• Title/Summary/Keyword: 보건 및 안전

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Assisted Outpatient Treatment and Crisis Intervention in USA and their Implications for Korea (미국의 외래치료명령제도 및 위기대응과 국내적 시사점)

  • Park, Inhwan;Han, Meekyung
    • The Korean Society of Law and Medicine
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    • v.19 no.1
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    • pp.23-80
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    • 2018
  • Since the 1960s, the United States' (U.S.) deinstitutionalization policy has reinstated people with mental illness into communities. Unfortunately, when untreated, some people with psychiatric disorders become homeless, and some commit serious crimes during a psychological crisis. Assisted Outpatient Treatment (AOT), also known as Kendra's Law in New York and Laura's Law in California, provides treatment, services and support to people with mental illness in the community. AOT has repeatedly been found effective and is recognized as an evidence-based practice. The response to the mental health crisis (crisis intervention) in the U.S. has also been successful in preventing worsening mental illness and related criminality and other issues. This paper provides an opportunity to create a platform from which to learn how to successfully apply the AOT and crisis intervention of the U.S. to South Korea within the cultural and societal context when establishing social services for people with mental illness in South Korea's communities.

Evaluation of Conventional Culture Methods and Validation of Immunoassays for Rapid Detection of Listeria monocytogenes in Dairy and Processed Foods (유제품 및 가공식품에서 Listeria monocytogenes 검출을 위한 배지법과 신속 검사키트의 유효성 검증)

  • Han, So-Ri;Hyeon, Ji-Yeon;Kim, Hee-Yun;Park, Jong-Seok;Heo, Seok;Shin, Ho-Chul;Seo, Kun-Ho
    • Food Science of Animal Resources
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    • v.28 no.5
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    • pp.616-622
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    • 2008
  • Listeria monocytogenes is a foodborne pathogen inducing listeriosis in human. We compared two different culture methods for detection of L. monocytogenes and validated two commercial kits, $VIDAS^{(R)}$ and $REVEAL^{(R)}$ for Listeria. L. monocytogenes was inoculated into various food samples to generate partial positive samples. The inoculated samples were enriched in half-Fraser broth for 48 hr at $30^{\circ}C$. The enriched samples were streaked onto Oxford agar at 24 and 48 hr postincubation followed by biochemical confirmation and concurrently analyzed by using the two commercial kits for comparison. When the enrichment period was extended from 24 to 48 hr, the numbers of positive samples were dramatically increased from 6 to 52 out of 80 samples tested using the culture method. With the commercial kits, the numbers of positive samples were also significantly increased from 10 to 18 and 1 to 18, respectively, when the enrichment period was extended from 48 to 72 hr. There was no statistical difference between the 24 hr culture method and $VIDAS^{(R)}$ or $Reveal^{(R)}$ with 48 hr enrichment. In conclusion, the 24 hr for the culture method was insufficient to detect L. monocytogenes in various foods. The commercial kits could be adequate means for presumptive screening of L. monocytogenes in food.

Developmental Toxicity of Alkylphenols in Amphibians: A Review (알킬페놀류 화합물의 양서류 발생독성: 종설)

  • Park, Chan-Jin;Ahn, Hae-Sun;Ahn, Hyo-Min;Gye, Myung-Chan
    • Korean Journal of Ecology and Environment
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    • v.44 no.2
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    • pp.103-112
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    • 2011
  • Aquatic contamination by organic pollutants has been a suspected reason for rapid decrease of amphibian populations whose embryonic and larval stages are in an aquatic environment. Amphibian embryos can be a useful model to study the ecoctoxicologial impacts of aquatic pollutants. The obtained toxicological data are useful references for the management of aquatic pollutants in public health because amphibia share many developmental events with terrestrial vertebrates including humans. Safety guidelines for the toxicological effects of aquatic contaminants of chemicals identified as hazardous should be addressed at multiple endpoints. Alkylphenols have been widely-used in agricultural, industrial, and household activities; they contaminate and can persist in aquatic environments. Exposure to alkylphenols results in endocrine disruption in aquatic animals. In this review, we summarize the developmental toxicities of alkylphenols in amphibian embryos and larva according to the exposure route, chemical concentration, duration of exposure, and affected developmental stage together with mechanisms of toxicity and typical patterns of developmental abnormality. The merits of amphibian embryos as a toxicity test model for mid- to long-term exposure to aquatic pollutants are discussed proposed.

