• Title/Summary/Keyword: health section

Search Result 710, Processing Time 0.027 seconds

The Study of Sound Level Specification of Subway Line II in Busan (부산 지하철 2호선 소음 특성 연구)

  • Jeong Kyung-Won;Yoon Na-Na;Kim Joo-In;Kwak Jin;Kim Yung-Tae
    • Journal of Environmental Science International
    • /
    • v.15 no.3
    • /
    • pp.287-292
    • /
    • 2006
  • The purpose of this paper is to evaluate the noise level and source, reduce the subway line II noise. As a result of measurement of subway line II in Busan the highest value section of uproad line was from Jigegol to Motgol by 89 dB(A). The sections of conversation and listening interference(over 80 dB(A)) were 21 sections(55%) of 38 sections. Among these sections, 15 sections(71%) were produced rolling noise, 3 sections(14%) squeal noise, 2 sections(10%) braking noise and 1 section(5%) fan noise, and then a main noise source was the rolling noise. In case of downroad line, the highest value section was from Busan Metro Art Museum to Centum city, Motgol to Jigegol by 88 dB(A). The sections of conversation and listening interference(over 80 dB(A)) were 18 sections(47%) of 38 sections. Among these sections, 15 sections(83%) produced rolling noise, 2 sections(11%) squeal noise and 1 section(6%) braking noise were investigated in this study. and then a main noise source was the rolling noise.

Health Risk Assessment of Lead Exposure through Multi-pathways in Korea (납의 다경로 노출에 의한 건강위해성평가 : 우리 나라 일부 지역 성인들을 대상으로)

  • Chung, Yong;Hwang, Man-Sik;Yang, Ji-Yeon;Jo, Seong-Joon
    • Environmental Analysis Health and Toxicology
    • /
    • v.14 no.4
    • /
    • pp.203-216
    • /
    • 1999
  • This paper describes a set of multi-pathway models for estimating health risk to lead. The models link concentrations of an environmental contaminant (lead) in air, water and food to human exposure through inhalation, ingestion, and dietary routes. Exposure is used as the foundation for predicting risk of health detriment within the population. The process of estimating exposure using often limited data and extrapolating to a large diverse population requires many assumption, inferences, and simplification. This paper is divided into four section. The first section provides lead contaminant levels on obtaining environmental concentration of air, tap water, and foods. The second section provides a discussion of exposure parameters and uncertainty associated predicting human health risk of contaminants. The third and fourth section illustrate lifetime average daily exposure (LADE) and excess cancer risk (ECR) based on exposure parameters. The relationship between concentration of lead in an environmental medium and human exposure is determined with pathway exposure factors (PEFs). The calculation of LADE and ECR is carried out using Monte-Carlo simulation with probability density function of exposure parameters. Examination of the result reveals that, for lead exposure, ingestion (food) is the dominant route of exposure rather than inhalation (air), and ingestion (tap eater).

  • PDF

Inter-hospital Comparison of Cesarean Section Rates after Risk Adjustment (위험도 보정을 통한 병원간 제왕절개 분만율의 비교)

  • Lee, Sang-Il;Ha, Beom-Man;Lee, Moo-Song;Kang, Wee-Chang;Koo, Hee-Jo;Kim, Chang-Yup;Khang, Young-Ho
    • Journal of Preventive Medicine and Public Health
    • /
    • v.34 no.4
    • /
    • pp.337-346
    • /
    • 2001
  • Objective : To determine the clinical risk factors associated with the mode of delivery decision and to compare cesarean section rates after adjusting for risk factors identified among Korean hospitals. Methods Data were collected from 9 general hospitals in two provincial regions by medical record abstraction during February 2000. A total of 3,467 cases were enrolled and analyzed by stepwise logistic regression. Performance of the risk-adjustment model (discrimination and calibration) was evaluated by the C statistic and the Hosmer-Lemeshow test. Crude rates, predicted rates with 95% confidence intervals, and adjusted rates of cesarean section were calculated and compared among the hospitals. Results : The average crude cesarean section rate was 53.2%, ranging from 39.4% to 65.7%. Several risk factors such as maternal age, previous history of cesarean section, placenta previa, placental abruption, malpresentation, amniotic fluid abnormality, gestational anemia, infant body weight, pregnancy-induced hypertension, and chorioamnionitis were found to have statistically significant effects on the mode of delivery. It was confirmed that information about most of these risk factors was able to be collected through the national health insurance claims database in Korea. Performance of the risk-adjustment model was good (c statistic=0.815, Hosmer-Lemeshow test=0.0621). Risk factor adjustment did lead to some change in the rank of hospital cesarean section rates. The crude rates of three hospitals were beyond 95% confidence intervals of the predicted rates. Conclusions : Considering that cesarean section rates in Korean hospitals are too high, it is apparent that some policy interventions need to be introduced. The concept and methodology of risk adjustment should be used in the process of health policy development to lower the cesarean section rate in Korea.

