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A Study on the Spatial Distribution of Medical Waste Generation and Treatment in Korea (한국의 의료폐기물 발생 및 처리의 공간적 분포에 관한 연구)

  • Oh, Se-Eun;Lee, Jinheon;Ahn, Hoki;Kim, Ki-Youn;Park, Seokhwan;Ha, Kwonchul;Ji, Kyunghee;Hwang, Sungho;Yoon, Oh-Sub;Hong, Young-Seoub;Lee, Eunil;Kim, Pangyi;Lee, Kyoung-Mu
    • Journal of Environmental Health Sciences
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    • v.41 no.6
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    • pp.449-457
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    • 2015
  • Objectives: In Korea, the system of management of medical waste largely relies on the incineration method. Our study aimed to identify any regional imbalances between the generation and treatment of medical waste, and provide reference data for future policy in Korea. Methods: We analyzed data on the amount of medical waste from 2,000 hospitals in 2012, 2013, and 2014 obtained from the Korea Environment Corporation. In the Arc GIS program (version 10.2.3), the addresses of hospitals and incinerators were transformed into map coordinates. The amount of waste generated by each hospital and the amount incinerated were represented by density and size of a triangle symbol, respectively. Results: As of 2014, the total amount of medical waste from the top 2,000 hospitals was 136,073 tons, out of which about half (49%) was generated in the capital area. Eleven incineration companies (three in the capital area, two in the Chungcheong Provinces area, one in the Jeolla Provinces area, and five in the Gyeongsang Provinces area) treated this waste. For the years 2012, 2013, and 2014, about 60% of the medical waste generated from the hospitals in the capital area was treated within the capital area and about 40% was transported to other areas, especially the Gyeongsang Provinces area, for treatment. On the other hand, about 90% of the medical waste incinerated in the capital area originated from the capital area. Conclusion: Our results suggest a spatial imbalance between the generation and treatment of medical waste in Korea and warrants multilateral policies, including the expansion of on-site treatment, strengthening regulation of the containment of medical wastes, promoting reductions in medical waste and more.

A Study on the Relationship Between Length of Time and Contamination in Open Intravenous Solutions (정맥주사용 수액의 개방후 시간경과에 따른 오염도에 관한 실험연구)

  • 김일원
    • Journal of Korean Academy of Nursing
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    • v.16 no.1
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    • pp.67-80
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    • 1986
  • The use of intravenous solutions for fluid replacement has become an integral part of patient care, This widespread use of intravenous solutions has increased the risk of contamination that can lead to septicemia and phlebitis. The literature regarding contamination of in use intravenous solutions recommends a standard 24-hour time limit on the use of these fluids. But the desings of these studies did not incorporate a time variable related to contamination. In other studies, however, time was a manipulated variable: but data regarding the onset of contamination were conflicting. Because published reports conflict with regard to a time standard related to the use of intravenous therapy, additional empirical data are needed upon which to base the standards of care regulating use of intravenous therapy. This study investigated rate of contamination in simulated in-use intravenous solutions to obtain data from which to recomend a standard time period for the administration of intravenous solutions. In this study samples were drawn from 60 bottles of 5% D/W solution at predetermined time intervals over 48 hours and samples were inoculated to Thio-glychollate Broth. After 10 days' culturing in that Broth, samples were cultured on blood agar plates for 18∼48 hours to determine the rate of contamination. was found at all time Period, regardless of the presence or absence of nurse's gloving in the preparation of fluids, the location in which the experimentations were performed, the contamination level of surrounding air, or the length of time during which solutions were opened. Data from this study support the use of a 48-hour time period on which to base the standard involved in ready-to-use simple intravenous solutions without additives. In emergency departments and critical care areas where intravenous solutions are prepared in advance, the suggested time standard supported by the data generated from this study is 48 hours, not 24 hour. Data from this study support a 24-hour time standard for changing in-use intravenous solutions when the contamination results from the manipulation of intravenous infusion system by hospital personnel, or from some other exogenous sources during administration. Because contamination that does occur within 48 hours in intravenous solutions must be introduced from some exogenous sources, further empirical studies based on the identification of sources of contamination and factors that affect the rate of contamination, are needed to investigate the currently employed standard of intravenous therapy and to provide the patient with more efficient and safer intravenous thereapy.

