• 환경영향평가
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• 제29권6호
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• pp.453-466
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• 2020

환경영향평가서 내 건강영향 항목 추가·평가는 특정 개발사업에 한하여 위생·공중보건 항목에 작성되어 검토되고 있다. 하지만 2011년 건강영향 항목 추가·평가 관련한 평가 매뉴얼이 발간된 이후에 부분적인 개선에도 불구하고 지속적인 방법론의 구체화 및 개선방안 마련을 요구하는 실정이다. 이에 본 기술논문은 평가 매뉴얼의 방법론적 개선방안을 제안하고자 위생·공중보건 항목의 협의의견을 바탕으로 세부적인 개선요구 사항을 파악하고 그간 연구내용을 고찰하여 이를 해결하기 위한 방안을 조사·제시하였다. 개선요구 사항으로는 저감방안, 사후관리, 영향예측, 평가, 현황조사 순서로 관련한 내용들이 전체 개발사업의 평가서에서 각각 93%, 85%, 80%, 74%, 67% 빈도로 제시되었다. 특히 저감방안 관련한 세부적인 개선요구 사항은 저감방안의 수립방향 설정과 금회 개발사업의 관리방안에 대한 내용이 대부분이었다. 현행 평가 매뉴얼 및 개선 요구사항의 빈도를 고려하여 위생·공중보건 항목의 구분별 주요 방법론에 대한 구체화 또는 개선방안을 제안하였다. 나아가 현행 평가 매뉴얼에는 제시되어 있지 않은 사업시행여부 관련한 종합적인 평가 방법론도 제안하였다.

• 한국소음진동공학회논문집
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• 제23권2호
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• pp.99-104
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• 2013

Assessment of noise exposed population is to check the environmental noise level and social influence in order to reduce the risks such as annoyance and disturbance that are generated by environmental noise. Also, this method suggests the preferential noise abatement policy and action plan by accurately finding the area that the noise causes harmful effect to human health. Recently, a noise map, which can predict noise in comprehensive areas, is used for the assessment of noise exposed population, breaking from the methods using existing measures. In particular, countermeasure for the noise can be considered more effectively by using assessment methods of noise exposed population for specific noise levels, areas, and building types which are the main input factors in noise maps. In this study, assessment methods of noise exposed population by using 2 dimensional noise map are compared with those by 3 dimensional noise map.

• Journal of Radiation Protection and Research
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• 제46권1호
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• pp.24-31
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• 2021

Decommissioning efforts are underway at the reactor where the accident occurred, namely the damaged Tokyo Electric Power Company (TEPCO) Fukushima Daiichi Nuclear Power Plant (FDNPP). However, a large amount of groundwater flowing into the site has become contaminated with radioactive substances and is stored in tanks on site, which has hampered the decommissioning work. Although the inflow of groundwater has been greatly reduced through measures such as the construction of frost walls, approximately 170 ㎥ of water treated by the Advanced Liquid Processing System (ALPS) is being stored in tanks, each day. The tanks used to store this treated water are expected to become full by around the summer of 2022. It is not easy to get people to understand the efforts of all concerned parties, and providing clear information to these concerned parties is also a challenge. Questions have also been raised regarding whether other alternatives have been fully explored in the ALPS subcommittee. Some people have commented that the answers to the questions raised regarding the biological effects of tritium transmutation are inadequate. Some suspect that the answers are too detailed and incomprehensible, and that the respondents may be manipulating the public with some malicious intent. In any case, each possible plan presents both advantages and disadvantages, depending on the people who are involved. That makes it an ethical and vexing issue that can sway decisions, as perspectives change. While the environmental release plan is scientifically safe, it may represent a painful alternative. On the other hand, a more careful and imaginative approach to the idea of continued storage in tanks or other forms of storage may reveal some troublesome hidden disadvantages. Under these circumstances, experts must be prepared to answer people's questions in a comprehensive and robust manner.

