• Title/Summary/Keyword: Health facilities

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Status of Laboratory Biosafety and Biosecurity in Veterinary Research Facilities in Nigeria

  • Odetokun, Ismail Ayoade;Jagun-Jubril, Afusat Toyin;Onoja, Bernard A.;Wungak, Yiltawe Simwal;Raufu, Ibrahim Adisa;Chen, Jessica Corron
    • Safety and Health at Work
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    • v.8 no.1
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    • pp.49-58
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    • 2017
  • Background: This study determined current status of laboratory biosafety in Nigerian veterinary research facilities. Methods: A questionnaire was developed to obtain information from researchers across Nigeria from July 2014 to July 2015. Information regarding demographics, knowledge of laboratory biosafety, availability and proper use of personal protective equipment (PPE), any priority pathogens researched, attitude on and use of standard laboratory practices, and biosafety awareness was obtained using a numeric scoring system. Data were analyzed with descriptive statistics, and univariate and multivariate logistic regression. Results: A total of 74 participants from 19 facilities completed the questionnaire. General knowledge scores ranged from 3 to 28 (out of 28 possible points), with 94.6% of respondents receiving low scores (scores < mean + 1 standard deviation). Very few (17.6%) reported availability or use PPE. Many participants (63.5%) reported no access to biosafety level (BSL)-1-3 facilities. None reported availability of a BSL-4 facility. Knowledge scores pertaining to biosafety management practices ranged from 0 to 14 (out of 14 possible points) with 47.3% of respondents receiving good scores (scores > mean + 1 standard deviation). Only 16.2% of respondents (from four facilities) reported having biosafety officers. Rabies virus was the most researched pathogen (31.1% of respondents). The majority (71.6%) were unaware of laws guiding biosafety. Researchers [odds ratio (OR) = 18.0; 95% confidence interval (CI): 1.63, 198.5; p = 0.023], especially in BSL-2 (OR = 258.5; 95% CI: 12.71, 5256; p < 0.001) facility of research institute (OR = 25.0; 95% CI: 5.18, 120.6; p < 0.001), are more likely to have adequate access to and properly utilize biosafety devices and PPE. Conclusions: Current knowledge of laboratory biosafety is limited except among a few researchers.

Effects of 4% Hypertonic Saline Solution Mouthwash on Oral Health of Elders in Long Term Care Facilities (4% 고농도 식염수를 이용한 구강함수가 요양시설 입소노인의 구강건강에 미치는 효과)

  • Kim, Ju Ok;Kim, Nam Cho
    • Journal of Korean Academy of Nursing
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    • v.44 no.1
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    • pp.13-20
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    • 2014
  • Purpose: This study was done to examine the effects of 4% hypertonic saline solution mouthwash and tooth brushing education on the oral health of elders living in long term care facilities. Methods: In this quasi-experimental study, the participants were assigned to a 2% experimental group (n=20), a 4% experimental group (n=20), and a control group (n=20). Data were analyzed using ANOVA, repeated measures ANOVA, Fisher exact test, Chi-square test, Kruskal-Wallis test and multiple response analysis with the SAS program. Results: Regular tooth brushing and use of 4% hypertonic saline solution mouthwash by elders provided better oral health by decreasing xerostomia, oral tongue plaque, halitosis, and the number of oral bacteria. Conclusion: The results indicate that regular tooth brushing with continuous 4% hypertonic saline solution mouth washing education promotes oral health for elders in long term care facilities, thus the dental care described in this study is recommended for elders in long term facilities.

