• 한국가스학회지
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• 제21권1호
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• pp.43-51
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• 2017

국내 냉동제조시설에서 암모니아 누출사고가 여전히 발생하고 있음을 볼 수가 있다. 암모니아는 가연성가스 및 독성가스이므로 사고 발생할 때 인체와 생태계에 큰 피해를 일으킬 수 있다. 국내 냉동제조시설의 암모니아 사고유형을 파악한 후 사고시나리오를 선정하여 피해범위를 산정하고 사고 빈도와 위험도를 분석하여 사고 피해를 최소화하는 대책 수립이 필요하다. 본 연구에서는 정량적 위험성 평가(QRA: quantitative risk assessment)의 분석 방법에 따라 암모니아 냉동시스템의 리시버 탱크에 대한 위험도를 분석하였다. 시나리오 분석 조건은 화학물질관리법에서 정하는 '사고시나리오 선정에 관한 기술지침' 및 미국 화학공정안전센터(CCPS: center for chemical process safety)의 가이드라인에 따라 정하였다. DVN사의 SAFETI 프로그램을 활용하여 시나리오에서 선정된 모든 사고 영향범위를 산정하고 빈도 분석을 통하여 리시버 탱크에 대한 위험도를 도출하였다. 빈도 값은 사건수 분석(ETA: event tree analysis)기법과 Part count 기법을 활용하였다. 연구 결과 암모니아 냉동시스템의 개인적 위험도는 7.71E-04/yr으로 도출되었으며, 사회적 위험도 1.17E-03/yr으로 도출되었다. 도출된 위험도는 국제 화재방지협회 (NFPA: national fire protection association)의 ALARP (as low as reasonably practicable) 범위를 적용하여 위험도의 적합성을 확인하였으며, 본 연구에서 제안한 위험도 산정 방법이 사고 피해 최소화 방안을 모색하는데 활용된다면 보다 좋은 결과가 도출될 것으로 판단된다.

• 한국환경보건학회지
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• 제48권1호
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• pp.1-8
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• 2022

Objectives: The purpose of this study is to reveal the circumstances under which the cases of harm to health caused by humidifier disinfectant were neglected and show the points where the number of victims and the degree of damage could have been reduced. In addition, it attempts to describe how damage management proceeded immediately after the incident and actually exacerbated the damage. Finally, it explores the unfortunate aspects of the recent trial. By doing so, it attempts to take this as an opportunity to consider whether a tragic event such as the humidifier disinfectant incident could occur in the future. Methods: This study collected and analyzed data on chemical material characteristics related to humidifier disinfectants, data on health effect characteristics, data on related laws and regulations from the Ministry of Environment, data related to the damage investigation by the Korea Environmental Industry and Technology Institute, and current contents. Results: The lack of related systems and laws is the area where the greatest responsibility for the cause of the humidifier disinfectant disaster falls, so it is difficult for the government to escape this responsibility. Establishing a dedicated department to identify the prevalence of certain diseases within the functions of the Health Insurance Review and Assessment Service to monitor health can greatly contribute to the prevention and management of diseases through early detection and management of group outbreaks caused by harmful factors. Humidifier disinfectant damage relief should have been expanded earlier beyond HDLI (humidifier disinfectant lung injury) to include non-specific diseases such as asthma, pneumonia, and interstitial pneumonia. The scope of relief benefits should have also been expanded earlier to include the payment of disability benefits. Fortunately, with the 2020 revision of the Special Act, the conditions for estimating causal relations were eased and individual screening systems such as health impact assessment were reorganized along with the introduction of a rapid screening system. Conclusions: The management system for chemical substances in a country is clearly of paramount importance, and the ministry in charge must have a response system in case of damage to health effects. Administration that looks at the victims' situation from their point of view is needed, and technical countermeasures are required to quickly recognize the prevalence of certain diseases.

