Purpose: This study was conducted in order to investigate the experiences of nurses in health care of women with multi-cultural background. The structure of these experiences was identified in a social-cultural context. Methods: Data were collected by means of in-depth interviews using tape-recordings from 16 participants who were providing childbirth care for culturally different women. A phenomenological method proposed by Colaizzi was used to guide the process of data analysis. Results: A total of 138 significant statements were extracted from the data resulting in nine themes and five theme clusters. Theme clusters that emerged from the data were: more in-depth cultural difference, difficulty in providing care in multi-cultured, sticking to care in our own way, not being ready to nurse, and accepting culturally different woman, such as a Korean woman. Conclusion: The findings suggest that systematic educational programs for enhancement of cultural competency and its support systems should be developed for Korean nurses. Useful materials on Korean childbirth care should also be provided to women giving birth.
Lee, Sugil;Jankewicz, Ganyk;Kim, Jung-Hee;Chung, Kwang Bo
Environmental Engineering Research
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v.23
no.3
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pp.265-270
/
2018
This study was to measure the exposure of diesel vehicle drivers to elemental carbon (EC) as an indicator of diesel particulate matter (DPM) emitted from diesel vehicles in an underground coal mine over 3 years as per NIOSH Method 5040. Our study results (range $10{\mu}g/m^3-377{\mu}g/m^3$ for the loader drivers, $19{\mu}g/m^3-162{\mu}g/m^3$ for the SMV drivers) were similar or less than previous study results (range $5{\mu}g/m^3-2,200{\mu}g/m^3$) for normal mine operations. From this study results, it appeared that the exposures decreased in the second and the third year. It is thought that the reasons for the decreased personal DPM (EC) exposures over the 3 years were related to the following recommendations; more frequent monitoring and maintenance of the diesel vehicles and their DPM filtration systems, more consistent monitoring of the mine's ventilation system and changes of work practices such as minimizing the opening of diesel vehicle windows. An educational program on adverse health effects of exposure to DPM and use of respiratory protection (P2 respirators) also assisted in minimizing driver exposure to DPM.
Journal of the Korean Society for information Management
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v.38
no.2
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pp.277-303
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2021
The purpose of the research is to investigate general citizens' information needs, seeking and uses about both disaster and health information in the middle of disaster of COVID-19 pandemic: what kinds of information they need, what kinds of information sources they use, which channels and media they use to learn the information, etc. To achieve the goal, the study conducted an online survey for general citizens over the age of 20. The survey is composed of 45 questions including four topics-demographic characteristics, information seeking behavior on both disaster and health, and the roles of public information organizations such as libraries in the middle of disaster. On the basis of the results, the research discusses and suggests that what kinds of information should be supplied and in what manners, and which media or information systems should be used when the governments or public organizations provide the information regarding disaster and health, and what roles public information organizations such as libraries should play in the middle of disaster.
Background: Cervical cancer has become a major public health problem worldwide. Iran, like other developing countries, is facing a number of challenges in managing the disease. This qualitative study documents challenges encountered in cervical cancer preventing programs in Iran. Materials and Methods: In-depth interviews were conducted with 28 participants including eleven patients with cervical cancer, three gynecologic oncologists, five specialists in Obstetrics and Gynecology, five midwives, three health care managers and one epidemiologist in Mashhad Iran, between May and December of 2012. The sample was selected purposively until data saturation was achieved. Data credibility verified via allocated sufficient time for data collection, using member checking and peer debriefing. Data analysis was carried out using conventional content analysis approach with ATLAS. ti software. Results: Findings from data analysis demonstrated 2 major themes and 6 categories about challenges of providing cervical cancer prevention programs including: individual and social challenges (cognitive/behavioral challenges and socio/cultural challenges) and health system challenges (stewardship, financing, competency of health care providers and access to services). Each category included some subcategories. Conclusions: Managing the cervical cancer prevention programs need to include the consideration of individuals, health care providers and health system challenges. Addressing the low level of knowledge, negative attitudes, socio cultural challenges, Poor intersectional collaboration and coordination and intra-sectional management, financing and competency of health care providers are essential steps toward significantly reducing the burdens of cervical cancer.
