• 한국수자원학회논문집
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• 제50권4호
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• pp.277-288
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• 2017

본 연구에서는 발생가능한 홍수시나리오를 기반으로 하천제방의 복합위험도를 산정하고자 하였다. 이를 위해 불확실성을 고려한 수문학적/수리학적/지반공학적의 위험도를 각각 MCMC (Markov Chain Monte Carlo), MCS (Monte Carlo Simulation), FOSM (First-Order Second Moment) 기법을 활용하여 해석하였으며, 이들 각각의 확률을 연계하여 결합확률 형태로 나타내었다. 적용대상 유역은 낙동강에 위치한 강정고령보를 기점으로 상 하류 12.5 km 구간으로 선정하였으며, 구간내의 총 6구간의 제방이 포함된다. 수문시나리오는 제방 월류가 발생하는 100년/200년 빈도 신뢰구간 상한치(97.5%)의 홍수량이 사용되었고, 이에 따른 홍수위 해석을 수행하여 월류위험도를 산정하였으며 월류가 발생하지 않는 구간에서는 침투, 사면안정, 수위급강하 등 제방의 지반공학적 위험도를 산정하였다. 기존 결정론적 위험도 해석보다 확률론적 위험도 해석에 의한 복합위험도가 제방설계에 보다 안정적, 경제적인 상승효과를 가져올 수 있을 것이며, 향후 수변구조물 설계에 지표로 사용될 수 있을 것으로 기대된다.

• Asian Spine Journal
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• 제12권6호
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• pp.1100-1105
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• 2018

Study Design: Prospective observational study. Purpose: To determine the incidence of postoperative urinary retention (POUR) in patients undergoing elective posterior lumbar spine surgery and identify the risk factors associated with the development of POUR. Overview of Literature: POUR following surgery can lead to detrusor dysfunction, urinary tract infections, prolonged hospital stay, and a higher treatment cost; however, the risk factors for POUR in spine surgery remain unclear. Methods: A prospective, consecutive analysis was conducted on patients undergoing elective posterior lumbar surgery in the form of lumbar discectomy, lumbar decompression, and single-level lumbar fusions during a 6-month period. Patients with spine trauma, preoperative neurological deficit, previous urinary disturbance/symptoms, multiple-level fusion, and preoperative catheterization were excluded from the study. Potential patient- and surgery-dependent risk factors for the development of POUR were assessed. Univariate analysis and a multiple logistical regression analysis were performed. Results: A total of 687 patients underwent posterior lumbar spine surgery during the study period; among these, 370 patients were included in the final analysis. Sixty-one patients developed POUR, with an incidence of 16.48%. Significant risk factors for POUR were older age, higher body mass index (BMI), surgery duration, intraoperative fluid administration, lumbar fusion versus discectomy/decompression, and higher postoperative pain scores (p<0.05 for all). Sex, diabetes, and the type of inhalational agent used during anesthesia were not significantly associated with POUR. Multiple logistical regression analysis, including age, BMI, surgery duration, intraoperative fluid administration, fusion surgery, and postoperative pain scores demonstrated a predictive value of 92% for the study population and 97% for the POUR group. Conclusions: POUR was associated with older age, higher BMI, longer surgery duration, a larger volume of intraoperative fluid administration, and higher postoperative pain scores. The contribution of postoperative pain scores in the multiple regression analysis was a significant predictor of POUR.

