• 의료법학
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• 제13권2호
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• pp.11-38
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• 2012

The Supreme Court stand in the position in specific lawsuit that it doesn't allow the discretionary not covered service, but recently in revocation suit of fine disposal that is imposed on medical fee of leukemia patient, it altered the existing adjudgement and admitted the discretionary not covered service exceptionally. It put forward the allowable condition roughly in that case. According as this alteration, it has become more important to embody the allowance conditions of exceptions. The Supreme Court presented three things, which are procedural condition, medical condition and subscriber's agreement. Concerning procedural condition, several present conciliation procedures are as follows: medical care benefit arret request, relative value conciliation etc, prior request on anti-cancer drug among chemicals which exceed acceptance criteria, request of non benefit object on common drugs. To be granted the existence of those system, there should be no obstacle to use that. Even if it were so, we should take circumstances into consideration; individual situation is unescapable concerning substance and urgency of the discretionary not covered service, process of the procedure, time required etc. Regarding medical condition, safety and effectiveness will be verified through evaluation procedures of new medical skill. About the necessity, the Supreme Court made clear through a sentence that it allow the discretionary not covered service, in case that needs to treat a patient out of the standard of medical benefit. Strict interpretation is right and it answer the purpose of the sentence that the supreme court permit the discretionary not covered service, exceptionally. We need to differentiate medical necessity and medical validity. Subscriber's agreement should holds true if it entails full explanation, and if it is preliminary, explicit and individual. On this account, it should be difficult to admit that someone agree effectively when he call for the affirmation that he is recipient of medical care. Reasonable expense needs to be a part of review whether the agreement is valid. Meanwhile If we adjust system of medical expense and eventually reorganize a fee for consultation payment system (Fee-for-service controlled by item to DRG (Diagnosis Related Groups)), controversial area of the discretionary not covered service will be decreased and that will guarantee the discretion of the doctor.

• 한국방사선학회논문지
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• 제11권6호
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• pp.483-491
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• 2017

본 연구는 일반인을 대상으로 시대성이 반영된 각종 잠재적 위험요소와 원자력(방사선)발전의 위험성 대한 인식을 분석하였다. 설문 대상은 다양한 계층으로 하고 그 중에 총 293부를 분석하였다. 그 결과, 잠재적 위험요소 중에서 화재에 대한 위험도 인식이 높게 나타났으며, 다음으로 방사선 테러와 핵(원자력)에너지의 위험도를 다른 위험요소들에 비해 비교적 높게 인식하였다. 연령별, 학력별, 정치 이념 성향에 따른 분석에서 원자력발전의 필요성과 위험성, 안전성에 대해서 상반된 결과를 나타내었다. 정치이념의 성향에 따른 잠재적 위험요소와 원자력발전에 대한 인식은 보수적 이념집단에서 긍정적인 인식을, 진보적 집단에서는 부정적인 인식을 하고 있는 것으로 나타났다. 즉, 정치 이념의 성향에 따라 원자력발전 인식 분석에서 통계적 차이를 보였다. 따라서 원자력(방사선)발전 정책 방향 설정과 방사선 이용 관련 산업에 있어서 전문가 의견과 일반인의 다양한 의견을 반영해서 결정되어져야 할 것으로 판단되고, 일반인도 사실을 바탕으로 객관적이고 과학적인 근거에 입각해 각종 잠재적 위험과 원자력(방사선)에 대해 막연한 불안감을 가지지 말고 유연한 대처를 할 필요가 있다고 판단된다.

• 한국화재소방학회논문지
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• 제24권5호
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• pp.50-59
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• 2010

