• 제목/요약/키워드: Site Assessment

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요양급여적정성 평가자료를 이용한 예방적 항생제 사용과 수술부위 감염 발생의 관련성 연구 (Association Between Prophylactic Antibiotic Use and Surgical Site Infection Based on Quality Assessment Data in Korea)

  • 김경훈;박춘선;장진희;김남순;이진서;최보람;이병란;이규덕;김선민;염선아
    • Journal of Preventive Medicine and Public Health
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    • 제43권3호
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    • pp.235-244
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    • 2010
  • Objectives: To examine the prophylactic antibiotic use in reducing surgical site infection. Methods: This was a retrospective study for patients aged 18 years and older who underwent gastrectomy, cholecystectomy, colectomy, cesarean section and hysterectomy. The data source was quality assessment data of the Health Insurance Review & Assessment Service gathered from medical records of 302 national hospitals. Prophylactic antibiotic use was defined as: timely antibiotic administration or inappropriate antibiotic selection. We performed hierarchical logistic regression to examine the association between prophylactic antibiotic use and surgical site infection with adjustment for covariates. Results: The study population consisted of 16 348 patients (1588 gastrectomies, 2327 cholecystectomies, 1,384 colectomies, 3977 hysterectomies and 7072 cesarean sections) and surgical site infection was identified in 351 (2.1%) patients. The rates of timely antibiotic administration and inappropriate antibiotic selection varied according to procedures. Cholecystectomy patients who received timely prophylactic antibiotic had a significantly reduced risk of surgical site infection compared with those who did not receive a timely prophylactic antibiotics (OR 0.64, 95% CI=0.50-0.83), but no significant reduction was observed for other procedures. When inappropriate prophylactic antibiotics were given, the risk of surgical site infection significantly increased: 8.26-fold (95% CI=4.34-15.7) for gastrectomy, 4.73-fold (95% CI=2.09-10.7) for colectomy, 2.34-fold (95% CI=1.14-4.80) for cesarean section, 4.03-fold (95% CI=1.93-8.42) for hysterectomy. Conclusions: This study examines the association among timely antibiotic administration, inappropriate antibiotic selection and surgical site infection. Patients who received timely and appropriate antibiotics had a decreased risk of surgical site infection. Efforts to improve the timing of antibiotic administration and use of appropriate antibiotic are needed to lower the risk of surgical site infection.

수자원(水資源) 오염 특성에 의한 불량매립지(不良埋立地) 예비평가모형(豫備評價模型) 정립 (Establishment of Landfill Site Preliminary Assessment Model Based on Contamination Characteristics of Water Resources)

  • 홍상표;김정욱
    • 환경영향평가
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    • 제4권1호
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    • pp.17-23
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    • 1995
  • To assess preliminarily the contamination potential of water resources including groundwater owing to the hydrogeological characteristics of landfill site and the potential impact to humans and animals through contamination of water resources by leachate, "Landfill Site Preliminary Assessment Model(LASPAS)" was contrived. LASPAS could help them proritization of remediation of landfil sites by the convenient and relatively simple evaluation method of landfill site features. LASPAS was designd to aliot numerical ratings to landfill site related factors undermentioned; 1) hydrogeological factors such as hydraulic conductivity of aquifer, thickness of confining layer over aquifer, topographical slope, net recharge, and subsurface containment 2) water resources contamination factors of impacts on receptors such as proximity to drinking water supply, substitutability of drinking water supply, type of use of water resources, known impact on drinking water supply, and flood potential.

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대학생의 인터넷 주생활정보 사이트 탐색 및 평가 (College Students' Search and Self-assessment for Internet Site of Housing Related Information)

  • 홍성희
    • 한국주거학회논문집
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    • 제12권4호
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    • pp.205-217
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    • 2001
  • The purpose of this study was to analyze the internet site components related to housing informations, and to find determinants affecting college students' self-assessment for internet site of housing. the major findings were as follows; First, four factors were retained from the site components related to housing informations. Second, the college students' satisfaction with the site components was differed by the sex and taking computer courses or not. Third, the sex, monthly pocket money, computer skill of students, and usefulness of internet site were the determinants affecting college students' self-assessment to internet site of housing. Male students rather than female counterpart were, the less the monthly pocket money was, the less the computer skill was, and the more usefulness of internet site was, the more satisfied with the internet site of housing.

