• 보건행정학회지
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• 제12권1호
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• pp.102-124
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• 2002

To find out more efficient ways of implementing health promotion programs and to determine the factors affecting the results of various interventions, we reviewed 73 articles un the effectiveness of health promotion programs. These include the papers on the smoking, alcohol, drug abuse, nutrition(obesity) and stress management etc. Specific interventions evaluated in this review are education based on the lecture or video shows, health-related event activities, modifications of policy or the environment, health risk appraisal etc. By using KIHASA Line of Korea Institute of Health and Social Affairs, National Congress Library Database MEDLINE, we identified 201 articles published from 1980 to Jun. 1979 and finally selected 73 papers which contain the implementation process, and result of each program. The factors used in the analysis of the programs are (1) characteristics of participants (2) interventions evaluated (3) research design (4) length of programs and evacuation point (7) outcome indices (6) effect of program evaluated by each author. The study results did not prove positive effect of education based on lectures or video shows etc. Rather, it was suggested that lecture-based education has negative effect on the result. Event activity such as contest or health festivals has positive effect, and policy change or environmental change is closely related to the event activity. Also, the result shows that the overall effect of programs fur the students is less than that of the programs for the others. The programs conducted over, 1-year are mere likely to have positive outcomes than shorter ones. And, the outcomes of the programs with controlled research design such as experimental or quasi-experimental study tend to be evaluated inferiorly to those with non-experimental design.

• 대한원격탐사학회지
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• 제36권5_4호
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• pp.1255-1266
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• 2020

본 연구에서는 화학사고에 따른 인명피해 저감을 위해서 신속하고 정확한 화학물질 확산 범위 예측을 위한 복합시뮬레이션 프로토타입을 개발하였다. 복합시뮬레이션은 화학물질의 누출 특성을 고려하고자 근거리 확산과정에서 누출 운동량을 고려하였다. 원거리 확산과정에서는 사고지점 주변의 기상 및 지형정보를 이용하여 획일적으로 제시되었던 기존 모델의 바람 분포를 개선하여 실제와 유사한 바람장을 구현하였다. 개선된 근·원거리 확산과정에 따라 최종적으로 피해확산 범위는 기존의 모델에 비해서 정밀한 분포를 나타냈다. 본 연구에서 개발된 복합시뮬레이션의 시간대별 피해 범위 예측 결과 통해서 화학사고 발생 후 주민 대피 및 복귀 등 정책적 의사결정의 지원시스템으로서 활용도가 높을 것으로 기대된다.

• Journal of Trauma and Injury
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• 제28권3호
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• pp.158-169
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• 2015

Purpose: Frostbite can affect still soldiers. Initial clinical manifestations are similar for superficial and deep frostbite, so early treatment is identical. It is under-estimated by physicians. We try to identify the challenges of managing these complex tissue injuries. Methods: A retrospective analysis of 84 patients hospitalized at AFCH from 2009 to 2015 was conducted. We investigated differences of epidemiological characteristics, identification of soft tissue injury, treatment and complications between superficial (SF: 43; 51.2%) and deep (DF: 41; 48.8%) frostbite. Results: The major (94.0%) developed frostbite in dry circumstances (89.3%). Wet circumstances (66.7%) were more susceptible to DF rather than dry (46.7%). The 38 (45.2%) arrived to specialist within 7days. Most prone sites were feet, followed by hands. Toes had more deep injuries. DF presented more increased levels of ALT, CPK, CKMB, CRP. The bone scan of W+S+ was 48.3%, 87.1% and W+S- was 20.7%, 12.9%, respectively. The treatment resulted in improved or normalized perfusion scan with matching clinical improvement. It was a good tool to assess treatment response. Eighteen normal and 8 stenotic type of PCR resulted in normal with matching clinical improvement. One continuous obstructive waveform led to minor amputation. Twelve underwent both PCR and MRA. Among 6 normal PCR, 5 showed normal and one stenosis in MRA. All 5 stenosis and one obstruction showed the same findings in MRA. It was a good tool to evaluate vascular compromise. They were treated with rapid rewarming (11.6%, 22.0%), hydrotherapy (16.3%, 29.3%), respectively. Six (14.6%) underwent STSG, 2 (4.9%) had digital amputation in DF. Berasil, Ibuprofen, Trental were commonly administered. PGE1 was administered selectively for 6.8, 10.8 days, respectively. Raynaud's syndrome (16.3%), CRPS (4.7%), LOM (14.6%) and toe deformity (4.9%) were specific sequelae. Conclusion: We should recommend intensive foot care education, early rewarming and evacuation to specialized units. The bone scanning and PCR should allow for a more aggressive and active approach to the management of tissue viability.