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An Analysis on Contents of Health-Concerned Editorials in Korean Neswspapers (주요일간지(主要日刊紙)의 보건의료관계사설(保健醫療關係社說) 내용분석(內容分析))

  • Kim, Byoung-Yik
    • Journal of Preventive Medicine and Public Health
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    • v.13 no.1
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    • pp.53-66
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    • 1980
  • The editorials of the leading newspapers may reflect as well as help formulate the public opinions to a significant degree. Bearing this in mind, this study was carried out to provide information useful in formulating such public health policies that could practically meet the social interests and demands in health appearing in the editorials of the newspapers. This analysis covered the editorials of 5 leading newspapers such as Donga Ilbo, Chungang Ilbo, Hankook Ilto, Chosun Ilbo and Seoul Shinmoon for about 10 years from Jan. 1st, 1970 through Oct. 31th, 1979. The major findings are as follows: 1. The total number of health-concerned editorials in the five daily papers for the period was 1,768 or occupied 6.4% of the total editorials of the same sources. The increasing trend of frequnecy of the health-concerned editorials since 1976 indicates the increment of social interests and demands in health. Analysing the contents, environmental pollution received the greatest attention in those editorials, which was followed by medical affairs, environmental sanitation, and disease control in order in terms of frequency of appearance. However, there was a tendency that the interests in the environmental pollution, medical affairs and social welfare tended to increase year by year, whereas those in environmental hygiene and disease control comparatively decreased. 2. Motives of dealing with the health-concerned editorials were provided by announcement of the governmental policies and implementation for 25.6% and by out-breaks of the relevant events for 23.9%. This tendency coincides with the general characteristics of the editorials that reflect the timely issues. Closely analysing, however, the fact that the motives engendered by the out-breaks of the relevant events or by the season concerned comparatively tended to decrease as years pass by, indicates that the editorials tend more to seek the future-oriented demands in health rather than the current issue-oriented. 3. The editorials appeared to be more concerned with the governmental policies. 95.7% of all the editorials analysed were addressed to the government. This signifies the role of government in the field of public health and medical affairs. Their attitudes toward health-related policies of the government were much more negative than the other editorials that were addressed to the government in other fields. This suggests that the governmental interests in health were neither sufficient nor fair. 4. What the editorials most stressed were; (1) increment of governmental interests in health, (2) improvement of the governmental health administration, (3) enriching the basic statistics, and (4) development of various technologies pertinent to health affairs and disease control, and so forth. However, must of their suggestions were not concrete but rather abstract and conceptual. 5. The editorials also expressed strong interests in research area. The areas of the needed research most suggested by items are; (1) development of effective health care delivery system, (2) establishment of more practical system of calculating medical cost, (3) implementation of effective policies to control degenerative diseases, (4) division of medical care services and pharmaceutical services systems, (5) effective ways to prevent Co poisoning accidents, (6) changing status of environmental pollution and its effects upon health, and (7) status of occupational diseases, and so forth. 6. There were some editorials -not small in quantity -that have risk to mislead the public opinions as well as the health policies due to lack of professional knowledge of the writers. It is desirable to establish some kind of mechanism that screens the erroneous contents of the editorials to help prevent misleading opinions.

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KNOWLEDGE AND ATTITUDE OF MOTHERS WHO HAVE INFANTS ABOUT BABY BOTTLE TOOTH DECAY AND DENTAL CARIES PREVENTION (유아 모친의 우유병우식증 및 치아우식증 예방에 대한 지식 및 태도 조사)

  • Lee, Ji-Young;Lee, Kwang-Hee;Kim, Dae-Eop;Jo, Jung-Han
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.1
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    • pp.220-234
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    • 1997
  • The purpose of this study was to investigate the knowledge and attitude of a group of mothers who had infants about baby bottle tooth decay(BBTD) and dental caries prevention. The sample consisted of 261 mothers who had infants from 6 to 36 months from certain areas of Dae-jeon city. The mothers were asked to answer a questionnaire which included a series of questions regarding general information cencerning the infant and his mother, knowledge about BBTD and methods of prevention using fluoride, knowledge about behavioral risk factors contributing to caries of the infant, attitude toward oral health care of the infant, opinions regarding the effectiveness of methods to prevent dental caries and sources of oral health information. he results of this study were as follow. 1. 85.4% of the respondents thought that prolonged bottle feeding would harm the teeth of the infant, but 77% of the respondents had never heard of baby bottle tooth decay. 2. Levels of knowledge about methods of prevention using fluoride were relatively low and there were significant relationships between the levels of this knowledge and the educational level of the respondents(P<0.05). 3. Only 7.3% of the respondents thought that prolonged breast feeding would harm the teeth of the infant. 4. Overall oral health care of the infants was relatively insufficient. 5. Only 28.7% of the respondents selected either when the first tooth erupt or deciduous dentition complete as the time a infant should first be seen by a dentist. 6. 64.6% of the respondents thought that toothbrushing should be instituted once the first tooth appears. 7. Among the six methods of preventing caries in infants, respondents ranked the effective of fluoride lower than making regular dental visits and reducing intake of sugared foods. 8. Most frequently cited sources of information about dental health were newspapers, magazines and books(65%), followed by friends, neighborhoods and families (55%).

