• Title/Summary/Keyword: Prevention Focus

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Factors Affecting Length of Stay and Death in Tuberculosis Patients(2008-2017): Focus on the Korean National Hospital Discharge In-depth Injury Survey (결핵 환자의 재원기간과 사망에 영향을 미치는 요인(2008-2017): 퇴원손상자료를 중심으로)

  • Lee, Hyun-Sook;Kim, Sang-Mi
    • The Journal of the Korea Contents Association
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    • v.21 no.4
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    • pp.487-497
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    • 2021
  • The purpose of this study is to identify factors affecting length of stay(LOS) and death in tuberculosis(TB) patients by disease type, patient characteristic, admission and disease characteristic, and hospital characteristic from 2008 to 2017. Survey data was using Korean national hospital discharge in-depth survey data produced by Korea Disease Control and Prevention Agency. Study subjects were 10,634 inpatients with TB(A15, A16, A17, A18, A19, U88.0, U88.1, U84.30, U84.31) and analyzed frequency, chi-square test, Fisher's exact test, and logistic regression by using STATA 13.0. As a study result, the type of TB(extrapulmonary TB, multidrug-resistant TB, extensively drug-resistant TB), sex(woman), age(35-49, 50-64, 65-74, 75 years old or older), admission type(outpatient department), CCI(1-2 point, 3 point over), hospital location(metropolitan city) and bed size(300-499, 500-999, over 1000) were significantly influence LOS. Also, the type of TB(extrapulmonary TB, extensively drug-resistant TB), sex(woman), age(50-64, 65-74, 75 years old or older), residence(small town/rural), admission type(outpatient department), CCI(1-2 point, 3 point over), hospital location(provincial) were significantly influence death. In conclusion, the existing tuberculosis management has been patient management with rapid diagnosis and treatment following early detection. But other studies should be carried out for the system that identifies and supports high-risk groups of the long-term length of stay in hospital or high mortality rates as a result of treatment.

Esthetic considerations for anterior implant-supported prostheses: focus on surgical and prosthetic treatment (전치부 임플란트의 연조직 심미성을 달성하기 위한 외과적, 보철적 고려사항)

  • Park, Yeon-Hee;Ahn, Seung-Geun;Kim, Kyoung-A;Seo, Jae-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.186-198
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    • 2021
  • As the increased certainty of osseointegration, new parameters are now being used to assess implant success. Accordingly, patients' and clinicians' high demands and expectation for esthetics have expanded and implant-supported restorations show better esthetic outcomes. The pre-implant treatment planning process, the implant surgical steps and the post-surgery prosthetic process can affect all esthetic outcomes. Prevention of esthetic implant failures can be achieved by appropriate treatment at each stage, considering the 3 factors of alveolar bone, soft tissue, and implants. It is necessary to achieve the esthetic implant prostheses followings: minimal invasive surgery, bone augmentation, ideal 3-dimensional implant position, peri-implant soft tissue management, and provisional restorations to optimize peri-implant soft tissue architecture.

A Study on Collaborative Network for Coping with COVID-19 Using Social Network Analysis (소셜 네트워크 분석을 활용한 코로나19 대응 협력 네트워크에 관한 연구)

  • Oh, Juyeon;Kim, Jinjae;Lee, Taeho;Suh, Woojong
    • Journal of Korea Society of Industrial Information Systems
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    • v.27 no.3
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    • pp.89-108
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    • 2022
  • The purpose of this study is to reveal the specific current and future shapes of the collaborative network among organizations witch cope the COVID-19 in Korea. For this, this study conducted social network analysis, based on the response data of 73 experts from 36 COVID-19-related organizations. As a result of the analysis, it was confirmed that the Korea Disease Control and Prevention Agency (KDCA) plays a pivotal role as a control tower in coping COVID-19 in all of the analysis of degree, betweenness, and closeness centrality. In addition, the results revealed concrete forms of collaborative relationships among participating organizations in the public and private sectors that constitute the present and future networks centered on the KDCA. Furthermore, this study presented which organizations and relationships should be the focus of establishing a future collaborative network through comparative analysis between the current cooperative network and the network to be built in the future. The analysis results and discussions of this study are expected to be used as useful information for policy development related to collaborative networks that can effectively respond to disasters caused by new diseases in the future.

Working in a Risky Environment: Coping and Risk Handling Strategies Among Small-scale Miners in Ghana

