• Journal of Preventive Medicine and Public Health
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• 제53권1호
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• pp.3-14
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• 2020

Many studies have been conducted to assess the health effects of climate change in Korea. However, there has been a lack of consideration regarding how the results of these studies can be applied to relevant policies. The current study aims to examine research trends at the agenda-setting stage and to review future ways in which health-related adaptation to climate change can be addressed within national public health policy. A systematic review of previous studies of the health effects of climate change in Korea was conducted. Many studies have evaluated the effect of ambient temperature on health. A large number of studies have examined the effects on deaths and cardio-cerebrovascular diseases, but a limitation of these studies is that it is difficult to apply their findings to climate change adaptation policy in the health sector. Many infectious disease studies were also identified, but these mainly focused on malaria. Regarding climate change-related factors other than ambient temperature, studies of the health effects of these factors (with the exception of air pollution) are limited. In Korea, it can be concluded that studies conducted as part of the agenda-setting stage are insufficient, both because studies on the health effects of climate change have not ventured beyond defining the problem and because health adaptation to climate change has not been set as an important agenda item. In the future, the sharing and development of relevant databases is necessary. In addition, the priority of agenda items should be determined as part of a government initiative.

• Asian Pacific Journal of Cancer Prevention
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• 제17권11호
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• pp.4875-4883
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• 2016

Background and objective: Breast cancer-related lymphoedema (BCRL) is a disabling complication with long term impact on quality on life after breast cancer treatment. Its management remains a major challenge for patients and health care professionals; the goal of this overview was to summarize effects of different treatment strategies for patients with BCRL. Methods: A thorough search was undertaken to allow a systematic review or meta-analysis of treatments for BCRL. Two investigators independently selected studies and abstracted the data. Results: Combined physical therapy (CPT) with different combinations of surgery, oral pharmaceuticals, low-level laser therapy, weight reduction, mesenchymal stem cell therapy, kinesio tex taping, and acupuncture might be effective in reducing lymphoedema, but exercise demonstrated no obvious benefit. The results of direct comparisons showed CPT might be more effective than standard physiotherapy (ST). Manual lymphatic drainage (MLD) may not offer additional benefits to ST for swelling reduction, but could facilitate compression bandaging. MLD seemed to have similar effects with self-administered simple lymphatic drainage (SLD) or using an intermittent pneumatic compression pump (IPC). IPC might also not be associated with additional effectiveness for CPT. Efficacy of stem cell therapy vs. compression sleeve or CPT, as well as the effects of daflon and coumarin could not be established. Conclusion: Although many treatments for BCRL might reduce lymphoedema volume, their effects were not well established. The quality of many of the original studies in the included reviews was not optimal, so that in future randomized control trials are a high priority.

• Safety and Health at Work
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• 제11권3호
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• pp.262-265
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• 2020

Coronavirus disease 2019 (Covid-19) poses an important occupational health risk to health workers (HWs) that has attracted global scrutiny. To date, several thousand HWs globally have been reported as infected with the severe acute respiratory syndrome coronavirus 2 virus that causes the disease. It is therefore a public health priority for policymakers to understand risk factors for this vulnerable group to avert occupational transmission. A rapid review was carried out on 20 April 2020 on Covid-19 risk factors among HWs in PubMed, Google Scholar, and EBSCOHost Web (Academic Search Complete, CINAHL Complete, MEDLINE with Full Text, CINAHL with Full Text, APA PsycInfo, Health Source-Consumer Edition, Health Source: Nursing/Academic Edition) and WHO Global Database. We also searched for preprints on the medRxiv database. We searched for reports, reviews, and primary observational studies (case control, case cross-over, cross-sectional, and cohort). The review included studies conducted among HWs with Covid-19 that reported risk factors irrespective of their sample size. Eleven studies met the inclusion criteria. Lack of personal protective equipment, exposure to infected patients, work overload, poor infection control, and preexisting medical conditions were identified as risk factors for Covid-19 among HWs. In the context of Covid-19, HWs face an unprecedented occupational risk of morbidity and mortality. There is need for rapid development of sustainable measures that protect HWs from the pandemic.

