• Title/Summary/Keyword: a preventive facilities

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Morbidity Pattern and Medical Care Utilization Behavior of Residents in Urban Poor Area (도시 영세지역 주민의 상병양상과 의료이용행태)

  • Kang, Pock-Soo;Lee, Kyeong-Soo;Kim, Chang-Yoon;Kim, Seok-Beom;SaKong, Jun;Chung, Jong-Hak
    • Journal of Yeungnam Medical Science
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    • v.8 no.1
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    • pp.107-126
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    • 1991
  • The purpose of the study was to assess the morbidity pattern and the medical care utilization behavior of the urban residents in the poor area. The study population included 2,591 family members of 677 households in the poor area of Daemyong 8 Dong, Nam-Gu, Taegu and 2,686 family members of 688 households, near the poor area in the same Dong, were interviewed as a control group. On this study the household interview method was applied. Well-trained interviewers visited every household in the designated area and individually interviewed heads of households or housewives for general information, morbidity condition, and medical care utilization with a structured questionnaire. Individuals were interviewed from 1 to 30 December 1988. The major results were summarized as follows : The proportion of the people below 5 years of age was 4.2% of the total study population and 5.5% were above 65 years of age in the poor area. This was slightly higher than in the control area. The average monthly income of a household in the poor area was 403,000 won versus 529,000 won in the control area. Fifty-eight percent of the residents in the poor area and sixty-one percent in the control area were medical security beneficiaries, but the proportion of medical aid beneficiaries was 7.8% in the poor area and 4.6% in the control area. The 15-day period morbidity rate of acute illnesses was 57.1 per 1,000 in the poor area and 24.2 per 1,000 in the control area. Respiratory disease is the most common acute illness in both areas. The most frequently utilized medical facility was the pharmacy among the patients with acute illnesses in the poor area. Among them 58.1% visited pharmacy initially while 38.4% of the patients in the control area visited a clinic. Among persons with illnesses during the 15 days 8.8% in the poor area and 4.6% in the control area did not seek any medical facility. Mean duration of utilization of medical facilities was 3.5 days in the poor area and 3.3 days in the control area. Initially of the medical facilities in Daemyong 8 Dong, The pharmacy in the poor area and the clinic in the control area were most commonly utilized. The most common reason for visiting the hospital was 'regular customers' in the poor area and 'geographical accessibility' in the control area. The one year period morbidity rate of chronic illness in the poor area was 83.0 per 1,000 population and 28.0 per 1,000 in the control area. Disease of nervous system was the most common chronic illness in the poor area while cardiovascular disease in male and gastrointestinal disease in female were most prevalent in the control area. The most frequently utilized medical facility was the pharmacy among the patients with chronic illnesses in the poor area. Among them 24.2% visited the pharmacy initially while 34.7% of the patients in the control area visited the out-patient department of the hospital within a 15-day period. Among the patients with chronic illnesses 34.9% in the poor area and 16.0% in the control area did not seek any medical facility. Mean duration of utilization of medical facilities was 9.2 days in the poor area and 9.9 days in the control area within a 15-day period. Initially of the medical facilities in Daemyong 8 Dong, the pharmacy in the poor area and the hospital in the control area were most commonly utilized. The most common reason for visiting the hospital, clinic, health center or pharmacy in the poor area was 'geographical accessibility' while the reason for visiting herb clinic was 'good result' and 'reputation' in both areas.

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A Study on the Countermeasure of Traffic Terror (대중교통테러의 대응방안)

  • Kim, Jin-Hyeok
    • Korean Security Journal
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    • no.14
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    • pp.109-123
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    • 2007
  • Traffic terror is one of the terror types subject on transportation means. However, unlike the aircraft or ship, there is no case of negotiating with passengers as hostage but to unconditionally attack that the human casualty would be much greater. In act, the terror on subway or bus would have much bigger damage than the terror on aircraft or ship. Because of such fact, there is a need for full preparation thereto, however, there is no preparation of advance preventive measure, particularly, when comparing to the cases involving aircraft. In addition, the passengers who use railway and others in the position of citizens do not have any defense mechanism against any terror activity to make the problem even more serious. Therefore, in order to prevent traffic terror, the first thing is to implement the identity confirmation of passengers, followed by the through search of cargos of the passengers, supplement the capability against the terror by the security team members, strengthen the responsive capability of citizens, thorough check on facilities, expansion of social security network and others. All terrors are within the reach of our neighborhood at the time when we neglect it, and the most secured and safe way to prevent the terror is to check and prepare at all times beginning from our familiar facilities or means.

