• Title/Summary/Keyword: a preventive facilities

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Analysis of Factors and Preventive Effects of Crack in Educational Facilities Using Quadrant Analysis Techniques (사분면 분석기법을 활용한 교육시설 균열하자 발생 원인 및 예방효과 분석)

  • Park, Hyun Jung;Kim, Moon Sik;Kim, Hyoung Woo;Kim, Dae Young
    • Journal of the Korea Institute of Building Construction
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    • v.23 no.6
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    • pp.773-784
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    • 2023
  • Since 2007, the government has been actively working to enhance the quality of public buildings, as evidenced by initiatives like the "National Basic Architecture Plan" and, since 2014, the "Building Service Industry Promotion Act." Despite these efforts, educational facilities continue to experience more frequent defects compared to large-scale apartment constructions. This study aims to analyze the primary causes of crack formation in educational facilities, employing the 2×2 MATRIX and IPA techniques to develop efficient crack prediction models. The research includes a review of relevant literature and an analysis of data from the Office of Education spanning 2019 to 2021 to pinpoint significant defects. Subsequently, 15 factors related to crack defects were identified through surveys and expert consultations. The 2×2 Matrix analysis of these factors highlighted the challenges in work processes and the effectiveness of preventative measures for crack formation, focusing on key areas for improvement. The findings from this study are anticipated to significantly contribute to the prevention and management of structural cracks in educational facilities, ensuring their long-term integrity.

The U.S. Experience of the DRG Payment System and Suggestions to Korea (DRG 지불제도에 대한 미국의 경험과 우리 나라에의 시사점)

  • Park, Eun-Cheol;Lee, Sun-Hee;Lee, Sang-Gyu
    • Korea Journal of Hospital Management
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    • v.7 no.1
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    • pp.105-120
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    • 2002
  • In the United States, the prospective payment system(PPS), under which diagnosis related groups (DRGs) are used to reimburse hospitals for the care of Medicare patients since 1983, Study results showed that the PPS is having a major impact on the quantity of services especially of hospital length of stay. The PPS has increased the likelihood that a patient will be discharged home in an unstable condition and the use of nursing homes or long term care facilities increased. Still, it is insufficient to conclude that the PPS has decreased the Medicare total expenditure, but relatively sufficient to conclude that the quality of care hasn't changed. The maintenance of the quality resulted from the systemic "check-and-balance" composed of three factors; (1) The doctors are reimbursed based on the fee-for-service system, (2) hospitals contact with doctors under the attending system, and (3) there are some public hospitals. In Korea, the reimbursement for hospitals and doctors are not divided, the hospitals have doctors as employees, and 90% of hospitals are private. These differences may weaken the "check-and-balance" existing in the U.S. system. And there are few long term care facilities and the diagnostic coding system using in pilot test are not suitable for Korean situation. In conclusion, for successful implementation of the DRG payment system in Korea, the government should establish the "check-and-balance" system in the health sector to make sure the quality of care before the implementation.

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Risk Assessment of Volatile Organic Compounds (VOCs) and Formaldehyde in Korean Public Facilities: Derivation of Health Protection Criteria Levels

  • Kim, Ho-Hyun;Lim, Young-Wook;Shin, Dong-Chun;Sohn, Jong-Ryeul;Yang, Ji-Yeon
    • Asian Journal of Atmospheric Environment
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    • v.5 no.2
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    • pp.121-133
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    • 2011
  • This study suggests criteria to conduct a risk assessment of VOCs and formaldehyde in uncontrolled public facilities. Pollutants and facilities were selected based on two years of monitoring data and exposure scenarios in 573 uncontrolled public facilities, composed of 10 types of public institutions. With the exception of social welfare facilities, lifetime ECRs of formaldehyde and benzene in each facility were higher in employees than in users, except in social welfare facilities. In social welfare facilities, the risk of benzene for users ($1{\times}10^{-5}$) was higher than that of workers ($1{\times}10^{-6}$) because facility users live in the facility 24 hours per day, compared to workers who spend an average of 8 hours per day in the facility. The risk of benzene to workers in restaurants, academies, performance halls, internet cafe and pubs were estimated as high as $1{\times}10^{-4}$ and the risk to workers in the theaters and karaoke bars were recorded as $1{\times}10^{-5}$. Because lifetime ECRs of carcinogens exceeded $1{\times}10^{-4}$ for workers and users in most facilities, risk management of formaldehyde and benzene in these facilities is necessary. Although HQs of toluene and xylenes did not exceed 1.0, their HQs did exceed 0.1 in some facilities, so they were evaluated as potentially harmful materials. Additionally, criteria for health protection in IAQ by facility are suggested at $60-100\;{\mu}g/m^3$ for formaldehyde, $400-500\;{\mu}g/m^3$ for TVOCs, $10-20\;{\mu}g/m^3$ for benzene, $150-170\;{\mu}g/m^3$ for toluene and $100\;{\mu}g/m^3$ for xylenes, based on the survey on IAQ and HRA methodology. The excess rates of IAQ to health protection criteria in all facilities were 16% for formaldehyde, 8% for TVOCs and benzene, 9% for toulene, and 5% for xylenes.

