• 제목/요약/키워드: primary prevention

검색결과 1,241건 처리시간 0.027초

도시 홍수 취약성의 공간적 분포 - 서울 지역을 중심으로 - (Spatial Patterns of Urban Flood Vulnerability in Seoul)

  • 김지수;성효현;최광용
    • 한국지역지리학회지
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    • 제19권4호
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    • pp.615-626
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    • 2013
  • 연구는 최근 5년간(2006~2010) 서울시 행정동 단위별로 도시 홍수를 유발하는 기후요인, 홍수에 노출된 정도를 나타내는 민감도, 홍수피해를 저감하는 능력을 나타내는 적응도 요소들을 종합한 서울 도심지역의 홍수 취약도 지수의 공간적 분포 특징을 밝히고자 하였다. IPCC(Intergovernmental Panel on Climate Change) 취약성 모델에 기반을 둔 상관성 분석 결과 서울 도심의 홍수피해 건수는 여러 홍수취약성 관련 변수 중 빗물저류조 용량, 1일 최대강우량, 빗물펌프장 토출량 등과 높은 상관관계를 갖는 것으로 나타났다. 서울 도심지역의 홍수 취약도 공간분포도를 분석한 결과 안양천과 중랑천 등 도심하천 주변의 광범위한 행정동 지역에서는 공통적으로 높은 민감도가 홍수 취약도를 높이는 주요 요인임을 알 수 있었다. 특히, 중랑천 주변지역은 높은 민감도 이외에도 높은 기후요인에 의해 홍수 취약도가 높게 나타남을 알 수 있다. 국지적으로 홍수 취약성이 높게 나타난 강동구와 송파구 일부 행정동 지역에서는 적응도가 낮아 홍수 취약도가 높게 나타났고, 강남구 일부 행정동 지역에서는 극한강수현상과 같은 기후요인과 민감도가 높아 홍수 취약도가 상대적으로 높게 나타나고 있다. 이러한 고해상도 행정구역인 행정동 단위에서 도출된 홍수 취약성 분포도는 도심 내부의 지역별 적합한 홍수 대응, 관리 및 예방 정책을 수립하는 데 유용한 기초자료로 활용될 수 있을 것으로 예상된다.

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이화학적 환경변수가 제지슬러지케이크의 조기부숙에 미치는 영향 (The Effect of Physico - Chemical Environmental Parameters on Early Composting of Paper - Mill Sludge Cakes)

  • 최홍림;김현태;하호성;정영윤;남상일;서형덕;정원준
    • 한국농공학회지
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    • 제34권3호
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    • pp.75-84
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    • 1992
  • The paper manufactories in Sangpyeong Industrial Estates, Chinju, produce more than 80 tons of paper-mill sludge cakes every day, which costs about 840 million won for dump per year. Since the paper-mill sludge is biodegradable, the sludge can he utilized as an organic fertilizer if it is properly decomposed. This may lead to not only dramatic cut of the treatment cost but prevention from secondary environmental contamination due to dump. The primary objective of the study was to explore the quantitative range of major enviromental parameters influencing early composting of paper-mill cakes, naturally pretreated in warn and cold weather. The automatically-controlled reactor was designed, manufactured, and operated for nine days to decompose about 2201 of raw sludge cakes. Four tests(Test 1-Test 4) were implemented for the study of Phase I. Treatments of two levels of initial temperature (40˚C and 28˚C) and two levels of water content + C/N ratio (35% + 40 and 63% + 80) were made to test the significance of their parameters for decomposition of raw sludge cakes pretreated in warm weather. Another four tests (Test 5- Test 8) were implemented for the study of Phase II. Treatments of initial temperature and water content(W/C) + C/N ratio of raw sludge pretreated in cold weather were made to 16˚C and 13% +58 for Test 5, 6˚C and 53% +55 for Test 6, 7˚C and 36% +81 for Test 7, 31˚C and 30% +81 for Test 8. Natural weater condition(pretreatment condition) revealed the importance m composting of the paper-mill sludge cakes. Combination of water content adjustment to about 30% with C/N ratio amendment of about 20 and initial temperature of 30~40˚C was concluded to be the best for early composting of paper-mill sludge cakes with aeration rate and pH fixed. Temperature and C/N ratio were adapted as judging variables for composting degree. In addition, tests for microbial activity were performed to validate the experimental results. Since the temperature and C/N ratio did not coincide in some tests as judging variables for the maturity of the composting sludges, taking one of these parameters could mislead the concept of the maturity (composting conceptually new criterion to provide more reliable information for early composting of paper-mill sludge cakes.

