• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.119-128
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• 2017

This study estimated the optimal nursing workforce and financial costs of providing comprehensive nursing services at hospitals under the national health insurance system. Data on registered nurses, nursing aids, medical institutions, and number of patients were obtained from the Health Insurance Review and Assessment Service. The optimal size of the nursing workforce was calculated using the workload model. A bottom-up approach was used to estimate the annual total financial cost of comprehensive nursing services. The number of registered nurses and nursing aids would need to be increased by 81.75% and 83.23%, respectively, in order to fully apply comprehensive nursing care on a national scale. The additional financial costs for comprehensive nursing services at all hospitals was estimated to be as much as 110.39% of the current cost. For the comprehensive nursing service, nurses with a career and newcomers need to be retained at their hospitals, and the validity of the nurse-patient ratio should be continuously checked. The financial shock to the national health insurance system could be minimized by gradually extending the system to all hospitals.

• Proceedings of the Korea Water Resources Association Conference
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• 2007.05a
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• pp.2079-2083
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• 2007

하구둑은 해수의 역류에 의한 염수침입을 방지하고 유역에 필요한 담수를 확보하기위하여 건설되며, 하구둑에 의하여 하천의 하구에 담수호가 생성된다. 하구담수호에 의해 기존에 염해로 취수할 수 없었던 하천구간에서의 취수가 가능하게 되며, 하구담수호를 일정한 수위로 관리함으로써 상당량의 농업용수를 확보할 수 있다. 이와 관련하여 하구담수호에 의하여 확보되는 수자원량에 대해 설계 당시의 분석 자료들이 있기는 하지만, 대부분 연 총량의 형태로 나타나 있으며, 수리권과 관련하여 하구둑에 의하여 추가적으로 확보되는 수리권 가용수량이 얼마인지에 대한 분석은 거의 없다. 그것은 하구둑의 방류량이 댐의 방류량과는 달라서 조석의 영향을 매우 크게 받기 때문에 단순한 물수지 분석으로 이를 모의하기 힘들기 때문이다. 게다가 1일 2회의 조석이 발생하므로 1일단위의 물수지 분석은 어려운 현실이다. 그럼에도 불구하고 하구둑에서 많은 양의 농업용수 취수가 이루어지고 있다. 과연 얼마정도의 양이 수리권으로서의 역할을 할 수 있는지 모르고 임의적인 허가가 계속 부여될 경우, 갈수 시 용수공급의 안정성을 확보할 수 없게 될 것이다. 따라서 안정적인 용수의 공급을 위한 적절한 수리권 가용수량에 대한 추정 필요하다. 이에 본 연구에서는 영산강하구둑의 실시간 운영을 위하여 고 등(2004)이 개발한 "영산강하구 둑 물관리 프로그램"의 기본적인 조위의 예측과 배수갑문의 방류량 산정기법 등과 수자원장기종 합계획(2006) 수립 시에 사용된 장기간의 일자연유량을 이용하여 하구둑의 수리권 가용수량 추정 모형을 개발하고, 이를 영산강 하구둑에 의해 생성된 영산호에 적용함으로써 영산호에 의해 증가되는 수리권 가용수량에 대해 고찰하여 보았다., 그리고 T-P $77.7{\sim}96.6%$(평균 94.3%)로 산정되었다. 이러한 결과는 대청호로 유입하는 유기물과 영양염류 연간 부하량의 80% 이상이 강우-유출과 함께 유입하는 것을 의미하며, 저수지 수질관리를 위해서는 유역차원의 비점오염원 관리가 시급함을 시사한다.하기 위해, 수렴흐름 추적자시험에 의한 종분산지수와 시험대수층의 평균선형유속을 이용하여 종분산계수를 구하였다. 현장에서 수행된 양수시험에 의한 평균선형유속 22.44 m/day와 평균 종분산지수 0.4155 m를 적용하여 산정된 종분산계수는 $9.32\;m^2/day$이었다. 따라서, 시험부지 내 충적층에서 일정한 양수율$(2,500\;m^3/day)$로 지하수를 개발할 시에 양수정 주변지역으로 유입되는 염소이온의 확산면적은 1일 $9.32\;m^2$ 정도일 것으로 나타났다.적인 $OH{\cdot}$ 의 생성은 ascorbate가 조직손상에 관여할 가능성을 시사하였다.었다. 정확한 예측치를 얻기 위하여 불균질 조직이 조사야에 포함되는 경우 보정이 요구되며, 골반의 경우 골 조직의 보정이 중요한 요인임을 알 수 있었다. 이를 위하여 불균질 조직에 대한 정확한 정보가 요구되며, 이는 CT 영상을 이용하는 것이 크게 도움이 되리라 생각된다.전시 슬러지층과 상등액의 온도차를 측정하여 대사열량의 발생량을 측정하고 슬러지의 활성을 측정할 수 있는 방법을 개발하였다.enin과 Rhaponticin의 작용(作用)에 의(依)한 것이며, 이는 한의학(韓醫學) 방제(方劑) 원리(原理)인 군신좌사(君臣佐使) 이론(理論)에서 군약(君藥)이 주증(主症)에 주(

