• Title/Summary/Keyword: high risk areas

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Characteristics and changes in delivery and puerperium complicaion : Based on the 2006-2017 Korea National Hospital Discharge In-depth Injury Survey (출산 및 산후 합병증 행태의 특성과 변화 분석 : 퇴원손상심층조사자료를 이용하여)

  • Kyunghee, Lee;Jieun, Hwang
    • The Journal of Korean Society for School & Community Health Education
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    • v.23 no.4
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    • pp.29-39
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    • 2022
  • Objectives: The purpose of this study was to assess the incidence of delivery and puerperium complications in South Korea and analyze the correlations between the patient's characteristics and delivery and complications before and after 10 years. Methods: This study used the data from an Korean National Hospital Discharge In-depth Injury Survey. Cases of which the principal diagnosis and second diagnoses were disease classification ICD code O00-O99(Pregnancy, childbirth and the puerperium) were defined as the study subjects, and the first study group was divided as the year of discharge from 2005 to 2007, and the second study group from 2015 to 2017. Results: The number of patients discharged whose principal diagnosis or second diagnoses was O00-O99 was 21,598(Weighted 423,306) from 2005 to 2007 and 19,028(Weighted 364,384) from 2015 to 2017, which decreased by 13.9% compared to 10 years ago. The average age of discharged patients increased by about 2 years and was statistically significant (p<.0001). Factors associating spontaneous delivery, caesarean section and puerperium complication were hospitalization route, bed size, maternal age, length of hospital stay, and the year of discharge. Conclusion: Based on the results of this study, health and education policies and economic support for medical care for high-risk pregnancy and delivery management would be necessary continuously. In addition, policies to strengthen the medical system for high-risk pregnancy management in non-metropolitan areas with high fertility rates would also be needed.

Current Status of Knowledge, Attitude and Practice (KAP) and Screening for Cervical Cancer in Countries at Different Levels of Development

  • Raychaudhuri, Sreejata;Mandal, Sukanta
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4221-4227
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    • 2012
  • Cancer of the uterine cervix is a worldwide menace taking innumerable womens' lives. The literature is vast and a large number of studies have been conducted in this field. Analyses have shown significant differences exist in terms of screening and HPV testing facilities among high income and low to middle income countries. In addition, acute lack of awareness and knowledge among the concerned population is particularly noted in rural areas of the low income countries. A detailed review of Indian case studies revealed that early age of marriage and childbirth, multiparity, poor personal hygiene and low socio-economic status among others are the principal risk factors for this disease. This review concludes that a two pronged strategy involving strong government and NGO action is necessary to minimize the occurrence of cervical cancer especially in low and medium income countries.

Tuberculosis Infection Control in Health-Care Facilities: Environmental Control and Personal Protection

  • Lee, Ji Yeon
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.4
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    • pp.234-240
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    • 2016
  • Transmission of tuberculosis (TB) is a recognized risk to patients and healthcare workers in healthcare settings. The literature review suggests that implementation of combination control measures reduces the risk of TB transmission. Guidelines suggest a three-level hierarchy of controls including administrative, environmental, and respiratory protection. Among environmental controls, installation of ventilation systems is a priority because ventilation reduces the number of infectious particles in the air. Natural ventilation is cost-effective but depends on climatic conditions. Supplemented intervention such as air-cleaning methods including high efficiency particulate air filtration and ultraviolet germicidal irradiation should be considered in areas where adequate ventilation is difficult to achieve. Personal protective equipment including particulate respirators provides additional benefit when administrative and environmental controls cannot assure protection.

Rock fall on tunnel portals

  • OGGERI, Claudio;PEILA, Daniele;PELIZZA, Sebastiano;KIM, Sanghwan
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.6 no.4
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    • pp.357-365
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    • 2004
  • Tunnel portals are often located in areas where the risk of rock fall and/or detachement of rock fragments from rocky slopes is high. In this case it is necessary to design the portals so as to protect the road (i.e. using an artificial tunnel) or to instal structures that are able to intercept falling blocks on the slope. This paper deals with the design problems of these structures and includes a special analysis of net fences which have undergone a remarkable technological improvement over recent years.

