• Title/Summary/Keyword: Health-related Departments

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Prevalence of Latent Tuberculosis Infection among Health Care Workers in South Korea: A Multicenter Study

  • Jo, Kyung-Wook;Hong, Yoonki;Park, Jae Seuk;Bae, In-Gyu;Eom, Joong Sik;Lee, Sang-Rok;Cho, Oh-Hyun;Choo, Eun Ju;Heo, Jung Yeon;Woo, Jun Hee;Shim, Tae Sun
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.1
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    • pp.18-24
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    • 2013
  • Background: We investigated the prevalence of latent tuberculosis infection (LTBI) among the health care workers (HCWs) and analyzed its risk factors in South Korea. Methods: A standard questionnaire regarding the baseline demographics and risk factors for LTBI was given to each participant and tuberculin skin test (TST), QuantiFERON-TB GOLD In-Tube (QFT-GIT) assay, and chest radiography were performed. Results: A total of 493 participants, 152 (30.8%) doctors and 341 (69.2%) nurses were enrolled in eight tertiary referral hospitals. The mean age of the subjects was 30.6 years old, and 383 (77.7%) were female. Of the 152 doctors, 63 (41.4%) and 36 (23.7%) were positive by TST and by QTF-GIT, respectively, and among the 341 nurses, 119 (34.9%) and 49 (14.4%) had positive TST and QFT-GIT results, respectively. Overall, the agreement between the two tests was 0.22 by the chance corrected proportional agreement rate (kappa coefficient) in 493 subjects. Experience of working in tuberculosis (TB)-related departments was significantly associated with positive LTBI test results by QFT-GIT assay, not by TST. In multivariate analysis, only age was independently associated with increased risk of a positive TST result, while age and experience of working in TB-related departments (odds ratio, 2.29; 95% confidence interval, 1.01-5.12) were independently associated with increased risk of a positive QFT-GIT result. Conclusion: A high prevalence of LTBI was found among South Korean HCWs. Considering the association between the experience of working in TB-related departments and high risk of LTBI, QFT-GIT may be a better diagnostic test for LTBI than TST in HCWs.

A study current curriculum on the department dental technology for advanced course at colleges (치기공과 전공심화 교육과정 운영현황에 관한 연구)

  • Hwang, Jae-Sun
    • Journal of Technologic Dentistry
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    • v.44 no.1
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    • pp.8-14
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    • 2022
  • Purpose: This study aims to provide basic data for developing and improving a nationwide curriculum for advanced courses in dental technology departments. Methods: For the study, the 2021 academic curricula for all six universities with operating departments for advanced study of dental technology were investigated from November 18 to December 10, 2021. If a curriculum was not available for analysis on the university's website, it was obtained via e-mail or phone and then analyzed. Results: The curricula offered advanced courses in a range of 7~14 subjects, with an average of 9.7 subjects. The total number of credits ranged 20~33, and the average for all universities was 25.2. Among the total subjects opened, digital-related subjects comprised the largest proportion at 26.2%, followed by other major-related subjects (e.g., dental techniques, occlusion, and implants) and other liberal arts subjects. Conclusion: The study revealed that the curricula for bachelor's-level dental technology course at universities adequately reflect the industry demand. In the future, university leaders must maintain ongoing collaboration and consultation with industry experts with regard to school curricula for analyzing the education demand and industry prospects, including careers.

Comparison of Hand Washing Awareness and Performance of College Students by Health Departments (일부 보건 계열 대학생에서 손 씻기의 인식도 및 실천도에 대한 비교)

  • Jang, Il-Yong;Yu, Seong-Hun;Kim, Jung-Sook
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.375-382
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    • 2020
  • The purpose of this study was to examine the awareness and performance of hand washing in some health-related college students and to provide basic data on the management of hand washing through the difference and correlation between awareness and performance. This study collected data from 367 questionnaires excluding non-response and unfaithful responses from health-related college students in nursing, physiotherapy and occupational therapy. The survey tool was a Likert 5-point scale self-filled questionnaire that examined general characteristics, hand washing awareness and performance. The general characteristics of the subjects were calculated by frequency analysis, and one-way ANOVA, awareness and performance were analyzed by Pearson's correlation. There was a significant difference in the awareness of hand washing in some health-related college students in the presence or absence of infection education and in all areas except gender. According to the characteristics of the health department, the awareness and performance of hand washing showed a significant difference in the order of physical therapy, occupational therapy, and nursing. There was a significant difference in hand washing awareness in grade characteristics and no significant difference in performance. There was a high correlation between awareness and performance of hand washing.