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건설현장 안전문화의 정량적 평가지표 개발에 관한 연구 (Study on the development of Quantitative assessment indicator of safety culture for the construction site)

  • Jun, Heakyung;Kwon, Changhee
    • 한국재난정보학회 논문집
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    • 제12권4호
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    • pp.403-411
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    • 2016
  • 본 연구의 목적은 건설안전문화수준에 대한 정량적 평가를 위한 평가지표를 개발하여 건설현장의 안전문화수준 및 각 안전문화 요소의 수준을 평가함으로써 사고 예방을 위해 중점적으로 개선하여야 하는 분야를 제시할 수 있도록 하기 위한 것이다. 이 논문에서는 안전문화에 대한 선행연구를 분석하여 기존 안전문화 연구에서 안전문화의 중요 요소로 도출된 항목들을 계층적으로 분류하고 분류된 안전문화 요소에 대해 건설현장 전문가들의 의견을 반영한 AHP 분석방법론을 이용하여 건설안전문화 평가지표를 제시하였다. 건설안전문화 평가지표는 리더십, 시스템, 개인적 특성의 세부 항목들을 구조화하고 쌍대비교하여 가중치를 도출함으로써 세부 중요 평가지표를 정량화하여 건설안전문화 수준을 평가할 수 있도록 하였다. 본 연구를 통해 개발한 건설 안전문화 평가지표를 활용하여 건설현장 안전문화 평가를 실시함으로써 각 건설현장 안전문화 정착을 위해 개선하여야 하는 방향을 도출하고 건설현장 안전사고 예방에 기여하고자 한다.

유류오염부지 시범적용을 통한 실외공기 오염물질흡입 노출경로에 대한 부지특이적 노출량 산정 방안에 대한 고찰 (Study on the Exposure Assessment Methodology for Outdoor Air Inhalation Pathways in Site-specific Risk Assessment and Its Application in a TPH-contaminated Site)

  • 김상현;정현용;정부윤;노회정;김현구;남경필
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제25권3호
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    • pp.65-73
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    • 2020
  • Exposure assessment methodology for outdoor air inhalation pathways (i.e., inhalation of volatile compounds and fugitive dust in outdoor air) was investigated. Default values of several parameters currently used in Korea (e.g., Q/C; inverse value of concentration per unit flux, and frs; soil fraction in PM10) may not be suitable and lack site-specificity, as they have been adopted from the risk assessment guidance of the United States or the Netherlands. Such limitation can be addressed to a certain degree by incorporating the volatilization factor (VF) and the particulate emission factor (PEF) with Box model. This approach was applied to an exposure assessment of a site contaminated with petroleum hydrocarbons in Korea. The result indicated that the suggested methodology led to more accurate site-specific exposure assessment for outdoor inhalation pathways. Further work to establish methodology to determine site-specific Q/C values in Korea needs to be done to secure the reliability of the exposure assessment for outdoor air inhalation pathways.

연안지역 화학공장부지의 부지환경평가를 위한 복합조사기법의 적응 (A Toolbox Approach for the Environmental Site Assessment of a Chemical Plant in a Coastal Area)

  • 최승진;우남칠
    • 자원환경지질
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    • 제40권4호
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    • pp.419-443
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    • 2007
  • 최근 국내에서는 외국기업의 국내진출에 따른 M&A, 미국과의 자유무역협정에 따른 시장개방에 따라 부지환경평가 (토양환경평가)의 결과를 반영할 필요성이 점차 증가되어 왔다. 따라서 이 연구에서는 연안매립지역에 위치한 대규모 화학공장부지에 대한 실제적인 부지환경평가를 통하여 국내의 토양환경평가 지침의 문제점을 보완하고 효율적, 경제적 평가를 위한 복합적 조사기법들을 이용하였다. 이 연구는 기초조사, 부지현황조사, 시료채취와 분석, 관측정 설치와 수리지질 조사, 자료 분석의 6단계로 진행되었다. 각각의 조사단계에서는 기존자료조사, 선구조분석, 지표지질조사, 지구물리탐사, 시추조사, 수리전도도, 지하수의 유향유속측정, 시료채취 및 분석 결과를 조합하여 복합적으로 해석하였다. 연구결과, 부지환경평가를 위한 이러한 다양한 조사기법들의 적용은 부지의 오염현상, 지하매질에 대한 부지특성화에 매우 효과적이었다. 국내에서는 '토양환경평가 지침'에 의한 기초조사에 있어 기존자료의 이용, 가용한 자료의 보관상태, 평가를 위한 관계자 인터뷰 등에 있어 매우 열악한 여건을 가지고 있다. 따라서 '부지환경평가'를 수행하는데 있어 이러한 복합조사기법의 적용은 더욱 경제적이고 효율적이며, 토양과 지하수오염을 연계하여 평가하는데 있어서도 매우 유용할 것으로 기대된다.

Multi-unit risk assessment of nuclear power plants: Current status and issues

  • Yang, Joon-Eon
    • Nuclear Engineering and Technology
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    • 제50권8호
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    • pp.1199-1209
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    • 2018
  • After the Fukushima-Daiichi accident in 2011, the multi-unit risk, i.e., the risk due to several nuclear power plants (NPPs) in a site has become an important issue in several countries such as Korea, Canada, and China. However, the multi-unit risk has been discussed for a long time in the nuclear community before the Fukushima-Daiichi nuclear accident occurred. The regulatory authorities around the world and the international organizations had proposed requirements or guidelines to reduce the multi-unit risk. The concerns regarding the multi-unit risk can be summarized in the following three questions: How much the accident of an NPP in a site affects the safety of other NPPs in the same site? What is the total risk of a site with many NPPs? Will the risk of the simultaneous accidents at several NPPs in a site such as the Fukushima Daiichi accident be low enough? The multi-unit risk assessment (MURA) in an integrated framework is a practical approach to obtain the answers for the above questions. Even though there were few studies to assess the multi-unit risk before the Fukushima-Daiichi nuclear accident, there are still several issues to be resolved to perform the complete MURA. This article aims to provide an overview of the multi-unit risk issues and its assessment. We discuss the several critical issues in the current MURA to get useful insights regarding the multi-unit risk with the current state art of probabilistic safety assessment (PSA) technologies. Also, the qualitative answers for the above questions are addressed.