  • PDF

Flow characteristics and alkalinity of novel bioceramic root canal sealers

  • Anastasios Katakidis;Konstantinos Sidiropoulos;Elisabeth Koulaouzidou;Christos Gogos;Nikolaos Economides
    • Restorative Dentistry and Endodontics
    • /
    • v.45 no.4
    • /
    • pp.42.1-42.9
    • /
    • 2020
  • Objective: This study aimed to examine the physical properties (pH and flow) of 2 novel bioceramic sealers. Materials and Methods: The tested sealers were a calcium hydroxide sealer (Sealapex) and 2 bioceramic sealers (BioRoot RCS and TotalFill BC Sealer). Flow measurements were conducted according to ISO 6876/2012, with a press method of 0.05 mL of sealer. The pH of fresh samples was tested immediately after manipulation, while set samples were stored for 3 times the recommended setting time. The predetermined time intervals ranged from 3 minutes to 24 hours for fresh samples and from 10 minutes to 7 days and 4 weeks for the set samples. Analysis of variance was performed, with p = 0.05 considered indicating significance. Results: The mean flow values were 26.99 mm for BioRoot, 28.19 for Sealapex, and 30.8 mm for TotalFill BC Sealer, satisfying the ISO standard. In the set samples, BioRoot RCS had higher pH values at 24 hours to 1 week after immersion in distilled water. At 2 weeks, both bioceramic sealers had similar pH values, greater than that of Sealapex. In the fresh samples, the bioceramic sealers had significantly higher initial pH values than Sealapex (p < 0.05). At 24 hours post-immersion, all sealers showed an alkaline pH, with the highest pH observed for TotalFill. Conclusions: The TotalFill BC Sealer demonstrated the highest flow. The bioceramic sealers initially presented higher alkaline activity than the polymeric calcium hydroxide sealer. However, at 3 and 4 weeks post-immersion, all sealers had similar pH values.

Long-term effects of maxillary skeletal expander treatment on functional breathing

  • Andrew Combs;Ney Paredes;Ramon Dominguez-Mompell;Martin Romero-Maroto;Boshi Zhang;Islam Elkenawy;Luca Sfogliano;Layla Fijany;Ozge Colak;Ben Wu;Won Moon
    • The korean journal of orthodontics
    • /
    • v.54 no.1
    • /
    • pp.59-68
    • /
    • 2024
  • Objective: To investigate the long-term effects of maxillary skeletal expander (MSE) treatment on functional breathing. Methods: Objective measures of breathing, the peak nasal inspiratory flow (PNIF), and peak oral inspiratory flow (POIF), and subjective measures of breathing, the visual analog scale (VAS) and nasal obstruction symptom evaluation (NOSE) survey, were used to investigate the long-term effects of MSE in functional breathing. Seventeen patients, mean age 19.4 ± 3.9 years treated at the UCLA Orthodontics Clinic were assessed on their functional breathing at 3 timepoints: pre-expansion (T0), post-expansion (T1), and post-orthodontic treatment (T2). Results: Immediately after expansion (T1), all the objective functional breathing values were significantly increased in comparison to T0 (P < 0.05). The VAS total, VAS right and VAS left were significantly lower at T1 in comparison to T0 (P < 0.05). At 26.8 ± 3.9 months after MSE expansion (T2), PNIF total, PNIF right, PNIF left, and POIF were significantly higher when compared to T0 (P < 0.05). Also, VAS total, VAS right and VAS left were significantly lower at T2 when compared to T0 (P < 0.05). Additionally, there was a positive correlation between PNIF and the magnitude of expansion at anterior nasal spine and zygomaticomaxillary point (ZMA). There was a positive correlation between total VAS and the magnitude of expansion at the ZMA. There were no significant changes for the NOSE subjective breathing measurement at all time comparisons. Conclusions: Overall, MSE treatment produces an increased objective and subjective airway improvement that continues to remain stable in the long-term post expansion.

