• Title/Summary/Keyword: Exposure Measures

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Gender Reassignment Surgery in Human Immunodeficiency Virus-Positive Patients: A Report of Two Cases

  • Kim, Seok-Kwun;Choi, Ji-An;Kim, Myung-Hoon;Kim, Min-Su;Lee, Keun-Cheol
    • Archives of Plastic Surgery
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    • v.42 no.6
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    • pp.776-782
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    • 2015
  • It is believed that surgery on human immunodeficiency virus (HIV)-positive patients is dangerous and should be avoided due to the possibility of postoperative infection of the patients or HIV occupational transmission to the medical staff. We discuss here the preparations and measures needed to conduct surgery safely on HIV-positive patients, based on our experience. We performed sex reassignment surgery on two HIV-positive patients from January 2013 to January 2015. Both of them were receiving highly active antiretroviral therapy and were asymptomatic, with a normal CD4 count ($>500cells/{\mu}L$). The HIV-RNA was undetectable within the bloodstream. All the staff wore protective clothing, glasses, and three pairs of protective gloves in the operating room because of the possibility of transmission. Prophylactic antibiotics were administered to the patients, and antiviral therapy was performed during their perioperative course. Neither of the patients had postoperative complications, and none of the medical staff experienced accidental exposure. Both patients had satisfactory surgery outcomes without complications. HIV-positive patients can undergo surgery safely without increased risk of postoperative complications or HIV transmission to the staff through the proper use of antibiotics, active antiretroviral therapy, and supplemental protective measures with post-exposure prophylaxis for the staff in case of HIV exposure.

Research on the Characteristics and Measures of Noise Exposure on Worker Wearing Acoustic Devices (음향도구 착용 근로자의 소음노출 실태에 관한 연구)

  • Kim, Kab-Bae;Yoo, Kye-Mook;Lee, In-Seop;Chung, Kwang-Jae
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.21 no.7
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    • pp.615-621
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    • 2011
  • There are hundreds of thousands call center workers wearing acoustic device. However, researches and noise exposure measurements on the noise transmitted from acoustic devices have seldom been performed due to the difficulty of measurement and to the absence of the measuring method in Korea. The aim of this study is to set up management measures to protect hearing loss on the call operator by acquiring measurement data of noise transmitted from the headset. Noise exposure measurements of 17 operators were performed in 7 call centers and head and Torso simulator method in compliance with the ISO standard 11904-2 was used for the measurement of noise transmitted from the headset. Sound pressure levels(SPL) transmitted from the headset were 73.2~86 dB(A). The operator exposed to the highest SPL set up his volume control at 9 which was the highest volume level. The volume control level, adjustable from 1 to 9, could be identified 12 out of 17 operators and the range of volume levels was 4.5~9. As a result of pearson correlation analysis, the correlation between volume level and SPL transmitted from the headset showed high relation as significance at the 0.672 level(p<0.05). To protect hearing loss of call center operators, it is more practical and effective measure to limit the volume level below the noise exposure level, i.e. 85 dB(A), rather than to carry out noise monitoring considering cost-effective aspect.

Polygonal Model Analysis on Occupational Exposure Record of Radiation Workers by Work Field (업종별 방사선작업종사자 피폭 기록 다각형 모델 분석 연구)

  • Je-Wan Park;Ji-Young Han;Yong-Min Kim
    • Journal of the Korean Society of Radiology
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    • v.17 no.2
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    • pp.277-284
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    • 2023
  • Since the radiological risk is different depending on the working environment, protection measures and policies must be developed through analysis of the field area environment. Evaluating the characteristics of the field area that uses radiation should be conducted through comparative analysis with other industries, not just the numerical value of the field area. In this study, evaluation factors were derived from exposure records by the department to compare radiation occupational exposure records by sector. And then, we developed a polygonal model for comparative analysis and applied them to eight work fields through ten evaluation factors. Based on the occupational exposure record in 2020, a polygonal model was applied to compare and evaluate the characteristics of the radiation work area. Through this, the usefulness of the polygonal model was confirmed, and protection policy measures for the industry were proposed.

