• 한국안전학회지
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• 제24권6호
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• pp.119-123
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• 2009

The purpose of this study is to verify the assessment of the risk index by the AHP method effective in the bridge construction. We compared that by the AHP method with the risk index by the accident analysis in the bridge construction. This method results in the useful tool deciding the assessment of the risk index according to work type in the bridge construction.

• 한국환경생태학회지
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• 제34권4호
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• pp.282-293
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• 2020

본 연구에서는 2009-2019년 기간 동안 대전시 외곽의 도심개발에 따른 인근 하천(관평천)의 상류, 중류, 하류의 구간에서 4회 조사(2009, 2010, 2016, 2019)를 통해 이화학적 수질, 어류 종 조성, 생태 건강성 특성에 대해 장기간 변화추이를 분석하였다. 본 하천지역에서 도심개발은 2008년에 이루어졌고, 2012년에는 하천복원사업이 수행되어 하천복원 전과 후의 특성변화 추이를 모니터링 하였다. 하천 생태건강도 평가를 위해 군집수준의 어류평가지수(Fish Assessment Index, FAI)를 이용하였고, 어류의 기관(Organ) 수준에서 해부학적 건강도(Necropsy-based Health Assessment Index, HAI) 분석을 실시하였다. 이화학적 수질 분석에서는 중류(St. 2)에서 가장 낮은 탁도와 엽록소(Chl-a)가 측정되었다. 이는 빠른 유속에 의한 물리적 요인 때문으로 나타났다. 어류 조사에서는 총 18종이 채집되었고, 피라미(Zacco platypus)가 가장 우점 하는 종(40.6%)으로 나타났다. 하천복원 직후(2016)에는 민감종(Sensitive species)과 충식종(Insectivore species)이 우점, 종 다양도 및 종 풍부도 지수 상승, 생태건강도 지수(FAI)가 상승하여 생태 건강도는 "최상상태(A: 87.5)"로 나타났으나 가장 최근 조사인 2019년에는 전 기간에 비해 악화되는 것으로 나타났다. 기관(Organ) 분석에 의거한 해부학적 건강도 지수(HAI) 분석에 따르면, 피부손상(Skin)은 상류에서, 신장 손상(Kidney)은 하류 역에서 나타났고, 간(Liver)과 아가미(Gill)의 손상은 모든 지점에서 나타나 해부학적 측면의 건강도에서도 영향을 받는 것으로 나타났다.

• 한국물환경학회지
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• 제37권4호
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• pp.296-305
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• 2021

This work investigated heavy metal pollution in surface sediments of rivers in Busan, Korea. Surface sediments were analyzed in order to conduct contamination assessment of organic matter, nutrients, and heavy metal concentrations. Contamination assessment of heavy metals was conducted using geoaccumulation index (I_geo), pollution load index (PLI), and potential ecological risk index (RI). Accumulation of organic matter and nutrients were affected by water discharged from sewage treatment plant. The concentrations of organic matter and nutrients were found to be greater in points which were close to the sewage treatment plant more than points furthest. The concentrations of Pb, Zn, Cu, Cd, Hg, As, Cr, and Ni were found to be greater in surface sediment more than in the background. The mean concentrations of heavy metals were in the order of Zn (323.5 mg/kg) > Cu (70.5 mg/kg) > Pb (39.8 mg/kg) > Cr (33.4 mg/kg) > Ni (13.5 mg/kg) > As (9.4 mg/kg) > Cd (0.84 mg/kg) > Hg (0.092 mg/kg). The result of geoaccumulation indices indicated that Hg > Cr > Cu > Ni > Zn > As > Pb > Cd were found in order of severe contamination by heavy metals. From PLI and RI analysis, it was evident that the Suyeonggang 2 was the most contaminated river.