Monitoring Program of Organochlorine Pesticide Residues in Agricultural Products Provided for the Army (군납 농산물 중 유기염소계 농약의 잔류량)

  • 박종고;윤재홍
    • Food Science and Preservation
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    • v.9 no.1
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    • pp.46-50
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    • 2002
  • This study was carried out for dietary safety based on the level of pesticide residues in 17 kinds of the agricultural products (apple, cabbage, cabbage kor, carrot, cucumber, pepper, onion, potato, radish, spring onion, pumpkin, lettuce, garlic, drapwort, spinach, leek crown daisy) consumed in Kyunggi-do and Inchon-city that provided for the army. From January 1998 to December 2001, ten organochlorine pesticides in 1075 samples were analyzed by using GC-ECD. According to the results, one kind of pesticides was detected in 135(12.5%) samples, and two kinds were in 7 (5.18%). While dicofol and tetradifon was not fecund. Detection rate of pesticides were 9.02% for $\alpha$, $\beta$-endosulfan, 2.8% far chlorothalonil, 0.46% for γ-BHC, 0.40% for chlorobenzilate, 0.33% for folpet, 0.28% far DDT, 0.15% for captafol, and 0.11% for captan. Dectection ranges of pesticides were from 0.001 to 0.092 ppm for $\alpha$, $\beta$-endosulfan, from 0.003 to 0.023 ppm for chlorothalonil, from 0.003 to 0.006 ppm far γ -BHC, from 0.001 to 0.003 ppm for DDT, from 0.009 to 0.095 ppm for folpet, 0.05 ppm for captan, 0.01 ppm for captafol, and 0.008 ppm far chlorobenzilatel respectively. Consequentlyl all detected pesticide levels in samples were below maximum residue limits(MRLs) in Korea and Codex.

Fate and Transport of Viruses in Soil and Groundwater Environments (토양.지하수 환경에서 바이러스의 거동)

  • Park, Jeong-Ahn;Yoon, Seo-Young;Kim, Song-Bae
    • Journal of Korean Society of Environmental Engineers
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    • v.34 no.7
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    • pp.504-515
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    • 2012
  • Groundwater is widely used as drinking water supplies around the world. However, microbial contamination of groundwater is a serious environmental problem that degrades drinking water quality and poses a great threat to human health. Among the pathogenic microorganisms such as viruses, bacteria, and protozoa, viruses are not readily removed during transport through soils, having high mobility in groundwater environment due to their smaller size compared to bacteria and protozoa. Studies regarding the fate and transport of viruses in soils and aquifers are necessary to determine the vulnerability of groundwater to microbial contamination and to secure safe drinking water sources. Also, these studies provide important information to establish the regulations and policies related to public health. This review paper presented the field and laboratory studies conducted for the fate and transport of viruses in subsurface environments. Also, the paper provided the factors affecting the fate and transport of viruses, the characteristics of bacteriophages used for virus studies, and virus transport model/colloid filtration theory. Based on this review work, future researches should be performed actively to set up the viral protection zone for the protection of groundwater from viral contamination sources. Especially, the researches should be focused on the development of mathematical models to calculate the setback distance and travel time for the viral protection zone along with the accumulation of information related to the model parameters.

Impact of Area Characteristics on the Health of Vulnerable Populations in Seoul (지역특성이 취약집단 건강에 미치는 영향 분석)

  • Kim, Youn-Hee;Cho, Young-Tae
    • Korea journal of population studies
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    • v.31 no.1
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    • pp.1-26
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    • 2008
  • This research examines the effect of area level characteristics on individual health, particularly focusing on the vulnerable populations in Seoul. We consider adult individuals whose family income is under 1.5 million won, who are aged 65 and over, or who have neither spouse nor job but aged 40 and over as vulnerable populations. Using the 2005 Seoul Citizens' Health Interview Survey, we conducted multilevel analyses to simultaneously investigate the effect of area and individual level characteristics on health. Between-area variance of self-rated health status was greater for the elderly population than for all populations. Area material deprivation index and happiness index were associated with the self-rated health of economically disadvantaged populations. Vulnerable populations showed greater between-area variances in emotional health than the same for all populations. Area happiness index, material deprivation index, the proportion of households below poverty line and street safety showed statistically significant association with emotional health. The effect of area characteristics were particularly salient for the emotional health of elderly population and its between area variance was also notable.

