• 제목/요약/키워드: Regional variations

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미국의 지역간 의료이용의 변이 연구: 비판적 검토와 함의 (Research on Geographic Variations in Health Services Utilization in the United States: A Critical Review and Implications)

  • 도영경
    • 보건행정학회지
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    • 제17권1호
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    • pp.94-124
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    • 2007
  • This paper critically reviews three decades of research on geographic variations. in health services utilization in the United States, thereby drawing policy and research implications for Korea. The recent renewed interest in variations research in the United States, precipitated by studies on regional variations in Medicare expenditures, stems mainly from the policy implication that a substantial amount of Medicare expenditures could be saved without compromising quality and access. From the research perspective, this policy implication was made tenable by integrating micro- and macro-level analysis of variations in health services utilization. Still, theoretical limitations inherent in the research pose great challenges to developing effective strategies at the health system level. Variations research in the United States can serve as a case study as to how health services research has responded to efficiency and quality issues in an ever expanding health system Considering the current health policy and research environment in Korea, the following implications can be drawn. Variations research will help formulate a national policy agenda for health care quality and also advance the framework of approaches to health policy issues. For such purposes, both relevant descriptive and hypothesis-testing studies are needed. Further advancement in variations research will require interdisciplinary explorations and methodological sophistication. To the extent that Korean health policies will strive to achieve complex goals, variations research will increasingly prove to be useful.

질환성 심정지 발생의 지역별 변이에 관한 연구 (A Study on Regional Variations for Disease-specific Cardiac Arrest)

  • 박일수;김은주;김유미;홍성옥;김영택;강성홍
    • 디지털융복합연구
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    • 제13권1호
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    • pp.353-366
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    • 2015
  • 본 연구의 목적은 심정지 발생의 지역별 변이요인을 규명하는 것이다. 분석을 위하여 244개 행정구역별로 건강상태 및 심정지발생에 관한 지표를 수집하여 분석용 데이터 셋을 구축하였다. 지표 선정을 위해 질병관리본부의 2010년 심정지 조사자료와 지역사회 건강조사자료를 이용하였다. 자료 분석은 다중회귀분석, 지리적 가중회귀분석, 의사결정나무분석 기법을 이용하였다. 의사결정나무를 이용하여 심정지 발생의 지역별 변이를 설명하는 최종 모형을 설정하였다. 최종 모형인 의사결정나무에 근거한 지역별 변이요인은 인구밀도, 고혈압 평생의사 경험진단율, 스트레스 인지율, 고지혈증 평생의사 경험진단율, 우울증 경험률, 건강검진 수검율, 고위험음주율, 현재 흡연율로 나타났다. 심정지 발생을 감소시키기 위한 지역별 보건정책의 수립은 지역의 건강상태, 건강행위 및 사회경제적 요인 등에 근거하여 이루어질 필요가 있다.

도시지역의 국지순환과 침적현상에 관한 수치모의 (Numerical Simulation for Local Circulation of Urban Area and Deposition Phenomenon)

  • 이화운;오은주;노순아;반수진
    • 한국대기환경학회지
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    • 제19권6호
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    • pp.773-787
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    • 2003
  • There are variations in the temperature Held due to urban heat island and anthropogenic heating so that regional scale meteorological field is changed. Therefore we simulate and predict the regional climate change according to surface characteristics through regional meteorological model. This study investigates the regional meteorological field by urbanization that influences in local circulation system using CSU-RAMS and simulates dry deposition velocity (V$_{d}$) using PNU/DEM which includes surface characteristics (such as albedo, surface hydrology and rough-ness length etc.) with calculated meteorological field. During the summer, horizontal distributions of V$_{d}$ were simulated using CSU-RAMS and PNU/DEM at Busan metropolitan area. The estimated values of V$_{d}$ were larger in forest and agricultural areas than water areas since ozone with low water solubility is destroyed slowly at wet surface or water.water.

Estimation of Total Precipitable Water in East Asia Using the MODIS Satellite Data

  • Park, Seon-Ki
    • Journal of Korean Society for Atmospheric Environment
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    • 제19권E4호
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    • pp.149-155
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    • 2003
  • In this study. the amounts of the total precipitable water (TPW) in both global and regional scale are estimated from the MODIS instrument, which is on-board the EOS satellites, Terra and Aqua. The estimation is made from the five near-infrared spectral bands, using a technique employing ratios of water- vapor absorbing channels centered at 0.905, 0.936, 0.940 ${\mu}{\textrm}{m}$ with atmospheric window channels at 0.865 and 1.240 ${\mu}{\textrm}{m}$. Through analyses of monthly and eight-days mean TPW, one can monitor characteristics of seasonal variations as well as amount and distribution (i.e., water resources) of TPW at both global and local regions. Long-term monitoring of TPW is essential to understand the regional variations of water resources in East Asia.