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Applicability Analysis of Head Loss Coefficients at Surcharge Manholes for Inundation Analysis in Urban Area (도시침수해석을 위한 과부하 맨홀의 손실계수 적용성 분석)

  • Kim, Chae Rin;Kim, Jung Soo;Yoon, Sei Eui
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.38 no.3
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    • pp.395-406
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    • 2018
  • The XP-SWMM model, widely used for inundation analysis of urban watersheds, underestimated the inundation area (range) because the manhole was regarded as a node and the influence of the local loss occurring in the surcharged manhole can not be considered. Therefore, it is necessary to analyze the applicability of the head loss coefficients considering the local loss in the surcharged manholes in inundation analysis using XP-SWMM. The Dorim 1 drainage section of the Dorim-river watershed, where frequent domestic flood damage occurred, was selected as the study watershed. The head loss coefficients of the surcharged manholes estimated from the previous experimental studies were applied to the inundation analysis, and the changes of the inundation area with and without the application of the head loss coefficients with manhole types were compared and analyzed. As a result of inundation simulation with the application of head loss coefficients, the matching rates were increased by 17% in comparison with the without application of them. In addition, the simulated inundation area applied only the head loss coefficients of straight path manholes and applied up to the head loss coefficients of combining manholes ($90^{\circ}$ bend, 3-way, and 4-way) were similar. Therefore, in order to accurately simulate the storm drain system in urban areas, it could be to carry out two-dimensional inundation analysis considering the head loss coefficients at the surcharged manholes. It was expected that the study results will be utilized as basic data for establishing the identification of the inundation risk area.

Maintenance of Hazardous Steep Slopes on National Park Trails (국립공원 탐방로 내 위험 급경사지 유지관리 방안 연구)

  • Kim, Hong Gyun;Kim, Tae Ho;Kim, Jae Hak;Kwak, Jae Hwan;Park, Sung Wook;Choi, Soo Won;Song, Young Karb
    • The Journal of Engineering Geology
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    • v.26 no.1
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    • pp.129-142
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    • 2016
  • National parks, which are located mainly in mountainous areas, are always at risk of damage by landslides. The goal of this study is to establish a method for systematically maintaining hazardous steep slopes along trails in national parks. We produced a checklist suitable for each of the 19 national parks nationwide and investigated 183 slopes. The aim of these investigations is to recommend appropriate slope-stability countermeasures, including field investigations and stability analysis. We made preliminary investigations at specific sites, evaluating the slope hazard using specialized equipment such as terrestrial LiDAR. An investment priority formula was developed, and ranking and hazardous grades were calculated as part of a long-term maintenance plan. Finally, to systematically manage dangerous slopes and to house all the field data within one system, we developed the "Slope Maintenance System in National Parks" based on web server that can show various information for slopes.

Superior Gluteal Artery Perforator Turn-Over Flap Coverage for Lumboscaral Soft Tissue Defect in Ambulatory Patient (보행 환자에서의 위볼기동맥천공지뒤집기피판을 이용한 허리엉치 부위 연부조직 결손의 치료)

  • Moon, Suk-Ho;Kim, Dong-Seok;Oh, Deuk-Young;Lee, Jung-Ho;Rhie, Jong-Won;Seo, Je-Won;Ahn, Sang-Tae
    • Archives of Plastic Surgery
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    • v.37 no.5
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    • pp.712-716
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    • 2010
  • Purpose: Extensive lumbosacral defects after removal of spinal tumors have a high risk of wound healing problems. Therefore it is an effective reconstructive strategy to provide preemptive soft tissue coverage at the time of initial spinal surgery, especially when there is an instrument exposure. For soft tissue reconstruction of a lumbosacral defect, a variation of the gluteal flap is the first-line choice. However, the musculocutaneous flap or muscle flap that is conventionally used, has many disadvantages. It damages gluteus muscle and causes functional disturbance in ambulation, has a short pedicle which limits areas of coverage, and can damage perforators, limiting further surgery that is usually necessary in spinal tumor patients. In this article, we present the superior gluteal artery perforator turn-over flap that reconstructs complex lumbosacral defects successfully, especially one that has instrument exposure, without damaging the ambulatory function of the patient. Methods: A 67 year old man presented with sacral sarcoma. Sacralectomy with L5 corpectomy was performed and resulted in a $15{\times}8\;cm$ sized complex soft tissue defect in the lumbosacral area. There was no defect in the skin. Sacral stabilization with alloplastic fibular bone graft and reconstruction plate was done and the instruments were exposed through the wound. A $18{\times}8\;cm$ sized superior gluteal artery perforator flap was designed based on the superior gluteal artery perforator and deepithelized. It was turned over 180 degrees into the lumbosacral dead space. Soft tissue from both sides of the wound was approximated over the flap and this provided in double padding over the instrument. Results: No complications such as hematoma, flap necrosis, or infection occurred. Until three months after the resection, functional disturbances in walking were not observed. The postoperative magnetic resonance imaging scan shows the flap volume was well maintained over the instrument. Conclusion: This superior gluteal artery perforator turn-over flap, a modification of the conventional superior gluteal artery perforator flap, is a simple method that enabled the successful reconstruction of a lumbosacral defect with instrument exposure without affecting ambulatory function.

