• 제목/요약/키워드: International Health Regulations

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임업 사고 응급대응체계의 개선방안에 관한 연구 (A Study on Improvement of Emergency Medical System for forestry accident)

  • 남기훈;박영수;김광일;조구현;이은재;백승안
    • 한국산업융합학회 논문집
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    • 제22권6호
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    • pp.665-671
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    • 2019
  • The estimated on-site accident rate in Forestry is relatively high. According to statistics of the accident, in the recent 5 years, from 2014 to 2018, forestry accidents have resulted in 98% of injuries and 87% of fatalities. Especially, there are significant geographical constraints to access to the scene in case of an accident. Even though the capacity of first aid capacity is notably emphasized its importance to minimize the scale of damages, the relevant employees have been educated only basic first aid, which is not considered circumstances or geographic limitations, by Occupation Safety and Health Acts. Therefore, the purpose of this study is to derive a direction for a forest emergency service system to increase forestry workers' survival and prevent secondary injury through securing 'Golden Time.' This study conducts analyzing relevant laws and regulations in domestic and international settings as well as looking at several concerned accident cases. The outcome of analysis presents an issue regarding the implementation of onsite first aid in forestry and existing risk factors depending on the working process. Finally, we suggest two ways to improve the forest emergency service that are 1) an appropriate curriculum and kit for forest first aid; and 2) a system for emergency transfer through sharing information between National Fire Agency (NFA) and emergency medical service center, and emergency and rescue mission using helicopter from NFA and Korea Forest Service.

임신부에서 약물의 안전사용을 위한 연구의 필요성 (Necessity of Research for Safe Drug use in Pregnant Women)

  • 한정열;조금준;오정미
    • 한국모자보건학회지
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    • 제21권3호
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    • pp.159-165
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    • 2017
  • The thalidomide tragedy in the 1960s has resulted in a perpetuation of a certain perception amongst physicians and pregnant women that the use of medication during pregnancy is a potential teratogen. Consequently, physicians hesitate in prescribing medication to pregnant women. In addition, pregnant women often refuse medication despite therapeutic necessity because of this existing perception. Recently there have been frequent adverse pregnancy outcomes related to the recurrence of chronic diseases, such as hypertension and diabetes, following pregnancy in older women. And there are lots of unnecessary termination of pregnancy due to the of information of medication exposed to medication following over 50% of unintended pregnancy. In light of this, better dissemination of information regarding the safe usage of medication for pregnant women is required. This would not only be cost-effective in terms of medical expenditure, but also prove beneficial for the treatment of diseases. In addition, Korea needs to adapt to the increasing changes of the international information system regarding supporting the safe usage of medication during pregnancy. An example of this is shown by the recent changes to the labeling of medication by the United States Food and Drug Administration. The new labeling includes information on the risk of usage, rather than just an arbitrary alphabetic classification of B, C, D, or X. Furthermore, this information is limited in Korea because of the lack of research, which in turn is due to several limitations on ethics and methodology, as well as present regulations on the research of pregnant women. From this, we can learn that government support is critical for the establishment of research so that we can alter the perception that all medication is harmful to pregnant women.

우려 화학물질에 대한 필수 용도 개념 적용 - PFAS, 6PPD, Benzene 중심으로 - (Application of the Essential Uses Concept to Substances of Concern - PFAS, 6PPD and Benzene -)

  • 정미란;전현표;김상헌
    • 한국환경보건학회지
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    • 제50권1호
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    • pp.54-65
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    • 2024
  • Background: There is growing international recognition of the need for improvements to national chemical management systems for hazardous chemicals. The European Union has recently introduced the concept of 'essential uses' as a new approach to the management hazardous chemicals by limiting their uses. Objectives: This paper examines the concept of essential uses in chemical management and how to apply it through a case study of essential use. This approach is distinct from the current chemical management system, but seeks to improve its potential benefits by effectively restricting or gradually decreasing the use of hazardous substances. Methods: The concept of essential uses was introduced by reviewing the Montreal Protocol on Substances that Deplete the Ozone Layer, Cousins's three essentiality categories applied to PFAS, restriction options assessed in the PFAS restriction proposal under REACH, and the California Safer Consumer Products regulations prioritizing 6PPD in motor vehicle tires. Based on these essential uses concepts for PFAS and 6PPD, uses of benzene were classified in accordance with the essential uses approach for products using benzene in South Korea. Results: The essential use concept is able to manage the restriction and authorization of substances of concern through essential uses and non-essential uses and the feasible substitution of uses and substances. Conclusions: If the concept and methodology of essential uses are clearly established, they can be expected to shift the national chemical management paradigm from regulating substances to limiting uses under the existing substance management system.