Assessment of Occupational Symptoms and Chemical Exposures for Nail Salon Technicians in Daegu City, Korea

  • Park, Sung-Ae;Gwak, Sugyeong;Choi, Sangjun
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.3
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    • pp.169-176
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    • 2014
  • Objectives: This study aimed to evaluate occupational symptoms and chemical exposures of nail salon technicians. Methods: Work-related symptoms of nail salon technicians in Daegu City were surveyed using a researcher-administered questionnaire, and responses were compared to those of non-exposed office workers as controls. Personal exposure level of airborne volatile organic compounds was also monitored using passive samplers. Results: A total of 159 subjects in 120 salons were interviewed. Average work-shift concentrations of 13 chemicals were measured for 50 workers from 30 salons using personal passive samplers. The most frequently reported respiratory or neurologic symptoms by nail shop technicians compared to controls were nose irritation (odds ratio [OR], 54.0; confidence interval [CI], 21.6 to 134.8), followed by headache (OR, 9.3; CI, 4.7 to 18), and throat irritation (OR, 4.3; CI, 2.2 to 8.5). For eyes and skin, 92% of respondents complained eye irritation (OR, 13.1; CI, 5.7 to 30.1). In musculoskeletal symptoms, workers reported pain or discomfort in shoulders (OR, 20.3; CI, 7.7 to 54) and neck (OR, 19.7; CI, 8.9 to 43.6). From personal measurements, the proportion of exceeding the Korean Occupational Exposure Limit was the highest for acetone with 64%, followed by toluene (50%), butyl acetate (46%), and methyl methacrylate (12%). However, the service was being provided without a proper ventilation system in most surveyed shops. Conclusions: Based on these findings, it is warranted to have appropriate local exhaust ventilation place to ensure adequate health protection of nail shop technicians as well as customers. At the same time, greater policy interests are warranted in nail care business to protect health of both workers and customers.

The Refinement Project of Health Insurance Relative Value Scales: Results and Limits (건강보험 상대가치 개정 연구의 성과와 한계)

  • Kang, Gil-Won;Lee, Choong-Sup
    • Health Policy and Management
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    • v.17 no.3
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    • pp.1-25
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    • 2007
  • Relative value scales introduced in 2001 remarkably improved health insurance fee schedule, but current relative value scales have many problems. In the beginning the government intended to introduce 'resource based relative value scales(RBRVSs)' like USA, but political adjustment of RBRVS studied in 19.17 weakened the relationship between relative value scale and resource consumption. So unbalance of health insurance fees are existing till now. Also relative value was not divided to physician work and practice expense, and malpractice fee was not divided separately. To correct the unbalance of current relative value scales, the refinement project of health insurance relative value scales started in 2003. The project team divided relative value scales into three components, which are physician work, practice expense, malpractice fee. Physician work was studied by professional organizations like Korean medical association. To develop the practice expense relative value, project team organized clinical practice expert panels(CPEPs) composed of physicians, nurses, and medical technicians. CPEPs constructed direct expense data like labor costs, material costs, equipment costs about each medical procedures. The practice expense relative values of medical procedures were developed by the allocation of the institution level direct & indirect costs according to CPEPs direct costs. Institution level direct & indirect costs were collected in 21 hospitals, 98 medical clinics, 53 dental clinics, 78 oriental clinics, and 46 pharmacies. The malpractice fee relative values were developed through the survey of malpractice related costs of hospitals, clinics, pharmacies. Putting together three components of relative values in one scale, the final relative values were made. The final relative values were calculated under budget neutrality by medical departments, that is, total relative value score of a department was same before and after the revision. but malpractice fee relative value scores were added to total scores of relative values. So total score of a department was increased by the malpractice fee relative value score of that department This project failed in making 'resource based' relative value scales in the true sense of the word, because the total relative value scores of medical departments were fixed. However the project team constructed the objective basis of relative value scale like physician's work, direct practice expense, malpractice fee. So step by step making process of the basis, the fixation of total scores by the departments will be resolved and the resource based relative value scale will be introduced in true sense.

Knowledge, Attitudes and Beliefs about Cervical Cancer and Human Papilloma Virus Vaccination with Related Factors in Turkish University Students

  • Yilmazel, Gulay;Duman, Nuriye Buyukkayaci
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3699-3704
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    • 2014
  • Background: This study aimed to determine knowledge, attitudes and believes about cervical cancer and human papilloma virus (HPV) vaccination with related factors in Turkish university students. Materials and Methods: This descriptive and cross sectional study was conducted between June-July 2013 in Hitit University located in Corum, a rural area to the East of Ankara. The population consisted of 550 university students who were training in first and last year from Faculties of Economics, Theology and Health. We reached 463 volunteer students without selection. The study of data was collected with a 44 item questionaire covering socio-demographic features, knowledge, attitudes and beliefs about cervical cancer, HPV and vaccination. Also for this study ethic committee report was taken from Bozok University. Data were evaluated with the SPSS 17.0 programme using the Ki kare test with P<0.05 accepted as statistically significant. Results: It was seen that there was a statistically significant variation between classrooms and departments of students with knowledge about cervical cancer and human papilloma virus and vaccine (p<0.001; p<0.01; p<0.05). Also we found low attitudes to thinking about taking HPV vaccination of girls and their children in the future. Conclusions: In light of the study findings; it was concluded that knowledge levels, beliefs and attitudes of the university students about cervical cancer, HPV infection and HPV vaccination were low.

