• 농촌계획
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• 제25권3호
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• pp.115-128
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• 2019

The A1B scenario predicts that the mean air temperature of South Korea will rise up to $3.8^{\circ}C$ by 2071. However, the effects of ecosystem services are declining because of various environmental problems, including climate change, land use change, stream intensification, non-point pollution, and untreated garbage. Moreover, horticultural sites which have various ecosystem services suffer highly absorbed heat from the heat island phenomenon associated with climate change. Therefore, we analyzed the heat island phenomenon occurring in an protected horticulture estimated area in Saemanguem, South Korea. Using an advanced measurement method, we examined the air temperature change derived from water channels as well as open spaces. The CFD analysis of coverage ratio 85% design showed wind speed of 2.09 m/s and temperature of $38.07^{\circ}C$. At a coverage ratio of 70%, the wind speed was improved to 2.61 m/s and the temperature was improved to $36.89^{\circ}C$. In Alternative 2 with wetlands and trees, the wind speed was 2.71 m/s and the temperature was $35.90^{\circ}C$. When the coverage ratio decreases to 55%, the wind speed increases showing 3.06 m/s and the temperature decreases showing $35.18^{\circ}C$.

• 한국사회정책
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• 제24권1호
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• pp.213-237
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• 2017

사회보장제도에 대한 정책평가의 핵심은 그것이 국민들을 사회적 위험으로부터 얼마나 효과적으로 보호하고 있는지를 살펴보는 데 있다. 본 논문은 <한국복지패널>자료를 이용하여 현재 시행중인 5개 주요 소득보장제도가 빈곤의 위험에 대처하는 데 얼마나 효과가 있는지를 포괄성과 충분성에 주목하여 분석하였다. 이때 각 제도별로는 물론 5개 제도 묶음이 나타내는 효과에 대해서 살펴보았고, 그 효과를 세분화된 집단별로 비교하였다. 그 결과 빈곤층 가운데 약 35%가 소득보장제도의 혜택을 전혀 받지 못하는 것으로 나타났다. 노인층에 대한 소득보장제도의 포괄성과 충분성은 상대적으로 높았으나 비노인층, 특히 실업자에 대한 포괄성과 충분성이 매우 낮게 나타났다. 이러한 점들은 한국의 소득보장제도가 여전히 많은 개선의 여지를 남겨두고 있다는 점, 특히 근로연령층 대상 소득보장제도의 개선과 확충이 필요하다는 사실을 시사한다.

• Journal of Periodontal and Implant Science
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• 제51권2호
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• pp.77-87
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• 2021

Purpose: The aim of this study was to compare the efficacy of the tunnel technique for root coverage using a new xenogeneic acellular dermal matrix vs. connective tissue grafting (CTG) for the treatment of multiple maxillary adjacent recessions (recession type 1) at 12 months postoperatively. Methods: This study enrolled 12 patients with at least 3 contiguous, bilateral, symmetrical maxillary gingival recessions (i.e., at least 6 recessions per patient). In total, 74 recessions were treated using the modified coronally advanced tunnel (MCAT) technique combined with a novel porcine-derived acellular dermal matrix (PADM) at 37 test sites or CTG at 37 control sites. The following clinical parameters were measured: recession height, clinical attachment level, width of keratinized tissue, probing depth, recession width, gingival thickness, mean root coverage (MRC), and complete root coverage (CRC). Comparisons between test and control groups were made for pain visual analog scale scores at 14 days. Results: At 12 months, the MCAT with PADM (test) yielded a statistically significant improvement in all clinical parameters studied. MRC was significantly higher on the control sides (80.6%±23.7%) than on the test sides (68.8%±23.4%). Similarly, CRC was 48.7%±6.8% on the control sides (CTG), in contrast to 24.3%±8.2% on the test sides (PADM). Statistically significant differences were observed in favor of the control sides for all clinical parameters studied. Nevertheless, the MCAT in adjunction with PADM was clearly superior at reducing mean and maximum patient-reported postoperative pain intensity and pain duration in the first week after surgery. Conclusions: The use of PADM to treat multiple recessions improved clinical parameters at 12 months, but these outcomes were nevertheless poorer than those observed for CTG. However, PADM reduced morbidity, particularly the pain experienced by patients.

