• 대한토목학회논문집
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• 제30권6D호
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• pp.685-695
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• 2010

이 논문은 노인의료복지시설의 현황과 시설체계에 관한 논문으로 부산시를 대상으로 하였다. 현황 분석과 설문조사을 통해 그에 따른 문제점을 분석하고, 해결방안으로 새로운 유형의 시설체계를 제시하였다. 현재 노인의료복지시설들은 입소대상자들을 다양하게 수용하고 있지 못하며, 각각 독립적으로 운영되고 있어서 한 시설 안에서 전문적인 치료와 요양을 동시에 할 수 없다. 이러한 문제점들을 토대로 본 논문에서는 그 해결방안으로 좀 더 넓은 범위에 걸쳐서 한 장소에서 요양과 전문적인 치료가 가능한 'one-stop service system' 체계를 제언하였다. 설문조사 결과들을 종합하여, 구상한 5가지 유형의 시설체계는 다음과 같다. 1) 무료전문요양시설 + 노인전문병원, 2) 유료전문요양시설 + 노인전문병, 3) 노인전문병원 + 실버타운 주거공간 형식의 입원실, 4) 실비전문요양시설 + 노인전문병원 + 실버타운 주거공간 형식의 입원실, 5) 노인전문병원 + 재가복지서비스. 노인관련시설은 더 이상 특수한 시설이 아니라, 누구든 언젠가는 이용 하게 될 시설이라는 점에 착안할 때, 그에 대한 대책 마련은 시급하다고 생각된다. 앞으로 노인의 질환의 종류 및 정도가 보다 중복, 중대화 될 것으로 보인다. 따라서 보다 다양하고 전문화된 시설이 요구될 것으로 예상된다.

• 청정기술
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• 제18권4호
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• pp.379-389
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• 2012

우리나라는 소득증가, 도시집중화, 인구증가로 인해 환경적인 문제에 대해 점점 관심이 증대되고 있으며, 이러한 다양한 환경문제 중 악취로 인한 피해는 심각한 환경문제 중 하나이다. 부산시 수영하수처리장 내 음식물처리장은 음식물과 하수를 병합처리하는 시설로 주거지역 인근에 위치해 있어 많은 민원이 제기되고 있는 실정이다. 이에 본 연구에서는 악취물질분석과 기여도를 악취지수(odor quotient, OQ)와 총악취지수(sum of odor quotient, SOQ)를 평가하여 분석하였으며, 또한 후처리시설인 바이오필터의 효율을 평가하였다. 공기희석관능법에 의한 복합악취 측정결과, 7월과 8월에 분쇄기, 투입호퍼, 침출수 순으로 복합악취가 높은 것으로 나타났다. 기기분석법을 이용해 분석한 결과, 황화수소, 암모니아, 메틸메르캅탄, 아세트알데히드에 의한 영향이 가장 큰 것으로 나타났고, 메틸메르캅탄의 경우, 최소감지농도를 3,571배 이상 초과한 것으로 나타났다. 또한 악취기여도평가에서 메틸메르캅탄(49.95~59.08%), 황화수소(20.43~29.27%), 트리메틸아민(8.82~13.42%), 아세트알데히드(9.17~11.35%)순으로 기여도가 높은 것으로 나타났다. 다른 시설과의 기여도를 비교분석한 결과, 황화합물(메틸메르캅탄, 황화수소)의 OQ가 가장 높았으며, 분쇄기에서 SOQ가 7,067로 가장 높은 것으로 분석되었다. 또한 황화합물과 아세트알데히드, 트리메틸아민의 악취기여도가 분쇄공정에서 가장 높은 것으로 나타났다. 본 연구시설의 후처리시설에 대한 처리효율을 평가한 결과, 암모니아, 아민류는 90.00% 이상의 처리효율을 보였으나, 황화합물류의 처리효율은 평균 53.51%로 나타났다. 종합적으로 본 시설은 기타 처리시설에 비해 아세트알데히드와 트리메틸아민의 기여도가 상대적으로 높은 것으로 나타났다. 또한 음식물처리장의 후처리시설은 복합적인 악취성분 처리 시 분해효율이 감소할 수 있어 적절한 용량 및 운전조건에 대한 검토가 필요하다.

