• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권1호
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• pp.41-49
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• 2019

Purpose: After Mers breakout in 2015, major hospital in Korea have been renovated the emergency department to make a separate infection control zone for high-risk patient with potential infection and to improve a triage area and an entrance area for efficient patient evaluation. However, there are no specific design standards to reinforce infection control for patients and staffs safety. Therefore, it is important to establish of initial design factors in the triage and entrance area as a guideline. Methods: 5 cases which had been recently renovated are selected to analyze patient circulation and spatial composition in a triage area and an entrance area. The partial floor plans of each case are represented as bubble diagrams to help understanding of different patient circulation flows. Based on this analysis, significant design factors which should be considered in planning stage for infection control have been extracted. Results: 13 design factors are established. Using these design factors, patient circulation diagram is generated to provide an optimized suggestion for efficient infection control. Implications: This suggestion provides basic databases to start to establish design guideline in the triage area and the entrance area to minimize infection spreading in the emergency department.

• Safety and Health at Work
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• 제13권1호
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• pp.104-111
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• 2022

Background: The IMPPAC cohort (Implications of the COVID-19 pandemic on psychosocial aspects and work ability among Brazilian workers) seeks to understand the impact of the pandemic on Brazilian workers. This article describes the occupational profile, psychosocial aspects, and work ability determined during the baseline and follow-up measurements of the cohort. Methods: Workers were invited to participate through media advertisements, social networks, and emails. From June to September 2020, 1211 workers were included in the cohort. Follow-up measurements finished on October 2021 with 633 workers. Data were collected through standardized questionnaires using Google Forms. Psychosocial aspects were assessed using the COPSOQ II-Br. Work ability was assessed using the Work Ability Index (WAI). Results: At baseline and follow-up, high proportion of workers were in the risk zone with regard to work pace, emotional work demands, influence on work, work-family conflict, burnout, and stress. Approximately 75% of the workers reported good to excellent work ability at baseline and follow-up. Conclusion: The occupational profile, psychosocial aspects, and work ability of Brazilian workers from the IMPPAC cohort were described. Psychosocial aspects and WAI were similar at baseline and follow-up.

• Journal of Oral Medicine and Pain
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• 제49권1호
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• pp.22-27
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• 2024

A 74-year-old female presented with a complaint of dry mouth, continuous spontaneous burning sensation in the tongue, and asymptomatic submucosal soft tissue mass on both sides of the lower labial mucosa. She refused to undergo total excision of the mass due to concern about the possibility of complications such as nerve damage because of the large size of the mass. As her clinical features and magnetic resonance imaging indicated the possibility of Sjögren's syndrome, a biopsy of the minor salivary gland of the right lower lip was performed. Consequently, she was diagnosed with mucosa-associated lymphoid tissue (MALT) lymphoma. Although the patient had typical signs and symptoms of Sjögren's syndrome, the histopathological result of MALT lymphoma made it impossible to determine whether the patient had a history of Sjögren's syndrome. For patients with risk factors for MALT lymphoma, such as Sjögren's syndrome, a biopsy of the labial minor salivary gland with immunohistochemical staining can be helpful in the diagnosis of not only Sjögren's syndrome but also MALT lymphoma.

• Tuberculosis and Respiratory Diseases
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• 제87권2호
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• pp.134-144
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• 2024

Interstitial lung abnormalities (ILAs) are radiologic abnormalities found incidentally on chest computed tomography (CT) that can be show a wide range of diseases, from subclinical lung fibrosis to early pulmonary fibrosis including definitive usual interstitial pneumonia. To clear up confusion about ILA, the Fleischner society published a position paper on the definition, clinical symptoms, increased mortality, radiologic progression, and management of ILAs based on several Western cohorts and articles. Recently, studies on long-term outcome, risk factors, and quantification of ILA to address the confusion have been published in Asia. The incidence of ILA was 7% to 10% for Westerners, while the prevalence of ILA was about 4% for Asians. ILA is closely related to various respiratory symptoms or increased rate of treatment-related complication in lung cancer. There is little difference between Westerners and Asians regarding the clinical importance of ILA. Although the role of quantitative CT as a screening tool for ILA requires further validation and standardized imaging protocols, using a threshold of 5% in at least one zone demonstrated 67.6% sensitivity, 93.3% specificity, and 90.5% accuracy, and a 1.8% area threshold showed 100% sensitivity and 99% specificity in South Korea. Based on the position paper released by the Fleischner society, I would like to report how much ILA occurs in the Asian population, what the prognosis is, and review what management strategies should be pursued in the future.

