• 제목/요약/키워드: US health system

검색결과 243건 처리시간 0.024초

염화비닐(Vinyl Chloride)의 인체 및 수생태계 영향 연구 (Effects of Vinyl Chloride to Human Health and Aquatic Ecosystems)

  • 남선화;안윤주
    • 생태와환경
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    • 제42권3호
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    • pp.271-279
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    • 2009
  • VC는 국제적인 발암등급 체계인 IRIS, IARC, ESIS에 의해 인체발암물질로 평가되고 있으며, 경구, 호흡, 경피 노출 경로를 통해 간세포 다형성 등을 유발하는 것으로 보고된 바 있다. 또한 VC는 자연계에서 쉽게 분해되지 않는 유기 염소계용제로서, 대기, 지표수, 지하수, 먹는물, 토양으로 유출되어 인체를 포함한 환경을 오염시킬 가능성이 높은 것으로 나타났다. 현재 우리나라의 수질환경기준과 먹는물 기준에서는 VC에 대한 규제 항목 및 기준치가 제시되어 있지 않으나, 인체 및 수생태계 위해 우려가 있어 특정수질유해물질 및 수질오염물질로 지정된 바 있다. US EPA, 일본, WHO 등 선진국에서는 법적 항목 및 기준치로 VC를 제도적으로 관리하고 있다. 특히 우리나라에서는 2004년 한강 및 낙동강 유역에서 $0.8\sim4.7{\mu}g\;L^{-1}$ (검출한계 $0.1{\mu}g\;L^{-1}$),개별배출업소 유출수에서 $10.6\sim668{\mu}g\;L^{-1}$의 농도로 VC가 검출된 사례가 있으며, 독일, 일본, 미국 등의 국외에서 검출된 $0.03\sim566{\mu}g\;L^{-1}$ 농도보다 국내 수계 내 VC의 분포 수준이 높은 것으로 나타났다. 국내 인체 위해성 평가 결과 VC에 대한 위해 우려가 높은 것으로 평가된 바 있으며, 생태 위해성 평가는 자료 부족으로 보류된 바 있다. 이 때 활용된 모니터링 자료는 일부 지점 및 단회 기반의 신뢰성 다소 낮은 자료에 국한되므로 지속적인 모니터링 사업을 통해 신뢰성 높은 자료로 대체될 필요가 있다. 또한 물 환경 내 생태독성연구는 일부 시험증에 국한되어 있고, 실험 설계도 VC의 수체 내 농도 감소를 고려하지 않아 결과치가 과다 산정되었을 가능성이 높다. 따라서 지속적으로 다양한 수서생물을 활용한 VC의 생태 독성 자료가 생성되어야 추후 VC에 대한 신뢰도가 높은 생태 위해성 평가가 수행될 것으로 사료된다.

이식형 의료기기의 추적 및 회수 관리를 위한 통합전산관리시스템 설계 (Design of a Tracking & Recall Management System for Implantable Devices)

  • 박순만;유선국
    • 전자공학회논문지SC
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    • 제48권5호
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    • pp.74-80
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    • 2011
  • 본 연구는 유통되는 이식형(implantable) 의료기기의 추적(tracking) 및 회수(recall) 처리를 신속하고 정확하게 수행할 수 있는 통합 전산 관리시스템 설계하는 것을 목적으로 한다. 이를 위해 최신 FDA 규정을 만족하는 시스템을 MSF/CD 설계방법론을 기반으로 설계하였다. 추적과 회수의 주요한 4가지 가상 시나리오를 설정하고 workflow diagram을 작성하여 개념설계하였다. 또한 business workflow를 만족하는 서버의 논리 DB를 개발하여 논리설계 단계까지 시스템을 설계하였다. 제안된 시스템으로 이식형 의료기기의 심각한 부작용 등 문제 발생 시 신속하고 정확한 추적과 회수 처리가 가능하여 이식형 의료기기를 장착한 환자의 생명유지 및 국민 건강 보호를 위한 정부 차원의 효율적인 관리가 가능할 것으로 사료된다.

