• Title/Summary/Keyword: Hygiene and public health

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Evaluation of a new method, "non-injection resection using bipolar soft coagulation mode (NIRBS)", for colonic adenomatous lesions

  • Mitsuo Tokuhara;Masaaki Shimatani;Kazunari Tominaga;Hiroko Nakahira;Takuya Ohtsu;Katsuyasu Kouda;Makoto Naganuma
    • Clinical Endoscopy
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    • v.56 no.5
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    • pp.623-632
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    • 2023
  • Background/Aims: Endoscopic resection of all colorectal adenomatous lesions with a low complication rate, simplicity, and negative residuals is challenging. Hence, we developed a new method called "non-injection resection using bipolar soft coagulation mode (NIRBS)" method, adapted for colorectal lesions. In addition, we evaluated the effectiveness of this method. Methods: We performed NIRBS throughout a 12-month period for all colorectal lesions which snare resection was acceptable without cancerous lesions infiltrating deeper than the submucosal layer. Results: A total of 746 resected lesions were included in the study, with a 4.5 mm mean size (range, 1-35 mm). The major pathological breakdowns were as follows: 64.3% (480/746) were adenomas, and 5.0% (37/746) were intraepithelial adenocarcinomas (Tis lesions). No residuals were observed in any of the 37 Tis lesions (mean size, 15.3 mm). Adverse events included bleeding (0.4%) but no perforation. Conclusions: NIRBS allowed the resection of multiple lesions with simplicity because of the non-injection and without perforating due to the minimal burn effect of the bipolar snare set in the soft coagulation mode. Therefore, NIRBS can be used to resect adenomatous lesions easily, including Tis lesions, from small to large lesions without leaving residuals.

Analysis by Delphi Survey of a Performance Evaluation Index for a Salt Reduction Project (델파이 조사를 통한 저염화사업 성과평가 지표 분석)

  • Kim, Hyun-Hee;Shin, Eun-Kyung;Lee, Hye-Jin;Lee, Nan-Hee;Chun, Byung-Yeol;Ahn, Moon-Young;Lee, Yeon-Kyung
    • Journal of Nutrition and Health
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    • v.42 no.5
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    • pp.486-495
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    • 2009
  • The purpose of this study was to analyze the performance evaluation index for a salt reduction project. Questionnaires were developed in order to investigate salt reduction programs nationwide. The evaluation index and programs were analyzed through the case study of a salt reduction program in public health centers. The validity of the salt reduction program's evaluation index was determined based on study of the Delphi survey and on discussion with nutrition and health care professionals. The Delphi survey showed that daily salt intake was the most valid nutritional evaluation index. Stroke mortality and stomach cancer mortality were good health care evaluation indexes. The method for measuring salt intake that had the greatest validity was a 24-hour urine collection. However, 24-hour urine collection had the lowest score for ease of performance. The combined scores of validity and ease of performance showed that the survey method for dietary attitude and dietary behavior, dietary frequency analysis (DFQ 15), and a salty taste assessment, in that order, were proper methods. The high reliability of the salty taste assessment indicated that the percentage of the population that exhibits proper salt intake (2,000 mg sodium or less daily) and the percentage of the population that consumes low-salt diets as nutritional evaluation indexes also will be helpful to evaluate performance of salt reduction programs.

Cytotoxicity and Antimicrobial Effect of the Extract of Salvia plebeia (배암차즈기 추출물의 세포독성과 항균효과)