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현대사회의 환경변화에 따른 Bio-Terror의 위협요인 연구 (A Study on the Threat of Biological Terrorism in modern society)

  • 강영숙;김태환
    • 한국재난정보학회 논문집
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    • 제1권1호
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    • pp.3-26
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    • 2005
  • In recent years, there is growing concern about the potential use of biological agents in war or acts of terrorism accompanied an increased realization that rapid preparedness and response are needed to prevent or treat the human damage that can be caused by these agents. The threat is indeed serious, and the potential for devastating numbers of casualties is high. The use of agents as weapons, even on a small scale, has the potential for huge social and economic disruption and massive diversion of regional and national resources to combat the threat, to treat primary disease, and to clean up environmental contamination. Biological weapons are one of weapons of mass destruction (or mass casualty weapons, to be precise. since they do not damage non-living entities) that are based on bacteria, viruses, rickettsia, fungi or toxins produced by these organisms. Biological weapons are known to be easy and cheap to produce and can be used to selectively target humans, animals, or plants. Theses agents can cause large numbers of casualties with minimal logistical requirements (in wide area). The spread of disease cannot be controlled until there is awareness of the signs of infection followed by identification of agents; and if the organism is easily spread from person to person, as in the case of smallpox, the number of casualties could run into the tens of thousands. Biological weapons could be used covertly, there can be a lot of different deployment scenarios. A lot of different agents could be used in biological weapons. And, there are a lot of different techniques to manufacture biological weapons. Terrorist acts that make use of Biological Agents differ in a number of ways from those involving chemicals. The distinction between terrorist and military use of Biological Weapon is increasingly problematic. The stealthy qualities of biological weapons further complicate the distinction between terrorism and war. In reality, all biological attacks are likely to require an integrated response involving both military and civilian communities. The basic considerations when public health agencies establish national defence plan against bioterrorism must be 1) arraying various laws and regulations to meet the realistic needs, 2)education for public health personnels and support of concerned academic society, 3)information collection and cooperative project with other countries, 4)Detection and surveillance(Early detection is essential for ensuring a prompt response to biological or chemical attack, including the provision of prophylactic medicines, chemical antidotes, or vaccines) and 5) Response(A comprehensive public health response to a biological or chemical terrorist event involves epidemiologic investigation, medical treatment and prophylaxis for affacted persons, and the initiation of disease prevention or environmental decontamination measures). The purpose of this paper is providing basic material of preparedness and response for biological terrorism in modern society.

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후두전적출술 후 기공주변의 재발 (Stomal Recurrence after Total Laryngectomy - A Critical Analysis of Etiology and Therapeutic Problems­)

  • 최종욱;정광윤;오재훈;김용환;김병훈
    • 대한두경부종양학회지
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    • 제10권2호
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    • pp.152-156
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    • 1994
  • 최근 10년간 후두전적출술을 시행하였던 159례 중 기공주변 재발이 발생하였던 12례에 대하여 후향적으로 분석함으로써 다음과 같은 결과를 얻었다. 1) 기공주변의 재발은 1차 치료종결후 평균 8.23개월에 발견되었으며, 발생빈도는 7.55%이었다. 2) 추정 원인은 광범위한 원발병소로 인한 부적절한 절재연, 기관절개술후 근치수술의 지연, 불완전한 림프전이절의 처리 순이었다. 3) 7례는 항암화학요법(국소 또는 전신적)과 고식적 방사선요법을 시행하였으며, 5례는 구제수술을 시행한 후 고식적 방사선요법 및 항암화학요법을 시행하였으나 구제수술을 받은 제 1형 1례를 제외하고는 모두 사망하였으며, 평균 생존기간은 $7.32{\pm}5.61$개월 이었다. 이상의 성적에서 기공주변의 재발 가능성이 높은 고위험군에 대하여는 광범위한 절제 후 적극적인 추적관찰과 더불어 과감한 구제수술로 생존기간을 연장할 수 있을 것으로 생각되었다.