  • Wireko-Gyebi, Rejoice Selorm;Arhin, Albert Abraham;Braimah, Imoro;King, Rudith Sylvana;Lykke, Anne Mette
    • Safety and Health at Work
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    • v.13 no.2
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    • pp.163-169
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    • 2022
  • Background: It is estimated that about 13 million artisanal and small-scale miners carry out their activities under harsh, precarious, unfriendly, and risky conditions. Yet, our understanding of the extent to which these workers use personal protective equipment (PPE) and navigate through the various risks and hazards they face is still limited. This article has two main objectives. First, it explores the extent of usage of PPE among artisanal and small-scale miners for the prevention of hazards and risks. Second, it examines the coping strategies used by these miners as a response to experiences of occupational injuries and risks Methods: A cross-sectional survey of small-scale miners was conducted in six communities across three districts in Ghana, West Africa. The mixed methods approach was adopted. A total of 148 small-scale miners participated in the study. Six focus group discussions (FGDs) were held across the six communities. The data were analysed using descriptive statistics. Chi-square tests were used to analyse the relationship between some socio-demographic characteristics (sex, age, and educational background) and the usage of PPE. Open-ended questions and responses from FGDs were analysed based on the content and verbatim quotations from miners. Results: Findings suggest that 78% of the miners interviewed do not use the appropriate PPE citing reasons such as cost, and their personal discomfort associated with use of PPE. There was no significant relationship between socio-demographic characteristics (i.e., sex, age, education and major mining activity) and the usage of PPE. The study further revealed four main coping strategies used by miners to handle the risks. These are rest, taking unprescribed medication and hard drugs, registration with health insurance scheme and savings and investments. Conclusion: This study shows that very few artisanal miners use PPE despite the significant hazards and risks to which they are exposed. The study recommends to the government to put in place measures to ensure that miners adhere to health and safety regulations before undertaking mining activities. This means that health and safety plans and use of PPE should be linked to the license acquisition process for miners.

Study to Improve the Legal System to Reduce Marine Accidents caused by Marine Plastic Litter (해양 플라스틱 쓰레기에 의한 부유물 감김 해양사고 저감 정책방안 연구 - 법제도 측면 개선 중심으로 -)

  • Lee, Hye-Jin;Kim, Bo-Ram
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.27 no.7
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    • pp.967-976
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    • 2021
  • Over the last ten years, the number of entanglement marine accidents has increased more than other accident types. This study analyzed the annual statistical report of marine accidents from the Korea Maritime Safety Tribunal and Korea Coast Guard. Despite some discrepancies between data of the two organizations, it was found that marine accidents involving fishing vessels were more prevalent than those involving non-fishing vessels. In addition, the main floating materials that caused wounded entanglement accidents were fishing nets, fishing gear, and ropes, and the proportion of them was high. Foreign and domestic policies on marine plastics recognize most marine plastics as marine environmental hazards and focus on marine litter recovery and the prevention of marine pollution. The representative Acts related to the marine environment and marine litter, the Marine Environment Management Act and the Marine Waste and Sediments Management Act, recognize marine litter as a type of marine waste, and deal with the types and definition of this waste. However, clearly defining marine waste is difficult. Therefore, this study tried to examine the relevant legal system of marine litter on ship operation and suggested improvement measures. Moreover, the definition of marine litter for the safe navigation and operation of ships was clearly proposed.

A study on the economic performance measurement model of industrial safety design (산업안전디자인의 경제적 성과측정 모델 연구)

  • Jinho, Ahn
    • Journal of Service Research and Studies
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    • v.13 no.1
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    • pp.176-185
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    • 2023
  • This study is a study to develop a model to measure the economic performance when introducing industrial safety design, which is emerging as a necessity for industrial accident prevention measures due to the increase in the industrial site nursing accident rate and the enforcement of the Serious Accident Punishment Act. To this end, studies on the concept of industrial safety management and industrial safety design and economic performance measurement in the field of industrial safety were conducted in terms of theoretical background. Based on the theoretical background, opinions on drafts of related indicators were collected through user opinion surveys, and focus group interviews and Delphi techniques were conducted with experts, and research was conducted to advance the model. In order to secure objectivity, the causal relationship between the introduction of industrial safety design, cost reduction effect, and sales increase effect was tested through regression analysis. After going through these steps, two models of economic performance measurement of industrial safety design were finally developed: a model based on the first-stage disaster loss cost reduction effect and a second-stage sales increase effect. In order to be applied to actual industrial sites, it should be able to be presented as a standard for the degree of service level agreement of industrial safety design beyond a simple checklist.

Flood Runoff Simulation Using GIS-Grid Based K-DRUM for Yongdam-Dam Watershed (GIS격자기반 K-DRUM을 활용한 용담댐유역 홍수유출모의)

  • Park, Jin Hyeog;Hur, Young Teck;Ryoo, Kyong Sik;Lee, Geun Sang
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.29 no.1D
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    • pp.145-151
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    • 2009
  • Recently, the rapid development of GIS technology has made it possible to handle a various data associated with spatially hydrological parameters with their attribute information. Therefore, there has been a shift in focus from lumped runoff models to distributed runoff models, as the latter can consider temporal and spatial variations of discharge. This research is to evaluate the feasibility of GIS based distributed model using radar rainfall which can express temporal and spatial distribution in actual dam watershed during flood runoff period. K-DRUM (K-water hydrologic & hydaulic Distributed flood RUnoff Model) which was developed to calculate flood discharge connected to radar rainfall based on long-term runoff model developed by Kyoto- University DPRI (Disaster Prevention Research Institute), and Yondam-Dam watershed ($930km^2$) was applied as study site. Distributed rainfall according to grid resolution was generated by using preprocess program of radar rainfall, from JIN radar. Also, GIS hydrological parameters were extracted from basic GIS data such as DEM, land cover and soil map, and used as input data of distributed model (K-DRUM). Results of this research can provide a base for building of real-time short-term rainfall runoff forecast system according to flash flood in near future.