• 대한토목학회논문집
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• 제26권5B호
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• pp.489-499
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• 2006

현재 홍수피해에 대한 잠재성은 홍수피해잠재능(PFD)에 의해 나타내고 있으나 하천유역의 설계빈도와의 연계성이 없어 실무에서 이용하는데 어려움이 있다. 따라서 본 연구에서는 홍수피해발생 잠재위험도라는 개념을 도입하고 그 산정방안을 마련하여 산정된 잠재위험도와 설계빈도와의 연계성을 제시하였다. 홍수피해발생 잠재위험도는 위험성, 노출성, 취약성의 세가지 세부요소로 산정되며, 위험성은 홍수사상의 발생확률, 노출성은 자산 등이 특정 홍수사상 혹은 홍수재해에 노출되어 있는 정도, 취약성은 홍수에 대비한 시설들의 취약 정도를 나타낸다. 이 세부요소들은 또 다시 세세부요소를 가지며 위험성은 지속 기간별 빈도별 확률강우량등으로 표현가능하고, 노출성은 인구밀도와 공시지가, 취약성은 지역낙후도지수와 홍수방어능력지수를 세세부요소로 선정하였다. 홍수피해발생 잠재위험도 산정식의 가중계수를 결정하기 위해서 전문가의 의견을 통한 계층 분석과정(AHP)기법을 이용하였다. 안양천 유역에 대하여 홍수피해발생 잠재위험도를 산정하였고, 잠재위험도와 기왕최대강수량을 이용하여 시 군 구 단위로 설계빈도를 산정할 수 있었다. 안양천의 기존 설계빈도는 본류구간에서는 200년, 지류구간에서는 50년에서 100년사이로 정하고 있으나, 본 연구에서는 안양천유역 전체에 대하여 설계빈도를 약 110년에서 130년정도로 결정하였다. 따라서 본 연구에서 개발한 기법을 이용하여 행정구역단위의 설계빈도를 제시할 수 있었으며, 이는 향후 유역별 및 하천별로도 잠재위험도와 설계빈도를 산정할 수 있을 것으로 사료된다.

• 한국수자원학회논문집
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• 제42권7호
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• pp.547-558
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• 2009

일반적인 하천제방의 안정성 평가는 확정론적 분석결과를 토대로 강우특성, 매개변수 등에 대한 불확실성을 안전 계수를 도입하여 실시하고 있다. 이러한 안전계수는 모형의 매개변수 및 재료 속성의 다양성을 다루는 공학에 폭넓게 이용되나 임의의 자연 현상의 모든 것을 설명해주지는 않는다. 특히 근래에 들어 발생되는 지구온난화에 따른 이상기후 현상과 사상 유래가 없는 홍수들의 발생은 확정론적인 방법에 의존하기보다는 추계학적 방법을 도입한 수문량 확충 및 매개변수의 불확실성 분석의 필요성이 증대되고 있다. 이에 전 세계적으로 매개변수와 특성인자의 불확실성을 고려하고 인자들 간의 상관관계를 고려한 추계학적 방법 기반의 대책 수립이 추진되고 있는 상황이다. 본 연구에서는 추계학적 강우변동 생성기법을 이용하여 태풍기와 장마기에 해당하는 6월, 7월과 8월, 9월에 발생 가능한 다양한 무차원 누가강우량곡선을 Monte Carlo 기법을 도입하여 생성하였고 신뢰도 지수를 이용하여 하천제방의 위험도를 평가하였다. 본 연구결과는 강우의 지역적 특성 및 시간적 특성을 반영할 수 있어 해당 유역의 홍수대책 수립, 수공구조물 설계 및 분석 등 활용성이 매우 클 것으로 판단된다.

• 동의생리병리학회지
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• 제33권4호
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• pp.226-232
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• 2019

