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Volume 47(5); September 2014
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Special Articles
Health Effects of Chronic Arsenic Exposure
Young-Seoub Hong, Ki-Hoon Song, Jin-Yong Chung
J Prev Med Public Health. 2014;47(5):245-252.   Published online September 11, 2014
DOI: https://doi.org/10.3961/jpmph.14.035
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AbstractAbstract PDF
Arsenic is a unique element with distinct physical characteristics and toxicity whose importance in public health is well recognized. The toxicity of arsenic varies across its different forms. While the carcinogenicity of arsenic has been confirmed, the mechanisms behind the diseases occurring after acute or chronic exposure to arsenic are not well understood. Inorganic arsenic has been confirmed as a human carcinogen that can induce skin, lung, and bladder cancer. There are also reports of its significant association to liver, prostate, and bladder cancer. Recent studies have also suggested a relationship with diabetes, neurological effects, cardiac disorders, and reproductive organs, but further studies are required to confirm these associations. The majority of research to date has examined cancer incidence after a high exposure to high concentrations of arsenic. However, numerous studies have reported various health effects caused by chronic exposure to low concentrations of arsenic. An assessment of the health effects to arsenic exposure has never been performed in the South Korean population; thus, objective estimates of exposure levels are needed. Data should be collected on the biological exposure level for the total arsenic concentration, and individual arsenic concentration by species. In South Korea, we believe that biological exposure assessment should be the first step, followed by regular health effect assessments.
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Environmental Source of Arsenic Exposure
Jin-Yong Chung, Seung-Do Yu, Young-Seoub Hong
J Prev Med Public Health. 2014;47(5):253-257.   Published online September 11, 2014
DOI: https://doi.org/10.3961/jpmph.14.036
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AbstractAbstract PDF
Arsenic is a ubiquitous, naturally occurring metalloid that may be a significant risk factor for cancer after exposure to contaminated drinking water, cigarettes, foods, industry, occupational environment, and air. Among the various routes of arsenic exposure, drinking water is the largest source of arsenic poisoning worldwide. Arsenic exposure from ingested foods usually comes from food crops grown in arsenic-contaminated soil and/or irrigated with arsenic-contaminated water. According to a recent World Health Organization report, arsenic from contaminated water can be quickly and easily absorbed and depending on its metabolic form, may adversely affect human health. Recently, the US Food and Drug Administration regulations for metals found in cosmetics to protect consumers against contaminations deemed deleterious to health; some cosmetics were found to contain a variety of chemicals including heavy metals, which are sometimes used as preservatives. Moreover, developing countries tend to have a growing number of industrial factories that unfortunately, harm the environment, especially in cities where industrial and vehicle emissions, as well as household activities, cause serious air pollution. Air is also an important source of arsenic exposure in areas with industrial activity. The presence of arsenic in airborne particulate matter is considered a risk for certain diseases. Taken together, various potential pathways of arsenic exposure seem to affect humans adversely, and future efforts to reduce arsenic exposure caused by environmental factors should be made.
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Original Articles
Influence of the Nursing Practice Environment on Job Satisfaction and Turnover Intention
Sang-Yi Lee, Chul-Woung Kim, Jeong-Hee Kang, Tae-Ho Yoon, Cheoul Sin Kim
J Prev Med Public Health. 2014;47(5):258-265.   Published online September 12, 2014
DOI: https://doi.org/10.3961/jpmph.14.002
  • 12,457 View
  • 189 Download
  • 13 Crossref
AbstractAbstract PDF
Objectives
To examine whether the nursing practice environment at the hospital-level affects the job satisfaction and turnover intention of hospital nurses. Methods: Among the 11 731 nurses who participated in the Korea Health and Medical Workers’ Union’s educational program, 5654 responded to our survey. Data from 3096 nurses working in 185 general inpatient wards at 60 hospitals were analyzed using multilevel logistic regression modeling. Results: Having a standardized nursing process (odds ratio [OR], 4.21; p<0.001), adequate nurse staffing (OR, 4.21; p<0.01), and good doctor-nurse relationship (OR, 4.15; p<0.01), which are hospital-level variables based on the Korean General Inpatients Unit Nursing Work Index (KGU-NWI), were significantly related to nurses’ job satisfaction. However, no hospital-level variable from the KGU-NWI was significantly related to nurses’ turnover intention. Conclusions: Favorable nursing practice environments are associated with job satisfaction among nurses. In particular, having a standardized nursing process, adequate nurse staffing, and good doctor-nurse relationship were found to positively influence nurses’ job satisfaction. However, the nursing practice environment was not related to nurses’ turnover intention.
Summary

