Kim, Young Im;Kim, Soon-Lae;Kim, Hee Girl;Lee, Jong Eun;Kim, Young Hee
Korean Journal of Occupational Health Nursing
/
v.16
no.2
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pp.130-138
/
2007
Purpose: The aim of the study was to investigate the working condition of occupational health nurses and analyze change pattern of working condition compared to 10 years ago. Method: A questionnaire was measured to 431 occupational health nurses attending the training program held by the Korean Association of Occupational Health Nurses during the period from June 2005 through November 2005. Results: The number of respondents aged 30 years or older and those who are married increased, compared their counterparts found in the earlier study conducted in 1996. Respondents with a college degree accounted for 13.5% in the earlier study, but respondents with a college degree increased to 38.0% in the study. Those with more than 10 years of work experience also increased. Employment type of respondents divided into permanent employment(56.3%) and contract-based employment(41.1%), compared with permanent employment(66.4%) and contract-based employment(32.0%) found in the earlier study. Of total respondents, 91.1% said their retirement age was 55 years or above, and the ratio is higher than that found in the earlier study. Conclusion: The study revealed that the working condition for occupational health nurses especially career recognition, employment type and promotion system were getting worse. It is therefore necessary to implement measures to improve those conditions.
Background: The purpose of this systematic review was to investigate the effects of topical fluoride gel application on dental caries prevention in the permanent teeth of children and adolescents. Methods: We searched the EMBASE, PubMed, and Cochrane Library databases for randomized controlled trials (RCTs) assessing the effects of self-applied or professionally applied topical fluoride gels in patients <18 years of age; the search was completed on April 1, 2018. All included trials involved an experimental group (fluoride gel application) and a control group (placebo or no treatment). The outcome measures were the D(M)FS and D(M)FT indices, which were compared between the two groups. Review Manager software was used for quantitative synthesis of the final selected articles, and a forest plot was generated via a meta-analysis conducted using a random effects model. Results: The results showed that the D(M)FS and D(M)FT indices were lower in the fluoride application group than in the control group, thus indicating that fluoride gel application was effective in dental caries prevention. We also performed a subgroup analysis to determine whether the effects of fluoride application differed if patients received oral prophylaxis (self or professional) before fluoride gel application. Therefore, the two groups showed slightly larger differences when studies without oral prophylaxis before fluoride gel application were considered; however, the difference was not statistically significant. Conclusion: These findings should be utilized to raise awareness about the caries-prevention effects of topical fluoride application among patients and guardians. Further RCTs should evaluate the effects of fluoride application with or without preceding oral prophylaxis, and appropriate fluoride application guidelines should be developed to maximize the effects of fluoride application in clinical practice.
Multiple features of occlusion have been combined by epidemiologists in attempts to objectively to determine malocclusion severity and treatment priority. Jenny et al were developed DAI(Dental Aesthetic Index), which is an orthodontic index based on socially defined aesthetic standards. This study aimed to evaluate association between 10 occlusal components of DAI and individual measures of skeletal morphology by use of univariate and multivariate analysis. In addition the relationship between a Dental Aesthetic Index score and skeletal morphology was evaluated. The data for this study were obtained from cephalometric radiographs and dental casts of 182 Korean patients(79 men, 103 women) with permanent dentition who had been accepted for the orthodontic treatment at Department of Orthodontics, Chonbuk National University. The results are as follows: 1. Several occlusal components of DAI(missing, crowding and spacing in the incisal segment, diastema, largest anterior irregularity on upper and lower arch) were not associated with individual measures of craniofacial morphology. 2. Sagittal occlusal components of DAI were associated with anteroposterior skeletal measures. 3. The relation between vertical occlusal components of DAI and vertical skeletal measures was low magnitude. 4. A Dental Aesthetic Index, which is based on several aspects of occlusion, did not identify craniofacial morphology. We can conclude that combination of certain occlusal components of the DAI may be related with specific skeletal morphology; but, this concept could not be accepted generally.
