• Title/Summary/Keyword: health surveillance

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Nationwide Surveillance Study of Vancomycin-Intermediate Staphylococcus aureus Strains in Korean Hospitals from 2001 to 2006

  • Chung, Gyung-Tae;Cha, Jeong-Ok;Han, Sun-Young;Jang, Hee-Sun;Lee, Kyeong-Min;Yoo, Jae-Il;Yoo, Jeong-Sik;Kim, Hong-Bin;Eun, Soo-Hoon;Kim, Bong-Su;Park, Ok;Lee, Yeong-Seon
    • Journal of Microbiology and Biotechnology
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    • v.20 no.3
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    • pp.637-642
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    • 2010
  • We investigated the prevalence and the molecular characteristics of vancomycin-intermediate Staphylococcus aureus (VISA) among methicillin-resistant Staphylococcus aureus (MRSA) strains isolated from clinical samples at tertiary or general hospitals participating in a nationwide surveillance program for VISA and vancomycin-resistant Staphylococcus aureus (VRSA) in Korea during an 8-week period in each year from 2001 to 2006. Of 41,639 MRSAs isolated, 37,856 were screened and 169 grew on brain heart infusion agar supplemented with 4 ${\mu}g/ml$ vancomycin. A vancomycin MIC of 4 ${\mu}g/ml$ was confirmed for 33 VISA isolates of the 169 isolates. Eighteen of the 33 isolates were classified as hetero-VISA (hVISA) by the population analysis profile (PAP) method. All VISA isolates were susceptible to linezolid, tigecycline, and quinupristin-dalfopristin. Most VISA isolates (MIC 4 ${\mu}g/ml$) showed a PFGE C pattern with sec, seg, and sei enterotoxin genes, including ST5-SCCmec type II, or a PFGE A pattern with sea, including ST239-SCCmec type III.

Architecture for Integrated Real-Time Health Monitoring using Wireless/Mobile Devices

  • Ryoo, Boong Yeol;Choi, Kunhee
    • International conference on construction engineering and project management
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    • 2015.10a
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    • pp.336-338
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    • 2015
  • This research is to propose an applicable framework for real-time health surveillance and safety monitoring at construction sites. First this study aims at finding (1) a framework for health surveillance that is likely to benefit employers and employees in the industry, (2) a valid way to identify factors or conditions with potential health concerns that can occur under particular work conditions, (3) An effective way to apply wireless/mobile sensors to construction workers using real-time/live data transmission methods, and (4) A relationship between a worker's vital signs and job site environment. Biosensors for physiological response and devices for weather/work related data are to collect real-time data. Relationships between jobs and physiological responses are analyzed and factors that touched particularly contributing to certain responses are identified. When data are incorporated with tasks, factors affecting tasks can be identified to estimate the magnitude of the factors. By comparing work and normal responses possible precautionary actions can be considered. In addition, the study would be lead to improving (1) trade-specific dynamic work schedules for workers which would be based on various factors affecting worker health level and (2) reevaluating worker productivity with health status and work schedule, thereby seeking ways to maximize worker productivity. Through a study, the paper presents expected benefits of implementing health monitoring.

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Assessment of Epidemiological Data and Surveillance in Korea Substance Use Research: Insights and Future Directions

  • Meekang Sung;Vaughan W. Rees;Hannah Lee;Mohammad S. Jalali
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.4
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    • pp.307-318
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    • 2024
  • Objectives: Effective data collection and surveillance of epidemiological trends are essential in confronting the growing challenges associated with substance use (SU), especially in light of emerging trends and underreporting of cases. However, research and data are scarce regarding SU and substance use disorder (SUD) in Korea. Methods: We conducted a scoping review to identify data sources and surveillance methods used in SU research in Korea up to December 2023. This review was complemented by semi-structured consultations with experts in this area in Korea, whose feedback led to revisions of previously identified data sources and assessments. Results: Our review identified 32 publications conducting secondary analyses on existing data to examine the epidemiology of SU and SUD in Korea. Of these, 14 studies utilized clinical databases to explore the prescription patterns of addictive substances, particularly opioids. Eleven data sources showed promise for advancing SU research; however, they face substantial limitations, including a lack of available data, missing data, the absence of key variables, the exclusion of marginalized populations not captured within the clinical system, and complexities in matching individual-level data across time points and datasets. Conclusions: Current surveillance methods for SU in Korea face considerable challenges in accessibility, usability, and standardization. Moreover, existing data repositories may fail to capture information on populations not served by clinical or judicial systems. To systematically improve surveillance approaches, it is necessary to develop a robust and nationally representative survey, refine the use of existing clinical data, and ensure the availability of data on treatment facilities.

