• 제목/요약/키워드: Public health systems research

검색결과 331건 처리시간 0.029초

공공하수처리시설 수질기준 선진화 방안 (Improvement on Sewerage Effluent Standard of Public Sewerage Treatment Plants)

  • 유순주;박상민;권오상;박수정;염익태
    • 한국물환경학회지
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    • 제29권2호
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    • pp.276-287
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    • 2013
  • Domestic sewage contains increasingly more pharmaceuticals and personal care products (PPCPs), due to rising use of medicines, health supplement food and daily necessities. And various types of industrial wastewater from pollution sources in treatment areas could flow into the public sewerage treatment plants (PSTPs) in metropolitan areas. The conventional PSTPs are designed to treat suspended solids, biodegradable organics, nitrogen and phosphorous from residential and industrial areas and public facilities. However, toxic, conventional, and non-coventional pollutants from non-domestic sources that discharge into sewer system as well as domestic source with various chemicals could not be treated in the conventional PSTPs and discharged untreated to public basin. In this paper we aim to consider the establishment system of effluent standard of PSTPs in comparison with water quality standard of water environment and wastewater discharge regulation. And also we suggest the necessity of regulations on the pretreatment of industrial wastewater as part of efforts to improve water quality in sewerage systems and to protect public basin.

연안해역 생태계 건강성 평가의 의미와 국내 적용 방향 (Implications for Coastal Ecosystem Health Assessments and Their Applications in Korea)

  • 김영옥;심원준;염기대
    • Ocean and Polar Research
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    • 제29권4호
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    • pp.319-326
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    • 2007
  • Coastal marine ecosystems continue to suffer unrelenting pressures from human population growth, increased development, and climate change. Moreover, these systems' capacity for self-repair is declining with such increases in anthropogenic production of various pollutants. What is the present health status or condition of the coastal ecosystem? If our coastal areas are unhealthy, which conditions are considered serious? To answer such questions, the United States, Canada, and Australia are currently assessing coastal ecosystem health using systematic monitoring programs as well as identifying and implementing management plans to improve the health of degraded coastal ecosystems. To evaluate marine environments, Korea is currently using a limited number of factors to estimate water quality. In fact, we are ill-prepared for assessing coastal ecosystem health because no biologically specific criteria are in place to measure the responses to various pollutants. We should select ecosystem-specific indicators from physicochemical stressors and evaluate the subsequent biological responses within each ecosystem. Furthermore, a set of practical indicators should be generated by considering the characteristics and uses of a local coastal area and the key issues at hand. The values of indicators should be presented as indices that allow understanding by the general public as well as by practitioners, policy makers, environmental managers and other stakeholders.

구강건강지표를 활용한 건강수명 연구경향 분석: 최근 10년간의 논문분석(2010-2020) (Research trend of health life expectancy using oral health indicators (2010-2020))

  • 정현우;양정연;박희정
    • 한국학교ㆍ지역보건교육학회지
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    • 제22권2호
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    • pp.75-91
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    • 2021
  • Purpose: The purpose of this article is to clearly describe research trends on health life expectancy using oral health indicators that have been published from 2010 to 2020 then suggest the direction of future research. Methods: Online academic databases in English (PubMed, Web of Science and Embase) were used to find those articles by applying a variety of keywords, including terms (adjusted life year, adjusted life expectancy, dental and oral). We identified relevant articles based on the following classification method of Mathers: (1) health gaps, (2) health expectancies. Results: Among 1,728 articles from the online databases, the final 13 studies satisfied the inclusion criteria and were selected for analysis. Health life expectancy studies indicate that research growth was recently achieved overseas. Among the literature collected in this study, 10 studies using health gap indicators yielded seven Disability-Adjusted Life Year (DALY), and three calculated Quality-Adjusted Life Year (QALY), which differed in the nature of the survey data used in the study measuring DALY and QALY. There are only three health expectancies and the number of papers were smaller than the health gap study. Conclusion: Establishing a foundation to calculate health life expectancy indicators through the development and improvement of oral health level are needed. More studies in the area of health life expectancy estimation research is based on actual prevalence and oral health-related quality of life are also needed.

