• 한국산업보건학회지
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• 제29권2호
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• pp.217-225
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• 2019

Objectives: The aim of this study is to evaluate the quality management systems of domestic asbestos survey and monitoring service providers and the relationships with the number of licenses or designations and sales performances. Methods: Data on quality management systems were collected by assessors who were assigned by the Korea Occupational Safety and Health Agency(KOSHA) during a pilot evaluation program for designated asbestos survey and monitoring service providers in 2016 using evaluation criteria developed by KOSHA. Basic characteristics, evaluated scores, and sales performance were gathered and statistically analyzed. Results: The median and arithmetic mean of the total scores were 0.64 and 0.66. Evaluation fields that scored highly with the highest percentages were sales performance, installation and availability of equipment, compliance with the mandatory minimum number of airborne samples, laboratory independence, and results of proficiency analytical testing, in that order. Evaluation fields that received low marks with the highest percentages were the training of personnel, blank field samples, calibration of flow rates, preliminary check and visual inspection of the work area prior to the clearance test, and review and approval of final reports, in that order. Comparison of normalized scores between service providers registered for asbestos and other tasks and those designated for only asbestos showed significant differences in their evaluated scores. Sales performance did not show a positive correlation with evaluated scores. Conclusions: The quality management systems of domestic asbestos survey and monitoring service providers were poor. High scores were recorded mostly in evaluation fields related to regulatory requirements. Low scores were recorded mostly in evaluation fields related to documentation and recordkeeping. Considering the low influence of quality on sales performance, the government needs to evaluate the quality management of asbestos survey and monitoring service providers and provide the results to public in order to address their low levels of quality management.

• 한국화재소방학회논문지
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• 제34권1호
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• pp.89-102
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• 2020

인체 건강에 치명적인 위해를 가할 수 있는 독성 및 인화성 가스를 이용한 화학테러행위는 행위자인 테러범과 그 행위로 인한 피해자 간에 존재하는 현격한 정보의 비대칭성으로 인해 대다수의 선진국, 또는 국지적 분쟁을 겪고 있는 국가 및 지역사회에 대하여 중대한 안보위협이 되고 있다. 화학테러에 대한 대응기관의 대처방안은 크게 예방, 대응, 수습의 3단계로 나누어 볼 수 있고, 이 과정 중에서 화학테러의 피해 정도 및 피해 범위에 절대적인 영향력을 미치는 예방과 대응단계에 해당하는 각 전문대응기관과 요원들의 성공적인 임무수행을 위해서는 화학테러의 잠재적 대상이 되는 시설들에 대한 객관적이고 체계화된 취약성의 평가와 등급화가 무엇보다 중요하다. 본 연구에서는 기존 국내외의 화학테러관련 취약성 등급분류체계를 비교분석하고 현재 국내 등급분류체계의 개선방향에 대해 살펴보고 실제 국내 다중이용시설 표본에 대한 취약성 평가를 통해서 보다 과학적이고 체계화된 방법론을 제시하였다.

• 한국환경보건학회지
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• 제36권6호
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• pp.496-501
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• 2010

Fish pathogenic bacteria are a considerable danger of farmed fish and a source of economic loss in the fish farming industry. In this study, $Nanoxil^{(R)}$ was compared to hydrogen peroxide and a silver colloid in terms of disinfection efficacy against E. tarda, V. anguillarum and S. iniae. A bactericidal efficacy test conducted by a broth dilution method was used to determine the lowest effective dilution of the disinfectant following exposure to test bacteria for 30 min at $4^{\circ}C$. $Nanoxil^{(R)}$ and test bacteria were diluted with distilled water (DW), hard water (HW) or an organic matter suspension (OM) according to the treatment condition. Under the OM condition, the bactericidal activity of $Nanoxil^{(R)}$ against E. tarda exhibited a lowered efficacy compared to that under the DW and HW conditions. $Nanoxil^{(R)}$ at 500 fold (dilutions on) under all of the conditions demonstrated a high bactericidal efficacy against S. iniae. As $Nanoxil^{(R)}$ possess bactericidal efficacy against fish pathogenic bacteria such as E. tarda, V. anguillarum and S. iniae, this disinfectant solution can be used to limit the spread of fish bacterial diseases.

• 한국환경보건학회지
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• 제37권6호
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• pp.482-487
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• 2011

Salmonellosis and brucellosis have caused a considerable danger of farmed animals and economic loss in animal farming industry. In this study, the disinfection efficacy of Citra-Kill$^{(R)}$, a commercial disinfectant, composed to quaternary ammonium chloride and citric acid was evaluated against S. typhimurium and Brucella ovis. A bactericidal efficacy test by broth dilution method was used to determine the lowest effective dilution of the disinfectant following exposure to test bacteria for 30 min at $4^{\circ}C$. Citra-Kill$^{(R)}$ and test bacteria were diluted with distilled water (DW), hard water (HW) or organic matter suspension (OM) according to treatment condition. On OM condition, the bactericidal activity of Citra-Kill$^{(R)}$ against S. typhimurium and Brucella ovis was lowered compared to that on HW condition. As Citra-Kill$^{(R)}$ possesses bactericidal efficacy against animal pathogenic bacteria such as S. typhimurium and Brucella ovis, this disinfectant solution can be used to control the spread of animal bacterial diseases.