  • Shin, Min-Kyo;Kim, Seok-Keun;Lee, Sang-kon;Gang, Yeong-Seong;Kim, Seong-Su;Yang, Eun-Yeong;Lee, Hyun-Ok;Baek, Seung-Hwa
    • Korean Journal of Pharmacognosy
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    • v.32 no.1 s.124
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    • pp.55-60
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    • 2001
  • The comparison of $IC_{50}$ values of Salvia plebeia R. Br. extracts on L1210, $P388D_1$ cancer and Vero normal cell lines showed that the n-hexane soluble extract of S. plebeia R. Br. retains the most growth-inhibitory activity against tumor cell lines. The minimum inhibitory concentration (MIC) of the extract against microorganisms were also examined. Antimicrobial activity of amocla and ketoconazole as references was compared to those of other solvent extracts such as $H_2O$, n-hexane, chloroform, ethyl acetate and methanol. The antimicrobial activity of extract had growth inhibition activity against gramnegative bacteria, gram-positive bacteria and fungi $(MIC\;>\;200\;{\mu}g/ml)$ except for n-hexane extract. Seven bacterial strains were tested for in vitro susceptibility to the extract of S. plebeia R. Br. However the n-hexane extract of S. plebeia R. Br. inhibited the growth of several bacterial strains (MIC values between 100 and $200\;{\mu}g/ml$ for gram positive bacteria, $25\;{\mu}g/ml$ for P. putida).

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Perceptions and Attitudes toward Use of Loupes among Dental Hygienists (치과위생사의 루페 사용에 대한 인식 및 태도)

  • Lee, Young-Soo;Lee, Hye-Ju
    • Journal of Convergence for Information Technology
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    • v.10 no.5
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    • pp.143-149
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    • 2020
  • The aim of this study was to examine the perceptions and attitudes of dental hygienists on the use of dental loupes. A questionnaire survey was conducted to 180 dental hygienists working at dental institutions and public health centers. 4.6% of all respondents answered that they use dental loupes currently, and 38.9% answered that they need to introduce dental loupes in the dental clinic. About half indicated that loupes were a benefit to improved vision(53%) and Improved clarity(44%). The most commonly reported disadvantages to loupes wear were limited depth of vision(39%) and overall dependency. It was confirmed that most dental hygienists did not use loupes, there was little interest in loupes. More research is needed on the effects of loupes in dental practice.

Effects of Various Chemical Substrates on Heat Resistance of Isolated Enterobacter sp. (각종 화학기질이 분리된 Enterobacter sp. 의 열저항서에 미치는 효과)

  • 정영건;권오진
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.20 no.4
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    • pp.395-400
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    • 1991
  • Effects of Various Chemical Substrates on Heat Resistance of Isolated EnterobTo pursue the various properties of Enterobacter sp. which may give an outbreak of food-borne disease to man, isolated from the meats and the small intestines of wild mice, and to offer the significant data in the fields of food hygiene and public health this study was carreied, 5 strains of Enterobacter sp. were isolated from the above samples. 5 strains isolated from sample sources were 1 strain (E. aerogenes) from the beeves, 2 strains (E. aerogenes, E intermedium) from the pork and 2 strains (E. aerogenes, E. cloacae) from the small intstines of wild mice. Of total isolatd 89 strains, including non-Enterobacter sp., these numbers of 5 isolates were showed as 5.6% of dection rate. On heating at temperature of $55^{\circ}C$ for 30min., these 5 stratins were generally more resisted in the 0.1M phosphate buffer when such chemical substrates as 0.1M glycine, 5% mannitol or 0.5% sorbitol was added to it whereas they were appeared weaker resistances in 0.1M phosphate buffer when 1% sodium citrate, 1% casein, 10% sodium chloride or 0.1M systein was infused into it.cter sp.

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Four-year change and tracking of serum lipids in Korean adolescents (강화지역 청소년의 4년간 혈청 지질의 변화와 지속성)