Assessment of Occupational Health Risks for Maintenance Work in Fabrication Facilities: Brief Review and Recommendations

  • Dong-Uk Park;Kyung Ehi Zoh;Eun Kyo Jeong;Dong-Hee Koh;Kyong-Hui Lee;Naroo Lee;Kwonchul Ha
    • Safety and Health at Work
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    • 제15권1호
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    • pp.87-95
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    • 2024
  • Background: This study focuses on assessing occupational risk for the health hazards encountered during maintenance works (MW) in semiconductor fabrication (FAB) facilities. Objectives: The objectives of this study include: 1) identifying the primary health hazards during MW in semiconductor FAB facilities; 2) reviewing the methods used in evaluating the likelihood and severity of health hazards through occupational health risk assessment (OHRA); and 3) suggesting variables for the categorization of likelihood of exposures to health hazards and the severity of health effects associated with MW in FAB facilities. Methods: A literature review was undertaken on OHRA methodology and health hazards resulting from MW in FAB facilities. Based on this review, approaches for categorizing the exposure to health hazards and the severity of health effects related to MW were recommended. Results: Maintenance workers in FAB facilities face exposure to hazards such as debris, machinery entanglement, and airborne particles laden with various chemical components. The level of engineering and administrative control measures is suggested to assess the likelihood of simultaneous chemical and dust exposure. Qualitative key factors for mixed exposure estimation during MW include the presence of safe operational protocols, the use of air-jet machines, the presence and effectiveness of local exhaust ventilation system, chamber post-purge and cooling, and proper respirator use. Using the risk (R) and hazard (H) codes of the Globally Harmonized System alongside carcinogenic, mutagenic, or reprotoxic classifications aid in categorizing health effect severity for OHRA. Conclusion: Further research is needed to apply our proposed variables in OHRA for MW in FAB facilities and subsequently validate the findings.

2000년대 원자력과 유연탄 화력 발전의 경제성 평가 -동일 보건 위험도 기준- (Economic Assessment of Coal-fired & Nuclear Power Generation in the Year 2000 -Equal Health Hazard Risk Basis-)

  • Seong, Ki-Bong;Lee, Byong-Whi
    • Nuclear Engineering and Technology
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    • 제21권3호
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    • pp.171-185
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    • 1989
  • 유연탄 발전과 원자력 발전의 경제성 평가를 균등한 인체 위험도 하에서 서기 2000년의 시점에서 수행하였다. 유연탄 발전과 원자력 발전의 인체에 대한 영향 비교에서, 유연탄의 영향이 원자력에 비해서 10배가량 높은 것을 에너지 시스템의 위험도 평가에 관한 여러 연구결과들로부터 알 수 있었다. 그런데 위험도가 0인 상태는 존재하지 않으므로, 유연탄 발전과 원자력 발전간의 위험도 차이만을 본 논문의 위험도로 간주했다. 인체 위험도 비용은 사망과 질병의 두 경우로 나누어서, 사망의 경우에는 Human Life Value로 계산하고, 질병의 경우에는 완치될 때까지의 치료비등 제반 비용으로 계산했다. 이러한 방법에 의한 계산 결과 사망의 비용은 $250,000이 되었고, 질병의 경우는 $90,000이 되었다. (1986 US$) 그리고 비용편익분석을 통해서 유연탄 화력 발전의 최적 규제 기준치를 구했는데, 이 규제치는 최소 사회비용이 발생되는 지점에서 구해졌다. 서기 2000년의 한국에서의 SOx에 대한 최적 규제치는 165ppm으로 나타났다. 이러한 전력 생산의 경제성 평가 방법으로부터, 원자력이 유연탄 화력에 비해서 더 경제적인 것으로 나타났다. 반면에 불확실도는 유연탄화력이 더 작은 것으로 나타났다.

