reduce anxiety by improving awareness of patients about CT test by analyzing relations between variables. The subjects of this study were surveyed in self-writing type, targeting 263 patients for CT test in the department of radiology at three University hospitals from July to September, 2010. This survey was executed once by a structured self-administered survey type. The targeting patients for CT test of anxiety will investigate for affect. Anxiety by each CT test variables depending on CT test-related features showed independent variable is Expense Responsibility, Economic burden, Sufficient explain, Explain agent, Endoscope, Biopsy, Pre treatment, Previous experience, CT side effect experience, Side effect of contrast medium and dependent variable is physical, Hospital staff, Hospital environment, Socioeconomic These used statistics program SPSS (ver. 13.0). Summarizing the above results of this study, awareness of anxiety and response to it in each variable under CT test appeared significant differences in economic burdens, state anxiety, pre-treatment anxiety, exposure anxiety to radiation, and anxiety of side effect. Therefore, pre-treatment before test and pre-training programs on chemical poison of contrast medium and side effect seem to be able to release patients' anxiety level for CT test. Ways to meditate these anxiety variables and reduce degree of anxiety are needed to be researched more and updated. In addition, impact of patients' economic burdens on CT test anxiety is required to be recognized and solved in society level.

Environmental Microbial Assessment of Food Services at Elementary Schools in Western Gyeongnam Pyovince (서부 경남 지역 초등학교 급식소에서의 환경미생물 평가)

  • 박선자;하광수;심원보;박민경;정덕화
    • Journal of Food Hygiene and Safety
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    • v.18 no.1
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    • pp.14-24
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    • 2003
  • Two aims of the present study were the evaluation of hygienic, microbial safety on food services of elementary schools in Western Gyeongnam province, and then, the construction of database for the SSOP (Sanitation Standard Operation Procedures) practice. A total of 98 samples were collected from drinking water, waterworks, kitchen utensils, kitchen equipments, employees and cooked foods. Total bacteria was counted and pathogenic bacteria such E. coli, salmonella, yersinia, vibrio parahaemolyticus and staphylococcus were identified based on the biochemical analysis. Following are the results: the number of bacteria showed from 1.0x10$^2$CFU/ mL to 1.0x10$^{6}$ CFU/mL in most samples, which the level exceeds normal range. Over 1.0x10$^{5}$ CFU/ml bacteria were observed from the kimchi in 4 places (B, C, D, E), because cooked food such as kimchi had not been heated. As a rule, the bacterium level in place B was higher than that in any of the other places. E-coli were isolated from kitchen knives (C, E) and Kimchi (E): staphylococci were isolated from drinking water (A), hands (D), refrigerator (E) and apron (E). But, salmonella, vibrio and yersinia were not detected in anywhere. In conclusion, the presence of bacteria and pathogenic agents in school food service was closely related to hygienic practice. For that reason, it is necessary to have more systematic and efficient management in order to enhance the food safety.