• 제목/요약/키워드: preparedness

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Study on the analytical method using GC-MS for the accident preparedness substances (실험실 GC-MS를 이용한 사고대비물질 분석방법 연구)

  • Kim, Kijoon;Lee, Jinseon;Lee, Suyeong;Hwang, Seungryul;Kim, Younghee;Seok, Gwangseol
    • Analytical Science and Technology
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    • v.26 no.1
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    • pp.80-85
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    • 2013
  • The sixty nine accident preparedness substances (APS) having high probability of chemical accident are controlled under the Toxic Chemicals Control Act (TCCA). Around the world, there has been a growing interest in the analysis of chemical warfare agent (CWAs). When a chemical accident occurs, it is generally required to detect and identify APS. However, the quantitative analytical data remain limited in Korea. In this study, an analytical method using GC/MS for volatile organic chemicals was established and a quantitative analysis method was studied. The calibration curve for 25 chemicals were obtained and 21 chemicals showed higher coefficient of determination ($r^2$ >0.998).

Perception, Attitudes, Preparedness and Experience of Chemotherapy-Induced Alopecia among Breast Cancer Patients: a Qualitative Study

  • Kim, Im-Ryung;Cho, Ju-Hee;Choi, Eun-Kyung;Kwon, In-Gak;Sung, Young-Hee;Lee, Jeong-Eon;Nam, Seok-Jin;Yang, Jung-Hyun
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.4
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    • pp.1383-1388
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    • 2012
  • Objectives: Regardless of its negative impact on quality of life, little is known about the importance of alopecia from the patients' perspective. This study aimed to explore the whole experience of chemotherapy-induced alopecia among Korean breast cancer patients including perception, attitudes, preparedness, and changes after alopecia. Methods: Patients expected to experience or had experienced alopecia were recruited at a tertiary hospital in Seoul, Korea. Semi-structured in-depth interviews were performed in 21 patients. Recurrent issues were identified and placed into thematic categories. Results: All patients think that appearance is important and they pay attention to how they look like. They had negative perceptions about alopecia. Patients were not well prepared for alopecia, and experienced substantial physical, psychological and social distress. Lack of information and limited social support combined with negative images of cancer made it difficult for patients to overcome the trauma and deterred them from usual daily activities resulting in poor quality of life. Conclusions: Patients were not well prepared for alopecia and negative perceptions, lack of preparedness, and limited social support and resources increased alopecia-related distress. Educational programs for preparing patients to cope with alopecia distress and advocate activities to change people's negative perception about alopecia are needed to reduce the burden imposed by alopecia in cancer patients.

A Comparative Study on the Evacuation Preparedness and Guidelines for Peoples with Disability (장애인 행태를 고려한 피난 매뉴얼 비교연구)

  • Lee, Jeong-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.470-478
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    • 2016
  • This study focused on the emergency evacuation guidelines considering the behaviors of people with disabilities in Korea. For these purposes, this study reviewed the movement behaviors of people with disability and the treatment characteristics of emergency and hazards in United States. The results are as follows. First, it is necessary to suggest establishment requirements and building design guidelines considering the behaviors of inhabitants and the occupant load in social welfare facility for people with disabilities. Second, it is important to establish disaster preparedness and evacuation planning in emergency and hazards reflecting the movement behaviors of people with disabilities in national organizations and institutions on disability. Third, periodical emergency and fire drills are necessary for people with disabilities and should be managed considering the impaired prototypes, evacuation aids and service animals.

Performance test of urine bioassay through participation in the NRIP (NRIP 참여를 통한 소변시료 바이오어세이 성능검사)

  • Ha, Wi-Ho;Yoo, Jaeryong;Yoon, Seokwon;Lee, Seung-Sook;Kim, Jong Kyoung
    • Journal of Radiation Protection and Research
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    • v.39 no.2
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    • pp.96-102
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    • 2014
  • Urine bioassay has been widely used for internal dosimetry due to simple process of sampling and measurement. In this paper, we participated in the NRIP (NIST Radiochemistry Intercomparison Program) hosted by US NIST to carry out a reliable performance test of urine bioassay and introduced the measurement method and results of NRIP-2013. In customary exercise with 60 days of reporting time, bioassay results of 12 radionuclides in the synthetic urine samples were acceptable based on the performance criteria of ANSI N13.30. In emergency preparedness exercise with 8 hours of reporting time, bioassay results of 9 radionuclides showed that differences ranged from -35% to 45%. However, we concluded that urine bioassay applied for emergency preparedness exercise would be applicable for rapid screening and estimation of internal exposure within a difference of ${\pm}45%$ in the event of radiological accidents.