• Asian Pacific Journal of Cancer Prevention
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• 제15권11호
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• pp.4689-4695
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• 2014

Background: A great number of studies have shown that cytochrome P450 1A1 (CYP1A1) genetic polymorphisms, CYP1A1 Msp I and CYP1A1 Ile/Val, might be risk factors for digestive tract cancers, including esophageal cancer (EC), gastric cancer (GC), hepatic carcinoma (HC), as well as colorectal cancer (CC), but the results are controversial. In this study, a meta-analysis of this literature aimed to clarify associations of CYP1A1 genetic polymorphisms with digestive tract cancers susceptibility in Chinese populations. Materials and Methods: Eligible case-control studies published until December 2013 were retrieved by systematic literature searches from PubMed, Embase, CBM, CNKI and other Chinese databases by two investigators independently. The associated literature was acquired through deliberate search and selection based on established inclusion criteria. Fixed-effects or random-effects models were used to estimate odds ratios (ORs and 95%CIs). The meta-analysis was conducted using Review Manager 5.2 and Stata 12.0 softwares with stability evaluated by both stratified and sensitivity analyses. Moreover, sensitivity analysis and publication bias diagnostics confirmed the reliability and stability. Results: Eighteen case-control studies with 1,747 cases and 2,923 controls were selected for CYP1A1 MspI polymorphisms, and twenty case-control studies with 3, 790 cases and 4, 907 controls for the CYP1A1 Ile/Val polymorphisms. Correlation associations between CYP1A1 Ile/Val polymorphisms and digestive tract cancers susceptibility were observed in four genetic models in the meta-analysis (GG vs AA:OR= 2.03, 95%CI =1.52- 2.72; AG vs AA: OR=1.26, 95%CI =1.07-1.48; [GG+AG vs AA] :OR =1.42, 95%CI=1.20-1.68, [GG vs AA+AG]:OR=1.80, 95%CI =1.40-2.31). There was no association between CYP1A1 Msp I polymorphisms and digestive tract cancers risk. Subgroup analysis for tumor type showed a significant association of CYP1A1 Ile/Val genetic polymorphisms with EC in China. However, available data collected by the study failed to reveal remarkable associations of GC or HC with CYP1A1 Ile/Val genetic polymorphisms and EC, GC or CC with CYP1A1 MspI genetic polymorphisms. Conclusions: Our results indicated that CYP1A1 Ile/Val genetic polymorphisms, but not CYP1A1 Msp I polymorphisms, are associated with an increased digestive tract cancers risk in Chinese populations. Additional well-designed studies, with larger sample size, focusing on different ethnicities and cancer types are now warranted to validate this finding.

• 한국전통조경학회지
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• 제28권1호
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• pp.59-65
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• 2010

본 연구는 산불로 부터 안전한 천장산 일대 의릉 문화재 방재대책 수립을 목적으로 임상과 지형인자를 고려하여 산불위험성 분석을 실시하였다. 천장산과 의릉 문화재의 방재대책 수립을 위해 공간특성자료($100m{\times}100m$)를 이용하여 각 지점별 산불발생확률모형(logistic regression)을 통해 천장산 일대의 산불발생위험성 평가와 임상에 따른 산불위험성 및 산불확산 위험성을 평가하였다. 천장산 일대에서 산불 발생에 영향을 주는 공간특성으로는 경급, 남동향, 남서향, 남향, 침엽수, 활엽수, 혼효림으로 나타났으며, 이들 인자를 이용하여 각 지점별 산불발생확률[1+exp{-(-4.8081-(0.02453*경급)+(0.6608*남동향)+(0.507*남서향)+(0.7943*남향)+(0.29498*침엽수)+(0.28897*활엽수)+(0.17788*혼효림))}]$^{-1}$을 추정하였다. 산불 발생 후의 산불 대형화 위험지역 구분을 위해 침엽수림, 활엽수림, 혼효림에 대한 주제도를 작성하여 문화재 보호를 위한 방재대책 수립을 위한 기초자료를 작성하였다. 향후 본 연구의 결과를 활용하여 산불 등 재해관리에 있어서 산불발생위험이 높은 지역과 대형화 위험지역을 사전에 예측하여 효율적인 예방대책을 수립은 물론 진화자원의 효율적 운용을 통해 산불로 인한 문화재 소실을 피해를 저감할 수 있을 것으로 판단된다.

