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Vaccination Status and In-hospital Mortality Among Adults With COVID-19 in Jakarta, Indonesia: A Retrospective Hospital-based Cohort Study

  • Hotma Martogi Lorensi Hutapea;Pandji Wibawa Dhewantara;Anton Suryatma;Raras Anasi;Harimat Hendarwan;Mondastri Korib Sudaryo;Dwi Gayatri
    • Journal of Preventive Medicine and Public Health
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    • 제56권6호
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    • pp.542-551
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    • 2023
  • Objectives: Prospective studies on vaccination status and mortality related to coronavirus disease 2019 (COVID-19) in low-resource settings are still limited. We assessed the association between vaccination status (full, partial, or none) and in-hospital mortality among COVID-19 patients at most hospitals in Jakarta, Indonesia during the Delta predomination wave. Methods: We conducted a retrospective cohort study among hospitalized COVID-19 patients who met the study criteria (>18 years old and admitted for inpatient treatment because of laboratory-confirmed severe acute respiratory syndrome coronavirus 2 infection). We linked individual-level data in the hospital admission database with vaccination records. Several socio-demographic and clinical characteristics were also analyzed. A Cox proportional hazards regression model was used to explore the association between vaccination status and in-hospital mortality in this patient group. Results: In total, 40 827 patients were included in this study. Of these, 70% were unvaccinated (n=28 543) and 19.3% (n=7882) died during hospitalization. The mean age of the patients was 49 years (range, 35-59), 53.2% were female, 22.0% had hypertension, and 14.2% were treated in the intensive care unit, and the median hospital length of stay across the group was 9 days. Our study showed that the risk of in-hospital mortality among fully and partially vaccinated patients was lower than among unvaccinated adults (adjusted hazard ratio [aHR], 0.43; 95% confidence interval [CI], 0.40 to 0.47 and aHR, 0.70; 95% CI, 0.64 to 0.77, respectively). Conclusions: Vaccinated patients had fewer severe outcomes among hospitalized adults during the Delta wave in Jakarta. These features should be carefully considered by healthcare professionals in treating adults within this patient group.

공공하수처리시설 운영방식에 따른 성과 차이 분석에 관한 연구 (A study on the analysis of performance differences according to the operation method of public sewage treatment facility)

  • 고현수;하동균
    • 한국수자원학회논문집
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    • 제55권5호
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    • pp.357-370
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    • 2022
  • 본 연구는 공공하수처리시설의 다양한 운영방식(직영, 공공 위탁, 민간 대행)에 따른 성과의 차이를 분석하고 연구 결과를 토대로 국민에게 가장 효율적이고 높은 수준의 하수처리 서비스를 제공할 수 있는 운영방식과 개선방안을 도출하고자 하는 목적을 가진 연구이다. 이를 위해 경제적 성과지표(하수처리 비용, 하수도 요금)와 사회적 성과지표(수질, 민원 수)를 선정하여 횡단 분석(cross-section data)과 종단 분석(longitudinal analysis)의 방법으로 세 집단 이상의 평균 차이 검증을 일원분산분석(ANOVA)을 통해 실시하였다. 분석 결과 횡단 분석에서의 경제적 성과 차원에서는 운영방식에 따라 차이가 나타나지 않았으나, 사회적 성과 차원에서는 운영방식별로 차이가 나타나는 것을 알 수 있었다. 수질 지표의 경우 공공 위탁에서, 민원 발생 건수에서는 민간 대행에서 직영 대비 우수한 성과를 보이고 있었다. 종단 분석에서는 대부분 성과지표에서 운영방식별로 유의미한 차이가 나타나지 않았다. 따라서 공공서비스의 효율성 제고와 서비스 수준 제고를 위해서는 공공 위탁이나 민간 대행 도입 논리 외에 서비스별 특성에 맞는 다양한 접근이 요구된다고 하겠다. 아울러 향후 지자체가 하수도 위탁을 추진한다면 서비스의 성격과 지자체별 특수성, 서비스 이용자의 니즈 등을 잘 파악하여 추진하는 것이 필요하다.

Antimicrobial-resistant Bacteria: An Unrecognized Work-related Risk in Food Animal Production

  • Neyra, Ricardo Castillo;Vegosen, Leora;Davis, Meghan F.;Price, Lance;Silbergeld, Ellen K.
    • Safety and Health at Work
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    • 제3권2호
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    • pp.85-91
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    • 2012
  • The occupations involved in food animal production have long been recognized to carry significant health risks for workers, with special attention to injuries. However, risk of pathogen exposure in these occupations has been less extensively considered. Pathogens are a food safety issue and are known to be present throughout the food animal production chain. Workers employed at farms and slaughterhouses are at risk of pathogen exposure and bacterial infections. The industrialization of animal farming and the use of antimicrobials in animal feed to promote growth have increased the development of antimicrobial resistance. The changed nature of these pathogens exposes workers in this industry to new strains, thus modifying the risks and health consequences for these workers. These risks are not yet recognized by any work-related health and safety agency in the world.