직경생장(直徑生長)패턴에 따른 강원도(江原道) 소나무의 생장권역(生長圈域) 구분(區分) (Districting the Growth Zone by Diameter Growth Pattern for Pinus densiflora in Kangwon Province)

  • 송철철;변우혁;이우균
    • 한국산림과학회지
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    • 제84권1호
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    • pp.71-76
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    • 1995
  • 본 연구는 강원도에 분포하는 소나무를 대상으로 지리적(地理的) 요인(要因)에 의한 소나무 생장권역(生長圈域)을 구분하는데 목적이 있다. 기초자료로는 생장추로 채취한 공시목편의 직경 연년생장량(連年生長量)의 실측치를 이용하였다. 실측된 연년생장량내의 개체간 변이를 표준화(標準化) 과정을 통해 제거하였고 표준화된 값으로 지역별 평균연대기(平均年代期)를 산출하였다. 지역별 평균연대기들을 집락분석(集落分析)하여 직경의 연년생장 패턴에 따라 생장지역을 구분하였다. 분석결과 영동과 영서지방 소나무의 연년생장 패턴이 지리적 분포와 유사한 경향을 보였다. 또한 영서내륙지방은 지리적 요인에 따른 생장패턴의 변이가 큰 것으로 나타났다.

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동해안 3개 해역의 조하대 해조상 및 군집구조 (Characteristics of Seasonal Variations of Subtidal Seaweed Community Structure at Three Areas in the East Coast of Korea)

  • 김영대;박미선;유현일;김상우;정희동;민병화;진형주
    • 한국환경과학회지
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    • 제21권11호
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    • pp.1407-1418
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    • 2012
  • The purpose of this study is to analyze seasonal variations of seaweed community structure according to ocean environment at three areas in the east coast of Korea. Mean water temperatures of Gosung, Samchuk, and Gyeongju were $8.3^{\circ}C$, $11.2^{\circ}C$, and $13.1^{\circ}C$, respectively, during the growing winter season of 2011. Subtidal benthic macroalgal flora and community structure were investigated at the sites between February to November 2011. The numbers of seaweed species at the areas were 38, 12, and 15, respectively. The amounts of biomass were 7.35 kg $m^{-2}$, 1.80 kg $m^{-2}$, and 0.84 kg $m^{-2}$, respectively, during the period. The values of C/P, R/P, and (R+C)/P representing flora characteristics at Sokcho area were 0.1, 1.1, and 1.2, respectively. The values of flora characteristics at Samchuk were 0.3, 0.6, and 1.0, respectively. The values of flora characteristics at Gyeongju were 0.4, 4.0, and 1.2, respectively.

Quantifying Climate Regulation of Terrestrial Ecosystems Using a Land-Atmosphere Interaction Model Over East Asia for the Last Half Century

  • Hong, Seungbum;Jang, Inyoung;Jeong, Heon-Mo
    • Proceedings of the National Institute of Ecology of the Republic of Korea
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    • 제1권1호
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    • pp.58-67
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    • 2020
  • Terrestrial ecosystems influence climate change via their climate regulation function, which is manifested within the carbon, water, and energy circulation between the atmosphere and surface. However, it has been challenging to quantify the climate regulation of terrestrial ecosystems and identify its regional distribution, which provides useful information for establishing regional climate-mitigation plans as well as facilitates better understanding of the interactions between the climate and land processes. In this study, a land surface model (LSM) that represents the land-atmosphere interactions and plant phenological variations was introduced to assess the contributions of terrestrial ecosystems to atmospheric warming or cooling effects over East Asia over the last half century. Three main climate-regulating components were simulated: net radiation flux, carbon exchange, and moisture flux at the surface. Then, the contribution of each component to the atmospheric warming or cooling (negative or positive feedback to the atmosphere, respectively) was investigated. The results showed that the terrestrial ecosystem over the Siberian region has shown a relatively large increase in positive feedback due to the enhancement of biogeochemical processes, indicating an offset effect to delay global warming. Meanwhile, the Gobi Desert shows different regional variations: increase in positive feedback in its southern part but increase in negative one in its eastern part, which implies the eastward movements of desert areas. As such, even though the LSM has limitations, this model approach to quantify the climate regulation is useful to extract the relevant characteristics in its spatio-temporal variations.