• 대한한의학회지
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• 제43권4호
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• pp.145-158
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• 2022

Objectives: To identify changes in the subjects and methods of Herbal Medicine Consumption Survey, and analyze trend of the key results Methods: The population, methods, and items of the basic reports of all Surveys on Consumption of Herbal Medicine(HM) were organized in a time-series manner. The analysis items were trend in the purchase of standardized HM; consumption value share, and price of prepared HM; type of herbal dispensary; and awareness of HM policy in Koran Medicine(KM) institutions. Results: The price of HM preparations showed an upward trend in 2011, 2014, and 2017 surveys, and decreased in the 2020 survey. However, despite this recent decrease, the 2021 survey also saw the highest proportion of HM users reporting that price of herbal decoction is expensive. Furthermore, the demand for expanded coverage of herbal decoction was the greatest for the expansion of health insurance benefits. Efforts such as adjusting the number of covered diseases and the cost of health insurance coverage would be necessary. Regarding decoction dispensaries the proportion of HM hospitals using only extramural herbal dispensaries increased. Finally, the consumption of HM and the size of the HM industry has continued to expand due to the large-scale branding of KM institutions and the expansion of health insurance coverage. Conclusion: Future surveys must standardize and unify the items for the time-series continuity and compare the results with government statistics reports on HM to increase reliability. Moreover, specialized survey items may be developed for KM, to establish a better and efficient distribution system for domestic HMs.

• 문화기술의 융합
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• 제10권3호
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• pp.667-673
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• 2024

본 연구는 건강보험의 본인부담상한제와 민영실손의료보험의 관계에서 야기되는 쟁점을 진단하고, 제도 개선을 위한 정책 과제를 제안하는 것을 목적으로 한다. 문헌연구를 통해 본인부담상한제 초과 환급금 미지급으로 인한 소비자 피해 실태와 건강보험 보장성 강화에 따른 실손보험의 역할 변화를 분석하였다. 연구 결과, 일방적 약관 해석과 불완전판매 관행이 소비자 권익을 침해하고 있으며, 실손보험의 보장 축소에도 불구하고 보험료 인하로 이어지지 않는 문제점이 확인되었다. 이에 상품 구조 합리화, 위험률 산출 투명화, 소비자 정보 제공 강화 등의 제도 개선과 함께, 건강보험과 민영보험의 합리적 역할분담을 위한 사회적 합의 도출이 시급함을 강조하였다. 본 연구는 의료보장체계의 발전적 재편을 위한 정책적 시사점을 제공한다는 점에서 의의가 있다.

• 대한한의학방제학회지
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• 제18권1호
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• pp.43-56
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• 2010

Objective : There is a growing need to expand or adjust insurance coverage of herbal prescriptions in National Health Insurance. The purpose of this study was to provide basic data for expansions or adjustments of 56 herbal prescriptions in the National Health Insurance. Method : We surveyed lists of 56 insurance-covered herbal prescriptions, non-covered company-produced herbal medicines and self-prepared herbal medicines in 531 traditional korean medical clinics by mail from 6/1/2008 to 12/9/2008. Result : Among the 56 Prescriptions, Ojeok-san was stocked in 66.7% of clinics (1st), Samso-eum ranked 2nd, Socheongnyong-tang ranked 3rd, Gumiganghwal-tang was 4th, Hyangsapyeongwi-san ranked 5th. Among the non-covered company-produced herbal medicines, Danggwisu-san ranked 1st, Gwakyangjeonggi-san ranked 2nd, Oryeong-san was 3rd, Bangpungtongseong-san was 4th, Maengmundong-tang ranked 5th. Among the self-prepared herbal medicines, Gongjin-dan ranked 1st, Soche-hwan was 2nd, Gyejibongnyeong-hwan was 3rd, Yeongsin-hwan was 4th, Palmi-hwan ranked 5th. Conclusions : It is reasonable to select frequently used company-produced or self-prepared herbal prescriptions in this stock rate survey for improvement of National Health Insurance coverage.

