Pratomo, Hadi;Amelia, Tiara;Nurlin, Fatmawati;Adisasmita, Asri C.
Clinical and Experimental Pediatrics
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v.63
no.11
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pp.433-437
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2020
Background: Indonesia is one of the countries with the highest preterm birth rate. Preterm infants are more likely than term and normal weight infants to experience neonatal mortality and morbidity due to acute respiratory, gastrointestinal, immunologic, central nervous system, hearing, and vision problems. Kangaroo mother care (KMC) is a proven cost-effective intervention to help reduce mortality rates among preterm infants; however, it has not been fully implemented in hospitals. Purpose: Assess KMC knowledge and perceptions among health providers. Methods: This qualitative study was conducted from December 2015 to April 2016 and consisted of 21 in-depth interviews and 3 focus group discussions (FGDs). The 3 categories of health personnel in the study were clinical providers, hospital management representatives, and Indonesian Midwife Association members. Results: Most health providers know about the benefits of KMC including stabilizing temperatures, weight gain, and maternal-infant bonding and reducing human resources and labor costs. They were also aware of which newborns were eligible for KMC treatment. Their knowledge was mostly gained from observation or obtained from pediatricians and personal experience. They believed that a low birth weight infant in an incubator could not be treated with KMC and that it could only be practiced if a special gown was used when holding the baby. This perception could be caused by a lack of formal KMC training, leading to misunderstanding of its aspects. Conclusion: In conclusion, KMC knowledge of clinical providers in the 2 hospitals was sufficient, primarily due to their health-related educational background. Some perceptions could be potential barriers to or facilitate the implementation of KMC practice. These perceptions should be considered in future KMC training designs.
Amoori, Neda;Cheraghian, Bahman;Amini, Payam;Alavi, Seyed Mohammad
Journal of Preventive Medicine and Public Health
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v.55
no.5
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pp.485-491
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2022
Objectives: Tuberculosis (TB) is a major public health concern worldwide. Social contact patterns can affect the epidemiology and risk of airborne diseases such as TB. This study was designed to investigate the social contact patterns associated with TB. Methods: In this case-control study, groups of participants with and without TB were matched by age and sex. Participants reported the nature, location, frequency, and average duration of social contacts over 1 month. The duration and number of social and spatial contacts were compared between groups using the chi-square test and the t-test. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to quantify the relationship between social contact time and TB status. Data were analyzed using Stata version 11 statistical software. A p-value of <0.05 was considered to indicate statistical significance. Results: In this study, 80 patients with TB and 172 control participants were included, and a total of 3545 social contacts were registered. Social contact with family members (OR, 1.72; 95% CI, 1.10 to 2.40), contact with a person with TB (OR, 1.53; 95% CI, 1.16 to 2.01), and contact at the participant's home (OR, 1.42; 95% CI, 1.19 to 1.82) were significantly associated with TB status. Conclusions: The duration of long-term social contact, rather than the number of contacts, may be the main contact-related factor associated with TB transmission in this population. The focus of contact-tracing efforts should be on finding and treating both family members and long-term contacts in non-household settings.
