In order to deal with high uncertainty and variability in emergency medical centers, many researchers have developed various models for their operational planning and scheduling. However, most of the models just provide static plans without any risk measures as their results, and thus the users often lose the opportunity to analyze how much risk the patients have, whether the plan is still implementable or how the plan should be changed when an unexpected event happens. In this study, we construct a simulation model combined with a risk-based planning and scheduling module designed by Simio LLC. In addition to static schedules, it provides possibility of treatment delay for each patient as a risk measure, and updates the schedule to avoid the risk when it is needed. By using the simulation model, the users can experiment various scenarios in operations quickly, and also can make a decision not based on their past experience or intuition but based on scientific estimation of risks even in urgent situations. An example of such an operational decision making process is demonstrated for a real mid-size emergency medical center located in Seoul, Republic of Korea. The model is designed for temporal short-term planning especially, but it can be expanded for long-term planning also with some appropriate adjustments.

본 연구에서는 광주광역시 학교급식 농산물의 잔류농약을 모니터링하고 섭취량에 따른 위해평가를 실시하였다. 2015년부터 2017년 까지 광주광역시 소재 학교에 공급되는 농산물 320건을 실험대상으로 하였다. 농산물 전처리 및 잔류농약 분석은 식품공전 다종 농약 다성분 분석 제2법에 따라 120종의 잔류농약을 실험하였다. 검량선에 대한 직선성 상관계수는 0.9923~1.0000, LOD는 0.004~0.019 mg/kg, LOQ는 0.012~0.057 mg/kg으로 양호하게 나타났으며 회수율은 79.1~100.2%로 나타났다. 학교급식에 사용되는 농산물 320건 중 18건(5.6%)에서 잔류농약이 검출되었으며, 고구마 순 1건(0.3%)이 잔류농약허용기준을 초과하였다. 잔 류농약 검출빈도는 고추 8회, 파프리카 3회로 다른 농산물에 비해 높은 검출빈도를 나타내었고 가장 높은 검출빈도를 나타낸 잔류농약은 boscalid(4회)와 acetamiprid(3회)로 나타났다. 실험결과 학교급식 농산물 중 고추, 파프리카, 고구마 순에 대한 잔류농약 관리가 필요한 것으로 나타났다. 잔류농약 위해도 평가 결과 고구마 순에서 검출된 bifenthrin이 64.18%로 가장 높았으며, 고추에서 검출된 boscalid 등의 Hazard index는 0.03~8.23%로 나타나 학교 급식 농산물의 Hazard index는 안전한 수준으로 평가되었다. 그러나 채소류를 학교급식 식재료로 제공할 경우 잔류농약 식이섭취량을 최소화하기 위해 철저한 세척이 필요한 것으로 판단되며 친환경 농산물의 식재료 보급 확대가 필요한 것으로 판단된다.

The purpose of this study was to examine the association nutrition education experience in regards to metabolic risk and nutrition intake in Korean adult male using the 2016~2017 Korea National Health and Nutrition Examination Survey as the reference. The study involved a total of 1,978 male subjects aged 40~64 who were classified into the 2 groups based on their nutrition education experience: Educated group (n=88) and non-educated group (n=1,890). The household income and education level of educated group were higher than those of the non-educated group. The two groups showed no significant difference in the level of fasting blood sugar, blood lipid profile including total cholesterol and triglyceride, LDL-cholesterol, and hypertension. Vitamin C intake of the educated group (127.5 mg) was higher compared to the non-educated group (88.2 mg) (p<0.05). The percentage of the subjects utilizing nutritional labels was higher in the educated group. The nutrition education experience was inversely proportional to lower Odds Ratio in hyperLDL-cholesterolemia (OR: 0.47, 95% CI: 0.36, 0.84) and HypoHDL-cholesterolemia (OR: 0.57, 95% CI: 0.37, 0.87). This result indicates that nutritional education can be used as an effective tool to avert chronic diseases and develop healthy eating habits.

