• Journal of Korean Dental Science
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• 제4권1호
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• pp.1-5
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• 2011

Purpose: Exact knowledge of the location and dimension of the pulp chamber help to maintain the pulp healthy during operative procedure and also reduces the risk of perforation of pulp chamber during root canal treatment. This in-vivo study was carried out to measure critical morphology of pulp chamber of mandibular molar using intra-oral periapical radiograph. Materials and Methods: Mandibular molar teeth of 56 patients were evaluated. The mandibular molar teeth whose pulp chamber was not violated by caries, restoration, fracture crown and those having closed apex were included in the study. The intraoral periapical radiographs were taken with paralleling angle technique using radio-opaque grid with 1 mm space. This grid was placed directly on the film. Results: In 94% of the mandibular first molars specimens the pulp chamber ceiling was at the level of the cemento-enamel junction. The measurements showing the lowest percentage variance were buccal cusp to furcation (approximately 11%) and buccal cusp to pulp chamber ceiling (approximately 15%). The distance from the cusp tip to pulp chamber ceiling height was approximately 6.0 mm, the distance from the pulpal floor to the furcation was approximately 3.0 mm, and the average height of a pulp chamber was 1.5 to 2.0 mm. Conclusion: The exact knowledge of distances of pulp chamber from various anatomical landmarks helps in proper assessment of root canals and ultimately avoids the failure of root canal treatment.

• 한국의료질향상학회지
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• 제4권1호
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• pp.36-49
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• 1997

Background : Hypertension is one of the most important risk factors of the cerebrovascular accident and coronary artery disease which are the major causes of mortality in Korea. In Korea, the quality of care provided by office-based physicians has not been evaluated formally. The purpose of this study is to assess the quality of hypertension management of office-based physicians. Method : Self-administered questionnaires were mailed to the office-based physicians with the speciality of internal medicine, general surgery, family medicine, and general practitioners. Among 2,045 physicians, 981 doctors(48.0%) replied the questionnaires. Contents of questionnaires were based on the recommendation from the JNC-V report(the Fifth Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure), and included the criteria of diagnosis, treatment, follow-up interval, and other characteristics of physicians(age, sex, type of speciality, and location of practice). Results : Eighty four percent of the office-based physicians made diagnosis of hypertension with less than 3 times of blood pressure measurements. The performance rate of required examination for hypertensives was very low in most items. Rate of fundoscopic examination is the lowest one among them(5.9%). The performance rate of laboratory examination was also low in most items. Internists tended to order more frequent laboratory examinations than any other type of physicians. Only 11.4% of the physicians did appropriate treatments for the mild hypertension case. The antihypertensives selected by the physicians as a first line drug were in the order of beta blocker(26.4%), calcium channel blocker(23.4%), diuretics(23.1%), ACE inhibitors(14.3%). The visit interval for established hypertensives was very short. Proportion of physicians with follow-up interval longer than 4 weeks was only 4.3%. Conclusions : The overall quality of hypertension management of office-based physicians in Korea is very problematic in many aspects. So further investigations to find out the reasons of low quality arid quality of care should be initiated.

• Safety and Health at Work
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• 제4권1호
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• pp.12-26
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• 2013

In concert with the development of new materials in the last decade, the need for toxicological studies of these materials has been increasing. These new materials include a group of rare earths (RE). The use of RE nanotechnology is being considered in some green applications, to increase their efficiency by using nano-sized RE compounds, and therefore hazard evaluation and risk assessment are highly recommended. This review was conducted through an extensive contemplation of the literatures in toxicology with in vitro and in vivo studies. Major aspects reviewed were the toxicological evaluations of these elements and metallic compounds at the molecular and cellular level, animal and human epidemiological studies and environmental and occupational health impacts on workers. We also discuss the future prospect of industries with appliances using RE together with the significance of preventive efforts for workers' health. To establish a safe and healthy working environment for RE industries, the use of biomarkers is increasing to provide sustainable measure, due to demand for information about the health risks from unfavorable exposures. Given the recent toxicological results on the exposure of cells, animals and workers to RE compounds, it is important to review the toxicological studies to improve the current understanding of the RE compounds in the field of occupational health. This will help to establish a sustainable, safe and healthy working environment for RE industries.