Noise pollution, both in the environment and in the workplace, has been recognized as a major health hazard -one that can impair not only a person's hearing but also his physical and mental well-being. As industrialization progresses, the prevalence rate of occupational diseases is increasing, especially hearing loss, which has the highest prevalence rate among the occupational diseases. The major cause of noise is the construction of various large industries without any regulation of noise sources. Therefor, we must establish an enactment to control mechanical noise sources. as soon as possible. For the purpose of controlling the noise source, we must have exact data about such things as the sound level, the frequency of the peak sound and the revolutions per minute (r.p.m.) of the machine (a measure of the power of its motor). This study was undertaken in order to define the noise characteristics, the power of the machine's motor, the change of the sound level and the peak sound as the r.p.m. increases, and the permissible exposure time. The sample size of this study was 74 machines at 11 plants in 6 industries. The results are as follows; 1. The breakdown of the types of mechanical noise noted was : 63.6% continuous normal sound, 26.9% intermittent sound, 4.7% continuous repeating sound and 4.6% impulsive sound. 2. With respect to the type of industry, the overall sound level was the highest in the mechanical industry, with $103.8{\pm}2.8dB(A)$, and lowest in the textile industry, with $89.2{\pm}1.43dB(A)$. 3. With respect to the type of machine, the highest sound level was 124 dB(A) caused by Gauzing(II), in the mechanical industry, and the lowest was 76 dB(A) caused by Attachment (Jup Chack) (I) in the timber industry. 4. The shortest permissible exposure time to Gauzing(II) in the mechanical industry was less than 15 minutes. 5. Among 74 machines, 68.2% of the peak sound was situated in the high frequency range (52.7% at 2 KHz, 4.1% at 4 KHz and 1.4% at 8 KHz). 41.8% of the peak sound was in the middle frequency range (4.1% at 250Hz, 14.8% at 500Hz and 22.9% at 1KHz). 6. If one machine had two motors or more, the peak sound was shifted to the low frequency range. 7. As the r.p.m. increased, the overall and peak sound levels were increased without any change of the frequency of the peak sound. 8. Whenever the machines had the same kind and the same r.p.m., the overall and peak sounds were changed by the physicochemical characteristics of the raw materials and the management.
Lately a few of new ecological management policies have been developed and implemented to need objectives of national parks in effective ways. Examples include trail closing for preserving bears, no pets allowance for possible diesease expansion, and no fire in national parks. Such new policies can cause visitors and local residents inconvenience and dissatisfaction. Decision-making processes based on public participation became more important as a primary mean to decrease such undesirable reactions. This study examined conflicts between collective value and individual preference in process building an ecological management policy by analysis of questionnaire survey results. The subjects of the present study were 242 university students. The majority(93.%) accepted the need of public participation in decision-making processes, and the most important reason was that such processes can properly help decison makers understand what the public and local residents want(51.7%). They also answered that individual property right can be limited for preserving species but the limited right should be compensated by the government(93.0%). The great majority(97.1%) of respondents supported the trail closing policy designed to protect bears(Urus thibetanus) from being captured no matter what their personal preference is. On the contrary, more than half of the respondents answered that local residents should be allowed to gather herbs and plants even within national park area since they have been doing for a long time. The results of the present study seem to support major findings of some previous studies that it is critical for policy makers to encourage the public to consider issues under debate from the perspective of collective value rather than individual preference and provide them with necessary information and chances to discuss to each other in public participation processes.
Health services on industrial noisy environment have been provided only for noise-induced hearing loss management until now. But gradually, modem diseases and death have come to be related to stress and mental health deeply, therefore noise-induced mental disorder, like a stress became very important. In this point, the purpose of this study was to analyze the relationship between noise exposure level in worksite and workers' stress symptoms. This study included a survey of 786 manual workers selected from 89 worksites in 21 factories in Puchon. The results were as follows: 1. For demographic characteristics, most of the workers were males(80.8%), the $20\sim29years$ old were 34.5% and those who graduated from high school were 65.3%. The workers whose monthly income ranged from 100,000 to 800,000 won were 37.5% and who have a religion were 47.9%. 2. For occupational characteristics, workers who had worked $1\sim5$ years in the factories were 33.0%. Those who were much for them workload were 43.9% and who worked more than 8 hours a day were 73.9%. Those who were disatisfied with their job and pay were 31.9% and 50.6%. The workers who responsed ventilation condition of their worksites were bad were 51.9% and the dissatisfed with working environment of their worksites were 45.9%. 