방사선사 직무수행을 위한 방사선사 단독법 제정에 대한 요구도 (Demand for the Radiological Technologist Independent Act for the Performance of the Duties of a Radiological Technologist)

  • 김은혜;임청환;임우택;주영철;홍동희;정홍량;문영주;김훈;정영진;최지원;윤용수;조평곤;박명환;양오남;정봉재
    • 대한방사선기술학회지:방사선기술과학
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    • 제44권5호
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    • pp.525-534
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    • 2021
  • In order to provide high-quality medical services to the public and contribute to the improvement of public health, it is necessary to enact an independent law according to the work of radiological technologists. Therefore, this study intends to review the regulations related to radiographers in the Medical Service Technologists, etc. Act. and to present opinions and directions for enactment of individual laws for radiological technologists. An online survey was conducted to 15,000 radiological technologists working in medical institutions and education sites in Korea; 1,027 people (6.85%) responded. The questionnaire consisted of 3 questions on demographic characteristics, 5 questions on the scope of work, and 12 questions on the revision of the Medical Service Technologists, etc. Act. and the establishment of the Radiological Technologist Independent Act. Reliability and factor analysis were performed on 9 questions measured on a Likert 5-point scale in "Revision of the Medical Service Technologists, etc. Act. and the establishment of the Radiological echnologist Independent Act" among the questionnaire items. Reliability for the total 9 questions was Chronbach α=0.728. There was a high perception that the regulations related to radiological technologists were insufficient in the current Medical Service Technologists, etc. Act., and the perception that examinations performed by radiological technologists at medical institutions were included in medical practice was high. If the Radiological Technologist Independent Act is enforced, a high percentage of respondents said that they could receive legal protection through the institutionalization of the scope of work, that the status of radiological technologists would be improved, and the scope of work would be expanded. The response that the scope of work of radiological technologists should be included was the highest at 96.6%. In the analysis according to demographic characteristics, it was found that 96.7% of the respondents were agreed regardless of the factors. Radiological technologists will have to work hard to secure the public health by coping with new radiology devices, procedures and treatment methods. Therefore, as the results of this study, it is expected that the enactment and implementation of the Radiological Technologist Independent Act will contribute to the improvement of the quality of treatment for patients and to the public health.

국내 원자력발전소 주변 주민의 방사선량 평가를 위한 음식물 섭취율 설정 연구 (A Study on the Food Consumption Rates for Off-site Radiological Dose Assessment around Korean Nuclear Power Plants)

  • 이갑복;정양근
    • Journal of Radiation Protection and Research
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    • 제33권4호
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    • pp.183-196
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    • 2008
  • 원전주변의 주민에 대한방사선량의 대부분을 음식물 섭취에 의한 내부피폭이 차지하고 있다. 그러나 우리나라 원전에 적용하고 있는 음식물 섭취 관련 인자는 1989년 한국원자력연구소가 고리원전 주변지역을 대상으로 수행한 현장조사 결과를 계속 적용하고 있어 최근의 식습관 변화를 적절히 반영하지 못하고 있다. 또한 우리나라는 미국 NRC (Nuclear Regulatory Commission) 에서 적용하고 있는 최대개인에 근거하여 음식물 섭취율을 결정하고 있다. 그러나 최근의 ICRP (International Commission on Radiological Protection) 의 권고 및 유럽의 관련 지침에서는 결정집단 또는 결정집단을 대표하는 개인에 대해 선량을 평가토록 권고하고 있다. 따라서 이러한 식습관의 변화추이나 피폭평가대상에 대한 국제적인 권고기준에 준하는 음식물 섭취율 설정방법에 대한연구가 필요하다. 보건복지가족부에서는 국민건강증진법에 의거 매 3년마다 전국 규모의 국민의 식품 및 영양섭취실태 조사를 실시하고 있다. 따라서 본 연구에서는 이러한 정부조사자료를 활용하여 주기적으로 음식물 섭취량 자료를 갱신할 수 있는 방안을 연구하였다. 보건복지가족부에서 $2001{\sim}2002$년에 수행한 국민영양조사원자료(raw data)를 분석하여 결정집단을 대표하는 개인의 음식물 섭취율을 결정하는데 이용할 수 있는 기초통계량을 제시하고, 또한 현재 국내 원전에서 적용하고 있는 최대개인의 음식물 섭취율을 재설정하였다.

