• 제목/요약/키워드: Preventive approach

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Principles of Risk Assessment: Overview of the Risk Assessment Process

  • Doull John
    • 대한예방의학회:학술대회논문집
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    • 대한예방의학회 1994년도 교수 연수회(환경)
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    • pp.402-403
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    • 1994
  • There are three different approaches to chemical risk assessment which will be considered in this paper. The U.S. Environmental Protection Agency(EPA) Cancer Risk Assessment includes some of the approaches used by the International Agency for Research on Cancer (IARC). The Agency for Toxic Substances and Disease Registry (ATSDR) effort is an evaluated database approach similar to that used in the National Institute for Occupational Safety and Health (NIOSH) Criteria Documents and in the documentations prepared by the Occupational Safety and Health Administration (OSHA) for the Permissible Exposure Limits (PELs) and those of the American Conference of Governmental Industrial Hygienists (ACGIH) for the Threshold Limit Values (TLVs). A third approach is used by the Committee on Toxicology.

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Risk Assessment for Noncarcinogenic Chemical Effects

  • Kodell Ralph L.
    • 대한예방의학회:학술대회논문집
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    • 대한예방의학회 1994년도 교수 연수회(환경)
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    • pp.412-415
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    • 1994
  • The fundamental assumption that thresholds exist for noncarcinogenic toxic effects of chemicals is reviewed; this assumption forms the basis for the no-observed-effect level/ safety-factor (NOEL/SF) approach to risk assessment for such effects. The origin and evolution of the NOEL/SF approach are traced, and its limitations are discussed. The recently proposed use of dose-response modeling to estimate a benchmark dose as a replacement for the NOEL is explained. The possibility of expanding dose-response modeling of non carcinogenic effects to include the estimation of assumed thresholds is discussed. A new method for conversion of quantitative toxic responses to a probability scale for risk assessment via dose-response modeling is outlined.

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Measuring the Burden of Disease in Korea, 2008-2018

  • Jung, Yoon-Sun;Kim, Young-Eun;Park, Hyesook;Oh, In-Hwan;Jo, Min-Woo;Ock, Minsu;Go, Dun-Sol;Yoon, Seok-Jun
    • Journal of Preventive Medicine and Public Health
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    • 제54권5호
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    • pp.293-300
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    • 2021
  • The study aims to examine the current status and differences in the burden of disease in Korea during 2008-2018. We calculated the burden of disease for Koreans from 2008 to 2018 using an incidence-based approach. Disability adjusted life years (DALYs) were expressed in units per 100 000 population by adding years of life lost (YLLs) and years lived with disability (YLDs). DALY calculation results were presented by gender, age group, disease, region, and income level. To explore differences in DALYs by region and income level, we used administrative district and insurance premium information from the National Health Insurance Service claims data. The burden of disease among Koreans showed an increasing trend from 2008 to 2018. By 2017, the burden of disease among men was higher than that among women. Diabetes mellitus, low back pain, and chronic lower respiratory disease were ranked high in the burden of disease; the sum of DALY rates for these diseases accounted for 18.4% of the total burden of disease among Koreans in 2018. The top leading causes associated with a high burden of disease differed slightly according to gender, age group, and income level. In this study, we measured the health status of Koreans and differences in the population health level according to gender, age group, region, and income level. This data can be used as an indicator of health equity, and the results derived from this study can be used to guide community-centered (or customized) health promotion policies and projects, and for setting national health policy goals.