• 대한간호학회지
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• 제24권4호
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• pp.696-705
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• 1994

This study was done to provide a basis for home health care management for women following Cesarean delivery. Furthermore it was initiated as an possible application of home health care in the future. In this study, client selection criteria was developed by the researcher and assessment tools for home health care, recording system and problem oriented recording system were revised from Jun's(1993) methods. The selection criteria tool for home health care for women who had a Cesarean delivery was structured and consisted of five areas : physical status, functional status, psychological-emetional status, educational needs status and environmental status. The structured assessment tool consisted of general items, obstetric history, past medical history, methods of feeding, medications taken before ad-mission, laboratory results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of women and their newborns. The visit note consisted of the date : nursing problems : nursing process including initial assessment : nursing goals : visit plan : health status of the postpartum women and their newborn : nursing diagnoses : nursing implementation evaluation : summary : next visit plan and revision. The problem oriented recording system consisted of the date, problem numbers, nursing diagnoses, problem appearance date, problem resolution date. The results of the research are as follows : The seven cases having had a Cesarean delivery were discharged on an average on the 5th day after the Cesarean birth. The total number of home visits was 13. According to Cordon's functional health patterns the total possible nursing diagnoses was 34 diagnoses for the methers and their newborns. Among the 34 diagnoses, there were 13 diagnoses in the health perception /management pattern, 7 in the psychosocial health perception / management pattern, 8 in the psychosocial self-perception, 2 in the nutrition / metabolism pattern of physical function, 2 in the knowledge deficit of newborn management, anxiety related to newborn management, knowledge deficit related to disease process of new-born, anxiety related to disease process of newborn anxiety related to prognosis of baby's condition, knowledge deficit related to newborn jaundice each appeared once. The changes in the number of nursing diagnoses was related to not the number of visits but to the number of nursing diagnoses decreasing. The con-tent of the home health care was categorized ac-cording to assessment, direct care, counseling, education, family care. The recommendation based on the results of this research are Home health care nurses for Cesarean postpartum women and their neonates requires comprehensive knowledge of pregnancy, delivery, and the postpartum period and of the neonate so that they can provide appropriate care and holistic views. Most of cases terminated after the second visit, this outcome may be related to the subjects being discharged on the 5th day after delivery. Therefore, study done with earlier discharge after delivery may have different outcome. It is very hard to assess psychological aspects that need follow-up and to develop communication channels.

• 환경위생공학
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• 제7권2호
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• pp.1-10
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• 1992

Since 1960's along with industrialization and urbanization, economic growth has been . achieved, however, at the same time, environmental condition has been seriously deteriorated. . Currently, volume of wastewater has been increasing at annual rate of 7% in sewage and 20% in industrial wastewater. However, the nation's sewage treatment serves only 33% of the municipal wastewater as of 1991. Major portion of air pollutants comes from combustion of oil and coal which comprise 81% of total energy use and emission gases from motor vehicles increasing at an accelerated rate. It is known that Korea generates the highest amount of waste per capta. Nevertheless, it is not sufficient to reduce the volume of waste by means of resources recovery and recycling. Recognizing the importance of global environmental problems such as ozone layer depletion, global warming and acid rain, international society has been making various efforts since the 1972 Stockholm conference. In particular, it is expected that the Rio conference which has adopted the Rio declaration and Agenda 21 will form a crucial turning point of the emerging new world order after the Cold War confrontation. To cope with such issues as domestic pollution and global environmental problems, the fundamental national policy aims at harmonizing "environmental protection and sustainable development". The Ministry of Environment has recently set up a mid-term comprehensive plan which includes annual targets for environmental protection. According to the government plan, gradual improvement of various environmental conditions and specific measures to achieve them is planned in time frame. Additional sewage treatment plants will be constructed in urban areas with the target to treat 65% of the nation's municipal sewage by 1996. Supply of clean fuels such as LNG will also be expanded starting from large cities as a cleaner substitute energy for coal and oil. In parallel with expansion of LNG, emphasis will be placed on installation of stack monitoring system. Due to the relatively limited land, government's basic policy for solid waste treatment is to develop large scale landfill facilities rather than small sized ones. Thirty three regional areas have been designated for the purpose of waste management. For each of these regions, big scale landfill site is going to be developed. To increase the rate of waste recycling the government is planning to reinforce separate collection system and to provide industries with economic incentives. As a part of meeting the changing situation on global environmental problems after UNCED, and accommodation regulatory measures stipulated in the global environmental conventions and protocols, national policy will try to alter industrial and economic structure so as to mitigate the increasing trends of energy consumption, by encouraging energy conservation and efficiency. In this regard, more attention will be given to the policy on the development of the cleaner technology. Ultimately, these policies and programs will contribute greatly to improving the current state of national public health.

