• Title/Summary/Keyword: 보건지표

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Vulnerability Assessment of the Climate Change on the Water Environment of Juam Reservoir (기후변화에 따른 주암호 수환경 취약성 평가)

  • Yoon, Sung Wan;Chung, Se Woong;Park, Hyung Seok
    • Proceedings of the Korea Water Resources Association Conference
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    • 2015.05a
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    • pp.519-519
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    • 2015
  • 2007년 발간된 IPCC의 4차 평가보고서에서 자연재해, 환경, 해양, 농업, 생태계, 보건 등 다양한 부분에 미치는 기후변화의 영향에 대한 과학적 근거들이 제시되면서 기후변화는 현세기 범지구적인 화두로 대두되고 있다. 또한, 기후변화에 의한 지구 온난화는 대규모의 수문순환 과정에서의 변화들과 연관되어 담수자원은 기후변화에 대단히 취약하며 미래로 갈수록 악영향을 받을 것으로 6차 기술보고서에서 제시하고 있다. 특히 우리나라는 지구온난화가 전 지구적인 평균보다 급속하게 진행될 가능성이 높기 때문에 기후변화에 대한 담수자원 취약성이 더욱 클 것으로 예상된다. 따라서 지표수에 용수의존도가 높은 우리나라의 댐 저수지를 대상으로 기후변화에 따른 수환경 변화의 정확한 분석과 취약성 평가는 필수적이다. 본 연구에서는 SRES A1B 시나리오를 적용하여 기후변화가 주암호 저수지의 수환경 변화에 미치는 영향을 분석하였다. 지역스케일의 미래 기후시나리오 생산을 위해 인공신경망(Artificial Neural Network.,ANN)기법을 적용하여 예측인자(강우, 상대습도, 최고온도, 최저온도)에 대해 강우-유출모형에 적용이 가능한 지역스케일로 통계적 상세화를 수행하였으며, 이를 유역모델에 적용하여 저수지 유입부의 유출량 및 부하량을 예측하였다. 유역 모델의 결과를 토대로 저수지 운영모델에 저수지 유입부의 유출량을 적용하여 미래 기간의 방류량을 산정하였으며, 최종적으로 저수지 모델에 유입량, 유입부하량 및 방류량을 적용하여 저수지 내 오염 및 영양물질 순환 및 분포 예측을 통해서 기후변화가 저수지 수환경에 미치는 영향을 평가하였다. 기후변화 시나리오에 따른 상세기 후전망을 위해서 기후인자의 미래분석 기간은 (I)단계 구간(2011~2040년), (II)단계 구간(2041~2070년), (III) 단계 구간(2071~2100년)의 3개 구간으로 설정하여 수행하였으며, Baseline인 1991~2010년까지의 실측값과 모의 값을 비교하여 검증하였다. 강우량의 경우 Baseline 대비 미래로 갈수록 증가하는 것으로 전망되었으며, 2011년 대비 2100년에서 연강수량 6.4% 증가한 반면, 일최대강수량이 7.0% 증가하는 것으로 나타나 미래로 갈수록 집중호우의 발생가능성이 커질 것으로 예측되었다. 유역의 수문 수질변화 전망도 강수량 증가의 영향으로 주암댐으로 유입하는 총 유량이 Baseline 대비 증가 하였으며, 유사량 및 오염부하량도 증가하는 것으로 나타났다. 저수지 수환경 변화 예측결과 유입량이 증가함에 따라서 연평균 체류시간이 감소하였으며, 기온 및 유입수온 상승의 영향으로 (I)단계 구간대비 미래로 갈수록 상층 및 심층의 수온이 상승하는 것으로 나타났다. 연중 수온성층기간 역시 증가하는 것으로 나타났으며, 남조류는 (I)단계 구간 대비 (III)단계 구간으로 갈수록 출현시기가 빨라지며 농도 역시 증가하였다. 또한 풍수년, 평수년에 비해 갈수년에 남조류의 연평균농도 상승폭과 최고농도가 크게 나타나 미래로 갈수록 댐 유입량이 적은 해에 남조류로 인한 피해 발생 가능성이 높아질 것으로 예상된다.

