• KDI Journal of Economic Policy
• /
• v.36 no.4
• /
• pp.103-133
• /
• 2014

We consider the economic value of emergency medical facilities. An emergency medical facility affects the medical environments in a community, and thus the social demand on the facility increases as the demand of qualified public health service increases. Regarding the increased demand and the limited resources of fiscal budget, it is important to scientifically evaluate the social benefit of the public investment on emergency medical facilities, as the results of evaluation can help make better budgetary decision on each public investment project of emergency medical facilities. In this paper, we try to estimate the economic value of emergency medical facilities based upon the estimated changes in preventable death rate by the facility and the statistical value of life. We hope the results contribute to improve the budgetary decision making on the emergency medical facility projects, thus the public health policies.

• Quality Improvement in Health Care
• /
• v.2 no.2
• /
• pp.72-111
• /
• 1996

Background: Group occupational health program by non-for-profit agency, started five years ago, for management of health problems in small and medium sized industries, is one of the measures to cope with limited human and financial resources in occupational health. The program has been rapidly expanding to include 54 participating institutions, private as well as public, all over the country. In spite of its potential impact on health of employees and practice of occupational health in small and medium sized industries, comprehensive evaluation in terms of quality has not been tried. Objectives : The aim of this study are to develop and apply criteria to assess quality of newly developed Korean group occupational health program. Methods : By defining occupational health services, in particular for small and medium sized industries, as one of the primary health care, we included followings as core elements of sound occupational health program; accessibility, continuity, intersectoral collaboration, comprehensiveness, community participation, technical quality, adequacy, focus on preventive services, acceptability, and workers' satisfaction. Again we divided each elements into five major components of national health system infrastructures developed by World Health Organization; development of health resources organized arrangement or resources, delivery of health care, economic support, and management. In turn, we categorized each component into input, process and outcome aspects. After discussions in expert panel, several criteria were selected for evaluation of program. The criteria were modified according to each group of interviewees. Results: We developed five sets of questionnaire that evaluate the quality of 'Group occupational health program'. Conclusion : The refining of the measurement tool and the continuing evaluation process for the 'Group occupational health institute' should be done further.

• Environmental Analysis Health and Toxicology
• /
• v.19 no.2
• /
• pp.169-176
• /
• 2004

ETS (environmental tobacco smoke) is composed of exhaled mainstream smoke (MS) from the smoker, sidestream smoke (SS) emitted from the smoldering tobacco between puffs and contaminants that diffuse through the cigarette paper and mouth between puffs. These emissions contain both vapor phase and particulate contaminants. ETS is a complex mix of over 4,000 compounds. This mix contains many known or suspected human carcinogens and other toxic agents. More of these toxic compounds are found in SS than in MS. Workplace exposure to ETS can result in significant smoke intake, and passive smoke exposure may be related to impair respiratory function and an increase risk of lung cancer in nonsmokers. For nonsmokers sharing a work environment with cigarette smokers, the workplace must be considered hazardous independently of any specific industrial toxic exposure. The risk is particularly important when a high percentage of the workers smoke or where smokers and nonsmokers work in poorly ventilated areas. Nicotine is converted in the body to cotinine; cotinine therefore can be used as an indirect measure of a person's recent exposure to tobacco smoke. Levels of nicotine in hair and levels of cotinine in body fluids (saliva and urine) have been shown to increase with increasing environmental nicotine levels and with self-reported ETS exposure. The measurement of nicotine or cotinine in hair may be more appropriate for longer-term exposure to tobacco. The purpose of this study is to comparing airborne nicotine levels and hair cotinine level in restaurant workers. Concentration of airborne nicotine and hair nicotine (and cotinine) is closely related to exposed frequency of sidestream smoke in the workplace. Nicotine in hair is a better predictor of airborne nicotine than hair cotinine. Hair nicotine can be a useful tool to assess ETS exposure interventions. It may have limiting levels of ETS exposure by placing regulatory restrictions on smoking in workplaces and in public spaces.