• 지구물리와물리탐사
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• 제13권3호
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• pp.295-300
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• 2010

최근 동해상의 일본 서해안을 포함한 태평양 연안의 지진대에서 큰 규모의 해저지진에 의한 지진해일이 자주 발생하고 있다. 지진해일은 수심이 깊은 대양에서 파고가 대략 수 m인데 반해 파장은 수십에서 수백 km에 달하는 장파로서, 선단파는 수심에 비례하여 매우 빠르게 이동할 수 있다. 따라서 지진해일은 인접국가 뿐만 아니라 발생지역으로부터 매우 먼 지역까지 전파하여 해안에 심각한 범람으로 인한 인명 및 재산피해를 일으킨다. 이러한 지진해일의 피해를 효율적으로 저감하는 방법은 해안지역을 따라 지진해일 재해정보도를 제작하고, 지역주민들에게 이를 배포하여 사전에 위험성을 알리고 지진해일 발생시 피해를 최소화할 수 있도록 대비하는 일이다. 지진해일 재해정보도는 과거의 지진해일 피해조사 결과와 계획된 시나리오를 바탕으로 만들어져야 하며, 실제 지진해일이 급습할 경우 주민들의 대피계획을 만드는 데 유용하게 사용된다.

• 한국문헌정보학회지
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• 제15권
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• pp.267-280
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• 1988

After the Koryo government moved to Kanghwado Island to escape the invading Mongols, Ch'oe I who was the government irstman ordered in 1239 the recarving of Nanmingchuan Huoshangsung Chengtao-ko (남명천화상송증도가) widely used by an adherent of Son Buddhism to gain a greater understanding of Son principles. Ch'oe I's postscript indicate that the original edition printed with metal type was no longer available and woodblocks were carved to produce facsimiles of that edition. It is assumed that the copies of the original edition were limited in number due to the primitiveness of printing skills and had either not been taken to Kanghwado Island in the flurry of evacuation or were almost all used up. Demand for the book seemed to have surged sharply due to need for spiritual solace during the period of invasion. It is believed that the original edition of Chengtao-ko was published with metal type in Kaegyong(개경), the capitial, before the government took refuge on Kanghwado Island. Two copies of the recarved woodblocks were recently found in the collectiion of Kim Chong-gyu(김종규). and Park Tong-sop (박동섭). It is presumed that one of the copies was recarved again the other one some time, But the carving of the woodblocks were very sophisticated and faithfully reproduced the characteristics of the original metal type edition; first, there were many slanted characters; second, the lines of the main text were not straight but wavy; third, no bottom stroke of any character overlaps the upper stroke of the following character; and fourth, the characters are relatively uniform in size and shape. The printing techniques reflected in the woodblock reproduction were much better than that at the end of the Koryo dynasty and the beginning of the Yi dynasty. It can be assumed that printing with official type had reached a high level of skill before the transfer to Kanghwado Island.

• Pediatric Infection and Vaccine
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• 제18권1호
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• pp.97-102
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• 2011

Acinetobactor baumanii 는 기회 감염균으로 carbapenem의 사용이 증가하면서 MDRAB와 같은 내성균으로 출현하고 있다. 저자들은 경희의료원에서 carbapenem을 투약받지 않았더라도 집중치료실에 장기간 입원하여 기관삽관과 인공호흡기 치료를 받거나 침습적인 수술을 받아 도관을 유지하는 환아에서 MDRAB가 동정되었다는 것을 확인하였다. carbapenem을 사용하지 않았더라도 장기간 집중치료실에 입원할 것으로 예상되는 환자들에게 원내전파를 통한 감염을 최소화하기 위하여 원내감염관리에 최선을 다해야 할 것이기에 이상의 증례를 통하여 보고한다.