• Safety and Health at Work
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• 제12권4호
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• pp.452-461
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• 2021

Background: The prevailing global work scenario and deteriorating health facilities in economies indulge the risk perspective in the labor market model. This is the reason that the risk factor is cautiously attributed to wages and labor market efficiencies specifically in developing and emerging economies. In this respect, Occupational Injuries of Workers (OIW) is considered essential to demonstrate the risk and Occupational Health and Safety (OHS) setups given the constraints of the labor. Intuitively, the prime objective of this study is to make an assessment of the labor market considering the OIW through the indicators of industry division, employment status, occupational distribution, adopted treatment, gender and regionality. Methods: The assessment strategy of the study has been categorized into trend analysis and Index Value Calculation (IVC) segments employing the data from 2001 to 2018. Results: The pattern of the selected indicators of the OIW has been observed in the available data while the IVC estimations are considered through time and reference categories. The findings of both exercises revealed absolute and relative heterogeneities at both industry and occupational levels. Conclusion: The consistency for gender and regional distribution of both assessments points out the need for effective policy initiatives. The study suggests separate analyses of industry and occupations for a better understanding of the OHS setups and up-gradation in Pakistan.

• 한국임상약학회지
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• 제22권4호
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• pp.291-303
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• 2012

As respiratory tract infections (RTI) account for about 60% of all antibiotic prescriptions in outpatient care setting, there are significant concerns about emerging resistance that are largely due to the excessive or inappropriate use of antibacterial agents for viral respiratory infections. This study was aimed to develop retrospective drug utilization review (DUR) program of antibiotics for RTIs using Delphi methods. Retrospective DUR criteria of antibiotics for RTIs were identified based on clinical practice guidelines and opinion of experts. Expert panel members were clinical doctors and pharmacists and Delphi method was applied by survey on 16 members of panels. The claim data from Korean Health Insurance Review & Assessment (HIRA) were used to examine trends in outpatient antibiotic prescription between Janunary to December of 2008. As results, Quality index for RTI was assessed for the claim type, antibiotics use of quantity, duration, number and cost. Antibiotic prescription rate for RTIs, Defined Daily Dose (DDD), and duration of antibiotics use were more recognized as significant quality index by experts' opinion. Use of first line agents suggested by guidelines was low and duration of antibiotics use was shorter compared to the recommendations. Antibiotics were over prescribed for RITs. However, dose and duration of antibiotics were under-used.

• 한국식품영양학회지
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• 제18권4호
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• pp.357-366
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• 2005

Elder people in Korea was affecting the nutritional status by following factors : low energy intakes, low food diversity, and poor quality of nutrition. Management a nutrition education program was planned to change the elder's nutrition knowledge and improve their nutritional status. There are seven kinds of indicator - knowledge for health questionnaire (before and after education) - we have investigated elderly nutrition education group in Su-Jung ku, Sung-Nam city. The items of surveyed was general characteristics and anthropometric measurement of the elder people, their mini dietary assessment index score, nutritional risk, nutrition knowledge test, and it's valuation comparisons between the before and after every education we did. According to the results of mini dietary assessment index score, the mean was 22.7 at the maximum 30 points and $94.2\%$ of respondents got more than nomal group. The nutritional risk score was the highest in 'high risk' group. Also the results of nutrition knowlede test showed that the mean increase $35.1\%$ of respondents. Therefore, significant improvement results showed by nutrition education programs in elders. These results suggests that the educating nutrition programs fur elder's encouraging eating behavior themselves and changing their knowledge in nutrition.

• 한국환경보건학회지
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• 제43권3호
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• pp.240-246
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• 2017

Objectives: This study was conducted to evaluate the vulnerability of the human health sector to $PM_{10}$ due to climate change in Incheon over the period of 2005-2014. Methods: Vulnerability to $PM_{10}$ consists of the three categories of climate exposure, sensitivity, and adaptive capacity. The indexes for climate exposure and sensitivity indicate positive effects, while adaptive capacity shows a negative effect on vulnerability to $PM_{10}$. The variables in each category were standardized by the rescaling method, and respective relative regional vulnerability was analyzed through the vulnerability index calculation formula of the Intergovernmental Panel on Climate Change. Results: Regions with a high exposure index were the western and northern urban areas with industrial complexes adjacent to a highway, including Bupyong-gu and Seo-gu. Major factors determining the climate exposure index were the $PM_{10}$ concentration, days of $PM_{10}$ >= $100{\mu}g/m^3$, and $PM_{10}$ emissions. The regions showing a high sensitivity index were urban regions with high populations; these commonly had a high mortality rate for related diseases and vulnerable populations. Conclusions: This study is able to support regionally adjusted adaptation policies and the quantitative background of policy priority since it provides information on the regional health vulnerability to $PM_{10}$ due to climate change in Incheon.