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잠양자음약물(潛陽滋陰藥物)이 뇌출혈(腦出血) 환자(患者)의 고혈압(高血壓)에 미치는 영향(影響)에 대한 임상적(臨床的) 고찰(考察) (The clinical study of the effect of Jamyang.Jaum prescriptions on the hypertension evolution in cerebral hemorrhage patients)

  • 최철원;김동웅;신선호;전희준;황보연;정대영
    • 대한한의학회지
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    • 제18권1호
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    • pp.72-81
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    • 1997
  • The causes of stroke are presumed hypertension, atherosclerosis,. cardiac disease, diabetes mellitus and old age and risk factors of stroke are suggested hypertension, hyperlipidemia. obesity, smoking and drinking etc. Especilly, hypertension is one of the most important cause and risk factor of stroke, therfore without therapy hypertension leads to stroke. The frequence of hypertension is significantly higher in hemorrhage patients of intracranial hemorrhage and subarachnoid hemorrhage. Antihypertensive therapy has an impact not only on the primary prevention of stroke but also on stroke recurrence and the declining of stroke motality has been attributed to the widespread availability and use of antihypertensive therapy. The goals of antihypertensive therapy decrease the complications and motalitv of cardiovascular system and prevent the promoting arteriosclerosis. In this study, we observed the blood pressure change of cb-hemorrhagic patients with hypertension who were hospitalized from 1996. 3. 1 to 1997. 2 .26 in Wonkwang Oriental Hospital. These patients had no antihypertensive therapy and were supplied herb med(Jaum sikpoongtang, Chungrijagamtang, Gojinumja) in medication. Our results suggested as follows. 1. Systolic and diastolic average BP at admission is $150.71{\pm}15.61mmHg$ and $95.00{\pm}8.8mmHg$ and this is hypertension state defining WHO 2. During one week in admission, the blood pressure demostrated a marked declination by SBP 8.97mmHg and DBP 6.22mmHg. 3. During two week in admission, the declination of SBP was significant in paired t-test(p<0.05) but, the declination of DBP was non-significant in paired t-test. 4. The blood pressure during third and fourth weeks gradually declined but, non-significant in test. According to the above results, we suggested that the BP declination Was affected by $Jamyang{\cdot}Jaum$ prescriptions in acute stage of cerebral hemorrhage.

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역대 대한소아치과학회지 게재논문의 분야별 분포에 대한 조사 (A THEMATIC SURVEY ON THE REPORTS PUBLISHED IN THE JOURNAL OF THE KOREAN ACADEMY OF PEDIATRIC DENTISTRY)

  • 김재문;정태성;김신
    • 대한소아치과학회지
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    • 제29권2호
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    • pp.270-277
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    • 2002
  • 본 조사는 한국의 소아치과학 연구 분야와 방향이 어떠한 변화를 거쳐왔는지를 연대별로 파악하여 우리의 연구관심이 시대별로 어디에 집중되어 왔는가를 알아보고, 향후 우리가 어느 분야에 관심을 더 쏟을 필요가 있는가를 파악하려는 의도로 시도되었다. 이에 저자는 1974년부터 2001년에 걸쳐 한국소아치과학회지에 게재된 논문들을 주제별로 분류하고 연구주제의 변화양상을 파악하여 이를 보고하는 바이다. 1. 치과용 재료와 장비에 관한 연구는 지속적인 증가추세를 보였다. 특히, 치과용 재료에 관한 연구는 논문 수가 많을 뿐 아니라, 지속적인 증가추세를 보였다. 2. 치아우식증, 우식의 예방, 장애아동 및 전신질환에 관련된 연구는 전 기간에 걸쳐 균일하게 높은 분포를 보였다. 특히, 우식예방에 관한 연구는 제 1기에 비해 제 2, 3기에 들어서면서 상대적으로 늘어나는 경향을 보였다. 3. 부정교합의 원인과 치료. 구강병리와 소수술은 제 2기부터 증가하다가 근래에 들어 감소추세를 보였다. 4. 부정교합의 골격연구, 치아의 발육과 맹출, 치아의 발육장애, 치수치료, 치열공간의 관리에 대한 연구는 과거부터 지속적인 감소추세를 보였다. 5. 신체의 발육, 행동조절, 구강악습관, 유치열과 혼합치열기의 교합에 관한 연구는 전 기간에 걸쳐 1%에 못 미치는 낮은 분포를 보였다.