• 해양환경안전학회지
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• 제17권3호
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• pp.227-233
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• 2011

우리나라 연안 해역은 빈번한 선박조우로 인한 해양사고 발생 잠재 위험이 높은 해역이며 현재 각 항만의 VTS 관제실에서 VHF통달거리를 넘어서 통항하는 선박에 대하여는 정보 파악 자체가 불가능하고, VTS 관제범위 바깥해역에서는 효율적인 교통관리가 어려워 관련사고 예방이 어려운 실정이다. 최근 우리나라는 항만의 확장 및 신항만 개발에 따른 해상교통안전성 평가는 있지만 실시간으로 변화하는 해상교통환경 변화에 따른 위험도 정보를 제공할 수 있는 시스템은 없는 실정이다. 따라서 대상해역에서의 해상교통환경과 관련된 일반적인 정보 및 위험도 정보를 제공하고, 해상교통환경 평가를 통한 해역 위험도 여부를 평가할 수 있는 평가지표 개발이 필요하다. 본 연구에서는 선박운항자의 위험의식을 바탕으로 선박의 전장별, 선박의 조우 형태 중 횡단(Crossing situation) 상황에 따른 마주치는 각도($045^{\circ}$, $090^{\circ}$, $135^{\circ}$), 추월(Overtaking) 및 정면으로 마주치는 경우(Head-on situation)와 좌현, 우현에서 선박을 조우하였을 경우와 항계 내 및 항계 밖에서의 경우, 타선과의 속력 중 비슷하거나 또는 느리거나 빠를 경우, 타선과의 속력차에 따른 경우, 타선과의 거리에 따른 선박운항자의 주관적 위험도를 조사 분석하여 해상교통안전성 평가모델 개발을 위한 기초 식을 제안하였다. 제안한 기초 식은 국내 해상교통환경 평가에 적합한 것임을 확인하였다.

• 한국방재안전학회논문집
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• 제11권2호
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• pp.1-8
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• 2018

최근 기후 변화로 인해 전 세계적으로 이상기후 현상이 일어나고 있으며 우리나라도 예외는 아니다. 과거의 강우기록을 갱신하는 강우가 지속적으로 발생하고 있으며 특히 국지성 집중호우의 경우 짧은 시간에 많은 양의 강우가 좁은 지역에 발생하고 있어 산지재해 발생 또한 증가 하고 있다. 강원도의 경우 지역적 특성상 대부분 산지로 이루어져 있어 경사가 가파르고 토심 또한 얕아 산사태에 의해 많은 피해를 입고 있다. 그러므로 본 연구에서는 산지유역에 지형분류기법과 산사태 위험성 예측기법을 적용하여 재해 위험도를 예측하고자 하였다. 지형분류기법은 지형위치지수를(TPI)를 계산하여 위험 지형을 분류하고 토석류 예측기법중 하나인 SINMAP 방법을 사용하여 산지재해 발생 가능지역을 예측하였다. 그 결과 지형분류기법에서는 전체 유역 중 약 63% 이상 완경사지와 급경사지로 분류되었으며 SINMAP 분석에서는 전체 유역 중 약 58%가 위험 지역으로 분석되었다. 최근 각종 개발로 인해 산지재해의 저감 대책이 마련이 시급한 실정이며 재해 위험 구간에 대한 안정성 대책을 수립하여야 한다.

