• Nutrition Research and Practice
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• 제18권4호
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• pp.554-566
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• 2024

BACKGROUND/OBJECTIVES: Urban-rural inequities in health and mortality exist in Korea, a highly centralized developed country. The potential impact of multiple health-related lifestyle behaviors on mortality and difference between urban and rural areas is not fully understood. This study aimed to investigate the effect of high-risk health behaviors on all-cause mortality among residents living in urban and rural in Korea. SUBJECTS/METHODS: Cross-sectional analyses were conducted on 8,298 adults aged 40 yrs and older from the Korea National Health and Nutrition Examination Survey 2013-2015. High-risk behaviors were defined as having poor diet quality, current smoking, high-risk drinking, or insufficient physical activity. Mortality status was linked to the Cause of Death data followed up to December 31, 2019. The associations between all-cause mortality and high-risk behaviors were evaluated using Cox proportional hazard regression models adjusted for age, sex, education, income, and survey year. Population attributable fractions (PAFs) were calculated, and effect modification analysis was conducted. Participants were stratified by residential area (urban or rural). RESULTS: During the follow-up (median: 5.4 yrs), 313 deaths occurred. A higher proportion of rural residents than urban residents engaged in multiple high-risk behaviors (28.9% vs. 22.6%; P < 0.0001). As individual factors, a greater risk of mortality was associated with poor diet quality, current smoking, and inadequate physical activity, and these tendencies persisted in rural residents, especially for diet quality. Multiple high-risk behaviors were positively associated with a higher risk of mortality in Koreans living in urban and rural areas. PAF (95% confidence interval) was 18.5% (7.35-27.9%) and 29.8% (16.1-40.2%) in urban and rural residents, respectively. No additive or multiplicative effect of the region was observed. CONCLUSION: The higher prevalence of multiple high-risk lifestyle behaviors in rural residents may explain the higher mortality in rural areas compared to urban areas. Comprehensive public health policies to improve health-related behaviors in rural populations may be needed.

• 에너지공학
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• 제26권3호
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• pp.64-70
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• 2017

한국원자력연구원에서 제안한 혼합형 안전주입탱크 (Hybrid SIT)는 APR+ 원자로에 적용하기 위해 개발된 피동안전주입시스템이다. 본 연구는 대표적인 고압사고인 발전소정전사고 시 Hybrid SIT의 냉각성능을 평가하기 위해 열수력 안전해석 코드인 MARS-KS 코드를 이용한 예비해석에 대한 것이다. PAFS 구동이 정지되면, 열제거량이 감소하게 되어 가압기와 증기발생기의 압력이 상승하기 시작하며, 가압기의 압력이 안전감압계통(Pilot Operated Safety and Relief Valve) 개방 설정치인 17.03 MPa에 도달하면, 그와 동시에 Hybrid SIT의 증기격리밸브가 열림으로서 가압기 상단의 증기가 Hybrid SIT로 주입되게 된다. 주입된 증기에 의해 압력평형이 빠른시간 안에 이루어졌으며, 주입배관을 통해 냉각수가 주입 되었다. 발전소정전사고시 PAFS와 같은 열제거수단이 상실됨에도 혼합형 Hybrid SIT가 주입되는 시간동안은 노심의 수위가 유지됨을 확인할 수 있었고, 수위가 유지됨에 따라 노심 출구 온도(CET)의 상승을 방지함을 확인하였다.

• Journal of Preventive Medicine and Public Health
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• 제57권4호
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• pp.327-338
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• 2024

Objectives: Estimating the number of deaths caused by smoking is crucial for developing and evaluating tobacco control and smoking cessation policies. This study aimed to determine smoking-attributable mortality (SAM) in Korea in 2020. Methods: Four large-scale cohorts from Korea were analyzed. A Cox proportional-hazards model was used to determine the hazard ratios (HRs) of smoking-related death. By conducting a meta-analysis of these HRs, the pooled HRs of smoking-related death for 41 diseases were estimated. Population-attributable fractions (PAFs) were calculated based on the smoking prevalence for 1995 in conjunction with the pooled HRs. Subsequently, SAM was derived using the PAF and the number of deaths recorded for each disease in 2020. Results: The pooled HR for all-cause mortality attributable to smoking was 1.73 for current men smokers (95% confidence interval [CI], 1.53 to 1.95) and 1.63 for current women smokers (95% CI, 1.37 to 1.94). Smoking accounted for 33.2% of all-cause deaths in men and 4.6% in women. Additionally, it was a factor in 71.8% of men lung cancer deaths and 11.9% of women lung cancer deaths. In 2020, smoking was responsible for 53 930 men deaths and 6283 women deaths, totaling 60 213 deaths. Conclusions: Cigarette smoking was responsible for a significant number of deaths in Korea in 2020. Monitoring the impact and societal burden of smoking is essential for effective tobacco control and harm prevention policies.