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A study on Preventive Measures for Fire and Explosion Accidents During Acetic Acid Handling in Manufacturing the Semiconductor Material (반도체 소재 제조 공정에서 아세트산 취급 작업 시 발생한 화재·폭발 사고 예방대책에 관한 연구)

  • Dae Joon Lee;Sang Ryung Kim;Sang Gil Kim;Kyo Shik Park;Joon Won Lee
    • Journal of the Korean Institute of Gas
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    • v.27 no.2
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    • pp.65-70
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    • 2023
  • Flammable materials used in semiconductor supply facilities are manufactured at high temperatures and high pressures, and as the semiconductor industry becomes more sophisticated and larger, the amount of materials used is rapidly increasing. Recently, fires and explosions occurred during the handling of acetic acid, which is a raw material for making products in the semiconductor material manufacturing process. Overall problems such as lack of air inflow prevention for fire and explosion prevention were identified. Therefore, in this study, in order to accurately identify the cause of the accident and prevent fire and explosion that may occur in the process of handling large amounts of flammable liquids, opinions from various perspectives, such as construction of facilities such as hoppers, installation of AOPS components, and change in workers' perceptions would like to present.

A Study on a Measure of Asset Management Information Systems for Highway Transportation Facilities using AHP (계층적 분석기법을 이용한 도로시설 자산관리정보시스템 평가에 관한 연구)

  • Jeong, Seong Yun;Choi, Won Sik;Kim, Woo Je
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.6D
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    • pp.663-673
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    • 2010
  • We are developing asset management information systems to introduce the preventive/proactive approach at operation and management (O&M) of infrastructures. The objective of this study is to explore the future direction for development and operation of asset management information systems. So, we developed the success model and selected the evaluation criteria for analyzing user satisfaction to assess the expected performance of asset management information systems and the degree of impact on asset management functions to operation and management of highway transportation facilities. We estimated the relative importance weight according to the selected evaluation criteria through AHP analysis. We verified the logical consistency of the importance weight and exclude biased outlier from importance weight group using the concept of the Compatibility.

A study on the Risks of Using Filtration Facilities at the Organic Light Emitting Diode(OLED) and Its Preventive Measures (유기발광다이오드(OLED) 소재 제조 현장 여과 설비사용 위험성 및 개선 방안 연구)

  • Jong-Ku Kwak;Chankyu Kang
    • Journal of the Korean Institute of Gas
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    • v.27 no.4
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    • pp.1-11
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    • 2023
  • The size of the OLED material market is expected to grow from $1.1 billion in 2019 to $2.3 billion in 2023, with an average annual sustainable growth of more than 19%. Among the facilities mainly used by OLED material manufacturers, accidents such as fire, explosion, and leakage frequently occur when using filtration equipment, so it is necessary to improve the risk when using filtration equipment. In this study, it was divided into four main processes, namely, assembly and disassembly process, filtration process, wet cake recovery process, and washing process in order to derive the risks associated with the use of filtration equipment. Hazard factors were derived by conducting accident case investigations, preliminary interviews, and surveys. For the analysis of questionnaire results, statistical analysis such as frequency analysis and Pearson chi-square test analysis was performed using SPSS 21, and risk improvement measures were suggested using the analyzed results. It is expected that this study will serve as a basis for dealing with safety and risk factors that may occur as the size of the OLED market expands.

Requirements for Cerebrovascular Surgery in Comprehensive Stroke Centers in South Korea