Koreans' Experience at Health Facilities in Thailand (한국인의 태국 의료기관 이용 경험)

  • Hyun, Kyung-Sun;Jeon, Kyung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.4
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    • pp.396-403
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    • 2008
  • Purpose: The purpose of this study was to identify experiences when Koreans who reside in Thailand visit Thai health facilities. Methods: The data were collected via direct interview from 36 Korean residents of Thailand. Collected data were analyzed by content analysis. Result: 1) 162 content analysis data were collected from the participants' statements. These data were categorized into 70 attributes and 9 higher attributes. 2) Out of the 70 attributes, the 3 attributes which were most commonly mentioned by the participants were the following: medical expense for foreigners were expensive(66.7%), difficulties in communication with health care providers(36.1%), kindness of nurses(33.3%). 3) The 9 higher attributes were 1) high medical expense to foreigner, 2) difficulties in communication, 3) distrust about medical service, 4) excessive prescription in oral medicine, 5) kindness, 6) good service, 7) difference in medical environment according hospital type, 8) irrational process in medical treatment for out patients, 9) cultural difference in postpartum care. Conclusion: When Korean residents in Thailand use Thailand health facilities, they experience high medical expense, difficulties in communication, low quality in medical service and kindness of the medical staff.

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A Study on the Method of Ecological Healthcare Facility for the Healing Environment (치유환경 조성을 위한 생태적 의료시설 계획에 관한 연구)

  • 이소영;박재승
    • Korean Institute of Interior Design Journal
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    • no.31
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    • pp.41-48
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    • 2002
  • The purpose of this study is to suggest healthcare facilities as ecological architecture. The physical environmental health of human mainly depends on the Quality of architectural natural environment, so it is very important to prepare healing environment on the healthcare setting. This study proceeds to search planning factors of healthcare facilities in ecological architecture through configuration of three main goals. It also explain the importance of ecological planning methods, and suggest a way of architectural planning of health-care facilities in future, through the study of the features and analysis of application methods. The future hospital should provide reduction of the effect on environments, increasing amenity, healing landscape. To create healthcare facilities ecological is essential not only to human health but also human survival.

A Study on the Re-structuring and Planning Strategies for Regional Healthcare Facilities in Kwang-ju City and Jeon-nam Province (광주, 전남지역의 의료시설 재편 및 그 실행방안에 관한 연구)

  • Choi, Kwang-Seok
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.11 no.1
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    • pp.43-54
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    • 2005
  • This study is a second paper of the re-structuring strategies of healthcare facilities in Kwang-ju and Jeon-nam province for it's competition power in the emerging global health care market. Kwang-Ju city and Jeon-nam province have had difficulties in building a balanced healthcare system because of rapidly declining population, weakened healthcare infra-structure and geographical problems of healthcare supply by numerous islands. This paper presents the new approaching process for re-building healthcare network in the regional healthcare facilities planning. In addition, it analyzes health planning index, healthcare system, the concept of health care networking, etc. Finally, this presents the case study of regional healthcare facilities planning in Kwang-ju city and Jeon-nam Province.

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Long-Term Care Facility Caregivers' Need to Reduce Physical Burdens (장기요양시설 요양보호사의 신체부담 경감에 대한 요구)

  • An, Heelan
    • Korean Journal of Occupational Health Nursing
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    • v.32 no.4
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    • pp.141-151
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    • 2023
  • Purpose: This study explored caregivers' support needs to relieve their physical burden while working in long-term care facilities. Methods: Participants were 12 caregivers with more than 10 years of experience working at six long-term care facilities in Gwangju, South Korea. Data were collected through individual interviews conducted between June and July 2023. The results were analyzed using qualitative content analysis. Results: Of the four sub-categories and 13 codes, two categories emerged: "need for welfare medical devices" and "need for improved working conditions." Conclusion: Caregivers working in long-term care facilities require support in deploying and utilizing welfare medical devices to reduce their physical burden, along with improving staffing standards and ensuring they receive the proper amount of days off. Therefore, it is necessary to mandate the provision of a certain level of welfare medical devices to ease the physical burden on caregivers and improve the standards for the placement of caregivers in long-term care facilities.