• Journal of Korean Society of Environmental Engineers
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• v.32 no.2
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• pp.175-184
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• 2010

The purpose of this study is to develop a method for estimating the non-point pollutant delivery load of each reference flow(flows of dry, low, normal, abundant and flood seasons) with combination of BASINS/HSPF. The effectiveness of this method is evaluated by applying it to the watershed of Dongbok stream. The flow, BOD and T-P reliability indices(RI) of the BASINS/HSPF for the watershed of Dongbok stream are 1.59, 1.41, 1.28, respectively, and thus the similarity between measured and estimated values is high. The non-point pollutant load delivery ratios of BOD and T-P for the flows of dry, low and normal seasons, which are estimated by such constructed BASINS/HSPF, are 0.36 and 1.09, 0.82 and 2.19, 6.02 and 16.90, respectively, as compared with daily average of non-point loads for a year. These results show that the non-point pollutant delivery load should be estimated and applied for each reference flow, and in this case the method for estimating the non-point pollutant delivery load of each reference flow can be useful.

• Journal of Climate Change Research
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• v.2 no.3
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• pp.175-189
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• 2011

In this research, we describe the methodology and the quantification about GHG reduction effects, expected by optimization of operation mode according to establishing additional heat storage system of Bundang Combined Cycle Power Plant. As an intermediate form of General Combined Cycle Power Plant and Heat supply only district heating plant, Bundang Combined Cycle Power Plant(and Ilsan, Anyang, Bucheon) is possible to satisfy demand for the electrical load and thermal load capacity at the same time through changes to the operation mode itself. Therefore, through the operating transition of high-efficiency mode that the condenser cooling water is recovered and supplied to district heat and cooling, establishing additional heat storage system have flexible supply ability at the power and heat market. In this research, We calculated using the operating performance for the last three years(2008~2010) and efficiency of each mode-specific values. As a result, GHG reduction effects were calculated as $97.95kg_{-}CO_2/Gcal$ per heat energy 1 Gcal supplied at the heat storage system and we expected emmision reduction effect about $13,500Ton_{-}CO_2/yr$.

• Journal of Korea Water Resources Association
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• v.55 no.11
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• pp.877-886
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• 2022

This study was carried out to analyze how the flow and water quality of the Sangsa Lake (juam control basin) change according to future climate change and what countermeasures are needed. Aquatic Ecosystem Model) was used in conjunction. As climate change scenarios, RCP (Representative Concentration Pathways) 4.5 and RCP 8.5 scenarios of AR5 (5th Assessment Report) according to the Intergovernmental Panel on Climate Change (IPCC) were used. For the climate change scenario, detailed data on the Sangsa Lake basin were used by the Korea Meteorological Administration, and after being evaluated as a correction and verification process for the 10-year period from 2012 to 2021, the present, 2025-2036, 2045- The summer period from June to August and the winter period from December to February were analyzed separately for each year by dividing it into 2056 and 2075-2086. RCP 8.5 was higher than RCP 4.5 as an arithmetic mean for the flow rate of the watershed of the superior lake for the entire simulation period, and TN and TP also showed a tendency to be higher at RCP 4.5. However, in RCP 8.5, the outflow of pollutants decreased during the dry season and the outflow of pollutants increased during the summer, indicating that the annual pollutant outflow was concentrated during the flood season, and it is analyzed that countermeasures are needed.

• Journal of Environmental Impact Assessment
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• v.32 no.2
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• pp.72-82
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• 2023

The purpose of this study is to estimate the trend of ecosystem water quality regulating services in Odaesan National park of the last five years and the corresponding economic values. Recently the climate change makes increased the value of the water, it is more important to protect the source of the riverthan to purify the contaminated water. To evaluate the water quality regulating services, we calculated the difference between purification and pollution from national park and estimated the quantitative value of the water quality regulating services. As a results, the amount of the value of the water quality regulating services from 2017 to 2021 was increased from approximately BOD 128.21 kg/Day, T-P 12.11 kg/Day to BOD 161.38 kg/Day, T-P 13.24 kg/Day and the economic value also increased from 2,304 million won to 2,817 million won.