Cost-Benefit Analysis of Back School Program for Occupational Low Back Pain Patients (직업성 요통환자에서 재활 프로그램(Back School Program) 도입의 비용-편익분석)

  • Ju, Yeong-Su;Ha, Mi-Na;Han, Sang-Hwan;Kwon, Ho-Jang;Cho, Soo-Hun;Kim, Chang-Yup;Kim, Sun-Min
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.2 s.53
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    • pp.347-357
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    • 1996
  • Although occupational low back pain accounts for $20\sim40%$ of all occupational illness and injury, there are limited numbers of studies regarding the effectiveness of back school program. The objective of this study was to evaluate the economic benefit of back school program for early return to work of occupational low back pain patients in the current occupational injury compensation and management system. The cost-benefit analysis in this study was conducted to evaluate the relative magnitude of benefit to cost. The total cost was estimated by calculating the value of components in back school program according to governmental budget protocol. The back school program was consisted of three major approaches, pain center, work-hardening program and funcional restoration program and each of components had various facilities and experts. The total amount of cost was estimated as 250,866,220 won per year. The most promising type of back school program were quite intensive (a 3 to 5-week stay in a specialized center), therefore, if we adopted the 5-week stay course, 10 courses could be held in a year. Following to the medical act, 20 patients per doctor could participate in a each course, ie, total 200 patients in a year. As a result, we could estimate the cost of 1,254,331 won a patient. We estimated the benefit by using data of a few local labor offices about average medical treatment beneficiary and off-duty beneficiary of 46 occupational low back pain patients in 1994. Ullman and Larsson (1977) mentioned that the group of chronic low back pain patients who participated in back school program needed less time to recover by 48.4% of beneficiary duration. And in the trying to estimate the benefit, we asked 10 rehabilitation board certificate doctors about reduction proportion of treatment cost by introducing back school program. The answered reduction proportions were in the range of $30\sim45%$, average 39%. As a final result, we could see that the introduction of back school program in treatment of chronic occupational low back pain patients could produce the benefit to cost ratio as 3.90 and 6.28. And we could conclude that the introduction of back school program was beneficial to current occupational injury compensation and management system.

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A SURVEY OF THE TREATMENT IN FREE MOBILE DENTAL CLINIC AT THE DISABLED RESIDENTIAL FACILITES (SURVEY OF FREE MOBILE DENTAL CLINIC: AT DISABLED RESIDENTIAL FACILITES) (장애인 거주시설을 방문하여 시행한 무료 이동식 치과 진료에 대한 2014년 통계 (시설거주장애인을 대상으로 한 이동치과진료에 대한 통계))

  • Lim, Hyun soo;Lee, Hyo-Seol;Choi, Sung Chul;Lee, Eun young;Kim, Kwang Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.2
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    • pp.58-61
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    • 2015
  • The people with disabilities living in residential facilities have more difficulty in caring oral hygiene than those living at home. The purpose of this study is to evaluate the recent 2014 dental treatment records of free mobile dental clinic service for disabled people in Korea. 203 disabled living in residential facilities participated in mobile dental clinic. Patients classified according to types of disability. Mental retardation were 75.3%, mental disorder were 6.0%, crippled disorder were 7.4%, brain disorder were 6.5%, visual disorder were1.4%, auditory and speech disorder were 2.3% and autism disorder were 0.9%. Performed treatments were 99 scaling and curettage, 88 fluoride varnish and TBI, 4 extraction, 1 endodontic treatment, 16 caries control (resin filling, GI filling), 1 denture repair and 8 refuse the treatment. Free mobile dental clinic can not provide complex dental treatment. So, the organization should systemize advanced dental treatment and regular preventive programs. Furthermore, we need to have a more concerns about the people with disabilities living in residential facilities and constantly participate on a dental voluntary work.