Issue Analysis on the Deregulation of Telemedicine in the Digital Convergence Era (디지털 융복합시대에 원격의료 규제 완화에 관한 쟁점 분석)

  • Kim, Jin-Suk;Oh, Su-Hyun
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.445-457
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    • 2020
  • The purpose of this study is to analyze various issues that may arise from the recent deregulation of telemedicine implemented by the government, propose initiative preparations for the implementation of telemedicine policies, and suggest implications for the basic conditions and direction of the deregulation of telemedicine. Recently, deregulation policy cases in telemedicine include that designation of a special zone for regulatory freedom in Gangwon Province, allowing physician-patient telemedicine and telephone counseling and prescription cases in the COVID-19 crisis. There are four main issues that could arise with the deregulation of telemedicine: safety, effectiveness, differences in access to health care and the economic industry, and legal responsibility. As a initiative preparation, this study proposed a pilot project for telemedicine and enhanced support for face-to-face care complementary tools, vitalizing remote co-operation, policy model that do not disrupt the medical delivery system, and legal maintenance. In conclusion, as a suggestion of basic premise and direction in the implementation of telemedicine deregulation, the implementation of initiative measures to address issues concerning telemedicine, the review and regulation of conditions to be considered in the implementation of telemedicine, and the establishment of a close communication and cooperative sturcture with medical providers.

The Cause-and-Effect Relationship between Perceptual Satisfaction and Expectation Factors for Special Hospitals by Busan and Gyungnam Medical Consumers (부산·경남지역 의료소비자들의 전문병원에 대한 지각 만족도와 기대요소 간의 인과관계)

  • Park, Ki-Hyeok;Shin, Jin-Ho
    • Journal of Convergence for Information Technology
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    • v.11 no.7
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    • pp.181-188
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    • 2021
  • This study was performed to examine the strategy method for the sustainable stability and effectiveness of small and medium hospital, where the relationship between perceptual satisfaction and expectation factors for special hospital was analyzed. The structural questionnaire was given to the residents of Busan and Gyungnam over the age of 20 and the square contingency and the logistical regression were employed for the analysis of the results. First, the respondent with 68.0% has realized the hospital claiming to be characterization as the special hospital and the Ministry of Health and Welfare designated hospital was identified to the respondent of 21.3%. Second, perceptual satisfaction with expectation level was satisfied to the most visitor in case of visiting special hospitals with subjective perception and was confirmed to the intention of revisiting consistently. Third, for the perceptual satisfaction of visiting with expectation level, the safety and the quality of treatment affected significantly the cause-and-effect. The result has provided the useful information with the establishment of a strategy for the long-term and continued effect through the perceptual satisfaction and the emotional attachment.

Evaluation of environmental surface contamination and disinfection effects on multidrug-resistant organism (다제내성균 환경표면 오염도 및 소독 효과 평가)

  • Kim, Jae Yeun;Park, Jung Ae;Lee, Mi Hyang;Kim, Sang Ha;Jeong, Sun Young
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.211-216
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    • 2021
  • This study was carried out to evaluate the effects of disinfection using environmental disinfectant after having assessed the extent of contamination through microbial culture testing and the Adenosine Triphosphate Bioluminescence method among the environmental management evaluation methods used for the environment in the hospital ward of patients infected by multidrug-resistant organisms. This study was conducted with the patient wards isolated due to multidrug-resistant organisms as the environmental surface. Specimens were collected from five locations including infusion pumps, IV poles, bedside cabinets, bed railings, keyboards, and blood pressure measurement cuffs. ATP and microbial culture testing were executed prior to, immediately after, and five minutes post-disinfection. According to the result contamination of the infusion pumps was statistically significantly reduced after disinfection. In addition, the bacteria before and after disinfection reduced in IV pole, bed railing, and keyboard. That is, regular environmental surface disinfection can provide safer environments to patients against infection. Therefore, it is necessary to establish guidelines including disinfection methods and intervals for environmental surfaces by evaluating the persistence of disinfectants at various institutions in the future.

Sampling-based Super Resolution U-net for Pattern Expression of Local Areas (국소부위 패턴 표현을 위한 샘플링 기반 초해상도 U-Net)

  • Lee, Kyo-Seok;Gal, Won-Mo;Lim, Myung-Jae
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.22 no.5
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    • pp.185-191
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    • 2022
  • In this study, we propose a novel super-resolution neural network based on U-Net, residual neural network, and sub-pixel convolution. To prevent the loss of detailed information due to the max pooling of U-Net, we propose down-sampling and connection using sub-pixel convolution. This uses all pixels in the filter, unlike the max pooling that creates a new feature map with only the max value in the filter. As a 2×2 size filter passes, it creates a feature map consisting only of pixels in the upper left, upper right, lower left, and lower right. This makes it half the size and quadruple the number of feature maps. And we propose two methods to reduce the computation. The first uses sub-pixel convolution, which has no computation, and has better performance, instead of up-convolution. The second uses a layer that adds two feature maps instead of the connection layer of the U-Net. Experiments with a banchmark dataset show better PSNR values on all scale and benchmark datasets except for set5 data on scale 2, and well represent local area patterns.