  • Lee, Kang-Hee;Suh, Il;Jee, Sun-Ha;Nam, Chung-Mo;Kim, Sung-Soon;Shim, Won-Heum;Ha, Jong-Won;Kim, Suk-Il;Kang, Hyung-Gon
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.1 s.56
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    • pp.45-59
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    • 1997
  • It has been known that there is a tracking phenomenon in the level of serum lipids. However, no study has been performed to examine the change and tracking of serum lipids in Korean adolescents. The purpose of this study is to examine the changes of serum lipids in Korean adolescents from 12 to 16 years of age, and to examine whether or not there is a tracking phenomenon in serum lipids level during the period. In 1992 serum lipids(total cholesterol(TC), triglyceride(TG), LDL cholesterol(LDL-C), HDL cholesterol(HDL-C)) were measured in 318 males, 365 females who were 12 years of age in Kangwha county, Korea. These participants have been followed up to 1996 and serum lipids level were examined in 1994 and 1996. Among the participants 162 males and 147 females completed all three examinations in fasting state. To examine the effect of eliminating adolescents with incomplete data, we compared serum lipids, blood pressure and anthropometric measures at baseline between adolescents with complete follow-up and adolescents who were withdrawn. To examine the change of serum lipids we compared mean values of serum lipids according to age in males and females. Repeated analysis of variance was used to test the change according to age. We used three methods to examine the existence of tracking. First, we analyzed the trends in serum lipids over 4-year period within quartile groups formed on the basis of the first-year serum lipids level to see whether or not the relative ranking of the mean serum lipids among the quartile groups remained in the same group for 4-year period. Second, we quantified the degree of tracking by calculating Spearman's rank correlation coefficient between every tests. Third, the persistence extreme quartile method was used. This method divides the population into quartile groups according to the initial level of blood lipids and then calculates the percent of the subjects who stayed in the same group at follow-up measurement. The decreases in levels were noted during 4 years for TC, LDL-C, primarily for boys. The level of HDL-C decreased between baseline and first follow-up for both sexes. Tracking, as measured by both correlation coefficients and persistence extreme quartiles, was evident for all of the lipids. The correlation coefficients of TC between baseline and 4 years later in boys and girls were 0.55 and 0.68, respectively. And the corresponding values for HDL-C were 0.58 and 0.69. More than 50% of adolescents who belonged to the highest quartile group in TC, HDL-C and LDL-C at the baseline were remained at the same group at the examination performed 2 years later for both sexes. The probabilities of remaining at the same group were more than 35% when examined 4 years later. The tracking phenomenon of TG was less evident compared with the other lipids. Percents of girls who stayed at the same group 2 years later and 4 years later were 42.9% and 25.7%, respectively. It was evident that serum lipid levels tracked in Korean adolescents. Researches with longer follow-up would be needed in the future to investigate the long-term change of lipids from adolescents to adults.

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Effect of Hepatic Damage on the Toluene Metabolism in Carbon Tetrachloride Pretreated-Rats (흰쥐에 있어서 톨루엔 대사에 미치는 간손상의 영향)

  • Cha, Sang-Eun;Yoon, Chong-Guk;Lee, Sang-Il
    • Toxicological Research
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    • v.14 no.3
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    • pp.321-328
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    • 1998
  • This study was performed to evaluate the effect of liver damage on toluene metabolism in rats pretreated with carbon tetachloride. Liver damage in rats was induced by administration of 0.1ml of carbon tetrachloride per 100g of body wight intraperitoneally every day for four weeks except the last day before sacrifice. One day before sacrifice, toluene was administered to the animals instead of carbon tetrachloride. Rats were sacrificed at the 1st, the 2nd, the 3rd and the 4th week after the first administration of carbon tetachloride. Based on the histopathological findings, liver weight and serum alanine aminotransferase, the $CCl_4$-preteated group was found to have gradual severe liver damage. Especially the degree of liver injury became increasingly severe throughout the whole course of the experiment. The contnts of hippuric acid in urine lower in the all groups pretreated with $CCl_4$than that of the control. The contents of hepatic cytochrome P450(CYP), benzylalcohol dehydrogenase and benzaldehyde dehydrogenase activities were decreased in $CCl_4$-pretreated rats than those of the control. The $CCl_4$treated animals showed the gradual decreased activities of these enzyme as injection times elapsed. Km values of the benzylalcohol dehydrogenase in pooled liver samples from $CCl_4$-pretreated or control groups were similar. On the other hand, Vmax values of the $CCl_4$-pretreated group was lower than of the control. Therefore, it can be concluded that reduction of the toluene metabolism in damaged rat liver induced with $CCl_4$was due to the inhibition of CYP content, bezylalcohol and benzaldehyde dehydrogenase activities which related with toluene metabolic enzyme system.