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Review of Assessment Criteria for Sustainable Outdoor Space Responding to Climate Change (기후위기 대응 외부공간의 지속가능성 평가지표의 검토 및 고찰)

  • Chun, Seung-Hoon;Chae, Soo-Kwon
    • Journal of Environmental Impact Assessment
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    • v.30 no.6
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    • pp.393-412
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    • 2021
  • This study examines the assessment systems of LEED v4.1, an eco-friendly building evaluation system in the United States, and SITE v2, an assessment system for sustainable outdoor spaces, and then compares and examines them from the perspective ofrelevant laws and institutional guidelines and standards in Korea. The conclusion is as follows. First, the US eco-friendly certification system basically not only establishes an independent evaluation system according to the field of expertise, but also provides a sustainable city and community through response to the climate crisis and the comfort of the external space environment. It can be evaluated that securing the quality of life of healthy and happy city dwellers is the top priority. Second, Korea's Green Building Certification System (G-LEED) was basically based on the American LEED system, but it was judged that there was a fundamental difference. It was judged that there is a limitation in not being able to achieve an integrated approach through the participation of various expert groups and stakeholders, but also in the accumulation of more scientific and reliable data and information through the application of cutting-edge information and communication equipment. Third, in the case of external space in Korea, a sustainable assessment system has not been established, and not only is it dispersed in various legal and institutional guidelines, but also its effectiveness is judged to be very low. Therefore, it is judged that it is urgent to introduce and secure the applicability of SITES v2, a sustainable outdoor space assessment system in the United States. It was judged that the effectiveness should be secured through the upward adjustment of the minimum Ecological Area Ratio.

Methodological Improvement of the Cumulative Risk Assessment of Health Impact Assessment in Environmental Impact Assessment - Focused on the Industrial Complex Development Projects in the Last Decade - (환경영향평가서 내 건강영향평가의 누적위해성평가 방법론적 개선 - 과거 10년 국내 산업단지 개발 사례를 중심으로 -)

  • Kim, Eunchae;Ha, Jongsik
    • Journal of Environmental Impact Assessment
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    • v.30 no.6
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    • pp.413-424
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    • 2021
  • Health impact assessment in the environmental impact assessment is conducted to determine whether to exceed the standard of each single substance and to establish appropriate reduction measures. In some development projects, although all substances in risk assessment meet the standard, exposure concentration is very close to it. However, considering the cumulative exposure of all substances, health effects are likely to occur considerably severer than those of individual substances, so it is necessary to prepare a concrete and improved methodology for integrating evaluation of emissions to identify the health effects actually exposed to receptors of living things. This study established the definition of cumulative risk assessment through overseas advanced cases and domestic and foreign literature reviews, and proposed a methodology for utilizing cumulative risk assessment considering health effects on multiple substances when developing industrial complexes. Applied by the proposed methodology, integrated indicators forfourtypes of hazardous heavy metals (Ni, Cr6+, Cd, As) emitted from industrial complexes were calculated, and applicability was tested with case of the industrial complex development projects conducted over the last decade (2011-2020).

The Effects of Elderly's Socio-economic Deprivation Experience on Suicidal Ideation (사회경제적 박탈 경험이 노인의 자살생각에 미치는 영향: 6가지 박탈 유형을 중심으로)

  • Kang, Dong Hoon;Kim, Yun Tae
    • 한국노년학
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    • v.38 no.2
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    • pp.271-290
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    • 2018
  • The study aims to analyze the effects of socio-economic deprivation on suicidal ideation. The analysis data were used as a guide for Korea Welfare Panel Study 9. the frequency analysis, mean difference analysis, correlation analysis, and logistic regression were performed by SPSS programs. The results of analysis are as follows. First, The results of frequency analysis by deprivation type showed a high frequency of deprivation in the following order. Experience of not receiving a public pension, experience of being able to work but unemployed, experience of not being able to eat a balanced diet due to financial difficulties, and experience where you had nothing to eat but no more money to buy. Second, the average difference analysis shows that when a person does not have a spouse, the lower the academic background and the income level, the higher the likelihood of suicide. Third, regression analysis shows that the following deprivation patterns have a statistically significant effect on older adults' thoughts of suicide. Experience in which the respondents or their family could not go to hospital because they had no money, experience that move house because is back rent more than 2 months or can not pay rent, experience that they could not afford to buy food and eat well-balanced meals, experience of failing to pay your bills on time, experience of being able to work but not having a job, and experience in which financial difficulties left them short of food and no money to live. Based on such research results, some policy measures, such as the expanding management of medical care benefits cases, the improvement of elderly housing, residential conditions and the diet survey for the elderly, and the expansion of measures to support elderly people's tax rates, were proposed.