석면분석 정도관리용 표준시료 개발연구 II - Amosite 및 Chrysotile 표준시료 평가 - (Development of Asbestos Quality Contral Samples for Proficiency Analytical Testing II - Evaluation of Amosite and Chrysotile Quality Contral Samples -)

  • 이광용;윤충식;한진구;윤문종;정시정;이종한;이인섭;박두용
    • 한국산업보건학회지
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    • 제19권3호
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    • pp.288-296
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    • 2009
  • We conducted validation for asbestos quality control (QC) samples made by the developed method which was presented in our published paper. The main results of the validation study are as follows. The pooled coefficient variations of analytical results in three different concentrations (low, medium, and high concentration) for amosite and chrysotile were less than 20 %, which met the sample homogenicity criteria of NIOSH. Also we confirmed the homogenicity of asbestos samples by using the relocatable field slide. To evaluate the field applicability of the developed asbestos QC samples, the field validation was performed with four proficient asbestos analysts by using the statistical methods of AIHA asbestos PAT program. All analytical results from four asbestos analysts were located in the acceptable range.

문신 및 반영구화장에 관한 체계적 문헌고찰 (A Systematic Review of the Literature on Tattoo and Semi-permanent Makeup)

  • 박소연;서은경;강성욱
    • 한국응용과학기술학회지
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    • 제40권3호
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    • pp.435-452
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    • 2023
  • 본 연구는 1979년부터 2022년까지 발표된 문신 및 반영구화장 관련 논문 198편을 대상으로 발표시기, 주제, 연구방법에 따라 체계적 문헌고찰을 수행하였다. 시기별로는 제1기(1979년~1994년), 제2기(1995년~2005년), 제3기(2006년~2012년), 제4기(2013년~2022년)로 나누었다. 제1기에는 보건의료적 측면의 연구가 주를 이루던 시기이며 제2기에는 예술, 문화 등 다양한 측면의 연구들이 나타나기 시작하였다. 제3기는 반영구화장에 관한 연구가 증가한 것이 특징이며 제4기는 문신 및 반영구화장의 연구가 급증하였다. 연구주제별로는 보건·의료, 미용, 패션·예술, 사회·문화, 법·제도로 나누어 분석하였다. 그 결과 소비자의 선호도와 인식도 등을 파악하기 위한 미용적 연구가 가장 활발하게 이루어졌으며, 보건의료적 연구가 두 번째로 많았다. 최근 법제화의 필요성이 높아짐에 따라 법·제도와 관련한 연구들이 급증하였으며, 문화, 역사, 패션 등에 관한 연구도 이루어졌다. 연구방법별로는 조사연구 방법을 가장 많이 활용하였으며 문헌연구, 사례연구 등 다양한 방법도 이용되었다. 본 연구로 향후 후속 연구가 더욱 촉진될 것이며 관련 산업의 발전에도 기여할 것으로 기대한다.

당뇨병 교육자의 당뇨교육 경험: 내용분석적 접근 (Experiences of Diabetes Education among Educators of Diabetes : a content analysis approach)

  • 강수진;장수정
    • 한국보건간호학회지
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    • 제30권2호
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    • pp.221-235
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    • 2016
  • Purpose: This study explored experiences of diabetes education among educators of diabetes. Methods: Data were collected from individual in-depth interviews with 10 nurses and 2 dieticians with had at least 3 years of experience in diabetes education. Data collection was conducted between May 2014 and February 2015. All interviews were recorded and stored as digital audio files, which were then transcribed verbatim. Data were analyzed through qualitative content analysis. Results: Analysis showed that four categories could be derived from the data: 1) barriers of diabetes education from an educator's perspective, 2) barriers of diabetes education form a patient's perspective, 3) facilitating factors of diabetes education from an educator's perspective, and 4) facilitating factors of diabetes education from a patient's perspective. Conclusion: This study suggests the necessity to strengthen the policy systems and financial support at a national level to provide diabetes education with higher quality to patients. In addition, it is required to develop various diabetes education programs with consideration to patient characteristics.