A Study on the Performance of Industrial Accident Prevention in Safety Management Institution -Focus on Comparison with Self-Managed Safety Workplace- (안전관리전문기관의 산업재해예방 성과에 관한 연구 -자체수행 안전관리사업장과 비교 중심-)

  • Seung-Kuk Lee;Seok-Jin Song;In-Sung Kim;Gyu-Sun Cho
    • Industry Promotion Research
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    • v.8 no.4
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    • pp.61-67
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    • 2023
  • This study compared, analyzed, and verified the accident rate and accident fatality rate (per 10,000 workers) of workplaces that perform safety management on behalf of a safety management institutions designated and registered in accordance with the OSHAct and workplaces that perform safety management. According to the research results, the significance was confirmed that the group with a low accident rate was the workplaces that self-appointed safety managers, workplaces with self-appointed safety managers in size with less than 300 employees, and workplaces in the industrial accident insurance industry in the manufacturing and transportation, warehouse, and telecommunications industries. The groups with a low accidental death rate were workplaces with less than 300 employees, workplaces where safety management was performed on behalf of safety management institutions, and workplaces with selfappointment for other medical businesses. In this study, it was confirmed that the accident rate in the safety management agency's workplaces was higher than that of its own appointed workplaces, and that there were some differences in the accident fatality rate depending on the size and industry. Therefore, since the current safety management agency system cannot ensure the effect of preventing accidental deaths, there is a need for comprehensive improvement of the agency system and improvement of the system to strengthen expertise in preventing industrial accidents.

A Simulation of a Small Mountainous Chachment in Gyeoungbuk Using the RAMMS Model (RAMMS 모형을 이용한 경북 소규모 산지 유역의 토석류 모의)

  • Hyung-Joon Chang;Ho-Jin Lee;Seong-Goo Kim
    • Journal of Korean Society of Disaster and Security
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    • v.17 no.1
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    • pp.1-8
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    • 2024
  • In Korea, mountainous areas cover 60% of the land, leading to increased factors such as concentrated heavy rainfall and typhoons, which can result in debris flow and landslide. Despite the high risk of disasters like landslides and debris flow, there has been a tendency in most regions to focus more on post-damage recovery rather than preventing damage. Therefore, in this study, precise topographic data was constructed by conducting on-site surveys and drone measurements in areas where debris flow actually occurred, to analyze the risk zones for such events. The numerical analysis program RAMMS model was utilized to perform debris flow analysis on the areas prone to debris flow, and the actual distribution of debris flow was compared and analyzed to evaluate the applicability of the model. As a result, the debris flow generation area calculated by the RAMMS model was found to be 18% larger than the actual area, and the travel distance was estimated to be 10% smaller. However, the simulated shape of debris flow generation and the path of movement calculated by the model closely resembled the actual data. In the future, we aim to conduct additional research, including model verification suitable for domestic conditions and the selection of areas for damage prediction through debris flow analysis in unmeasured watersheds.

Patterns of self-harm/suicide attempters who visited emergency department over the past 10 years and changes in poisoning as a major method (2011-2020) (지난 10년간 응급실로 내원한 자해/자살 시도자의 양상 및 주요 수단으로서의 중독질환 변화 추이 분석(2011-2020))

  • Kyu Hyun Pai;Sung Woo Lee;Su Jin Kim;Kap Su Han;Juhyun Song;Sijin Lee;Ji Hwan Park;Jeijoon Song
    • Journal of The Korean Society of Clinical Toxicology
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    • v.21 no.2
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    • pp.69-80
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    • 2023
  • Purpose: Suicide ranks among the top causes of death among youth in South Korea. This study aimed to identify the characteristics of suicidal individuals treated at emergency departments between 2011 and 2020. Methods: A retrospective analysis was conducted using data from January 2011 to December 2020 in the Injury Surveillance Cohort, a prospective registry. Patients' sex, age, mortality, methods of self-harm, and previous suicide attempts were analyzed. The methods of self-harm were categorized into falls, asphyxiation, blunt injuries, penetrating injuries, poisoning, and others. Sub-groups with and without poisoning were compared. Results: The proportion of self-harm/suicide attempts increased from 2.3% (2011) to 5.0% (2020). The mortality rate decreased from 10.8% (2011) to 6.3% (2020). Poisoning was the most common method (61.7%). Mortality rates ranged from 42.0% for asphyxiation to 0.2% for blunt injuries. Individuals in their 20s showed a marked increase in suicide/self-harm attempts, especially in the last three years. A large proportion of decedents in their 70s or older (52.6%) used poisoning as a method of suicide. The percentage of individuals with two or more previous attempts rose from 7.1% (2011) to 19.7% (2020). The death rates by poisoning decreased from 7.7% (2011) to 2.5% (2020). Conclusion: Our findings underscore the urgent need for targeted interventions and suicide prevention policies. Managing and reducing suicide and self-harm in emergency settings will require a focus on poisoning, the 10-29 age group, and the elderly. This paper will be valuable for future policies aiming to reduce the societal burden of suicide and self-harm.