석면 해체.제거 작업에서 사용되는 장비의 성능 기준에 관한 고찰 (A Review on the Performance Criteria of Equipment Required for Asbestos Removal)

  • 이나루
    • 한국산업보건학회지
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    • 제23권3호
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    • pp.212-221
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    • 2013
  • Objectives: Asbestos fibers are accumulated in negative pressure unit (NPU) or vacuum cleaner in asbestos removal. Failure of operation or poor use performance of the NPU or vacuum cleaner causes asbestos fibers to spread in the air. Asbestos contractors should have an NPU fitted with a HEPA , vacuum cleaner, decontamination area, respirators, wetting equipment, and differential pressure manometer to register with the Ministry of Employment and Labor. There should be performance criteria of equipment used in asbestos removal. But there are none such criteria used in asbestos removal. This study was performed to investigate international or national performance criteria of equipment used in asbestos removal. Methods: Regulations, approved code of practice, guidance and national standards of the UK, USA and Korea were reviewed. A survey was done to investigate the requirements for equipment used in asbestos removal in Korea. Results: Air flow of NPUs used in Korea usually covers from$500m^3/h$ to over $3000m^3/h$. Some requirements for NPUs used in Korea were missing compared to the requirements of British standards for NPUs. All NPUs have different missing requirements. The UK also has separate British standard for leak tests for NPUs. Highly hazardous class vacuum cleaners should be used in asbestos removal in the UK. It has national standards on the operation of vacuum cleaners used in asbestos removal. There is only a certification system for less than 2.5kw rated voltage vacuum cleaners for home use in Korea. Powered (-assisted) respirators with mask are recommended in asbestos removal. Type 5 coveralls should be used in asbestos removal in the UK. There are international standards for requirements and leak tests of type 5 coveralls. A manometer for measuring differential pressure is needed in asbestos removal. The manometer's measuring range should cover less than ${\pm}125$ Pa and the gradation of manometer should be less than 2.5 Pa. The definition of decontamination area should be corrected. Installation of airlock and minimum area should be considered in decontamination area. Conclusions: Equipment should be used in asbestos removal proper performance and no leaks. There should be a certification system for equipment used in asbestos removal. This study can help to a certification system for equipment used in asbestos removal in Korea.

산림보호지역의 관리효과성 평가지표 개발 연구 (Management Effectiveness Evaluation (MEE) Indicators Development in Protected Forest Areas)

  • 류광수;최재용;이관규
    • 한국환경복원기술학회지
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    • 제14권1호
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    • pp.105-119
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    • 2011
  • In order to develop the indicators which evaluate the management effectiveness for the protected forest areas in Korea, candidate indicators were listed based on literature and experts interviews, then questionnaire survey on the experts were conducted. 5 elements of context, planning, input, process, output and outcome and 32 indicators were selected. Context element includes 6 indicators of 1) documentation and assessment of values; 2) documentation and assessment of threats, 3) influence of government policy, 4) related regulations, 5) community cooperation and 6) the structure of management organization. 6 indicators of Planning element were 1) the management objective, 2) protected area design, 3) protected area size and number, 4) representation, 5) standards and categories and 6) management planning. Input element of 3 indicators were 1) management staff, 2) funding, 3) establishment and application of information. Process element were consisted of 1) governance, 2) management guidelines, 3) human resource management, 4) law enforcement, 5) eco-management, 6) disaster management, 7) education program and 8) research and monitoring. The element of outputs and outcomes were 1) accomplishment of plan, 2) accomplishment of program, 3) private land management, 4) threats change, 5) biodiversity change, 6) ecosystem health and vitality, 7) impact on community, 8) international management level and 9) visitors' satisfaction and variation in civil compliant. It is recommended to have further research on evaluation methods development by applying those above developed indicators for the protected forest areas to ensure the practicality of the indicators.

