• 한국산림과학회지
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• 제101권1호
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• pp.28-35
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• 2012

강우는 산사태를 야기하는 주된 요인으로 최근 우리나라에서 대부분의 산사태는 단기간의 집중호우로 인해 발생하고 있으나, 강우특성과 산사태 발생간의 관계는 아직 명확히 규명되지 못하고 있는 실정이다. 이 논문에서는 2011년 6월 7월에 남부지방과 중부지방에서 집중호우로 야기된 18개의 산사태를 대상으로 연속강우 개시 이후의 누적강우량(mm)과 강우강도(mm/hr) 및 선행강우량(mm)을 해석하여 산사태 발생과의 관계를 분석하였다. 그 결과, 산사태는 모두 연속강우 개시 이후 1~3일간의 집중호우에 의해 강우강도가 30 mm/hr이상, 혹은 누적강우량이 200 mm이상인 경우에 발생한 것으로 나타났다. 이는 산림청의 산사태 경보발령 기준을 상회하는 범위에서 발생한 것으로 나타났으며, 경상남도에서 보고된 산사태 발생영역과도 일치하였다. 또한, 강우개시 이후 산사태 발생까지의 소요시간(T)은 평균 강우강도(ARI)가 증가할수록 점차 단축되는 것으로 나타났으며, 이들 사이의 관계는 지수함수식 "T = $94.569{\cdot}exp$($-0.068{\cdot}ARI$)($R^2$=0.64, p<0.001)"로 도출되었다. 이러한 결과는 산림청의 산사태 주의보 경보발령 기준에 있어 중요한 근거가 될 수 있으며, 토사재해에 대한 경계피난체계 등의 비구조물 대책의 수립에도 기초자료를 제공할 수 있을 것으로 기대된다.

• 한국환경과학회지
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• 제17권1호
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• pp.57-66
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• 2008

The frequency analysis and the probability plot were applied to heavy metal contents of soils collected from the Goseong Cu mine area as a statistic method for the determination of the threshold value which was able to partition a population comprising largely dispersed heavy metal contents into the background and the anomalous populations. Almost all the heavy metal contents of soil showed a positively skewed distributions and their cumulative percentage frequencies plotted as a curved lines on logarithmic probability plot which represent a mixture of two or more overlapping populations. Total Cu, Pb and Cd data and extractable Cu and Pb data could be partitioned into background and anomalous populations by using the inflection in each curve. The others showed a normally distributed population or an largely overlapped populations. The threshold values obtained from replotted frequency distributions with the partitioned populations were Cu 400 mg/kg, Pb 450 mg/kg and Cd 3.5 mg/kg in total contents and Cu 40 mg/kg and Pb 12 mg/kg in extractable contents, respectively. The thresholds for total contents are much higher than the tolerable level of soil pollution proposed by Kloke(Cu 100 mg/kg, Pb 100 mg/kg, Cd 3 mg/kg), but those for extractable contents are not exceeded the worrying level of soil pollution proposed by Ministry of Environment(Cu 50 mg/kg, Pb 100 mg/kg). When the threshold values were used as the criteria of soil pollution in the study area, $9{\sim}19%$ of investigated soil population was in polluted level. The spatial distributions of heavy metal contents greater than threshold values showed that polluted soils with heavy metals are restricted within the mountain soils in the vicinity of abandoned mines.

• 토지주택연구
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• 제5권4호
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• pp.291-296
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• 2014

공동주택은 기밀성능 향상에 의해 수증기의 배출이 어려워 졌다. 본 연구에서는 최근에 건설된 소형 공동주택의 실내 온습도의 조건에 대해 현장조사를 수행하여 결로방지 설계 시 필요한 실내 온습도기준을 제시하고자 한다. 조사지역으로는 대전과 성남 지역 3개 공동주택을 대상으로 하였으며, 1월부터 3월 동절기를 대상으로 측정하였다. 실내 온도는 $20{\sim}24^{\circ}C$, 상대습도는 40~60%이며, 조성된 습도는 외부의 영향보다는 주민의 다양한 특성에 의해 발생되었다. 주간(6:00~22:00)과 야간(22:00~6:00)을 비교하면, 야간에는 온도는 낮고 절대습도는 높아 결로발생 가능성이 높을 것으로 판단되었다. 누적 상대빈도와 절대습도를 사용하여 소형 공동주택의 설계 기준(온도, 상대습도)을 설정할 수 있다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제17권3호
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• pp.205-213
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• 2017