溫水수도꼭지와 온수에서 Legionella pneumophila의 分離同定 (Isolation and Identification of Legionella pneumophila from Hot Water Spouts and Hot Water)

  • Park, Ju-Hyeong;Zong, Moon-Shik
    • 한국환경보건학회지
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    • 제14권1호
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    • pp.23-32
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    • 1988
  • A study was carried out to find distribution of Legionella spp. in hot water supplying systems of buildings in Seoul. Water samples were taken from the hot water taps in three research institute buildings during the period from the 2nd to 27th February, 1987. And all of the three buildings were supplied with hot water from the same central hot water tank. GVPC BCYEa and blood agar were used for the isolation of Legionella pneurnophila and slide agglutination test (SAT) was performed to identify their strain types. Main findings were as follows 1. 44 samples taken from hot tap-water revealed 20% of positive culture and 44 samples taken from hot water spouts revealed 11% of positive culture. 2. The 78% of positive samples taken from hot water was obtained from 25.1$\circ$C~45.0$\circ$C temperature range. 3. Only, Legionella pneumophila serogroup 3 was identified and most of them has been than 2$\mu$m in length. 4. The densities of the Legionella pneurnophila isolated from hot water samples were within the range of $1.0\times 10^2$ to $1.1\times 10^3$ CFU/l and their densities isolated from hot water spouts were either 1 CFU/plate or 2 CFU/plate.

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Barriers to Effective Communication about Advance Care Planning and Palliative Care: A Qualitative Study

  • Hyosin Kim;Signe Peterson Flieger
    • Journal of Hospice and Palliative Care
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    • 제26권2호
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    • pp.42-50
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    • 2023
  • Purpose: The purpose of this study was to identify barriers to effective conversations about advance care planning (ACP) and palliative care reported by health care and community-based service providers in Massachusetts, USA. Methods: This qualitative research analyzed open-ended responses to two survey questions, inquiring about perceived barriers to having conversations about ACP and palliative care with patients and consumers. Data were collected between November 2017 and June 2019 from nine organizations in Massachusetts, including health care provider organizations, health insurers, community-based organizations, and a nursing education institution. Two researchers reviewed and coded the responses and identified common themes inductively. Results: Across 142 responses, primary barriers to ACP included hesitation and lack of understanding and knowledge, discomfort and resistance among service providers, lack of staff knowledge, difficulties with followup, and differences in ACP policies across regions. Common barriers to palliative care were misconceptions about palliative care and lack of knowledge, service providers' lack of preparedness, and limited policy support and availability. Challenges relevant to both ACP and palliative care were fear and discomfort around serious illness discussions, lack of knowledge and awareness, discussions that occur too late, and cultural and language barriers. Conclusion: Health care practitioners and community-based professionals reported consumer-, service provider-, and system-level barriers to facilitating conversations about ACP and palliative care with patients experiencing serious illness. There is a need for more tools and support to strengthen service providers' ACP and palliative care competencies and to promote a structured approach to health care planning conversations.