• The Journal of Advanced Prosthodontics
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• 제8권3호
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• pp.229-234
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• 2016

PURPOSE. The purpose of this study was to investigate the demographic patterns of maxillofacial prosthetic treatment to identify the characteristics and geographic distribution of patients with maxillofacial prosthetics in the capital region of Korea. MATERIALS AND METHODS. This retrospective analytical multicenter study was performed by chart reviews. This study included patients who visited the department of prosthodontics at four university dental hospitals for maxillofacial prosthetic rehabilitation. Patients with facial and congenital defects or with insufficient medical data were excluded. The patients were classified into three categories based on the location of the defect. Patients' sex, age, and residential area were analyzed. Pearson's chi-square test with a significance level of 0.05 was used to analyze the variables. RESULTS. Among 540 patients with maxillofacial prosthetics, there were 284 (52.59%) male patients and 256 (47.41%) female patients. The number of the patients varied greatly by hospital. Most patients were older than 70, and the most common defect was a hard palate defect. Chi-square analysis did not identify any significant differences in sex, age, and distance to hospital for any defect group (P>.05). CONCLUSION. The results of this study indicated that there was imbalance in the distribution of patients with maxillofacial prosthetic among the hospitals in the capital region of Korea. Considerations on specialists and insurance policies for the improvement of maxillofacial prosthetics in Korea are required.

• 보건행정학회지
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• 제5권2호
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• pp.155-172
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• 1995

This study is an empirical analysis on the equity in the delivery of heatlh care under the Korean Medical Insurance Corporation System. The purposes of this study are to find out effects of income on the health care utiliztion and measure the income-related inequity in the distribution of health care. This study was carried out based on the fact that the health insurance program has been organized to achieve the equity objective, "equal treatment for equal needs". Of 41, 828 insured persons who had been diagnosed in the 1993 Health Screening Test and utilifzation data from 1, January 1993 through 31, December 1993 were derived from the Benefit Managment File. Inequity was measured by means of I) share approach, ii) standardization concentration curve approach, iii) inequity index, iv) test for inequity. The major findings were as follows : 1. The expenditure shares of the top two quintile groups exceeded their morbidity shares, whereas the opposite was true of the bottom three quintile groups, Which showed a positive HI$_{LG}$ inequity index, suggesting the presence of some inequity favoring the rich group. 2. Compared with other residential areas, the rural area showed the highest positive HI$_{LG}$ irrespective of need indicatior applied. 3. Standardized expenditure concentration indices adjusted by age, gender and need structure were also found to be positive, and therefore still indicated that there has been inequity favoring the rich after the standardization. 4. The Loglikelihood Ratio (LR) test for the statistical significance of income-related inequity of medical care utilization was carried out using the logistic regression model. The resulting loglikelihood ratio test statistic value was 176, which did exceed the 0.5 percent critical value of the chi-square distribution with 28 degrees of freedom, which is 50.993. Therefore, the null hypothesis of no income-related inequity of medical care utilization was rejected at the 99.5 percent confidence level. 5. The Regression based F-test has been carried out for analyzing the income-related inequity of medical expenditure in terms of age, gender, morbidity indicators as explanary variables. The hypothesis of the absence of income-relate inequity was rejected for all need indicators at the 95% confidence level.nce level.

