• Journal of the Korea Convergence Society
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• v.8 no.7
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• pp.131-139
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• 2017

The purpose of this study was to investigate the effectiveness of public health center's Integrated Health Promotion Program for the public officials who provide health promotion services to local residents. The survey was conducted from September 10 to October 5, 2015 using a structured questionnaire. Each of the 254 public health centers were sent two questionnaires but I only received 348 and 339 were used for the final analysis. As a result of this study, the all subjects were showed the average level of efficiency, autonomy, accountability, and the support of the Ministry of Health and Welfare, and the related organizations. Also, the evaluation of all the variables were positive when there was a dedicated department for integrated health promotion program within the health center and when the proportion of essential program was high. However, after the Integrated Health Promotion Program was included in the Health centers, the workload has increased and the implementation of the essential program does not fully reflect the regional health problems or local conditions. Based on these results, it is necessary to find a plan for the successful operation of the Integrated Health Promotion Program.

• Safety and Health at Work
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• v.10 no.3
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• pp.254-259
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• 2019

Background: This cross-sectional study assessed the sleep quality using the ActiGraph and investigated the relationship between the parameters of sleep assessment and the type of shift work in Korean firefighters. Methods: The participants were 359 firefighters: 65 day workers (control group) and 294 shift workers (shift work group: 77 firefighters with 3-day shift, 72 firefighters with 6-day shift, 65 firefighters with 9-day shift, and 80 firefighters with 21-day shift). Sleep assessments were performed using the ActiGraph (wGT3X-BT) for 24 hours during day shift (control and shift work group) and night shift and rest day (shift work group). The participants recorded bed time and sleep hours during the measurement period. Results: Sleep efficiency, total sleep time, and percentage of wake after sleep onset during night work were lower in the shift work group than control group (p < 0.05). Sleep efficiency decreased in night shift and increased in rest day, whereas wake after sleep onset increased in night shift and decreased in rest day (p < 0.05). Among shift work groups, sleep efficiency of 6-day shift was higher in day shift, and sleep efficiency of 21-day shift was lower in night shift than other shift groups (p < 0.05). Conclusion: We found that the sleep quality in night shift of the shift work group was poorer than the control group. As to the type of shift work, sleep quality was good in 6-day shift and poor in 21-day shift. Thus, fast rotating shift such as 6-day shift may be recommended to improve the sleep quality of the firefighters.

• Environmental Engineering Research
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• v.18 no.4
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• pp.247-252
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• 2013

In this work, removal of phenol from aqueous solutions by activated red mud was investigated. Scanning electron microscopy and energy dispersive X-ray spectroscopy was used to observe the morphology and surface components of activated red mud, respectively. The effects of various parameters on the removal efficiency were studied, such as contact time, pH, initial phenol concentration, and adsorbent dosage. The removal percentage of phenol was initially increased, as the solution pH increased from 3 to 7, and then decreased above neutral pH. The removal percentage of phenol was decreased by increasing the initial phenol concentrations. Adsorption results show that equilibrium data follow the Freundlich isotherm, and kinetic data was well described by a pseudo-second-order kinetic model. Experimental results show that the activated red mud can be used to treat aqueous solutions containing phenol, as a low cost adsorbent with high efficiency.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.16 no.1
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• pp.83-91
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• 2009

Purpose: The purpose of this study was to compare fatigue and fatigue-regulation behaviors in undergraduates courses related to public health (group A) and undergraduates in courses not related to public health (group B). Method: Using a structured questionnaire, data were collected from 236 undergraduates. Descriptive statistics, Pearson correlation coefficient, t-test with SAS package were used for data analysis, Results: There was a statistically significant difference between group A and group B in t-test comparison by group for fatigue, and all subcategories of fatigue and fatigue-regulation behaviors. The frequency of fatigue-regulation behavior of group A was 12.23 and the mean for total efficiency of fatigue-regulation behavior was 2.17, while the frequency of fatigue-regulation behavior for group B was 10.47 and the mean for total efficiency of fatigue-regulation behavior was 1.75. Finally, total fatigue and all subcategories of fatigue were positively related to fatigue-regulation behaviors. Conclusion: It is necessary to develop an intervention program for regulating fatigue in undergraduates courses related to public health.