• 한국치위생학회지
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• 제10권4호
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• pp.595-605
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• 2010

Objectives : A precedent research has documented that occupational stress is closely associated with increased the risk of fatigue and decreased in job satisfaction. This study was conducted in an effort to assess the relationship of occupational stress to self-perceived fatigue and job satisfaction by using job strain model. Methods : The number of respondents was 122 dental hygienist who work in dental clinic and period of the investigation was July 2009 through september 2009. A structured questionnaire was employed to evaluate the participants' sociodemographics, job-related factors, health-related behaviors, occupational stress, job satisfaction and self-perceived fatigue. Occupational stress and self-perceived fatigue were assessed using the Korean Occupational Stress Scale-Short form (KOSS-SF) and the Multidimensional Fatigue Scale (MFS), respectively. Results : In job strain model, the ratio of Q2(High Strain Job) group that more susceptible to disease by stress than other group was 16% and the proportion of high fatigue group(Q3, Q4 group) and low job satisfaction group(Q3, Q4 group) was 48%, 45% respectively. In logistic regression analyses, a High Strain Job group was associated with higher odds of react factor(fatigue, job satisfaction) and the odds was down by 3.3%~7.5% after adjustment for age, smoking, alcohol drinking, regular exercise. So the effective strategy for fatigue, job satisfaction reduction for dental hygienist requires additional program focusing on innovated work environment that provide a enough leisure time and exercise program considering the personality traits. Conclusions : The results of this study suggest that occupational stress is a determinant predictor of self perceived fatigue and job satisfaction. Thus, a stress management program for the reduction of occupational stress, and the promotion of dental hygienist impact assessment health and quality of life is strongly recommended.

• 한국환경복원기술학회지
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• 제8권3호
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• pp.21-32
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• 2005

In Incheon metropolitan city, the urban open space areas are deficient and it is nearly impossible to obtain newly the land for parks by reason of the risk of the land value, the budgetary deficit and so forth. Therefore, it seems to be urgent to consider how to manage the established urban natural park efficiently to enhance the quality of recreational experiences of the public. The organization for the urban natural parks management is to be completely put in good order, for the objects to manage is changeable as well as diverse and what users need should be full satisfied. The purpose of this study is to investigate the differences of urban natural park's management suggest the improvement and development directions in urban natural park by group(professionals and Users). To do this, data were collected in the typical regions by urban natural park for this study, using the questionnaires. In these urban natural park, the on-site survey was carried out the users of these urban natural park during October in 2004. Also The analysis was done with the valid questionnaires of user's 644 and professional's 146. The questionnaires contained three of categories : openspace types' satisfaction and urban natural park's satisfaction, and management, and park user's socioeconomic characteristics and behaviors. Data collected from respondents were analysized by descriptive statistics, T-test, factor analysis and regression analysis. The results of this study can be summarized as follows; The evaluation of urban natural park management is predicted the operation management. So, one can draw a conclusion that user's needs is likely to be increased correspondingly as urban natural park planning and design, management which meets the overall satisfaction. Using the results of this study, we can make a guideline for a park management program, market positioning, standards and provisions of urban natural park by group.

• Journal of Preventive Medicine and Public Health
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• 제47권1호
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• pp.18-26
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• 2014

The purpose of this study was to establish food ingestion factors needed to assess exposure to contaminants through food ingestion. The study reclassified the raw data of the Korean National Health and Nutrition Examination Survey in 2001 into 12 subcategories including grain products, meat products, fish and shellfish, and vegetables for international comparability of exposure evaluation. The criteria for food intake calculation were unified according to the characteristics of food groups, and recommended values for food ingestion factors were calculated through moisture correction and recategorization of cooked, processed, and mixed foods for each group. The average intake rate for grain and grain products was 6.25 g/kg-d per capita and the men's intake rate was approximately 8% higher than that of the women. The average intake rate of meat and meat products was 1.62 g/kg-d per capita and the men's intake rate was 30% higher than that of the women, on average. The average intake rate of fish and shellfish was 1.53 g/kg-d per capita, and the age groups of 1 to 2 and 3 to 6 recorded higher capita intake rates than other age groups, 2.62 g/kg-d and 2.25 g/kg-d, respectively. The average intake rate of vegetables was 6.47 g/kg-d per capita, with the age group of 1 to 2 recording the highest per capita intake rate of 9.79 g/kg-d and that of 13 to 19 recording the lowest mean. The study also offers recommended values for food ingestion factors of other food groups by gender, age, and region. The food ingestion exposure factors will need future updates in consideration of ongoing changes in food consumption behavior.

• 시큐리티연구
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• 제40호
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• pp.7-33
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• 2014

세월호 참사를 계기로 국가안전처의 신설이 추진되고 있으며, 우리나라의 재난관리체계에 대한 근본적인 개혁이 이루어지고 있다. 이러한 노력들은 주로 하드웨어적인 측면에 치우쳐 있으며, 소프트웨어의 측면에서는 다소 미흡하다고 할 수 있다. 미국의 경우 재난관리의 주요 원칙으로 모든 위험 접근법 (All-hazard approach)을 적용하고 있다. 모든 위험 접근법은 발생 가능한 모든 위험을 밝혀내고 이러한 위험에 대해 발생가능성, 영향, 위험도 등을 기준으로 각각의 위험에 대한 우선순위를 정한다. 이렇게 정하여진 우선순위를 기준으로 이에 대비하고 대응하는 것이다. 모든 위험에 대한 평가는 체계적이고 과학적으로 철저하게 이루어진다. 그리고 이러한 위험들에 대비하기 위해서는 연방 재난관리청 단독으로 하기 보다는 관련기관간의 협업을 중시하며 연방정부와 지역정부의 협력관계도 중요한 요소라고 할 수 있다. 우리나라도 국가안전처를 설치할 때 모든 위험 접근법을 채택할 필요가 있으며, 우리나라의 상황과 현실을 감안한 '한국형 모든 위험 접근법'을 개발하여 실시하여야 할 것이다.

