• 제목/요약/키워드: National surveillance system

검색결과 391건 처리시간 0.03초

물질과 제품 사용에 의한 국내 중독(poisoning) 건수 추정 (Estimation of Poisoning Cases by Use of Chemicals and Chemical Products in South Korea)

  • 박소영;이예성;문은찬;남민우;김지원;박지훈;최원준;최상준;하권철;전형배;박동욱
    • 한국환경보건학회지
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    • 제46권5호
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    • pp.565-575
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    • 2020
  • Objective: South Korea still lacks systematic national poisoning data collection or a poison control center (PC). The objectives of this study are to provide estimates of poisoning incidents in South Korea and to stress the necessity of a national poisoning surveillance framework managed by a national PC. Method: The number of poisoning incidents was estimated based on the 2018 annual report of the American Association of Poison Control Centers' National Poison Data System (NPDS). Our estimation of poisoning data was classified according to age group, reason for poison exposure, and case management site. Results: Total poisoning cases estimated numbered 326,636, which is tantamount to 631 cases per 100 thousand. Poisoning cases among those younger than five years old accounted for 71.7% in the United States. Fatal poisoning cases were estimated to be 210.63 (95% CI: 199.70-222.15). Non-intentional poisoning cases (250,378 cases, 95% CI: 249,992-250,764, 76.7%) were estimated to be far higher than intentional cases (62,399 cases, 95% CI: 62,207-62,593, 19.1%). Conclusion: Our results can be used to suggest the necessity of producing national poisoning data and establishing a PC despite the uncertainty of estimation.

작업환경측정 자료를 활용한 Dichloromethane 노출 매트릭스 구축에 대한 연구 (Construction of an Exposure Matrix Using a Risk Assessment of Industries and Processes Involving Dichloromethane)

  • 이재환;박동욱;홍성철;하권철
    • 한국환경보건학회지
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    • 제36권5호
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    • pp.391-401
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    • 2010
  • A reduction in risk of occupational exposure to chemical hazards within the workplace has been the focus of attention both through industry initiatives and legislation. The aims of this study were to develop an exposure matrix by industry and process, and to apply this matrix to control the risk of occupational exposure to Dichloromethane (DCM). The exposure matrix is a tool to convert information on industry and process into information on occupational risk. The exposure matrix comprised industries and processes involving DCM, based on an exposure database provided by KOSHA (the Korean Occupational Safety and Health Agency), which was gathered from a workplace hazards evaluation program in Korea. The risk assessment of the exposure matrix was performed using Hallmark risk assessment tool. The results of the risk assessment were indicated by a Danger Value (DV) calculated from the combination of hazard rating (HR), duration of use rating (DUR), and risk probability rating (RPR) of exposure to the chemical, and were divided into four control bands which were related to control measures. The applicability of the risk assessment of the exposure matrix was evaluated by a field study, and survey of the employees of the exposure matrix groups. Among 45 industries examined, this study found that greater attention should be paid to two industries: the manufacture of other optical instruments and photographic equipment, and the manufacture of printing ink, and to one process among 47 examined, the packing process in the manufacture of printing ink, because these were regarded as carrying the highest risk. This tool of a risk assessment for the exposure matrix can be applied as a general exposure information system for hazard control, risk quantification, setting the occupational exposure limit, and hazard surveillance. The exposure matrix includes workforce data, and it provides information on the numbers of exposed workers in Korea by agent, occupation, and level of exposure and risk.

의료보험자료 상병기호의 정확도 추정 및 관련 특성 분석 -법정전염병을 중심으로- (Estimation of Disease Code Accuracy of National Medical Insurance Data and the Related Factors)