Tobacco Use and Quit Behaviour Assessment in the Global Adult Tobacco Survey (GATS): Invalid Responses and Implications

  • Jena, Pratap Kumar;Kishore, Jugal;Pati, Sanghamitra;Sarkar, Bidyut Kanti;Das, Sagarika
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권11호
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    • pp.6563-6568
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    • 2013
  • Background: Tobacco use and quit attempts are two key indicators of the Global Adult Tobacco Survey (GATS) that assess quit attempts among current as well as former tobacco users. The relevant data have inherent policy implications for tobacco cessation programme evaluation. This study aimed to review the concepts of quit attempt assessment and quantifying invalid responses considering GATS-India data. Materials and Methods: GATS assessment of tobacco use and quit attempts were examined in the current literature. Two categories of invalid responses were identified by stratified analysis of the duration of last quit attempt among current users and duration of abstinence among former users. Category A included absolute invalid responses when time-frame of assessment of current tobacco use and less than former tobacco use were violated. Category B included responses that violated the unit of measurement of time. Results: Current daily use, current less than daily use and former use in GATS were imprecisely defined with overlapping of time-frame of assessment. Overall responses of 3,102 current smokers, 4,036 current smokeless users, 1,904 former smokers and 1,343 former smokeless users were analyzed to quantify invalid responses. Analysis indicated overall 21.2% (category A: 7.32%; category B: 17.7%) and 22.7% (category A: 8.05%; category B: 18.1%) invalid responses among current smokers and smokeless users respectively regarding their duration of last quit attempt. Similarly overall 6.62% (category A: 4.7%; category B: 2.3%) and 10.6% (category A: 8.6%; category B: 3.5%) invalid responses were identified among former smokers and smokeless users respectively regarding their duration of abstinence. Conclusions: High invalid responses for a single assessment are due to the imprecise definition of current use, former use and quit attempt; and failure to utilize opportunity of direct data entry interface use during the survey to validate responses instantly. Redefining tobacco use and quit attempts considering an appropriate timeframe would reduce invalid responses.

제7차 초등학교 교육과정에 제시된 보건교육 내용 분석 (An Analysis on the Health Education Content Suggested in the 7th Curriculum of Elementary School Education)

  • 김가옥;박영수
    • 한국학교ㆍ지역보건교육학회지
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    • 제2권2호
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    • pp.39-55
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    • 2001
  • The purpose of this study was to provide the necessary fundamental data in composing a systematic text content of the public health by analyzing each text, domain, and teaching contents suggested in the textbooks as well as teachers' guides of the 7th elementary school education curriculum, while the study subjects were as follows. 1. The health education content suggested in the 7th physical education curriculum were analyzed and examined. 2. The health teaching content of each textbook in the 7th elementary school curriculum was to be analyzed and examined. In order to resolve the above research issues, the physical, spiritual, and social domain along with the (1) Proper living habit, (2) Health and nutrition, (3) Sex education, (4) Prevention of the sense-organic diseases, (5) Cleanliness of food, (6) Oral hygiene, (7) Individual health and public health, (8) Safety in living, (9) Abuse and usage of medication, educational content suggested in the 7tand (10) Environment pollution focused around the health of the elementary school education curriculum was analyzed and its outcome was as below First, compared with the 6th elementary school education curriculum, the health content suggested in the 7th elementary school education curriculum was decreased. Second, although each grade's teaching content of the health domain in the physical education was considered in its structure following after the according systems, they were preponderant in partial subjects such as the safety in living, nutrition, proper living habit, sport, and health in sport. oo. Third, the health education content was organized in 4 units such as the physical growth and development, prevention of diseases, safe living, and leisure living(leisure, spiritual health, and etc.) for the 3rd and 4th grade. Then, as for 5th and 6th grade, it was organized in 3 units such as the understanding the human body, prevention of disease, and leisure and safe living. Fourth, in the physical educational health domain, a strong point was constructed within the physical, spiritual, and social areas of the elementary school physical education. Fifth, the number of the public health education contents directly related with the health education was 43 as with 25 indirect contents. Sixth, each grade's domain unit structure of the public health content was heavy upon the physical and social area throughout every grade while in opposite, the spiritual domain' s unit structure was weak. In according to each grade, the physical domain was stressed in 4, 5, and 6 grades while the social domain was stressed in 1, 5, and 6 grades.

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