A Study on Curriculum Development for Disaster Management by DACUM Technique and Expert Committee (DACUM 기법과 전문가회의를 통한 방재분야 교육과정 개발에 관한 연구)

  • Min, Geum-Young;Jeong, Duk-Hoon;Shim, Hyoung-Seop
    • Journal of the Korean Society of Hazard Mitigation
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    • v.11 no.3
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    • pp.63-73
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    • 2011
  • The purpose of this study was to suggest the education and training program for disaster management by comparison between DACUM technique applied curriculum and curriculum by expert committee, and curriculum development. First, DACUM technique applied curriculum development. Job Classification of Disaster management was consisted of four jobs - mitigation, preparedness, response and recovery - by three times discussions of expert panels. Job analysis and curriculum development were performed by the DACUM panels who consisted of three subject-matter experts and one educational expert on each field. Curriculum developed mitigation was nine courses, preparedness was twelve courses, response was seven courses, and recovery was four courses. Second, Expert committee developed curriculum. Expert committee consisted of five experts and three educational expert. Expert committee was held four times. Curriculum developed thirty five courses. Then disaster management curriculum determined by discussion of experts. disaster management curriculum considered (1)mitigation and preparedness was thirty one courses, (2)response and recovery was fourteen courses, (3)man-made was six courses, (4)manager level was four courses.

Effects of Preparedness towards Delegation, Critical Thinking Disposition, and Communicative Competence on Job Satisfaction: A Comparison of Comprehensive Nursing Care Service Ward Nurses and General Ward Nurses (간호·간병통합서비스 병동 간호사와 일반 병동 간호사의 위임 준비성, 비판적 사고성향, 의사소통 능력이 직무만족에 미치는 영향)

  • Wi, Da Hye;Kim, Younkyoung
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.3
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    • pp.211-222
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    • 2022
  • Purpose: This study aimed to identify the effects of preparedness towards delegation, critical thinking disposition, and communicative competence on job satisfaction among comprehensive nursing care service ward nurses and general ward nurses. Methods: The participants in this study were 218 nurses from two university hospitals. Data were collected using self-administered questionnaires and were analyzed using SPSS Statistics/WIN 21.0, including descriptive statistics, x2 test, Fisher's exact test, t-test, ANOVA, Scheffeé test, Pearson's correlation coefficient, and multiple linear regression analysis. Results: For comprehensive nursing care service ward nurses, the significant influencing factors on job satisfaction were age (β=-.37, p=.041), marital status (β=.35, p=.001), critical thinking disposition (β=.29, p=.003), and communicative competence (β=.28, p=.002) with the explanatory power was 39.0% (F=12.00, p<.001). On the other hand, for general ward nurses, the significant influencing factors on job satisfaction were advanced degree (β=.29, p=.047), critical thinking disposition (β=.23, p=.040), and communicative competence (β=.42, p<.001) with the explanatory power was 33.0% (F=11.78, p<.001). Conclusion: The results of this study suggest the importance of developing and applying education programs to improve critical thinking disposition and communicative competence of nurses. This would enhance the comprehensive nursing service and increase overall nursing manpower resources. In addition, further studies are needed to improve nursing work environments and to develop strategies for enhancing preparedness towards delegation, which would increase the job satisfaction of nurses in the comprehensive nursing care service wards.

The Relationship between the Health System and the COVID-19 Case Fatality Rate (보건의료체계와 코로나19 치명률의 연관성)

  • Hansol Lee;Sieun Lee;Jiwon Park;Yuri Lee
    • Health Policy and Management
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    • v.33 no.4
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    • pp.421-431
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    • 2023
  • Background: The coronavirus disease 2019 (COVID-19) pandemic has led to socio-economic issues, highlighting the importance of strengthening health systems for future infectious diseases. This study aims to analyze the relationship between health system preparedness, response levels, and COVID-19 fatality rates across 194 countries. Methods: This study examined various indicators of national health system preparedness and response, including health service delivery, health workforce, health information systems, essential medicines and health products, health financing, and leadership and governance. Results: A correlation was found between the health system and the COVID-19 case fatality rate (CFR). Further examination of specific indicators within health service delivery, health workforce, health information systems, health financing, and leadership/governance showed significant correlations with the CFR. Multiple regression analysis, considering aging and urbanization rates, identified reproductive/maternal/newborn and child health, infectious diseases, nursing and midwifery personnel density, birth registration coverage, and out-of-pocket health expenditure as significant factors affecting the CFR. Conclusion: Countries with strong health system indicators experience lower case fatality rate from COVID-19. Strengthening access to essential health services, increasing healthcare personnel and resources, ensuring reliable health information, and bolstering overall health systems are crucial for preparedness against future infectious diseases.