  • Kim, Tackeun;Oh, Chang Wan;Park, Hyeon Seon;Lee, Kunsei;Lee, Won Kyung;Lee, Heeyoung
    • Journal of Korean Neurosurgical Society
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    • v.61 no.4
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    • pp.478-484
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    • 2018
  • Objective : Cerebrovascular disease (CVD) was the third most common cause of death in South Korea in 2014. Evidence from abroad suggests that comprehensive stroke centers play an important role in improving the mortality rate of stroke. However, surgical treatment for CVD is currently slightly neglected by national policy, and there is still regional imbalance in this regard. For this reason, we conducted a survey on the necessity of, and the requirements for, establishing regional comprehensive cerebrovascular surgery centers (CCVSCs). Methods : This investigation was performed using the questionnaire survey method. The questionnaire was consisted with two sections. The first concerned the respondent's opinion regarding the current status of demand and the regional imbalance of cerebrovascular surgery in South Korea. The second section asked about the requirements for establishing regional CCVSCs. We sent the questionnaire to 100 board members of the Korean Society of Cerebrovascular Surgeons. Results : Most experts agreed that cerebrovascular surgery patients were concentrated in large hospitals in the capital area, and 83.6% of respondents agreed that it was necessary to alleviate the regional imbalance of cerebrovascular surgery. With regards to personnel, over 90% of respondents answered that at least two neuro-vascular surgeons and two neuro-interventionists are necessary to establish a CCVSC. Regarding facilities, almost all respondents stated that each CCVSC would require a neuro-intensive care unit and hybrid operating room. The survey asked the respondents about 13 specific neurovascular surgical procedures and whether they were necessary for a regional CCVSC. In the questions about the necessity of cerebrovascular surgical equipment, all seven pieces of equipment were considered essential by all respondents. A further five pieces of equipment were considered necessary on site: computed tomographic angiography, magnetic resonance angiography, conventional angiography, surgical microscope, and surgical navigation. Our results may provide a basis for future policy regarding treatment of cerebrovascular disease, including surgery. Conclusion : Raising the comprehensiveness of treatment at a regional level would lower the national disease burden. Policies should be drafted regarding comprehensive treatment including surgery for cerebrovascular disease, and related support plans should be implemented.

Effects of Oral Health Promotion Program on Oral Function in the Elderly (구강건강증진프로그램이 노인의 구강건강에 미치는 영향)

  • Jang, Jung-Yoo;Lee, Duck-Hee
    • The Korean Journal of Health Service Management
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    • v.10 no.4
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    • pp.141-151
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    • 2016
  • Objectives : The purpose of this study was to examine the effects of an oral health promotion program. And suggest that education on oral health should be given by a professional. Methods : Sixty-four people over the age of 65 years were selected from three elderly care facility located in Gyeongsangbuk-do, A city. From June 7 to August 19, 2016, an oral health promotion program was given to two experimental groups (N=21 and 20) for a total of eight times. One program was conducted by a professional and the other by a non-professional although both were considered experts. Additionally, a control group(N=23) was a observed. Results : While both experimental groups showed a positive change from the oral health promotion program, the experimental group that was given the oral health promotion program by a professional showed more positive changes in oral cavity function. Conclusions : By using professionals, it is possible to provide a health promotion program that actively monitors the oral cavity of the elderly as well as provide elderly care services for oral hygiene. Appropriate elderly health policies and oral health business model for elderly are needed.

A Basie Health Survey of the Yonsei Community Health Service Area, Seoul (연세지역(延世地域)에 대(對)한 보건기초조사(保健基礎調査))

  • Yang, Jae-Mo;Kim, Myung-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.1 no.1
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    • pp.25-36
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    • 1968
  • Introduction In order to improve medical education through the introduction of a concept of comprehensive health care of a community, an area surrounding the University Campus was chosen for the Community Health Service Project. It has been on operation for last 4 years with its major emphasis on family planning services, and maternal and child health care. The major objectives of this survey at the area are to obtain: 1) The demographic data, 2) The health need and trend of medical care, 3) The attitude and practice in maternity care to be used for further improvement of the planning and the services of the project. Population and Survey Method Out of three Dongs of the Community Health Service Area, only two Dongs namely Changchun and Yonhee were selected for the survey. Total number of households and population in the area studied was 3,683 and 21,857 respectively. An interview was performed with questionnaire schedule which was recorded by interviewers. This includes the degree of utilization of health services provided by the Community Health Service Program such as family planning, prenatal care during their last pregnancy, delivery history and complications of the delivery as well as the incidence of illnesses in general. Prior to the interview, all interviewers were trained for interviewing technique for two days. The survey was carried out during the period from October December 1967. Results 1) Demographic Data : 41.3% of the population studied were children under age 15 and only 3.5% were over 60 years of age. Crude birth rate and crude death rate of this area studied during the period of November 1966-October 1967 were 20.5 and 7.7 respectively. Infant mortality rate during the same period was 35.9. 50.4% of the 2,832 households fell into the category of middle class, 39.8% to the lower class and 9.5% to the upper class in economic condition. 19.8% of 2,832 householders had no formal education, 22.7% primary school, and 57.5% middle or higher school education. 2) Health Status and Utilization of the Community Health Service: Those who suffered from many illnesses during the month of October, 1967 were 690(4.6% of 14,891 persons). Classification of these patients into the type of disease shown respiratory diseases 27.4%, gastrointestinal diseases 18.1%, tuberculosis 10.9%, skin and genitourethral diseases 4.5% and gynecologic patients 4.5%. Only 55.9% of the patients received medical care at hospital or doctor's clinic. But among TB and gynecologic patients, 70.7% and 72.4% were treated at medical facilities. 10.6% of 2,832 householders interviewed has ever utilized the Community Health Service Program provided by the Yonsei Medical School, Classifying these clients into the type of service, 35.9% utilized the wellbaby clinic, 31.0% the family planning clinic, 14.7% the home delivery care, and the rest utilized other services such as the premarital guidance cinlic and the sanitary inspection service. 3) Maternity Care: 23.6% of 2,151 deliveries were done at medical facilities such as hospital, private clinic, while 76.4% were done at home. Acceptance rate of prenatal care was 32.6% as whole, but 49.6 of 774 women who had the prenatal care service had their deliveries at medical facility. 45.1% of total deliveries were attended by medical and or paramedical personnel. 75.8% of the deliveries of those received prenatal care were attended by medical and or paramedical personnel while only 27.8% of the deliveries of those who did not have prenatal care attended by medical and or paramedical personnel. 49.8% of deliveries of the upper class, 29.8% of the middle class and 9.9% of the lower class were attended by medical and or paramedical personnel. 6.2, 3.3% and 24.8% of mothers reported about their xeperience of edema, coma and fever during the period of trimester of pregnancy and puerperium. 4) Family Planning: The rate of practice of family planning was 27.9%. 31.7% of them were by IUD, 2.9% by oral pill, 15.2% by sterilization and the rest by traditional methods. Those women who had 3 to 4 children had highest(30.2%). Practice rate among the various methods of family planning, oral pill was the most popular method to whom had 2 or less children. In relation between the practicing rate of family planning and living standard, the upper, middle and lower class practiced 37.5, 29.4 and 19.9% respectively.