Analysis of Policies in Activating the Infectious Disease Specialist Network (IDSN) for Bioterrorism Events (생물테러 대비 감염전문가 네트워크 운영 활성화 방안 연구)

  • Kim, Yang-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.4
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    • pp.214-218
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    • 2008
  • Bioterrorism events have worldwide impacts, not only in terms of security and public health policy, but also in other related sectors. Many countries, including Korea, have set up new administrative and operational structures and adapted their preparedness and response plans in order to deal with new kinds of threats. Korea has dual surveillance systems for the early detection of bioterrorism. The first is syndromic surveillance that typically monitors non-specific clinical information that may indicate possible bioterrorism-associated diseases before specific diagnoses are made. The other is infectious disease specialist network that diagnoses and responds to specific illnesses caused by intentional release of biologic agents. Infectious disease physicians, clinical microbiologists, and infection control professionals play critical and complementary roles in these networks. Infectious disease specialists should develop practical and realistic response plans for their institutions in partnership with local and state health departments, in preparation for a real or suspected bioterrorism attack.

Introduction of the Intelligent Health Surveillance System for Urban Transit Station (도시철도 정거장의 종합 건전성 감시시스템 개발방향)

  • Shin, Jeong-Ryol;Ahn, Tae-Ki;Park, Kee-Jun;Kim, Jin-Ho;Lee, Woo-Dong
    • Proceedings of the KSR Conference
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    • 2007.11a
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    • pp.1248-1253
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    • 2007
  • Urban transit or subway stations generally service for a long period of several decades. And, the urban transit or subway is public transportation which lots of people takes every day. During the service time, they are inevitably damaged from environmental corrosion, material aging, fatigue, and the coupling effects with long-term loads and extreme loads. The included damage accumulates and performance degenerates due to the above factors. They would inevitably reduce the resisting capacity of station against the disaster; even they result in collapse with the structural failure under extreme loads. And, if disaster such as earthquake, fire, etc. happens, it causes huge property damage and threatens the human lives. Because of these above reasons, the intelligent health surveillance system should be researched and developed for ensuring the safety of station. In this paper, the research plans of the intelligent health surveillance system of urban transit station are presented. And also, the development or establishment directions of this system are suggested.

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Students injuries and Injury Surveillance System in Cheonan (손상감시체계를 통한 천안지역 초․중․고교생의 손상실태 분석)

  • Kang, Chang-Hyun;Kang, Hyun-A;Park, Jee-Hyun
    • Journal of the Korean Society of School Health
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    • v.22 no.2
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    • pp.157-167
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    • 2009
  • Purpose : The purpose of this study is to explore the students injuries by analyzing the data which has been inputted by the emergency center of the cooperated hospitals and the 119 rescue party through the injury surveillance system in Cheonan city. Method : Students were divided into the elementary, middle, high school students with the 776 cases of children and teenagers(7-19years old) of injury surveillance system in Cheonan area from january to june in 2009. Frequency analysis and $x^2$-test was done to recognize the features of students injuries among the groups. The program to be used for the statistical analysis is SPSS 17.0. Result : Out of the injury incidence rate, the elementary school students(52.1%) are first, the high school students (24.9%) are second, the middle school students appear to be 23.1%. Male is about two times higher than female by 66.6% in the injury incidence. In terms of the injury mechanism, the injury(22.2%) by hit is the first, the traffic accident(21.5%) is the second, the slippery(16.8%) is followed. The injuries were occurred most largely at 16:00-20:00(33.4%), and the 33.6% of injury by daily leisure activity occurs at 16:00-20:00 chiefly. Conclusion : Analysis using the data of the injury surveillance system has some advantages compared to the previous research such as reliability and specification. To prevent the students injuries, not the individual problem but the social dimension should be acknowledged so that we can secure and promote the safety from the risk. Therefore, we must organize the role assignment and the cooperative network in the school, home and community.

How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?