This study was aimed to reveal that the usual cold or heat state was associated with hypertension and could be a risk. We emailed educational personnel in D university to join this study and 182 subjects participated in from March to December in 2016. The usual cold or heat diagnosis was conducted by two experts who had over 10 years expertise. The blood pressure was measured from the subjected after 10 minute rest with Jawon medical device. The hypertension was diagnosed by the guide of the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The frequency analysis was used in general characteristics, Pearson's Correlation Coefficient analysis was conducted in among continuous variables, and chi-square test was also used between hypertension and cold or heat group. Logistic regression was analyzed to generate the odds ratios (ORs) and 95% confidence interval (CI) for hypertension. The cold score was suggested to have negative association with Body mass Index (BMI, -.374, p<.001), systolic blood pressure (-.333, p<.001), and diastolic pressure (-.261, p<.001). The heat score was analyzed to have positive association with Body mass Index (.413, p<.001), systolic blood pressure (.249, p<.001), and diastolic pressure (.156, p<.001). The distribution of the cold group (35.1%) and non-cold group (64.9%) in hypertension was significantly different (p=0.18). The distribution of the heat group (62.2%) and non-heat group (37.8%) was significantly different (p=0.27). The usual cold was associated with decreased ORs (ORs 0.405, 95% CI=0.191-0.857), and usual heat was associated with increased ORs (ORs 2.327, 95% CI=1.108-4.888). However, after adjusting body mass index, sex, and smoking, the association was not significantly different. It is possible that usual cold or heat associate with hypertension. Further study is needed to show that usual heat may be a independent risk factor for hypertension through follow up design.

• 한국치위생학회지
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• 제19권6호
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• pp.963-972
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• 2019

Objectives: This study analyzed the relationship between BMI (body mass index), perceived health status, and oral health behaviors of schoolgirls. Methods: This study utilized data from the 13th (2017) Korea Youth Risk Behavior Web-Based Survey. A total of 29,337 schoolgirls were analyzed. Statistical analysis was performed using PASW Statistics 21.0 (SPSS Inc., Chicago, IL, USA). Results: Compared to the obese group, the rate of being recognized as healthy was 1.882 times higher in the normal-weight group and 1.623 times in the underweight group. The rate of using supplementary oral hygiene devices was 1.383 times higher in the underweight group and 1.091 times in the normal-weight group than in the obese group. Compared to the obese group, the experience rate of the sealant was 1.407 times in the underweight group. Compared to the obese group, the scaling experience rate was 1.282 times higher for the underweight group and 1.205 times for the normal-weight group. Conclusions: These results suggest that individual health behaviors are interrelated. There is a need for an integrated approach in the planning and implementation of future health promotion strategies, and it would be useful to design a program that considers health characteristics such as BMI.

• Clinical and Experimental Pediatrics
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• 제62권2호
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• pp.48-54
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• 2019

Purpose: Liver metabolism plays a pivotal role in the development of metabolic disorders. We aimed to investigate the clinical and laboratory risk factors associated with alanine aminotransferase (ALT) levels in young adolescents from an urban population in Korea. Methods: A population of 120 apparently healthy adolescents aged 12-13 years was included in the cross-sectional design study; 58 were overweight or obese and 62 were of normal weight. We estimated anthropometric and laboratory measurements, including waist-to-height ratio, blood pressure, insulin sensitivity, aspartate aminotransferases (AST), ALT, and lipid profiles. Results: The mean ages of the overweight or obese and normal weight participants were $12.9{\pm}0.3$ and $13.0{\pm}0.3years$, respectively. Height, weight, body mass index, waist circumference, waist-to-height ratio, systolic and diastolic blood pressure, AST, ALT, total cholesterol, low-density lipoprotein-cholesterol, triglyceride, insulin, and the homeostatic model assessment of insulin resistance (HOMA-IR) score were significantly higher and the high-density lipoprotein-cholesterol and quantitative insulin-sensitivity check index were significantly lower in the overweight/obese participants in comparison to the normal-weight participants (all P<0.05). In multivariate linear regression analysis, waist-to-height ratio, systolic blood pressure, and HOMA-IR score were independently and positively associated with serum ALT levels. Conclusion: Screening for ALT levels in adolescents may help to differentiate those at risk of metabolic abnormalities and thus prevent disease progression at an early age.