Background: This study retrospectively investigated outcomes following dental implantation in patients with special needs who required general anesthesia to enable treatment. Method: Patients underwent implant treatment under general anesthesia at the Clinic for the Disabled in Seoul National University Dental Hospital between January 2004 and June 2017. The study analyzed medical records and radiographs. Implant survival rates were calculated by applying criteria for success or failure. Results: Of 19 patients in the study, 8 were males and 11 were females, with a mean age of 32.9 years. The patients included 11 with mental retardation, 3 with autism, 2 with cerebral palsy, 2 with schizophrenia, and 1 with a brain disorder; 2 patients also had seizure disorders. All were incapable of oral self-care due to serious cognitive impairment and could not cooperate with normal dental treatment. A total of 27 rounds of general anesthesia and 1 round of intravenous sedation were performed for implant surgery. Implant placement was performed in 3 patients whose prosthesis records could not be found, while 3 other patients had less than 1 year of follow-up after prosthetic treatment. When the criteria for implant success or failure were applied in 13 remaining patients, 3 implant failures occurred in 59 total treatments. The cumulative survival rate of implants over an average of 43.3 months (15-116 months) was 94.9%. Conclusion: For patients with severe cognitive impairment who are incapable of oral self-care, implant treatment under general anesthesia showed a favorable prognosis.

• Journal of Medicine and Life Science
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• 제17권1호
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• pp.7-15
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• 2020

The field triage guidelines have been widely implemented in the Korean trauma system. This study aimed to evaluate and validate whether it is reliable to use the field triage guidelines for predicting severe traumatic brain injury (TBI) and traumatic spinal injury (TSI) patients. This study retrospectively analyzed in-hospital cohort registries of all TBI and TSI patients, who visited the emergency department (ED) of the Jeju National University Hospital from 1 January 2013 to 31 December 2015. The primary outcome was defined as TBI and TSI patients with an injury severity score (ISS)>15. Secondary outcomes were defined as cases in which one or more of the following conditions: in-hospital death, ISS>15, admission to the intensive care unit, emergency surgery. We enrolled 14,889 TBI and TSI patients who visited ED, of which 7,966 (53.5%) were triage positive. The overall sensitivity, specificity and area under the curve (AUC) of the full cumulative field triage guidelines step's model (Step 1+3+4 criteria) for primary outcome were 82.8%, 47.0%, and 0.646, respectively. In the results for secondary outcomes, the specificity did not show a significant difference, but the sensitivity decreased to 66.5% and AUC to 0.568. The results of this study suggest that further optimization of the field triage guidelines is needed to identify high-risk TBI and TSI patients.

• 한국구조물진단유지관리공학회 논문집
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• 제7권3호
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• pp.241-249
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• 2003

강교의 구조적 거동은 강도 및 사용성이 충족되고, 피로안전성이 확보될 때 공용수명을 충분히 확신할 수 있다. 그러나, 현재 교량의 피로에 관한 연구들은 상당히 부족하여 이 분야에 대한 지속적인 연구가 절실히 요구된다. 본 연구는 강교의 장기적인 피로안전성을 확보하기 위해서 실무에 적합한 피로설계지침의 방향을 제시함을 목표로 수행되었다. 연속된 강재 트러스교에 실교통량의 누적빈도수를 적용시켜 분석한 결과, 국내의 피로설계규정은 응력범위와 피로강도가 국외의 주요 설계기준에 비하여 과대평가 되는 것으로 나타난다. 따라서, 향후 국내의 피로설계지침에서는 피로설계조항들이 피로설계에 합리적으로 규정되는 것이 필요하다.

• Journal of Gastric Cancer
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• 제19권1호
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• pp.102-110
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• 2019

Purpose: Despite an increased acceptance of laparoscopic gastrectomy (LG) in early gastric cancer (EGC), there is insufficient evidence for its oncological safety in advanced gastric cancer (AGC). This is a prospective phase II clinical trial to evaluate the feasibility of LG with D2 lymph node dissection (LND) in AGC. Materials and Methods: The primary endpoint was set as 3-year disease-free survival (DFS). The eligibility criteria were as follows: 20-80 years of age, cT2N0-cT4aN3, American Society of Anesthesiologists score of 3 or less, and no other malignancy. Patients were enrolled in this single-arm study between November 2008 and May 2012. Exclusion criteria included cT4b or M1, or having final pathologic results as EGC. All patients underwent D2 lymphadenectomy. Three-year DFS rates were estimated by the Kaplan-Meier method. Results: A total of 157 patients were enrolled. The overall local complication rate was 10.2%. Conversion to open surgery occurred in 11 patients (7.0%). The mean follow-up period was $55.0{\pm}20.4months$ (1-81 months). The cumulative 3-year DFS rates were 76.3% for all stages, and 100%, 89.3%, 100%, 88.0%, 71.4%, and 35.3% for stage IB, IIA, IIB, IIIA, IIIB, and IIIC, respectively. Recurrence was observed in 37 patients (23.6%), including hematogenous (n=6), peritoneal (n=13), locoregional (n=1), distant node (n=8), and mixed recurrence (n=9). Conclusions: In addition to being technically feasible for treatment of AGC in terms of morbidity, LG with D2 LND for locally advanced gastric cancer showed acceptable 3-year DFS outcomes.