• 한국건설관리학회논문집
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• 제18권1호
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• pp.37-47
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• 2017

대한민국 총 인구에서 50세 이상 준고령자가 차지하는 비율은 2010년 29.2%에서 2015년 34.8%로 증가하였다. 이에 따라 전체 건설근로자 대비 50세 이상 건설근로자의 비율은 2010년 20.1%에서 2015년 27.0%로 증가하였다. 이러한 노령화 시대에 맞추어 건설업계에서는 장년근로자들에 대한 재해예방대책을 주어진 사업목표, 예산집행 등을 절차에 맞게 충실히 수행해왔으나 근본적인 재해예방에 한계가 있었다. 이는 건설재해예방의 대책들이 아직까지 장년근로자보다는 전 연령을 고려하고 있기 때문이라 판단된다. 본 연구에서는 건설현장에서의 장년근로자의 안전보건실태를 조사하고 재해감소방안을 제시하였다. 특히 급격히 증가되고 있는 장년근로자의 재해를 감소시키기 위하여 관련문헌 및 안전규정과 산업재해원인통계, 산업재해현황통계 등을 고찰하고, 전국 건설현장에서 공사활동에 직접 참여하고 있는 근로자 3,549명을 대상으로 한 설문조사를 통해 안전보건 실태를 조사, 그간의 재해예방사업 추진현황 및 문제점 분석 등을 통한 재해감소 종합대책을 제시하였다. 본 논문에서 제시한 대책을 실제 정책에 반영할 수 있다면 점진적으로 증가추세인 건설현장에서의 장년근로자 재해를 줄일 수 있을 것으로 기대된다.

• 상하수도학회지
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• 제33권4호
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• pp.259-268
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• 2019

One of the most effective methods to consistently ensure the safety of a tap water supply can be achieved by application of a comprehensive risk assessment and risk management approach for drinking water supply systems. This approach can be termed water safety plans(WSP) which recommended by WHO(world health organization) and IWA(international water association). For the introduction of WSP into Korea, 150 hazards were identified all steps in drinking water supply from catchment to consumer and risk assessment tool based on frequency and consequence of hazards were developed. Then, developed risk assessment tool by this research was implemented at a water treatment plant($Q=25,000m^3/d$) to verify its applicability, and several amendments were recommended; classification of water source should be changed from groundwater to stream to strengthen water quality monitoring contaminants and frequencies; installation of aquarium to monitor intrusion of toxic substances into raw water; relocation or new installation on-line water quality analyzers for efficient water quality monitoring; change of chlorination chemical from solid phase($Ca(OCl)_2$) to liquid phase(NaOCl) to improve soundness of chlorination. It was also meaningful to propose hazards and risk assessment tool appropriate for Korea drinking water supply systems through this research which has been inconsistent among water treatment authorities.

• 보건교육건강증진학회지
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• 제31권5호
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• pp.159-166
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• 2014

Purpose: In spite of many Healthy Cities projects in Korea, there are few research about healthy urban planning. So we tried to use available recent models to a Healthy Cities project in a medium sized city in Gyeongnam province. Methods: Using mainly European Healthy Urban Planning Model and opinion leader survey, SWOT analysis, forum and discussion have been done to a city. Secondary city health indicator obtained from Ministry of Statistics. Results: There are strong need to develop health industry, green traffic and healthy living from survey using Healthy Cities policy direction of Korean Health Promotion Fund. Among the Healthy Urban Planning objectives, improvements of physical environments, prevention of accidents and crime, improvements of healthy esthetics rated highly. Although environmental pollution was problem local government push forward to the pilot healthy urban project as active healthy water-front development. Considering secondary healthy city indicators, change of external forces and internal capacity final task for healthy urban planning for Yangsan city were development of riverside physical education park and active living and anti-ageing environments etc. Conclusions: Comprehensive assessment and plan was possible through MAPP Model using European Healthy Urban Planning objectives to draw the direction of future urban planning for Healthy Cities Projects. Further research and formal introduction would be needed.

