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How to Improve Influenza Vaccination Rates in the U.S.

  • Yoo, Byung-Kwang
    • Journal of Preventive Medicine and Public Health
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    • v.44 no.4
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    • pp.141-148
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    • 2011
  • Annual epidemics of seasonal influenza occur during autumn and winter in temperate regions and have imposed substantial public health and economic burdens. At the global level, these epidemics cause about 3-5 million severe cases of illness and about 0.25-0.5 million deaths each year. Although annual vaccination is the most effective way to prevent the disease and its severe outcomes, influenza vaccination coverage rates have been at suboptimal levels in many countries. For instance, the coverage rates among the elderly in 20 developed nations in 2008 ranged from 21% to 78% (median 65%). In the U.S., influenza vaccination levels among elderly population appeared to reach a "plateau" of about 70% after the late 1990s, and levels among child populations have remained at less than 50%. In addition, disparities in the coverage rates across subpopulations within a country present another important public health issue. New approaches are needed for countries striving both to improve their overall coverage rates and to eliminate disparities. This review article aims to describe a broad conceptual framework of vaccination, and to illustrate four potential determinants of influenza vaccination based on empirical analyses of U.S. nationally representative populations. These determinants include the ongoing influenza epidemic level, mass media reporting on influenza-related topics, reimbursement rate for providers to administer influenza vaccination, and vaccine supply. It additionally proposes specific policy implications, derived from these empirical analyses, to improve the influenza vaccination coverage rate and associated disparities in the U.S., which could be generalizable to other countries.

Health Improvement; Health Education, Health Promotion and the Settings Approach

  • Green, Jackie
    • Korean Journal of Health Education and Promotion
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    • v.22 no.3
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    • pp.173-186
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    • 2005
  • This paper develops the argument that the 'Healthy Cities Approach' extends beyond the boundaries of officially designated Healthy Cities and suggests that signs of it are evident much more widely in efforts to promote health in the United Kingdom and in national policy. It draws on examples from Leeds, a major city in the north of England. In particular, it suggests that efforts to improve population health need to focus on the wider determinants and that this requires a collaborative response involving a range of different sectors and the participation of the community. Inequality is recognised as a major issue and the need to identify areas of deprivation and direct resources towards these is emphasised. Childhood poverty is referred to and the importance of breaking cycles of deprivation. The role of the school is seen as important in contributing to health generally and the compatibility between Healthy Cities and Health Promoting Schools is noted. Not only can Health Promoting Schools improve the health of young people themselves they can also develop the skills, awareness and motivation to improve the health of the community. Using child pedestrian injury as an example, the paper argues that problems and their cause should not be conceived narrowly. The Healthy Cities movement has taught us that the response, if it is to be effective, should focus on the wider determinants and be adapted to local circumstances. Instead of simply attempting to change behaviour through traditional health education we need to ensure that the environment is healthy in itself and supports healthy behaviour. To achieve this we need to develop awareness, skills and motivation among policy makers, professionals and the community The 'New Health' education is proposed as a term to distinguish the type of health education which addresses these issues from more traditional forms.

Claim Management during Construction based on Key Claim Management Factors (클레임 핵심관리요인을 기반으로 한 건설공사 중의 클레임 관리)

  • Lee, Jun-Hyung;Lee, Hyun-Soo;Park, Moon-Seo;Kim, In-Ho
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2007.11a
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    • pp.463-468
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    • 2007
  • The disputes in construction projects are very important issue for stakeholders. However, many of presented claims have not received the compensation money required, and frequently turned down. The most cause is that the claims are not managed systemically on construction. Therefore, it is important to identify which management works are conducted on construction and how significantly do they relevant to construction claim. This research derives key claim management factors through analyzing causes for claim success and failure, and then presents management works relevant to them. This research also proposes the method for effective claim management and its expected effect through expert interview.

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Robustness Estimation for Power and Water Supply Network : in the Context of Failure Propagation (피해파급에 대한 고찰을 통한 전력 및 상수도 네트워크의 강건성 예측)

  • Lee, Seulbi;Park, Moonseo;Lee, Hyun-Soo
    • Korean Journal of Construction Engineering and Management
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    • v.19 no.3
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    • pp.33-42
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    • 2018
  • In the aftermath of an earthquake, seismic-damaged infrastructure systems loss estimation is the first step for the disaster response. However, lifeline systems' ability to supply service can be volatile by external factors such as disturbances of nearby facilities, and not by own physical issue. Thus, this research develops the bayesian model for probabilistic inference on common-cause and cascading failure of seismic-damaged lifeline systems. In addition, the authors present network robustness estimation metrics in the context of failure propagation. In order to quantify the functional loss and observe the effect of the mitigation plan, power and water supply system in Daegu-Gyeongbuk in South Korea is selected as case network. The simulation results show that reduction of cascading failure probability allows withstanding the external disruptions from a perspective of the robustness improvement. This research enhances the comprehensive understanding of how a single failure propagates to whole lifeline system performance and affected region after an earthquake.