본 연구에서는 대구 D대학 기숙사 건물에 대해 2MW, 5MW 화재크기와 아트리움 방화셔터의 미설치 및 작동 경우의 4가지 화재시나리오를 구성하고, FDS(ver. 5.5.0)와 Pathfinder 2009 프로그램을 사용하여 화재 및 피난시뮬레이션을 수행하였다. 화재피난영향평가를 통하여 방화셔터와 배연구의 아트리움 제연 효과에 대한 성능을 확인하였고, 화재위험 및 피난안전을 분석하였다. 방화셔터의 작동은 연기 전파 방지에 큰 효과가 있지만, 상부 배연구를 통한 배연량이 불충분하여 방화셔터의 유무에 관계없이 연기층은 바닥으로부터 약 2m 지점까지 하강하고, 본 연구에서 설정한 연기층 한계 높이 이하가 되었다. 또 방화셔터 미설치, 5MW 화재크기의 경우, 온도보다 가시거리에 의한 화재위험 가능성이 더 크게 나타났고, 기숙사 중.상부 층의 계단실 피난여유시간은 약 5초 이내로 매우 작았다. 지상 1층 주출입구까지 전체 피난자의 순수 피난이동시간은 136초이다. 피난자의 더 안전한 피난을 위해 추가적인 보완조치가 필요하다고 사료된다.

• 한국화재소방학회논문지
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• 제33권3호
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• pp.154-165
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• 2019

본 연구는 소방공무원의 성인애착과 직무스트레스의 관계에서 자아탄력성이 매개역할을 하는지에 대해 알아보고, 이를 통해 소방공무원의 직무스트레스 경감을 위한 시사점을 도출하기 위하여 수행되었다. 서울시와 경기도에서 근무하는 현직 소방공무원 480명을 대상으로 설문조사를 실시하였으며, SPSS 21.0을 활용하여 상관관계분석 및 회귀분석을 실시하였다. 연구결과 성인애착의 불안정 애착과 직무 스트레스는 정적 상관관계, 성인애착의 불안정 애착과 자아탄력성을 부적상관관계, 자아탄력성과 직무스트레스는 부적 상관을 보였으며, 성인애착과 자아탄력성은 소방공무원의 직무 스트레스에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 자아탄력성은 성인애착의 불안이 직무스트레스에 미치는 영향을 완전매개하며, 회피가 직무스트레스에 미치는 영향을 부분매개하는 것으로 나타났다. 본 연구결과는 자아탄력성의 중요성과 소방공무원의 직업적 특성을 고려한 자아탄력성을 증진 할 수 있는 프로그램을 개발해야 할 필요성을 시사하며, 소방공무원의 직무스트레스의 수준을 경감시키기 위하여 개인의 심리, 정신적인 요인도 같이 고려하여야 한다는 것을 의미한다.

• 해양환경안전학회:학술대회논문집
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• 해양환경안전학회 2007년도 추계학술발표회
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• pp.169-174
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• 2007

해상에서로 발생하는 대형 해양사고는 소중한 인명손상과 재산상의 손실 및 심각한 해양환경 오염피해를 유발하고 있다. IMO에서는 해양사고발생으로 인한 2차적인 해양환경오염피해 유발우려가 있는 선박을 적절히 이동시켜 잠재적인 해양사고 발생가능성 및 피해를 최소화하기 위한 적절한 장소(피난처)에 대한 논의가 활발하게 전개되고 있는 상황이다. 우리나라는 북태평양을 중심으로 아시아지역과 북미를 연결하는 주요 통항로에 위치하여 선박 통항량이 많기 때문에 외국적 조난선박에 의한 해양사고 발생가능성이 높으며, 또한 국내 항에서 발생하는 해양사고에서도 선박의 이동이 필요한 경우 안전한 장소로 이동시켜 해양사고로 인한 2차 피해를 최소화 할 필요성이 있다. 본 연구에서는 선박피난처 지정에 대한 외국사례를 검토 분석하여 효율적이고 합리적인 국내 피난처 도입방안을 마련하고자 하였다.

• Wind and Structures
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• 제31권2호
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• pp.103-142
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• 2020