• 대한지리학회지
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• 제47권5호
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• pp.677-699
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• 2012

기후변화가 가져올 벡터매개 질병(vector-borne diseases or VBDs)의 증가는 인구 집단의 건강에 대한 중요한 위협 요인이며, 앞으로 국제사회가 심각하게 대처해야 할 공중보건 문제로 부각되고 있다. 지구온난화로 대표되는 광범위한 기후변화로 한반도 기후 특성이 아열대화 되어가는 가운데, 토지이용, 인구분포, 생태환경 변화에 따른 영향으로 각종 질병의 발생과 확산 가능성이 유례없이 높아지고 있다. 특히, 모기, 진드기와 같은 매개체에 의해 전염되는 벡터매개 질병은 최근 20년 동안 이들 매개 곤충의 서식범위가 확대되어 질병 발생 빈도가 현격하게 증가했다. 보건지리학은 국지적인 환경과 보건 자료뿐 아니라 보다 광역적인 자료들을 통합하여 처리, 분석하고, 공간 및 비공간 자료간의 연관성 또는 상호관계를 파악하여 궁극적으로 질병의 시공간적 변화를 탐구하는 것에 초점을 두고 발전되어 왔다. 인문 및 자연환경 요인들을 GIS를 통해 다면적으로 분석하여, 개인의 건강관련 지표들과의 상관성을 기술하고 분석하는 공간역학(spatial epidemiology)은 보건지리학의 새로운 영역으로, 공간과학, 환경과학, 그리고 역학을 세 가지 주요 축으로 하여 급속히 성장하고 있다. 향후 보건지리학이 기여할 수 있는 주요 연구영역 중 하나로는, 보건 연구에서 주요 수단으로 사용되고 있는 보건 감시체계에 지리정보시스템을 기반으로 한 모니터링 시스템을 도입하는 것을 들 수 있다. 특히, 실시간 모니터링 방법론, 조기발생 감식 시스템의 구축, 그리고 관련 요인들의 공간변이를 예측하는 연구 등은 벡터매개 질병의 역학을 이해하는 데 필수적인 주요 연구 과제들이 될 것이다.

• Journal of Preventive Medicine and Public Health
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• 제51권6호
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• pp.265-274
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• 2018

Objectives: A positive association between air pollution and both the incidence and prevalence of diabetes mellitus (DM) has been reported in some epidemiologic and animal studies, but little research has evaluated the relationship between air pollution and diabetic coma. Diabetic coma is an acute complication of DM caused by diabetic ketoacidosis or hyperosmolar hyperglycemic state, which is characterized by extreme hyperglycemia accompanied by coma. We conducted a time-series study with a generalized additive model using a distributed-lag non-linear model to assess the association between ambient air pollution (particulate matter less than $10{\mu}m$ in aerodynamic diameter, nitrogen dioxide [$NO_2$], sulfur dioxide, carbon monoxide, and ozone) and emergency department (ED) visits for DM with coma in Seoul, Korea from 2005 to 2009. Methods: The ED data and medical records from the 3 years previous to each diabetic coma event were obtained from the Health Insurance Review and Assessment Service to examine the relationship with air pollutants. Results: Overall, the adjusted relative risks (RRs) for an interquartile range (IQR) increment of $NO_2$ was statistically significant at lag 1 (RR, 1.125; 95% confidence interval [CI], 1.039 to 1.219) in a single-lag model and both lag 0-1 (RR, 1.120; 95% CI, 1.028 to 1.219) and lag 0-3 (RR, 1.092; 95% CI, 1.005 to 1.186) in a cumulative-lag model. In a subgroup analysis, significant positive RRs were found for females for per-IQR increments of $NO_2$ at cumulative lag 0-3 (RR, 1.149; 95% CI, 1.022 to 1.291). Conclusions: The results of our study suggest that ambient air pollution, specifically $NO_2$, is associated with ED visits for diabetic coma.

