Purpose: The purpose of this study is to compare the user satisfaction between 4-bedrooms and 5/6-bedrooms in a single general hospital. Methodology: To measure and compare multiple-bed ward user satisfaction between 4-bedrooms and 5/6-bedrooms, questionnaires were collected from 916 inpatients and 129 nurses in a single general hospital. The patient satisfaction questionnaire categories included environmental conditions, protection of privacy, and medical services. The nurse satisfaction questionnaire categories included space, infection control, patient safety, work load and psychologic view point. Findings: Satisfaction of patient who admitted in 4-bedroom to the environmental conditions and protection of privacy was higher than that of 5/6-bedroom group (3.91 vs. 3.25, p<0.001). Satisfaction of nurse who worked in 4-bedroom was higher than that of 5/6-bedroom (3.05 vs. 1.92, p<0.001). By the multiple linear regression analysis, patient satisfaction to the environmental conditions and protection of privacy was related with multi-bedroom type and location of beds; 4-bedrooms were higher than 5/6-bedrooms(p<0.001), window side bed were higher than hallway side bed(p=0.001). There was no satisfaction difference in comparing medical services between the two groups. By the multiple linear mixed regression analysis, nurse satisfaction who were assigned for 4-bedrooms were higher than that of 5/6-bedrooms in all categories(p<0.001). Practical Implications: Even though no difference has shown in medical services satisfaction between the two patient groups, multi-bedroom type may affect patient satisfaction in environmental condition, protection of privacy and may also affect overall nurse satisfaction. This result suggests that to improve multi-bedroom user satisfaction, 4-bedroom is recommended over 5/6-bedroom.
Sung Ho Hwang;Seunhon Ham;Hyoung-Ryoul Kim;Hyunchul Ryu;Jinsoo An;JinHa Yoon;Chungsik Yoon;Naeun Lee;Sangman Lee;Jaehwan Lee;Se Young Kwon;Jaepil Chang;Kwonchul Ha
Journal of Environmental Health Sciences
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v.50
no.3
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pp.221-228
/
2024
Background: Social interest is increasing due to frequent accidents caused by chemicals in the electronics industry. Objectives: The purpose of this study is to present a management plan by evaluating the exposure characteristics of dichloromethane (DCM), trichloromethane (TCM), and tetramethyl ammonium hydroxide (TMAH), which are high-risk substances to which people may be exposed in the electronics industry in South Korea. Methods: To investigate the handling companies and status of the hazardous chemicals DCM, TCM, and TMAH, the handling status of the three substances was classified based on electronics industry-related codes from the 2019 Work Environment Survey (Chemical Handling and Manufacturing) data with work environment measurement results for five years. Results: DCM, TCM, and TMAH are commonly used as cleaning agents in the electronics industry. For DCM, it was found that all work environment measurement results from 2018 to 2021 but not 2022 exceeded the exposure standard. Conclusions: Identifying the distribution channels of hazardous chemicals is an intervention point that can reduce exposure to hazardous chemicals. It requires management through tracking systems such as unique verification numbers at the import and manufacturing stages, and proper cultivation of and related support for handling chemicals by business managers.
This study was performed to investigate the knowledge and attitude of workers in small scale industries on health management, and to provide the basic data for more effective service by the group occupational health service system. The knowledge and attitude of 247 workers and 46 health personnel in the industries scattered around Incheon were investigated from December 1992 to February 1993. The results were summerized as follows ; 1. There were significant differences between the workers and the health personnel by age, sex, marriage status, job-position and education level. 2. The recognition level of the workers to contract work related disease was significantly higher than that of health personnel, and recognition level of the workers on environmental hazards and on the utility of measuring hazards were lower than that of health personnel. 3. The recognition level on the content of the group occupational health service system was significantly different between workers and health personnel, 72.6% of the responses from the workers answered that they did not know what the group occupational healthe service system was, but 82.2% of the responses from the health personnel answered that they knew well what it was. And 79.0% of all respondents thought it was necessary for worker's health. 4. Seventy three percent of the respondents from the workers indicated that they had never taken health education. However, 93.0% of all respondents answered positively for the need of health education to promote their health. 5. Current health service system was judged to be insufficient for the demand of workers for better health. Most of the respondents prefered a formal but flexible health service system and they wanted the periodic health examination to be followed up. It was revealed that despite of poor knowledge, the demand of workers for health service was higher than the current supply. Therefore, this study suggests that educating both health personnel and workers to obtain correct knowledge on the hazards to work enviroment and health management is needed for effective occupational health service.