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  • A Hospital‐Based Nursing Study on Intention to Leave Job and Nurse‐Physician Collaboration
    Melike Mercan Baspinar, Zerafet Birer, Sevgi Demiray, Hakan Basar, Gokhan Tolga Adas, Daniel Joseph Berdida
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    Journal of Public Health.2023; 31(2): 213.     CrossRef
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Age at Smoking Initiation and Subsequent Smoking Among Korean Adolescent Smokers
Jun Hyun Hwang, Soon-Woo Park
J Prev Med Public Health. 2014;47(5):266-272.   Published online September 12, 2014
DOI: https://doi.org/10.3961/jpmph.14.032
  • 13,006 View
  • 128 Download
  • 26 Crossref
AbstractAbstract PDF
Objectives
The aim of this study was to investigate the relationship between age at cigarette smoking initiation and smoking level among adolescent current smokers. Methods: In 2007, students from one or two classes of the 10th or 11th grade were randomly selected using the probability proportional to size sampling method. In total, 743 current smokers were included. Multiple logistic regression was used to determine the association between age at smoking initiation and smoking level as either frequent, daily, or heavy smokers. Results: The adjusted odds ratios for each smoking level were significantly higher for younger ages of smoking initiation than those for older ages of initiation were (p for trend <0.001). Compared with the students who started smoking in grades 10 to 11, the adjusted odds ratios for frequent, daily, and heavy smokers increased from 2.24 (95% confidence interval [CI], 1.30 to 3.87) to 3.90 (95% CI, 2.02 to 7.56), from 1.56 (95% CI, 0.92 to 2.62) to 3.17 (95% CI, 1.70 to 5.92), and from 2.56 (95% CI, 1.21 to 5.42) to 5.67 (95% CI, 2.61 to 12.30) with younger ages of smoking initiation. Conclusions: Smoking frequency and amount were closely associated with age at smoking initiation. Therefore, smoking prevention programs should be initiated from the young adolescent period.
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Nurse-perceived Patient Adverse Events and Nursing Practice Environment
Jeong-Hee Kang, Chul-Woung Kim, Sang-Yi Lee
J Prev Med Public Health. 2014;47(5):273-280.   Published online September 12, 2014
DOI: https://doi.org/10.3961/jpmph.14.019
  • 12,170 View
  • 146 Download
  • 18 Crossref
AbstractAbstract PDF
Objectives
To evaluate the occurrence of patient adverse events in Korean hospitals as perceived by nurses and examine the correlation between patient adverse events with the nurse practice environment at nurse and hospital level. Methods: In total, 3096 nurses working in 60 general inpatient hospital units were included. A two-level logistic regression analysis was performed. Results: At the hospital level, patient adverse events included patient falls (60.5%), nosocomial infections (51.7%), pressure sores (42.6%) and medication errors (33.3%). Among the hospital-level explanatory variables associated with the nursing practice environment, ‘physician- nurse relationship’ correlated with medication errors while ‘education for improving quality of care’ affected patient falls. Conclusions: The doctor-nurse relationship and access to education that can improve the quality of care at the hospital level may help decrease the occurrence of patient adverse events.
Summary

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  • Perceptions on Medication Administration Errors (MAEs) among nurses at a tertiary government hospital
    Rolsanna R. Ramos
    Applied Nursing Research.2024; 79: 151822.     CrossRef
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    Wenjuan Lai, Rongxiu Jin, Ruoying He, Xiaorong Ding
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  • Surgical nurse experience with adverse events - a descriptive qualitative study
    Dominika Kohanová, Soňa Baránková, Radka Kurucová, Katarína Žiaková
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  • Reporting the adverse events and healthcare-associated infections in relation to the work environment
    Renáta Zeleníková, Darja Jarošová, Eva Mynaříková, Ilona Plevová, Miroslava Kachlová
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Differences in the Levels of Gastric Cancer Risk Factors Between Nanjing and Minqing Counties, China
Xiang-Quan Xie, Kui-Cheng Zheng, Bing-Shan Wu, Tie-Hui Chen, Shan-Rong Lai, Zai-Sheng Lin, Kazuo Aoki
J Prev Med Public Health. 2014;47(5):281-287.   Published online September 12, 2014
DOI: https://doi.org/10.3961/jpmph.14.018
  • 11,004 View
  • 84 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives
In Fujian Province, China, gastric cancer is one of the leading causes of mortality among all malignant tumors. Nanjing county and Minqing county are located in inland Fujian and have similar general demographics. However, the adjusted mortality rate of gastric cancer in Minqing was found to be much higher than that in Nanjing. We sought to explore factors associated with this increased risk of gastric cancer between the two counties. Methods: We recruited 231 and 224 residents from Nanjing and Minqing, respectively, and analyzed differences between their dietary habits, Helicobacter pylori infection rates, and concentrations of serum pepsinogen I, pepsinogen II, gastrin-17, and ratio of pepsinogen I:II. Results: Subjects in Minqing had more first-degree relatives who had been diagnosed with upper gastrointestinal tumor, more unhealthy dietary habits, a higher Helicobacter pylori positive rate, and greater proportion of abnormal serum gastrin-17 than those in Nanjing did. Conclusions: The factors that differed between these two counties might indicate that residents in Minqing have a higher risk for developing gastric cancer than those in Nanjing do.
Summary

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JPMPH : Journal of Preventive Medicine and Public Health
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