3. Workers who were suffering from tinnitus were 53.3% and those who perceived hearing loss were 50.1%. Persons who reported they always wore earplugs at work were 35.4%. Those who felt earplugs bigger than their ears were 30.6% and those who experienced eardiseases caused by earplugs were 25.6%. 4. For the noise exposure level in worksite, workers who were exposed to $80\sim90dB$ were 30.3%, $90\sim100dB$ were 26.4% and $50\sim70dB$ were 19.2%. 5. Workers' stress symptoms were significantly related to marital status and their monthly income(p<0.05). Workers who were single and had lower monthly income showed higher PSI (Psychiatric Symptom Index) scores than those who were married and had higher monthly income. Higher PSI scores were also significantly related to $1\sim2$ days hight-work per week, much for them workload, dissatisfaction with their job, and bad relationship with their bosses and coworkers. 6. Higher PSI scores were significantly related to severe tinnitus and perceived hearing losso(p<0.001). Workers who felt the earplugs they use did not fit their ears showed significantly higher PSI scores(p<0.01). Workers who reported that they did not feel they need earplugs showed. significantly higher PSI scores (p<0.05). Increased experience of eardisease caused by earplugs that did not fit were also significantly related to higher PSI scores(p<0.01). 7. The higher noise exposure level in worksite from 80dB was, the more severe stress symptoms including PSI subparts were reported; Anxiety, Anger, Depression, and Cognitive disorder(p<0.001). 5. According to the results of stepwise multiple regression analysis, factors affecting workers' PSI scores were perceived hearing loss$(R^2=0.160)$, noise exposure level in worksite$(R^2=0.110)$, realtionship with coworkers, amount of workload, monthly income and relationship with bosses orderly and the total $R^2$ of this 6 factors was 0.371. 9. The most significant factors that have impact on manual workers' stress symptoms were perceived hearing loss and noise exposure level in worksite, especially noise exposure level in the worksite was the most affective factor on the depression symptom.
The recent surge in the ISD lawsuit filed against the Korean government is likely to cause major domestic confusion. This is because in most cases, foreign investors have claimed billions of won in damages filed against Korea in the ISD lawsuit. Public opinion will be generated to abolish the ISD lawsuit system, which is included in the international investment agreement, when a decision comes out in the Elliott/Mason case or Lone Star case, which has already been completed by the hearing. It is clear that the ISD clause, which is commonly included in most of the BITs, FTAs, can be a limiting factor in the government's public policy, as shown by many investment disputes. However, it is not necessary to have a negative view of the ISD clause itself, given that it is a system that can protect Korean investors from illegal and inappropriate actions by local governments. Since Korea already allows the system of ISD lawsuits with many countries through FTAs and BITs, and negotiations are underway to sign FTAs with new countries, the possibility that foreign investors will refer to the ISD proceeding further to our government's public policy will increase. In order to prepare for an ISD lawsuit, the Korean government has launched a response team consisting of government practitioners, private scholars, and legal professionals in the central government ministries to review major legal issues that are controversial in the cases of the ISD. In particular, local governments and public institutions, which fail to recognize the importance of international investment regulations and ISD clause, need to share and train relevant information so that all processes for public policy planning and implementation comply with international investment rules such as BITs and FTAs.
As CCTV can be an effective tool to prevent or suppress crime at low cost, they have been widesoread in developed countries. In spite of their effectiveness, they infringe some constitutional rights such as the right to privacy, the right of likeness and the right to control over personal information. The police and ward offices install CCTV in public areas to prevent crimes without a legal basis or standard. When information obtained in such a way is used as investigation data for the police or as an evidence in a court, it can cause serious trouble. To solve this problem, legal restriction on the installation of CCTV as should be clearer. Since current laws on public agencies' protection of personal information are too general, they are not effective enough to protect personal information. Therefore, Personal Information Protection Organic Act should be enacted to make a legal basis for protecting comprehensive personal information. It should be obvious who installs CCTVs, who pay for the cost and how they are managed. Before installation, the police and ward offices should obtain residents' consent through a public hearing or voting (on the range and purpose of installation), or conduct an impact assessment. During installation, CCTVs should be limited to prevent or suppress crimes, keep public order and void dangers. In case of making a sign of installation, it must specify its rights. After installation(operation/management phase), they should abide by principles of information protection and try not to infringe constitutional right. In the cognitive aspect, the police should constitutional rights must be secured although it is important to carry out their missions. The police should serve citizens and change to the police of communities. Citizens should understand that constitutional right can be infringed if public order is not maintained. When citizens cooperate with the police, they fear of crimes will decrease.
