• Title/Summary/Keyword: Health Technology Assessment

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Development of a nanoparticle multi-generator for assessment of inhalation hazard

  • Lee, Sung-Bae;Han, Jeong-Hee;Kim, Tae-Hyun;Cha, Hyo-Geun;Lim, Cheal-Hong
    • Analytical Science and Technology
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    • v.34 no.2
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    • pp.87-98
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    • 2021
  • In this study, we developed the nanoparticle multi-generator by 3D printer fusion deposition modeling (FDM) method that can reliably generate and deliver nanoparticles at a constant concentration for inhalation risk assessment. A white ABS filament was used as the test material, and SMPS was used for concentration analysis such as particle size and particle distribution. In the case of particle size, the particle size was divided by 100 nm or less and 100 to 1,000 nm, and the number of particles concentration, mass concentration, median diameter of particles, geometric average particle diameter, etc were measured. The occurrence conditions were the extruder temperature, the extruding speed of the nozzle, and the air flow rate, and experiments were conducted according to the change of conditions including the manufacturer's standard conditions. In addition, the utility of inhalation risk assessment was reviewed through a stability maintenance experiment for 6 h. As a result of the experiment, the size of the nanoparticles increased as the discharger temperature increased, as the discharge speed of the nozzle increased, and as the air flow rate decreased. Also, a constant pattern was shown according to the conditions. Even when particles were generated for a long time (6 h), the concentration was kept constant without significant deviation. The distribution of the particles was approximately 80 % for particles of 60 nm to 260 nm, 1.7 % for 1 ㎛ or larger, 0.908 mg/㎥ for the mass concentration, 111 nm for MMAD and 2.10 for GSD. Most of the ABS particles were circular with a size of less than 10 nm, and these circular particles were aggregated to form a cluster of grape with a size of several tens to several hundred nm.

Analysis of Needs for Clinical Dental Hygienist's Performances Using Borich Needs Assessment and the Locus for Focus Model

  • Yang-Keum Han;An-Na Yeo
    • Journal of dental hygiene science
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    • v.23 no.1
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    • pp.1-12
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    • 2023
  • Background: This study aimed to identify the present level and needs of clinical dental hygienists and to present the Borich needs assessment and the locus for focus model as integrated priorities. Methods: The participants of this study were dental hygienists working in dental clinics (hospitals). The final data of the 194 participants were analyzed using frequency analysis and a paired sample t-test. To analyze the need for clinical dental hygienists to perform work, the Borich priority determination formula was used. The x-y plane consisting of four quadrants was used to analyze the need using the locus for focus model, which helps to determine the priority while showing visual effects. Results: "Scaling" was the highest required level for clinical dental hygienists, and "panorama taking" was the highest present level. The priorities of educational needs were systematically and visually derived from dental hygienists who were currently working through the Borich needs assessment and the locus for focus model for each task performed in the clinical field. Through the priorities of these two models, a total of 13 items appeared in the common high-level area; "oral health care (disability)," "oral health care (systemic disease)," "applying a rubber dam," "professional mechanical tooth cleaning," "root planing," "taking vital signs," "medication counseling," "wire cutting," "removing cement after removing band/bracket," "delivering bracket," "preparing mini-screw implantation," "dental insurance claim," and "patient reception." Conclusion: Based on the results, the department of dental hygiene should maintain and improve the standardized clinical practice curriculum and clinical dental hygienists' practical skills and contribute to the realization of the legal scope of dental hygienists, reflecting the requirements of clinical fields.

Electronic Pen-based Unilateral Visual Neglect Assessment and Rehabilitation System (전자펜 기반 편측시각무시(UVN) 환자 검사 및 재활치료 시스템)

  • Kim, Joonkyo;Jee, Haemi;Park, Jaehyun
    • Journal of Institute of Control, Robotics and Systems
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    • v.20 no.6
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    • pp.647-650
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    • 2014
  • Assessment and rehabilitation of patients with unilateral visual neglect has been one of the fields that require assistive technology. Paper-and-pencil tests, including the LBT (Line Bisection Test), have been one of the most commonly used visual neglect assessment methods used in a clinical setting. The key motivation of this study was to establish a computer-based real-time assessment system for the hemi-neglect patients without altering the conventional paper-and-pencil based user tools. A digital penbased assessment and rehabilitation system, the ePen System, could eliminate the manual assessment time while maintaining measurement accuracy. As a result, the proposed system may assist rehabilitation specialists to assess and diagnose patients with unilateral visual neglect. This system can be applied to a range assessment and rehabilitation modalities based on a pen and paper. It can also be applied to various patients such as those with Parkinson's disease, stroke sufferers, or those who have experienced different forms of brain lesions.