• 보건행정학회지
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• 제27권2호
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• pp.167-176
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• 2017

Background: This study aimed to analyze the impact of community health care resources on the place of death of older adults with dementia compared to those with cancer in South Korea, using public administrative big data. Methods: Based on a literature review, we selected person- and community-level variables that can affect older people's decisions about where to die. Data on place-of-death and person-level attributes were obtained from the 2013 death certification micro data from Statistics Korea. Data on the population and economic and health care resources in the community where the older deceased resided were obtained from various open public administrative big data including databases on the local tax and resident population statistics, health care resources and infrastructure statistics, and long-term care (LTC) insurance statistics. Community-level data were linked to the death certificate micro data through the town (si-gun-gu) code of the residence of the deceased. Multi-level logistic regression models were used to simultaneously estimate the impacts of community as well as individual-level factors on the place of death. Results: In both the dementia (76.1%) and cancer (87.1%) decedent groups, most older people died in the hospital. Among the older deceased with dementia, hospital death was less likely to occur when the older person resided in a community with a higher supply of LTC facility beds, but hospital death was more likely to occur in communities with a higher supply of LTC hospital beds. Similarly, among the cancer group, the likelihood of a hospital death was significantly lower in communities with a higher supply of LTC facility beds, but was higher in communities with a higher supply of acute care hospital beds. As for individual-level factors, being female and having no spouse were associated with the likelihood of hospital death among older people with dementia. Conclusion: More than three in four older people with dementia die in the hospital, while home is reported to be the place of death preferred by Koreans. To decrease this gap, an increase in the supply of end-of-life (EOL) care at home and in community-based service settings is necessary. EOL care should also be incorporated as an essential part of LTC. Changes in the perception of EOL care by older people and their families are also critical in their decisions about the place of death, and should be supported by public education and other related non-medical, social approaches.

• 유통과학연구
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• 제10권12호
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• pp.35-43
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• 2012

Purpose - This study analyzes the effects of types of leadership on the employees of Italian restaurants, its efficacy, and organizational citizenship behavior, utilizing a causal assessment model. In this study, independent variables such as the type of leadership perceived in the manager or chef by an Italian restaurant's employees, and its efficacy were parameters, and the organizational citizenship behavior and organizational effectiveness were the variables representing the results in the hypothesis. The study aimed to draw implications by verifying the leadership via efficacy and the impact on organizational citizenship behavior of Italian restaurants. Research design, data, methodology - For the purpose of this analysis, specific questionnaire items were configured according to the theory and efficacy of the study. From a questionnaire used in organizational citizenship behavior comprising 22 questions, six were modified to suit the research purpose of this study. The configured questionnaire comprised 5 parts and 40 items. A Likert (Likert) 5-point scale was utilized to measure responses to the questionnaire items from the employees of an Italian restaurant in Seoul who participated in the survey. For data collection, 400 questionnaires were distributed, and 344 collected. Factor analysis and reliability verification were conducted using SPSS18.0 and AMOS18.0. A covariance structure analysis was conducted to test the research hypotheses. Results - Based on the results of the analyses, the summary and suggested implications of the research are as follows: The covariance structure analysis used to analyze the kind of effect transformational and transactional leadership styles in Italian restaurant employees had on self-efficacy, group-efficacy, and organizational citizenship behavior, indicated that among the characteristics of transformational leadership (such as, idealized influence, inspirational motivation, individual consideration, and intellectual stimulation), idealized influence and individual consideration had a positive influence on self-efficacy. Idealized influence, individual consideration, conditional reward, and management by exception also positively influenced self-efficacy and altruistic and conscientious behavior (organizational citizenship behavior). Conclusions - Results suggest that with regard to self-efficacy and group efficacy, managers in different departments and chefs should provide team members with a vision for the future, increase their confidence in their abilities, and build their trust in the organization. By evaluating employee performance and experiences, management can demonstrate leadership and encourage organizational citizenship behavior through enjoyable, voluntary participation. Transformational and transactional leadership is effective in group processes that include social-exchange relationships, self-efficacy and group efficacy, and organizational citizenship behavior. However, as this research study utilizes only self-reported data, it has several limitations, such as a vulnerability of errors caused by the various experiment types. A significant limitation of this study is the lack of potential for the duplication of results. The covariance structure analysis, however, provides complementation to limit the impact of errors from self-reporting studies. A future study can extend this research by utilizing different data collection methods.