• Wind and Structures
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• 제34권5호
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• pp.421-435
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• 2022

To investigate the non-Gaussian properties of fluctuating wind pressures and the error margin of extreme wind loads on a long-span curved roof with matching and mismatching ratios of turbulence integral scales to depth (L_u^x/D), a series of synchronized pressure tests on the rigid model of the complex curved roof were conducted. The regions of Gaussian distribution and non-Gaussian distribution were identified by two criteria, which were based on the cumulative probabilities of higher-order statistical moments (skewness and kurtosis coefficients, S_k and K_u) and spatial correlation of fluctuating wind pressures, respectively. Then the characteristics of fluctuating wind-loads in the non-Gaussian region were analyzed in detail in order to understand the effects of turbulence integral-scale. Results showed that the fluctuating pressures with obvious negative-skewness appear in the area near the leading edge, which is categorized as the non-Gaussian region by both two identification criteria. Comparing with those in the wind field with matching L_u^x/D, the range of non-Gaussian region almost unchanged with a smaller L_u^x/D, while the non-Gaussian features become more evident, leading to higher values of S_k, Ku and peak factor. On contrary, the values of fluctuating pressures become lower in the wind field with a smaller L_u^x/D, eventually resulting in underestimation of extreme wind loads. Hence, the matching relationship of turbulence integral scale to depth should be carefully considered as estimating the extreme wind loads of long-span roof by wind tunnel tests.

• Journal of Preventive Medicine and Public Health
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• 제57권2호
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• pp.96-107
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• 2024

Objectives: While several food assistance programs in the United States tackle food insecurity, a relatively new program, "Food is Medicine," (FIM) initiated in some cities not only addresses food insecurity but also targets chronic diseases by customizing the food delivered to its recipients. This review describes federal programs providing food assistance and evaluates the various sub-programs categorized under the FIM initiative. Methods: A literature search was conducted from July 7, 2023 to November 9, 2023 using the search term, "Food is Medicine", to identify articles indexed within three major electronic databases, PubMed, Medline, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Eligibility criteria for inclusion were: focus on any aspect of the FIM initiative within the United States, and publication as a peer-reviewed journal article in the English language. A total of 180 articles were retrieved; publications outside the eligibility criteria and duplicates were excluded for a final list of 72 publications. Supporting publications related to food insecurity, governmental and organizational websites related to FIM and other programs discussed in this review were also included. Results: The FIM program includes medically tailored meals, medically tailored groceries, and produce prescriptions. Data suggest that it has lowered food insecurity, promoted better management of health, improved health outcomes, and has, therefore, lowered healthcare costs. Conclusions: Overall, this umbrella program is having a positive impact on communities that have been offered and participate in this program. Limitations and challenges that need to be overcome to ensure its success are discussed.

• 지질공학
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• 제28권1호
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• pp.47-59
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• 2018

우리나라의 토석류에 관한 연구들을 살펴보면 강우강도 및 강우지속시간, 선행강우 등의 토석류를 유발하는 강우의 특성과 토석류 발생 등에 대한 다양한 연구가 수행되고 있으며, 현재 산사태 및 토석류 예보는 산림청에서 제시한 산사태 경보 및 주의보 기준(Korea forest service, 2012)을 사용하고 있다. 그러나 산림청의 예보기준만으로 볼 때, 대부분의 피해는 주의보 기준 이상의 강우에서 발생한 것으로 나타났고, 또한 최대시강우량의 경우 주의보 이하의 강우에서도 많은 피해가 발생하였다(Hwang et al., 2013). 따라서 본 연구에서는 산림청에서 제시한 산사태 경보기준 보다 더욱 세밀한 예 경보 기준을 산정하기 위해 토석류 발생원인 인자인 강우량, 강우강도 및 누적강우량을 이용하여 강우경보지수(rainfall triggering index, 이하 RTI)를 산정하였으며, 이를 등급화 하여 관심, 주의, 경계, 대피로 구분하여 토석류 피해가 발생했던 서울시 우면산, 청주시, 인제군 피해사례를 적용하여 평가하였다. 또한 기존에 산림청에서 제시한 산사태 경보 및 주의보 기준과 비교하여 적용성을 검토하였다.