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HIV병 사망자 중 결핵 사망 분율과 관련 요인 (Related factors of the Tuberculosis as a primary cause among the HIV disease deaths)

  • 이혜권;나백주;천성아;박균익
    • 농촌의학ㆍ지역보건
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    • 제40권2호
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    • pp.72-79
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    • 2015
  • 본 연구는 HIV병 사망자 중 HIV병과 결핵이 동반사망한 분율을 조사하고 그 관련 요인을 분석하였다. 2002년부터 2010년까지 사이에 HIV병 사망자는 모두 774명으로 결핵이 동반사망한 분율은 10.1%로 나타났다. 그런데 이러한 분율은 2005년부터 2007년 사이에 16.3%까지 치솟았지만 2008년부터 2010년 사이에는 4%까지 감소하는 경향을 보였다. 또한 HIV-결핵 동반사망 분율은 젊은 계층에서 더 높았고 배우자가 있는 그룹과 교육을 잘 받은 그룹에서는 유의하게 낮은 경향을 보였다. 이처럼 활동성이 높은 젊은층에서 HIV-결핵 동반사망 분율이 높고 사회경제적 안정계층에서 HIV-결핵 동반사망 분율이 낮은 것은 비슷한 해외 연구에서도 유사하게 나타나고 있어 HIV-결핵 동반사망의 예방 가능성을 시사한다. 한국은 다행히 점차 HIV-결핵 동반사망 분율이 낮아지고 있어 HIV감염자에 대한 결핵 예방사업의 효과가 나타나고 있음을 시사하고 이후 이러한 지표의 지속적인 모니터링이 필요함을 보여주고 있다.

대학생의 건강증진해위 수행정도와 관련요인 (Health Promoting Behavior of University Students and Related Factors)

  • 김보경;정문숙;한창현
    • 보건교육건강증진학회지
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    • 제19권1호
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    • pp.59-85
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    • 2002
  • The purpose of this study was to examine the health promoting behavior of university students and its related factors. A self-administered questionnaire survey was carried out for 1,031(male, 477, female, 554) students from 7 universities in Taegu from March 10 to April 15 2000. Collected data were analyzed by the $X^2$-test, t-test, ANOV A and structural equation modeling analysis. The results of this study were as follows; Mean score of health promoting behavior of women was higher than mean score of men(p〈0.01). According to the subordinate fields, female students showed significantly higher scores in the fields of stress management, nutrition, personal relations and alcohol-cigarette(p〈0.05). And in male students, the only fields of exercise had meaningfully higher score(p〈0.01). The highest degree of performance was marked in alcohol-cigarette field in female, and interpersonal field in male. In Both male and female students, the lowest field was health responsibility. The mean score of health promoting behavior showed significant differences in intermediating factors such as age, health education and grade in male, and such as grade, pocket money for a month, taking health education, perceived body shape and gastrointestinal symptoms in female(p〈0.05). The mean score of health promoting behavior showed significant differences in cognitive-perceptual factors and cues to action such as perceived health status, perceived benefits, perceived barriers, and health concern of parents in both male and female(p〈0.05). By the results of structural equation modeling analysis in male students, the economic status, gastrointestinal symptoms and perceived body shape as lean had significant direct effects on cognitive-perceptual factors($\mid$T$\mid$〉2.0). Grade and health concern of parents had significant direct effects on health promotion behaviors($\mid$T$\mid$〉2.0). In female students, perceived body shape as lean and perceived body shape as fat had significant direct effects on cognitive-perceptual factors($\mid$T$\mid$〉2.0). Grade, pocket money and health concern of parents had significant direct effects on health promotion behaviors($\mid$T$\mid$〉2.0). On the consideration of above findings, it is recommended that perceived health status and perceived benefits should be raised and perceived barriers should be lowered to increase health promoting behaviors, by means such as institutional approach which can enhance the primary prevention for a disease. In addition, the health policy for improving parents' concern about health as well as university students, through various ways such as health education, consulting, and health program, should be employed.