• 한국언론정보학보
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• 제51권
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• pp.117-135
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• 2010

독일의 방송국가협약은 독일기본법에서 보호하고 이는 '긍정적 질서'의 보호를 위해 방송자본 집중을 규제한다. 이러한 규제는 다양한 의견의 형성을 보호하고, 국가와 사회이익집단으로부터 독립적인 보편적 방송서비스를 가능하게 하기 위해서이다. 그러나 경제적 경쟁은 방송분야에서의 자본집중을 초래할 위험이 있다. 특히 경제적 경쟁은 다양한 보도적 경쟁을 저해한다. 특히 보도의 다양성은 서로 다른 여론을 적절하게 반영해 낼 수 있는 제도적 장치가 마련되어야만 가능하다. 독일의 방송국가협약 제26조는 방송사업자의 시청점유율 상한선을 제한함으로써, 방송시장에서 내용의 다양성과 소유의 다양성을 보장하고, 결과적으로 의견의 다양성을 보호한다. 구체적으로 시청점유율 30%를 초과했거나 시청점유율이 25%에 불과하지만 인접 미디어시장에서 시장지배적 사업자인 경우에는 의견의 다양성을 침해한다고 본다. 그럼에도 불구하고 시청점유율 제한은 미디어 사이의 합산 영향력 산출방식의 모호함과 시사정보 프로그램과 교양오락프로그램에서의 시청점유율을 동일한 무게로 평가하는 등의 한계가 있다.

• 대한건축학회논문집:계획계
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• 제34권3호
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• pp.45-52
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• 2018

Currently, apartments have become an important research subject for the overall area of politics, economics, and culture as well as urban architectural study. However, there are few analyses of the research trends related to the current interest in the apartment research and prediction of the future changes of an apartment in politics and industry. In this study, the research information related to the apartment has classified, and the changes in the research trends have analyzed. Based on the classified data, the first thesis and dissertation related to the apartment and changes of academic notation have discovered. In addition, future interests and future research directions through Frequency of Appearance, Degree Centrality Analysis, and Betweenness Centrality Analysis of author keywords were predicted. As a result of the analysis, 'Space,' 'Residential Mobility' and 'Apartment Complex' studies were found to be important research topics throughout the entire period. 'Han Gang Apartment,' 'Small Size Apartment,' 'Civic Apartments,' 'Jamsil,' and 'Child' were newly interested topics until 70's era. '(Super) High-rise Apartment,' 'Perception,' 'Jugong Apartment,' 'Housing Environment,' 'Housewife,' 'Apartment Layout,' and 'Busan' were newly interested topics during the 80's and 90's era. 'Apartment Price,' 'Energy,' 'Remodeling,' 'Noise,' 'Resident Satisfaction,' 'Community,' and 'Apartment Lotting-out' were newly interested topics after the year 2000. New concerns for last decade are found to be 'Super High-rise Apartment', 'Remodeling', 'Indoor'(2007), 'Apartment Reconstruction Project', 'Brand', 'AHP', 'Housing Environment'(2008), 'Ventilation'(2009), 'Apartment Lotting-out'(2010), 'Economic Assessment'(2011), 'Cost'(2012), 'Green Building', 'Apartment Sales', 'Law', 'Society'(2013), 'Floor Impact Noise', 'Seoul'(2014), 'Noise'(2015), 'Hedonic Model'(2016). In addition, following research topics are expected to be active in the future: In maturity stage of the research development is going to be 'Apartment Price', 'Space', 'Management of Apartment Housing'; the hedonic model, which is research growth and development stage, is going to be '(Floor Impact) Noise', 'Community', 'Energy.

• Journal of Preventive Medicine and Public Health
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• 제49권4호
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• pp.220-229
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• 2016

Objectives: The association between educational status and 10-year risk for acute coronary syndrome (ACS) and all-cause mortality was evaluated. Methods: From October 2003 to September 2004, 2172 consecutive ACS patients from six Greek hospitals were enrolled. In 2013 to 2014, a 10-year follow-up (2004-2014) assessment was performed for 1918 participants (participation rate, 88%). Each patient's educational status was classified as low (<9 years of school), intermediate (9 to 14 years), or high (>14 years). Results: Overall all-cause mortality was almost twofold higher in the low-education group than in the intermediate-education and high-education groups (40% vs. 22% and 19%, respectively, p<0.001). Additionally, 10-year recurrent ACS events (fatal and non-fatal) were more common in the low-education group than in the intermediate-education and high-education groups (42% vs. 30% and 35%, p<0.001), and no interactions between sex and education on the investigated outcomes were observed. Moreover, patients in the high-education group were more physically active, had a better financial status, and were less likely to have hypertension, diabetes, or ACS than the participants with the least education (p<0.001); however, when those characteristics and lifestyle habits were accounted for, no moderating effects regarding the relationship of educational status with all-cause mortality and ACS events were observed. Conclusions: A U-shaped association may be proposed for the relationship between ACS prognosis and educational status, with participants in the low-education and high-education groups being negatively affected by other factors (e.g., job stress, depression, or loneliness). Public health policies should be aimed at specific social groups to reduce the overall burden of cardiovascular disease morbidity.