  • 신의철;박용문;박용규;김병성;박기동;맹광호
    • Journal of Preventive Medicine and Public Health
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    • 제31권3호
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    • pp.471-480
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    • 1998
  • This study was undertaken in order to estimate the accuracy of disease code of the Korean National Medical Insurance Data and disease the characteristics related to the accuracy. To accomplish these objectives, 2,431 cases coded as notifiable acute communicable diseases (NACD) were randomly selected from 1994 National Medical Insurance data file and family medicine specialists reviewed the medical records to confirm the diagnostic accuracy and investigate the related factors. Major findings obtained from this study are as follows : 1. The accuracy rate of disease code of NACD in National Medical Insurance data was very low, 10.1% (95% C.I. : 8.8-11.4). 2. The reasons of inaccuracy in disease code were 1) claiming process related administrative error by physician and non-physician personnel in medical institutions (41.0%), 2) input error of claims data by key punchers of National Medical Insurer (31.3%) and 3) diagnostic error by physicians (21.7%). 3. Characteristics significantly related with lowering the accuracy of disease code were location and level of the medical institutions in multiple logistic regression analysis. Medical institutions in Seoul showed lower accuracy than those in Kyonngi, and so did general hospitals, hospitals and clinics than tertiary hospitals. Physician related characteristics significantly lowering disease code accuracy of insurance data were sex, age group and specialty. Male physicians showed significantly lower accuracy than female physicians; thirties and fortieg age group also showed significantly lower accuracy than twenties, and so did general physicians and other specialists than internal medicine/pediatric specialists. This study strongly suggests that a series of policies like 1) establishment of peer review organization of National Medical Insurance data, 2) prompt nation-wide expansion of computerized claiming network of National Medical Insurance and 3) establishment and distribution of objective diagnostic criteria to physicians are necessary to set up a national disease surveillance system utilizing National Medical Insurance claims data.

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국민건강증진을 위한 영양 부문의 2000년 잠정목표와 전략 (Provisional National Nutrition Targets and Strategies for Health Promotion of Koreans)

  • 김혜련
    • 대한지역사회영양학회지
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    • 제1권2호
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    • pp.161-177
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    • 1996
  • This study attempts to propose a priority of national nutrition targets and strategies for health promotion by the year 2000 in Korea, as a part of the task set for national health promotion objectives and strategies. Among all of the important health issues raised, ten were chosen, nutrition was one priority area. In the first part, the current status of the nutrition-related health problems and risk factors are reviewed, in conjunction with the newly arisen health phenomena, such as changes in prevalence of lifestyle disease and causes of death, changes of food consumption patterns in our country. In the second section this study suggests six feasible national nutrition targets, eight implementing strategies and current major tasks on the basis of the assessment of present status and in consideration of the other health promotion goals and strategies, with reference to that of other developed countries. The main targets and strategies are suggested as follows ; Firstly, the national nutrition monitoring and surveillance system should be established for identifying the nutritional problems for our people, and current National Nutrition Survey is a strong need for improvement to a more comprehensive and reliable one. Secondly, effective administrative mechanism should be operation at national level for the development of nutrition policy. Ministry of Health and Welfare (MOHW) as well as local health department must be remarkably renewed and strengthened the nutrition section. And it is recommended that MOHW organize and operate “The Council of Nutrition”, in which all government authorities related with foodstuffs and nutrition would incorporated. The Council of Nutrition would act as an adjustor as well as a coordinator in nutrition related policy-making. Thirdly, healthy eating pattern will be supported by activities of introducing a nutrition labeling for providing consumers with the necessary information and skills for food selection. Fourthly, nutrition education, and nutrition intervention programs will be carried out in various settings such as health centers, schools, and clinical fields and workplace. Fifthly, the current dietary guidelines shall be continuously improved in detail, and publicly circulated to particular levels of people by age group and by health condition. And finally, researches and epidemiological studies particularly in regard to diet for development of chronic diseases are needed for more investigation and up-to-date national health and nutrition data should be collected with the support and cooperation from the various medical professional teams . (Korean J Community Nutrition 1(2) : 161-177, 1996)

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학교내 영상정보처리기기 업무 처리 실태 및 개선을 위한 소고 : 세종시 공립학교 공문서 처리행태를 중심으로 (Perception of CCTV operation through administrative action in schools : Focus on public schools in Sejong)

  • 권혁춘
    • 한국교육논총
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    • 제41권2호
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    • pp.25-53
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    • 2020
  • 본 연구는 학교 안전 관련 관심과 대응 정책이 증대되는 시점에 학교 내 CCTV 운영 사례를 바탕으로 교사와 행정직원들의 CCTV에 대한 행동양태를 파악하는데 목적이 있다. 또한 교직원의 공문처리 행태변화를 가져올 수 있는 교육당국의 여러 시도를 통해 드러난 주요 시사점을 비교분석하였다. 학교급별·교직원별 영상정보처리기기관련 업무 배분을 정량적인 자료, 즉 공문처리에 의한 행정행위의 결과를 원시자료로써 활용하면서 변화를 파악하였다. 교육청 공문서에 의해 단위학교의 행동양태의 유의미한 변화가 있음을 발견하였다. 첫째 학교급별로 개인정보 관련 공문처리자 지정 시 행태의 변화도가 높았다. 둘째 유치원을 대상으로 한 유아안전관련 공문처리자 지정 시 공문서에 의한 변화도가 낮았다. 학교급별 교직원의 CCTV 업무 처리행태를 공문서 접수처리를 통해 차이를 확인하였다. 본 연구는 학교 내 민감한 주제인 CCTV(영상정보처리기기) 업무에 대한 주제를 선정하였으며, 진행된 자료나 조사 내용은 구체적인 상기주제를 다룬 행정 절차와 관련 규정 등의 내용이다. CCTV(영상정보처리기기 업무)라는 민감한 주제를 통해 발생할 수 있는 갈등 해결책 모색을 위한 시사점을 제시하였다. 이 연구결과는 교육청과 학교현장의 명확한 업무분장을 위하여 유용하게 활용할 수 있다는데 의의가 있다.