This study was designed to insist on the need of introducing the position of dramaturgs as professionals at performance venues. A dramaturg is a professional staff member that proposes an artistic orientation in the making process of performing arts works such as play and dance. Dramaturgs are divided into production dramaturgs participating in individual works and permanent dramaturgs resident in the theater. In the present study, discussions developed around plans to make use of permanent dramaturgs at local public theaters. The study introduced the advantages of the dramaturg position at culture and arts centers serving as a public theater in the community and proposed institutional improvement measures for it. At a culture and arts center, a dramaturg will play the roles of expanding culture and arts service to local residents, increasing creative chances for local artists, contribution to the vitalization of local culture, and narrowing the cultural gap between the Seoul metropolitan region and the rest of the nation. The introduction of a permanent dramaturg system should be supported by efforts across various aspects including the revision of Culture and Arts Promotion Act and Public Performance Act, improvement of the management system of culture and arts centers, change of performance evaluation methods for performance venues, and introduction of a cultivation course for the public sector.
The Seoul subway system has one of the highest transport shares in the city of Seoul. A high number of passengers means that a high level of crimes of all kinds occur on the city's subway system. As such, Seoul Metro, created the Subway Protective Guards System in 2009, in an effort to enhance safety on the subway. But this innovative new system did not resolve problems. In fact, many citizens came to question the effectiveness of the new system, as it did not yield tangible results. This study seeks to deduce the problems and activation strategy of the Subway Protective Guards System. An in-depth study was conducted by interviewing subway protective guards who were squad leaders with five or more years of relevant work experience. Semi-structured interview analysis was utilized to evaluate their responses. Specifically, their responses were deduced to identify the strengths and weaknesses internal to the system and the opportunities and threats posed by the environment external to the system. This study presents measures to improve the system based on the aforementioned analysis. Measures for improvement focused on the following areas: the adoption of an education system in response to terror; recruitment and the possibility of becoming a permanent employee; obtaining partial judicial powers; improvement of work environment; and intensifying the promotion of the system.
Acute renal failure refers to a rapid reduction in renal function that usually occurs in an individual with no known previous renal disease. Development of a complication of acue renal failure in critically ill surgical patients is not unusual, and it causes high morbidity and mortality. Acute renal failure can be divided as Pre-renal (functional), Renal (organic), and Post-renal (obstructive) azotemia according to their etiologies. Early recognition and proper correction of pre-renal conditions are utter most important to prevent an organic damage of kidney. These measures include correction of dehydration, treatment of sepsis, and institution of shock therapy. Prolonged exposure to ischemia or nephrotoxin may lead a kidney to permanent parenchymal damage. A differential diagnosis between functional and organic acute renal failure may not be simple in many clinical settings. Renal functional parameters, such as $FENa^+$ or renal failure index, are may be of help in these situations for the differential diagnosis. Provocative test utilyzing mannitol, loop diuretics and renovascular dilators after restoration of renal circulation will give further benefits for diagnosis or for prevention of functional failure from leading to organic renal failure. Converting enzyme blocker, dopamine, calcium channel blocker, and propranolol are also reported to have some degree of renal protection from bioenergetic renal insults. Once diagnosis of acute tubular necrosis has been made, all measures should be utilized to maintain the patient until renal tubular regeneration occurs. Careful regulation of fluid, electrolyte, and acid-base balance is primary goal. Hyperkalemia over 6.5 mEq/l is a medical emergency and it should be corrected immediately. Various dosing schedules for medicines excreting through kidney have been suggested but none was proved safe and accurate. Therefore blood level of specific medicines better be checked before each dose, especially digoxin and Aminoglycosides. Indication for application of ultrafiltration hemofilter or dialysis may be made by individual base.
The data used to develop distance-independent individual models for natural mixed forests were collected from 712 remeasured permanent sample plots (25,526 trees) of 10-year periodic from 1990 to 2000 in Baihe Forest Bureau of Changbai Mountains, northeast China. Based on analyzing relationship between diameter increment of individual trees with tree size, competitive status, and site condition, the diameter growth models for individual trees of 15 species growing in mixed-species uneven-aged forest stands, that have simple form, good predicting precision, and easily applicable, were developed using stepwise regression method. The main variables influencing on diameter increment of individual trees were tree size and competition, however, the site conditions were not significantly related with diameter increment. The tree size variables (lnDBH and $DBH^2$) were the most significant and important predictors of diameter growth existing in all 15 growth models. The diameter increment was directly proportional to tree diameter for each species. For the competitive factors in growth model, the relative diameter (RD), canopy closure (P), and the ratio of diameter of subject tree with maximum diameter (DDM) were contributed to the diameter increment at a certain extent. Other measures of stand density, such as basal area of stand (G) and stand density index (SDI), were not significantly influenced on diameter increment. Site factors, such as site index, slope and aspect were not important to diameter increment and excluded in the final models. The total variance explained by the final models of squared diameter increment ($R^2$) for all 15 species ranged from 35% to 72% and these results compared quit closely with those of Wykoff (1990) for mixed conifer stands. Using independent data set, validation measures were evaluated for predicting models of diameter increment developed in this study. The result indicated that the estimated precision was all greater than 94% and the models were suitable to describe diameter increment.
