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      • KCI등재

        폐석면광산 주변 지역의 주택 침적먼지의 석면 검출과 석면폐증의 관련성

        안호기,양원호,황보영,이용진,Ahn, Hoki,Yang, Wonho,Hwangbo, Young,Lee, Yong Jin 한국환경보건학회 2015 한국환경보건학회지 Vol.41 No.6

        Objectives: The lack of reliable information on environmental pollution and health impacts related to asbestos contamination from abandoned mines has drawn attention to the need for a community health study. This study was performed to evaluate asbestos-related health symptoms among residents near abandoned asbestos mines located in the Chungcheong Provinces. In addition, exposure assessment for asbestos is needed although the exposure to asbestos was in the past. Methods: Past exposure to asbestos among inhabitants near abandoned asbestos mines was estimated by using surface sampling of deposited dust in indoor and outdoor residences. A total of 54 participants were divided into two groups with (34 cases) and without (20 controls) diseases related to asbestos. Surface sampling of deposited dust was carried out in indoor and outdoor residences by collecting 105 samples. Deposited dust for sampling was analyzed by polarization microscope (PLM) and scanning electron microscope?energy dispersive x-ray spectrometer (SEM-EDX) to detect asbestos. Subsequently, the elements of the deposited dust with asbestos were analyzed by SEM-EDX to assess the contribution of sources such as abandoned mines, slate and soil. Results: Among the 105 samples, asbestos was detected by PLM in 29 (27.6%) sampling points, and detected by SEM in 56 (48.6%) sampling points. Asbestos in indoor residences was detected by PLM in four sampling points, and by SEM in 12 sampling points. Asbestos detection in indoor residences may be due to ventilation between indoors and outdoors, and indicates long-term exposure. The asbestos detection rate for outdoor residences in the case group was higher than that in the control group. This can be explained as the case group having had higher exposure to asbestos, and there has been continuous exposure to asbestos in the control group as well as the case group. Conclusion: Past residential asbestos exposure may be associated with asbestosis among local residents near abandoned asbestos mines. Odds ratios were calculated for asbestos detection in outdoor residence by logistic regression analysis. Odds ratio between asbestos detection and asbestosis pulmonum was 3.36 (95% CI 0.90-12.53) (p=0.072), adjusting for age, sex, smoking status and work history with multi-variable logistic regression by PLM analysis method.

      • KCI등재

        한국의 의료폐기물 발생 및 처리의 공간적 분포에 관한 연구

        오세은,이진헌,안호기,김기연,박석환,하권철,지경희,황성호,윤오섭,홍영습,이은일,김판기,이경무,Oh, Se-Eun,Lee, Jinheon,Ahn, Hoki,Kim, Ki-Youn,Park, Seokhwan,Ha, Kwonchul,Ji, Kyunghee,Hwang, Sungho,Yoon, Oh-Sub,Hong, Young-Seoub,Lee, Eunil,Kim, 한국환경보건학회 2015 한국환경보건학회지 Vol.41 No.6

        Objectives: In Korea, the system of management of medical waste largely relies on the incineration method. Our study aimed to identify any regional imbalances between the generation and treatment of medical waste, and provide reference data for future policy in Korea. Methods: We analyzed data on the amount of medical waste from 2,000 hospitals in 2012, 2013, and 2014 obtained from the Korea Environment Corporation. In the Arc GIS program (version 10.2.3), the addresses of hospitals and incinerators were transformed into map coordinates. The amount of waste generated by each hospital and the amount incinerated were represented by density and size of a triangle symbol, respectively. Results: As of 2014, the total amount of medical waste from the top 2,000 hospitals was 136,073 tons, out of which about half (49%) was generated in the capital area. Eleven incineration companies (three in the capital area, two in the Chungcheong Provinces area, one in the Jeolla Provinces area, and five in the Gyeongsang Provinces area) treated this waste. For the years 2012, 2013, and 2014, about 60% of the medical waste generated from the hospitals in the capital area was treated within the capital area and about 40% was transported to other areas, especially the Gyeongsang Provinces area, for treatment. On the other hand, about 90% of the medical waste incinerated in the capital area originated from the capital area. Conclusion: Our results suggest a spatial imbalance between the generation and treatment of medical waste in Korea and warrants multilateral policies, including the expansion of on-site treatment, strengthening regulation of the containment of medical wastes, promoting reductions in medical waste and more.

      • KCI등재

        국내 종합병원의 의료폐기물 처리 현황 및 의료폐기물 담당자의 자가처리에 대한 의견조사

        오세은 ( Se-eun Oh ),박석환 ( Seokhwan Park ),안호기 ( Hoki Ahn ),지경희 ( Kyunghee Ji ),김판기 ( Pangyi Kim ),홍영습 ( Young-seoub Hong ),이은일 ( Eunil Lee ),이경무 ( Kyoung-mu Lee ) 대한보건협회 2016 대한보건연구 Vol.42 No.3

        연구목적 : 종합병원을 대상으로 설문조사를 수행하여 의료폐기물 처리에 대한 문제점과 관리에 대한 개선방향을 찾고자 하였다. 연구방법 : 국내 326개 종합병원 중 응답한 기관 126개를 대상으로 온라인 설문조사를 실시하였다. 설문조사는 27문항으로 병원 및 의료폐기물 관리자 특성, 의료폐기물 발생현황, 의료폐기물 비용현황, 배출 및 수집특성, 자가처리 시행 경험 및 의견으로 구성하였다. 연구결과 : 가장 많이 발생하는 의료폐기물 종류는 일반의료폐기물로 매월 5톤 미만이 발생한다고 의료폐기물 관리자 60%가 응답하였다. 일반 쓰레기통에 의료폐기물이 버려지는 경우가 있다고 응답한 경우는 23% 반면에 의료폐기물 전용용기에 일반쓰레기가 버려진다고 응답한 경우는 55%으로 조사되었다. 또한 처리비용은 지역과 위탁처리업체에 따라 차이가 있었으며 대부분의 종합병원(93%)이 의료폐기물은 소각 하는 것이 가장 안전하다라고 응답하였다. 결론 : 의료폐기물 발생량 감소를 위해 일반쓰레기와 의료폐기물의 엄격한 분리수거가 필요할 것이다. 또한 처리비용에 대한 표준안 제시 등 정책적인 방안과 새로운 기술에 대한 평가 및 다양한 처리방안에 대한 연구가 선행되어야 한다. Objective: Collecting actual data on the current status of medical waste management in general hospital is essential for establishing effective policies for medical waste management nationwide in Korea. Methods: Total 126 out of 326 general hospitals in Korea participated in the on-line survey. The survey questionnaire comprised of 27 questions on the current status of medical waste management (segregation between medical waste and municipal solid waste, and cost of medical waste disposal) and opinion about on-site treatment. Results: Over 60% of general hospitals generated at least 5 tons per month and most common type of medical wastes were general medical waste. Even though separate containers are used for collecting medical waste and other municipal solid waste, the latter tend to be thrown into the container of medical waste (55%) and vice versa (23%). Disposal cost of medical wastes varies very much significantly by region in Korea or by the entrusted company for medical waste disposal. Almost all managers for medical waste in general hospital (93%) thought that incineration is the safest option for medical waste disposal. Conclusion: The results of our study suggested that the amount of medical waste could be reduced by accomplishing strict segregation between medical waste and municipal solid waste. Certain guideline is necessary for disposal cost of medical waste by the government. In addition, a number of technologies developed for on-site treatment should be evaluated in terms of risk for potential infection in advance to expand on-site treatment.

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