• Journal of Convergence for Information Technology
• /
• v.10 no.10
• /
• pp.259-267
• /
• 2020

This study explored a structural model that predicted the influencing factors of GRIT and job crafting on the organizational effectiveness of organizational commitment and job satisfaction of medical center employees and verified the relationship between them. This study was conducted on 450 subjects, including doctors, nurses, administrative staff, and technical health service staff working at a university-affiliated hospital, from June 1, 2020 to June 15, 2020, and collected data were analyzed using SPSS 26.0 and AMOS 26.0. The results of this study showed that the higher the GRIT, the more active the job crafting(β=.751, p<.001), which appeared to have a positive effect on organizational commitment (β=.297, p=.005) and job satisfaction(β=.353, p<.001). Although the GRIT of medical center employees did not show a direct effect on organizational commitment and job satisfaction, indicators of organizational effectiveness and employees' job crafting thoroughly played an intermediary role in the relationship between GRIT and organizational effectiveness. These results are expected to be utilized as useful information in developing measures for human resources management of medical center employees.

• Journal of the Korea Convergence Society
• /
• v.9 no.1
• /
• pp.103-109
• /
• 2018

This study was to measure the awareness of the patient safety culture of medical workers in various occupations working in hospitals and tried to be used as useful data. As a result of evaluating department (ward), hospital, immediate supervisor/manager, communication & procedures and frequency of accident reports, the patient safety accidents considered to be the most dangerous, technicians showed high results in the department(ward), nurses showed high results in the immediate supervisor/manager area. Radiological technologists and physical therapists recognized falls and clinical pathologists and nurses recognized before during after the test as the most dangerous patient safety accidents. To raise awareness of patient safety culture, executives and practitioners should create an atmosphere in which practitioners can prioritize patient safety, gain and manage appropriate personnel, manage cooperative systems between workers or departments.

• Korean Journal of Mineralogy and Petrology
• /
• v.33 no.1
• /
• pp.73-86
• /
• 2020

The materials generating from volcanic eruption are volcanic gases, lavas and pyroclastic materials. Volcanic ash which has small-grain size (< 2 mm in diameter) can be moved easily and disperse widely, thus it may affect to communities across hundreds of square kilometers. The impacts from volcanic ash fall on people, structures, equipments, plants and livestock largely depend on ash thickness. According to increasing ash thickness, the intensity and area of damage may increase and affect significant damages not to human health but also to infrastructures. To reduce the impacts from volcanic ash fall, we have to establish the guidances about the nature and extent of the hazard and prepare the actions to increase abilities of communities to manage hazard. Although we don't have any experience caused by volcanic ash fall during and after volcanic eruption, we need to prepare the impacts of volcanic ash fall for future eruption in the areas surrounding Korea.

• 한국해양학회지
• /
• v.5 no.2
• /
• pp.59-64
• /
• 1970

The purpose of the study was to gather basic bacteriological data regarding the quality of Korean surface waters. Total coliforms, fecal coliforms and fecal Streptococci survey in the water of Lake Eui-Am were undertaken by the membrance filter technique. A total of 37 samples were collected in August 14, 1970. Total coliforms were detected in all samples, fecal coliforms and fecal Streptococci were detected in 68% and 82% of samples, respectively. Bacterial densities of the lake water were varied by station and depth. The numbers of bacteria per 100ml of the lake water were; 8-225(65.3 average) for the total coliforms, 0-112(26.2 average) for the fecal coliforms, 0-77(25.8 average) for the fecal Streptococci, and 8-302 (91.1 average) for the total number of total coliforms and fecal Streptococci. These results suggest that the Eui-Am lake water is only lightly polluted and indicate that the lake water, properly maintained, is a source of raw water of good bacteriological quality. Three forms of fecal pollution bacteria tend to increase with depth. This is believed that the suspended matter with conglomerated bacteria plays an important role in regulating of bacterial densities in summer season.

• Korean Journal of Fisheries and Aquatic Sciences
• /
• v.7 no.3
• /
• pp.145-162
• /
• 1974