일반인들의 항공여객기 이용 시 우주방사선 피폭선량 비교 분석 (Analysis of Cosmic Radiation Dose of People by Abroad Travel)

  • 장동근;신상화
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권4호
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    • pp.339-344
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    • 2018
  • Humans received an exposure dose of 2.4 mSv of natural radiation per year, of which the contribution of spacecraft accounts for about 75%. The crew of the aircraft has increased radiation exposure doses based on cosmic radiation safety management regulations There is no reference to air passengers. Therefore, in this study, we measured the radiation exposure dose received in the sky at high altitude during flight, and tried to compare the radiation exposure dose received by ordinary people during flight. We selected 20 sample specimens, including major tourist spots and the capital by continent with direct flights from Incheon International Airport. Using the CARI-6/6M model and the NAIRAS model, which are cosmic radiation prediction models provided at the National Radio Research Institute, we measured the cosmic radiation exposure dose by the selected flight and departure/arrival place. In the case of exposure dose, Beijing was the lowest at $2.87{\mu}Sv$ (NAIRAS) and $2.05{\mu}Sv$ (CARI - 6/6M), New York had the highest at $146.45{\mu}Sv$ (NAIRAS) and $79.42{\mu}Sv$ (CARI - 6/6M). We found that the route using Arctic routes at the same time and distance will receive more exposure dose than other paths. While the dose of cosmic radiation to be received during flight does not have a decisive influence on the human body, because of the greater risk of stochastic effects in the case of frequent flights and in children with high radiation sensitivity Institutional regulation should be prepared for this.

대형 경유트럭의 NOx 저감장치에 따른 배출가스 특성비교 (Comparison on Exhaust Gas of Heavy Duty Diesel Trucks; THC and CO Emission Affected by NOx Control Devices (EGR, SCR))

  • 문선희;유흥민;손지환;윤창완;박규태;김정수;이종태
    • 한국분무공학회지
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    • 제20권3호
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    • pp.149-155
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    • 2015
  • With increasing of GDP, the registration number of passenger cars has exceeded 20 million last year in Korea. Especially, the registration number of the diesel engine vehicles has been increasing. However, the WHO(World Health Organization) IARC (International Agency for Research on Cancer) has reported that diesel engine exhaust gas is an one of HAPs, which has carcinogenic for human, and they have designated it to Group 1. To solve this problem, exhaust gas from diesel engines has to be controlled. Thus, it has been controlling by European regulatory standard in Korea. On the other hand, in order to meet the enhanced emission regulations, all manufacturing company applied $NO_x$ control device to vehicles such as EGR (Exhaust Gas Recirculation), SCR (Selective Catalytic Reduction) and so on. However, these devices (EGR, SCR) were operated by difference reaction mechanism respectively, and the composition of exhaust gas would be differenced from that of them. In this study, it was conducted to evaluate variety characteristics on changing of exhaust gas composition by each $NO_x$ control device, and the heavy duty diesel trucks were chosen as experimental vehicles. From the result, it revealed that vehicles (with EGR) were discharged higher THC as 52.5% than that of others (with SCR). However, it did not followed that trend, in the case of CO; it was discharged as 57.2% lower than that of others (with SCR). In the future, these data would be used to apply to efficient $NO_x$ control device for meeting to EURO 6.

한반도 내륙 지역의 기후 변화 대응을 위한 극한기후 분석 및 적응 방안 연구 - 대구 광역시 사례를 중심으로 - (Extreme Climate Analysis and Adaptation Research on the Response of Climate Change in the Inland Region of the Korean Peninsula - Case of Deagu Metropolitan Area -)

  • ;김해동;김은지;이순환
    • 한국환경과학회지
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    • 제29권7호
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    • pp.773-784
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    • 2020
  • In order to protect the lives and property of citizens, the central and local governments are responding by enacting municipal ordinances and regulations as the frequency of extreme weather conditions due to climate change increases and intensity increases gradually. Accordingly, the basic contents and strategies of domestic and foreign policies to cope with cold and heat waves were reviewed, referring to measures suitable for application to the Daegu metropolitan area. In addition, it is intended to provide a policy alternative to Daegu metropolitan area to minimize damage from extreme weather by identifying the current status, characteristics, and future prospects of extreme weather in Daegu metropolitan area. Since the damage caused by the cold wave in Daegu area is not as great as that of other regions, it is urgent to come up with cold wave measures for the health and transportation sectors, and to come up with measures against the heat wave as the damage caused by the heat wave is the most serious in the country. Also we will identify spatial characteristics so that the districts and counties with high vulnerability to extreme weather can be identified and implemented first, and present civic life-oriented facilities and civic action guidelines to overcome cold and heat waves.