• Journal of Environmental Health Sciences
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• v.41 no.6
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• pp.449-457
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• 2015

Objectives: In Korea, the system of management of medical waste largely relies on the incineration method. Our study aimed to identify any regional imbalances between the generation and treatment of medical waste, and provide reference data for future policy in Korea. Methods: We analyzed data on the amount of medical waste from 2,000 hospitals in 2012, 2013, and 2014 obtained from the Korea Environment Corporation. In the Arc GIS program (version 10.2.3), the addresses of hospitals and incinerators were transformed into map coordinates. The amount of waste generated by each hospital and the amount incinerated were represented by density and size of a triangle symbol, respectively. Results: As of 2014, the total amount of medical waste from the top 2,000 hospitals was 136,073 tons, out of which about half (49%) was generated in the capital area. Eleven incineration companies (three in the capital area, two in the Chungcheong Provinces area, one in the Jeolla Provinces area, and five in the Gyeongsang Provinces area) treated this waste. For the years 2012, 2013, and 2014, about 60% of the medical waste generated from the hospitals in the capital area was treated within the capital area and about 40% was transported to other areas, especially the Gyeongsang Provinces area, for treatment. On the other hand, about 90% of the medical waste incinerated in the capital area originated from the capital area. Conclusion: Our results suggest a spatial imbalance between the generation and treatment of medical waste in Korea and warrants multilateral policies, including the expansion of on-site treatment, strengthening regulation of the containment of medical wastes, promoting reductions in medical waste and more.

• Journal of the Korea Organic Resources Recycling Association
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• v.31 no.4
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• pp.29-39
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• 2023

In this study, an analysis of medical waste generation characteristics was conducted, differentiating between ordinary situation and the outbreaks of massive infectious diseases. During ordinary situation, prediction models for medical waste quantities by type, general medical waste(G-MW), hazardous medical waste(H-MW), infectious medical waste(I-MW), were established through regression analysis, with all significance values (p) being <0.0001, indicating statistical significance. The determination coefficient(R2) values for prediction models of each category were analyzed as follows : I-MW(R2=0.9943) > G-MW(R2=0.9817) > H-MW(R2=0.9310). Additionally, factors such as GDP(G-MW), the number of medical institutions (H-MW), and the elderly population ratio(I-MW), utilized as influencing factors and consistent with previous literature, showed high correlations. The total MW generation, evaluated by combining each model, had an MAE of 2,615 and RMSE of 3,353. This indicated accuracy levels similar to the medical waste models of H-MW(2,491, 2,890) and I-MW(2,291, 3,267). Due to limitations in accurately estimating the quantity of medical waste during the rapid and outbreaks of massive infectious diseases, the generation unit of I-MW was derived to analyze its characteristics. During the early unstable stage of infectious disease outbreaks, the generation unit was 8.74 kg/capita·day, 2.69 kg/capita·day during the stable stage, and an average of 0.08 kg/capita·day during the reduction stage. Correlation analysis between generation unit of I-MW and lethality rates showed +0.99 in the unstable stage, +0.52 in the stable stage, and +0.96 in the reduction period, demonstrating a very high positive correlation of +0.95 or higher throughout the entire outbreaks of massive infectious diseases. The results derived from this study are expected to play a useful role in establishing an effective medical waste management system in the field of health care.

• Journal of Environmental Health Sciences
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• v.38 no.4
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• pp.332-339
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• 2012

Objectives: The purpose of this study was to prevent health problems and environmental contamination resulting from inappropriate management of dental wastes and to provide reference data for revision and supplementation of dental clinic waste management guidelines. Methods: From 640 total of dental clinics registered in 16 cities and counties in Gyeongsangnam-do, 100 (60 in Changwon (Masan, Changwon), 29 in Gimhae, and 11 in Jinju) were included in this study. From July 2010 to September 2010, investigators visited the 100 dental clinics and conducted survey interviews using a structured survey questionnaire regarding disposal methods for liquid wastes (suction pump, spittoon container waste, used liquid disinfectants, and X-ray developer), and disposal methods for solid waste (suction pump, spittoon container waste, and general medical waste). Results: All the 100 dental clinics were found to treat liquid waste from suction pumps and spittoon containers in the same manner as general waste water. Nineteen percent of the clinics treated solid waste that was not filtered through the filter of a suction pump as general waste. Fifty or more percent of the clinics treated solid waste in spittoon containers as general waste. Seventy percent of the clinics used disinfectant solution, although most of them treated used disinfectants in the same manner as general waste water. Some clinics treated used X-ray developer and X-ray fixer in the same manner as general waste water. In most of the clinics, used drapes were washed within the clinic. Conclusions: It was found that waste water and dental wastes at some dental clinics were treated in inappropriately. Thus, in conclusion, the development of guidelines regarding proper management of liquid and solid dental waste at dental clinics is required, and hygiene and environmental training for workers at dental clinics is necessary.