• 적정기술학회지
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• 제6권2호
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• pp.163-173
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• 2020

ODA 사업을 성공적으로 수행하기 위해서는 수요 국가에서 취약하고 필요한 분야가 무엇인지 정확히 아는 것이 중요하다. 보건분야는 대부분의 개발 도상국에서 우선순위의 첫 번째를 차지하고 있다. 이 연구는 ODA 프로젝트 계획에 도움이 되고자 피지에서의 비전염병 질환(NCD) 상황을 소개하기 위해 수행되었다. 2016년 피지의 주요 사망 원인은 당뇨병, 허혈성심장병, 뇌혈관질환, 만성신장질환, 하기도감염, 천식 등이다. 같은 해 한국의 주요 사망 원인은 암, 허혈성심장병, 뇌혈관질환, 폐렴, 자살, 당뇨병 순이다. 비전염성 질환으로서의 만성 질환은 생활 습관 및 소비 패턴의 변화와 인구 고령화로 인해 지속적으로 증가하고 있다. 이러한 세계적인 추세는 피지와 한국에서도 명백하며 NCD의 치료 및 관리를위한 사망률 및 개인 비용 증가에 반영된다. 많은 연구에서 개별 환자에 맞춘 지속적이고 포괄적인 치료의 필요성이 제안되었으며, 이러한 치료를 제공하기 위해 NCD 환자를 관리하는 체계적인 프로그램 개발이 권장되었다. 피지 정부는 2015-2019 년 NCD 전략계획을 개발했으며 요인별로 NCD의 유병률을 낮추려고 노력해왔다. 국가 차원의 NCD 정책을 안내하는 WHO 글로벌 행동 계획은 지역 사회 수준의 NCD 예방 및 관리 모델을 필요로 한다. 이런 측면에서 ODA도 직접적인 지원만이 아니라 시스템관리 지원도 고려할 만하다.

• 대한간호학회지
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• 제4권1호
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• pp.1-21
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• 1974

A considerable change of the Korean nursing system has been made during the last decade not only in its philosophy but also in its function and structure to meet political and scientific need of the modern society. The main purpose of this study is to develope the new concept of comprehensive nursing care, both its Philosophy and ethics, as the basic of modern clinical nursing theory and practice. Comprehensive nursing care is the concept of human centered nursing care, and it helps a man to meet the basic physical, psychological, environmental, socioeconomic and teaching needs. It also helps him to help himself to meet these needs. This concept starts from the individualized nursing care and its ultimate goal is to improve a man to have a better position in his own community so that he may able to have a meaningful life. To accomplish this goal, an individualized nursing care plan as a nursing diagnosis and problem solving method should be set up for different patients with similar diagnosis to meet their needs, because each patient has a different social background. from this viewpoint, nursing is a science as well as abstruse humanity. The performance of comprehensive nursing care is a goal and issue of modern clinical nursing care. If nursing is a science and a profession for man, it should have ethics which recognize the dignity of man and offers infinite service voluntarily, and should be able to show leadership in carrying out the nursing responsibility. This leadership finds a person's potential and encourages him to utilize it. Such concepts should develop into a nursing ideology and this ideology should become a priority in comprehensive nursing care. The following statements are the conclusion of this study. 1) Modern nursing has been developed from disease centered nursing care to comprehensive nursing care based on humanity. The primary principle of nursing was to assist in the treatment of disease, but it has been changed to the professional nursing system independently. 2) The concept of nursing is one of continuous or endless scope of dispersion. It proves that nursing is grasping the professional responsibility to be able to coordinate scientific principles Patient health problems are according to scientific principles rather than adhering to nursing technical discipline as a daily work. 3) In chapter I and Ⅱ, the philosophy and ideology of nursing have been discussed and the flow of concept of clinical nursing and the rate of progress which emerges from naturalizing performance of the concept of comprehensive nursing in clinical nursing studied. The discussion developed the theory that a nurse should be to embody nursing ideas and objectives by establishing definite conviction of professions and study. 4) In chapter lil, nursing planning based on nursing diagnosis as a method to attain ideal nursing care for humanity with a definite idea of establishing philosophy of nursing was presented. 5) From the result of survey on patient needs about treatment and nursing, it was observed that all patient had emotional stress from unknown factors. Therefore it was concluded that nurses should not only educate the patient but also give them the opportunity to communicate freely their needs and anxieties. Furthermore complaints and doubts of the patient should be carefully noted and must be considered to meet these needs. 6) Patient teaching is the most important part of comprehensive nursing care. In chapter, Ⅲ, the important of patient teaching was emphasized by demonstrating the effect of patient teaching for diabetic patient. 7) In Chapter Ⅳ, from the result of the study on nurses attitudes to comprehensive nursing care, it was pointed that the evolution of nursing education and the establishment of a complete concept and value of comprehensive nursing was necessary.