A Study on Effect of $NO_2$ Photodissociation rate on Ozone concentration from Rural and Urban Area in the Winter (청정지역과 도시지역에서 $NO_2$ 광분해율이 오존농도에 미치는 영향에 관한 연구)

  • 이정주;이동범;윤중섭
    • Journal of Environmental Health Sciences
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    • v.26 no.4
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    • pp.141-147
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    • 2000
  • Due to a rapid in automobiles since the 1980’s, the concentration of NO, and HC has also increased along with cases of VOCs. These air pollutants have created $O_3$ concentration, which cause a harmful effect to the human health. This issue has become a subject of great public interest. For this paper, to compare the concentration of $O_3$, NO, N $O_2$ between the rural and urban area in the winter, the concentrations of each have been measuredevery hour during Jan.~Feb. 2000, 1998, respectively. To calculate the Photochemical Steady State, $\Phi$= $J_{N O_2}$[N $O_2$]/ $k_1$[NO][ $O_3$], temperature and $J_{ N O_2}$ has been determined. The NO concentration in the rural are showed at below 10 ppb while the NO concentration in the urban area showed maximum value of 90~120 ppb. But the $O_3$ concentration in both areas showed less than 30 ppb. The reason is that the N $O_2$ photodissiciation rate is low due to the temperature being below 2$^{\circ}C$ and less than 60 degrees in the solar zenith angle during the winter time, which makes the $O_3$ concentration in both areas, similar in the concentration level. N $O_2$ photodissociation rate in both ares showed maximum value of 3.0mW/$\textrm{cm}^2$. Values of $\Phi$ determined from the rural area was consistently the unity, approaching 1. But values of $\Phi$ determined from the urban was roughly higher than unity, approaching above 1or 2 for clear sky-high sun(10:00~16:00).

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Analysis of Motor Winding impact by inverter Switching Voltage Waveforms (인버터 스위칭전압 파형에 의한 전동기 권선 영향 해석)

  • 김종겸
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.13 no.1
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    • pp.94-101
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    • 1999
  • In this paper the problems associated with the switching surge of PWM inverter devices were analysed. As the application of ASD for efficient speed control of AC rmtors is increased, so is the rrntor and ASD-related failure increased. In the industrial rmtor awlications, the introduction of PWM drives can sometmes cause insulation breakdown between the phase windings due to high transient voltage peak. The motor cable length combined with the high switching frequency becomes more sensitive issue for proper drive operation. Effects of the cable length and high switching frequency influence both on rmtor and inverter. When the insulation level of rmtor winding is low, the failure probability caused by high peak voltage and fast voltage rise times(dv/dt) is high. Voltage refloctions are simulated far rmtor capacities, ASD and rise times and are presented graphically. The filtering techniques are discussed to reduce the rmtor terminal overvoltage and dv/dt in inverter fed AC rrntor drive systems. We confirmed that the lower motar capacity and rmtar insulation level, the shorter switching time and cable length and the higrer the probability of insulation breakdown .kdown .

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A Study on the Work Ability and the Job Stress of the Workers in Manufacturing Industry of Automobile Parts (자동차부품 제조업 근로자의 작업능력과 직무스트레스에 대한 연구)

  • Mok, Yun-Soo;Lee, Dong Won;Chang, Seong Rok
    • Journal of the Korean Society of Safety
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    • v.28 no.3
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    • pp.100-106
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    • 2013
  • According to the Statistics Korea, in 2011, people over the age of 65 years old accounted for 11.8% of Korea's population. This number is expected to rise to 15.0% by 2019, making Korea an "aged society". As age increases, physical ability degrades to the point that the workload must be adjusted limitations. However, workloads are given regardless of workers' ages or abilities. In addition, a decline in work efficiency due to aging also increases the risk of work-related injuries. Furthermore, the cases of stress related diseases along with musculoskeletal disorders(MSDs) rise as main factors of industrial disasters and excessive job stress gives negative influence not only on mental health but also on physical health so that job stress becomes a hot issue as a main cause of work ability falloff and turnover. The purpose of this research is to examine how the sociodemographic characteristics, MSDs symptoms and musculoskeletal workload of workers in the manufacturing industry of automobile parts influence work ability and job stress. As a result of the research, job ability showed significant differences statistically according to age, working year, sex, marital status and musculoskeletal workload and job stress showed significant differences statistically according to age, working year, marital status and musculoskeletal workload. In addition, it showed that as the worker's job ability decreases, job stress increases.