Change Pattern of Heart Age in Korean Population Using Heart Age Predictor of Framingham Heart Study (Framingham Heart Study의 Heart Age Predictor를 활용한 한국인 심장나이 추이분석)

  • Cho, Sang Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.331-343
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    • 2019
  • The purpose of this study is to observe the trends of heart age of Koreans by using the predictor of heart age of the Framingham Heart Study. The subjects were 20,012 adults aged 30~74 years who were enrolled in the Korean National Health and Nutrition Examination Survey from 2005~2013. They filled in the determinants data and they had no history of cardiovascular disease (CVD). The heart age was calculated using a non-laboratory based model of prediction. The difference of heart age and chronological age, and the rate of excessive heart age over 10 years were calculated. The annual trend, the difference according to gender, the age bracket and geographic region, the heart age were all evaluated. Data analysis performed using the SAS program (version 9.3). Complex designed analysis was done. The heart age showed differences according to gender, age bracket and geographic region. The heart age is a useful comprehensive indicator for predicting the CVD events in the near future. So, it could be used for the purposes of exercising caution and guidance on CVD for administering medical care. It is strongly recommended to use heart age as an indicator for customized medical management to focus efforts on relatively vulnerable subjects and their factors for CVD. Further study on Koreans' customized heart age is needed.

The Effect of MLC Leaf Motion Constraints on Plan Quality and Delivery Accuracy in VMAT (체적조절호형방사선치료 시 갠트리 회전과 다엽콜리메이터의 이동 속도에 따른 선량분포 평가)

  • Kim, Yon-Lae;Chung, Jin-Beom;Lee, Jeong-woo;Shin, Young-Joo;Kang, Dong-Jin;Jung, Jae-Yong
    • Journal of radiological science and technology
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    • v.42 no.3
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    • pp.217-222
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    • 2019
  • The purpose of this study is to evaluate the dose distribution by gantry rotation and MLC moving speed on treatment planning system(TPS) and linear accelerator. The dose analyzer phantom(Delta 4) was scanned by CT simulator for treatment planning. The planning target volumes(PTVs) of prostate and pancreas was prescribed 6,500 cGy, 5,000 cGy on VMAT(Volumetric Modulated Arc Therapy) by TPS while MLC speed changed. The analyzer phantom was irradiated linear accelerator using by planned parameters. Dose distribution of PTVs were evaluated by the homogeneity index, conformity index, dose volume histogram of organ at risk(rectum, bladder, spinal cord, kidney). And irradiated dose analysis were evaluated dose distribution and conformity by gamma index. The PTV dose of pancreas was 4,993 cGy during 0.1 cm/deg leaf and gantry that was the most closest prescribed dose(5,000 cGy). The dose of spinal cord, left kidney, and right kidney were accessed the lowest during 0.1 cm/deg, 1.5 cm/deg, 0.3 cm/deg. The PTV dose of prostate was 6,466 cGy during 0.1 cm/deg leaf and gantry that was the most closest prescribed dose(6,500 cGy). The dose of bladder and rectum were accessed the lowest during 0.3 cm/deg, 2.0 cm/deg. For gamma index, pancreas and prostate were analyzed the lowest error 100% at 0.8, 1.0 cm/deg and 99.6% at 0.3, 0.5 cm/deg. We should used the optimal leaf speed according to the gantry rotation if the treatment cases are performed VMAT.

Relationship between Relevance Index and Hospital Management Performance (지역 의료이용 친화도(RI)와 병원 경영성과의 관계)

  • Park, Jong Young;Lee, Jin Woo
    • Journal of Digital Convergence
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    • v.17 no.3
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    • pp.261-269
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    • 2019
  • The purpose of this study is to present the effective management strategy of RI based on the results of research on the causal relationship between the regional medical care capacity and the hospital management performance by calculating the RI of the general hospitals in Korea, This research has significance. The results of this study are as follows: First, statistically significant differences were found in Number of beds and recurring profits in urban areas by the general characteristics. Second, the correlations between the RI and the variables of the regional medical use are as follows: Recurring profit ratio, New Outpatient Visits, Operating Margin, Daily Outpatient Visits per 100 Beds, Daily Inpatient Days per 100 Beds, and Average Charge per Inpatient Day. Based on the results of this study, the significance of this study is as follows. First, we calculated the affinity for local medical use, which is the index of local medical utilization. Secondly, it is analyzed according to internal and external environmental factors such as city size, hospital size, etc. It can be said that the hospital provided basic data for establishment of hospital management strategy to increase the utilization rate of local medical care.