In today's data-driven society, we've been hearing a great deal about the power of Big Data over the last couple of years. At the same time, it has become the most important issue that the problems is caused by the data collection, management and utilization. Moreover, Big Data has a wide applications ranging from situation awareness, decision-making to the area to enable for the foreseeable future with man-made and analysis of data. It is necessary to process data into meaningful information given that the huge amount of structured and unstructured data being created in the private and the public sector, even in disaster management. This data should be public and private sector at the same time for the appropriate linkage analysis for effective disaster management. In this paper, we conducted a literature review and case study efficient Big Data to derive the revitalization of national disaster management. The study obtained data on the role and responsibility of the public sector and the private sector to leverage Big Data for promotion of national disaster management plan. Both public and private sectors should promote common development challenges related to the openness and sharing of Big Data, technology and expansion of infrastructure, legal and institutional maintenance. The implications of the finding were discussed.
Japanese welfare legislation for the disabled was enacted via Law 283 on December 26. 1956. The push for such legislation at the national level had gown concurrent with development of Japan's post-war economy Korean welfare law for disabled was made 22 years later and was again amended in 1989. The current legislation promotes and supports the legal welfare of the Koran disabled. The following are the results of a comparison between Korean and Japanese accessibility facilities and welfare law; 1) Japan's developement of disabled people's welfare law is inextricably linked to the development of disabled people's advocacy and the human rights movement. In addition, welfare policy has shifts its mandate from rehabilitation to independent living. It follows that local altitudes will play a pivotal role in further policy initiatives. Korean disabled people's welfare policy emerged hand in hand with economic recovery and development following the Korean War. By 1977 a special education law was enacted which-like it Japanese counterpart-promoted the education of disabled children. 2) Accessibility facilities were developed privately movement. The disabled faced constant and systematic disadvantages in public/private buildings and transportation systems. A general lack of cultural awareness and information relating ti these problems prevailed. These included-hut were by no means limited to sign language (for hearing the impaired) and braille(the language of blind). However, new attitudes and improvements have since emerged and new laws have resulted in the publication of Korean 'White Book' outlining the everyday problems faced by the disabled. In addition, mort convenient access facilities have been constructed in public and private buildings. In closing, legal support for the disabled, senior citizens and pregnant women continues to be improved by newer legislation enacted tin April 6, 1977.
본 연구는 2006년 3월부터 2007년 2월까지 일개 대학병원에서 출생한 고위험군 신생아 121명을 대상으로 청각선별검사인 자동화 유발이음향방사와 확진검사인 청성뇌유발전위검사를 실시하여 임상양상과 청각장애 발생률, 검사소요 시간에 대해 조사하였다. 결과는 다음과 같다. 1. 청각장애발생률은 전체 고위험군 신생아 121명 중 5명의 신생아가 난청으로 조기에 진단되었다. 2. 난청으로 확진 받은 신생아 5명의 관련 질병을 살펴보면 고빌리루빈혈증 2명, 저체중 1명, 구개열 1명, 다운증후군 1명이었다. 3. 난청으로 확진 받은 신생아 5명의 청력손실정도는 양측 고도난청 1명(70dB), 양측 중도난청 2명(55dB), 편측성 난청 2명으로 나타났다. 4. 검사소요 시간은 선별검사인 유발이음향방사 검사를 실시하는 데 소요된 총 시간의 평균은 $107.5{\pm}65.2$초였고, 확진검사인 청성뇌유발전위 검사를 실시하는 데 소요된 총 시간의 평균은 $1,500{\pm}90.1$초가 소요되었다. 5. 연구를 진행하는 도중 11명의 고위험군 신생아가 이사, 연락처 변경, 경제적 사정으로 추적검사에 참여하지 않았다. 신생아 난청은 다른 질병에 비해 발병률이 높은 선천성 질환으로서 모든 신생아를 대상으로 청각검사를 실시하여 난청의 조기진단에 대한 선별검사의 정착이 필요하다고 생각된다.
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