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인터넷을 이용한 관절염 환자의 건강상담 내용분석 -대한류마티스 건강전문학회 홈페이지를 대상으로- (Analysis of Health Counseling by the Internet - on the Home page of Korean Rheumatology Health Professions Society)

  • 이은옥;이영숙
    • 근관절건강학회지
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    • 제7권1호
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    • pp.40-52
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    • 2000
  • Recently with the development in computer technology and its communication system, many changes in medical informatics enable us to use various medical information regardless of time or place. There are many home pages on the web, which provide medical counseling and hospital information. On May 11th 1999, Korean Rheumatology Health Professions Society began its new service as a home page on the web with various rheumatologic health information, questioning/ answering, and so on. This study was undertaken to examine the content and the purpose of health counseling on the web. The data was collected from 173 questioners who visited questioning/ answering site in the KRHPS home page for May 11th, 1999 through November 10th, 1999. Most of the questioners consulted the health problems of their or their families. Over two thirds of them were already diagnosed medically. Rheumatoid arthritis was the most frequent one. Other diseases, such as, osteoarthritis, ankylosing spondylitis, Still's disease were also on the list. Most of the questioners wanted to know treatment strategies, to consult about their symptoms, and to make diagnosis. And many questioners wanted detailed explanations about their diseases or the informations regarding the hospital. These findings suggest that the health counseling on the web may be used to supplement the lack of direct medical interviews with doctors. It also is expected to guide the patients to the right direction.

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Can Obesity Cause Depression? A Pseudo-panel Analysis

  • Ha, Hyungserk;Han, Chirok;Kim, Beomsoo
    • Journal of Preventive Medicine and Public Health
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    • 제50권4호
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    • pp.262-267
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    • 2017
  • Objectives: The US ranks ninth in obesity in the world, and approximately 7% of US adults experience major depressive disorder. Social isolation due to the stigma attached to obesity might trigger depression. Methods: This paper examined the impact of obesity on depression. To overcome the endogeneity problem, we constructed pseudopanel data using the Behavioral Risk Factor Surveillance System from 1997 to 2008. Results: The results were robust, and body mass index (BMI) was found to have a positive effect on depression days and the percentage of depressed individuals in the population. Conclusions: We attempted to overcome the endogeneity problem by using a pseudo-panel approach and found that increases in the BMI increased depression days (or being depressed) to a statistically significant extent, with a large effect size.

한국과 일본의 노인 대상 지역사회 재활서비스 비교 연구: 노인장기요양보험 제도를 중심으로 (Comparison of Community Rehabilitation Services for the Elderly in South Korea and Japan: Focusing on the Long-Term Care Insurance System)

  • 이민영
    • 한국전문물리치료학회지
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    • 제29권2호
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    • pp.94-105
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    • 2022
  • Background: As South Korea enters an aged society, the government has emphasized the need for a soft landing of the older adults into the community after the acute and recovery periods under a national policy of "community care." However, the institutionalization of community rehabilitation services to implement this is insufficient. Japan had already entered an aged society when the Long-Term Care Insurance System was introduced in 2000. Thus, the case of Japan's institutionalization of the system is expected to have implications for us in supplementing a suitable system for the aged society. Objects: This study compared the institutionalization process of the Long-Term Care Insurance System in South Korea and Japan and the services currently being implemented in each country. Methods: To examine the institutionalization process and services of the system, related legal rules and regulations, government reports, and articles were reviewed. To examine the operation status of the system, statistical data provided by each country's government were analyzed. Results: Japan recognized the importance of community rehabilitation even before the enactment of Long-Term Care Insurance. Thus, community rehabilitation services, such as home-visit rehabilitation and health facilities, were already stipulated in the law. Under such institutional legacy, Long-Term Care Insurance was able to establish a service system, which balanced welfare and health-related services, including various types of services with enhanced rehabilitation functions. In South Korea, rehabilitation policies were not much considered in the process of institutionalizing the system; thus, it was composed mainly of services focusing on care and recuperation. Conclusion: In order to realize community care, rehabilitation services need to be developed in Long-Term Care Insurance System in various forms such as home-visit services, daily services, short stay, and facility services.

