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      • KCI등재후보

        우리나라보호지역시스템에 대한관리효과성평가

        허학영(Hag Young Heo),M. Hockings,신원우(W. W. Shin),정혁진(H. J. Chung),N. Dudley,P. Shadie,R. Vaisanen,G. Vincent,김현(H. Kim),박소영(S. Y. Park),양성우(S. W. Yang) 국립공원연구원 2010 국립공원연구지 Vol.1 No.3

        생물다양성협약(CBD) 제7차 당사국총회에서 채택된 보호지역실행프로그램(PoWPA)은 당사국들에게 그들의 보호지역에 대한 관리효과성 평가 수행을 권고하고 있다. 이 연구의 목적은 생물다양성협약의 권고사항 이행과 더불어 한국 보호지역시스템에 대한 진단 및 관리 개선을 위한 권고사항을 도출하고자 하였다. 평가 대상지는 환경부에서 관할하고 있는 국립공원, 생태경관보전지역, 습지보호지역, 야생동식물특별보호지역 총 39개소(6,898 km2)를 대상으로 하였다. 평가는 2가지 차원에서 수행되었는데 39개 보호지역(한국 보호지역의 면적 대비 40%정도)에 대한 개별 평가와 한국보호지역시스템에 대한 평가가 이뤄졌으며, 시스템 평가는 국제전문가들과 함께 현장조사, 관리자 및 이해관계자인터뷰, 문헌검토 등을 통해 수행되었다. 평가 결과 개별 보호지역이 국제적으로 잘 관리되고 있었으며, 거버넌스와 행정부분이 다른 나라에 비해 상대적으로 강점으로 나타났고, 생물다양성보호와 자연자연관리에 대한 조화와 협력 부분이 상대적으로 미흡한 것으로 나타났다. 또한 비전과 계획 부분이 특히 강하며, 전반적인 국민의 높은 지지가 매우 인상적이지만, 다른 여러 나라들과 마찬가지로 지역사회협력 부분이 약한 것으로 나타났다. 보호지역의 관리를 개선하기 위한 10가지 주요 권고사항은 보전을 위한 지역적 접근 강화, 보호지역시스템계획 강화, 기관간 통합적 관리 개선, 지역사회와 협력 개선, 이해관계자와 협력 강화, 지방정부와의 협력 개선, 인력관리 재고, 재원 다양화, 연구과제 다양화, 자연자원과 문화자원의 관리 조화 개선 등이다. The Convention on Biological Diversity (CBD)’s Programme of Work on Protected Areas (PoWPA), which was adopted in CoP-7 in 2004, calls on countries to undertake assessments of the effectiveness of management of their protected areas (PA). The objectives of this study are to implement a recommendation of PoWPA, to review the current management status of PA system, and to find out some recommendations for the better management of protected areas in Korea. Assessment Sites are 39 protected areas (6,898 km2) managed under Ministry of Environment which are National parks, Ecosystem & landscape conservation areas, Wetland protected areas, and Wildlife special protected areas. The assessment was conducted at two levels: a site assessment of 39 protected areas, representing about 40% by area of the Korean PA system and a system-level assessment conducted by an international review team incorporating field visits, interviews with staff and stakeholders and review of relevant documentation. The assessment results generally show that individual protected areas are well managed on any international comparison. Governance and administration appears to be relatively stronger in Korea than in other countries, however harmonization and coordination of biodiversity protection and natural resource management remains relatively weaker. Korea also appears to be particularly strong in vision and planning. Korea’s trend toward increasingly high levels of overall public approval is globally impressive; however, as is the case in the rest of the world, community engagement at local levels remains weak and problematic. Ten key recommendations for improving management were to develop a more regional approach to conservation, strengthen PA system planning, better integrate management across agencies within Korea, improve local community relations, enhance interaction with stakeholders, improve integration with regional government, review staff management practices, diversify the funding base, broaden the focus of internal research work and better harmonize natural and cultural resource management.

      • KCI등재

        Risk Stratification-based Surveillance of Bacterial Contamination in Metropolitan Ambulances

        노현,신상도,김남중,노영선,오향순,주세익,김정인,Marcus Eng Hock Ong, M.D. 대한의학회 2011 Journal of Korean medical science Vol.26 No.1

        We aimed to know the risk-stratification-based prevalence of bacterial contamination of ambulance vehicle surfaces, equipment, and materials. This study was performed in a metropolitan area with fire-based single-tiered Basic Life Support ambulances. Total 13 out of 117 ambulances (11.1%) were sampled and 33 sites per each ambulance were sampled using a soft rayon swab and aseptic containers. These samples were then plated onto a screening media of blood agar and MacConkey agar. Specific identification with antibiotic susceptibility was performed. We categorized sampling sites into risk stratification-based groups (Critical, Semi-critical, and Non-critical equipment) related to the likelihood of direct contact with patients’ mucosa. Total 214 of 429 samples showed positive results (49.9%) for any bacteria. Four of these were pathogenic (0.9%) (MRSA, MRCoNS, and K. pneumoniae), and 210 of these were environmental flora (49.0%). However, the prevalence (positive/number of sample) of bacterial contamination in critical, semi-critical airway, semi-critical breathing apparatus group was as high as 15.4% (4/26), 30.7%(16/52), and 46.2% (48/104), respectively. Despite current formal guidelines, critical and semi-critical equipments were contaminated with pathogens and normal flora. This study suggests the need for strict infection control and prevention for ambulance services.