Bronson B. Du;Sara Rezvani;Philip Bigelow;Behdin Nowrouzi-Kia;Veronique M. Boscart;Marcus Yung;Amin Yazdani
Safety and Health at Work
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v.13
no.4
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pp.379-386
/
2022
Emergency medical services (EMS) personnel are at high risk for adverse mental health outcomes during disease outbreaks. To support the development of evidence-informed mitigation strategies, we conducted a scoping review to identify the extent of research pertaining to EMS personnel's mental health during disease outbreaks and summarized key factors associated with mental health outcomes. We systematically searched three databases for articles containing keywords within three concepts: EMS personnel, disease outbreaks, and mental health. We screened and retained original peer-reviewed articles that discussed, in English, EMS personnel's mental health during disease outbreaks. Where inferential statistics were reported, the associations between individual and work-related factors and mental health outcomes were synthesized. Twenty-five articles were eligible for data extraction. Our findings suggest that many of the contributing factors for adverse mental health outcomes are related to inadequacies in fulfilling EMS personnel's basic safety and informational needs. In preparation for future disease outbreaks, resources should be prioritized toward ensuring adequate provisions of personal protective equipment and infection prevention and control training. This scoping review serves as a launching pad for further research and intervention development.
Background: Assessment of supportive needs is the requirement to plan any supportive care program for cancer patients. There is no evidence about supportive care needs of Iranian breast cancer patients. So, the aims of present study were to investigate this question and s predictive factors. Materials and Methods: A descriptive-correlational study was conducted, followed by logistic regression analyses. The Supportive Care Needs Survey was completed by 136 breast cancer patients residing in Iran following their initial treatment. This assessed needs in five domains: psychological, health system and information, physical and daily living, patient care and support, and sexuality. Results: Patient perceived needs were highest in the health systems and information (71%), and physical and daily living (68%) domains. Logistic regression modeling revealed that younger participants have more un-met needs in all domains and those with more children reported fewer un-met needs in patient care and support domains. In addition, married women had more un-met supportive care needs related to sexuality. Conclusions: The high rate of un-met supportive care needs in all domains suggests that supportive care services are desperately required for breast cancer patients in Iran. Moreover, services that address informational needs and physical and daily living needs ought to be the priority, with particular attention paid to younger women. Further research is clearly needed to fully understand supportive care needs in this cultural context.
Lee, Yeo Eun;Cha, Chun Nam;Son, Song Ee;Yoo, Chang-Yeul;Park, Eun-Kee;Kim, Suk;Lee, Hu Jang
Journal of Veterinary Clinics
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v.30
no.1
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pp.17-21
/
2013
The objectives in the present study were to evaluate the therapeutic effect of a sodium salts mixture against Salmonella gallinarum infection in broiler. Of this study, sixty broilers at two weeks of age (body weight, $450{\pm}35$ g) were used to estimate the efficacy of a sodium salts mixture (3.25 mg sodium azide, 2.45 mg sodium cyanide, 0.8 g sodium chlorate) against Salmonella gallinarum infection in broiler with drinking water. Broilers challenged with S. gallinarum were administered with ${\times}$ 1(group I) and ${\times}$ 2(group II) sodium salt mixture for seven days, and cecal content samples were collected at the gate of treatment and on 1st, 3rd, 5th, and 7th day after administration. Changes in body weight and cecal shedding of S. gallinarum were monitored during the experimental period. All groups treated with the sodium salt mixture slightly increased body weight compared to control group but there is no significant difference. At 7th day after administration, the number of S. gallinarum in group I and II was significantly decreased compared to control group (p < 0.001). In the hematological and blood biochemical analysis, values of parameters were not significantly different between the treated groups and control group. From results of the present study, the sodium salt mixture had therapeutic effect on S. gallinarum infection in broilers.
