• Journal of Appropriate Technology
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• v.6 no.1
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• pp.37-44
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• 2020

Medical waste is any kind of waste that contains infectious material and recommended not to be transferred for infection control. As a means of disposal, incineration has better points than dumping or landfill in the quantity reduction, odorless and nonhazardous. However, open burning and incineration of health care wastes under bad circumstances, can result in the emission of environmental pollutants to air. A burial of biological waste brings pollution of soil and water. Most of sub divisional hospitals in Fiji transfer their medical wastes to divisional hospitals for incineration. In 2011, 62,518 kg of medical waste was incinerated in the three divisional hospitals. However, some medical wastes are considered as general waste and burnt or sent to landfill site, some are buried on site in some sub-divisional hospitals. In this regards, urgent education is necessary for awareness promotion to relevant personnel in medical waste treatment. On site incineration using small scale incinerator is more recommended than transportation of medical wastes treatment in Fiji. Moreover, remotely controllable and fixable small scale of incinerator is more desirable in sub-divisional hospitals. It is recommended that Fiji government to set up a legal framework for medical waste management (MWM), to develop specific guidelines for MWM, to set up a training system for MWM to ensure that all relevant personnel are trained, to develop a monitoring and supervision system for MWM, to clarify the future financing of MWM activities, and to improve the MWM infrastructure.

• The Journal of the Korea Contents Association
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• v.21 no.7
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• pp.238-247
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• 2021

This study is a descriptive research to investigate the, safety environment, and performance of nurses working in public medical institutions on standard precautions for infection, and to identify factors affecting the performance of standard precautions for infection. As for the research method, data were collected through a questionnaire on 192 nurses from two public medical institutions in S city and N city, and the results were analyzed using the SPSS WIN 22.0 statistical program. From the research results, there was a significant difference in the knowledge of standard precautions according to work experience, and there was a significant difference in the safety environment of standard precautions according to the position. The average level of knowledge of standard precautions was 21.98/25 points, the average safety environment was 5.68/7 points, and the average performance was 40.28/60 points. There was a significant positive correlation between the safety environment of standard precautions and the performance of standard precautions (r=.21, p<0.01). The affecting factor on the performance of standard precautions was found to be the safety environment of standard precautions(𝛽=.22, p=.003). Therefore, to improve the performance of standard precautions for nurses' infection control in public medical institutions, Different and persistent infection management educational programs that consider the Historical situation and monitoring are required other than providing financial support and supportive safety environment.

• Journal of Dental Anesthesia and Pain Medicine
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• v.22 no.3
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• pp.217-226
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• 2022

Background: Intraosseous anesthesia is the process by which an anesthetic solution, after penetration of the cortical bone, is directly injected into the spongiosa of the alveolar bone supporting the tooth. This study aimed to compare the effectiveness of the traditional inferior alveolar nerve block (IANB) and computerized intraosseous anesthesia in the surgical extraction of impacted lower third molars, compare their side effects systemically by monitoring heart rate, and assess patients' a posteriori preference of one technique over the other. Methods: Thirty-nine patients with bilaterally impacted third molars participated in this study. Each patient in the sample was both a case and control, where the conventional technique was randomly assigned to one side (group 1) and the alternative method to the contralateral side (group 2). Results: The traditional technique was faster in execution than anesthesia delivered via electronic syringe, which took 3 min to be administered. However, it was necessary to wait for an average of 6 ± 4 min from the execution to achieve the onset of IANB, while the latency of intraosseous anesthesia was zero. Vincent's sign and lingual nerve anesthesia occurred in 100% of cases in group 1. In group 2, Vincent's sign was recorded in 13% of cases and lingual anesthesia in four cases. The average duration of the perceived anesthetic effect was 192 ± 68 min in group 1 and 127 ± 75 min in group 2 (P < 0.001). The difference between the heart rate of group 1 and group 2 was statistically significant. During infiltration in group 1, heartbeat frequency increased by 5 ± 13 beats per minute, while in group 2, it increased by 22 ± 10 beats per minute (P < 0.001). No postoperative complications were reported for either technique. Patients showed a preference of 67% for the alternative technique and 20% for the traditional, and 13% of patients were indifferent. Conclusion: The results identified intraosseous anesthesia as a valid alternative to conventional anesthesia in impacted lower third molar extraction.