시판되는 굴, 담치, 백합 등 패류는 깨끗한 수역에서 생산되어야 한다는 것은 공중보건상 매우 중요하다. 따라서 이들 서식해역에 대한 위생상태를 평가하는 것은 패류위생관리에 있어 가장 기본적인 일이다. 본 조사는 미국 Alabama주 West Fowl River 지역에 있어 패류위생관리상 양식장의 등급분류와 관련한 굴(Crassostrea virginica) 및 그 서식수의 위생학적 성상을 알기 위하여 실시되었다. 이 연구는 미국 국제개발처(AID) 연수계획에 의하여 이루워 졌음을 밝혀 둔다. 조사지역에 있어서의 감염원은 가옥, 소업체, 가축, 물새, 야생동물 등에 의한 일반적인 발기물과 배설물로 되어 있고 특별한 하수나 공업배출물은 없었다. 이 조사는 이 지방에 있어 건조기인 10월에 실시되었으며 조사기간중의 총 강우양은 0.08mm, 평균 기온은 $21.3^{\circ}C$, 바람은 동풍이 우세하였다. 저질은 뻘로 되어 있고 저호시 평균수침은 약 1m이며 조사기관중 평균 수온은 $26.0^{\circ}C$였다. 염분은 조사지점에 따라 상이하였으며 바다로 향한 강의 흐름에 따라 증가하고 평균 염분은 $18.0\~28.7\%$의 범위에 있었다. 해수 및 굴 양자의 Coliform 함양은 Fecal coliform 보다 시종 높았으며 Coliform 및 Fecal coliform의 수는 바다로 향한 강의 흐름에 따라 점차 감소하였다. 이것은 해수의 오염은 주로 지표수의 유입에 의한다는 것을 말하고 있다. 굴의 Coliform 및 Fecal coliform MPN은 해수의 그것보다 $11\~12$배 높았다. 조사수역에 설정한 7개소 Sampling station 중 오직 Station 7만이 패류양식장 허가해역의 세균학적 수질기준에 합당하였으며 굴의 Fecal coliform MPN은 시판용 패류의 세균학적 기준을 초과하고 있었다. EC test 양성시험관에서 분리된 세균의 $97.6\%$가 E. coli group로 나타나 EC test는 Echerichie Coli 시험에 매우 효과적인 방법임을 알 수 있다.

• Journal of Preventive Medicine and Public Health
• /
• v.40 no.5
• /
• pp.381-387
• /
• 2007

Objectives: This study was conducted in order to determine how the association between socioeconomic position(SEP) and health status changes with age among Seoul residents aged 25 and over. Methods: We utilized the 2001 and 2005 Seoul Citizens Health Indicators Surveys. We used self-rated 'poor' health status as an outcome variable, and family income as an indicator of SEP. In order to characterize the differential effects of socioeconomic position on health by age, we conducted separate multivariate analyses by 10-year age groups, controlling for sociodemographic covariates. In order to assess the relative health inequality across socioeconomic groups, we estimated the Relative Index of Inequality (RII). Results: The risk of 'poor health' is significantly high in low family income groups, and this increased risk is seen at all ages. However, the magnitude of relative socioeconomic inequality in health, as measured by the odds ratio and RII, is not identical across age groups. The difference in health across income groups is small in early adulthood (ages 25-34), but increases with age until relatively late in life (ages 35-64). It then decreases among the elderly population (ages more than 65). When the RII reported in 2005 is compared to that reported in 2001, RII can be seen to have increased across all ages, with the exception of individuals aged 25-34. Conclusions: The magnitude of health inequality is the greatest during mid- to late adulthood (ages 45-64). In addition, health inequalities have worsened between 2001 and 2005 across all age groups after economic crisis.

• Journal of Korean Academy of Rural Health Nursing
• /
• v.1 no.1
• /
• pp.21-31
• /
• 2006

Purpose: This purpose of this study was to examine the effect of a walking exercise program on blood pressure and related factors in older patients with hypertension living in rural areas. Method: The participants were 233 patients with hypertension, 60years or age or over, who were registered at one of 36 public health centers in North Chung Cheong Province and agreed to participate in this study. The program was implemented for 12 weeks from Dec. 2005to Feb. 2006. The data were collected before and right after the program and paired t-test was used to analyze the data. Analysis was done with the SPSS program. Result: Systolic pressure (t=7.460, p=0.000) and diastolic pressure (t=5.309, p=0.000) decreased significantly. Total cholesterol l (t=-9.991, p=0.000), LDL cholesterol and HDL cholesterol (t=-3.180, p=0.000) all increased significantly. There was no change in weight or obesity level. Blood sugar (t=2.218, p=0.028) decreased significantly. Knowledge of hypertension increased significantly as did the self-care behavior of these patients with hypertension. Conclusion: The walking exercise program was found to be effective to control blood pressure in older patients with hypertension in rural areas and to help HDL cholesterol, knowledge of hypertension, and self-care behavior of hypertension increase greatly, while blood sugar level decreased.