Foods Derived from Cloned Animals and Management Policies in Worldwide

  • Lee, Soo-Jin;Jang, Yang-Ho;Kim, Hyo-Bi;Lee, Myoung-Heon;So, Byung-Jae;Yang, Byoung-Chul;Kang, Jong-Koo;Choe, Nong-Hoon
    • 한국축산식품학회지
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    • 제32권4호
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    • pp.389-395
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    • 2012
  • Cloned animals are a result of asexual reproduction of animals using somatic cell nuclear transfer. Ever since the first report of a cloned sheep 'Dolly' produced by SCNT, increasing numbers of livestock, such as bovine and swine clones, have been generated worldwide. Foods derived from cloned animals have not been produced yet. However, the food safety of cloned animals has provoked controversy. The EU Food Safety Authority and U.S. Food and Drug Administration announced that milk and meat from cloned and non-cloned animals have no difference regarding food safety. However, food derived from cloned animals is considered unsuitable for eating vaguely. Moreover, there were scant information about cloned animals in Korea. Therefore, we surveyed the number of cloned animals worldwide including Korea and summarized the reports for cloned animals and discussed predictable problems.

Epidemiological investigation of equine hindlimb ataxia with Setaria digitata in South Korea

  • Hwang, Hyeshin;Ro, Younghye;Lee, Hyunkyoung;Kim, Jihyeon;Lee, Kyunghyun;Choi, Eun-Jin;Bae, You-Chan;So, ByungJae;Kwon, Dohoon;Kim, Ho;Lee, Inhyung
    • Journal of Veterinary Science
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    • 제23권5호
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    • pp.75.1-75.7
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    • 2022
  • Background: Since 2013, the number of requests for diagnosis for horses based on neurological symptoms has increased rapidly in South Korea. The affected horses have commonly exhibited symptoms of acute seasonal hindlimb ataxia. A previous study from 2015-2016 identified Setaria digitata as the causative agent. Objectives: This study is an epidemiological investigation to find out risk factors related to the rapid increase in hindlimb ataxia of horses due to aberrant parasites in South Korea. Methods: An epidemiological investigation was conducted on 155 cohabiting horses in 41 horse ranches where the disease occurred. The surrounding environment was investigated at the disease-causing horse ranches (n = 41) and 20, randomly selected, non-infected ranches. Results: Hindlimb ataxia was confirmed in nine cohabiting horses; this was presumed to be caused by ectopic parasitism. Environments that mosquitoes inhabit, such as paddy fields within 2 km and less than 0.5 km from a river, had the greatest association with disease occurrence. Conclusions: Most horse ranches in South Korea are situated in favorable environments for mosquitoes. Moreover, the number of mosquitoes in the country has increased since 2013 due to climate change. Additional research is required; however, these data show that it is necessary to establish guidelines for the use of anthelmintic agents based on local factors in South Korea and disinfection of the environment to prevent disease outbreaks.

결혼 이민자 가족 관련기관의 프로그램 운영 현황에 관한 연구 (A Study of Programs Operation within all the Related Agency Provides Services for Married-Immigrant Families in Korea)

  • 김양희;박정윤;김효민;백선아
    • 가족자원경영과 정책
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    • 제12권2호
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    • pp.121-140
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    • 2008
  • The purpose of this study is to guide in providing quality services to meet the needs of married immigrants and their families. The researched agencies in this study were 14 public agencies and local government agencies, 21 married-immigrant family support centers, and 11 community social welfare centers located in the Seoul and Kyung-Gi areas. The program was categorized by the participating researchers, SPSS WIN 12.0 was used to calculate frequency, percentage and average then cross-tabulation was initiated. The results of the study are as follows: 1) The married-immigrant family support centers provide dominant services compared to public agencies and local government agencies, and community social welfare centers are located in the region of Seoul and Kyoung-Gi in the service areas of education, counseling, culture, child care and protect, support group and network. 2) All agencies provide service targeted to married immigrant women and their children 3) Three different types of agencies are mainly focused on providing Korean education programs. Married-immigrant family support centers and community social welfare centers are focused on providing computer skills programs. Public agencies and local government agencies are focused on providing vocation-oriented education. 4) Married-immigrant family support centers were investigated to service to the needs of married-immigrant families through networking with their neighboring communities.