• Asia pacific journal of information systems
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• 제21권3호
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• pp.71-96
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• 2011

Within the traditional medical delivery system, patients residing in medically vulnerable areas, those with body movement difficulties, and nursing facility residents have had limited access to good healthcare services. However, Information and Communication Technology (ICT) provides us with a convenient and useful means of overcoming distance and time constraints. ICT is integrated with biomedical science and technology in a way that offers a new high-quality medical service. As a result, rapid technological advancement is expected to play a pivotal role bringing about innovation in a wide range of medical service areas, such as medical management, testing, diagnosis, and treatment; offering new and improved healthcare services; and effecting dramatic changes in current medical services. The increase in aging population and chronic diseases has caused an increase in medical expenses. In response to the increasing demand for efficient healthcare services, a telehealth service based on ICT is being emphasized on a global level. Telehealth services have been implemented especially in pilot projects and system development and technological research. With the service about to be implemented in earnest, it is necessary to study its overall acceptance by consumers, which is expected to contribute to the development and activation of a variety of services. In this sense, the study aims at positively examining the structural relationship among the acceptance factors for telehealth services based on the Technology Acceptance Model (TAM). Data were collected by showing audiovisual material on telehealth services to online panels and requesting them to respond to a structured questionnaire sheet, which is known as the information acceleration method. Among the 1,165 adult respondents, 608 valid samples were finally chosen, while the remaining were excluded because of incomplete answers or allotted time overrun. In order to test the reliability and validity of the assessment scale items, we carried out reliability and factor analyses, and in order to explore the causal relation among potential variables, we conducted a structural equation modeling analysis using AMOS 7.0 and SPSS 17.0. The research outcomes are as follows. First, service quality, innovativeness of medical technology, and social influence were shown to affect perceived ease of use and perceived usefulness of the telehealth service, which was statistically significant, and the two factors had a positive impact on willingness to accept the telehealth service. In addition, social influence had a direct, significant effect on intention to use, which is paralleled by the TAM used in previous research on technology acceptance. This shows that the research model proposed in the study effectively explains the acceptance of the telehealth service. Second, the research model reveals that information privacy concerns had a insignificant impact on perceived ease of use of the telehealth service. From this, it can be gathered that the concerns over information protection and security are reduced further due to advancements in information technology compared to the initial period in the information technology industry, and thus the improvement in quality of medical services appeared to ensure that information privacy concerns did not act as a prohibiting factor in the acceptance of the telehealth service. Thus, if other factors have an enormous impact on ease of use and usefulness, concerns over these results in the initial period of technology acceptance may become irrelevant. However, it is clear that users' information privacy concerns, as other studies have revealed, is a major factor affecting technology acceptance. Thus, caution must be exercised while interpreting the result, and further study is required on the issue. Numerous information technologies with outstanding performance and innovativeness often attract few consumers. A revised bill for those urgently in need of telehealth services is about to be approved in the national assembly. As telemedicine is implemented between doctors and patients, a wide range of systems that will improve the quality of healthcare services will be designed. In this sense, the study on the consumer acceptance of telehealth services is meaningful and offers strong academic evidence. Based on the implications, it can be expected to contribute to the activation of telehealth services. Further study is needed to assess the acceptance factors for telehealth services, such as motivation to remain healthy, health care involvement, knowledge on health, and control of health-related behavior, in order to develop unique services according to the categorization of customers based on health factors. In addition, further study may focus on various theoretical cognitive behavior models other than the TAM, such as the health belief model.

• Ecology and Resilient Infrastructure
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• 제8권2호
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• pp.120-132
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• 2021