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A PRODUCTION METHOD OF LANDSLIDE HAZARD MAP BY COMBINING LOGISTIC REGRESSION ANALYSIS AND AHP (ANALYTICAL HIERARCHY PROCESS) APPROACH

  • Lee, Yong-Jun;Park, Geun-Ae;Kim, Seong-Joon
    • Proceedings of the KSRS Conference
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    • v.2
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    • pp.547-550
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    • 2006
  • This study is to suggest a methodology to produce landslide hazard map by combining LRA (Logistic Regression Analysis) and AHP (Analytic Hierarchy Program) Approach. Topographic factors (slope, aspect, elevation), soil drain, soil depth and land use were adopted to classify landslide hazard areas. The method was applied to a 520 $km^2$ region located in the middle of South Korea which have occurred 39 landslides during 1999 and 2003. The suggested method showed 58.9 % matching rate for the real landslide sites comparing with the classified areas of high-risk landslide while LRA and AHP showed 46.1 % and 48.7 % matching rates respectively.

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Molecular Identification of Oesophagostomum and Trichuris Eggs Isolated from Wild Japanese Macaques

  • Arizono, Naoki;Yamada, Minoru;Tegoshi, Tatsuya;Onishi, Kotaro
    • Parasites, Hosts and Diseases
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    • v.50 no.3
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    • pp.253-257
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    • 2012
  • Natural habitat fragmentation and reducing habitat quality have resulted in an increased appearance of Japanese macaques, Macaca fuscata (Gray, 1870), in suburban areas in Japan. To investigate the risk of zoonotic infections, a coprological survey of helminth eggs passed by wild Japanese macaques was carried out in 2009 and 2010 in Shiga Prefecture, Japan. Microscopic examination found helminth eggs in high prevalence, and nucleotide sequencing of DNA extracted from the eggs identified Oesophagostomum cf. aculeatum and Trichuris trichiura. A fecal culture also detected infective larvae of Strongyloides fuelleborni. These zoonotic nematodes pose a potential health issue to local people in areas frequented by Japanese macaques.

Establishment of Crowd Management Safety Measures Based on Crowd Density Risk Simulation (군중 밀집 위험도 시뮬레이션 기반의 인파 관리 안전대책 수립)

  • Hyuncheol Kim;Hyungjun Im;Seunghyun Lee;Youngbeom Ju;Soonjo Kwon
    • Journal of the Korean Society of Safety
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    • v.38 no.2
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    • pp.96-103
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    • 2023
  • Generally, human stampedes and crowd collapses occur when people press against each other, causing falls that may result in death or injury. Particularly, crowd accidents have become increasingly common since the 1990s, with an average of 380 deaths annually. For instance, in Korea, a stampede occurred during the Itaewon Halloween festival on October 29, 2022, when several people crowded onto a narrow, downhill road, which was 45 meters long and between 3.2 and 4 meters wide. Precisely, this stampede was primarily due to the excessive number of people relative to the road size. Essentially, stampedes can occur anywhere and at any time, not just at events, but also in other places where large crowds gather. More specifically, the likelihood of accidents increases when the crowd density exceeds a turbulence threshold of 5-6 /m2. Meanwhile, festivals and events, which have become more frequent and are promoted through social media, garner people from near and far to a specific location. Besides, as cities grow, the number of people gathering in one place increases. While stampedes are rare, their impact is significant, and the uncertainty associated with them is high. Currently, there is no scientific system to analyze the risk of stampedes due to crowd concentration. Consequently, to prevent such accidents, it is essential to prepare for crowd disasters that reflect social changes and regional characteristics. Hence, this study proposes using digital topographic maps and crowd-density risk simulations to develop a 3D model of the region. Specifically, the crowd density simulation allows for an analysis of the density of people walking along specific paths, which enables the prediction of danger areas and the risk of crowding. By using the simulation method in this study, it is anticipated that safety measures can be rationally established for specific situations, such as local festivals, and preparations may be made for crowd accidents in downtown areas.

