• 한국재난정보학회 논문집
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• 제19권3호
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• pp.582-596
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• 2023

연구목적: 본 연구는 원전사고 발생 시 임시 대피시설의 안전성을 강화할 수 있는 방안을 연구하였다. 연구방법: 본 연구에서는 과거의 체르노빌, 후쿠시마, 쓰리마일섬(TMI) 원전사고에 대한 사례연구를 활용하였다. 연구결과: 현재의 방사선 비상 대응 계획은 소개에 중점을 두고 있으며, 실내대피 개념은 단순히 주민 대피를 지원하는 수단으로 활용되고 있다. 그러나 사례연구를 통해 INES-5 이상의 사고의 경우, 소개보다 실내대피를 장려하는 것이 사상자 최소화에 효과적임을 확인하였다. 더 나은 실내대피를 보장하기 위해 아파트를 임시 대피소로 활용할 것을 권장하며, 아파트가 방사선 방호 기술을 갖추도록 개선사항을 제안한다. 결론: 더 나은 실내대피를 보장하기 위해 아파트를 임시 대피소로 활용할 것을 권장하며, 차폐, 양압, 밀폐기술을 이용해서 아파트의 성능을 보완하고자 한다.

• 가정∙방문간호학회지
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• 제30권1호
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• pp.5-14
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• 2023

Purpose: This study aims to identify the degree of anxiety and depression related to infection control and job stress in clinical nurses during the COVID-19 pandemic. Furthermore, it seeks to identify the effects of depression. Finally, it intends to develop intervention measures to prevent depression in clinical nurses during epidemics of new infectious diseases and prepare basic data for developing educational programs. Methods: Data were collected using a self-report questionnaire survey administered to 208 nurses. The data were analyzed using the IBM SPSS (Version 26.0) statistics program. Results: The correlation analysis between participant depression, anxiety, and infection control job stress found that depression had a positive correlation with anxiety (r=.63, p<.001) and infection control work stress (r=.26, p<.001). Anxiety (β=0.60, p<.001) was found to significantly affect participant depression with an explanatory power of 40.2%, confirming that higher anxiety levels induce increased depression. Conclusion: Based on the above results, anxiety is confirmed to be a factor that affects depression. Accordingly, education is required to strengthen individuals' physical and mental capabilities and promote a safe working environment, including providing sufficient personal protective devices and other appropriate gear to defend clinical nurses against outbreaks of emerging infectious diseases at medical institutions and through healthcare policies. Other considerations should include sufficient rest hours and paying additional benefits for nurses caring for patients with severe confirmed COVID-19.

• Safety and Health at Work
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• 제14권3호
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• pp.287-294
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• 2023

Background: Fruit and vegetable market is an abundant source of bioaerosols. Exposure to organic and inorganic waste and long-term inhalation of bioaerosols during working hours leads to chronic respiratory symptoms. Hence, this study aimed to determine the prevalence of chronic respiratory symptoms and related factors among fruit and vegetable workers compared with the control group in Addis Ababa, Ethiopia. Methods and materials: A comparative cross-sectional study was conducted from 2020 to 2021. Data were entered in EpiData 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 25. Logistic regressions were computed to depict the data and related factors. The culture method was done to count and compare bacterial and fungal concentrations between fruit and vegetable workers and office workers. Results: In this study, the prevalence of chronic respiratory symptoms (PR = 2.87, 95% confidence interval [CI]: 1.772-4.66) was significantly higher among fruit and vegetable workers (46.7%) than controls (23.4%). Sex (adjusted odds ratio [AOR] = 2.11, 95% CI = 1.12-3.98), educational status (AOR = 1.34, 95% CI = 0.78-2.32), working hours per day (AOR = 3.91, 95% CI = 1.586-9.65), and working department (AOR = 3.20, 95% CI = 0.90-11.40) were associated with chronic respiratory symptoms. Bacterial and fungal concentrations were significantly higher in the air of the vegetable market (276 colony-forming unit) than the air in the workplace of controls (7 colony-forming unit). Conclusion: The fruit and vegetable market workers (greengrocers) had a higher prevalence of chronic respiratory symptoms relative to office workers. Respiratory protective devices should be given to deliver preventive measures.