서울시 생태경관보전지역은 자연환경보전법과 자연환경보전조례에 근거하고 있다. 2018년 제13차 람사르협약 당사국총회에서 '습지 생태계서비스 간편평가 도구'가 채택되었으며, 람사르습지 도시 인증제 항목에 습지 생태계서비스 평가 항목이 포함됨에 따라 이를 평가할 자료가 필요하다. 본 연구는 서울시 생태경관 보전지역 중 생태적 보전 가치가 높은 습지 5곳을 선정하여 InVEST 모델로 탄소저장량과 경제성 평가를 하고자 하였다. 연구결과는 탄천습지 3,674.62 Mg, 한강 밤섬 1,511.57 Mg, 고덕동 습지 5,007.21 Mg, 암사동 습지 7,108.47 Mg, 여의도 샛강 습지 290.27Mg으로 도출되었다. 이 중 탄천습지는 2013년의 탄천습지의 탄소저장량은 4,804.99 Mg로 탄소저장량 1,130.37 Mg 감소하여 실효탄소요금 평균값인 $16.06(US)를 적용하였을 경우, $15,910.58(US) 손실된 것으로 환산되었고, 기후변화에 따른 생산성과 생태계에 미치는 영향을 포함한 탄소의 사회적 비용 평균값인 $204(US)를 적용하였을 경우, $202,101.97(US) 손실로 도출되었다. 본 연구는 서울시 주요 습지지역을 선정하여 도심 속 습지가 주고 있는 자연자원의 가치를 평가하고자 하였다. 서울시 주요 습지의 생태적 가치 평가를 통하여 생태경관보전지역 보호 및 관리 방안의 기초자료로 활용이 가능할 것으로 판단된다. 또한, 습지 가치 평가에 대한 중요 의제로 간주되고 있음에 따라 향후 람사르 습지도시 인증제 항목에서 생태계서비스 평가 방안 제시가 가능하다고 사료된다. 람사르 습지를 인식하여 중요한 습지의 발굴 유도에 활용이 가능하며, 도심지역 내 습지 보전의 중요성에 대한 인식 증진과 람사르 습지의 국제적 교류에 도움을 줄 수 있다고 판단된다.

• 환경영향평가
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• 제28권5호
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• pp.440-456
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• 2019

본 연구는 미세먼지에 대한 야외활동의 위험인식의 논란에 따른 미세먼지 우려의 본질을 파악해보고자 미세먼지의 노출로 건강에 영향을 많이 받는 자전거 커뮤니티를 대상으로 카페글과 댓글을 수집하여 분석하였다. 그 결과 첫째, 정부에서 주도한 미세먼지 정책은 매 시기별로 견고해지고, 세분화되고 있었지만 자전거 커뮤니티 내에서의 미세먼지 위험인식은 시간흐름에 따라 논의가 활성화되고, 심각해지고 있었다. 둘째, 미세먼지 우려로 인한 야외활동 인식변화를 분석한 결과 자전거 커뮤니티 회원들은 날씨 변수보다 미세먼지 등급에 따라 야외활동 여부가 달라지는 양상을 보였다. 또한 국내 미세먼지 수치나 마스크 성능에 대한 불신과 맞물리면서 일상생활과 건강에 심각한 위협을 주는 공포의 대상으로 변화되고 있었다. 궁극적으로 이러한 미세먼지 위험인식은 주로 야외에서 즐겼던 자전거활동 일부를 실내공간으로 이동하게 하였다. 하지만 경관, 사람, 날씨 등 야외에서 다양한 요소들을 누리며 즐겼던 자전거활동에 비해 단조로운 실내 자전거운동은 헬스, 요가 등의 다른 실내운동 유형으로 전환되고 있었다. 종합적으로 살펴보면 미세먼지에 대한 자전거 이용객의 위험인식이나 야외 자전거활동의 인식변화는 정부나 지자체 등에서 제공하는 미세먼지 농도수치의 정확성, 중국영향, 국내 어플리케이션 신뢰성, 마스크 성능, 미세먼지 농도 제시방법(숫자제시형, 점적 데이터 제공) 등 정책 불신과 검증되지 않는 과도한 정보 오류로 인한 논란이 가장 큰 역할을 하고 있는 것으로 도출되었다. 따라서 모든 계층을 아우르는 종합적 사회방안이나 정부주도형 미세먼지 정책을 제시하기보다 자전거 이용객들의 눈높이에서 미세먼지로 인한 건강상의 위험을 인지하는 것이 필요하다. 또한 총체적 유기적으로 미세먼지를 인식하도록 돕는 체감형 위험 커뮤니케이션이나 교육 및 홍보과정이 선행되어야 하고, 단계별 토의를 통한 사회적 합의와 함께 향후 야외활동 유형별로 세분화된 체계적 연구가 추진되어야할 것으로 판단된다. 이에 따라 본 연구는 정부와 지자체, 언론, 국민들의 효과적인 커뮤니케이션 방향 모색을 위한 학술적 근거로 제공될 수 있을 것으로 기대된다.