• 한국안전학회지
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• 제35권2호
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• pp.84-93
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• 2020

In recent years, the scale of damage from disasters such as earthquakes and large-scale fires and floods that are occurring in Korea is increasing. Accordingly, interest in urban disaster prevention that combines living infrastructure such as roads and parks is boosting, and it is urgent to prepare measures to reduce the damage scale of local cities. The purpose of this study is to derive implications for disaster prevention measures in areas where disaster prevention safety of local cities is weak through examples of disaster prevention safety of local cities in case of disaster. To this end, this study analyzed the regional characteristics, current status, and disaster prevention problems of regional cities in Japan, and selected disaster-vulnerable areas, and considered the distance relationship between disaster prevention bases through road network analysis. In addition, road closure simulation using ArcGIS Network Analyst was conducted to analyze disaster prevention safety in the area. As a result, the situation of the village which has a high possibility of isolation by natural disasters was grasped in advance. Through this, the suburbs confirmed the necessity of supplementing the disaster prevention function through transportation maintenance such as forest roads, and it was found that the city needs to prepare a risk management system. Furthermore, this study suggests the need for research on areas with a high possibility of isolation, especially in areas where disaster prevention functions are weak in local cities in case of disaster, and shows countermeasures for disaster prevention measures and resident education.

• 한국간호교육학회지
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• 제18권3호
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• pp.424-435
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• 2012

Purpose: The purpose of this study was to investigate the disaster experience (accidents, education etc) and the concern for disaster preparedness of college students. Methods: This research design was a descriptive study. Data were collected from November 1, 2011 to December 30, 2011 and analyzed by the SPSS PASW statistics 18.0 program. Results: There were statistical significances in major (p<.050), grade(p<.001), and a completed disaster class(p<.001) between general characteristics and concern for disaster preparedness. The major disaster events that occurred from 2003 to 2010 in Korea were the 2007 Taean oil spill (85.4%), the 2003 Daegu subway fire (82.7%), and the 2008 Sungnyemun fire (62.9%). The possible disaster events in Korea were hurricanes, floods, fires (including wildfire), and the shutdown of communication lines. Subjects learned about cardiopulmonary resuscitation (18.2%), first aid for bleeding and fractures (17.8%), a fire drill (14.3%), and an escape drill for an earthquake (14.0%). They wanted to learn the fire drill (11.33%), the escape drill for an earthquake (9.7%), a war drill (9.0%), a disaster confrontation drill on the subway (8.6%), and a fire and explosion evacuation drill (8.4%). Half of subjects were not prepared with emergency supplies for disasters because they thought that a disaster would not occur. Conclusion: It is necessary to develop the disaster educational programs according to subject's demands in Korea.

• 한국터널지하공간학회 논문집
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• 제13권6호
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• pp.451-462
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• 2011

도로터널의 환기 시스템은 차량 화재시 안전한 대피환경을 조성하는데 중요한 역할을 하며 종류환기방식과 횡류환기방식으로 대별된다. 본 연구에서는 횡류환기방식에서 대배기구방식에 대한 터널내 풍속, 배연풍량, 개방되는 배기구의 위치에 따른 유동가시화에 대하여 선행 연구와 FDS 시뮬레이션에 의한 결과를 비교하여 연기의 이동특성을 고찰하였다. 그 결과, 연기발생량(Vc=0)에 따른 배연풍량을 제어하여 연기를 피난허용범위 250 m 이내로 제한할 수 있었으며, 터널풍속이 1.75 m/s 와 2.5 m/s일 때 배연풍량은 각각 $173m^3/s$, $236m^3/s$ 을 초과하여야만 연기이동 거리를 250 m로 제한할 수 있었으며 화재지점 가까이에 있는 2개의 배기구를 동시에 개방하는 경우가 배연의 효과가 현저하게 높게 나타났다.

• 한국화재소방학회논문지
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• 제26권2호
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• pp.59-68
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• 2012

화재가 발생하고 피난이 개시되기까지의 과정에서 재실자의 행동을 예측하고, 그 과정에 소요되는 시간을 줄이는 것은 피난안전의 성패를 좌우할 수 있는 중요한 요소라고 할 수 있다. 본 연구에서는 피난개시과정을 예측할 수 있는 논리적 근거를 마련하고자 연구문헌과 이론, 화재사례 등의 비교 분석 등을 하였다, 그 결과로서 화재발생장소와의 공간적 위치와 격리에 의해 피난개시까지 경과시간에는 상당한 차이가 발생하며, 후각 및 청각적 징후는 그것을 화재라고까지 바로 인지하지 않으며 시각적 징후 또는 피난방송, 다른 사람에 의한 통보 등에 의해 화재로 인지하는 경향이 강한 것으로 분석되었다. 또한 화재를 인지한 후 바로 피난하는 재실자는 극소수에 불과하며, 피난개시까지 경과시간은 건물의 규모가 클수록 재실자별 경과시간의 편차가 크고, 호텔과 같은 숙박용도는 건물의 규모에 상관없이 경과시간의 편차가 크게 발생하는 것으로 분석되었다.