• Tuberculosis and Respiratory Diseases
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• 제81권2호
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• pp.116-122
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• 2018

Background: Chronic obstructive pulmonary disease (COPD) is a serious chronic condition with a global impact. Symptoms of COPD include progressive dyspnea, breathlessness, cough, and sputum production, which have a considerable impact on the lives of patients. In addition to the human cost of living with COPD and the resulting death, COPD entails a huge economic burden on the Chinese population, with patients spending up to one-third of the average family income on COPD management in some regions is clinically beneficial to adopt preventable measures via prudent COPD care utilization, monetary costs, and hospitalizations. Methods: Toward this end, this study compared the relative effectiveness of six indices in predicting patient healthcare utilization, cost of care, and patient health outcome. The six assessment systems evaluated included the three multidimensional Body mass index, Obstruction, Dyspnea, Exercise capacity index, Dyspnea, Obstruction, Smoking, Exacerbation (DOSE) index, and COPD Assessment Test index, or the unidimensional measures that best predict the future of patient healthcare utilization, cost of care, and patient health outcome among Chinese COPD patients. Results: Multiple linear regression models were created for each healthcare utilization, cost, and outcome including a single COPD index and the same group of demographic variables for each of the outcomes. Conclusion: We conclude that the DOSE index facilitates the prediction of patient healthcare utilization, disease expenditure, and negative clinical outcomes. Our study indicates that the DOSE index has a potential role beyond clinical predictions.

• Structural Monitoring and Maintenance
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• 제5권1호
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• pp.67-78
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• 2018

The stability of cutting slope influences the safety of railway operation, and how to identify the stability of the slope quickly and determine the rational monitoring plan is a pressing problem at present. In this study, the attribute recognition model of risk assessment for high cutting slope stability in the heavy haul railway is established based on attribute mathematics theory, followed by the consequent monitoring scheme design. Firstly, based on comprehensive analysis on the risk factors of heavy haul railway loess slope, collapsibility, tectonic feature, slope shape, rainfall, vegetation conditions, train speed are selected as the indexes of the risk assessment, and the grading criteria of each index is established. Meanwhile, the weights of the assessment indexes are determined by AHP judgment matrix. Secondly, The attribute measurement functions are given to compute attribute measurement of single index and synthetic attribute, and the attribute recognition model was used to assess the risk of a typical heavy haul railway loess slope, Finally, according to the risk assessment results, the monitoring content and method of this loess slope were determined to avoid geological disasters and ensure the security of the railway infrastructure. This attribute identification- risk assessment- monitoring design mode could provide an effective way for the risk assessment and control of heavy haul railway in the loess plateau.

• Asian Pacific Journal of Cancer Prevention
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• 제17권sup3호
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• pp.205-211
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• 2016

Excessive exposure to chemicals in the workplace can cause poisoning and various diseases. Thus, for the protection of labor, it is necessary to examine the exposure of people to chemicals and risks from these materials. The purpose of this study is to evaluate semi-quantitative health risks of exposure to harmful chemical agents in the context of carcinogenesis in a latex glove manufacturing industry. In this cross-sectional study, semi-quantitative risk assessment methods provided by the Department of Occupational Health of Singapore were used and index of LD50, carcinogenesis (ACGIH and IARC) and corrosion capacity were applied to calculate the hazard rate and the biggest index was placed as the basis of risk. To calculate the exposure rate, two exposure index methods and the actual level of exposure were employed. After identifying risks, group H (high) and E (very high) classified as high-risk were considered. Of the total of 271 only 39 (15%) were at a high risk level and 3% were very high (E). These risks only was relevant to 7 materials with only sulfuric acid placed in group E and 6 other materials in group H, including nitric acid (48.3%), chromic acid (6.9%), hydrochloric acid (10.3%), ammonia (3.4%), potassium hydroxide (20.7%) and chlorine (10.3%). Overall, the average hazard rate level was estimated to be 4 and average exposure rate to be 3.5. Health risks identified in this study showed that the manufacturing industry for latex gloves has a high level of risk because of carcinogens, acids and strong alkalisand dangerous drugs. Also according to the average level of risk impact, it is better that the safety design strategy for latex gloves production industry be placed on the agenda.