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Surveillance Evaluation of the National Cancer Registry in Sabah, Malaysia

  • Jeffree, Saffree Mohammad;Mihat, Omar;Lukman, Khamisah Awang;Ibrahim, Mohd Yusof;Kamaludin, Fadzilah;Hassan, Mohd Rohaizat;Kaur, Nirmal;Myint, Than
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권7호
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    • pp.3123-3129
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    • 2016
  • Background: Cancer is the fourth leading cause of death in Sabah Malaysia with a reported age-standardized incidence rate was 104.9 per 100,000 in 2007. The incidence rate depends on non-mandatory notification in the registry. Under-reporting will provide the false picture of cancer control program effectiveness. The present study was to evaluate the performance of the cancer registry system in terms of representativeness, data quality, simplicity, acceptability and timeliness and provision of recommendations for improvement. Materials and Methods: The evaluation was conducted among key informants in the National Cancer Registry (NCR) and reporting facilities from Feb-May 2012 and was based on US CDC guidelines. Representativeness was assessed by matching cancer case in the Health Information System (HIS) and state pathology records with those in NCR. Data quality was measured through case finding and re-abstracting of medical records by independent auditors. The re-abstracting portion comprised 15 data items. Self-administered questionnaires were used to assess simplicity and acceptability. Timeliness was measured from date of diagnosis to date of notification received and data dissemination. Results: Of 4613 cancer cases reported in HIS, 83.3% were matched with cancer registry. In the state pathology centre, 99.8% was notified to registry. Duplication of notification was 3%. Data completeness calculated for 104 samples was 63.4%. Registrars perceived simplicity in coding diagnosis as moderate. Notification process was moderately acceptable. Median duration of interval 1 was 5.7 months. Conclusions: The performances of registry's attributes are fairly positive in terms of simplicity, case reporting sensitivity, and predictive value positive. It is moderately acceptable, data completeness and inflexible. The usefulness of registry is the area of concern to achieve registry objectives. Timeliness of reporting is within international standard, whereas timeliness to data dissemination was longer up to 4 years. Integration between existing HIS and national registration department will improve data quality.

원적외선용 반사식 전방위 비전 시스템의 광학 설계 (Optical Design of a Reflecting Omnidirectional Vision System for Long-wavelength Infrared Light)

  • 주윤재;조재흥;유재명
    • 한국광학회지
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    • 제30권2호
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    • pp.37-47
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    • 2019
  • 야간 감시를 위해 원적외선에서 사용하는 4개의 구면 및 비구면 거울을 갖는 반사식 전방위 비전 시스템 광학계를 제안한다. 이 반사식 전방위 비전 시스템은 유사 카세그레인식 수광부 반사경 시스템과 역 유사 카세그레인식 결상부 반사경 시스템으로 설계되었으며, 그에 따른 설계 과정과 성능 분석을 상세히 제시한다. 이 비전 시스템의 반화각과 F-수는 각각 $40{\sim}110^{\circ}$와 1.56으로 설정하였다. 그리고 원적외선 파장 영역에서 비전 시스템을 사용하기 위해서 상의 크기가 원적외선용 마이크로 볼로미터의 크기와 가능한 같아야 하므로 상의 크기를 $5.9mm{\times}5.9mm$에 맞추어 설계를 진행하였다. 최적화 설계 후 $40{\sim}110^{\circ}$의 반화각 범위에서의 상 크기의 비율은 48.86%이며, 나이퀴스트 주파수인 20 lp/mm의 공간주파수에서 원적외선의 변조전달함수 값이 0.381에 도달하였다. 또한 20 lp/mm의 공간주파수에서 원적외선 영역에 대한 공차의 누적 확률은 99.75%였다. 또한 역 유사 카세그레인식 구조의 결상부 부경을 온도 변화에 따른 변조전달함수 값을 개선시키는 보상자로 선택하여 반사식 전방위 비전 시스템의 운용 온도 범위인 $-32^{\circ}C$에서 $+55^{\circ}C$의 온도 범위에서 비열화 해석 및 보상화 과정을 진행하였다.