KSCE Journal of Civil and Environmental Engineering Research
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v.40
no.4
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pp.429-435
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2020
North Korea declared itself complete with nuclear force after its sixth nuclear test in 2017. Despite efforts at home and abroad to denuclearize the Korean Peninsula, the prospects for the denuclearization are not bright. Along with political and diplomatic efforts to deter NK's WMD threats, the government is required to strengthen its consequence management capabilities against 'catastrophic situations' expected in case of emergency. Accordingly, this study was conducted to present measures to strengthen follow-up management against CBRN threats. The research model was partially supplemented and utilized by the THIRA process adopted and utilized by the U.S. Department of Homeland Security among national-level disaster management plan development models. Korea's consequence management (CM) system encompasses risk and crisis management on disaster condition. The system has been carried out in the form of a civil, government and military integrated defense operations for the purpose of curbing the spread or use of CBRNs, responding to threats, and minimizing expected damages. The preventive stage call for the incorporation of CBRN concept and CM procedures into the national management system, supplementing the integrated alarm systems, preparation of evacuation facilities, and establishment of the integrated training systems. In the preparation phase, readjustment of relevant laws and manuals, maintenance of government organizations, developing performance procedures, establishing the on-site support systems, and regular training are essential. In the response phase, normal operations of the medical support system for first aid and relief, installation and operation of facilities for decontamination, and development of regional damage assessment and control guidelines are important. In the recovery phase, development of stabilization evaluation criteria and procedures, securing and operation of resources needed for damage recovery, and strengthening of regional damage recovery capabilities linked to local defense forces, reserve forces and civil defense committees are required.
Pavement management systems require systematic monitoring of pavement surfaces to determine preventive and corrective maintenance. The process involves the accumulation of large amounts of visual data, typically obtained from site visitation. The pavement surface condition is then correlated to a pavement distress index that is based on a scoring system previously established by state or federal agencies. The scoring system determines if the pavement section requires maintenance, overlay or reconstruction. One of the surface distresses forming part of the overall pavement distress index is the Alligator Crack Index (AC Index). The AC Index involves the visual evaluation of the crack severity of a section of a pavement as being low, medium, or high. This evaluation is then integrated into a formula in order to obtain the AC Index. In this study a quantification of the visual evaluation of the severity of alligator cracking is carried out using photographs and the fractal dimension concept from fractal theory. Pavements with low levels of cracking were found to have a fractal dimension equal to 1.051. Pavements with moderate levels of cracking had a fractal dimension equal to 1.1754. Pavements with high degrees of cracking had a fractal dimension that varied between 1.5037 (high) and 1.7111 (very high). Pavements with a level of cracking equal to 1.8976 represented pavements that disintegrated and developed potholes. Thus, the visual evaluation of the state of cracking of a pavement (the AC Index) could be enhanced with the use of the fractal dimension concept from fractal theory.
In this study, a dual structured pipe for a preventive monitoring on a accident damage, a smartphone app program for a survey and a construction data collection and a server program for a real-time monitoring were developed. A pilot system was installed in the test field to analyze effects of a system developed in this study. The data for a damage prevention was detected by the attached sensors on the pipe. Exclusion was tested by the pressure sensors to be installed at regular intervals. The app and server programs was enabled to the real-time data collection and real-time monitoring linked by VRS survey equipments and a smartphone.
Journal of Korean Society of Occupational and Environmental Hygiene
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v.31
no.4
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pp.440-450
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2021
Objectives: This study aims to investigate whether working environment measurement institutions(WEMIs) are conducting safety and health education, risk assessment, and oversight of special management materials, and whether working environment measurement and special medical examinations are being conducted as prescribed in the Occupational Safety and Health Act(OSHA). Methods: In of February 2021, a questionnaire was prepared and distributed to 33 WMEIs registered with the Ministry of Employment and Labor(MoEL) in Busan and Gyeongsangnam-do Province. The responses were collected and then analyzed. Results: The findings show that 5 WEMIs(15%) complied fully with OSHA. Risk assessment was conducted by 13 WMEIs(39%) and safety education by 11 WMEIs(33%). Eighteen WMEIs(55%) conducted working environment measurement, and 29 WMEIs(88%) conducted special medical examinations. The implementation rate of the risk assessment in the health industry(85%) was higher than the one in the special technology industry(11%)(p<0.05). The implementation rate of the special medical examination in the examiners(54%) was not as high as the one in the analysts(91%)(p<0.05). Conclusions: The MoEL needs to check whether basic OSHA requirements are being observed during regular inspections by WEMIs. These findings indicate that it is necessary to prepare a plan to improve the rate of compliance with OSHA regulations.