• Composites Research
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• 제37권1호
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• pp.21-31
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• 2024

이 리뷰 논문은 복합재에 함유되어 충격파를 감쇠하는 물질에 대한 탐구를 통해 폭발로 인한 외상성 뇌손상(bTBI)에 대비하여 인적자원을 보호하는 방법을 살펴보고자 한다. 이에 더하여 복합재의 충격파 감소의 정량화를 위한 충격파의 생성과 측정에 관련된 실험적인 방법들을 알아보고자 한다. 충격파는 고에너지 폭발물, 충격관, 레이저 및 레이저-플라이어 기술과 같은 다양한 접근법을 통해 생성이 가능하다. 충격파 전파 및 감쇠의 평가는 압전, 간섭계, 전자기 유도 및 스트릭 카메라 방법을 비롯한 첨단 기술을 활용하여 진행된다. 또한 충격파 압력감쇠 특성이 알려진 폴리우레아, 이온액체를 포함한 상분리 물질을 조사하였고 복합재 구조의 구성을 통해서 충격파를 감소시킬 수 있는 방법을 제시한다. 본 리뷰에서는 충격파 감쇠 물질 개발에 관한 연구를 종합하고 분석함으로써 폭발로 인한 외상성 뇌 손상에 대한 위험을 낮출 수 있는 재료적인 관점을 제시하고자 한다.

• 한국가스학회지
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• 제28권1호
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• pp.85-99
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• 2024

수소전기차의 보급 확대가 빠르게 이루어지며 수소충전소의 모델 또한 다양화되고 있다. 이에 따라 종류별 수소 충전소의 안전에 대한 이슈가 대두되고 있다. 본 연구에서는 승용·버스·트럭 등 다차종 동시 수소충전이 가능한 수소 스테이션의 정량적 위험성평가를 진행하였다. 정량적 위험성평가에 범용적으로 사용되는 Gexcon 사(社)의 Effects&Riskcurves Software를 활용하여 수소 누출에 따른 화재, 폭발 등의 시나리오를 부여하였다. 이를 통해 복사 열, 폭발 과압에 의한 피해 영향 거리를 계산해냈으며, 주변 건물 및 인구에 미치는 위험도를 측정하였다. 피해 영향 거리가 가장 크게 나타난 것은 충전설비 및 고압 압축가스 설비의 화재 및 폭발이었으며 개인적 및 사회적 위험도에 가장 크게 기여한 설비는 고압 압축가스 설비로 나타났다. 이에 따라 충전설비 및 압축가스 설비에 대한 안전거리를 보수적으로 책정하며 적절한 방호조치를 설치한다면 수소 누출 사고 발생 시 인적·물적 피해 최소화에 기여할 수 있을 것으로 검토된다.

• 풍력에너지저널
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• 제14권4호
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• pp.50-56
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• 2023

With the abnormal weather phenomena caused by global warming, the frequency and intensity of lightning strikes are increasing, and lightning accidents are becoming one of the biggest causes of failures and accidents in offshore wind turbines. In order to secure generator operation reliability, effective and practical measures are needed to reduce lightning damage. Because offshore wind turbines are tall structures installed at sea, the possibility of direct lightning strikes is very high compared to other structures, and the role of surge protection devices to minimize damage to the electrical and electronic circuits inside the wind turbine is very important. In this study, a varistor, which is a key element for a class 1 surge protection device for direct lightning protection, was developed. The current density was improved by changing the varistor composition, and the distance between the electrode located on the varistor surface and the edge of the varistor was optimized through a simulation program to improve the fabrication process. Considering the combined effects of heat distribution, electric field distribution, and current density on the optimized varistor surface, silver electrodes were formed with a gap of 0.5 mm. The varistor developed in this study was confirmed to have an energy tolerance of 10/350 ㎲, 50kA, which is a representative direct lightning current waveform, and good protection characteristics with a limiting voltage of 2 kV or less.