  • Ruitenburg, Martijn M.;Frings-Dresen, Monique H.W.;Sluiter, Judith K.
    • Safety and Health at Work
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    • v.7 no.1
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    • pp.18-31
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    • 2016
  • Background: A job-specific Worker's Health Surveillance (WHS) for hospital physicians is a preventive occupational health strategy aiming at early detection of their diminished work-related health in order to improve or maintain physician's health and quality of care. This study addresses what steps should be taken to determine the content of a job-specific WHS for hospital physicians and outlines that content. Methods: Based on four questions, decision trees were developed for physical and psychological job demands and for biological, chemical, and physical exposures to decide whether or not to include work-related health effects related to occupational exposures or aspects of health reflecting insufficient job requirements. Information was gathered locally through self-reporting and systematic observations at the workplace and from evidence in international publications. Results: Information from the decision trees on the prevalence and impact of the health- or work-functioning effect led to inclusion of occupational exposures (e.g., biological agents, emotionally demanding situations), job requirements (e.g., sufficient vision, judging ability), or health effects (e.g., depressive symptoms, neck complaints). Additionally, following the Dutch guideline for occupational physicians and based on specific job demands, screening for cardiovascular diseases, work ability, drug use, and alcohol consumption was included. Targeted interventions were selected when a health or work functioning problem existed and were chosen based on evidence for effectiveness. Conclusion: The process of developing a job-specific WHS for hospital physicians was described and the content presented, which might serve as an example for other jobs. Before implementation, it must first be tested for feasibility and acceptability.

Characteristics of Occupational Skin Disease Reported by Surveillance System (감시체계를 통하여 보고된 직업성 피부질환의 특성에 관한 연구 - 사업장, 특수건강진단기관, 피부과의사의 보고사례를 중심으로 기술 -)

  • Kim, Hyoung-Ok;Lee, Jun-Young;Jung, Ho-Keun;Ahn, Yeon-Soon
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.2
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    • pp.130-140
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    • 1999
  • Objectives: This study was carried out to estimate the magnitude of skin disease related to occupation and to find out the characteristics of it. Methods: We collected and analyzed the cases of occupational skin disease reported by surveillance system composed of doctors and nurses in 150 enterprises with dispensary or attacked hospital and physicians in 92 specific health examination institutes and 150 dermatologists from May to November, 1998. Results: Among members of surveillance system, 66 enterprises and 47 specific health examination institutes and 55 dermatologists reported 571 cases of occupational skin disease in 512 workers. Excepting 81 cases reported by dermatologists, We analyzed 490 cases reported by enterprises and specific health examination institutes. Among 490 cases, contact dermatitis was most common(368 cases, 75.1%) and the second was hyper or hypopigmentation(36 cases, 7.3%). When we analyzed the characteristics of workers with occupational contact dermatitis, male workers were 281 (79.2%) and female were 74(20.8%). 165 workers(64.5%) had chronic skin disease with repeated cure and relapse. 245 workers(72.5%) answered positively that their coworkers had similar skin disease. 27 workers(8.7%) experienced absence due to contact dermatitis related to occupation. To analyze the type of industries of workers with occupational contact dermatitis, automobile and trailer manufacturing industry was most common(105 cases, 29.6%) and the second was manufacturing industry for image, sound and communication equipment(55 cases, 15.5%). Organic solvent(183 cases, 46.7%) was the most common treating material of workers with contact dermatitis and the second was various kinds of chemicals(59cases, 15.1%). Conclusions: This is the first study using nationwide surveillance system to collect data of occupational skin disease. We found that many workers had skin disease related to occupation and characteristics of occupational skin disease were chronic and clustering. Therefore, we had to establish counterplan to manage occupational skin disease and to operate surveillance system to identify trends of occupational skin disease, continuously.

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The Selection and Supplementation of Core Data for Injury Surveillance (손상감시를 위한 핵심데이터 선정과 보완)

  • Lim, Joon-Kyu;Kim, Han Kyoul;Rhee, Hyun-Sill
    • Journal of Digital Convergence
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    • v.18 no.9
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    • pp.265-275
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    • 2020
  • The burden of injury is widely considered to be very severe in our society. Nonetheless, we don't have enough data for injury surveillance. The objective of this research is to select and supplement CORE DATA for injury surveillance. For this purpose, this study had analyzed the literature such as the Quality Assessment Report about 'Causes of Death Statistics', 'Health Insurance Statistics' and 'Hospital Discharge Injury Surveillance' according to the six dimension of Statistics Quality. The analysis result is that 'Cause of Death Statistics' and 'Health Insurance Statistics' have the usefulness as the CORE DATA for injury surveillance. But there is a significant shortcoming in the Health Insurance Statistics, which is that there is a lack of the data about the external causes of injury. For supplementing the defect, this study proposes the system that the medical institutions should obligatorily report the external causes of injury when claim National Health Insurance Medical Care Expenses. As the results of this system, we can expect 'Establishing of Injury pyramid', 'Data Connecting with the National Pension' and 'Improving the Promptness of Injury Data'. And we expect the follow-up study for the realization of this system.