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최재욱,하동명,목연수,임우섭,최일곤,조태제 한국산업안전학회 1999 한국안전학회지 Vol.14 No.3
This study was accomplished by measuring the lower and upper flash point with air blowing method and grasping the characteristics of flammability for the three component systems, which are made up of the Benzene-Toluene-o-Xylene and Methylethylketone-Toluene-o-Xylene. These three component systems are widely used in the various industrial fields together with the development of industry. The results are as follows ; 1) Isothermal line is plotted on the triangular diagram for flash points determined in each solutions. From this line, the mixed compositions which indicated the same lower and upper flash points in each different composition could be read on this diagram, if the composition of mixtures are known. 2) Lower and upper explosion limits obtained from the flash points determined for the three component solution are compared with the value calculated from Le Chatelier's law. Especially the lower explosion limits are in a good agreement with the calculated values.
최재욱,목연수,옥곤,사공성호 한국산업안전학회 1999 한국안전학회지 Vol.14 No.2
The characteristics of spontaneous ignition of painting waste was investigated at constant ambient temperature in oven. As the results of experiments, the spontaneous ignition temperature decreased as the sample vessel became large, and the spontaneous ignition temperature of the sample in small, intermediate and large vessels was 165.5℃, 144.5℃ and 134.5℃ respectively. The apparent activation energy calculated by the Frank-Kamentskii's thermal ignition theory was 34.73 ㎉/㏖.
최재욱 한국산업안전학회 1994 한국안전학회지 Vol.9 No.3
The critical spontaneous ignition temperature for activated carbon were observed by performing experiments for granulated activated carbon with varying the period. As the results of the experiments, the critical spontaneous ignition temperature according to period of 0.5hr, 1.5hr and 2.5hr was 177.5, 176.5℃ and 172.5℃ respectively, and the approximate expression of the critical spontaneous ignition temperature obtained for ambient temperature amplitudes was as follow ; δ_c(χ,ω)=δ_c{1-0.381 exp(-0.930·ω^(0.811))}
최재욱 대한의사협회 2012 대한의사협회지 Vol.55 No.8
The Korean medical community has recently faced political conflicts with the government in the implementation of the Korean diagnosis-related groups (DRG) payment system. This study found that scientific evidence is insufficient so far to support the claim that the DRG results in lower medical expenses without sacrificingthe quality of health care. There is no ‘free lunch’and ‘free DRG’ as well. Unreasonable and compulsory implementation of the Korean DRG may give rise to an unwanted burden to both the Korean people and medical community. The economic burden of the patient is unlikely to decrease after Korean DRG application, given the lack of scientific and political evidence for this possibility. We can expect that the systems will be effective in holding down medical expenses in the long term. However, it will not be practical without the reduction of medical expenses by means such as reducing hospitalization service and other medical service amount. The enforcement of the Korean DRG payment system appears to be one of the typical cases of excessive state intervention in health policy in the history of Korea.
한국 메르스 감염의 역학현황과 공중보건학적 대응조치 방향
최재욱,김경희,조용민,김상후 대한의사협회 2015 대한의사협회지 Vol.58 No.6
Since May 20, 2015, when the first case of Middle East respiratory syndrome (MERS) in South Korea was confirmed, the cluster case in South Korea has grown to become the largest observed case following Saudi Arabia within the span of one month. Akin to what was observed in the Middle East, confirmed cases were infected through nosocomial transmission where the cluster is largely limited to patients, healthcare workers, and visitors to patients in healthcare facilities with confirmed cases. A major difference from the outbreaks in the Arabian Peninsula has been the large number of tertiary transmission cases in South Korea, which had reached forty cases by June 12. This observation may suggest that despite the lack of genetic mutation of Middle East respiratory syndrome coronavirus (MERS-CoV) in South Korea, the virus may be behaving differently from that of the Middle East. The higher infectiousness of ‘super-spreaders’ in South Korea also suggests that this assertion should be under further investigation. Suggestions of inadequate triage in emergency rooms, particularly at Samsung Medical Center which accounts for the most nosocomial infection with 60 cases, have been made by several organizations as the basis for this rapid spread. This, however, does not account for the fact that triage was impossible to implement, since the presence of MERS-CoV in South Korea was unknown during the index patient’s stay at the healthcare facilities. This paper aims to identify the key factors in the amplified spread of MERS-CoV in South Korea. The first is the initial failure to confirm diagnosis promptly and to isolate the index case after confirmation of MERS in hospital and the lack of detail in tracking potential exposures in the community of the index case before isolation. The second is the early inadequate measures the Korea Centers for Disease Control and Prevention took in categorizing close contacts. Due to inconsistencies in defining what constitutes close contact, a number of cases were neglected from quarantine and were not subjected to investigation. Finally, confirmed or potential MERS patients were admitted for treatment and observation at medical facilities without adequate disease control measures or rooms, such as ventilated single rooms or airborne precaution rooms. Due to the rigid position that MERS-CoV cannot be transmitted via airborne means, infection control measures has so far neglected evidence that smaller droplets (aerosol) containing the virus can act similar to airborne agents, which may account for the widespread and rapid transmission in a emergency room and a patient’s room in hospital. Although the South Korean government expects newly confirmed cases to abate in the coming few weeks, without stringent implementation of clearly defined guidelines to control further transmissions, the cessation of the current trend may continue for an extended period. Additionally, due to the high infection rate of super-spreaders in South Korea, efforts to screen for potential super-spreaders and a thorough investigation of those confirmed to be super-spreaders should be done to quickly identify source of infection, to potentially lower the number of secondary, tertiary transmissions and prevent possible quaternary transmissions.