A Study on the Large-Scale Power Blackout Management System in the Level of National Crisis Management (대규모 정전상태에 대비한 국가위기관리 방향에 관한 연구)

  • Cho, Kwang-Rae;Joo, Il-Yeob
    • Korean Security Journal
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    • no.10
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    • pp.387-407
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    • 2005
  • Thanks to the developments of IT technologies, such critical infrastructures as fundamental structures of energies, material circulations, monetary circulations, and living necessaries are intertwined as well as mutually dependent. In this respect, the fact that national infrastructures are closely related to IT infrastructures implies not only expected benefits to provide diverse information-based services, but also anticipated costs to bring about new dangers. However, in spite of these threats, traditional researchers have not put enough interests in these indirect danger, which yield the damages in broad areas through paralyzing risk management systems, although they have investigated such direct threats as nuclear accidents, conflagrations, traffic troubles, and gasoline accidents. Considering that the tendency to depend on electricity, so-called electrification, which is caused by automation and informationalization, is intensified in all parts of society, the breakout problem as a factor to inhibit securities in information-oriented society is significant. Thus, the problems of large-scale power blackout should be treated as national crises. Also, preparation systems for large-scale power blackout have to be provided quickly. In this paper, with analyzing various cases of large-scale power blackout and investigation the causes of them, researches on the blackout management systems of Korea are to be present, on the basis of national crisis management states which are comprised of protection (mitigating and preparing), responding, and recovering(rewarding).

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Comparisons of Korean and Japanese College Students' Eating Habits and Food Preferences (한·일 일부지역 여대생의 식습관과 식품기호도 비교)

  • Lee, Kyoung-Ae;Jeong, Bo-Young;Moon, Soo-Kyung;Kim, In-Soo;Nakajima, Shigeru;Nakamura, Soichiro
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.11
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    • pp.1619-1626
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    • 2010
  • This study was conducted to compare eating habits and food preferences of Korean and Japanese female college students in some areas of the two countries. The subjects were 365 Korean students and 313 Japanese students. The survey was done in every May for three years from 2006 to 2008. Eating habits and food preferences were investigated by questionnaire. The results were as follows. There was no significant difference in body weight, but Korean students were taller and they ate out more frequently than Japanese students. Both Korean students and Japanese students liked meat, milk and milk products better than fishes. Also, they liked fruits better than vegetables. Korean students had lower preferences for fish, beans and bean products, vegetables, and seaweed than Japanese students. In conclusion, Korean students seem to be exposed to risk factors to health more than Japanese students, because they had less desirable eating habits and food preferences, and were less active than Japanese students. Therefore Korean students might need to change their eating habits and food preferences into more desirable ones for their good health.

Design of Splunk Platform based Big Data Analysis System for Objectionable Information Detection (Splunk 플랫폼을 활용한 유해 정보 탐지를 위한 빅데이터 분석 시스템 설계)

  • Lee, Hyeop-Geon;Kim, Young-Woon;Kim, Ki-Young;Choi, Jong-Seok
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.11 no.1
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    • pp.76-81
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    • 2018
  • The Internet of Things (IoT), which is emerging as a future economic growth engine, has been actively introduced in areas close to our daily lives. However, there are still IoT security threats that need to be resolved. In particular, with the spread of smart homes and smart cities, an explosive amount of closed-circuit televisions (CCTVs) have been installed. The Internet protocol (IP) information and even port numbers assigned to CCTVs are open to the public via search engines of web portals or on social media platforms, such as Facebook and Twitter; even with simple tools these pieces of information can be easily hacked. For this reason, a big-data analytics system is needed, capable of supporting quick responses against data, that can potentially contain risk factors to security or illegal websites that may cause social problems, by assisting in analyzing data collected by search engines and social media platforms, frequently utilized by Internet users, as well as data on illegal websites.