This research carried out a study on the job characteristics of the skipper of the coastal composite fishing vessels in order to find a way to prevent the ship collision caused by the highest human error among the marine casualty of fishing boats. Video observation was used as the research method in which six CCD cameras were installed on the vessel to collect image data and data extracted from the image were analyzed to derive the results of the functional activity of skipper according to the fishing operation process of experimental fishing vessel. The results are as follows. The working process of the experimental fishing vessel consisted of navigation for fishing ground, setting line, waiting for hauling line, hauling line and navigation to homeport. In these processes, the skipper was performing watchkeeping in the wheelhouse in which he carried out a single task, a dual task that performed two tasks simultaneously, and a triple task that performed two or more tasks simultaneously. In addition, one of the risk factors causing the collision was a no watchkeeping in the wheelhouse for navigating for fishing ground, waiting for hauling line, and hauling line at 25.4%, 64.6% and 0.3%, respectively among the marine casualty while drowsiness caused 1.2% of the marine casualty in navigating for fishing ground. Concurrent tasks that simultaneously perform two or more tasks that can overlook any other important duties while carrying out watchkeeping in the wheelhouse include 51.3% of navigation for fishing ground, 81.9% of setting line, 19.0% of waiting for hauling line, 87.9% of hauling, and 88.7% of navigation to homeport. The above concurrent tasks yielded an average of 66.1%. Experimental fishing vessels are required to focus on ship handling operations related to fishery operations, and the skipper is assigned more activities and attention to fishery related tasks. Therefore, it is considered desirable to build a collision prevention system that is appropriate to the characteristics of the skipper’s work, escaping from transferring the responsibility of ship collision to the skipper completely.

The coastal composite fishery has the highest rate of around 30.0% in registered fishing vessels of Korea for the last three years. The risk analysis for the fisher’s safety of coastal composite fishing vessels was conducted to serve as a basic data for improving the healthy and safe working environment of fisher using fisher’s occupational accidents of the national federation of fisheries cooperatives (NFFC) from 2016 to 2018 (n = 1,105). As a result, the occupational accident occurrence rate of coastal composite fishery was 3.76% in all industries, 7.8 times the rate of that. In addition, death and missing rate was found to have a serious level management to 10.10‱. Among the accidents, 76.0% occurred at sea. The slipping, others and contact with machinery or fishing gear occurred more frequently in order in the frequency of accident occurrence pattern. In the risk assessment using frequency and severity, slipping, contact with machinery and others showed high risk during fishing. The results are expected to contribute to identification and assessment of safety hazard occurred in coastal composite fishing vessels.

본 연구는 심뇌혈관질환 예방프로그램이 지역사회 노인의 심혈관 위험요인과 삶의 질에 미치는 효과를 확인하고자 실시하였다. 유사실험설계의 비동등성 대조군 전후설계를 이용하였다. 연구대상자는 지역사회 노인으로 실험군 22명, 대조군 22명 총 44명을 편의표집하였고, 심뇌혈관질환 예방프로그램을 제 공하고 심혈관 위험요인과 삶의 질을 측정하였다. 심뇌혈관 예방프로그램에 참여한 실험군은 대조군에 비해 심혈관 위험요인인 수축기 혈압(t=-2.419, p= .020), 이완기 혈압(t=-2.226, p= .031), 혈당(t=-2.071, p= .045)이 유의하게 감소하였고 삶의 질은 향상되었다(t=2.511, p= .016). 그러나 총콜레스테롤과 고밀도 지단백콜레스테롤은 유의한 변화가 없었다. 이에 심뇌혈관질환 예방프로그램이 지역사회 노인의 심혈관 위험요인 감소와 삶의 질 향상에 효과적임을 확인할 수 있었다.