• 대한간호학회지
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• 제49권6호
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• pp.748-759
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• 2019

Purpose: This study aimed to examine the effect of spouses participating in health coaching on stage of the change, health behaviors, and physiological indicators among male office workers with cardiocerebrovascular disease (CVD) risk factors and compare the findings with trainers who provided health coaching only to workers. Methods: A quasi-experimental pretest-posttest design was used. Convenience sampling was used to recruit participants from a manufacturing research and development company in the city of Gyeonggi province. The health coaching program for the experimental group (n=26) included individual counseling sessions according to workers' stage of change, and provision of customized health information materials on CVD prevention to workers and their spouses for 12 weeks through mobile phone and email. Results: After 12 weeks of intervention, the total score for health behavior, and scores on the sub-areas of exercise and health checkups significantly improved in the experimental group, but there were no significant differences in the scores of stage of the change and physical indicators. The results of a paired t-test showed a significant decrease in the body mass index, abdominal circumference, systolic blood pressure, diastolic blood pressure, total cholesterol and triglyceride values, and a significant increase in the high-density lipoprotein cholesterol value in the experimental group after the intervention. Conclusion: To improve the health of male workers with CVD risk factors in the workplace, sharing health information with their spouses has proven to be more effective than health coaching for only workers. Therefore, it is important to develop strategies to encourage spousal participation when planning workplace health education for changing health-related behaviors.

• 융합정보논문지
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• 제9권11호
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• pp.125-133
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• 2019

본 연구에서는 홍수시나리오에 의해 발생한 제방붕괴에서 불확실성을 포함한 확률홍수위험지도를 산정하였다. 불확실성을 포함한 극치수문시나리오와 그에 따른 홍수위가 산정된 선행연구자료를 활용하였고 이에 따라 제방붕괴 예측지점을 산정하였다. 단순한 조건에 따른 일률적인 파제폭을 제시하는 경험식과 지반공학적 복합요소들에 대한 불확실성을 고려한 물리적 기반의 수치모의 방식을 결합하여 파제폭을 산정하였다. 이에 따라 확률론적 파제유입량을 결정하였고, 신뢰도를 기반으로 100회 모의수행을 통한 2차원 제내지 침수해석을 실시하여 확률침수심도를 작성하였다. 이를 통해 홍수위험지도 작성기법을 기반으로 확률침수심도와 결합하여 확률홍수위험지도를 작성하였다. 본 연구결과는 제내지의 비상대처계획(EAP)의 정량적 근거자료로 보다 경제적, 안정적인 설계지표 제시하는데 효과적일 것으로 기대된다.

• 산경연구논집
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• 제12권3호
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• pp.43-49
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• 2021

Purpose: This study attempted to examine the risk of stock price plunge according to the firm's management strategy. Prospector firms value innovation and have high uncertainties due to rapid growth. There is a possibility of lowering the quality of financial reporting in order to meet market expectations while withstanding the uncertainty of the results. In addition, managers of prospector firms enter into compensation contracts based on stock prices, thus creating an incentive to withhold negative information disclosure to the market. Prospector firms' information opacity and delays in disclosure of negative information are likely to cause a sharp decline in share prices in the future. Research design, data and methodology: This study performed logistic analysis of KOSPI listed firms from 2014 to 2017. The independent variable is the strategic index, and is calculated by considering the six characteristics (R&D investment, efficiency, growth potential, marketing, organizational stability, capital intensity) of the firm. The higher the total score, the more it is a firm that takes a prospector strategy, and the lower the total score, the more it is a firm that pursues a defender strategy. In the case of the dependent variable, a value of 1 was assigned when there was a week that experienced a sharp decline in stock prices, and 0 when it was not. Results: It was found that the more firms adopting the prospector strategy, the higher the risk of a sharp decline in the stock price. This is interpreted as the reason that firms pursuing a prospector strategy do not disclose negative information by being conscious of market investors while carrying out venture projects. In other words, compensation contracts based on uncertainty in the outcome of prospector firms and stock prices increase the opacity of information and are likely to cause a sharp decline in share prices. Conclusions: This study's analysis of the impact of management strategy on the stock price plunge suggests that investors need to consider the strategy that firms take in allocating resources. Firms need to be cautious in examining the impact of a particular strategy on the capital markets and implementing that strategy.