Cancer Registration in Korea: The Present and Furtherance (암 등록사업의 현황과 추진방향)

  • Ahn, Yoon-Ok
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.4
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    • pp.265-272
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    • 2007
  • It was not until 1975 that cancer registration was initiated in Korea; voluntary registration of cancer patients of training hospitals throughout the country began under the auspices of the Korean Cancer Society(KCS). However, an official cancer registration, the Korea Central Cancer Registry(KCCR), began on July 1st, 1980. Forty-five training and two non-training hospitals throughout the country initiated registration of patients in whom neoplasms had been found. Data related to case information specified are to be sent to the KCCR at the National Medical Center(it moved at National Cancer Center in 2000). The initial cancer registration of KCS was merged to the KCCR in 1980. Although the KCCR covers most all the large training hospitals in Korea, it cannot provide incidence data. It is, however, the only of its kind in the world, being neither hospital nor population based. The first population based cancer registry(PBCR) was launched in a small county, Kangwha(it has around 80,000 inhabitants), by Yonsei University Medical College in 1983. All data were collected by active methods, and incidence statistics for 1986-1992 appeared in Vol VII of the CI5. Another PBCR, Seoul Cancer Registry(SCR), started in 1991. It was supported by a civilian foundation, the Korean Foundation for Cancer Research. The basic idea of case registration of SCR was the incorporation of KCCR data to PBCR, e. g. dual sources of case registration, i.e., from the KCCR and also including cases diagnosed in small hospitals and other medical facilities. Assessing completeness and validity of case registration of SCR, the program and methodology used by the SCR was later extended to other large cities and areas in Korea, and the PBCR in each area was established. Cancer incidence statistics of Seoul for 1993-1997, Busan for 1996-1997, and Daegu for 1997-1998, as well as Kangwha for 1993-1997, appeared eventually in Vol VIII of the CI5. The Korean or 'pillar' model for a PBCR is a new one. The KCCR data file is a reliable basis, as a pillar, for a PBCR in each area. The main framework of the model for such a registry is the incorporation of a KCCR data file with data from additionally surveyed cases; the data related to cancer deaths, medical insurance claims, and visit-and surveillance of non-KCCR medical facilities. Cancer registration has been adopted as a national cancer control program by Korean government in 2004 as the Anti-Cancer Act was enacted. Since then, some officers have tried to launch a nation-wide PBCR covering whole country. In the meantime, however, cancer registration was interrupted and discontinued for years due to the Privacy Protection Law, which was solved by an amendment of the Anti-Cancer Act in 2006. It would be premature to establish the nation-wide PBCR in Korea. Instead, continuous efforts to improve the completeness of registration of the KCCR, to progress existing PBCRs, and to expand PBCRs over other areas are still to be devoted. The nation-wide PBCR in Korea will be established eventually with summation of the PBCRs of the Korean model.

Environmental Pollution Related Health Problems Reported in Newspapers (환경오염에 의한 건강피해 보도사례)

  • Cho, Soo-Hun;Kim, Sun-Min;Cho, Sung-Il
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.1 s.41
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    • pp.126-146
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    • 1993
  • To understand the possible hazards to health from the environmental pollution in Korea, the articles reported in 16 daily newspapers were collected and analysed. From 1980 to 1991, ninety three cases were reported. Statistics show that, during the last 2 years, there has been a remarkable increases of health problems reported. The main sources of pollution were plants and the transportation facilities. Except the noise, the exact causative factors were, for the most part, not clealy described. Although many residents complained of neurological symptoms, the exact effects on health were not clearly investigated. The responses of the residents were diverse in the contents of the demand and the method of its pushing, however, the government did not show immediate and consistent counterplans.