영상감시 시스템에서의 얼굴 영상 정보보호를 위한 기술적·관리적 요구사항 (Technical and Managerial Requirements for Privacy Protection Using Face Detection and Recognition in CCTV Systems)

  • 신용녀;전명근
    • 정보보호학회논문지
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    • 제24권1호
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    • pp.97-106
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    • 2014
  • 공공의 안전을 위한 영상 감시 시스템의 도입이 활발해짐에 따라 많은 공공시설이나 장소에 설치되어 운영되고 있다. 최근 CCTV의 성능이 좋아짐에 따라, CCTV 영상으로부터 획득된 사람의 얼굴 정보를 바탕으로 얼굴 인식 등을 통해 자동화된 처리를 시도하는 기술들이 개발되고 있다. 하지만, 이러한 기술들이 악용될 경우 중대한 개인의 프라이버시 침해 우려가 있다. 특히, 최근에는 특정 공간에 설치된 컴퓨터와 연결시켜 카메라에 찍힌 영상을 인터넷을 통해 실시간으로 보여주는 정보제공서비스까지 등장하고 있고, 시행중인 개인정보보호법에서 바이오인식정보에 대하여 안전성 확보조치 기준을 고시하고 있다. 이에, 본 논문에서는 영상 감시시스템에서 개인영상 정보보호를 위한 기술적 관리적 관점에서 영상감시 시스템에서의 개인 영상 정보보호 요구사항을 도출하고자 한다.

음주 주종과 급성 위해 유발 음주 위험도 (Type of Alcoholic Beverage and High Risk Drinking for Acute Harm)

  • 유태우;이선미;정우진
    • Journal of Preventive Medicine and Public Health
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    • 제36권4호
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    • pp.383-389
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    • 2003
  • Objective : Studies have suggested that beer is associated with a high risk of mortality and morbidity. The purpose of this study was to investigate how types of alcoholic beverage are related to high risk acute harm. Methods : Data from the 1997 Korea's Behavioral Risk Factor Surveillance System Survey, collected through telephone questionings, were analyzed based on multi-stage stratified random sampling(N=1,045). Among those who had drunk at least one type of alcoholic beverage in the last month, one episode where the drinker had consumed the highest level of ethanol was selected, and the alcohol consumption per drinking day categorized into four risk levels of short-term, 'acute' harm, according to the WHO guidelines. Employing ordered logistic regression analyses, as the explanatory variables, types of alcoholic beverage, with and without socioeconomic characteristics, were considered. Results : Spirits and soju were more than ten and three times, respectively, more likely than beer, while makkolli and wine were almost as likely as beer, to involve high risk drinking, irrespective of controlling for the socioeconomic characteristics. Conclusions : Unlike most Western countries, in Korea, beer, rather than spirits or soju, is generally less likely to be associated with high risk drinking for acute harm, The influence of beverage types on high risk drinking for acute harm appears to vary between countries.

모션 캡쳐에 기반한 도마뱀 속보에 대한 기구학적 모델링 (Kinematic Modelling of the Trot of a Lizard Based on the Motion Capture)

  • 김창회;신호철;이흥호
    • 전자공학회논문지
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    • 제50권8호
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    • pp.264-273
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    • 2013
  • 미래의 전쟁에서 인명 피해를 최소화하기 위한 방안으로 로봇의 중요성이 부각되고 있으며 최적으로 진화된 생물체를 모방하는 생체모방로봇에 대한 연구가 활발하게 추진되고 있다. 도마뱀 모방형 로봇은 협소한 지역에서 은밀한 접근 및 은닉을 필요로 하는 정찰 및 감시 등의 임무를 수행하기에 적합하다. 본 논문에서는 적외선 마커를 이용하여 도마뱀의 보행동작을 분석하였다. 쿠반 에놀의 관절 부위에 21 개의 마커를 부착하고 광학적 모션 캡쳐 장비를 사용하여 도마뱀의 보행 동작을 측정하였다. 측정된 데이터를 분석하여 펼친 자세로 속보로 보행하는 도마뱀의 걸음 동작을 분석하였다. 또한 도마뱀의 걸음새를 충실하게 구현 가능하도록 25 자유도를 갖는 기구학 모델을 제안하였으며 시뮬레이션을 통하여 모델링의 타당성을 확인하였다.