• Title/Summary/Keyword: Prevent health

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Occupational Exposure during Intraperitoneal Pressurized Aerosol Chemotherapy Using Doxorubicin in a Pig Model

  • Wongeon Jung;Mijin Park;Soo Jin Park;Eun Ji Lee;Hee Seung Kim;Sun Ho Chung;Chungsik Yoon
    • Safety and Health at Work
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    • v.14 no.2
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    • pp.237-242
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    • 2023
  • Background: This study evaluated occupational exposure levels of doxorubicin in healthcare workers performing rotational intraperitoneal pressurized aerosol chemotherapy (PIPAC) procedures. Methods: All samples were collected during PIPAC procedures applying doxorubicin to an experimental animal model (pigs). All procedures were applied to seven pigs, each for approximately 44 min. Surface samples (n = 51) were obtained from substances contaminating the PIPAC devices, surrounding objects, and protective equipment. Airborne samples were also collected around the operating table (n = 39). All samples were analyzed using ultra-high performance liquid chromatography-mass spectrometry. Results: Among the surface samples, doxorubicin was detected in only five samples (9.8%) that were directly exposed to antineoplastic drug aerosols in the abdominal cavity originating from PIPAC devices. The telescopes showed concentrations of 0.48-5.44 ng/cm2 and the trocar showed 0.98 ng/cm2 in the region where the spraying nozzles were inserted. The syringe line connector showed a maximum concentration of 181.07 ng/cm2, following a leakage. Contamination was not detected on the surgeons' gloves or shoes. Objects surrounding the operating table, including tables, operating lights, entrance doors, and trocar holders, were found to be uncontaminated. All air samples collected at locations where healthcare workers performed procedures were found to be uncontaminated. Conclusions: Most air and surface samples were uncontaminated or showed very low doxorubicin concentrations during PIPAC procedures. However, there remains a potential for leakage, in which case dermal exposure may occur. Safety protocols related to leakage accidents, selection of appropriate protective equipment, and the use of disposable devices are necessary to prevent occupational exposure.

A multi-dimensional approach to disaster mental health and the roles and contributions of social work field (재난 정신건강서비스에서 사회복지분야의 역할과 개입전략 : 다차원적 접근 모델)

  • Kim, Yeunhee
    • Korean Journal of Social Welfare Studies
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    • v.42 no.4
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    • pp.5-34
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    • 2011
  • There have been increasing incidents of natural and social disasters that claimed many lives and caused financial calamities worldwide, which call for an attention to mental health issues affecting disaster victims. This study reviewed the findings of the empirical research on the effects of disaster on the victims, the prevalence and determinants of the mental health problems. The disaster tends to disproportionately affect the socio-economically disadvantaged population and their mental health problems and recovery seemed to be heavily influenced by post-disaster experiences such as restoration of physical environment, prospect of economic recovery and resumption of normalcy in their lives, opportunities for participation in decision-making that affect their lives. Such findings suggest that the disaster mental health should shift from its traditional approach that focuses on short-term clinical interventions to alleviate acute mental distress for the victims to a public health approach that involve medical, social and economic interventions as well as community empowerment to prevent chronicity of the mental health problems and to improve the general quality of life of the individuals and the community adversely affected by the disaster. Implications for the social work research, policy making, education and practice were discussed.

Characterizing Patterns of Experience of Harmful Shops among Adolescents Using Decision Tree Models (데이터마이닝을 이용한 청소년 유해업소 출입경험에 영향을 주는 요인)

  • Sohn, Aeree
    • Korean Journal of Health Education and Promotion
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    • v.31 no.3
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    • pp.15-26
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    • 2014
  • Objective: This study was conducted in order to explore the predictive model of the experience of harmful shops in middle and high school students. Methods: The survey was conducted using a self-administered questionnaire method online via the homepage of the education ministry's student health information center. Participants were 1,888 middle school students and 1,563 high school students from 107 schools in Korea. The collected data were processed using the SPSS classification trees 18.0 program and examined using data mining decision tree model. Results: In this study, 6.9% of all subjects were found to have been to sex industry harmful place and 81.8% game place. The results revealed that smoking, living with parents, and school grade were significant predictors for experience of sex industry harmful place. The perception of study disrupts, drinking, living with parents, stress, and satisfaction of school life were significant predictors for experience of game harmful place. Conclusions: These results suggest that an educational approach should be developed by tailored conditions to prevent the access to harmful shops.