Occupational Hazards in Firefighting: Systematic Literature Review

  • Maria F. Cuenca-Lozano;Cesar O. Ramirez-Garcia
    • Safety and Health at Work
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    • v.14 no.1
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    • pp.1-9
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    • 2023
  • Background: Firefighting involves exposure of firefighters to risks related to this activity, serious injuries, and occupational diseases are recorded. There are other consequences such as thermal and emotional stress. This systematic review is proposed in order to analyze the risks and consequences faced by these workers and thus provide elements to improve safety management systems in institutions. Method: A descriptive observational study of systematic literature review on the risks and consequences of exposure to firefighters' activity was proposed, and the information was analyzed and described based on the available data and according to the variables determined. Results: The studies showed data on mechanical, physical, chemical, psychosocial risks, workers' perception and resilience, and epidemiological data. Information related to firefighters' activity on falls and slips, exposure to noise, and high concentrations of carbon monoxide is detailed. In addition, the relationship between burnout, cognitive, and physical fatigue as adverse effects on health and performance is mentioned. Conclusions: Among the preventive measures, the use of personal protective equipment is suggested, incorporation in prevention programs of information on exposure to risk factors, as well as the implementation of models that can predict the perception of workers, additionally, the generation of management systems with safety climate models for fire departments.

Needs of Center-based Child Care Health Programs in Parents with Ill Children (급.만성질환 영유아 부모의 건강관리 특수보육에 대한 요구)

  • Bang, Kyung-Sook;Han, Kyung-Ja;Choi, Mi-Young
    • Korean Parent-Child Health Journal
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    • v.13 no.1
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    • pp.17-25
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    • 2010
  • Purpose: This study was conducted to investigate the recognition on center-based child care health programs for parents with ill children. Methods: Cross-sectional descriptive study with convenient sampling method was used and 136 parents were recruited from two university hospital outpatient departments and hospitalized wards, and they completed a structured questionnaire. Results: Majority (57.4%) of parents experienced a leaving work early or being absent from their work due to children's illness. Most dissatisfying factors in child care centers were child health management. Most of parents agreed on the need for a center-based child care health program, and wanted a better management of health care by health professionals in child care centers. Conclusion: These results support that there is a great demand for center-based child care health programs. These special programs are needed for reducing a child rearing burden for working mothers and overcoming the low birthrate in Korea. Health-care programs in child-care settings can help parents meet the health needs of their children while reducing absenteeism from work, thereby contributing to job stability. These results suggest discussions of the related policy with child care centers responsible and national health and educational authorities.

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Status of the Development and Utilization of Critical Pathways in Medical Institutions in South Korea (국내 의료기관의 표준진료지침 개발 및 운영 현황)

  • Oh, In-Ohg;Chang, Tae-Ik;Kim, Hyun-Jin;Han, Jung-Mi;Lee, Chun-Kyon
    • Quality Improvement in Health Care
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    • v.28 no.1
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    • pp.2-13
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    • 2022
  • Purpose: This study assessed the status of the Development and Utilization of critical pathways (CP) in South Korea. Methods: We surveyed 195 hospitals obtained on the Korean Hospital Association website. Data were collected using structured questionnaires for staff members in charge of CP management personnel in these hospitals. The questionnaire included CP developed by the institutions, the coverage rates and completion rates of CP in the current year, and management indicators related to CP. The questionnaire also included CP support systems and content within the institutions and questions regarding the advantages of CP utilization and obstacles associated with the CP development process. Results: Analysis of the responses from 70 hospitals (35.9% response rate) showed that a total of 1,370 CP sets were developed. The number of CP related to surgery departments was 365 (26.6%), and CP related to surgery and procedure was 1,093 (79.8%), respectively. The CP coverage rate was the most frequently used indicator to monitor the effect of CP (97.1%), followed by the completion rate (90.0%) and the length of stay in hospital (61.4%). CP managers reported that CP were highly useful for communication (3.39±0.493) and accurate information provision (3.39±0.491). The perception that CP violated doctors' autonomy in treatment was relatively low (2.87±0.645). Conclusion: It is necessary to establish an infrastructure in hospitals for CP. CP can facilitate communication and provide accurate information.

Relationship between the Characteristics and Physical, Mental and Social Health in the Elderly (노인의 일반적 특성과 신체적, 정신적, 사회적 건강간의 관련성)

  • Ko, Seung-Duk;Kim, Myung
    • Korean Journal of Health Education and Promotion
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    • v.13 no.2
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    • pp.115-129
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    • 1996
  • This study was designed to provide the material for the development of policies for the improvement of the quality of life the elderly by identifying the relationship among general characteristics, mental health, physical health and social health which exert an effect on the improvement of the quality of old people’s lives, development of a model capable of enhancing the quality of life for the elderly and establishing the future direction of health education. 1000 old people who were more than 60 years old were selected as subjects for this study, and the interview and inquire methods using the questionnaire and the self-completion method were employed to obtain data. 1. It was shown that there was a significant difference between the home elderly and Institutionalized elderly in terms of all measured items except stress item of general characteristic, as well as on almost measured items of physical health, mental health and social health, and it was shown that there was the interaction between departments. 2. Since it was shown that general characteristics, mental health, physical and social health were interrelated, it can be seen that one characteristic is mutually related to other characteristics.

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