      • KCI등재

        An Electronic Questionnaire Survey Evaluating the Perceived Prevalence and Practices of Lactose Intolerance in 1 to 5 Year Old Children in South East Asia

        Michelle Li Nien Tan,Leilani Muhardi,Seksit Osatakul,Badriul Hegar,Yvan Vandenplas,Thomas Ludwig,Jacques Bindels,Eline M Van der Beek,Seng Hock Quak 대한소아소화기영양학회 2018 Pediatric gastroenterology, hepatology & nutrition Vol.21 No.3

        Purpose: Lactose intolerance (LI) is perceived to be frequent in Asia and has been reported to have considerable impact on dietary intake, nutritional status and the quality of life. We aimed to gather information from healthcare professionals on the perceived incidence, diagnosis and management of LI in 1 to 5 year old children in Southeast Asia. Methods: An anonymous electronic survey was sent randomly among healthcare professionals registered in the database of the pediatric societies in Thailand, Indonesia, and Singapore between June and October 2016. Results: In total, 259 health care professionals responded of which 45.5% (n=118) were from Thailand, 37.4% (n=97) from Indonesia and 16.9% (n=44) from Singapore. Of the participants who responded (n=248), primary LI prevalence among children 1 to 3 years of age was estimated to be less than 5% by 56.8%. However, about 18.9% (n=47) an-swered they did not know/unsure. Regarding secondary LI, 61.6% of respondents (n=153) estimated the prevalence to be less than 15%. But again, 10.8% (n=27) answered they did not know or unsure. Rotavirus gastroenteritis was ranked as the top cause for secondary LI. There was considerable heterogeneity in the diagnostic methods used. The majority of respondents (75%) recommended lactose-free milk to manage primary and secondary LI. Conclusion: More education/training of pediatricians on this topic and further epidemiological studies using a more systematic approach are required.

      • KCI등재

        Variability in the effects of prehospital advanced airway management on outcomes of patients with out-of-hospital cardiac arrest

        오영석,안기옥,신상도,켄타로 카지노,타츠야 니시우치,Matthew Ma6,,Patrick Ko,Marcus Eng Hock Ong, M.D.,Ng Yih Yng,Benjamin Leong 대한응급의학회 2020 Clinical and Experimental Emergency Medicine Vol.7 No.2

        Objective To investigate variations in the effects of prehospital advanced airway management (AAM) on outcomes of out-of-hospital cardiac arrest (OHCA) patients according to regional emergency medical service (EMS) systems in four Asian cities. Methods We enrolled adult patients with EMS-treated OHCA of presumed cardiac origin between 2012 and 2014 from Osaka (Japan), Seoul (Republic of Korea), Singapore (Singapore), and Taipei (Taiwan). The main exposure variable was prehospital AAM. The primary endpoint was neurological recovery. We compared outcomes between the prehospital AAM and non-AAM groups using multivariable logistic regression with an interaction term between prehospital AAM and the four Asian cities. Results A total of 16,510 patients were included in the final analyses. The rates of prehospital AAM varied among Osaka, Seoul, Singapore, and Taipei (65.0%, 19.2%, 84.9%, and 34.1%, respectively). The non-AAM group showed better outcomes than the AAM group (adjusted odds ratio [aOR] for neurological recovery 0.30; 95% confidence interval [CI], 0.24–0.38]). In the interaction model for neurological recovery, the aORs for AAM in Osaka and Singapore were 0.12 (95% CI, 0.06–0.26) and 0.21 (95% CI, 0.16–0.28), respectively. In Seoul and Taipei, the association between prehospital AAM and neurological recovery was not significant (aOR 0.58 [95% CI, 0.31–1.10] and 0.79 [95% CI, 0.52–1.20], respectively). The interaction between prehospital AAM and region was significant (P=0.01). Conclusion The effects of prehospital AAM on outcomes of OHCA patients differed according to regional variability in the EMS systems.

      • SCOPUSKCI등재

        An Electronic Questionnaire Survey Evaluating the Perceived Prevalence and Practices of Lactose Intolerance in 1 to 5 Year Old Children in South East Asia

        Tan, Michelle Li Nien,Muhardi, Leilani,Osatakul, Seksit,Hegar, Badriul,Vandenplas, Yvan,Ludwig, Thomas,Bindels, Jacques,Van der Beek, Eline M,Quak, Seng Hock The Korean Society of Pediatric Gastroenterology 2018 Pediatric gastroenterology, hepatology & nutrition Vol.21 No.3

        Purpose: Lactose intolerance (LI) is perceived to be frequent in Asia and has been reported to have considerable impact on dietary intake, nutritional status and the quality of life. We aimed to gather information from healthcare professionals on the perceived incidence, diagnosis and management of LI in 1 to 5 year old children in Southeast Asia. Methods: An anonymous electronic survey was sent randomly among healthcare professionals registered in the database of the pediatric societies in Thailand, Indonesia, and Singapore between June and October 2016. Results: In total, 259 health care professionals responded of which 45.5% (n=118) were from Thailand, 37.4% (n=97) from Indonesia and 16.9% (n=44) from Singapore. Of the participants who responded (n=248), primary LI prevalence among children 1 to 3 years of age was estimated to be less than 5% by 56.8%. However, about 18.9% (n=47) answered they did not know/unsure. Regarding secondary LI, 61.6% of respondents (n=153) estimated the prevalence to be less than 15%. But again, 10.8% (n=27) answered they did not know or unsure. Rotavirus gastroenteritis was ranked as the top cause for secondary LI. There was considerable heterogeneity in the diagnostic methods used. The majority of respondents (75%) recommended lactose-free milk to manage primary and secondary LI. Conclusion: More education/training of pediatricians on this topic and further epidemiological studies using a more systematic approach are required.

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