• 제목/요약/키워드: preventive measures

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백내장 수술환자의 진료결과에 미치는 요인 - 사전 연구를 중심으로 - (Factors Affecting Outcomes in Cataract Surgical Patient - Pilot study -)

  • 박은철;홍영재;임승정;강형곤;최윤정;김한중;조우현;손명세
    • 한국의료질향상학회지
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    • 제5권1호
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    • pp.120-127
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    • 1998
  • Background : This study is to identify preoperative patient characteristics associated with a lack of improvement on one or more measures peri operatively, postoperative 3-4 months, and postoperative 12 months. Methods : For the assessment, prospective study was performed with 92 patients who had undergone either one eye or both eye cataract surgery by 3 ophthalmologists practicing at a university hospital. The criteria of improvement were (1) Snellen visual acuity, (2) a cataract-related symptom score(possible range: 0, 0 of 6 symptoms present or bothersome, to 18, all 6 symptoms very bothersome), and (3) VF-14 score - a measure of functional impairment in patient with cataract - (possible range: 0, inability to perform any of the applicable activities, to 100, no difficulty in performing any of the applicable activities). Results : Although 14 patients (15.2%) failed to improve on one or more of the outcome measures assessed, no one failed to improve on all three measures. Both eyes of surgery than one eye, preoperative cataract symptom score of 1-4, 5 or higher than 0 were associated independently with the increased likelihood of improvement (odds ratio 8.95, 7.16, 8.87 respectively). And the preoperative level of Snellen visual acuity was not associated with the likelihood of improvement Conclusion : We conclude that specific preoperative characteristics (both eyes, cataract symptom score) are independent predictors of patient outcome after cataract surgery.

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Efficacy of kaleidoscope, virtual reality, and video games to alleviate dental anxiety during local anesthesia in children: a randomized clinical trial

  • Karthik Anchala;Voppathotty Tirumala;Kanamarlapudi Venkata Saikiran;Niharika Reddy Elicherla;Shaik Rahul;Sivakumar Nuvvula
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제24권3호
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    • pp.195-204
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    • 2024
  • Background: Distraction is a technique used to divert a patient's attention from unpleasant procedures. This study aimed to evaluate the effectiveness of kaleidoscopy, virtual reality, and video games in reducing anxiety and pain during invasive dental procedures in children. Methods: Sixty-six children aged 6 to 9 years were randomly assigned to three groups during local anesthesia administration: Group 1 (kaleidoscope), Group 2 (virtual reality), and Group 3 (mobile video games). The anxiety of the children was evaluated using physiological measures (heart rate) at three different time points: before, during, and after the procedure. The Raghavendra, Madhuri, and Sujata pictorial scale was used as a subjective measure before and after the procedure. Subjective measures of pain were assessed using the Wong-Baker Faces Pain Scale. The data were statistically analyzed using the Kruskal-Wallis and Wilcoxon signed-rank tests. Results: In the intergroup comparison, there were no statistically significant differences in the physiological measures of anxiety scores between the three groups before, during, and after distraction. Raghavendra, Madhuri, and Sujata pictorial scale scores were assessed before and after distraction, but no statistically significant differences were observed. Among the three groups, the children in Group 2 showed a significant reduction in pain scores. Conclusion: Compared with kaleidoscopes and video games, virtual reality is a promising distraction technique for reducing dental fear, anxiety, and pain during local anesthesia administration in children.