• 대한치과의사협회지
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• 제54권7호
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• pp.501-512
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• 2016

We evaluated a self-inflatable osmotic tissue expander for its utility in creating sufficient soft tissue elongation for primary closure after bone grafting. Six patients with alveolar defects who required vertical augmentation of >6 mm before implant placement were enrolled. All had more than three prior surgeries, and flap advancement for primary coverage was restricted by severely fibrosed scars. Expanders were inserted beneath the flap and fixed with a screw. After 4 weeks, expander removal and bone grafting were performed simultaneously. A vertical block autograft and guided bone regeneration and distraction osteogenesis were performed. Expansion was sufficient to cover the grafted area without additional periosteal incision. Complications included mucosal perforation and displacement of the expander. All augmentation procedures healed uneventfully and the osseous implants were successfully placed. The tissue expander may facilitate primary closure by increasing soft tissue volume. In our experience, this device is effective, rapid, and minimally invasive, especially in fibrous scar tissue.

• 한국주거학회논문집
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• 제24권1호
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• pp.51-59
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• 2013

This study aims to improve the thermal comfort level of detached housing area by reducing the impact of thermal environment. The study focused on reducing surface temperature that is generated in buildings and adjacent spaces as a result of sensible heat load and presented a proposal on implementing planting method considering its outdoor condition and structure and composed materials. To perform the study, we utilized 3D-CAD to examine the outdoor condition and structure and composed materials that impact on surface temperature and conducted space design after reflecting climatic elements in simulations. The result is as follows. In reviewing temperature distribution of Heat Island Potential (HIP) of buildings and adjacent spaces, in case where green coverage ratio is increased, there was a $6^{\circ}C$ temperature difference and in regard to changes in the thermal environment in detached housing area, in case where rooftop planting, surface improvement, planting, and overall green coverage ratio is increased, there was a $10^{\circ}C$ temperature difference. In addition, there was difference in temperature in detached housing area following the changes in wind.

• 환경영향평가
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• 제18권6호
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• pp.387-392
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• 2009

As Our society's environmental awareness and concern the significant increases, the importance of the legal system for environmental conservation such as the Prior Environmental Review System, Environmental Impact Assessment is growing increasingly. but, still critical issues are present such as reliability. Though there could be various causes such as the system or procedures etc. Above all, basically the environmental data problem is the critical cause. Therefore, this study was trying to improve the environmental data accuracy using the high-resolution color aerial photography, LiDAR data and Object Oriented Classification method. And in this study, classification based on coverage percentage of a particular species was attempted through the multi-resolution segmentation and multi-level classification method. The classification result was verified by comparison with 11 points local survey data. All 11 points were classified correctly. And even though the exact coverage percentage of the particular species did not be measured, It was confirmed that the species was occupied similar portion. It is important that the environmental data which can be used for the conservation value assessment could be acquired.

• 한국농공학회:학술대회논문집
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• 한국농공학회 2005년도 학술발표논문집
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• pp.557-562
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• 2005

The field scale experiment was performed to examine the effect of plant coverage on the constructed wetland performance and recommend the optimum development and management of macrophyte communities. Four sets(each set of 0.88ha) of wetland (0.8ha) and pond(0.08ha) systems were used. Water flowing into the Seokmoon estuarine reservoir from the Dangjin stream was pumped into wetland system. Water depth was maintained at $0.3{\sim}0.5m$ and hydraulic retention time was managed to about $2{\sim}5$ days; emergent plants were allowed to grow in the wetlands. After three growing seasons of the construction of wetlands, plant coverage was about 95%, even with no plantation, from bare soil surfaces at the initial stage. Dead vegetation affected nitrogen removal during winter because it is a source of organic carbon which is an essential parameter in denitrification. Biomass harvesting is not a realistic management option for most constructed wetland systems because it could only slightly increase the removal rate and provide a minor nitrogen removal pathway due to lack of organic carbon.