• Quality Improvement in Health Care
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• v.22 no.1
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• pp.11-26
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• 2016

The Organization for Economic Cooperation and Development, which has continuously evaluated the performance of healthcare systems, has recently invested much effort into hospital performance measurement. The purpose of this paper is to introduce the hospital performance measurement programs operated by international organizations or at the national level based on the OECD's hospital performance project. Health Insurance Review & Assessment service (HIRA)'s quality assessment was analyzed based on the analytical framework of the OECD's hospital performance project. The hospital performance measurement programs of WHO, Canada, Australia, United States and United Kingdom are briefly explored, in view of the conceptual framework, key performance dimensions and indicators that are currently in use. The OECD suggested seven key dimensions of hospital performance: timeliness, efficiency, continuity, effectiveness and appropriateness, staff orientation, patient orientation and safety. The analysis of the quality assessment program of HIRA, which operates 36 diseases and procedures and 347 indicators, shows that the numbers of indicators are relatively small in the areas of safety, patient centeredness and efficiency. Continuity of care and staff orientation are not fully developed also, but the situations are similar in other countries. In conclusion, hospital performance measurement using stable and comprehensive data should be developed to improve overall system performance, and discussions on a conceptual framework that can lay out directions and key performance domains need to take into place.

• Journal of Environmental Health Sciences
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• v.11 no.2
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• pp.17-27
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• 1985

The objectives of this study is to examine efficiency of swinery wastewater treatment by trickling filters' pilot plant. The results of this study are as follows: 1. The characteristics of sample. The BOD$_5$ was from 2,450 to 2,880mg/l, COD(KMnO$_4$ acid method) was from 910 to 1,064mg/l, and SS was from 920 to 990mg/l. The pH of influent was from 7.3 to 7.6, and the temperature of water was from 17.0$\circ$C to 22.5$\circ$C. 2. For experiment by recirculation, the BODs removal efficiency is 65.2% at recirculation ratio (r)=0, and 70.7% at r=1. The ramoval efficiency of this study is higher than NRC formula of U.S.A.. The recirculation is not significant effect on removal efficiency. 3. For experiment by hydraulic load, the BOD$_5$ removal rate decreased from 73.1% at $3.1m^3/m^2\cdot d$ to 65.3% at $9.2m^3/m^2\cdot d$. The design formula of this study which shows the removal rate of soluble BOD is $Le/Li =10^{-0.24} D/Q^{0.24}$ (Q: hydraulic load, D: depth of filter). 4. For experiment by organic load, the BOD$_5$ removal rate is increased from 70.2% at $0.77kg/m^3\cdot d$ to 75.4% at $4.28kg/m^3\cdot d$. We can obtain the straight line y=0.749 x (y: removed BOD, x :applied BOD) by the least squares method. 5. We can know that trickling filters is strong with the hydraulic load and the organic matter shock load. Here, we can judge that trickling filters is a good method for the treatment of swinery wastewater which containing high concentrated organic matter.

• Fire Science and Engineering
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• v.29 no.6
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• pp.65-70
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• 2015

This research examines the removal efficiency of benzene, toluene, xylene (BTX) and total volatile organic compounds (TVOCs) by flowing VOCs, which are generated at a petrochemical complex in the Ulsan area, in a sliding arc plasma (SAP) reactor. The SAP reactor process is composed of 5 steps and the analysis was conducted using a BTX detector and TVOC measuring instrument. The removal efficiency of BTX was better at high concentration than at low concentration and the emitted TVOC concentration increased in later steps of the reactor. In addition, the removal efficiency improved, as the flow velocity increased. The maximum permissible concentration of TVOCs in the first step was about 481 ppm and showed over 94.83% efficiency when it was operated in the 2nd step at concentrations beyond 481 ppm. Therefore, there are many factors for improving the removal efficiency of SAP reactors at low concentration and measures should be prepared according to the application method for the various types of industrial reactors.