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A study on Airborne Concentration of Welding Fumes and Metals in Confined Spaces of a Shipyard (모조선소의 밀폐된 작업장에서의 공기중 용접흄 및 중금속 농도에 관한 조사 연구)

  • Kwag, Young-Soon;Paik, Nam-Won
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.7 no.1
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    • pp.113-131
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    • 1997
  • This study was performed to evaluate the exposure levels of worker exposed to welding fume and metals in confined spaces of a shipyard. The airborne concentration of welding fumes and metal elements in confined spaces were compared with those in open working areas. Results of the study were as follows. 1. The geometric mean of welding fume concentration in a confined space was $16.6mg/m^3$, which contained $3.9mg/m^3$ Fe, $1.2mg/m^3$ Mg, $0.8mg/m^3$ Zn, $0.008mg/m^3$ Cu, $0.008mg/m^3$ Pb, $0.005mg/m^3$ Ni, $0.003mg/m^3$ Cr, $0.003mg/m^3$ Cd. The geometric mean of welding fume concentration in open working areas was $5.2mg/m^3$, which contained $1.1mg/m^3$ Fe, $0.3mg/m^3$ Mg, $0.3mg/m^3$ Zn, $0.004mg/m^3$ Cu, $0.008mg/m^3$ Pb, $0.005mg/m^3$ Ni, $0.003mg/m^3$ Cr, $0.0003mg/m^3$ Cd. The geometric mean of welding fume concentration in confined spaces was 3,2 times higher than that in open working areas. The geometric mean concentrations of such metals as Fe, Mg, Zn, or Cu within fume in confined spaces were 2-4 times higher than those in open working areas, while little difference made such metals as Pb, Ni, Cr, Cd. 2. In 32 samples out of a total of 39 samples (82.1%) collected in confined spaces, the concentrations of welding fume exceeded TLV. while so did 19 samples out of 33 samples (57.6%) in open working areas. As for the concentrations of metals in welding flume from confined spaces, Fe exceeded TLV in 14 out of a total of 38 samples (36.8%), Mn exceeded TLV in 23 out of a total of 38 samples (60.5%). As for the concentration of metals in welding fume from open working areas, Fe exceeded TLV in 3 out of a total of 34 samples (8.8%), Mn exceeded TLV in 6 out of a total of 34 samples (17.6%). Considering additive effect among metals, in 31 out of a total of 39 samples (79.5%) collected in confined spaces, the concentrations of welding fume exceeded TLV, while so did 14 out of 38 samples (55.6%) in open working areas. 3. In respect of base metal and welding type the concentration of total welding fume by $CO_2$ gas W./mild steel was the highest, followed by semiauto MMA/mild steel, then followed by TIG or $CO_2$ gas W./stainless steel. ; as for concentration of metal within fume, a decreasing order was Fe, Zn, Mn, and Pb in $CO_2$ gas W./mild steel and semiauto MMA/mild steel, but Fe, Mn, Cr, and Ni in TIG or $CO_2$ gas W./stainless steel. 4. In case of welding base metal covered by paint, contents of Zn within red paint chip and within gray paint chip were 14.0% and 0.08% respectively, which showed a little difference, while the airborne concentrations of Zn within fume during welding base metal covered red paint and gray paint were $1.351mg/m^3$ and $1.018mg/m^3$ respectively, which showed little difference. As for Pb, contents of red paint chip and gray paint chip were 0.14% and 0.08% respectively, and the airborne concentrations within fume during welding base metal covered red paint and gray paint were $0.009mg/m^3$ and $0.007mg/m^3$ respectively, both of which showed little difference.