• Korean Journal of Ecology and Environment
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• v.34 no.1 s.93
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• pp.30-44
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• 2001

In this study limnological characteristics of Lake Juam was surveyed from June 1993 to May 1994 in order to provides important information regarding water resources. Secchi disc transparency, epilimnetic chlorophyll a (chi-a), total nitrogen (TN), total phosphorus (TP) concentration and primary productivity were in the range of $2.0{\sim}4.5\;m$, $0.9{\sim}13.6\;mgChl/m^3$, 0.78$\{sim}$2.32 mgN/l, $11{\sim}56\;mgP/m^3$, $270{\sim}2.160\;mgCm^{-2}\;day^{-1}$, respectively. On the basis of TP, Chl-a and Secchi disc depth, the trophic state of Lake Juam can be classied as mesotrophic lake. The phosphorus inputs from non-point sources are concentrated in heavy rain episodes during the monsoon season. As a result, phosphorus concentration are higher in summer than in winter. TP loading from the watershed were estimated to be $0.9\;gPm^{-2}yr^{-1}$, which correspond to a boundary of the critical loading ($1.0\;gPm^{-2}yr^{-1}$) for eutrophication. From the results of the algal assay, both phosphous and nitrogen act as limiting nutrients in algal growth. The seasonal succession of phytoplankton community structure in Lake Juam was similar to that observed in other temperate lakes. Diatoms (Asterionella formosa and Aulacoseira granulate var. angustissima)fujacofeira BraHuJafa uar. aHgusHrsiaia) weredominant in spring and winter, cyanobacteria) were dominant in warm season. The organic carbon, nitrogen and phosphorus content of lake sediment were $9.5{\sim}14.0\;mgC/g$, $1.01{\sim}1.82\;mgN/g$ and $0.51{\sim}0.65\;mgP/g$, respectively. The allochthonous organic carbon loading from the watershed and autochthonous organic carbon loading by primary production of phytoplankton were determined to be 1,122 tC/yr and 6,718 tC/yr, respectively. To prevent eutrophication of Lake Juam, nutrient management of watershed should be focus on reduction of fertilizer application, proper treatment of manure, and conservation of topsoil as well as point source.

• Journal of Animal Science and Technology
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• v.55 no.1
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• pp.67-74
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• 2013

To know the emission amount of greenhouse gases from bedding materials of cowshed floor, the emission rates of methane ($CH_4$) and nitrous oxide ($N_2O$) gases from a simulated cowshed floor (SCF) with sawdust that manure loading rate into the bedding material could be accurately controlled were assessed in this study. The manure loading rates of Korean beef and Holstein dairy cattle into the SCF of $0.258m^2$ surface area with 10 to 15 cm height sawdust were $1.586kg/m^2/d$ and $3.588kg/m^2/d$, respectively, and those were calculated on the basis of "Standard model for sustainable livestock" and "Data for excretion amount of manure from livestock". All experiments were done in triplicates in three different seasons (May to July, Sep. to Nov., and Feb. to Apr.) using 12 SCFs. The effects of bedding material thickness on $CH_4$ and $N_2O$ emission from SCFs for both Korean beef cattle and Holstein dairy cattle were not statistically significant (p<0.05). Emission amount of $CH_4$ and $N_2O$ per square meter of SCF for Holstein dairy cattle was 7.5 and 1.2 times higher than that of Korean beef cattle, respectively. The yearly $CH_4$ amount per head was 17.7 times higher in Holstein dairy cattle, obtaining 130.4 g/head/year from SCF for Holstein dairy cattle and 7.4 g/head/year from SCF for Korean beef cattle, and $N_2O$ was also 3.8 times higher in Holstein dairy cattle (3,267 g/head/year in Korean beef cattle and 14,719 g/head/year in Holstein dairy cattle). However, the $N_2O$-N per loaded nitrogen into SCF was higher in Korean beef cattle, having 0.2148 and 0.1632 kg $N_2O$-N/kg N in Korean beef cattle and Holstein dairy cattle, respectively, and those values were 3.07 and 2.33 times higher than that of Intergovernmental Panel on Climate Change (IPCC) 2006 guideline (GL) (0.07 kg $N_2O$-N/kg N).