• Clinical Endoscopy
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• 제56권1호
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• pp.38-49
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• 2023

Background/Aims: Patients with Barrett's esophagus are at increased risk of developing esophageal adenocarcinoma. Endoscopic therapies aim to eradicate dysplastic and metaplastic tissues. Hybrid argon plasma coagulation (hybrid-APC) utilizes submucosal fluid injection to create a protective cushion prior to ablation that shields the submucosa from injury. We performed a pooled meta-analysis to evaluate the safety and efficacy of hybrid-APC. Methods: We conducted a systematic search of major electronic databases in April 2022. Studies that included patients with dysplastic and non-dysplastic Barrett's esophagus undergoing treatment with hybrid-APC were eligible for inclusion. Outcome measures included complete remission of intestinal metaplasia (CR-IM), stricture formation, serious adverse events, and number of sessions necessary to achieve CR-IM. Results: Overall pooled CR-IM rate for patients undergoing hybrid-APC was 90.8% (95% confidence interval [CI], 0.872-0.939; I²=0%). Pooled stricture rate was 2.0% (95% CI, 0.005-0.042; I²=0%). Overall serious adverse event rate was 2.7% (95% CI, 0.007-0.055; I²=0%). Conclusions: Results of the current meta-analysis suggest that hybrid-APC is associated with high rates of CR-IM and a favorable safety profile. Interpretation of these results is limited by the inclusion of retrospective cohort and case series data. Randomized controlled trials that standardize treatment and outcome evaluation protocols are necessary to understand how this treatment option is comparable to the current standards of care.

• 여성건강간호학회지
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• 제30권2호
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• pp.101-106
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• 2024

This paper discusses the implications of the birth notification system and the Protected Birth Act in Korea. Aiming to prevent infanticide and abandonment of infants, the law will enter into force on July 19, 2024 in South Korea. The birth notification system mandates that both parents and the head of the medical institution where the birth occurred must report the event. In parallel, the Protected Birth Act will be implemented, allowing pregnant women in crisis who wish to remain anonymous, the option to give birth outside of a hospital setting in a way that safeguards the life and health of the child. However, many issues are being raised in Korean society in advance of the implementation of the Protected Birth Act. There is widespread concern that the Protected Birth Act fails to protect either women or children, especially as it raises issues regarding the need for legislation to protect children with disabilities and to address gaps for migrant women and children. This paper examines the gender and healthcare issues relating to the Protected Birth Act, focusing on women's health and human rights. The Act continues to perpetuate discrimination against out-of-wedlock pregnancies and upholds the ideology of the traditional family model. Furthermore, the legislative process did not address protective measures for the various reasons behind child abandonment. Critical issues such as women's autonomy, safe pregnancy termination, and paternal responsibility in childbirth are also notably absent. However, with the Act set to take effect soon, it is crucial for healthcare providers to comprehend the rationale and procedures associated with birth notification and the Protected Birth Act, and to prepare for its nationwide implementation. The law defines the socially vulnerable as its main beneficiaries, and it is necessary to strengthen social safety nets to improve their access to healthcare, eliminate prejudice and discrimination against out-of-wedlock pregnancies, and embrace the diversity of our society. We eagerly anticipate future discussions on gender and healthcare issues, as well as amendments to the law that reflect real-world circumstances to provide genuine protection for pregnant women in crisis and their infants.

• 헤리티지:역사와 과학
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• 제44권1호
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• pp.182-195
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• 2011

천연기념물 노거수는 오랫동안 우리 민족의 역사, 문화와 함께해 온 존재로서 단순한 나무 이상의 의미를 지니고 있다. 문화재청에서는 노거수 중에서도 크기뿐만 아니라 진귀성, 상징성, 고유성 등 문화적 자연적 요소가 뚜렷한 것들을 천연기념물로 지정하여 보호하고 있다. 본 연구는 천연기념물 노거수 중 강원도내 분포하는 14건의 생육현황과 제원 및 토양환경, 보호시설 현황을 파악하고자 수행하였다. 연구결과, 강원도의 천연기념물 노거수는 78.57% 이상이 보통이거나 보통 이상의 생육현황을 나타내었다. 수고는 평균 18.80m, 근원둘레는 평균 7.34m인것으로 나타났다. 토양환경 분석결과 대부분 전국 산림토양 대비 평균치를 나타내었으나 유효인산은 과영양 상태인 것으로 분석되었다. 보호시설은 대부분 양호한 상태이나 지주대와 쇠당김 시설 일부는 수목에 피해를 주고 있는 것으로 나타났다. 본 연구는 강원도 내 천연기념물 노거수의 생육환경과 관리현황 분석을 통한 관리 기초자료 제공에 의의를 두며, 생육에 영향을 주는 환경인자와의 관련성 등은 추후 과제로 남겨둔다.