• 한국산업보건학회지
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• 제20권4호
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• pp.282-294
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• 2010

The purpose of SAICM (Strategic Approach to International Chemicals Management) is to minimize the health and environmental hazards from the production and the consumption of chemicals by improving the chemicals management capability of developing countries and implementing a system of the risk assessment and the management based on the precautionary principle until 2020. To achieve this purpose, the UN has prescribed the principles, objectives and establishment of an action plan for the chemicals management strategy which must be carried out at international, local, and national levels, and requested the implementation of the Global Plan of Action (GPA) comprising of 273 recommendations in 36 work areas. SAICM is currently based on voluntary participation, but is expected to become the basic framework of international order in relation to chemicals management in the future. This study aims to analyze the practice in the occupational safety and health area relating to implement 273 recommendations of the GPA, and propose complementary measures for the system in order to provide political advices for establishing future plans to manage industrial chemicals. Twenty three areas of total 36 work areas and 161 items of 273 recommendations have relevance to occupational safety and health areas. We have found that, as a national implementation level, 157 of 161 industrial safety and health items are being implemented at a satisfactory level in regard to the implementation of the GPA, while 4 items, including the ratification of the ILO Conventions 170, 174, 184, and support for GHS (Globally Harmonized System of Classification and Labeling of chemicals) implementation of developing countries, require additional complementary measures for the system and operation.

• 한국건설관리학회논문집
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• 제13권6호
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• pp.45-53
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• 2012

우리나라 해외건설 누적 수주 금액은 2012년 6월을 기준으로 5,000억 달러를 달성하였으며 더 나아가 2020년 1조 달러를 목표로 하고 있다. 또한 국내 건설기업들도 해외건설시장 진출을 목적으로 여러 전략을 구상하고 있다. 이러한 목표 달성을 위한 방안으로 본 연구에서는 해외건설 리스크가 적은 ODA 자금을 활용한 해외건설 진출 사업을 제안하였다. 사업 진출을 위한 건설기업의 ODA사업 역량 수준을 분석하기 위해 FGD 기법을 활용하여 34개의 역량 요인을 선정하였고 전문가들을 대상으로 설문조사를 실시하여 BSA 모델을 통해 분석하였다. 사업단계별 중요 관리 요인은 기획 및 발굴(6개), 수주 및 마케팅(6개), 엔지니어링 및 시공(3개) 등 총 15개의 항목이 도출되었다. 이중 가장 기업들에게 필요한 역량강화 항목으로 클레임 및 리스크, 수주활동을 위한 기업의 역량, 그리고 정부의 적극적인 지원으로 나타났다. 각 단계별 중요 관리 요인은 역량별 역할 주체에 따라 개선하여 향후 ODA자금을 활용한 사업 수주 경쟁에 있어서 경쟁우위를 확보할 수 있도록 준비해야 할 것으로 판단된다.

• 한국전산구조공학회논문집
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• 제13권3호
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• pp.373-384
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• 2000

단기 동 하중(특히 지진하중)을 받는 비선형 강 프레임 구조물의 안전성을 평가하기 위하여 추계론적 유한요소 개념에 근거한 비선형 시간영역 신뢰성 해석 기법을 제안하였다. 제안된 알고리즘에서는 유한요소 공식화가 응답 표면법, 1차 신뢰성 방법, 그리고 반복 선형보간 기법의 개념들과 결합되어 지는데, 이것이 추계론적 유한요소 개념으로 귀결된다. 실제 지진하중의 시간이력이 구조물의 진동을 위해 사용되므로 사실적인 하중조건의 재현이 가능하다. 가상 응력에 기초한 유한요소 기법이 본 알고리즘의 효율성을 증대하기 위해 사용된다. 본 알고리즘은 지진하중 또는 임의의 단기 동적하중을 받는 유한요소 기법으로 표현되는 어떠한 선형 및 비선형 구조물과 관련된 위험도를 평가할 수 있는 잠재성을 가지고 있다. 수치예제를 통하여 알고리즘을 설명하였으며, 몬테카를로 시뮬레이션 기법을 사용하여 본 알고리즘을 검증하였다.