In this study, multilateral conceptualizations of underemployment were measured in terms of wages, social status, skill utilization and permanence of the job, and then the effects of antecedents on underemployment and the effects of underemployment on organizational adaptation were examined. Data obtained by a longitudinally designed survey at intervals of 18 months with the reemployed(N = 153) after job loss were used. The underemployment measures include 1) the ratio of wage change 2) the ratio of status change 3) the ratio of education 4) the occurrence of change from the permanent job to temporary job, 5) overqualification - growth opportunity, 6) overqualification - mismatch. The first four measures are social-economic and objective measures and the last two measures are psychological and self-reported ones. Demographic variables(sex, age, education level, and period of unemployed), circumstantial variables(economic hardship, number of dependents), and psychological variables(job-seeking self-efficacy, depression/anxiety, latent function) are included in antecedents. In the effects of antecedents on underemployment, age increases the level of underemployment in the aspects of wage and job status. Economic hardship increases the possibility of underemployment in the aspects of education and number of dependents increases the possibility of underemployment in the aspects of job status. Job seeking self-efficacy decreases the possibility of underemployment in the overqualification - no growth. Retention of latent function during the period of unemployment lowers the possibility of underemployment in the overqualification - no growth. The level of depression and anxiety during the period of unemployment raises the possibility of underemployment in terms of education and in the overqualification - mismatch. In the effects of underemployment on organizational adaptation, the higher the level of underemployment in the aspect of education is, the lower the level of person-organization fit, emotional commitment, and job satisfaction are. And the transition from permanent job to temporary job makes emotional commitment and job satisfaction lower. No growth and mismatch exerted a significant influence on organizational adaptation generally.
On 12 July 2016, China's maritime claim to most of the South China Sea (SCS) based on the so-called nine-dash line was rejected by the Arbitral Tribunal, constituted under Annex VII to the UN Convention on the Law of the Sea (UNCLOS) concerning issues in the South China Sea including the legality of the so-called "nine-dashed line", the status of certain maritime features and their corresponding maritime entitlements, together with the lawfulness of certain actions by China which the Philppines, in a case brought in 2013, alleged were violations. As having the Tribunal determined that China's claim had no legal grounds in UNCLOS, thus undermining China's claims, and establishing that China has no exclusive legal rights to control the area roughly the size of India. There are some major implications from the Tribunal's ruling in the Arbitration award. These include implications on: how to delimit the maritime boundary in disputed waters, how to promote maritime confidence-building measures, how to safeguard maritime safety and security, and how to promote the rule of law in the SCS. Since its application of UNCLOS in East Asia, it has been obvious that the only way to resolve maritime disputes in the region is to build strong maritime cooperative partnerships under the auspices of the rule of law.
The rapid impact assessment matrix (RIAM) might be a new tool for performance of an environmental impact assessment (EIA), comparing with many traditional methods of EIA, which have produced large reports setting out the subjective judgement reached by the assessors. The main criticisms of E1A are in part a natural result of the traditional method used. RIAM uses a structured matrix to allow for such judgement, both subjective and those based on quantitative data, to be made on a like-by-like basis, and provided a transparent and permanent record of the judgement made. Also, the computerized RIAM system using software program allows for the matrix to be shown in graphical form, which greatly enhances the clarity of the results produced by this method. RIAM provides a system by which development options and scenarios can be rapidly evaluated. To illustrate the use of RIAM, an example from an EIA study using application of scoping by assessment criteria in Environmental Impact Regulation of Korea was given. The criteria that might be used to evaluation EIA methods, and how RIAM measures up against these criteria, are discussed.
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