• Nuclear Medicine and Molecular Imaging
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• v.40 no.3
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• pp.155-162
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• 2006

Purpose: Diabetes mellitus (DM) is a critical disease with higher rates of cardiovascular morbidity and mortality due to myocardial ischemia and infarction. There is glowing interest in how to determine high-risk patients who are candidates for screening testing. This study was performed to evaluate the incidence of coronary artery disease (CAD) in diabetic patients detected by Tc-99m MIBI myocardial perfusion SPECT (MPS) and to assess risk factors of CAD and cardiac hard events. Subjects and Methods: 203 diabetic patients (64 male, mean age $64.1{\pm}9.0$ years) who underwent MPS were included between Jan 2000 and July 2004. Cardiac death and nonfatal myocardial infarction (MI) were considered as hard events, and coronary angioplasty and bypass surgery >60 days after testing were considered as soft events. The mean follow-up period was $36{\pm}18$ months. Patients underwent exercise (n=6) or adenosine stress (n=197) myocardial perfusion SPECT. Results: Perfusion defects on MPS were detected in 28.6% (58/203) of the patients. There was no cardiac death but 11 hard events were observed. The annual cardiac hard event rate was 1.1%. In univariate analysis of clinical factors, typical anginal pain, peripheral vascular disease, peripheral polyneuropathy, and resting ECG abnormality were significantly associated with the ocurrence of hard events. Anginal pain, peripheral vascular disease, and resting ECG abnormality remained independent predictors of nonfatal MIs with multivariate analysis. Abnormal SPECT results were significantly associated with high prevalence of hard events but not independent predictors on uni- and multivariate analyses. Conclusion: Patients who were male, had longer diabetes duration (especially over 20 years), peripheral vascular disease, peripheral polyneuropathy, or resting ECG abnormality had higher incidence of CAD. Among clinical factors in diabetic patients, typical angina, peripheral vascular disease, peripheral polyneuropathy, and resting ECG abnormality were strong predictors of hard events.

• Journal of Wetlands Research
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• v.25 no.2
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• pp.99-110
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• 2023

Non-point source (NP) pollutants in an agricultural landuse are discharged from a large area compared to those in other land uses, and thus effective source control measures are needed. To develop appropriate control measures, it is necessary to quantify discharge load of each source and evaluate the degree of water quality improvement by implementing different options of the control measures. This study used Hydrological Simulation Program-FORTRAN (HSPF) to quantify pollutant discharge loads from different sources and effects of different control measures on water quality improvements, thereby supporting decision making in developing appropirate pollutant control strategies. The study area is the Gyeseong river watershed in Changnyeong county, Gyeongsangnam-do, with agricultural areas occupying the largest proportion (26.13%) of the total area except for the forest area. The main pollutant sources include chemical and liquid fertilizers for agricultural activities, and manure produced from small scale livestock facilities and applied to agriculture lands or stacked near the facilities. Source loads of chemical fertilizers, liquid fertilizers and livestock manure of small scale livestock facilities, and point sources such as municipal wastewater treatment plants (WWTPs), community WWTPs, private sewage treament plants were considered in the HSPF model setup. Especially, NITR and PHOS modules were used to simulate detailed fate and transport processes including vegitation uptake, nutrient deposition, adsorption/desorption, and loss by deep percolation. The HSPF model was calibrated and validated based on the observed data from 2015 to 2020 at the outlet of the watershed. The calibrated model showed reasonably good performance in simulating the flow and water quality. Five Pollutants control scenarios were established from three sectors: agriculture pollution management (drainge outlet control, and replacement of controlled release fertilizers), livestock pollution management (liquid fertilizer reduction, and 'manure management of small scale livestock facilities) and private STP management. Each pollutant control measure was further divided into short-term, mid-term, and long-term scenarios based on the potential achievement period. The simulation results showed that the most effective control measure is the replacement of controlled release fertilizers followed by the drainge outlet control and the manure management of small scale livestock facilities. Furthermore, the simulation showed that application of all the control measures in the entire watershed can decrease the annual TN and TP loads at the outlet by 40.6% and 41.1%, respectively, and the annual average concentrations of TN and TP at the outlet by 35.1% and 29.2%, respectively. This study supports decision makers in priotizing different pollutant control measures based on their predicted performance on the water quality improvements in an agriculturally dominated watershed.