Affecting factors to using oral health of korean adolescents (청소년의 치과진료기관 이용여부에 영향을 미치는 요인)

  • Jeon, Mee-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.4
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    • pp.607-616
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    • 2010
  • Objectives : This study was performed to enhance a rate of Using oral clinic and to search related factors of using oral clinics. Methods : The subjects of the study were 74,698 subjects who answered to the 2007 korea Youth Risk Behavior Web-based survey. Answers of 73,836 subjects were used for the final analysis. We used spss of version 12.0. This study conducted a Chi-square test to identify using oral clinics rate according to characteristics of subjects and a multivariate logistic regression analysis to identify whether they are independently significant. Results : Tooth scaling experiences were responded by 10,060 subjects(25.6%). Grade and metropolis, economic level had significant associations with using oral clinic experiences. The rate of using oral clinic showed significant difference in point, depending on general characteristics. Their oral health showed significant difference in point between using oral clinic experience and non-experience groups. According to the multiple logistics regression analysis whose significant independent variables were sex, grade, metropolis, economic level, blooding gum, tooth brushing, oral malodor. Conclusions : The policy is needed to prevent economic constraints from worsening oral health by supporting the poor. And our government should eventually prepare a public relation program suitable for public.

Successful Localization of Intraoral Foreign Body with C-arm Fluoroscopy

  • Kang, Young-Hoon;Byun, June-Ho;Choi, Mun-Jeong;Park, Bong-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.5
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    • pp.219-223
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    • 2014
  • During surgical procedures, unexpected material, including surgical instruments and tissue segments, may get lost in the surgical field. Most of these should be immediately removed to prevent further complications, such as vital organ irritation, infection, and inflammatory pseudo-tumor formation. However, it is not always easy to define the exact location of the foreign body, especially if the item is very small and/or it is embedded in the soft tissue of the head and neck region. Intraoperative real-time radiological imaging with C-arm fluoroscopy can be useful to trace the three-dimensional location of small and embedded foreign bodies in the oral and maxillofacial area. We describe an unusual case of an embedded micro-screw in the intrinsic tongue muscle that had been dropped into the sublingual space during a lower alveolar bone graft procedure. The lost foreign body was accurately identified with C-arm fluoroscopy and safely removed without any further complications.

Nutritional Assessment of the Oldest-Old Population Aged 85 Over: Based on 2009 Korea National Health and Nutrition Examination Survey

  • Bak, Hoonji;No, Jae-Kyung
    • Culinary science and hospitality research
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    • v.22 no.1
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    • pp.52-60
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    • 2016
  • As Korea is expected to become super high aged society in 2026, nutrition is important elements of health in the elderly and affects their life. In epidemiological surveys, anthropometric and biochemical measurements represent important components of nutritional assessment in elderly. In the present study, we investigated anthropometric index, biochemical markers, and nutrient intake for elderly aged over 85 by using data on 71 elderly (24 men, 47 women) over 85 years which was obtained from Korea National Health and Nutrition Examination Survey in 2009. According to BMI values, the prevalence of underweight and obesity was 9.7% and 34.5% in men, and 7.9% and 26.4% in women. The prevalence of sarcopenia was 70.7% in men and 25.0% in women. However, plasma biochemical data are normal range in the older population. In nutrients intake, daily Intake of energy, protein, dietary fiber, water, thiamin, riboflavin, niacin, calcium, and potassium was inadequate considering the Dietary Reference Intakes for Koreans(KDRIs). In conclusion, elderly need to be educated nutrition and their health dietary life to prevent malnutrition, and standard of nutrition intake should be rearranged in elderly aged 85 over considering their antrhopometric index.

Clinical cases of vision therapy for visual perception and attention enhancement of children with mild developmental disabilities (경도의 발달장애 아동의 시지각 및 주의력 향상을 위한 시기능 훈련의 임상사례)

  • Lee, Seung-Wook;Jang, Woo-Yeong
    • Journal of Korean Clinical Health Science
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    • v.5 no.3
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    • pp.888-896
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    • 2017
  • Purpose. The purpose of this study was to investigate the effect of visual field training on visual function, visual perception and attention enhancement. Methods. We examined the changes of visual function and visual perception tests for children with mild developmental disabilities through vision therapy. Results. At the time of the initial visit of the child, the ability to control not only distant and near visual function, but also accommodation, was also very limited. Also, the visual perception score was measured at 80 points. Through vision therapy, it was confirmed that the improvement of control ability as well as the visual function and visual perception function test results were also improved to 108 points. Conclusion. It was confirmed that vision therapy results in an improvement of visual function, improved visual perception ability, as well as visual perception ability, It was concluded that visual function affected visual perception, and that vision therapy used in order to prevent visual function deterioration was found to be very helpful.