핵 개발 과정에서의 예방공격 효용성 연구 : 이스라엘에 의한 이라크와 시리아 공격을 중심으로 ((A) Study on the Effectiveness of Preventive Attacks in the Process of Nuclear Development : Focusing on Israel's Attacks on Iraq and Syria)

  • 한승조
    • 융합보안논문지
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    • 제18권1호
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    • pp.129-141
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    • 2018
  • 본 논문의 목적은 이스라엘이 이라크와 시리아에 대해 수행하였던 핵 개발시설에 대한 공습의 사례를 통해 예방공격의 효용성을 살펴보고, 북한에 대해 예방공격을 수행해야 한다면 바람직한 방안을 제시하는데 있다. 군사적 예방공격이 "단기적인 성공은 가능하나 장기적으로는 효과성이 크지 않다"는 주장에 답하기 위해 1981년에 이라크를 대상으로 수행된 Operation Opera와 2007년에 시리아에 감행된 Operation Orchard 수행과정을 살펴보고, 이러한 예방공격 이후에 각 국가의 핵 개발과정을 살펴본다. 한반도에서 효과적인 예방공격을 위해서는 현재의 국제적 압박 바탕 하에 예방공격의 정당성을 충분히 확보하고, 1회의 확실한 군사적 공격이 시설 외에도 인력 등에 대해서도 이루어져야 하며, 공격 이후에도 지속적인 핵 개발 재개여부를 모니터링 해야 한다.

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레이저 우식진단기기 'DIAGNODent$^{(R)}$'의 활용 (Use of laser fluorescence device 'DIAGNODent$^{(R)}$' for detecting caries)

  • 이병진
    • 대한치과의사협회지
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    • 제49권8호
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    • pp.461-471
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    • 2011
  • The detection of carious lesions is a key point to apply appropriate preventive measures or operative treatment of dental caries. A laser fluorescence device DIAGNOdent$^{(R)}$ (KaVo, Biberach, Germany) has also been shown to be of additional clinical value in the detection of initial caries. This report focus on the DIAGNOdent$^{(R)}$ for caries detection. DIAGNOdent$^{(R)}$ irradiate visible red light at a wavelength of 655 nm to elicit near-infrared fluorescence from caries lesion. This device is known as a reproducible method for caries detection, with good sensitivity and specificity especially for caries detection on occlusal and accessible smooth surfaces. DIAGNOdent$^{(R)}$ tended to be more sensitive method of detecting occlusal dentinal caries, however, showed more false-positive diagnoses than the visual inspection. So Clinician should not use the device as a clinician's primary diagnostic method and it is recommended that the device should be used in the decision-making process in relation to the diagnosis of caries as a second opinion in cases of doubt after visual inspection. The trend of modern dentistry would be a preventive approach rather than invasive treatment of the disease. This is possible only with early detection and respective preventive measures, DIAGNOdent$^{(R)}$ can help the changes.

원가분석 시스템의 개발 및 활용 (A Development and Application of Decision Support System for Cost Analysis)

  • 채영문;이해종;박창래;정지선
    • Journal of Preventive Medicine and Public Health
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    • 제23권1호
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    • pp.65-76
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    • 1990
  • Hospitals are experiencing an increasing amount of financial difficulty due to government control of hospital rates since national health insurance has been implemented. The decision support system (DSS) was developed to provide cost and revenue information for the services rendered by each department in an effort to reduce costs. This information may be used to identify the causes of financial loss if cost exceeds revenue and to conduct variance analysis or portfolio analysis to improve financial situation of hospitals. The DSS was developed using a micro-mainframe interface approach where the mainframe computer collects and summarizes daily cost and revenue data and the micro computer computes the cost for each department. The significances of this paper are to determine the cost allocation basis and methods which are suitable to Korean situation and to apply DSS technology to the cost analysis.

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현행 한국의 한약재 중금속기준개정 필요성 고찰 (Problems of Legal Permissible Limit in Metal Level of Herbal Drugs Using Current Korea)

  • 이선동;박경식
    • 대한예방한의학회지
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    • 제5권1호
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    • pp.31-40
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    • 2001
  • Legal permissible limit of herbal drugs metal level in Korea is define 'less 30.0ppm in total(except mineral drugs)' including Pb Hg Cd As Cr Ni etc. This limit has a lot of problems in several factors, that is, not divide hazard and essential elements, not consider high and low toxic effect in each metal, not calculate dose-response relationship and average health behavior in Korean etc. As a that result, It has strong limits and weakness in the basic toxicology and Oriental medicine. To improve and correct these factors, We need to several new approach as like below. It must be radical study following problems in short and middle-long period in the future, toxic metal and essential element must be divide to basic toxicology and also be diverse toxic effect. But mineral drugs that included a amount of severe toxic metals is being used as active prescription drug until now. If toxic, safety and side-effect of metals will be considered, mineral drugs must prohibit instantly or use at least after examined toxic effect. But one of the most important things about herbal drugs contamination, all people and department (government, farmer and trader, oriental medicine doctors and association) will be participate cooperative and collection for preventive or the least contamination in herbal drugs.