Applying policy and health effects of air pollution in South Korea: focus on ambient air quality standards

  • Ha, Jongsik
    • Environmental Analysis Health and Toxicology
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    • 제29권
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    • pp.11.1-11.7
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    • 2014
  • Objectives South Korea's air quality standards are insufficient in terms of establishing a procedure for their management. The current system lacks a proper decision-making process and prior evidence is not considered. The purpose of this study is to propose a measure for establishing atmospheric environmental standards in South Korea that will take into consideration the health of its residents. Methods In this paper, the National Ambient Air Quality Standards (NAAQS) of the US was examined in order to suggest ways, which consider health effects, to establish air quality standards in South Korea. Up-to-date research on the health effects of air pollution was then reviewed, and tools were proposed to utilize the key results. This was done in an effort to ensure the reliability of the standards with regard to public health. Results This study showed that scientific research on the health effects of air pollution and the methodology used in the research have contributed significantly to establishing air quality standards. However, as the standards are legally binding, the procedure should take into account the effects on other sectors. Realistically speaking, it is impossible to establish standards that protect an entire population from air pollution. Instead, it is necessary to find a balance between what should be done and what can be done. Conclusions Therefore, establishing air quality standards should be done as part of an evidence-based policy that identifies the health effects of air pollution and takes into consideration political, economic, and social contexts.

장기요양 서비스를 누가, 얼마나, 얼마에 원하고 있는가? - 장기요양 서비스의 욕구와 결정요인 및 지불의사금액 - (The Want, its Determinants and the Willingness to Pay of the Long Term Care Service)

  • 김현철;홍나래;연병길;박태규;정우진;정진욱
    • 보건행정학회지
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    • 제15권4호
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    • pp.136-160
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    • 2005
  • Before introducing the national long-term care insurance in 2008, the want for long term care service has to be estimated and analysed. This study estimates the demand and analyses what determines the want of long term care service. This study investigated data of 3f6 elderlies, that was collected by age stratified random sampling. The elderies resided in Onyang 4 - dong (urban area) and Dogo-myun (rural area) In the city of Asan. The researchers visited the elderlies and their care giver, and assessed their demand for the long term care service and examined physical, mental, socio-economic status by the assessment tools for Korean Long-Term Care System. $64\%$ of the those who are entitled to be served refuse the long term care service. $26.7\%$ of them wants for home care service and $7.9\%$ want facility care service. It is estimated that the want of home care service are three or four times as much as that of facility care service. The demand for long term care service is 5.155 times higher for those who live in rural area (p=0.000), 3.040 times higher for those who do not have spouse(p=0.057), and 3.356 times higher for the people who is in medicaid than medical insurance(p=0.029). However, income(p=0.782), means(p=0.614), living alone(p=0.223), number of family to live with (p=0.341) and age of the elderly(p=0.420) are not related with the demand of long term care service. The assessment tools for Korean Long-Term Care System for need evaluation of the long term care service can reflect the demand well.(p=0.024) If medical care will cover $80\%$ of total cost, the willingness to pay of the out of pocket money of the people with medical insurance is 67,400 Korean Won(66.77 US$) for the home care service and 182,500 Korean Won(180.78 US$) for the facility care service. There is possibility that long term care demand is still small after Introducing the long term care Insurance due to the care given by family members. When developing service delivery system of long term care insurance, rural area has to be given more consideration than urban area because of the higher demand. The people who do not have spouse or are in medicaid have to be given special consideration as well.

A Cell Phone-based ECG, Blood Pressure Monitoring System for Personal Healthcare Applications using Wireless Sensor Network Technology

  • Toh, Sing-Hui;Lee, Seung-Chul;Chung, Wan-Young
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2008년도 춘계종합학술대회 A
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    • pp.505-508
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    • 2008
  • Electrocardiogram (ECG) and blood pressure (BP) are main vital signs which are the standards in most medical settings in assessing the most basic body functions. Multi parameters are desired in providing more information for health professionals in order to detect or monitor medical problems of patients more precisely. This study urges us to develop a robust wireless healthcare monitoring system which has multiple physiological signs measurements on real time that applicable to various environments which integrates wireless sensor network technology and code division multiple access (CDMA) network with extended feature of locally standalone diagnosis algorithms that implemented in tell phone. ECG signal and BP parameter of the patients are routinely be monitored, processed and analyzed in details at cell phone locally to produce useful medical information to ease patients for tracking and future reference purposes. Any suspected or unknown patterns of signals will be immediately forwarded to hospital server using cell phone for doctors' evaluation. This feature enables the patients always recognize the importance of self-health checking so that the preventive actions can be taken earlier through this analytic information provided by this monitoring system because "Prevention is better than Cure".

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