A Comparative Study about Risk Factors Influencing Suicide Ideation between Korean and Multicultural Adolescents

  • Lee, Hanju
    • Research in Community and Public Health Nursing
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    • v.28 no.3
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    • pp.240-250
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    • 2017
  • Purpose: In South Korea, suicide mortality has rapidly increased, so it has become a major public health concern. Multicultural adolescents are regarded as a high-risk group due to their situation. In this study, we compared the prevalence and risk factors of suicide ideation between Korean and multicultural adolescents. Methods: Data from the eleventh Korean Youth Risk Behavior Web-based Survey (2015), collected by the Korean Centers for Disease Control and Prevention, were statistically analyzed using the descriptive statistics and multivariate logistic regression. The total participants were 63,376 in numbers. They were composed of 62,649 (98.9%) Korean and 727 (1.1%) multicultural adolescents. Results: I found that the prevalence of suicide ideation was significantly higher among the multicultural adolescents (15.8%) compared with those of Korean (11.3%). The risk factors of suicide ideation in the Korean group were co-residence without family, poor perceived health status, depressive mood, high stress level, poor perceived happiness level, and experience of violence. Conversely, the risk factors of the multicultural group were smoking, depressive mood, and experience of violence. Conclusion: These findings suggest that appropriate and practical prevention strategies should focus on psychological and environmental factors in order to prevent suicide ideation and reduce suicide behavior in Korean and multicultural adolescents.

Development and Evaluation of a Small Group-based Cardiocerebrovascular Disease Prevention Education Program for Male Bus Drivers (남성 운전직 근로자를 위한 소그룹기반 심뇌혈관질환 예방교육 프로그램의 개발 및 효과)

  • Kim, Eun-Young;Hwang, Seon-Young
    • Journal of Korean Academy of Nursing
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    • v.42 no.3
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    • pp.322-332
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    • 2012
  • Purpose: This study was conducted to examine effects of a small group-based cardiocerebrovascular disease (CVD) prevention education program on knowledge, stage of change and health behavior among male bus drivers with CVD risk factors. Methods: A non-equivalent control group pretest-posttest design was used. Participants were 68 male bus drivers recruited from two urban bus companies. Participants from the two groups were selected by matching age, education and risk factors. Experimental group (n=34) received a small group-based CVD prevention education program 8 times over 6 weeks and 3 times through telephone interviews at 2-week intervals. Data were collected between December, 2010 and March, 2011, and were analyzed using chi-square test, t-test, and repeated measure analysis of variance with SPSS/Win18.0. Results: Experimental group showed significantly higher scores in CVD prevention knowledge (p<.001) and health behavior (p<.001) at 6 and 12 weeks after intervention. Participants in pre-contemplation and contemplation stages made progress to contemplation and action. This was significantly better at 6 and 12 weeks after intervention (p<.001). Conclusion: Results suggest that small group-based education programs for CVD prevention are effective in increasing knowledge, stage of change, and health behavior to prevent CVD among male bus drivers with CVD risk.

Legislation Trend Referring to Burden of Proof in Medical Malpractice Lawsuit (의료과오소송 입증책임 관련 입법의 동향)

  • Cho, Hyong-Won
    • The Korean Society of Law and Medicine
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    • v.9 no.1
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    • pp.129-162
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    • 2008
  • Nowadays it is important for us to resolute medical disputes. Because a high incidence of medical accidents may be brought about according to many chances of treatment in the operation of health insurance and increasing concern of patient health. Patients and medical doctors have plenty of difficulty in uncomfortable treatment circumstances of a high incidence of medical accidents. It is especially desirable that our society should prevent medical accidents and resolute speedy, fairly and rationally the happened medical disputes. Many legislations were suggested to resolute medical dispute. But legal issue points stress only speedy medical dispute resolution procedure and don't compromise fair and professional procedure. Accordingly these legal arguing points had not been accepted by the National Assembly and people. If the speedy resolution of medical dispute was demanded to solve unsafe treatment circumstances, it is necessitated that the legislation containing legal issue points to procedure is enacted. Of course the interest of patients and doctors to legal issue points must be balanced. Because an arguing points to the reversal of proof burden is consisted of the entity judgement in connection with setting the basis of resolution of medical dispute, the legislation to these is checked carefully.

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