본 연구는 수중활동에서 나타나는 인체의 생리적 변화와 알코올 섭취로 인한 생리적 변화를 살펴보고 알코올 섭취가 스쿠버다이버에게 미치는 영향을 규명하는데 그 목적이 있다. 미국 내부통제연구소위원회의 내부통제 프레임워크를 기초로 본 연구에 적합하도록 새롭게 정립한 ‘리스크 평가 및 분석(RAA, risk assessment and analysis)’ 기법을 활용하여 알코올 섭취 전과 후의 리스크 분석을 실시하였다. RAA기법은 리스크 간 상관관계를 분석하는 1단계, 리스크를 정량화하고 리스크 데이터베이스를 구축하는 2단계, 그리고 이를 도식화하여 리스크맵을 분석하는 3단계로 이루어져 있다. RAA기법을 통해 알코올 섭취로 인한 수중활동의 리스크수준이 전반적으로 증가하여 고위험군의 비율이 높아진 것을 확인하였고 리스크수준의 정량화와 고위험군 분류를 통해 리스크관리 측면에서 우선통제대상을 지정할 수 있었다. 본 연구 결과는 알코올 섭취 후 행해지는 스쿠버다이빙의 위험성을 명확하게 알리고 이에 대한 스쿠버다이버들의 의식 개선을 도모하여 보다 안전한 스쿠버다이빙 환경을 제시할 수 있을 것으로 기대한다.

우리나라 해역에서 발생하는 해양사고 중 어선사고가 약 70%를 차지하고 있음에도 불구하고, 대부분의 연구는 해양사고 전체를 대상으로 하고 있으며 단순히 사고 발생률에 대한 분석과 사고 발생 빈도를 줄이기 위한 대책 마련에 중점을 두고 있다. 그러나 효과적인 사고 저감 대책의 수립과 이를 실행하기 위해서는 정량적인 사고 위험도 예측 및 평가가 반드시 선행되어야 한다. 본 연구에서는 해양안전심판원의 최근 5년간의 어선사고 통계에 근거하여 9가지 사고유형에 대한 위험도를 연도별로 비교하였다. 또한 현재 우리나라의 경우 객관적인 위험도 평가기준이 없다는 점을 고려하여 이에 대한 대안으로 사고 유형별 사고 빈도와 사고 피해의 조합을 4사분면 상에 표시하는 2차원 사고 빈도-피해 매트릭스를 제안하고 이를 이용하여 사고 빈도와 사고 피해의 영향을 쉽게 확인할 수 있도록 하였다. 이러한 과정을 통한 위험도 평가 결과는 저감대책을 수립하고 안전대책을 마련하는 정책 제안자로 하여금 보다 다양하고 현실적인 사고 저감 대책을 마련하는데 도움을 줄 것이다. 또한 위험도 평가 매트릭스를 이용하여 각 사고유형에 대한 인적오류를 포함한 사고 원인의 상대적인 빈도 및 결과를 비교함으로써 사고 유형별로 원인에 따른 차별화된 위험 저감 대책을 수립할 수 있다.

PURPOSES: This study aims to contribute to a better road environment, which can result in accident reduction from two-wheeled vehicles, by analyzing factors affecting the two-wheeled vehicles’ accident severities in Incheon Metropolitan City. METHODS: In this study, the two-wheeled vehicles’ accident severity was classified into four categories (fatal injury, serious injury, minor injury, and injury report) as a dependent variable, and 97 independent variables out of 14 categories were considered to construct an ordered probit model. To determine the factors affecting accident severity, the statistical package LIMDEP was used. RESULTS: Among the variables used in the analysis, variables related to accident occurrence date (first quarter), region (8-district), accident type (passing the edge of the road of the vehicle for a pedestrian accident, fixed object collision, and overturn of vehicle-only accident), violation type (unobtained safety distance, failure to perform safe driving, violation of intersection driving, and violation of others), the type of road (at the intersection, near the intersection, at the crosswalk, near the crosswalk, etc.), gender of assailant (male), vehicle of victim (pedestrian and motorcycle), and age of victim (under 20) were found to have a statistically significant effect on the severity of the accident. CONCLUSIONS: The variables related to accident type (fixed object collision and overturn of vehicle-only accident), gender of assailant (male), and vehicle of victim (pedestrian and motorcycle) have turned out increasing the accident severity. In addition, accident occurrence for two-wheeled vehicles is more diverse and vulnerable to damage than automobile accidents. Therefore, it is time to recognize the seriousness of two-wheeled vehicle accidents and to improve the environment and systems for safe driving.