척추 질환으로 내원한 일본 직장인의 허리 통증 경험이 신체 부위 근골격계질환과의 관련성에 관한 연구 ((A)Study on the relationship between back pain experiences of Japanese employees with spinal disorder and body Musculoskeletal disorder)

  • 정한석;타나베 하지메;쿠와오카 토시후미;아마노 미나에;오노데라 야스시;이노우치 타카시;이모토 유이치;타나베 케이치
    • 대한안전경영과학회지
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    • 제17권2호
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    • pp.107-115
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    • 2015
  • The study targeted Japanese employees who have visited hospital for spinal disorder. The study analyzed work environment and pain relief methods of work-related back pain patients, and the relationship between back pain and other body parts. The purpose of this study was to provide draw up measures for patients with back pain and to provide basic data for the sustainable prevention program. The study result of back pain, in other words, employees suffering from lumbago, had disparity between occupations; the highest number of patients were made up of 16-years or above long-serving employees, and below 5-years of short-serving employees. There were more patients complaining of chronic lumbago than acute lumbago, and patients recognized poor posture as the primary cause of lumbago. Furthermore, 99.5% of spinal disorder patients complain back pain, 23.2% use only alternative therapy, and 15.2% visit clinic and hospital with alternative therapy. Patients showed pain reduction and high satisfaction after using alternative therapy. The study targeted Japanese employees where complement therapy is more generalized than that of Korea, and thus there should be multilateral management programs provided in Korea as well.

한국 조직의 부패: 문화적 관점에서의 예방책 (Corruption in Korean Organizations: Prevention Measures from Cultural Perspectives)

  • 전인우
    • 디지털융복합연구
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    • 제18권7호
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    • pp.157-166
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    • 2020
  • 본 연구는 한국의 공공부문 및 민간부문 주요 부패 현황을 살펴보았다. 연구방법은 2차 자료 분석 방법을 채택하였으며, 분석 자료는 입소스(Ipsos)에서 2019년 3월 발표한 '한국사회 부패현황'을 사용하였다. 두 집단의 주요 부패 추이를 살펴보기 위해 연도별 차이분석을 실시하였으며, 주요 결과는 다음과 같다. 첫째, 공공 부문에서는 뇌물과 같이 눈에 띄는 범죄의 수는 감소하지만, 직권남용처럼 쉽게 감지되지 않는 지능적 범죄는 증가하고 있었다. 민간부문에서는 횡령은 점점 감소하고 있었지만, 업무상 배임은 일정 수준을 유지하고 있었다. 둘째, 2003년부터 2017년까지 공공부문의 주요 부패 연간증감률 평균은 8.0%인데 반해, 민간부문은 1.8%로 나타났다. 셋째, 공공부문은 2015년을 제외하고 부패가 조금씩 증가하고 있지만, 민간부문은 2014년 이후 점차 감소하고 있었다. 본 연구는 높은 권력간격 문화의 개선, 낮은 부패인식 문화의 개선, 무처벌 문화의 폐지와 같은 문화적 측면을 고려한 세 가지 예방조치를 제시함으로써 학술적 기여도와 차별성이 있다. 향후 1차 자료를 통한 실증연구나 두 집단을 분리한 개별적 연구가 요구되어진다.