Journal of Korean Society of Occupational and Environmental Hygiene
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v.29
no.1
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pp.21-26
/
2019
Objective: The aim of this study is to analyze an excess trend for domestic permissible exposure limit of trichloroethylene based on previous literature review. Materials and Methods: The research object is a trichloroethylene among 13 chemical substances regulated with PEL(Permissible Exposure Limit) in Occupational Safety and Health Act. The information utilized from this study is the work environment measurement data from 2004 to 2013. The highest level among concentration data measured at various workplaces was selected as a representative value through data process. N.D. (Not Detected) data was considered as 1/2 of LOD(Limit Of Detection). Results: Among work environment measurement data between 2004 and 2013, the highest number of excess workplace and excess rate(24 sites & 1.15%) was observed in 2008's data when applying the PEL(50 ppm) of trichloroethylene. When they are compared with the ACGIH's TLV-TWA(10 ppm), 2008's data showed the highest number of excess workplace and excess rate(175 sites & 8.37%). The number of excess workplace and excess rate related to PEL of trichloroethylene showed increase trend in 2005 but tended to decrease after 2008. Conclusions: Based on the results obtained from this study, the exposure level of trichloroethylene in case of domestic workers is not considered as a safe phase regardless of the year of work environment measurement year. Thus, a strictly preventive management in workplace should be provided for reducing exposure level of trichloroethylene.
The Journal of Korean Institute of Communications and Information Sciences
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v.36
no.12B
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pp.1708-1721
/
2011
Recent outbreak of cattle diseases such as foot-and-mouth disease(FMD) requires constant monitoring of burial sites of mass cull of cattles. However, current monitoring system takes environmental samples from burial sites with period of between one and two weeks, which makes it impossible for non-stop management of hazardous bio-waste. Therefore, in this study, we suggest an improved real-time environmental monitoring system for such bio-hazardous sites based on wireless sensor networks, which makes constant surveillance of the FMD burial sites possible. The system consists mainly several wireless environmental monitoring sensors(i.e dust, Co2, VOC, NH3, H2S, temperature, humidity) nodes and GPS location tracking nodes. Through analysis of the relayed of the environmental monitoring data via gateway, the system makes it possible for constant monitoring and quick response for emergency situation of the burial sites. In order to test the effectiveness of the system, we have installed a set of sensor to gas outlets of the burial sites, then collected and analyzed measured bio-sensing data. We have conducted simulated emergency test runs and was able to detect and monitor the foul smell constantly. With our study, we confirm that the preventive measures and quick response of bio environmental accident are possible with the help of a real-time environmental monitoring system.
An, Minji;An, Hyojin;Hwang, Hyo-Jeong;Kwon, Ho-Jang;Ha, Mina;Hong, Yun-Chul;Hong, Soo-Jong;Oh, Se-Young
Korean Journal of Community Nutrition
/
v.23
no.5
/
pp.397-410
/
2018
Objectives: An association between dietary patterns and mental health in children has been suggested in a series of studies, yet detailed analyses of dietary patterns and their effects on ADHD (attention deficit hyperactivity disorder) are limited. Methods: We included 4569 children who had dietary intake data as part of the CHEER (Children's Health and Environmental Research) study conducted nationwide from 2005 to 2010. We assessed ADHD (Attention Deficit Hyperactivity Disorder) by the DuPaul's ADHD Rating Scales and dietary intake by a semi-quantitative food frequency questionnaire. Using intake data, we constructed five dietary patterns: "Plant foods & fish," "Sweets," "Meat & fish," "Fruits & dairy products," and "Wheat based." Results: The overall proportion of ADHD was 12.3%. Boys (17.8%) showed a higher rate of ADHD than girls (6.5%). The total intake of calories (85 kcal) and plant fat (2g) in the ADHD group was significantly higher than that of the normal group. ADHD was significantly negatively associated with dietary habits such as having breakfast and meal frequency, and positively associated with eating speed, unbalanced diet, overeating, and rice consumption. Regarding dietary patterns, the "Sweets" category was relevant to high ADHD risk (OR 1.59, 95% CI: 1.18, 2.15 for Q5 vs. Q1) in a linear relationship. An inverse, non-linear association was found between "Fruits & dairy products" and ADHD (OR 0.55, 95% CI: 0.39, 0.76 for Q4 vs. Q1). Conclusions: Our study confirms both positive and negative associations between diet and ADHD in elementary school age children. Moreover, linear or nonlinear associations between diet and ADHD draw attention to the possible threshold role of nutrients. Further studies may consider characteristics of diet in more detail to develop better intervention or management in terms of diet and health.
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