Development of the Interconnection Evaluation System for Dispersed Generations in Distribution Systems (분산전원의 배전계통 연계 평가 시스템의 개발에 관한 연구)

  • Kang Min-Kwan;Park Jae-Ho;Oh Yong-Taek;Hong Sang-Eun;Rho Dae-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.7 no.1
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    • pp.12-20
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    • 2006
  • Recently, new dispersed sources (DSG) such as Photovoltaic, Wind Power, fuel cell etc. are interconnected with distribution systems as national projects for alternative energy preparing for oil crisis. This paper deals with the optimal evaluation algorithms in the case where new dispersed sources are operated in distribution systems. It is very difficult and complicated to handle the interconnection issues for proper voltage managements, because professional skills and enormous amounts of data for the evaluations are required. The typical evaluation algorithms mainly depending on individual ability and quality of data acquired, inevitably cause the different results f3r the same issue, so unfair and subjective evaluations are unavoidable. In order to overcome these problems, this paper proposes reasonable and general algorithms based on the standard model system and proper criterion, which offers the fair and objective evaluations in any case.

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Location-based Frequency Interference Management Scheme Using Fingerprinting Localization Algorithms (Fingerprinting 무선측위 알고리즘을 이용한 영역 기반의 주파수 간섭 관리 기법)

  • Hong, Aeran;Kim, Kwangyul;Yang, Mochan;Oh, Sunae;Jung, Hongkyu;Shin, Yoan
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.37C no.10
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    • pp.901-908
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    • 2012
  • In an intelligent automated manufacturing environment, an administrator may use M2M (Machine-to-Machine) communication to recognize machine movement and the environment, as well as to respond to any potential dangers. However, commonly used wireless protocols for this purpose such WLAN (Wireless Local Area Network), ZigBee, and Bluetooth use the same ISM (Industrial Science Medical) band, and this may cause frequency interference among different devices. Moreover, an administrator is frequently exposed to dangerous conditions as a result of being surrounded by densely distributed moving machines. To address this issue, we propose in this paper to employ a location-based frequency interference management using fingerprinting scheme in industrial environments and its advanced localization schemes based on k-NN (Nearest Neighbor) algorithms. Simulation results indicate that the proposed schemes reduce distance error, frequency interference, and any potential danger may be responded immediately by continuous tracing of the locations.

A Study on the Improvement Scheme of Environmental Impact Assessment in Social Environment (사회환경분야 환경영향평가 개선방안)

  • Shin, Kyung-Hee;Yim, Hyo-Sook;Cho, Kong-Jang
    • Journal of Environmental Impact Assessment
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    • v.21 no.1
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    • pp.15-24
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    • 2012
  • The purpose of this study is to understand the process and characteristics of social impact caused by development projects through research and analysis on issues presented during development projects carried out in Korea. Furthermore, on the basis this analysis, this study proposes possible improvement measure environmental impact assessment for minimizing social impact of development projects in the future. Issues related to development projects are generated mainly by the following three causes. Initial social impact can occur when a development project directly causes certain changes in natural, living and social environment. Operational problems related to assessment are another cause of social impact, and it can also occur when changes in natural and living environment work in tandem with social environment sphere. Social impact of development projects is not brought about solely by changes in social environment, but is the result of interaction of factors such as changes in social, natural, living environment and problems related to assessment or operation/management. As to why the current environmental impact assessment could not provide satisfactory solution to the issues mentioned above, this study suggests the following reasons: limitations of assessment method used in social environment category, difficulties in defining assessment criteria, limitations inherent in criterion referenced assessment method, insufficient issue-making in local community, and lack of participation on the part of local residents. Possible solutions for these limitations are as follows: 1) To identify local issues in social environment category through participation of local experts in scoping stage, 2) To adopt deliberative method for local participation, 3) To utilize social survey technique.