• Journal of Preventive Medicine and Public Health
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• 제29권3호
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• pp.617-637
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• 1996

Occupational dermatosis is one of the most prevalent occupational disorders. However, the extent of the occupational dermatoses including incidences and prevalencies of each disease entity, and etiologic materials are not yet welt stated in Korea. Authors reviewed the literatures on the statistic data and reports on the occupational dermatoses, and surveyed on the occupational dermatoses in two factories, and surveyed the physicians responsible to the occupational dermatoses with formed questionnaire. The results are as follows; 1. Among medical journals published since 1964, there were 31 articles on the occupational dermatoses. Of 31 articles, 18 were case reports and all others were review articles. Of 18 case reports, 9 were epidemiologic survey. The Workers' Periodic Health Examinations revealed that prevalence of the occupational dermatoses was highest(4.36 per 10,000 workers) in 1974, but number of the cases reported were decreased sharply since 1978 with some tendency to increase since 1981. There were 2,240 reported cases of occupational dermatoses between 1966 and 1992, which is 1.90% of all the reported occupational diseases. Skin infection and injuries due to chemicals were most frequent and there were 6 cases of skin cancer. 2. In an epidemiological survey on the dermatoses among 995 workers in a metal product manufacturing factory and 225 workers in a coal chemical factory, there were 794 with dermatomycosis, 296 workers with acne, 130 workers with scar, 123 workers with deformity of toe nails. Scars, photosensitivity dermatitis, deformity of finger and toe nails, and acne were more prevalent in the metal product manufacturing factory(p<0.05). In the metal prouct manufacturing factory, workers treating organic solvents and oils had more dermatoses than those without treating the materials(p<0.05). On the skin patch performed on 16 workers in the metal product manufacturing factory, there were 8 cases of irritation dermatitis and 5 cases of contact dermatitis. Prevalence of contact dermatitis in the metal product manufacturing factory was 1.3%. 3. On the questionnaire survey, 34 dermatologists, 29 doctors of preventive medicine, and 22 family physician replied. The proportion of occupational etiology among all dermatoses assumed by the physicians were below 9%, and the most important occupational dermatosis in Korea was contact dermatitis. Main etiologic materials related to the occupational dermatosis were organic solvent, acid and alkali, and metals. The reason for the scarcity of report of occupational dermatoses were difficulty in diagnosis and physician's ignorance of the occupational etiology. They replied that to prevent the occupational dermatoses in the workplace, the use of protective devices was most important, and development of diagnostic criteria on the occupational dermatoses is urgent. Above results shows us that there is many workers with occupational dermatoses, but they are mostly unreported. Measures to prevent and manage the occupational dermatoses are not satisfactory at present. Hence, authors suggest measures for the precise diagnosis, report and prevention of the occupational dermatoses. a. Dermatologist, preventive physician, and industrial hygienist should work as a team to examine the high risk group and establish the preventive measures. b. Disease entities, diagnostic criteria of occupational dermatoses should be listed, criteria for the compensation and job fitting at recruitment should be established, and manual for the proper treatment and effective prevention of each occupational dermatosis should be developed. c. Patch test antigens against each occupational category should be developed and it should be available to any physicians responsible. d. To facilitate the diagnosis of occupational dermatoses by the doctors responsible for the Workersr Periodic Health Examination, development of standardized questionnaire, education on the techniques of the patch test, and cooperation with the dermatologist in diagnosis of occupational dermatoses is essential.