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임산부 간접흡연과 저체중아 및 조산아 출생에 관한 코호트 연구
이보은,홍윤철,박혜숙,이종태,김정연,김영주,김상훈,강중구,김주오,하은희,Lee, Bo-Eun,Hong, Yun-Chul,Park, Hye-Sook,Lee, Jong-Tae,Kim, Jeong-Youn,Kim, Young-Joo,Kim, Sang-Hyun,Kang, Jung-Goo,Kim, Joo-Oh,Ha, Eun-Hee 대한예방의학회 2003 예방의학회지 Vol.36 No.2
Objectives : This study was performed to examine the relationship between maternal exposure to environmental tobacco smoke (ETS) and pregnancy outcomes (low birth weight or preform baby) in a prospective cohort study. Methods : We made a pregnant women's cohort, and followed the pregnancy outcomes, between May 1st 2001 and August 31st 2002. We surveyed 2,250 women who visited our hospital during their 35th gestational week, with a self-administered questionnaire. The final total of mother-infant pairs analyzed in this study was 1,712. We used a multiple logistic regression analysis to analyze the effect of maternal ETS on the incidence of preform or low birth weight, and a linear regression analysis for the birth weight and gestational age. Results : Higher exposure to ETS (>=1 hours/day) during pregnancy was more negatively associated with the gestational age and birth weight, than no exposure to ETS (no or less than 1 hour). Maternal exposure to ETS was associated with preform baby(adjusted odds ratio (AOR) 1.7; 95% confidence interval (CI) 0.9, 3.3) and low birth weight (AOR 2.3; 95% CI 0.9, 5.5). In addition, we found that maternal ETS may reduce the birth weight by 70g after adjusting for potential confounding factors. Conclusions : This study suggests that maternal exposure to ETS during pregnancy may increase the frequency of low birth weights and preform births.
대기오염 노출과 초등학교 학생들의 호흡기계 증상에 관한 패널 연구
이보은,박혜숙,김호,이현정,이연경,이승주,홍윤철,하은희,Lee, Bo-Eun,Park, Hye-Sook,Kim, Ho,Lee, Hyun-Jung,Lee, Yeon-Kyoung,Lee, Seung-Joo,Hong, Yun-Chul,Ha, Eun-Hee 대한예방의학회 2005 Journal of Preventive Medicine and Public Health Vol.38 No.4
Objectives : The aim of this study was to assess the effect of air pollution on the daily respiratory symptoms of elementary school children in Seoul. Methods : Using the panel study design, we collected diary data for the children's respiratory symptoms during the 1st day$\sim$15th day of April, July, October and December in 2003 among the 2nd and 3rd grade elementary school students. We merged the respiratory symptom data with the ambient air pollution data that was monitored by Ministry of Environment. Using a generalized estimate equation, we evaluated the relationship between the daily symptoms of the subjects and the exposure to ai r pollution after controlling for various potential confounders. Results : The nitrogen dioxide (NO2) exposure of the current day significantly increased the upper respiratory symptoms (adjusted odds ratio=1.12, 95% CI=1.01-1.24) and the lower respiratory symptoms (adjusted odds ratio=1.18, 95% CI=1.06-1.31) in the elementary school children. The sulfur dioxide (SO2) and carbon monoxide (CO) exposure in the current day was associated with the lower respiratory symptoms (adjusted odds ratio=1.12, 95% CI=1.01-1.25 for SO2; adjusted odds ratio=1.16, 95% CI=1.02-1.32 for CO). Conclusions : We found that exposure to air pollution affects the daily respiratory symptoms in children. This study suggests that the effect on children's health? due to the short term changes in air pollution levels needs to be considered as an important public health problem.
감염성 의료폐기물 배출처리에 관한 법률개정 연구 : 폐기물관리법과 관련법 개정 중심으로
이보은(Lee, Bo Eun),신만중(Shin, Man Joong) 한국공공사회학회 2021 공공사회연구 Vol.11 No.4
감염성 의료폐기물은 COVID-19로 인해 점점 더 늘어나고 있지만 신규 소각장은 주민들의 민원에 부딪혀 건설되지 못하고 의료폐기물 처리비용은 지속적으로 상승하고 있고, 이는 국민 건강보험의 비용이기도 하다. 또한, 의료폐기물을 운송하는 영세한 업체들의 부담이 늘어나고 불합리한 법적 책임도 지게 되는 여러 사회적 문제가 발생하고 있는데, 관련 법률의 개정으로 개선대책을 마련하고, 의료폐기물을 발생시키는 의료기관에서 비감염성 일반 의료폐기물로 바꾸어 배출시키도록 하는 자가 처리 방법에 대한 현실적인 법적 제도가 만들어져야 한다. 이는 마치 제조공장이 오염물질을 공장 내에서 자체적으로 비 오염 물질로 만들어 배출하는 규제와 같은 것이다. 의료기관들이 감염성 의료폐기물을 비감염성 일반폐기물로 변환하는 자가 처리 설비를 갖추도록 건축 관련법이나 폐기물 관련법을 현실에 맞게 선진국 형으로 개정하여 의료폐기물 처분 문제의 심각성을 해소하고, 의료폐기물 처분에 대한 사회적 비용을 줄여 나가야 할 것이다. Despite the growing amount of infectious medical waste due to COVID-19, new incinerators have not been built due to complaints from residents. As a result, the increasing cost of medical waste disposal is increasing the burden of health insurance on the people. There are also a number of social problems that increase the burden on small companies that transport medical waste and unreasonable legal responsibility, and a realistic legal system should be created for self-treatment to convert medical waste into non-infectious general medical waste. This is like a regulation in which manufacturing plants make and discharge pollutants into non-contaminated substances in factories. In conclusion, it is necessary to revise the Building related Act or Waste Related Act to suit the reality so that medical institutions have self-treatment facilities that convert infectious medical waste into non-infectious general waste to solve the seriousness of medical waste disposal and reduce social costs.