• 보건교육건강증진학회지
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• 제33권4호
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• pp.21-34
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• 2016

Objectives: This is to review drinking behavior and policies to reduce harms caused by alcohol use in Korea and to discuss their implications from a health promotion perspective. Methods: A purported selection was made to include extant literature on drinking behaviors and alcohol control policies into this review. For drinking behaviors reports of national health statistics were used while reports of alcohol control policies submitted to public institutes/organizations were selected for review. Results: Alcohol consumption per capita indicates stable trends over the last two decades. However, percentages of drinkers with high risk drinking over time vary; men remains stable while female appears to increase. Relatively, a few data and/or reports were available about harms derived from alcohol use. Although there are alcohol policies being cost-effective to deal with alcohol related harm in Western society, few alcohol policy available in Korea of being effective, cost-effective with respect to reduction of harms associated with alcohol use. Conclusions: Policy emphasis should be shift from drinkers to availability of alcohol to reduce alcohol related harms with taking health in all policies into consideration. Both statutory mechanism and public acceptance should be of high priority in putting recommended alcohol policy into action.

• 대한간호학회지
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• 제43권3호
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• pp.420-430
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• 2013

Purpose: The aim of this study was to review the literature to determine whether intensive pelvic floor muscle training during pregnancy and after delivery could prevent urinary and fecal incontinence. Methods: Randomized controlled trials (RCT) of low-risk obstetric populations who had done Kegel exercise during pregnancy and after delivery met the inclusion criteria. Articles published between 1966 and 2012 from periodicals indexed in Ovid Medline, Embase, Scopus, KoreaMed, NDSL and other databases were selected, using the following keywords: 'Kegel, pelvic floor exercise'. The Cochrane's Risk of Bias was applied to assess the internal validity of the RCT. Fourteen selected studies were analyzed by meta-analysis using RevMan 5.1. Results: Fourteen RCTs with high methodological quality, involving 6,454 women were included. They indicated that Kegel exercise significantly reduced the development of urinary and fecal incontinence from pregnancy to postpartum. Also, there was low clinical heterogeneity. Conclusion: There is some evidence that for antenatal and postnatal women, Kegel exercise can prevent urinary and fecal incontinence. Therefore, a priority task is to develop standardized Kegel exercise programs for Korean pregnant and postpartum women and make efficient use of these programs.

• 한국화재소방학회논문지
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• 제28권3호
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• pp.72-79
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• 2014

본 연구는 119구급대에서 사용하는 주들것의 문제점을 확인하고 그 개선방안을 도출하는 것을 목적으로 한다. 주들것의 문제점 도출을 위하여 문헌분석, 설문조사법을 사용하였고, 개선지표의 도출을 위해 KJ법(가와기타 지로법, 친화도법), 그래프기법, 우선순위 행렬법을 활용하였다. 주들것의 문제점은 현재 구급자동차의 부품으로서 인식되는 점, 성능확인 기준이 미비한 점, 조작 중 구급대원 부상 및 환자사고가 발생하는 점으로 요약할 수 있었으며, 이를 개선할 수 있는 개선지표로는 조작편리성, 고성능, 다기능, 주행성, 내구성, 경량화가 도출되었다. 이 지표에 대한 상호연관성 분석 및 우선순위행렬법 적용 결과는 조작편리성 ${\rightarrow}$ 다기능 ${\rightarrow}$ 주행성 ${\rightarrow}$ 고성능 ${\rightarrow}$ 내구성 경량화 순으로 나타났다.