• Journal of Preventive Medicine and Public Health
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• v.54 no.1
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• pp.31-36
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• 2021

Objectives: Non-traditional materials are used for mask construction to address personal protective equipment shortages during the coronavirus disease 2019 (COVID-19) pandemic. Reusable masks made from surgical sterilization wrap represent such an innovative approach with social media frequently referring to them as "N95 alternatives." This material was tested for particle filtration efficiency and breathability to clarify what role they might have in infection prevention and control. Methods: A heavyweight, double layer sterilization wrap was tested when new and after 2, 4, 6, and 10 autoclave sterilizing cycles and compared with an approved N95 respirator and a surgical mask via testing procedures using a sodium chloride aerosol for N95 efficiency testing similar to 42 CFR 84.181. Pressure testing to indicate breathability was also conducted. Results: The particle filtration efficiency for the sterilization wrap ranged between 58% to 66%, with similar performance when new and after sterilizing cycles. The N95 respirator and surgical mask performed at 95% and 68% respectively. Pressure drops for the sterilization wrap, N95 and surgical mask were 10.4 mmH2O, 5.9 mmH2O, and 5.1 mmH2O, respectively, well below the National Institute for Occupational Safety and Health limits of 35 mmH2O during initial inhalation and 25 mmH2O during initial exhalation. Conclusions: The sterilization wrap's particle filtration efficiency is much lower than a N95 respirator, but falls within the range of a surgical mask, with acceptable breathability. Performance testing of non-traditional mask materials is crucial to determine potential protection efficacy and for correcting misinterpretation propagated through popular media.

• Health Policy and Management
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• v.32 no.3
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• pp.293-303
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• 2022

Background: Coronavirus disease 2019 (COVID-19), which has occurred since the end of 2019, has caused tremendous damage not only in terms of disease and death but also in terms of economy. Accordingly, governments implemented health and quarantine policies to prevent the transmission and spread of COVID-19 and minimize economic effects, and implemented various countermeasures to reduce social and economic damage. However, the damage varies from country to country, and there are differences in the response of each government. Methods: Using 2020 data from the Organization for Economic Cooperation and Development countries, the effectiveness of governments' quarantine and economic policies in response to COVID-19 was calculated, and what factors determine the effectiveness were analyzed. While most of the previous studies analyzed the relationship between the government's quarantine policy and corona transmission and death, this study is characterized by considering the economic aspect in addition. Results: As a result of the analysis, the following results were obtained. First, when economic aspects are not considered, Asian and European countries have similar levels of efficiency, but when economic aspects are taken into account, Asian countries have higher efficiency. Second, population density had a negative effect on the efficiency of each country's policy, and long-term orientation was found to have an important impact when considering the economic aspect. Conclusion: We found that the governance index is an important variable influencing the efficiency, which shows that the effectiveness of government policies in response to the coronavirus depends heavily on the trust relationship between the government and the people.

• Journal of Environmental Health Sciences
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• v.21 no.2
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• pp.20-26
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• 1995

The objective of this study is to estimate the effect of the bed expansion and the characteristics of attached biomass in the start-up in the anaerobic fluidized bed reactor(AFBR). The fluidized bed reactor was operated with bacteria supported on the bed of granular activated carbon(GAC). The reactor was operated at 35$\circ$C, 5 kg $COD/m^3\cdot day$ at bed expansion varying from 0 to 100% with soluble glucose wastewater(5,000 mg/l). When the effluent reached a steady state at 100% of bed expansion, maximum COD removal efficiency of 87.3% and 0.031 $m^3CH_4/kg COD_{removed}$ were obtained. At higher bed expansion, COD removal efficiency, methane production rate and biogas production rate increased. Especially, at 50% of bed expansion, the efficiency of the treatment increasedg rapidly in the AFBR. The biomass colonized in the pits and crevices of the GAC particle and no complete biofilm was established in the bioreactor during the experiment.