• 서비스연구
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• 제2권1호
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• pp.47-59
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• 2012

인터넷의 급속한 발전으로 공공기관 및 민간 기업에서는 정보시스템 유지보수를 위하여 IT 아웃소싱을 도입하고 있으며, 이를 관리하기 위하여 서비스 수준 협약(SLA)을 활용하고 있다. 정보시스템 아웃소싱을 효과적으로 추진하기 위한 방법으로서 SLA가 도입되고 있으나, 아직 공공기관에서는 서비스 수준 협약에 대한 도입이 보편화되거나 그 도입 효과성, 도입성과 등이 입증되고 있다 할 수 없다. 또한 아웃소싱에서 정보시스템의 중요성이 커지는 한편, 정보화 사업의 규모 증가, IT기술의 다양화, 정보시스템 간 상호연계의 확대, 정보시스템 운영 및 유지비용의 증가에 따라 정보시스템 운영을 효율화하고 활용성을 높일 필요성은 점차 커지고 있다. 이에 본 연구에서는 공공기관에서 정보시스템 아웃소싱을 효과적으로 추진하기 위한 방법으로서 서비스 수준 협약(SLA) 도입에 따른 추진방법과 고려사항 등을 살펴보고, SLA 적용을 통해 고객과 IT서비스 조직 상호간 명확한 관리 포인트 확보 및 IT서비스 수준 향상을 위한 IT서비스 마인드와 사전 예방 활동 강화의 효과를 볼 수 있다.

• 보건교육건강증진학회지
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• 제10권1호
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• pp.9-20
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• 1993

This study was conducted to show one case model for a community nutrition program as a part of the public health systems. The purpose of this study is to evaluate the effect of the nutrition education through the Knowledge(K), Attitude(A), and Practice of the nutrition that is the Behavior-Diagnosis(Be-D). The Nutrition Education was done for 33 housewives whom live in Sudong-Myeun, Namyangju-Kun, Kyungki-Do. It had been performed eight times during April 3rd through May 30th, 1991. We investigated actual conditions of objects about K, A, Be-D in the nutrition, and the Food Environment(En) separately before and after the nutrition education by questionnaire and interview. The results of the research turned out as follows ; 1. The comparison of the scores before and after nutrition education showed significant increase in the knowledge and attitude. 2. The scores of the Be-D were also significantly higher after education, especially in the number of foods taken per day, the balanced diet, the general food habits for adult, and amounts of intake of nutrients showed significant increase of lipid, calcium, Vit. A, $Vit B_2$, Vit. C after nutrition education. 3. Multiple regression analysis showed that the scores of the Knowledge and En were significantly associated with the number of food taken per day for condition of adjusting socio-demografic factor and A effect. Also, En was important variable in explanation of the balanced diet and A, En were important in the general food habits for adult.

• BMB Reports
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• 제43권10호
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• pp.643-648
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• 2010

Sir William Osler (1849-1919) recognized that "variability is the law of life, and as no two faces are the same, so no two bodies are alike, and no two individuals react alike and behave alike under the abnormal conditions we know as disease". Accordingly, the traditional methods of medicine are not always best for all patients. Over the last decade, the study of genomes and their derivatives (RNA, protein and metabolite) has rapidly advanced to the point that genomic research now serves as the basis for many medical decisions and public health initiatives. Genomic tools such as sequence variation, transcription and, more recently, personal genome sequencing enable the precise prediction and treatment of disease. At present, DNA-based risk assessment for common complex diseases, application of molecular signatures for cancer diagnosis and prognosis, genome-guided therapy, and dose selection of therapeutic drugs are the important issues in personalized medicine. In order to make personalized medicine effective, these genomic techniques must be standardized and integrated into health systems and clinical workflow. In addition, full application of personalized or genomic medicine requires dramatic changes in regulatory and reimbursement policies as well as legislative protection related to privacy. This review aims to provide a general overview of these topics in the field of personalized medicine.

• Journal of Community Nutrition
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• 제5권4호
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• pp.209-217
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• 2003

The food and nutrition system is a network of processes linking agriculture, food, eating, nutrition, and health. The system includes a series of nine stages (production, processing, distribution, acquisition, preparation, consumption, digestion, transport, and utilization) and two types of contexts (biophysical and sociocultural). Analysis of whole food and nutrition systems provides information about the structure and processes involved in the complete scope of food and nutrition, assisting in the identification of ″upstream″ influences and ″downstream″ consequences in the system. The current analysis gathered existing data about the food and nutrition system in South Korea from public sources and professional publications, and interpreted that information to consider how different elements of the system contribute to health. The findings revealed that South Korea has substantial domestic food production and processing supplemented by imports, widespread food distribution in markets and a growing number of Korean and Western restaurants, a relatively low percentage of household income spent on food, growing use of new food preparation methods such as microwave ovens, a rice/vegetable/fish based three-meal consumption pattern, few recorded digestive problems, increasing calorie storage as body fat, and a relatively low chronic disease prevalence compared to other developed societies. Examination of the full scope of the food and nutrition system provides a broad perspective using whole system thinking that can identify potential strategies for future research and intervention.