• Journal of radiological science and technology
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• v.44 no.5
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• pp.481-487
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• 2021

This study was conducted for the purpose of efficient radioactive waste disposal and management. Experiment was evaluated the decontamination efficiencies of the four types decontamination materials(Water, Alcohol, Decontamination Water, Decontamination Gel) with radioactive wastes generated during radio-pharmaceutical production process at Korea Institute Radiological and Medical Sciences(KIRAMS). The radioactive waste sample used in experiment is a lead plate of the fume hood that was disposed in April, 2019. In the experimental method, radioactive waste was measured before and after decontamination using a HPGe semiconductor detector and Gamma survey meter. The measured values before and after decontamination were evaluated for decontamination efficiency as a percentage. As a result, it was confirmed that a lot of specific activity and surface dose rate was removed from the radioactive wastes. In particular, when decontamination water was used, most of the radioactivity of radioactive wastes was removed. Considering these results, if decontamination water is used in decontamination of radioactive waste, decontamination efficiency equivalent to the disposition criteria can be expected with just one decontamination treatment. In addition, in the case of water and alcohol, only on decontamination was effective in approximately 75% and 95%. Otherwise, when decontamination gel was used, it was confirmed that the largest deviation occurred among all experimental results.

• Journal of Appropriate Technology
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• v.6 no.1
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• pp.37-44
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• 2020

Medical waste is any kind of waste that contains infectious material and recommended not to be transferred for infection control. As a means of disposal, incineration has better points than dumping or landfill in the quantity reduction, odorless and nonhazardous. However, open burning and incineration of health care wastes under bad circumstances, can result in the emission of environmental pollutants to air. A burial of biological waste brings pollution of soil and water. Most of sub divisional hospitals in Fiji transfer their medical wastes to divisional hospitals for incineration. In 2011, 62,518 kg of medical waste was incinerated in the three divisional hospitals. However, some medical wastes are considered as general waste and burnt or sent to landfill site, some are buried on site in some sub-divisional hospitals. In this regards, urgent education is necessary for awareness promotion to relevant personnel in medical waste treatment. On site incineration using small scale incinerator is more recommended than transportation of medical wastes treatment in Fiji. Moreover, remotely controllable and fixable small scale of incinerator is more desirable in sub-divisional hospitals. It is recommended that Fiji government to set up a legal framework for medical waste management (MWM), to develop specific guidelines for MWM, to set up a training system for MWM to ensure that all relevant personnel are trained, to develop a monitoring and supervision system for MWM, to clarify the future financing of MWM activities, and to improve the MWM infrastructure.

• Nuclear Engineering and Technology
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• v.54 no.2
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• pp.507-513
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• 2022

When X-ray energy above 8 MV is used, photoneutrons are generated by the photonuclear reaction, which activates the components of linear accelerator (linac). Safely managing the radioactive material, when disposing linac or replacing components, is difficult, as the standards for the radioactive material management are not clear in Korea. We surveyed the management status of radioactive components occurred from medical linacs in Korea. And we also measured the activation of each part of the discarded Elekta linac using a survey meter and portable High Purity Germanium (HPGe) detector. We found that most medical institutions did not perform radiation measurements when disposing of radioactive components. The radioactive material was either stored within the institution or collected by the manufacturer. The surface dose rate measurements showed that the parts with high surface dose rates were target, primary collimator, and multileaf collimator (MLC). ⁶⁰Co nuclide was detected in most parts, whereas for the target, ⁶⁰Co and ¹⁸⁴Re nuclides were detected. Results suggest that most institutions in Korea did not have the regulations for disposing radioactive waste from linac or the management procedures and standards were unclear. Further studies are underway to evaluate short-lived radionuclides and to lay the foundation for radioactive waste management from medical linacs.

• Proceedings of the Korean Environmental Sciences Society Conference
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• 1996.10a
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• pp.66-66
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• 1996

• Proceedings of the Korean Sanitation Conference
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• 2004.11a
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• pp.28-44
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• 2004

• Journal of the Computational Structural Engineering Institute of Korea
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• v.34 no.6
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• pp.409-415
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• 2021

Medical waste management is becoming increasingly important, specifically in light of the current COVID-19 pandemic, as hospitals, clinics, quarantine centers, and medical research institutes are generating tons of medical waste every day. Previously, a traditional incineration process was utilized for managing medical waste, but the lack of landfill sites, and accompanying environmental concerns endanger public health. Consequently, an innovative sterilization shredding system was developed to resolve this problem. In this research, we focused on the design and numerical analysis of a shredding system for hazardous and infectious medical waste, to establish its operational performance. The shredding machine's components were modeled in a CAD application, and finite element analysis (FEA) was conducted using ABAQUS software. Static, fatigue, and dynamic loading conditions were used to analyze the structural stability of the cutting blade. The blade geometry proved to be effective based on the cutting force applied to shred medical waste. The dynamic stability of the structure was verified using modal analysis. Furthermore, an S-N curve was generated using a high cycle fatigue study, to predict the expected life of the cutting blade. Resultantly, an appropriate shredder system was devised to link with a sterilization unit, which could be beneficial in reducing the volume of medical waste and disposal time, thereof, thus eliminating environmental issues, and potential health hazards.

• 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.