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Multilevel analysis and regional variation of physical activities in Korean adults based on the 4th Korea National Health and Nutrition Examination Survey

  • Jang, Min-Young;Lee, Moo-Sik;Hong, Jee-Young;Kim, Hyunsoo;Kim, Kwang-Hwan;Bae, Seok-Hwan
    • Korean Journal of Health Education and Promotion
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    • v.33 no.3
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    • pp.95-107
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    • 2016
  • Objectives: Physical activity is well known as one of the most effective health behaviors for maintaining and promoting health. The purpose of this study was to investigate the regional variation, compositional and contextual factors on physical activities in Korea. Methods: This study analyzed data of 6,353 adults in 4th-1, 2 Korea National Health and Nutrition Examination Survey (KNHANES). Independent variables were compositional factors that included general characteristics, health behaviors, health status, and contextual factors that included physical environment, political environment, and social safety net. Dependent variables were vigorous physical activity, moderate physical activity, and walking activity. Multilevel analysis were used to determine a variation of physical activity between levels of compositional factors and contextual factors. Results: Physical activities of the Korean people were affected by the regional variables. Financial independence and population density were related with moderate physical activity significantly. Population density, school sport or rally spaces, cultural facilities, and social safety concerns were related with walking activity significantly. These variables impacted on physical activities along with variables at the individual level. Variance Partition Coefficient were 9.94% at moderate physical activity and 2.91% at walking activities, respectively. Conclusions: The results suggest that the regional variables should be considered when planning public intervention to promoting physical activities in Korean adults.

A Study on the Implementation of Intelligent Diagnosis System for Motor Pump (모터펌프의 지능형 진단시스템 구현에 관한 연구)

  • Ahn, Jae Hyun;Yang, Oh
    • Journal of the Semiconductor & Display Technology
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    • v.18 no.4
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    • pp.87-91
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    • 2019
  • The diagnosis of the failure for the existing electrical facilities was based on regular preventive maintenance, but this preventive maintenance was limited in preventing a lot of cost loss and sudden system failure. To overcome these shortcomings, fault prediction and diagnostic techniques are critical to increasing system reliability by monitoring electrical installations in real time and detecting abnormal conditions in the facility early. As the performance and quality deterioration problem occurs frequently due to the increase in the number of users of the motor pump, the purpose is to build an intelligent control system that can control the motor pump to maximize the performance and to improve the quality and reliability. To this end, a vibration sensor, temperature sensor, pressure sensor, and low water level sensor are used to detect vibrations, temperatures, pressures, and low water levels that can occur in the motor pump, and to build a system that can identify and diagnose information to users in real time.

A Study on the Calculation of Load Resistance Factor of over Tension Anchors by Optimization Design (최적화 설계를 통한 과긴장 앵커의 하중-저항계수 산정 연구)

  • Soung-Kyu Lee;Yeong-Jin Lee;Yong-Jae Song;Tae-Jun Cho;Kang-Il Lee
    • Journal of the Korean Geosynthetics Society
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    • v.22 no.4
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    • pp.17-26
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    • 2023
  • To consider the risk of damage and fracture of P.C strands, the existing post-maintenance system alone has the limitations, hence it is necessary to quantitatively evaluate and predict the deterioration, durability and safety of facilities and establish a reasonable maintenance system considering the asset value of facilities. Therefore, it is worth considering a preventive maintenance plan that allows proactive measures to be taken before a major defect occurs in the temporary anchor. This study devised a preventive over tension method, reviewed its effectiveness through design and field tests, by calculating the resistance factors by performing a reliability-based optimization design. At this time, the over tension anchor method was evaluated using the ratio of the residual tension force after the fracture of P.C strands to the effective tension force before the fracture of P.C strand, followed by the resistance factor calculated by the optimal solution for each random variables using Excel solver and applying it to the limit state equations. As a result of the study, if the over tension ratio is 125% to 130%, the remaining strands showed a high resistance effect even after the fracture of P.C strand. As a result of the optimization design, it was found that it is appropriate to apply the load factor (γ) of 1.25, and the resistance factors of Φ1, Φ2, Φ3 as 0.7, 0.5, 0.6.