An Epidemiological Study on Biosecurity Practices on Commercial Pig Farms in Korea: Risk Factors for Porcine Reproductive Respiratory Syndrome Virus Infection (국내 양돈장의 차단방역 수준에 대한 역학적 연구: 돼지생식기호흡기증후군 위험요인 분석)

  • Kim, Kyu-Wook;Pak, Son-Il
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.78-84
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    • 2015
  • Although researches have highlighted the important role of enhanced farm biosecurity to reduce the severity and prevalence of diseases in livestock, to date there has been little study in Korea on farmers' adoption of biosecurity measures to control porcine reproductive and respiratory syndrome virus (PRRSV) infection. To mitigate the risk of PRRSV infection in pigs, the risk factors by which PRRSV is introduced in pig farms must be determined. The primary aim of this study was to investigate pig producers' perceptions about on-farm biosecurity practices. We also analyzed data obtained from a cross-sectional study on 196 farrow-to-finish farms conducted between March 2013 and February 2014 to identify risk factors for PRRSV infection at farm level. Standardized questionnaires with information about basic demographical data and management practices were collected in each farm by on-site visit of trained veterinarians. Farms were classified as negative or positive through the use of infection profiles that combined data on PCR positive pigs and serological testing including antibody titer, sero-conversion pattern at each age category, and vaccination status. Data on biosecurity practices, farm management and environmental characteristics were analyzed using multivariate ordinal logistic regression. Generally, the biosecurity level in the pig farms included in this study were insufficient to reduce/prevent the risk of PRRSV infection given the high pig density areas and the considerable extent of vehicle movement. Factors associated with PRRSV infection were those where owners used on-farm vaccination programs had a lower risk of infection (OR = 0.19, 95% CI 0.06-0.61). The results from the analysis may guide to tailor biosecurity measures in the reduction or prevention of PRRS to the specific circumstances of pig farms in different localities of the world. To the best knowledge of the authors, this is the first study to report information on the biosecurity practices currently implemented on Korean pig farms.

Study on the Characteristics of Spatial Relationship between Heat Concentration and Heat-deepening Factors Using MODIS Based Heat Distribution Map (MODIS 기반의 열 분포도를 활용한 열 집중지역과 폭염 심화요인 간의 공간관계 특성 연구)

  • Kim, Boeun;Lee, Mihee;Lee, Dalgeun;Kim, Jinyoung
    • Korean Journal of Remote Sensing
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    • v.36 no.5_4
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    • pp.1153-1166
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    • 2020
  • The purpose of this study was to analyze the spatial correlation between the heat distribution map of the satellite imaging base and the factors that deepen the heat wave, and to explore the heat concentration area and the space where the risk of future heat wave may increase. The global Moran's I of population, land use, and buildings, which are the causes of heat concentration and heat wave deepening, is found to be high and concentrated in specific spaces. According to the analysis results of local Moran's I, heat concentration areas appeared mainly in large cities such as metropolitan and metropolitan areas, and forests were dominant in areas with relatively low temperatures. Areas with high population growth rates were distributed in the surrounding areas of Gyeonggi-do, Daejeon, and Busan, and the use of land and buildings were concentrated in the metropolitan area and large cities. Analysis by Bivarate Local Moran's I has shown that population growth is high in heat-intensive areas, and that artificial and urban building environments and land use take place. The results of this research can lead to the ranking of heat concentration areas and explore areas with environments where heat concentration is concentrated nationwide and deepens it, so ultimately it is considered to contribute to the establishment of preemptive measures to deal with extreme heat.

A Study on Environment, Care Process, and Patient-related Factors Associated with Patient Falls - A Retrospective Study of Inpatient Falls in the Unit of General Medicine in the United States (환자낙상에 영향을 주는 환경, 의료과정, 그리고 환자 관련 요소에 관한 연구 - 미국의 일반내과병동 환자낙상 데이터 분석을 통한 후향성 연구)

  • Choi, Young-Seon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.1
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    • pp.33-40
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    • 2018
  • Purpose: The main objective of this paper is, to assess environment, care process, and patient-related factors associated with patient falls. The study also aims at identifying various factors that would affect inpatient falls and, therefore, helping both caregivers and designers contribute to better prevent inpatient falls in their own areas of expertise. Methods: A retrospective analysis of inpatient falls that occurred in the unit of General Medicine in the United States has been conducted and environment, care process, patient-related factors associated with those falls have been analyzed at the same time. Results: The study identified several factors associated with inpatient falls. They range from environmental factors to care process- and patient-related factors. Patient visibility and patient accessibility can matter to patient falls and where those falls occur, along with patient days per room, the percentage of patient days with high fall risk patients per room, the percentage of high fall risk patients per room. Implications: The findings of the study can provide design implications that can be incorporated into design process and design decisions to promote fall prevention in inpatient care units. Inpatient falls can be effectively reduced when caregivers and designers work together to understand the complex nature of inpatient falls and the importance of multidisplinary efforts among various experts in the areas of healthcare.