GIS 공간유형분석 모형을 이용한 경관 규모 생태계의 평가기법 (Landscape Scale Ecosystem Assessment Modelling Using Spatial Pattern Analysis of GIS: A Case Study of Yongin, Korea)

  • 손학기;김원주;박종화
    • Spatial Information Research
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    • 제8권2호
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    • pp.233-241
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    • 2000
  • The objective of this study were to develop landscape scale ecosystem assessment model, and apply the model for the assessment of the state and change of ecosystem of the study area, Yongin, Korea. Since natural ecosystem of the site has been deteriorated significantly during recent extensive residential development, it is essential to correctly assess ecosystem of the study site. Traditional ecosystem assessment mainly utilizing intensive field survey requires high cost, but the outcome rarely represents spatial pattern of the regional ecosystems. Ecosystem assesment of landscape scale based on landscape ecology can resolve most of the shortfalls of the traditional approach. The research method can be summarized as follows. First, extensive literature review on such topics as spatial pattern of ecosystem, ecosystem assessment of landscape scale, ecological analysis was carried out. Second, a model for the ecosystem assessment of landscape scale emphasizing spatial pattern of ecosystem was developed. This model evaluates three indicators; ecological integrity and biological diversity, watershed integrity, and landscape resilience of 11 watersheds in the study area. Finally, ecological assessment utilizing two sets of indicators, enhancement of and disturbance of ecosystem stability, was carried out. This assessment method is based on Environmental Monitoring and Assessment Program´s Landscape component(EMAP-L) of EPA(1994). The results of this study are as follows. First, the ecosystem assessment of landscape scale of the study area of Yongin, Korea, showed that escosystems of Tanchun01 and Chungmichun01 watersheds had the worst state in the study site in 1991. On the other hand, the ecosystems of Jinwechun01, Kyunganchun02, and Bokhachun01 watersheds had the most stable ecosystem in 1991. Second, ecosystems of Tanchun01, Shingal reservoir, and Kyunganchun01 watersheds were evaluated to be the worst state in the study site in 1996. And, ecosystems of Jinwechun01 and Gosam reservoir watersheds had the most stable ecosystem. Third, ecosystem of Tanchun01 watershed which incudes Suji residential development project site changed the most drastically between 1991 and 1996. The ecosystem of the watershed the most drastically deteriorated due to it´s proximity to Seoul and Bundang new town.

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휴양림 조성 대상지 선정을 위한 타당성 평가 연구 - 경기도 광주시를 중심으로 - (A Study on the Feasibility Assessment for Selecting Recreation Forest Sites: The Case of Gwangju-si in Gyeonggi-do)

  • 서정영;염성진
    • 한국환경과학회지
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    • 제28권11호
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    • pp.959-969
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    • 2019
  • This study sought to contribute to the revitalization of local economy by developing a natural recreation forest, which is the base of ecotourism recreation, through utilizing forest resources and the natural environment of Gwangju-si. The study conducted a feasibility assessment through on-site surveys such as the suitability of the candidate sites, location analysis, and possibility of damage to the forest, before developing recreation forest sites in Gwangju-si and, based on the result, selected appropriate subject sites. The candidates for this study were 5 forest sites such as one site in the Mokheon-dong area, two in the Docheok-myeon area, and one in the Toechon-myeon area. For this study, the current status of the natural recreation forest was surveyed, its feasibility index and assessment process were investigated, and the local status and related regulations of Gyeonggi-do and Gwangju-si were reviewed. The final subject sites were selected after feasibility assessment utilizing assessment index in order to evaluate the candidate sites. The feasibility assessment was conducted after three separate on-site surveys for each candidate site between October 2018 and January 2019 utilizing "The Feasibility Assessment Criteria for Natural Recreation Forest (Notification 2018-71)" of the Korean Forest Service. The items instrumental to the feasibility assessment were classified into landscape, location, water system, induction of recreation, and development condition; the assessment was made after redefining each item into detailed items. Through this process, the Usan-ri area was selected as the final site for developing natural recreation forest, having obtained more than 100 points according to "The Feasibility Assessment Criteria for Natural Recreation Forest" of the Korean Forest Service. In order to develop natural recreation forest in the Usan-ri area in the future, further discussion is necessary with the relevant departments in consideration of the degree of ecological zoning map.