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A Study on the Pattern of Medical Utilization and Factors Affecting Medical Utilization of Island Residents in Chungnam Province (일부 도서지역주민의 의료이용 행태와 이에 영향을 미치는 요인)

  • Lee, Han-Sung;Lee, Tae-Yong;Seong, Shi-Gyeong
    • Journal of agricultural medicine and community health
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    • v.29 no.1
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    • pp.195-206
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    • 2004
  • Objectives: This study was conducted to investigate the patterns of medical utilization and factors affecting medical utilization of population living in islands of province of ChungCheongNam-Do. Methods: Demographic and socioeconomic state, medical utilization of 447 persons were surveyed from Sept. 9th to Sept. 18th, 2002. Results: In elder age group and lower educational group, the rate of medical utilization was high. As subjective health states get lower, the group used medical institution more(p<0.05). The group having more number of chronic diseases showed more medical utilization. And the group who needs 2 to 3 hours to reach to the medical institution showed high medical utilization(p<0.05). The factors having negative effect on using medical institution were economic concern and lack of proper clinic in the neighborhood. Conclusions: The lower economic level and the insufficiency of medical facilities on islands affect the utilization rate negatively. More accessible and effective medical systems for these population are expected.

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Identifying Medical Waste Management Status by Different Types of Dental Institutions (치과의료기관별 의료폐기물 관리 현황 파악)

  • Seong, Mi-Ae;Park, Ji-Hye;Sakong, Joon
    • Journal of Environmental Health Sciences
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    • v.44 no.5
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    • pp.452-459
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    • 2018
  • Objectives: We aimed to examine whether dental waste was being managed adequately at different types of dental institutions in City D in South Korea. Methods: The staff responsible for disinfection at 101 dental offices and clinics (six dentistry departments of general hospitals, 12 dental hospitals, and 83 dental clinics) was interviewed. Results: Solid suction pump waste was handled appropriately at four of the general hospital dentistry departments (66.7%), six dental hospitals (50.0%), and 15 dental clinics (18.1%). Solid spittoon waste was handled appropriately at four general hospital dentistry departments (66.7%), seven dental hospitals (58.3%), and 14 dental clinics (16.9%). Developer and fixer were handled appropriately by a subcontractor at two general hospital dentistry departments (100.0%), five dental hospitals (100.0%), and 24 dental clinics (75.0%). Impression materials were handled appropriately at four general hospital dentistry departments (66.7%), six dental hospitals (50.0%), and 11 dental clinics (13.3%). The plastic covers of intra-oral radiography films were handled appropriately at five general hospital dentistry departments (100.0%), eight dental hospitals (72.7%), and 22 dental clinics (30.1%). Conclusion: South Korea must implement detailed and specialized guidelines for the disposal of solid and general medical waste from dental institutions. Moreover, waste disposal training should be provided annually, and not only once every three years.