화학반응기의 안전성 향상을 위한 예방조치 개선에 관한 연구 (A Study on the Improvement of Preventive Measures for Improving the Safety of Chemical Reactor)

  • 변윤섭
    • 한국가스학회지
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    • 제24권4호
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    • pp.32-38
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    • 2020
  • 화학반응기에 발생한 화재·폭발 사고사례를 기반으로 화학반응기에 설치되어 있는 예방조치의 문제점을 분석하였다. 화학반응기는 다품종의 화학제품을 생산하며, 반응폭주시 급격히 상승하는 압력을 해소하기 위해 파열판을 설치하고 파열판의 기능을 유지하기 위해 배출물질을 대기로 배출하도록 허용하고 있어 화재·폭발사고가 발생하였다. 이를 개선하기 위한 방안으로 안전건전성수준(SIL3)을 기반으로 한 안전계장시스템(SIS)을 화학반응기의 예방조치로 적용하였다. 화학반응기의 원재료를 적하하는 배관에 긴급차단밸브를 직렬로 2개 설치하여 반응폭주시 긴급차단밸브 2개 중 1개만 작동하여도 원재료 공급을 차단할 수 있도록 하고, 반응응제제 공급배관에는 자동 ON/OFF 밸브를 병렬로 설치하여 반응폭주시 1개의 밸브만 열려도 반응억제제가 투입될 수 있게 하였다.

소규모 제조 사업장에 적합한 재해예방 기법 사례 연구 (Case studies on the Practical Ways of Preventing Injuries in Small Manufacturing Industries)

  • 신운철;김진현;홍용수
    • 대한안전경영과학회지
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    • 제15권2호
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    • pp.39-45
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    • 2013
  • Occupational injury rate of Korea recently slides slightly downward after stagnating around 0.7%'s for more than 10 years. To accelerate this trend, injury prevention for small enterprises is crucially important because vast majority of injuries take place in small enterprises. Considering huge number of small enterprises, we need to focus our efforts to type of riskier industries. By analysing detailed injury data, we select type of industries which need our concentrated prevention efforts. Several preventive measures are recommended, after we made literature survey of case studies for small enterprises. The result identifies riskier type of industries including transportation machinery manufacturing industry type(B), woods & veneer manufacturing industry, etc. Safety of machinery, new enterprises less than 2 years in service and new employees serving less than 6 months are in need for focused prevention efforts. To cope with these vulnerable spots, recommended preventive measures include strengthening of machinery safety standards, early assistance for safety to new enterprises, mandatory safety education before employment, etc.

특수형태근로종사자의 이해관계자 모형 개발을 통한 안전조치 이행주체 명확화 (Clarification of Safety Measure Implementation Entities through the Development of a Stakeholder Model for Special Types of Workers)

  • 서용윤;현종수;최이락;변정환
    • 한국안전학회지
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    • 제38권6호
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    • pp.36-49
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    • 2023
  • Since the recently established obligation to implement safety and health measures for specialized workers as outlined in the Occupational Safety and Health Act (OSHA) for nine occupations in January 2020 and five occupations in November 2021, there is a need to verify and inspect the on-site operation of related systems. After a comprehensive fact-finding survey and risk factor analysis, it is necessary to examine the responsibility for on-site safety and preventive measures, along with the roles and responsibilities of specialized workers. Stakeholder analysis is essential to identify the fundamental problems related to the responsibility stipulated in the purpose of OSHA and to explore the entity responsible for implementing safety measures. Therefore, in this paper, we discuss the topic of implementation based on legal standards for on-site safety and preventive measures. Additionally, we develop a role model for appropriate safety measures, outlining the dynamic relationship between those who provide labor and those who provide labor in the context of specialized workers.

벼의 냉수피해 감소를 위한 관개수온 조사와 대책수립 (Measurement of Irrigation Water Temperature and Preventive Measure against Cold Watter Damage to Paddy Rice)

  • 정상옥
    • 한국농공학회지
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    • 제41권1호
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    • pp.52-59
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    • 1999
  • Paddy rice is semi-tropical crop and requires warmirrigation water. If mean water temperature at the water source during the growing period is below 18$^{\circ}C$, sime kinds of water warming mechanism should be taken. In this study irrigation water temperature is measured and preventive measures to cold water damage on paddy rice are suggested. Field observations were performed at 100ha field area downtream of the Unmoon reservoir during the growing season of 1997. Land use, canal system, water temperature at irrigation canals. reservoir, and paddy fields were observed. In addition, growth and yield of the rice at selected plots were observed. Accordingly to the record, cold water damage occurred in this area due to the cold irrigation water supply in 1996. It did not occur because of the effective irrigation water management practice in 1997. However, several preventive measures such as pontoon intake system, using existing weir and construting a new warming pond, are suggested to prevent cold water damage in the future. If a new warming pond is construted to raise irrigation water temperature by 2 $^{\circ}C$, a pond area of 2.94 ha is required.