Okello, Anna L;Tiemann, Tassilo T;Inthavong, Phouth;Khamlome, Boualam;Phengvilaysouk, Ammaly;Keonouchanh, Soukanh;Keokhamphet, Chattouphone;Somoulay, Virasack;Blaszak, Kate;Blacksell, Stuart D;Okello, Walter O;Allen, John
Asian-Australasian Journal of Animal Sciences
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v.30
no.11
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pp.1651-1659
/
2017
Objective: Lao PDR's recent accession to the World Trade Organization necessitates a greater understanding of the patterns and risk of livestock production in order to better align national policy with the Agreement on the Application of Sanitary and Phytosanitary Measures. This eco-health study was conducted to improve understanding of the interrelations between market chains and zoonotic infection risks at two strategic cross border points between Lao PDR, Thailand and Viet Nam. Methods: Information gained from smallholder farmer/trader interviews was integrated with serological surveys for pig-associated zoonoses-including hepatitis E virus (HEV), Taenia solium (T. solium) and trichinella-to identify potential linkages between disease risk and pig production and slaughter in low input systems common across the country. Results: Trichinella and HEV exposure was high in both humans and pigs in both study areas, significantly associated with pig slaughter and the subsequent consumption and handling of raw pork products. T. solium demonstrated a strong geographical and ethnic association with the northern study area bordering Vietnam. With the right knowledge and accessible, affordable inputs, the majority of smallholder farmers indicated a willingness to invest more in pig production, which could simultaneously improve livelihoods and decrease exposure to HEV, Trichinella, and T. solium through increased access to formal markets and an improved slaughter processes. Conclusion: The linkages identified when assessing disease risk in the context of potential economic and cultural drivers of transmission highlight the importance of a systems-based approach for the detection and control of zoonotic disease, and contributes to an improved understanding of the Lao PDR livestock sector.
Korea has entered the ranks of advanced countries in terms of economic size and technological competitiveness. However, its industrial accident fatality rate remains among the lowest in OECD countries, and recent incidents such as various building collapses have resulted in numerous deaths of workers or citizens, reminiscent of accidents in developing countries. According to the 2022 Industrial Accident Status Analysis by the Ministry of Employment and Labor, out of the 874 fatalities in work-related accidents in 2022 across all industries, 402 were in the construction industry, accounting for approximately 46% of all fatalities. In particular, the construction industry's fatality rate stands at 1.61, significantly higher than the overall industry fatality rate of 0.43, indicating its severity. Construction ranks highest in terms of fatality rates, with mining at 12.18 and fishing at 1.80. When categorizing construction projects into private and public, private projects show significantly higher figures in terms of contracts, contract amounts, accident numbers, and fatalities compared to public projects. However, unlike public agencies, many private clients lack adequate safety and health activities and lack established safety and health systems. This study aims to raise awareness among private clients about the need to establish safety and health systems and enhance safety and health activities, and to discuss the direction of future development of advanced safety and health practices among private clients.
Kim, Mi Na;Lee, Seung Kil;Doo, Yong Kyoon;Cho, Sam Rae;Choi, Jae-Wook
Journal of Environmental Health Sciences
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v.41
no.6
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pp.380-388
/
2015
Objectives: Poisonous substances experts engage in policymaking regarding poisonous substances, whereas poisonous substances managers perform legal duties related to poisonous substances management systems at worksites. To understand and improve poisonous substances designation systems, it is necessary to distinguish the roles of these experts and managers. We further aimed to identify problems with poisonous substances appointment systems and provide basic data for their improvement by investigating the knowledge and recognition of the need for system improvement among managers and experts. Methods: To determine the $subjects^{\circ}{\emptyset}$ awareness of poisonous substances designation systems, a selfadministered questionnaire comprised of items on general characteristics and knowledge and recognition of the need for system improvement was issued. Data were analyzed via t-tests and ANOVA using SPSS v 16.0 Results: Regarding system comprehension, managers (n=213; mean 3.28, SD 0.63) significantly differed from experts (n=35; mean 4.08, SD 0.59) (P<0.001). No differences were found in recognition of need for improvement between managers (mean 3.11, SD 0.34) and experts (mean 3.24, SD 0.31). Significant differences in comprehension were found among managers by education level (P<0.05) and company size (P<0.05). Regarding industry type, comprehension was greater in the electrical/electronic and chemical/environmental industries compared to in other industries (P = 0.066). Comprehension was higher among those with five years or more of experience compared to those with less than five years. Regarding recognition of need for improvement, managers showed significant differences by company size (P<0.05). $Experts^{\circ}{\emptyset}$ comprehension showed no differences by general characteristics, while need for improvement differed according to work experience (P<0.001). Conclusion: The study found that the bigger the company size, the higher the level of comprehension by managers and the experts. In the case of both groups, where a higher comprehension of the poisonous substances designation system was evident, they recognized the necessity of its improvement.
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