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요인의 안전을 위한 경호조직 분석 및 발전 방안 (The Current VIP Guard System and Its Development)

  • 오세용;김창은
    • 대한안전경영과학회지
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    • 제5권3호
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    • pp.81-98
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    • 2003
  • In modern society, there are diverse sorts of VIPs including a king and individuals. Some like a king or president are in need of professional secret services, and others become VIPs by being guarded by a bodyguard company at their own request. The former is called a public guard, and the latter is a private one. In the field of the public guard, the nation should be furnished with a guard system in consideration of political circumstances to protect VIPs. That is, the parliamentary cabinet system and presidential system call for a different guard system, and the guard system's professional features vary to some degree with political situations and cultural climate. If the ultimate goal of guard is to protect the chief of the democratic and open state in a most efficient and safe manner, it's mandatorily necessary to set up a professional and specialized guard organization to provide democratic and efficient secret services. It's desired that the domestic presidential guard division should be staffed with not only expert guards but other personnels dispatched from the military and police. In the police, guard mission is splitted among various guard and security agencies, including the National Police Agency's public security bureau or the Seoul Metropolitan Police Agency's public security division, 101 security unit, mobile police and 22 special guard division. As a chain of command is separated and it's difficult to manage such organizations effectively, the National Police Agency should be exclusively in charge of VIP guard and security. In the area of private guard, the private police system has shared national security task as a middle organization between the private police and private guard. But now its intent has gradually weakened, and its mission should be redefined. In addition, the way people look at private guard should change, and they should be well informed that it could serve to prevent possible crimes, protect them against crimes and get rid of their inconveniences. To make a good impression on people, the guard associations and businesses should put their efforts into reinforcing publicity activities, and the government, academic circles and press should team up with them as well.

클라우드 기반의 공공 서비스 유형 분류 모델 (Classification Model for Cloud-based Public Service)

  • 나종회;이지연;신선영;김정엽;최영진
    • 정보화연구
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    • 제10권4호
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    • pp.509-516
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    • 2013
  • 클라우드 서비스는 낮은 비용과 높은 효율성으로 빠르게 변화하는 스마트사회에서 필수적인 IT인프라로 인식되고 있다. 구글, 아마존 등 해외 유수 기업에서 시작된 클라우드 서비스는 미국과 영국등 외국 정부의 클라우드 서비스 도입 정책에 다양한 영향을 끼쳤다. 특히, 이들 국가들은 정보자원의 효율적 관리를 위해서 클라우드 컴퓨팅의 도입과 아울러 기존 공공서비스의 클라우드 서비스로의 전환을 가속화하고 있다. 본 연구에서는 공공부문에서의 클라우드 서비스 도입을 위한 외국 정부의 다양한 사례 분석을 토대로 공공부문에서의 클라우드 도입시 주요 결정요인을 제시하고 공공부문에서 클라우드 도입 및 활용을 위한 클라우드 서비스 큐브 모델을 제안하였다.

공공기관의 이메일 기록 획득을 위한 메타데이터 요소 연구 (A Study on Metadata Elements for Acquiring E-mail Record in Public Agency)

  • 서연주;정석권
    • 정보관리학회지
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    • 제26권1호
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    • pp.125-145
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    • 2009
  • 오늘날 이메일은 사회적으로 널리 사용되는 보편적인 통신수단이 되었다. 공공기관에서 기관 내 의견 교환은 물론 외국과의 교류와 통상문제, 타 기관이나 기업, 단체 등과의 관계에서 중요한 통신 수단으로 쓰이고 있다. 또한 전자 정부를 지향하는 추세에서 이메일은 국민과 접촉하는 일차적인 수단이 되고 있다. 그러나 우리나라는 아직 이메일을 공식적인 기록으로 인정하고 있지 않고 이메일 관리를 위한 어떤 지침도 제공하고 있지 않다. 이메일은 전자 기록의 한 형태이며 공공 업무를 위해 사용되었다면 기록으로서 획득되고 관리되어야 하고, 획득 관리하기 위해서는 필요한 메타데이터 요소를 규정하는 것이 필수적이다. 따라서 본고의 최종적인 목적은 이메일 기록의 획득 시 확보해야할 메타데이터 요소를 제안함으로써 우리나라 이메일 기록관리의 기초를 제공하는데 있다.

Evaluating the Quality of Public Services Through Social Media

  • Wilantika, Nori;Wibisono, Septian Bagus
    • Asian Journal for Public Opinion Research
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    • 제9권3호
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    • pp.240-265
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    • 2021
  • Public services need to be evaluated regularly to identify areas that need further improvement. Data collection via Twitter is affordable and timely, so it has the potential to be utilized to evaluate the quality of public service. This study utilizes tweets mentioning three service units of the provincial government of Jakarta and applies both sentiment analysis and topic classification to predict a rating/score of public service quality. The research goal is to examine if the evaluation of public services based on social media data is possible. The findings indicate that the use of Twitter has an advantage in terms of sample size and variety of opinions. Tweets can be translated into scores as well. Nonetheless, the representativeness issue and the predominance of complaint tweets can affect the reliability of the results.