One of the next frontiers in structural wind engineering is the design of tall buildings using performance-based approaches. Currently, tall buildings are being designed using provisions in the building codes and standards to meet an acceptable level of public safety and serviceability. However, recent studies in wind and earthquake engineering have highlighted the conceptual and practical limitations of the code-oriented design methods. Performance-based wind design (PBWD) is the logical extension of the current wind design approaches to overcome these limitations. Towards the development of PBWD, in this paper, we systematically review the advances made in this field, highlight the research gaps, and provide a basis for future research. Initially, the anatomy of the Wind Loading Chain is presented, in which emphasis was given to the early works of Alan G. Davenport. Next, the current state of practice to design tall buildings for wind load is presented, and its limitations are highlighted. Following this, we critically review the state of development of PBWD. Our review on PBWD covers the existing design frameworks and studies conducted on the nonlinear response of structures under wind loads. Thereafter, to provide a basis for future research, the nonlinear response of simple yielding systems under long-duration turbulent wind loads is studied in two phases. The first phase investigates the issue of damage accumulation in conventional structural systems characterized by elastic-plastic, bilinear, pinching, degrading, and deteriorating hysteretic models. The second phase introduces methods to develop new performance objectives for PBWD based on joint peak and residual deformation demands. In this context, the utility of multi-variate demand modeling using copulas and kernel density estimation techniques is presented. This paper also presents joined fragility curves based on the results of incremental dynamic analysis. Subsequently, the efficiency of tuned mass dampers and self-centering systems in controlling the accumulation of damage in wind-excited structural systems are investigated. The role and the need for explicit modeling of uncertainties in PBWD are also discussed with a case study example. Lastly, two unified PBWD frameworks are proposed by adapting and revisiting the Wind Loading Chain. This paper concludes with a summary and a proposal for future research.

• Journal of Dairy Science and Biotechnology
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• 제27권1호
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• pp.1-12
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• 2009

In 2008, baby formula containing melamine was found to be responsible for a large outbreak of renal failure in infants in China. A total of 294,000 infants were hospitalized, and at least 6 babies died due to ingestion of the tainted formula. Melamine contains high levels of nitrogen (>60%), which is used as an indicator of protein content. Therefore, high levels of melamine in infant formula were thought to be the result of deliberate contamination m an attempt to increase its apparent protein content. Following inspections by China's national inspection agency, assorted products from at least 22 dairy manufacturers across China were found to have varied levels of melamine (range: 0.096196.61 mg/kg). Melamine co-exposure with cyanuric acid can induce acute melamine-cyanurate crystal nephropathy, which can lead to renal failure at much lower doses than if either compound were ingested alone. However, currently, there are very few data on melamine analogues other than cyanuric acid. At an expert meeting of the WHO and FAO held to review toxicological aspects of melamine and cyanuric acid on December 14, 2008, a new tolerable daily intake (TDI) of melamine was established that could be applied to the entire population, including infants. Therefore, a risk assessment of the various theoretical melamine contamination levels in infant formula and selected representative foods (other than infant formula and sole-source nutrition products) is urgently needed for Korean babies and children up to 7 years of age. Although the undetectable level regulation for infant formula may be low enough to guarantee the safety of babies under the age of 1 year (including premature babies), the melamine standard of 2.5 ppm for foods other than baby formula could be insufficient to protect the 95th percentile population aged 1~2 years because of this demographic's high consumption of milk, yogurt, and soy milk (hazard index = 1.79). Because TDIs are chronic values intended to protect an individual over his/her lifetime, occasional modest ingestion in excess of the TDI is not likely to be a health concern. However, children aged 1~2 years may have renal systems that are comparatively more sensitive to the crystallization of melamine and its analogues. Therefore, governmental jurisdictions may need to practice more prudent management of food items that could raise the melamine exposure for this population.

• 공업화학
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• 제29권2호
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• pp.225-228
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• 2018

열가소성고분자에 첨가되는 가소제는 외부로의 용출로 인해 제품의 수명을 단축시키고, 일부는 환경, 인체에 유해한 영향을 미치는 것으로 알려져 있다. 발암물질로 의심되는 프탈레이트계 가소제의 사용이 점차 금지됨에 따라 이를 대체할 수 있는 친환경 가소제에 대한 필요성이 요구되며 대부분의 물질은 수지와의 상용성이 다소 떨어지거나 단가가 높으며 구체적인 안전성 검증이 부족한 문제가 있다. 따라서, 본 연구에서는 대체 가소제 후보물질로서 우수한 물리적 물성과 독성 평가에서 안전한 화합물로 보고되어진 노보넨 다이알킬에스터 화합물 4종을 PVC 수지에 첨가하여 용출에 의한 인체 노출 가능성을 평가하고 상용가소제 DEHP, DINCH, DOTP와 비교 분석하여 대체 물질로서의 가능성을 평가하고자 하였다. 시험은 american standard test method (ASTM) 규격에 준하여 시행하였으며 결과에 따르면, 수성 용매에서 di-2-ethylhexyl-5-norbornene-2,3-dicarboxylate (DEHN), 유성용매에서 diisopentyl-5-norbornene-2,3-dicarboxylate (DIPN) 화합물이 DEHP 대비 우수하거나 동등한 수치를 나타내었다. 또한 4종의 노보넨 화합물 모두 환경에 영향을 미칠 수 있는 수준으로 평가되는 100 ppm보다 낮은 수치를 나타내었으며 이는 극성부인 노보넨 구조가 용출성에 영향을 미친 것으로 보여진다.