Meal Services at Long-term Care Facilities in Kyung-In Area (경인지역 요양시설의 식사지원 서비스 실태)

  • Kim, Jung Hee;Kang, Sun Nam;Lee, Kyung Hee
    • Journal of Home Health Care Nursing
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    • v.22 no.1
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    • pp.47-58
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    • 2015
  • Purpose: This study was aimed at understanding meal services provided at long-term care facilities. Method: Interview survey was conducted using questionnaires at 254 facilities located in the Kyung-In area. Result: Of the residents, 37.4% were eating meals unassisted. Eating places included living rooms and residents' rooms in most facilities. Major noise source was television in 63.8%. Apron was applied to all elderly residents at mealtimes in 49.6% of the facilities. Half of the facilities used feeding utensils except for ordinary spoon and chopsticks. Of the facilities having individual prosthetic devices, dentures were applied before eating in 98%, glasses in 20.2% and hearing aids in 9.2%. Most facilities included the residents' favorite foods in menu: wheres, only 9.4% offered the menu which residents could choose. Conclusion: Standard guidelines and staff education for meal services need to be provided for elderly residents.

Review of Debate over the Expansion of Public Medical Facilities to Enhance the Public Role in the Medical Care Sector (의료의 공공성제고와 공공의료기관 확충 논의의 검토)

  • 이규식
    • Health Policy and Management
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    • v.11 no.1
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    • pp.107-130
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    • 2001
  • During the last year, we had a very severe situation with the strike of physicians working in medical facilities. From that time, many politicians and scholars insisted on the expansion of public hospitals to enhance the public role in the medical care sector. They think that private medical facilities work for profit motivation and that the high proportion of private to whole facilities is an obstacle to the public function of medical care under social insurance system. They found that one of the reasons for failing to prevent the physicians' strike was the high proportion of private facilities. Others insisted that the strike was not a good reason for the expansion of public hospitals. The physicians' strike was a very rare case, and it is not a good basis for generalization of the discussion of public hospitals. Last year almost all apprentice physicians in public facilities took part in the strike, and consequently the public hospitals also lost the role of public function. They view this increasing involvement of government in the medical sector as improper and the cause of inefficiencies. In this paper we review the debate over the expansion of public facilities. To clarify the debate, we review traditional criteria for the role of government in a market system and to apply these criteria to medical care. There are two traditional areas where government Is acknowledged to have a role in a market system: market imperfections and market failure. Where market imperfections and market failure exist, there may be a role for government. The justifications for government intervention are consumer protection and the existence of externalities. One of externalities is to provide medical care for the poor. The appropriate measures to provide medical owe to the poor can be sought in both demand and supply side subsidies. National health insurance is a method of demand subsidies and establishment of public hospitals is a method of supply side subsidies. Under the National Health Insurance System, the expansion of public hospitals is not an appropriate subsidy policy.

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A Comparative Study on Policies of Elderly Abuse in the Long-Term Care Facilities on WHO, Main countries (장기요양시설내 노인학대 대응정책에 관한 연구: WHO 및 주요국의 정책 비교를 중심으로)

  • Moon, yongpil;Lee, hoyong
    • 한국사회정책
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    • v.24 no.1
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    • pp.67-95
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    • 2017
  • This study compared policies of elderly abuse of long-term care facilities on WHO, Main countries for improvement of Korean policy. So, This study reviewed policies of elderly abuse of long-term care facilities on WHO, Main countries. So, This study reviewed risk factors that may increase the potential for abuse of an older person can be identified at individual level, care-woker levels, socio-cultural levels and facilities levels. The results of the study were as follows: First, The openness of long-term care facilities are emphasized on many countries. There are a need for a policy considerations such as policies of Ombudsman, Adult guardianship for visiting facilities, external monitoring. Second, There was a difference of facilities infrastructure and workers of treatment condition long-term care facilities each other countries. So It is important to improve facilities infrastructure and workers of treatment condition. Third, It is necessary to consider traits of elderly in long-term care facilities. Especially, it is required to manage dementia elderly and elderly on night time in long-term care facilities. Finally, implications and future directions of policies of elderly abuse of long-term care facilities were discussed based on the finding of the study.