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Epidemiological Investigation on an Outbreak of Norovirus Infection at a High School in Gyeongju City, 2009 (2009년 경주시 일개 고등학교에서 집단 발생한 노로바이러스 역학조사*)

  • Park, Ji-Hyuk;Yoo, Seok-Ju;Lee, Kwan;Lim, Hyun-Sul
    • Journal of agricultural medicine and community health
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    • v.35 no.4
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    • pp.361-369
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    • 2010
  • Objectives: An outbreak of norovirus occurred at a high school in Gyeongju city in 2009. An epidemiological investigation was carried out to examine the infection source and the transmission route of norovirus, and to prevent a recurrence. Methods: A questionnaire survey was conducted for 520 male students and 8 food handlers. Rectal swabs were examined in 21 symptomatic students and the 8 food handlers by Gyeongsangbukdo Government Public Institute of Health & Environment, and an environmental investigation was performed. A case-control study was used to evaluate the association between risk factors and disease. Results: The attack rate was 21.3% (111/520) between January 29 and February 10, and norovirus GII was isolated from 12 of 21 students. Food handlers had no symptoms and their stool samples were negative. The case-control study revealed that seasoned soy bean sprouts {odds ratio (OR): 2.542, 95% CI=1.315-4.915} and drinking water from the purifiers in the cafeteria (OR: 2.854, 95% CI=1.107-7.358) supplied on February 3 were significant risk factors for the outbreak. Water pipes and waste pipes were located in the same place where was filled with some water and trace of high water level was detected. Conclusions: The major risk factors for this norovirus outbreak were presumed to be the contaminated seasoned soy bean sprouts and drinking water from the purifiers in the cafeteria. More strict personal and environmental hygiene need to be enforced to prevent such outbreaks.

Literature Review for Work-Related Musculoskeletal Disorders based on Theses from 1990 to 2005 (작업 관련성 근골격계 질환 학위 논문 분석 - 1990년부터 2005년까지 -)

  • Rhie, In-Sook;Kim, Soon-Lae
    • Korean Journal of Occupational Health Nursing
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    • v.14 no.2
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    • pp.93-107
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    • 2005
  • Purpose: The purpose of this study is to identify the trends of studies on work-related musculoskeletal disorder and to suggest the direction of future research. Method: 144 research thesis for a degree on work-related musculoskeletal disorder were systematic reviewed and published from Jan. 1990 to Mar. 2005. The analyzed using descriptive statistics, an actual number, percentage. Result: As its result the work-related musculoskeletal disorder research which is announced from domestic the doctorate dissertation at the 2004 year 42 the most many 144 dissertation middle most to be 129 in master degree dissertation was 15 in Ph D degree. Dissertation contents character the contents against the result relation that it analyzes especially and a condition and an obstacle was many most at 84. Research plan in most description investigation research 121 the dissertation field to be the especially public health (hygiene, industry and environment) at this 57 most many research object person distribution manufacturing industry in the research object one dissertation was many most at the 40. The tools which are used in each measurement in the question tool which it uses most the question price of land which uses the condition investigation ticket which it made from the NIOSH and the ANSI most many 33, the hazard which analyzes a work attitude in the tool which it uses the RULA was many most at 14. In the stress test tool social psychological healthy measurement PWI (Psychological Wellbeing Index) the dissertation which uses the Job Strain of the Karasek Model to be many most at 19 PWI (Psychological Wellbeing Index) 7 easy use. Work-related musculoskeletal disorder measurement hazard in physiological index and the machinery and tools which it uses there were 9 researches to use an electromyogram most plentifully. With the effect goes to a work-related musculoskeletal disorder they are 33 where the age is many most from general quality. From healthy act with the relation of smoking the year to be many from 16 dissertations. Work of the corpse an attitude (the attitude which is inappropriate) with 5 and the work market the work burglar is many most at 9, the society-support of 36 where the stress is many psychologically most, the stress and service also the most many duty discretion (authority and autonomy) is 6 at the duty demand boat song 9. The service career to be many is 22 of extraordinarily with relation of service. Conclusion: It is recommended the research which it sees being limited in only domestic thesis for a degree the international comparative study to become accomplished. It comes to think with the fact that it will be necessary to make the protocol which it conforms in the civil official guide the test researches for the protocol or arbitration program which is standardized are necessary. Prevention and the civil official of work relation bones and sinews standing total disease hazard scientific base one program is necessary with base.

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