Estimation of Secondhand Smoke Exposure in Clubs Based on Urinary Cotinine Levels (요중 코티닌 농도를 이용한 클럽 이용자들의 간접흡연 수준 평가)

  • Lee, Yu-Jin;Lee, Young-Ji;Jeon, Man-Joong;SaKong, Joon
    • Journal of Yeungnam Medical Science
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    • v.28 no.1
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    • pp.45-53
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    • 2011
  • Background: Increasing numbers of young people go to clubs. In Korea, however, no studies have been conducted regarding the exposure of club patrons to secondhand smoke. The present study was conducted to evaluate the degree of club customers' exposure to secondhand smoke. Methods: The study subjects included 10 male and 12 female non-smokers. The investigational site was a club located in Daegu. Urine samples were collected before exposure to secondhand smoke in the club and 6 hours after a 3-hour exposure. The urine cotinine levels were measured via the LC -MS/MS method. A survey was conducted to collect data regarding the subjects' smoking experiences and the degree of exposure to secondhand smoke in their daily lives. Results: The average urine cotinine level increased from 1.09 ${\mu}g/L$ to 5.55 ${\mu}g/L$ ($p$<0.05). No significant difference existed in the change in urine cotinine level between the male and female subjects. In addition, there was no significant difference in the change in urine cotinine level by the degree of exposure to secondhand smoke in daily life. Conclusions: The average urine cotinine level in all the subjects significantly increased after exposure to secondhand smoke. This is the first study on exposure to secondhand smoke in clubs; these results can be used to craft measures that reduce exposure to secondhand smoke in public places, such as clubs.

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Workers' Exposure to Indium Compounds at the Electronics Industry in Republic of Korea

  • Yi, Gwangyong;Jeong, Jeeyeon;Bae, Yasung;Shin, Jungah;Ma, Hyelan;Lee, Naroo;Park, Seung-Hyun;Park, Dooyong
    • Safety and Health at Work
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    • v.12 no.2
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    • pp.238-243
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    • 2021
  • Objectives: The aim of this study was to provide baseline data for the assessment of exposure to indium and to prevent adverse health effects among workers engaged in the electronics and related industries in Republic of Korea. Methods: Total (n = 369) and respirable (n = 384) indium concentrations were monitored using personal air sampling in workers at the following 19 workplaces: six sputtering target manufacturing companies, four manufacturing companies of panel displays, two companies engaged in cleaning of sputtering components, two companies dedicated to the cleaning of sputtering target, and five indium recycling companies. Results: The level of exposure to total indium ranged from 0.9 to 609.3 ㎍/m3 for the sputtering target companies; from 0.2 to 2,782.0 ㎍/m3 for the panel display companies and from 0.5 to 2,089.9 ㎍/m3 for the indium recycling companies. The level of exposure to respirable indium was in the range of 0.02 to 448.6 ㎍/m3 for the sputtering target companies; 0.01 to 419.5 ㎍/m3 for the panel display companies; and 0.5 to 436.3 ㎍/m3 for the indium recycling companies. The indium recycling companies had the most samples exceeding the exposure standard for indium, followed by sputtering target companies and panel display companies. Conclusions: The main finding from this exposure assessment is that many workers who handle indium compounds in the electronics industry are exposed to indium levels that exceed the exposure standards for indium. Hence, it is necessary to continuously monitor the indium exposure of this workforce and take measures to reduce its exposure levels.

Preventive Measures to Eliminate Asbestos-Related Diseases in Singapore

  • Lim, John Wah;Koh, David;Khim, Judy Sng Gek;Le, Giang Vinh;Takahashi, Ken
    • Safety and Health at Work
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    • v.2 no.3
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    • pp.201-209
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    • 2011
  • The incidence of asbestos-related diseases (ARD) has increased in the last four decades. In view of the historical use of asbestos in Singapore since the country started banning it in phases in 1989 and the long latency of the disease, the incidence of ARD can be expected to increase further. As occupational exposure to asbestos still occurs, preventive measures to eliminate ARD continue to be required to protect the health of both workers and the public from asbestos exposure. The majority of occupational exposures to asbestos at present occur during the removal of old buildings. Preventive measures have been utilized by different government ministries and agencies in eliminating ARD in Singapore over the past 40 years. These measures have included the enforcement of legislation, substitution with safer materials, and engineering controls during asbestos removal as well as improvements in personal hygiene and the use of personal protective equipment. The existing Workman's Compensation System for ARD should be further refined, given that is currently stipulates that claims for asbestosis and malignant mesothelioma be made within 36 and 12 months after ceasing employment.