• Korean Journal of Ecology and Environment
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• v.54 no.4
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• pp.265-271
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• 2021

Intertidal mud crab (Macrophthalmus japonicus) is an organism with a hard chitinous exoskeleton and has function for an osmotic control in response to the salinity gradient of seawater. Crustacean exoskeletons change in their natural state in response to environmental factors, such as changes in the pH and water temperature, and the presence of pollutant substances and pathogen infection. In this study, the ecotoxicological effects of irgarol exposure and heavy metal distribution were presented by analyzing the surface roughness of the crab exoskeleton. The exoskeleton surface roughness and variation reduced in M. japonicus exposed to irgarol. In addition, it was confirmed that the surface roughness and variation were changed in the field M. japonicus crab according to the distribution of toxic heavy metals(Cd, Pb, Hg) in marine sediments. This change in the surface roughness of the exoskeleton represents a new end-point of the biological response of the crab according to external environmental stressors. This suggests that it may affect the functional aspects of exoskeleton protection, support, and transport. This approach can be utilized as a useful method for monitoring the aquatic environment as an integrated technology of mechanical engineering and biology.

• Korean Journal of Environment and Ecology
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• v.36 no.1
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• pp.87-101
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• 2022

This study analyzed changes in the vegetation structure of 16 permanent plots (experimental and control) installed in Wando Arboretum in 1996 to monitor the long-term change process of evergreen broad-leaved forests in warm temperate. Especially, this study discusses the effects of trial treatment (selection cutting and plant introduction), introduced as a restoration technique in 1996, on vegetation development. In communities dominated by Quercus acuta in the canopy (permanent plots 1 through 3), this species's mean important percentage (MIP) decreased, and the evergreen broad-leaved species was introduced from outside increased, likely to change the vegetation structure in the future. The expansion of the evergreen broad-leaved species group was also confirmed in Q. acuta-deciduous broad-leaved forests (permanent plots 5 and 7) and Pinus densifloraforests (permanent plots 9 and 10). In the experimental plots where thinning was carried out, the zoochory (the dispersal of seeds by birds), Cinnamomum yabunikkei, Neolitsea sericea, Machilus thunbergii, etc., and the expansion of the influence of evergreen broad-leaved species were remarkable, so it is considered to have effectively promoted the vegetation development in warm temperate forests. Although evergreen broad-leaved species were planted in the experimental plot to change vegetation structure, it seems the effect on the change was weak due to the small amount of planting. Compared to other vegetation types, the change in the vegetative structure of the pine forest to an evergreen broad-leaved forest was clear due to the decline of P. densiflora and P. thunbergii.

• Journal of Industrial Convergence
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• v.21 no.1
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• pp.175-185
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• 2023

Recently, novel viral infections such as COVID-19 have spread and pose a serious public health problem. In particular, these diseases have a fatal effect on the elderly, threatening life and causing serious social and economic losses. Accordingly, applications such as telemedicine, healthcare, and disease prevention using the Internet of Things (IoT) and artificial intelligence (AI) have been introduced in many industries to improve disease detection, monitoring, and quarantine performance. However, since existing technologies are not applied quickly and comprehensively to the sudden emergence of infectious diseases, they have not been able to prevent large-scale infection and the nationwide spread of infectious diseases in society. Therefore, in this paper, we try to predict the spread of infection by collecting various infection information with regional limitations through a virus disease information collector and performing AI analysis and severity matching through an AI broker. Finally, through the Korea Centers for Disease Control and Prevention, danger alerts are issued to the elderly, messages are sent to block the spread, and information on evacuation from infected areas is quickly provided. A realistic elderly support system compares the location information of the elderly with the information of the infected area and provides an intuitive danger area (infected area) avoidance function with an augmented reality-based smartphone application. When the elderly visit an infected area is confirmed, quarantine management services are provided automatically. In the future, the proposed system can be used as a method of preventing a crushing accident due to sudden crowd concentration in advance by identifying the location-based user density.

• Journal of the Korean Society of Marine Environment & Safety
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• v.28 no.spc
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• pp.1-10
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• 2022

As the volume of marine hazardous and noxious substances (HNSs) transported in domestic and overseas seas increases, the risk of HNS spill accidents is gradually increasing. HNS leaked into the sea causes destruction of marine ecosystems, pollution of the marine environment, and human casualties. Secondary accidents accompanied by fire and explosion are possible. Therefore, various types of HNSs must be rapidly detected, and a control strategy suitable for the characteristics of each substance must be established. In this study, the ground HNS spill experiment process and application result of detection algorithms were presented based on hyperspectral remote sensing. For this, styrene was spilled in an outdoor pool in Brest, France, and simultaneous observation was performed through a hyperspectral sensor. Pure styrene and seawater spectra were extracted by applying principal component analysis (PCA) and the N-Findr method. In addition, pixels in hyperspectral image were classified with styrene and seawater by applying spectral matching techniques such as spectral distance similarity (SDS), spectral correlation similarity (SCS), spectral similarity value (SSV), and spectral angle mapper (SAM). As a result, the SDS and SSV techniques showed good styrene detection results, and the total extent of styrene was estimated to be approximately 1.03 m². The study is expected to play a major role in marine HNS monitoring.