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요인 신변보호의 사전 예방작용에 관한 연구 - 사전 안전활동을 중심으로 - (A Study of Previous Prevention Activity in Dignitary Protection)

  • 양재열
    • 시큐리티연구
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    • 제3호
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    • pp.145-174
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    • 2000
  • Protection activity is divided by the security measures of preventive action and immediately protective reaction in case of emergency situation. The purpose of this study is to emphasis the importance of prevention when providing security for protectees. What I suggested in this thesis is summarized below. Chapter I which sets out purpose, concept, general remarks are followed 3 steps for conducting security action by Chapter II. Chapter III concerns the classification, security technic of preventive action. Classified involving security information, security action, security measures. It is followed site survey, security plan, detailed procedures, coordinative meeting, previous security action, protective action, review meeting by protective technic. Chapter IV consider effective counter plan method of preventive action. Chater V, conclusion.

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우리나라 산업안전보건법상 특별관리물질 규정에 대한 독일, 영국 및 일본과의 비교법적 고찰 (A Comparative Legal Study of Germany, the United Kingdom, Japan and Korea for the Regulations on Special Management Materials)

  • 최상준;피영규;김신범;김원
    • 한국산업보건학회지
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    • 제23권2호
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    • pp.137-147
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    • 2013
  • Objectives: This study was conducted in order to evaluate the limitations of the regulations on the safety and health standards for special management materials(SMM) under the Industrial Safety and Health Act in Korea. Methods: Hazardous chemicals management systems in Germany(Hazardous Substances Ordinance), the UK(Control of Substances Hazardous to Health Regulations), Japan(Ordinance on Prevention of Hazards due to Specified Chemical Substances) and Korea(Regulation of Occupational Safety and Health Standards, ROSHS) were investigated and compared in terms of 14 items. Results: Among the 14 items, we eventually found seven items which should be amended: 1) definition and scope, 2) general duties clause, 3) principles of management, 4) preventive measures, 5) control measures, 6) risk assessment, and 7) record keeping. The principal limitations of Korean regulations in comparison with those of other countries were that there were no preventive measures such as substitution, and no principles of good practices for the control of exposure to SMM. In terms of control measures, there were no regulations on suitable workplace design, reducing the number of exposed workers, reducing the level and duration of exposure, and reducing the quantity of hazardous substances in ROSHS. Conclusions: Based on the results of this study, ROSHS should be complemented with preventive measures and the principles of management related to SMM. According to the suggestions, an employer who deals with SMM should preferably consider the possibility of substitution and perform substitution so far as is reasonably practicable.

광우병과 크로이츠펠트 야콥병의 사회안전위협에 대한 안전대책 (Social Safty Measures against Creutzfedt-jakob's and Mad Cow Disease)

  • 김두현;김정현
    • 시큐리티연구
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    • 제4호
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    • pp.29-46
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    • 2001
  • This research is based on the protection of the social safty with the preventive measures against Creutzfedt-jakob's and Mad cow Disease which has been drawn an attention of the public. It also has Known as an epidemic with rapid transmission an severe conteminaton to hurt the health through beef. In this work, some fruitful suggestions have been made to prevent and to minimize the harms Creutzfedt-jakob's and Mad Cow Disease : 1) We should Pay attention to the prior preventive measures by detecting the modes and the causes of the contemination lute route ; 2) there should be a step to inoculate the cattles to provide non-conteminated fresh feed for cows ; and 3) a health official should be alert to prevent the rapid transmission to the public by breaking the infected route of it.

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