• 제목/요약/키워드: Safe and health

검색결과 1,409건 처리시간 0.024초

Endoscopic Management of Large Peripancreatic Fluid Collections in Two Pediatric Patients by Endoscopic Ultrasound-guided Transmural Drainage

  • Walsh, Leonard T.;Groff, Andrew;Mathew, Abraham;Moyer, Matthew T.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제23권1호
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    • pp.105-109
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    • 2020
  • The incidence of acute pancreatitis (AP) has increased in the pediatric population over the past few decades and it stands to follow that the complications of severe AP, including symptomatic pancreatic fluid collections (PFCs) will increase as well. In adults, the therapeutic options for this situation have undergone a dramatic evolution from mainly surgical approaches to less invasive endoscopic approaches, mainly endoscopic ultrasound-guided transmural drainage (EUS-TD) followed be direct endoscopic necrosectomy if needed. This has proven safe and effective in adults; however, this approach has not been well studied or reported in pediatric populations. Here we demonstrate that EUS-TD seems to offer a safe, efficacious and minimally invasive approach to the management of large PFCs in pediatric patients by reviewing two representative cases at our institution.

The effects of work environment monitoring organization's analysts' equipment and chemical substance incident response to the safety management awareness

  • Park, Hyun-A;Choi, Seo-Yeon;Rie, Dong-Ho
    • 한국컴퓨터정보학회논문지
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    • 제22권5호
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    • pp.97-103
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    • 2017
  • In this paper, we propose a method to investigate the safety consciousness of a analyst incident response. This study conducted a statistical survey on 154 analysts who hired as expert in environment monitoring organizations in South Korea. The results of the analyses showed that respondents had good awareness on the equipment incident response and complied with laboratory safety regulations very well. Secondly, respondents were aware of the importance in the order of equipment incident response, an analytical laboratory incident response, and the cause of a chemical substance associated incident in an analytical laboratory in regarding the regulation compliance for creating a safe laboratory environment and the securement of laboratory safety. Therefore, (it was identified that) it would be necessary to create a safe environment and integrate a safety management system.

우리나라 산업장 근로자의 유기용제 폭로에 관한 연구 (A Study on Worker Exposure to Organic Solvents in Korea)

  • 백남원;이영환;윤충식
    • 한국산업보건학회지
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    • 제8권1호
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    • pp.88-94
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    • 1998
  • Korea has been rapidly industrialized during the past 35 years. During this period, Korea has emphasized only production and workers health has been ignored. Workers are most frequently exposed to organic vapors, such as thinners. This study was performed to evaluate worker exposures to organic solvents by size and type of industry. Results are summarized below. Workers were exposed to mixtures of toluene, xylenes, trichloroethylene, n-hexane, acetone, methanol, n-butanol, n-butyl acetate, and MIBK. Considering additive effects of the compounds, exposure indices (EIs) were calculated. It was found that worker exposures to organic solvents were highest in small industries and lowest in large industries. During a day shift, the highest exposure was indicated 3 - 5 p.m. in the afternoon. Workers in small industries had potential exposures exceeding permissible exposure limits for organic solvents. Local exhuast systems were inappropriate and respiratory protective devices were not supplied to the workers in small industries. Neither program for safe use and storage of toxic materials nor program for respirators was found in any of the plants investigated. Based on the results of the study, workers of small scale industries should be considered first in industrial health.

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치과위생사의 작업환경 유해위험요인과 주관적 건강상태와의 관계 (Relationship between hazardous risk factors and subjective health conditions in the working environment of dental hygienists)

  • 김형주;권준영;임희정
    • 대한치위생과학회지
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    • 제5권2호
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    • pp.1-11
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    • 2022
  • Background: This study was aimed at investigating the type of work of dental hygienists and identifying factors affecting the subjective health status according to hazardous risk factors in the working environment. Methods: From May 15 to 31, 2019, we surveyed 411 dental hygienists working at dental hospitals in the metropolitan area. SPSS 25.0 was used to perform the frequency analysis, t-test, one-way analysis of variance, Pearson's correlation analysis, and multiple regression analysis. Results: Regarding factors related to the degree of exposure to hazardous risk factors in the work environment and subjective health status, the more exposed the ergonomic (p<0.05) and psychological (p< 0.001)factors, the worse is the subjective health status. Conclusion: The results of this study suggest that the working environment should be improved for dental hygienists such that they can perform their duties in a safe environment.

Plasma Gel을 이용한 성대 주입술의 예비적 보고 (Preliminary Reports of Injection Laryngoplasty with Plasma Gel)

  • 안성용;이홍경;김진평;박정제;주연희;이은재;우승훈
    • 대한후두음성언어의학회지
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    • 제21권1호
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    • pp.32-36
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    • 2010
  • Background : Vocal fold injection using autologous material (fat or collagen) is very useful. However, Autologous material have variable resorption times and results, Plasma gel is a new injection material. The purpose of this study is to introduce a new injection material and discuss the effectiveness and complications. Subjects and Method: Eleven cases with vocal cord paralysis were analyzed after plasma gel injection, The plasma gel was acquired from patient's own blood. The preoperative and postoperative parameters including maximum phonation time (MPT) and subject aspiration score were analyzed. Results: There was a significant improvement in MPT and aspiration score in the case of vocal cord palsy. There was only one laryngeal complication. Conclusion : According to these preliminary results, the injection laryngoplasty with Plasma gel is a simple, safe, cheap procedure for temporally vocal fold palsy.