The Relationship between Oral Health Education Experience, Oral Health Knowledge Level, Oral Health Education Request Level, and the Geriatric Oral Health Assessment Index(GOHAI) of Some Elderly (일부 노인의 구강보건교육경험과 구강보건지식수준, 구강보건교육요구도 및 노인구강건강평가지수(GOHAI)의 관련성)

  • Min, Hee-Hong;Jung, Su-Jin
    • Journal of Convergence for Information Technology
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    • v.12 no.1
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    • pp.109-118
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    • 2022
  • This study was conducted to emphasize the importance of oral health education by identifying the relationship between the oral health knowledge level, the oral health education request level, and Geriatric Oral Health Assessment Index(GOHAI) of the elderly. The survey was conducted on 191 elderly people aged 65 and over living in Chungbuk from January 6, 2020 to February 7, 2020, and for data analysis, χ2-test, t-test, Pearson correlation analysis, logistic regression analysis were performed. As a result, it was found that the quality of life as measured by GOHAI increased when they had oral health education experience, had a high level of oral health knowledge and oral health education request level, and had regular oral examinations. Based on the above results, in order to improve the quality of life related to oral health of the elderly, it is necessary to prepare policies to increase the participation rate by developing and continuously expanding opportunities for oral health education in various ways.

The cognition of denture fabrication activities and the costs in National Health Insurance for elderly denture (노인틀니 국민건강보험의 틀니제작행위 및 비용에 관한 인식)

  • Yu, Chin-Ho;Nam, Sang-Yong;Kim, Ji-Hwan;Nam, Kwan-Woo;Lee, Sun-Kyoung
    • Journal of Technologic Dentistry
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    • v.38 no.4
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    • pp.327-342
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    • 2016
  • Purpose: The purpose of this study was to investigate the cognition of denture fabrication activities and its cost in National Health Insurance for elderly denture. Methods: A self-administered questionnaire was completed by 41 dental laboratories' owner who was research subjects of HIRA(Health Insurance Review & Assessment Service)'s policy research for elderly denture in 2011. The questionnaire consisted of general characteristics of the subjects, dental technicians' knowledge of national health insurance coverage of elderly denture, job-related changes after national health insurance coverage of elderly denture including validity of denture fabrication activity classification and the cost for each service. Each question was measured by Likert 5 point scale or frequency. The collected data were analyzed by SPSS 16.0. Results: Most of the research subjects had been fabricating national health insurance coverage denture(92.7%), also had ample knowledge of national health insurance coverage denture for elderly. Job-related changes after national health insurance coverage of elderly denture revealed marginal differences in the quality. The validity of fabrication activity classification of resin based complete denture was $3.71{\pm}1.023$ by Likert 5 point scale. Conclusion: The goal of national health insurance for elderly denture is to promote elderly's health and well-being. To fabricate denture is a very important part of the denture treatment. For this reason, denture fabrication activity classification and the cost analysis plan should be duly reflected in the policy of national health insurance for elderly denture.

Prevalence of MSDs and Postural Risk Assessment in Floor Mopping Activity Through Subjective and Objective Measures

  • Naik, Gouri;Khan, Mohammed Rajik
    • Safety and Health at Work
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    • v.11 no.1
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    • pp.80-87
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    • 2020
  • Background: Residential and commercial cleaning is a part of our daily routine to maintain sanitation around the environment. Health care of professionals involved in such cleaning activities has become a major concern all over the world. The present study investigates the risk of musculoskeletal disorders in professional cleaners involved in floor mopping tasks. Methods: A cross-sectional study was performed on 132 mopping professionals using a modified Nordic questionnaire. The Pearson correlation test was implemented to study the association of perceived pain with work experience. The muscle strain and postural risk were evaluated by means of three-channel electromyography and real-time motion capture respectively of 15 professionals during floor mopping. Results: Regarding musculoskeletal injuries, risk was reported majorly in the right hand, lower back, left wrist, right shoulder, left biceps, and right wrist of the workers. Work experience had a low negative association with MSDs in the left wrist, right wrist, right elbow, lower back, and right lower arm (p < 0.01). Surface EMG showed occurrence of higher muscle activity in upper trapezius and biceps brachii (BB) muscles of the dominant hand and flexor carpi radialis and BB muscles of the nondominant hand positioned at the upper and lower portion of the mop rod, respectively. Conclusion: Ergonomic mediations should be executed to lessen the observed risk of musculoskeletal injuries in this professional group of workers.