Self-rated Health and Individual Level Social Capital Across the Administrative Sections (행정구역(동.읍.면)에 따른 개인 수준의 사회적 자본과 지각된 건강수준)

  • Lee, Jin-Hyang;Paeng, Ki-Yeong;Kim, Jang-Rak;Jeong, Baek-Geun;Park, Ki-Soo
    • Korean Journal of Health Education and Promotion
    • /
    • v.29 no.2
    • /
    • pp.59-70
    • /
    • 2012
  • Objectives: The purpose of this research is to measure the level of individual social capital, and to reveal the associations between social capital and self-rated health status and how the administrative section(dong, eup, and myeon) might modify the relationships. Methods: This study used the data from Gyeongsangnam-Do health survey (2008). The study subjects were 6,500 adults randomly sampled from 20 counties. Trained interviewers conducted the interviews in the interviewees' houses using structured questionnaires. The association of social capital with self-rated health was analyzed using hierarchical logistic regression. Results: The proportion of trust and social participation were the highest at eup region and the lowest at myeon, The significant social capital associated with self-rated good health were both social participation and trust in the subgroups of dong. The significant social capital associated with self-rated good health were social participation and trust in the subgroups of eup. The significant social capital associated with self-rated good health was trust in the subgroups of myeon. Conclusions: This study highlights that self-rated good health was associated with social capital measured by social participation and trust, and the direction is different in the administrative section. But, health policy encouraging social capital to improve health should be considered.

Changes in Quality of Care for Cesarean Section after Implementation of Diagnosis-Related Groups/Prospective Payment System (DRG 지불제도 도입 후 제왕절개술에서의 의료의 질 변화)

  • Kwon, Young-Hun;Hong, Du-Ho;Kim, Chang-Yup;Kim, Yong-Ik;Shin, Young-Soo;Yim, Jun
    • Journal of Preventive Medicine and Public Health
    • /
    • v.34 no.4
    • /
    • pp.347-353
    • /
    • 2001
  • Objectives : To determine the impacts of Diagnosis-Related Groups/Prospective Payment System (DRG/PPS) on the quality of care in cases of Cesarean section and to describe the policy implications for the early stabilization of DRG/PPS in Korea. Methods : Data was collected from the medical records of 380 patients who had undergone Cesarean sections in 40 hospitals participating in the DRG/PPS Demonstration Program since 1999. Cesarean sections were peformed in 122 patients of the FFS(Fee-For-Service) group and 258 patients of the DRG/PPS group. Measurements of quality used included essential tests of pre- and post-operation, and the PPI(Physician Performance Index) score. The PPI was developed by two obstetricians. Results : Univariate analysis demonstrated significant differences in PPI scores according to the payment systems. With respect to the mean of PPI scores, a higher score was found in the DRG/PPS group than in the FFS group. However, the adjusted effect did not show significant differences between the FFS group and the DRG/PPS group. Conclusion : This study suggested that the problem of poor quality may not be related to the implementation of DRG/PPS in Cesarean section. However, this study did not consider the validity and reliability of the process measurement, and it did not exclude the possibility of data emission in medical records.

  • PDF

Occupational Lifting Tasks and Retinal Detachment in Non-Myopics and Myopics: Extended Analysis of a Case-Control Study

  • Mattioli, Stefano;Curti, Stefania;De Fazio, Rocco;Mt Cooke, Robin;Zanardi, Francesca;Bonfiglioli, Roberta;Farioli, Andrea;Violante, Francesco S.
    • Safety and Health at Work
    • /
    • v.3 no.1
    • /
    • pp.52-57
    • /
    • 2012
  • Objectives: Lifting heavy weights involves the Valsalva manoeuvre, which leads to intraocular pressure spikes. We used data from a case-control study to further investigate the hypothesis that occupational lifting is a risk factor for retinal detachment. Methods: The study population included 48 cases (patients operated for retinal detachment) and 84 controls (outpatients attending an eye clinic). The odds ratios (OR) of idiopathic retinal detachment were estimated with a logistic regression model (adjusted for age, sex and body mass index). Three indexes were used to examine exposure to lifting; 1) maximum load lifted, 2) average weekly lifting, 3) lifelong cumulative lifting. Results: For all indexes, the most exposed subjects showed an increased risk of retinal detachment compared with the unexposed (index 1: OR 3.57, 95% confidence interval [CI] 1.21-10.48; index 2: OR 3.24, 95% CI 1.32-7.97; index 3: OR 2.23, 95% CI 1.27-8.74) and dose-response relationships were apparent. Conclusion: These results reinforce the hypothesis that heavy occupational lifting may be a relevant risk factor for retinal detachment.