Chemical Accident Response Plan: A Comparative Study between Regions in Korea (화학사고 대응계획: 국내 지역간 비교연구)

  • Min-Je Choi;Gyu-Sun Cho
    • Industry Promotion Research
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    • v.9 no.1
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    • pp.57-64
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    • 2024
  • In 2015, the paradigm of hazardous chemical substance management in Korea shifted from the workplace to the regional level due to the complete revision of the Chemicals Control Act. Although regional chemical accident response plans were established in 2020, there were slight differences in the scope and criteria of each local government. Therefore, this study compared and analyzed chemical accident response plans established in four different regions to provide insights into effective chemical accident response plans. Based on publicly available information, the current status of accident preparedness, chemical accident response systems, and resident evacuation response and education/training were compared and analyzed. The results showed that there were not significant differences in the accident preparedness and response systems between the regions. However, there was a lack of discussion on the preparedness system linked to the characteristics of each workplace in each region. Additionally, there were differences in education and training for residents between regions. In the future, each local government needs to establish a response organization that fits the characteristics of their region and develop strategies for agile and effective accident response through cooperation with relevant agencies.

A Study on Quality Improvement and Advancement of Negative Pressure Isolation Stretcher: Using FOCUS-PDCA (음압격리들것의 품질개선과 고도화 연구: FOCUS-PDCA 모형을 활용하여)

  • Choi, Hyunchul;Seo, Seul-Ki;Byun, Sungkwan;Chang, Hyejung;Park, Sangchan
    • Journal of Korean Society for Quality Management
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    • v.51 no.4
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    • pp.715-734
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    • 2023
  • Purpose: Authors suggest a new alternative of preparedness capabilities for health care institutes to react to the new types of communicable diseases and the pandemic situations through the quality improvement and advancement of Negative Pressure Isolation Stretcher (NPIS). Methods: We employed FOCUS-PDCA, a representative quality improvement model. First, we identified and materialized necessary components of existing NPIS to be improved. Second, we fabricated an advanced NPIS prototype. Third, we carried out a performance test by the accreditation institute and an empirical evaluation at the communicable diseases trauma center, to locate the improvement pain points of the prototype. Finally, we draw a conclusion on quality improvement points to be considered during the production stage. Results: The suggested, NPIS outperforms the existing one in terms of communicable disease controls, patient treatments and the safety during the patient transfer, and the ease of use. Additionally, the suggested NPIS turns out to be a proper alternative to satisfy the requirements of long range transfer of patients with communicable disease. Conclusion: Authors developed a quality improved, NPIS prototype. There are several points that still remain to be improved. Additionally, we expect that the concurrent use of the suggested NPIS with the existing one will fortify the preparedness capabilities on reacting to the communicable diseases.

The Current Status of Bioterrorism Education in Health-related Colleges -In the Professors of the Health-related Colleges- (보건관련 교수들의 생물테러 교육현황에 관한 연구 -응급구조학, 임상병리학과 기타 보건관련학교수를 대상으로-)

  • Chun, Byung-Chul;Kim, Kyeong-Uoon;Kim, Jee-Hee;Kim, Jin-Woo;Roh, Sang-Gyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.2
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    • pp.710-717
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    • 2012
  • A bioterrorism attack(BT) attack is the deliberate release of viruses, bacteria, fungi, and toxins used to cause illness or death in people, animal, and plants. Therefore, the healthcare workers are those who will take the main role in BT outbreak situations. The purpose of this study is to investigate current status of education for BT preparedness and response in health-related colleges. It is important to provide the BT preparedness and response to the health-allied students in case of unexpected BT outbreak. The questionnaires were collected from March 10 to June 10 in 2007 via mai l. Approximately 97.6% of the health-related professors answered that they had no experience of bioterrorism education. The contents of the bioterrorism curricula should contain the followings : definition and characteristics of the emergency and disaster, definition of bioterrorism, history of bioterrorism, general characteristics of bioterrorism, etiological agents of bioterrorism, bioterrorism response, systematic response, and medical response. Through these data, we will develop the disaster and bioterrorism preparedness curricula.