Case of a Change in the Polysomnograpy Results after Using Continuous Positive Airway Pressure in a Patient with Obstructive Sleep Apnea (폐쇄성 수면 무호흡 환자의 지속적 양압기 사용 후 재검사시 수면다원검사 결과의 변화)

  • Kim, Dae Jin;Mun, Sue Jean;Choi, Jeong Su;Lee, Min Woo;Cho, Jae Wook
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.1
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    • pp.119-123
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    • 2019
  • Obstructive sleep apnea (OSA) is a sleep disorder with no breathing symptoms due to repetitive upper airway resistance. OSA is a disease that can have significant effects on the cerebral cardiovascular system. Active treatment is needed to prevent these complications. The use of continuous positive airway pressure (CPAP), the standard therapy of OSA, has comparative therapeutic effects. On the other hand, there is no comparison report of the polysomnography (PSG) results before and after CPAP therapy without using a mask. This paper reports a patient who was diagnosed as OSA and used CPAP every night for more than 2 years. The patient showed a decrease in the apnea-hypopnea index from 64.7/h to 12.9/h. In addition, other sleep-related indicators improved significantly. The daily use of CPAP as a treatment for OSA for more than 2 years may improve the PSG results. Constant follow up of PSG will be needed to adjust the appropriate CPAP pressure to patients because there might be a change in the Apnea-Hypopnea Index and other sleep-related indicators for constant CPAP users for at least 2 years.

Anti-bacterial Activity and Standardization on Hwangryunhaedok-tang (황련해독탕의 항균활성 및 표준화 연구)

  • Lee, Dae-Yeon;Yi, Young-Woo;Kim, Wan-Su;Sim, Sun-Hyung;Kwon, Pil-Seung;Lee, In-Hee
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.2
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    • pp.214-220
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    • 2019
  • Hwangryunhaedok-tang (HT) is prescribed in oriental medicine to treat inflammation-related diseases. This study examined the anti-bacterial effect to select the index components of Traditional Chinese Medicine (TCM) HT. The disc diffusion method and minimum inhibition concentrations (MIC) tests were conducted to measure the antibacterial activity of HT. The strains were Staphylococcus aureus ATCC 25923 and Escherichia coli 23724. Berberine and geniposide were selected as the index components of HT and were analyzed quantitatively by high-performance liquid chromatography (HPLC). As a result, the inhibition ring was formed at $11.7{\pm}1.3mm$ and $8.7{\pm}0.7mm$ at HT 20 mg and 10 mg on S.aureus ATCC 25923, respectively; and $8.0{\pm}0.0mm$ at HT 20 mg on E.coli ATCC 23724. The MIC were 31.25 mg/mL in S.aureus ATCC 25923 and 125.0 mg/mL in E.coli ATCC 23724. In quantitative analysis for standardization, HT contained 16.55 mg/g of berberine and 81.85 mg/g of geniposide. Overall, when antibiotics are developed using natural products, they may reduce the side effects and inhibit resistant bacteria. If research on HT continuously proceeds, positive developments are expected to be made in oriental medicine as well as in various other industries.

The Usability Study on Korea Express Bus with Wheelchair Access (한국형 휠체어 탑승 고속버스에 대한 사용성 연구)

  • Kim, Jeong-Hyun;Kim, Jongbae;Hwang, Su-Bin;Jang, Wan-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.571-577
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    • 2019
  • This study examined the usability of express buses for wheelchair users to identify the effectiveness, efficiency and satisfaction of wheelchair boarding systems. The usability of 11 manual wheelchair users and nine powered wheelchair users was evaluated using the following three scenarios: boarding the wheelchair accessible bus, moving inside, and alighting the bus. The results showed that 20 wheelchair users completed three scenarios, which was distributed between 0.33 and 1.36 in the difficulty rating scale of the efficiency. The task effort of the efficiency was measured from 8.36 to 11.78. The acceptability of the satisfaction was distributed between 1.00 and 2.00, and the system usability scale was measured in an acceptable boundary of the C grade at 70.7 points with manual wheelchair users and a B grade at 73.1 points with powered wheelchair users. This study has academic significance because it provides basic evidence for accessibility, securing the right to movement and research methods of public transportation for people with disabilities. To improve the quality level of usability in the future, more study with a larger number of research participants and various wheelchair types should be studied.