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미국 대학보건실의 건강증진 서비스 제공체계 - 캘리포니아 주에 소재한 일부 대학의 운영사례를 중심으로 - (Health promotion services of health care center at some universities in California, the U.S.)

  • 김영복;박천만
    • 한국학교ㆍ지역보건교육학회지
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    • 제12권2호
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    • pp.113-127
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    • 2011
  • Background: University health services have provided comprehensive medical care, counseling, health promotion, and public health services to their students and several other local institutions. To their faculty and staff, university health care centers have served occupational health services and employee assistant program. Purpose: We performed this study to review the health promotion services on two kinds of health care center with different style of university formate. Methods: We tried to collect the data by literature review and interview with executive and provider at health care center in University of California at Berkeley and San Jose State University. Results: Our results were as followed. First, students could use the medical services just as they would their regular doctor's office and urgent care center. Second, the health promotion unit offered programs and services for keeping students healthy and safe, including many opportunities for students to get involved in shaping the public health of the campus. Third, the health promotion recommendation offered from ACHA was useful guideline to improve health status of their member in university campus. Finally, the student satisfaction surveys were used for evaluation and quality improvement. Conclusions: The systematic approach to improve health status of students, faculty and staff can use to maintain a state of optimum health among the diverse student community in support of academic excellence. Coupled with health promotion and public health programs, university health service have to reach all segments of the healthy campus community. To achieve study goals in university, the health care center contributes to promote accountability and responsibility for the health and well being of the members in their campus.

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체력에 따른 그룹별 맞춤형 운동 프로그램이 노인의 지각된 건강 상태, 체력, 우울 및 인지기능에 미치는 효과 (Effects of Group Exercise Program Tailored by Physical Fitness on Perceived Health Status, Physical Strength, Depression and Cognitive Function of the Elderly)

  • 신미경;신수진
    • 성인간호학회지
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    • 제20권4호
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    • pp.613-625
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    • 2008
  • Purpose: The purpose of this study was to identify the effects of the tailored group exercise program on perceived health status, physical strength, depression and cognitive function in seniors. Methods: The subjects were 42 seniors of the experimental group and 28 seniors of the control group. The exercise program tailored by physical fitness was carried out for 16 weeks. The dependent variables were measured by Perceived Health Status Scale, The Senior Fitness Test, MMSE-K, and GDS-K. The collected data were analyzed by Fisher's exact test, Chi-square test and t-test, and ANCOVA using the SAS program. Results: In terms of physical strength and depression there was significant difference among groups. Perceived health status and cognitive function were not significant different among groups. Conclusion: In this study, the tailored exercise program was effective and safe for the elderly, and resulted in improving physical and psychological health status in the elderly. This demonstrated that the tailored group exercises program on the basis of the subject's fitness, played an essential role in maintaining and improving the health.

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A Systematic Review: Effectiveness of Interventions to De-escalate Workplace Violence against Nurses in Healthcare Settings

  • Somani, Rozina;Muntaner, Carles;Hillan, Edith;Velonis, Alisa J.;Smith, Peter
    • Safety and Health at Work
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    • 제12권3호
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    • pp.289-295
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    • 2021
  • Workplace violence (WPV) is an increasing cause of concern around the globe, and healthcare organizations are no exception. Nurses may be subject to all kinds of workplace violence due to their frontline position in healthcare settings. The purpose of this systematic review is to identify and consider different interventions that aim to decrease the magnitude/prevalence of workplace violence against nurses. The standard method by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA, 2009) has been used to collect data and assess methodological quality. Altogether, twenty-six studies are included in the review. The intervention procedures they report on can be grouped into three categories: stand-alone trainings designed to educate nurses; more structured education programs, which are broader in scope and often include opportunities to practice skills learned during the program; multicomponent interventions, which often include organizational changes, such as the introduction of workplace violence reporting systems, in addition to workplace violence training for nurses. By comparing the findings, a clear picture emerges; while standalone training and structured education programs can have a positive impact, the impact is unfortunately limited. In order to effectively combat workplace violence against nurses, healthcare organizations must implement multicomponent interventions, ideally involving all stakeholders.

코로나19 팬데믹과 조종사 정신건강 관리 (COVID-19 Pandemic and Pilot Mental Health Care)

  • 권영환
    • 항공우주의학회지
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    • 제31권3호
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    • pp.64-67
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    • 2021
  • When the COVID-19 crisis hit air transport, the whole aviation industry was affected. The change in the behavior of passengers following the COVID-19 crisis, travel restrictions and the ensuing economic crisis have resulted in a dramatic drop in demand for airline services. The COVID-19 pandemic, with all its associated consequences, has had a significant impact on the mental health and well-being of pilots, which could impact operational safety. As the number of international flights has decreased, pilots are exposed to high levels of psychological stress such as job instability, reduced income and increased risk of infection during flight work. Psychological stress lowers work performance and threatens aviation safety. The pilot needs mental health management during the COVID-19 pandemic, but psychological support is weak. For pilot mental health management, it is important to raise awareness about mental health and to continuously respond. To this end, it is necessary to foster a safe and trustworthy culture in which mental health issues are discussed freely and solved together without hiding them. They should also support the establishment of a peer support program that is easily accessible and that allows pilots to discuss their issues with confidence.