• 농촌계획
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• 제19권2호
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• pp.63-73
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• 2013

This study investigated the elements of soundscape in and around the traditional Korean style housing complex and the standardized Korean style housing complex popularized as farm village by Traditional Korean style housing assistance policy located in the rural area of Jeollanam-do. The purpose of this study is to understand the phenomenon and characteristic differences of the sound environments in various observation points in order to utilize them as the important elements of sound scape to consider for standardized Korean style housing complex development in the future. As a result, the traditional housing in rural area led more positive evaluation of nature sounds than standardized, newly developed Korean style housing complex. In the list of noises in each residential development type, traffic sounds and construction noise were majorly ranked. However, nature sounds had high rate of response in the sounds of introduction request. Additionally, the sounds generated by human activities such as whispering and footsteps were also in the wish list. This may suggests that soundscape design needs to approach in cultural level of a society rather than simple investigation and treatment of individual sounds of natural and artificial.

• 유기물자원화
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• 제24권4호
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• pp.21-29
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• 2016

서울시 25개 자치구가 운영하는 생활폐기물 적환시설을 대상으로 시설의 기능, 지역 친화성, 규범 순응성 등의 3개 영역에 대해 현황을 분석하고 개선방안을 모색하였다. 65개 적환장 중 46개소는 매일 반출이 필요한 대량폐기물을, 19개소는 3~30일 범위에서 체류 후 반출되는 소량폐기물을 다루었다. 57%의 시설이 주거지역과 상업지역에 설치되어 있었다. 또한 57%의 적환장은 나대지 위에 장비만 두고서 적환작업을 하였다. 79%의 적환장은 재활용선별장 같은 시설과 근접하지 않고 독립적으로 존재했다. 도시계획법의 의한 환경기초시설로 지정된 경우는 17%에 불과했고, 폐기물관리법의 규정대로 허가받은 수집 운반업자가 운영하는 적환장은 31% 수준이었다. 적환장은 그 역할에서 시설 최적화, 자원화 확대 같은 정부의 폐기물관리 정책과 부합하였으나 주거지역이나 상업지역 같은 도심에 입지하기에는 환경대책이 미흡하고 규범과 불일치하는 면이 있었다. 앞으로 적환장이 도심의 환경기초시설로 자리매김하려면 건물 밀폐화, 기능의 종합화 등의 과제를 풀어야 한다.

• The Korean Journal of Physiology and Pharmacology
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• 제10권4호
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• pp.193-198
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• 2006

Many gastrointestinal muscles show electrical oscillation, so-called 'slow wave', originated from interstitial cells of Cajal (ICCs). Thus, a technique to freshly isolate the cells is indispensable to explore the electrophysiological properties of the ICCs. To apply an enzyme solution on the serosal surface for cell isolation, the intestine was inverted and 0.02% trypsin solution and 0.04% collagenase solution were applied to serosal cavity. After the enzyme treatment, mucosal layer was removed and longitudinal muscle layer was gently separated from the rest of tissue. The thin layer was stretched in the recording chamber and mounted on an inverted microscope. Using ${\beta}-escine$, perforated whole cell patch clamp technique was used. Under a microscope, the tissue showed smooth muscle cells and interstitial cells around the myenteric plexus. Under voltage clamp condition, three types of membrane potential were recorded. One group of interstitial cells, which were positive to methylene blue and CD34, showed spontaneous outward current. These cells had bipolar shape and were considered as fibroblast-like cells because of their peculiar shape and arrangement. Another group, positive to c-kit and methylene blue, showed spontaneous inward current. These cells had more rounded shape and processes and were considered as ICCs. The third, positive to c-kit and had granules containing methylene blue, showed quiet membrane potentials under the voltage-clamp mode. These cells appeared to be resident macrophages. Therefore, in the freshly isolated thin tissue preparation, methylene blue could easily identify three types of cells rather than morphological properties. Using this method, we were able to study electrical properties of fibroblast and residential macrophage as well as myenteric ICCs.