• 한국지하수토양환경학회지:지하수토양환경
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• 제12권4호
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• pp.25-31
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• 2007

물질 간 상호작용이 위해도에 많은 영향을 미칠 수 있다는 것은 널리 알려져 있지만 이를 위해성평가에 적용할 수 있는 방안은 아직 미미한 실정이다. 본 연구에서는 p-xylene이 토양 내에 존재할 때, 대수층으로의 이동성이 극히 제한적인 benz[a]anthracene (BaA)의 지하수로의 이동성 증가를 확인하고 그 증가된 위해도를 산정하기 위하여, 지하 환경을 모사한 셀을 제작하여 실험을 수행하였으며, 이를 해석하는 간단한 물질이동 모델을 개발하였다. 셀 실험 결과 BaA의 이동성은, BaA와 p-xylene이 혼합물질로 동시에 존재하는 경우에, BaA만으로 오염되어 있는 경우보다 월등히 높았다. 후자의 경우는 강우에 의한 이동이 주요 이동기작이었으며 그 정도는 아주 미미하였다. Defined Time Steps (DTS)을 이용하여 개발된 오염물질 이동모델은 두 물질 모두 실험결과와 유사한 경향을 보이며 변하는 것을 확인하였으나, 더욱 정확한 예측을 위하여 모델의 수정, 보완작업이 계속되고 있으며 이는 다음 연구의 주제가 될 것이다. 실험실 규모의 셀 실험의 경우 모세관대가 물질이동에 중요한 역할을 하기 때문에 실험실 규모의 시뮬레이션에서는 모세관대 모듈을 적용하는 것이 보다 적합한 것으로 나타났다. 현장규모 오염에서의 모델링 결과를 토대로 위해도를 산정하고 비교한 결과, 지하수 섭취를 통한 BaA의 발암위해도는 NAPL이 존재할 때, 존재하지 않을 때보다, 약 15${\sim}$87배 크게 계산되었다. NAPL이 존재하지 않는 경우 BaA의 지중 이동속도는 매우 느리며, 실제 오염현장의 경우 이동 과정에서 물질분해가 일어나므로 NAPL의 존재 여부에 따른 실제 위해도 차이는 더 크게 발생할 것으로 예상된다.

• 한국신재생에너지학회:학술대회논문집
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• 한국신재생에너지학회 2010년도 춘계학술대회 초록집
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• pp.58.1-58.1
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• 2010

In solar cell module manufacturing, single solar cells has to be joined electrically to strings. Copper stripes coated with tin-silver-copper alloy are joined on screen printed silver of solar cells which is called busbar. The bus bar collects the electrons generated in solar cell and it is connected to the next cell in the conventional module manufacturing by a metal stringer using conventional hot air or infrared lamp soldering systems. For thin solar cells, both soldering methods have disadvantages, which heats up the whole cell to high temperatures. Because of the different thermal expansion coefficient, mechanical stresses are induced in the solar cell. Recently, the trend of solar cell is toward thinner thickness below 180um and thus the risk of breakage of solar cells is increasing. This has led to the demand for new joining processes with high productivity and reduced error rates. In our project, we have developed a new method to solder solar cells with a laser heating source. The soldering process using diode laser with wavelength of 980nm was examined. The diode laser used has a maximum power of 60W and a scanner system is used to solder dimension of 6" solar cell and the beam travel speed is optimized. For clamping copper stripe to solar cell, zirconia(ZrO)coated iron pin-spring system is used to clamp both joining parts during a scanner system is traveled. The hot plate temperature that solar cell is positioned during lasersoldering process is optimized. Also, conventional solder joints after $180^{\circ}C$ peel tests are compared to the laser soldering methods. Microstructures in welded zone shows that the diffusion zone between solar cell and metal stripes is better formed than inIR soldering method. It is analyzed that the laser solder joints show no damages to the silicon wafer and no cracks beneath the contact. Peel strength between 4N and 5N are measured, with much shorter joining time than IR solder joints and it is shown that the use of laser soldering reduced the degree of bending of solar cell much less than IR soldering.