• 한국주거학회논문집
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• 제26권4호
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• pp.95-104
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• 2015

Public rental housing in Korea has been initially provided for residential stability of low-income household focusing on solving quantitative insufficiency since 1980s. In the process of early stage of designing and planning public rental housing, qualitative aspects of considering children were not primary concern. This study aims to analyze the priority of environmental improvement of outdoor spaces for children's safety in public rental housing. First, literature review was performed in the reference of local residential safety guidelines, Universal Design, and CPTED guidelines. In each guidelines, common safety planning factors for children were extracted within different types of outdoor spaces. Second, based on literature analysis, residents evaluated importance and satisfaction level by different safety types, outdoor space type, and environmental planning factors. In results, residents evaluated high importance and showed low satisfaction for crime and traffic safety. Through IPA, facilities and parking space was evaluated where improvement is needed for the first priority, and planning factors were mostly concerned with surveillance and safety management system. Result shows general concern of public rental housing residents, about weak facility management and security system, and about socially isolated environment which heightened the fear of crime safety. Overall, poor maintenance of the complex environment and decrepit facilities are constantly raising risk of safety accidents especially for children. Considering residents' concern, environmental improvement should be considered in perspective of not only physical repair, but also facility management and security system.

• 정보처리학회논문지:소프트웨어 및 데이터공학
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• 제2권12호
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• pp.841-848
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• 2013

오늘날 금융이 급격하게 변화함에 따라 e-뱅킹 시스템을 개발하는 프로젝트의 구축 기간은 점차 짧아지고 있고, 이로 인해 구축에서의 위험 또한 증가하고 있다. 때문에 금융사는 프로젝트 개발 중에도 시스템의 품질을 검토하길 요구한다. 하지만 개발사 입장에서 이와 같은 추가적인 품질 검토는 투입되는 노력으로 인해 개발을 지연시키는 요인이 되고, 결국 금융사와 개발사의 갈등을 야기한다. 이와 같은 문제를 해결하기 위해 이 논문에서는 e-뱅킹 시스템에 특성을 고려하여 우선순위를 정의하고, 이를 통해 효율적인 코드 인스펙션을 위한 범위 우선순위 판단 기준을 설계한다. 설계된 코드 인스펙션 범위를 이용하여 적은 노력으로 효율적인 코드 인스펙션을 수행할 수 있으며, 해당 범위를 활용하여 좀 더 고품질의 프로덕트를 개발할 수 있을 것으로 기대된다.

• 한국환경보건학회지
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• 제43권1호
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• pp.23-41
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• 2017

Objectives: In this study, we seek to perform a priority selection for test substances for chronic inhalation toxicity studies, including acute and subchronic inhalation toxicity studies, which are to be performed after the construction of a chronic/carcinogenicity inhalation toxicity study facility and enactment of pertinent legislation. Methods: Through this study, qualitative and quantitative priority evaluation of test substances according to acute, subchronic and chronic categories were respectively performed and priorities were suggested by expert group review, redundancy and other methods. Meanwhile, a draft on test substance selection criteria, procedures and methods referring to the National Toxicology Program (NTP) system was proposed. Results: This study selected priorities for candidate substances for chronic inhalation toxicity studies to be conducted from 2016. Conclusions: In the future, by assessing in advance the toxicological effects of chemicals to which workers can be potentially exposed in the workplace via long-term inhalation, expected health disturbances among workers will be reduced and it is anticipated that occupational disease induced by chemicals will be effectively prevented.

• 디지털융복합연구
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• 제16권3호
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• pp.333-344
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• 2018

저소득층 아동 소년을 위한 대표적인 교육복지정책인 교육복지우선지원사업, 드림스타트, 방과후학교 등 세 가지 교육복지정책의 운영현황을 분석하여 보다 내실 있고 효율적인 교육복지정책 수립을 위한 발전방안을 제시하는 것을 목적으로 한다. 이를 위해 선행연구를 검토하는 문헌고찰 방법을 사용하였다. 각 사업의 문제점을 도출하고 이를 통합적으로 분석한 결과를 토대로 저소득층 아동 청소년 교육복지정책에 대해 다음과 같은 발전방안을 제시하였다. 첫째 각 부처에서 분절적으로 시행하고 있는 사업을 총괄할 통합시스템이 구축되어야 한다. 둘째, 담당인력의 전문성 향상과 민간 인력의 고용안정성을 높이기 위한 제도가 마련되어야 한다. 셋째, 각 기관과 전문가 간 연계와 협의를 통해 교육복지에 대한 인식을 고양해야 한다. 넷째, 새로운 서비스 모형을 개발해야 한다.