Application and Improvement Plan of the Comprehensive Assessment for River Environments - Focusing on Tributary Streams of the Han River in Seoul - (하천환경종합평가의 적용 및 개선방안 - 서울시 한강 지류하천을 중심으로 -)

  • Ahn, Hong-Kyu;Lee, Sang-Hoon
    • Journal of Environmental Impact Assessment
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    • v.29 no.6
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    • pp.441-452
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    • 2020
  • The assessment of the river environment is widely applied as a method to establish the purpose and direction of river rehabilitation projects. This includes surveying and assessing the current state of the river environment and determining whether a previous river project was properly executed. The city of Seoul executed ecological river rehabilitation activities for the tributaries of the Han River from the 2000s following a masterplan to recover the physical shape and ecological functionality of damaged rivers. After the rehabilitation activities, the river environment had been changed substantially. In this study, physical properties, water quality properties, and ecological properties were assessed for 28 tributaries underthe control of the city of Seoul, and then those 3 properties were synthetically reassessed. From the result of the study on the physical properties, it was found that mostrivers had II-III grades. As for water quality properties, rivers had III-IV grades. The damaged rivers showed low grades of D-E based on the Aquatic Ecosystem Health evaluation. Accordingly, we concluded that all rivers of Seoul City have an unhealthy environment in terms of water quality and Aquatic Ecosystem Health, therefore it is regarded that long-term and systematic improvements are required.

A Survey on the Actual State of Recognition of New Health Technology in Korean Medical Doctors (한의사의 신의료기술 인식 실태 조사)

  • Lee, Bong-Hyo;Lee, Young-Joon;Park, Hwang-Jin;Kwon, Oh-Min;Han, Chang-Hyun
    • Korean Journal of Acupuncture
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    • v.29 no.2
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    • pp.327-342
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    • 2012
  • Objectives : Nowadays, the assessment of new health technologies is gaining interest as an important issue for the safety of national health in the rapidly changing medical environment. The aim of this study is to understand how ignorant the korean medicine doctors are of new health technologies. Methods : The authors conducted a survey on the status of the ignorance of new health technologies in Korean medical doctors by e-mail. Results : Korean medical doctors' ignorance of new health technologies proved serious. The awareness of the law, however, was reached to some degree. The respondents answered that the present items of Korean Medicine listed in the medical care expenses by national health insurance system are too deficient to treat their patients effectively. Conclusions : It is strongly needed to try for more active registration of Korean medical new health technologies.

Residue analysis and risk assessment of ethoxyquin and ethoxyquin dimer in farmed fish (양식어류 중 Ethoxyquin과 Ethoxyquin dimer의 잔류분석 및 위해평가)

  • Choi, Young-Hee;Ko, Suk-Kyung;Ryu, Seung-Hee;Jin, Young-Hee;Kwak, Jae-Eun;Lee, Myung-Sook;Kim, Bog-Soon;Hang, In-Sook
    • Korean Journal of Food Science and Technology
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    • v.53 no.3
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    • pp.239-244
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    • 2021
  • In the present study, liquid chromatography tandem-mass spectrometry was used to conduct a risk assessment of ethoxyquin and ethoxyquin dimer residues in 288 farmed fish sold in wholesale and traditional markets in Seoul. The detection range (detection rate) of ethoxyquin and ethoxyquin dimer was 0.005~0.309 mg/kg (4.9%) and 0.001~2.828 mg/kg (69.8%), respectively. Ethoxyquin was detected only in freshwater eels, loaches, catfish, and flatfish, whereas ethoxyquin dimer was present in all fish species. To estimate the dietary exposure levels of ethoxyquin and ethoxyquin dimer, the hazard index, calculated using the acceptable daily intake and estimated daily intake, ranged from 0.001 to 0.300%. Our results indicate that there is no significant exposure risk to humans from these farmed fish despite 10 farmed fish samples exceeding the maximum residue level (1.0 mg/kg as the sum of ethoxyquin and ethoxyquin dimer).

A Comparative Study on the Legal System for Risk Assessment in the Workplace (사업장 위험성평가에 관한 법제의 비교법적 고찰)

  • Jung, Jin-Woo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.31 no.4
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    • pp.304-316
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    • 2021
  • Objectives: By comparing and analyzing the legal system for risk assessment in South Korea with other advanced countries, the study is designed to identify the key elements of risk assessment and seek improvement measures while focusing on solutions to the execution of risk assessment violations. Methods: The study started with an awareness of the need to improve the legislation on the risk assessment of businesses in Korea. In order to reflect this problem consciousness in Korea's industrial safety and health legislation, risk assessment legislation in Japan, Britain, Germany, and Korea was analyzed in comparative terms through the literature. Results: Unlike the other advanced countries, the concept of risk assessment is defined in Korea in a broad sense that includes measures to reduce risk, and risk assessment in the manufacturing and design stages is not institutionalized. In the case of worker participation, there is a problem regarding effectiveness. It is problematic that compared to the other foreign countries there is a possibility that general risk assessment will be neutralized because it is recognized as a uniform general risk assessment for a particular risk assessment, as well as inadequate risk assessment. Conclusions: The areas diagnosed with problems compared to the legislation in other advanced countries should be improved by revising laws and administrative rules and supplementing the explanatory guidelines, etc. by referring to the legislation of these countries. In particular, the issue of enforcement for violations of risk assessment must be improved in order to ensure the effectiveness of risk assessment.