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Overview of Noncommunicable Diseases in Korean Children and Adolescents: Focus on Obesity and Its Effect on Metabolic Syndrome

  • Lee, Hye Ah;Park, Hyesook
    • Journal of Preventive Medicine and Public Health
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    • 제46권4호
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    • pp.173-182
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    • 2013
  • Obesity during childhood is a dominant risk factor for noncommunicable diseases (NCDs), and is itself considered a disease that needs to be treated. Recently, the growth in childhood obesity in Korea has become stagnant; however, two in every ten children are still overweight. In addition, 60% or more of overweight children have at least one metabolic syndrome risk factor. Thus, childhood obesity should be controlled through lifestyle modification. This paper reviews studies of the modifiable risk factors of obesity in Korean children. According to the life-course approach, preschool-aged children (<5 years) are influenced by their parents rather than individual habits because they are under mostly parental care. Elementary school-aged children (6 to 11 years) are affected by overlapping individual and parental effects. This may mean that the establishment of individual behavior patterns begins during this period. The conditions of poor eating habits such as skipping meals, eating out, and high fat intake, along with low physical activity, facilitate increased obesity among adolescents (12 to 18 years). Notably, adolescent girls show high rates of both underweight and obesity, which may lead to the development of NCDs in their offspring. Therefore, the problem of NCDs is no longer limited to adults, but is also prevalent among children. In addition, early intervention offers cost-effective opportunities for preventing NCDs. Thus, children need primary consideration, adequate monitoring, diagnosis, and treatment to reduce the burden of NCDs later in adulthood.

부동산 금융소비자 보호 체계의 평가 기준 간 중요도 분석: AHP 기법을 활용하여 (An Analysis Of The Importance Of The Evaluation Criteria Of The Real Estate Financial Consumer Protection System - Utilizing The AHP Technique)

  • 이연재;신승우
    • 아태비즈니스연구
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    • 제13권3호
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    • pp.227-243
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    • 2022
  • Purpose - This study surveyed real estate financial consumers and financial company staff regarding the components of the financial consumer protection system to seek detailed improvement plans for the Financial Consumer Protection Act. Design/methodology/approach - The Analytic Hierarchy Process (AHP) technique is applied. Findings - Both consumers and staff highly evaluated the importance of the preventive measures in the main classification factors. Regarding the sub-classification factors of preventive measures, consumers emphasized the responsible management of investment staff and financial institutions; however, the staff stressed the principle of effectiveness and efficiency. Regarding the elements of ex-post remedies, consumers answered that fast remedy would have a significant effect. At the same time, staff believed that punitive measures hinder free trading and investment activities. Regarding the sub-sub classification factors of prevention measures, the consumers value responsible management of staff and financial companies, while the staff tend to prefer the importance of the self-regulatory governance. Research implications or Originality - Based on the above results, financial regulatory authorities should find a balance between preventive and ex-post components once focusing on preventative measures. Our paper is one of the first research findings in this field of financial consumer protection system in Korea.

선회접근용 활주로 감시도구의 개선에 관한 실증적 사례 연구 (An Empirical case Study on the Improvement of Surveillance Systems in performing Circling Approach at the airport)

  • 양한모;신현삼
    • 한국항공운항학회지
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    • 제14권4호
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    • pp.110-119
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    • 2006
  • This research was conducted with a view to enhance the efficiency of the preventive tool which provide pilots and controllers with proper and timely safety alerts while conducting circling approach at the airport where surrounding terrains becomes threat to safe operation of flight around airport.

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