• The Journal of Korean Society of Virology
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• v.29 no.2
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• pp.55-64
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• 1999

In Yugoslavia, hemorrhagic fever with renal syndrome (HFRS) is one of the important national health problem, but no vaccine has been used to prevent HFRS. Since first HFRS case in 1952, sporadic cases of HFRS occurred every year and over 4,000 registered cases with $1{\sim}16%$ mortality so far. We performed a prospective, randomized double-blind placebo-controlled trial to evaluate the effectiveness of $Hantavax^{TM}$ against HFRS in 3,900 healthy adults living in the endemic areas of Yugoslavia. 1,900 people were given 0.5 ml of Hantavax subcutaneously twice at one month interval and a booster shot at one year after. For controls other 2,000 healthy people were given 0.5 ml of physiolosical saline as a placebo. We investigated HFRS cases in both the vaccinated and nonvaccinated groups by monitoring the program for patient registration in the areas from 1996 to 1998, and the effect of vaccine was analyzed epidemiologically. No confirmed case of HFRS was observed among 1,900 Hantavax vaccinees, while 20 confirmed cases were observed among 2,000 nonvaccinated control group. There were no remarkable side effects among the vaccinees either locally or in general after inoculation of the vaccine. The Hantavax vaccine showed statistically significant protective efficacy against HFRS among Yugoslavian people.

• Korean Journal of Clinical Laboratory Science
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• v.54 no.4
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• pp.265-272
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• 2022

The emergence and dissemination of carbapenemase-producing Enterobacteriaceae (CPE), particularly the Klebsiella pneumoniae carbapenemase-2 (KPC-2) producing Klebsiella pneumoniae, has been rapidly increasing worldwide and is becoming a serious public health threat. Since the epidemiology and characteristics of these KPC-2-producing K. pneumoniae vary according to the region and period under consideration, this study investigated the prevalence of carbapenemases and the epidemiological relationship of 78 carbapenem-resistant K. pneumoniae (CRKP) isolated from a tertiary hospital in Daejeon, from March 2017 to December 2020. The antimicrobial susceptibility tests were identified using the disk-diffusion method. PCR and DNA sequencing were used to determine the carbapenemase genes. In addition, molecular epidemiology was performed by multilocus sequence typing (MLST). Among the 78 CRKP isolates, 35 isolates (44.9%) were carbapenemase-producing K. pneumoniae (CPKP) and the major carbapenemase type was KPC-2 (30 isolates, 85.7%). The New Delhi metallo-enzyme-1 (NDM-1) and NDM-5 were identified in 4 isolates (11.4%) and 1 isolate (2.9%), respectively. Multilocus sequence typing (MLST) analysis showed 10 sequence types (STs) and the most prevalent ST was ST307 (51.4%, 18/35). All the ST307 isolates were KPC-2-producing K. pneumoniae and were multidrug-resistant (MDR). In addition, ST307 has gradually emerged during a four-year period. These findings indicate that continuous monitoring and proper infection control are needed to prevent the spread of KPC-2-producing K. pneumoniae ST307.

• Korean journal of applied entomology
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• v.61 no.3
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• pp.481-496
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• 2022

In order to establish an effective pest control strategy, we investigated the occurrence of lepidopteran insects in the major trees growing in urban forests from 2019 to 2021. In total, we recorded 76 species of 14 families in Prunus spp., 40 species of eight families in Acer spp., 43 species of 10 families in Zelkova serrata, 28 species of seven families in Rhododendron spp., and 10 species of four families in Hibiscus syriacus. Among these, Hyphantria cunea and Lymantria dispar were recorded from all five tree taxa monitored. The most frequently occurring species in the different tree groups were as follows: H. cunea and Phalera flavescens in Prunus yedoensis, Epinotia ulmicola in Z. serrata, and Rehimena surusalis in H. syriacus. H. cunea also occurred in Rhododendron spp. and Acer spp., although the numbers were lower than those recorded in Prunus spp. and Z. serrata. Our results highlight the importance of focusing on the frequency of occurrence of lepidopteran insects in Prunus spp. and Z. serrata, whereas the presence of these insects in both Acer spp. and Rhododendron spp. Appears to be less problematic. From the perspective of reducing the risks to human health, our findings indicate that the application of pheromones for monitoring lepidopteran species and the use of mating disruptors would be desirable approaches that would contribute to minimizing the spraying of pesticides in urban forests.