X-선 발생장치 정류방식에 따른 출력특성에 관한 연구

  • Na, Gil-Ju;Baek, Su-Ung;Yang, Hyeon-Hun;Park, Gye-Chun
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2009.11a
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    • pp.126-126
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    • 2009
  • X-ray high-voltage generator is the most important part that can decide the radiation exposure dose affecting a patient or operator according to the characteristic. If decrease of X-ray radiation exposure dose and output characteristic of high-voltage generator is unstable, a patient or operator must be exposed to more radiation. This study measures and analyzes the exposure dose reproducibility and output characteristic according to a change of tube current on the various rectification methods of diagnostic X-ray equipment. It can find that quality bastardize and output is increased if voltage of X-ray tube is increased. Exposure dose reproducibility according to output of X-ray equipment is extremely excellent in inverter type, and is stable in order of following three-phase, a single-phase and condenser method. This study can find that the reply incidence of high-voltage generator is generated due to difference in rectification method, noise occurs in X-ray due to that, quality of an image is decreased due to that, and medical diagnosis can be failed due to that.

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Introduction of Directive 2002/44/EC

  • Park, Hee-Sok
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.2
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    • pp.375-379
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    • 2011
  • Objective: The aim of this paper is to introduce the Directive 2002/44/EC on the minimum health and safety requirements regarding the exposure of workers to the risks arising from vibration. Background: Human beings interact with machinery, and contact with vibration is commonplace. Unfortunately, continuous exposure to mechanical vibration can lead to physical injury. And standards are needed for identifying those at risk and for taking steps to mitigate the problem and reduce risk of injury. Method: The contents of the Directive were summarized and discussed, especially against its ISO counterparts. Results: The Directive deals with minimum safety and health prescriptions relative to workers' exposure to risks due to mechanical vibration. This directive specifies exposure limit values and action values. It also specifies employers' obligations with regard to determining and assessing risks, sets out the measures to be taken to reduce or avoid workers' exposure. Finally, it details how to make exposed workers aware of this issue. Conclusion: In spite of some limitations, it has recently been transcribed into all national laws of member States of European union. Application: The results of the paper might help to establish or update the domestic standards on vibration.

Risk Factors of Blood and Body Fluid Exposure in Clinical Nurses (임상간호사의 혈액과 체액 노출 위험요인)

  • Shin, Eun-Jung;Park, Ho-Ran
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.3
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    • pp.368-375
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    • 2006
  • Purpose: The purpose of this study was to investigate the risk factors of exposure to blood and body fluid by clinical nurses. Method: The participants in this descriptive study were 276 clinical nurses involved in nursing care in a general hospital located in Seoul. The collected data were analyzed using a logistic regression model. Results: The annual exposure rate to blood and body fluid by clinical nurses was 66.3%, and the ratio was higher in the exposed group than in the non-exposed group for nurses under the age of 25, nurses who were unmarried, nurses with low clinical experience, and nurses who work night shifts more than six days a week. Clinical nurses who were unmarried were 1.9 times more likely to have been exposed compared to married nurses. Nurses whose work experience was less than 18 months were 2.7 times more at risk than nurses with more than 18 months of experience. Also, nurses whose fatigue scores were high had an increased chance of exposure (1.9 times). Conclusion: It is necessary to provide intensive training programs for clinical nurses who are in the early months of their career and are likely to be young and unmarried, in order to prevent exposure to blood and body fluid. Administrative supports to self-control and hospital ward operation measures to relieve nurses' fatigue should be provided.

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A Review on Chemical Exposure and Related Health Risks in Laboratory Workers (실험실 근무자의 화학물질 노출과 건강 위험)

  • Byun, Hyae-Jeong;Park, Jeong-Im
    • Journal of Environmental Health Sciences
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    • v.36 no.6
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    • pp.441-455
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    • 2010
  • Researchers who work in science and engineering R&D laboratories are commonly exposed to a wide range of chemical, biological and physical hazards. They also may adopt ergonomically poor postures for long periods of time. These factors may increase the risk of adverse health outcomes in laboratory workers. Recently, there were several fatal accidents in the laboratories in universities and research institutes in Korea. Consequently, the 'Laboratory Safety Act' was enacted in 2006. However, there are concerns about the health risk associated with chronic exposures to hazards, as the management measures provided in this Act are very limited, focusing primarily on accident prevention and compensation for lab work-related accidents. In this article, the methods for assessing exposure to chemicals in laboratory environments are discussed. Also, epidemiological studies examining the association between laboratory exposure and health effects, including cancer and reproductive toxicity are extensively reviewed. Finally, the possible roles of environmental health professionals in this area are suggested, along with a list of critical research needs for properly assessing laboratory workers' exposure and risk.