• 한국환경보건학회지
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• 제42권1호
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• pp.10-18
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• 2016

Objectives: Microcystin (MC) produced during cyanobacterial blooms is a worldwide problem presenting a serious health threats to humans and ecosystems. During July through October of 2013, the Ilwol Reservoir experienced a high biomass of phytoplankton (maximum $211.7mg/m^3$ of Chlorophyll-a) containing the toxigenic cyanobacterium Oscillatoria sp. The aim of this study is to analyze MC concentration in the reservoir water, as well as in representative fish species (Carassius cuvieri, Carassius auratus, Channa argus). We also evaluated the human health risk of exposure to MCs accumulated in the fish. Methods: Concentrations of MCs in the water and fish samples were analyzed by liquid chromatography with a triple quadrupole tandem mass spectrometer (LC/MS/MS) and enzyme-linked immunosorbent assay (ELISA). Results: The total levels of four MC variants, including MC-LR, MC-RR, MC-YR and MC-LA were below the WHO drinking water guideline limit (1 ug MC-LR per liter) both for the dissolved and particulate fraction present in the water samples. The mean MC concentrations in the livers of all species were significantly higher than in the gills (p < 0.01) and muscles (p < 0.05). The values of estimated daily intake of MCs in muscles, the edible part of the fish, would be only $0.005-0.015{\mu}g/kg{\cdot}day$, much lower than WHO's provisional tolerable daily intake of $0.04{\mu}g/kg{\cdot}day$. Conclusion: This study suggests that, owing to the spatial distribution or temporal variation of MC, there is a need for careful monitoring of cyanotoxin in reservoir water and aquatic animals to protect public health.

• 한국초등과학교육학회지:초등과학교육
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• 제19권1호
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• pp.157-170
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• 2000

The purpose of this study is to survey the instructional state of the unit 'Small Living Things' in the Elementary School Science. for this study, 100 teachers were surveyed on teaching-learning practices. More specifically, questions were asked on the degree of accomplishing instruction objectives, frequency of field . study, experimental preparation, alternative instructional methods, amount of preparation, availability of reference books for teachers and availability of information materials on the Kwangju region. Our results show that teachers find the objectives related to the collection of living things for class experiments and the task of growing and observing them the most difficult to accomplish. It was reported that 38% of teachers have actually conducted field trips. The obstacles listed in going out on field study range from lack of knowledge of appropriate places, lack of time, to safety concerns. The most difficult problem in teaching this unit was preparing proper instructional materials, regardless of teacher's gender, career, and interest. Most respondents let children provide the experimental subjects. Teachers with collection experience tend to provide for the experimental materials themselves. Our Analysis also reveals that more than 70% of the respondents do not have adequate knowledge of the species dealt with in the unit. Gender, career, and interest area of the teachers did not make any difference (p< .05). In the case that proper experimental subjects have not been prepared, VTR, textbooks, and charts were reported as the most frequently used alternative instruction aids. The level of content and amount of knowledge contained in this unit were found to be appropriate. Information on instruction materials and experiment-observation were obtained through the teaching manual or periodicals (58%), information materials on the region(20%), and fellow teachers (12%). Reference books for teachers and materials on the region are perceived to be inadequate in order of importance in the areas of preparation method, level-wise learning guide, experimental observation, and information on species covered in text. Overall, it was judged that the highest concern was with obtaining experimental materials, and teacher's reference books and materials on the region need to be reinforced to allow teachers to more fully utilize them. Development and distribution of proper instruction-learning materials to the children's level is also required.