• KIEAE Journal
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• 제17권4호
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• pp.41-48
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• 2017

Purpose : Currently, 25% of the domestic energy consumption structure is used as building energy, and more than 18% of this energy is consumed in the residential. Accordingly, various efforts and policies that can save energy of the building is being performed. The various researchers are conducting research to diagnose the thermal performance of existing buildings. This study is to apply in the field of precision thermal insulation performance diagnostic method for thermal performance analysis of existing detached house in Seoul, Gangreung, Gyeongju, Pohang. And this paper is analyzed quantitatively measure the existing detached house energy performance. Method: Research methodology analyzed the thermal performance over the Heat Flow Meter method by applying the measurement process and method by applying the criteria of ISO 9869-1 & ASTR method. In this study, the surface heat transfer coefficient was calibrated by applying indoor surface heat transfer resistance with reference to ISO 6946 standard. The measurement error rate between the HFM diagnosis method and the ASTR diagnosis method was reduced and the measurement reliability was obtained through measurement method error verification. Result : As a result of the study, the thermal performance vulnerable parts of the building were quantitatively analyzed, and presented for methods which can be improved capable of efficient energy use buildings.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.129-140
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• 2009

Objectives: This study aimed to examined the socioeconomic disparities in oral health related behaviors and to assess if those behaviors eliminate socioeconomic disparities in oral health in a nationally representative sample of adults aged 30-64. Methods: Data are from the Korea Third National Health and Nutrition Examination Survey (2005). Behaviors were indicated by smoking, over intake of daily calories from carbohydrate, perceived stress, frequency of daily tooth brushing, use of oral hygiene goods, insufficient oral treatment. Oral health outcomes were self-reported dental caries and periodontitis during the last 12 months and perceived oral health. Education, household income, and employed status indicated socioeconomic position. Sex, age, residential area, marital status were adjusted for in the logistic regression analysis. Logistic regression analysis was used to assess socioeconomic disparities in behaviors. Logistic regression model adjusting and not adjusting for behaviors were compared to assess the change in socioeconomic disparities in oral health. Results: Clear socioeconomic disparities in all behaviors were showed. After adjusting for behaviors, the association between oral health and socioeconomic indicators attenuated but did not disappear. For example, the odd ratios of reporting poorer oral health for persons in no education or elementary school education and middle school education groups, compared with college or higher education group, were 1.77 (95% CI: 1.36-2.29) and 1.56 (1.19-1.97), respectively. After adjusting for all indicators of behaviors, these odds ratios attenuated to 1.54 (1.17-2.03) and 1.48 (1.15-1.91) for those groups, respectively. Conclusion: These findings suggest that the presence of more complex determinants of socioeconomic disparities in oral health should be considered with developing preventive policies for those disparities.

• Asian Pacific Journal of Cancer Prevention
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• 제16권8호
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• pp.3533-3538
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• 2015

Background: Multiple primary malignancies (MPM) have become increasingly prevalent worldwide. This investigation was aimed at establishing the clinicopathological characteristics of MPM patients and evaluating the impact of the living environment on MPM in the Taiwanese population. Materials and Methods: From January 2009 to December 2013, a total of 8,268 cancer patients were identified in our institutional center. Of these, 125 were diagnosed as MPM and thus enrolled. Data for clinicopathological features and treatment approaches for these MPM patients living in urban or suburb zone were obtained. Findings for the air pollution status in Taiwan were also collected. Results: The most common cancer match of MPM was esophageal cancer with hypopharyngeal cancer (12.8%), followed by colorectal cancer with gastric cancer (6.4%) and colorectal cancer with breast cancer (5.6%). The air quality was significantly worse in the urban than in the suburban zone and there was a remarkably higher portion of MPM patients in the urban zone suffering from grade III and IV post-chemotherapeutic neutropenia (30.8% vs 15.1%, P=0.036). Conclusions: The tumor frequency and site distribution should be taken into the clinical evaluation because there is a relatively high risk of developing MPM. This study also highlighted the potential influence of environmental factors on post-chemotherapeutic neutropenia for patients with MPM.