• 상하수도학회지
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• 제29권3호
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• pp.305-317
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• 2015

The function failure of present major facilities is likely to lead to failure of related systems and/or whole facilities, increasing the necessity for protection of infrastructures, main structures, and major industrial facilities. In addition, safe and efficient management for urban infrastructure (waterworks and sewerage facilities, electricity, telecommunications, roads, etc) installed in the basement or on large cities grounds at various public areas is required. Recently in response to this demand, efforts for vitalizing asset management are being made such as enacting related laws and developing asset management system in the U.S., Australia, Europe and other advanced countries with the concept for a new maintenance. In our county, identifying maintenance system problems such as aging and rapid increasing of existing infrastructures and decision-making about updating maintenance is required for systematic and organizational maintenance. In this study, by comparing and observing the LOS(Level of Service) of each countries' waterworks and risk-based LOS, we suggest the direction of future urban water infrastructure management systems for more effective management.

• 대한영양사협회학술지
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• 제5권1호
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• pp.48-53
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• 1999

This study was prospectively conducted to investigate any relationship of nutritional status at the time of admission to length of hospital stay and mortality. All patients admitted to the Asan Medical Center between October 13 and November 12, 1997 who met the study criteria were included in the study. Patients were classified as Not-at-risk, At-risk Ⅰ or At-risk Ⅱ based on the levels of serum albumin and total lymphocyte count in a computerized nutrition screening program. Sixty three percent of the patients were classified as Not-at-risk Group, 29% as At-risk Group Ⅰ and 8% as At-risk Group Ⅱ. Significant correlation was observed between nutritional status and LOS (P＜0.01) as well as mortality rate (P＜0.05). The more the patient had the nutritional risk factors, the longer the LOS and the higher the mortality rate were. Further studies have to be done in order to demonstrate cost-effectiveness of medical therapy for the malnourished hospitalized patients.

• 한국병원경영학회지
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• 제19권4호
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• pp.21-33
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• 2014

This study was conducted to propose an insight into the appropriateness of hospital length of stay(LOS) by developing a severity-adjusted LOS model for patients with pneumonia, organism unspecified. The pneumonia risk-adjustment model developed in this paper is based upon the 2006-2010 the Korean National Hospital Discharge in-depth Injury Survey. Decision tree analysis revealed that age, admission type, insurance type, and the presence of additional disorders(pleural effusion, respiratory failure, sepsis, congestive heart failure etc.) were major factors affecting the severity-adjusted model using the Clinical Classifications Software(CCS). Also there was a difference in LOS among the regional hospitals, especially the hospital LOS has not been efficiently managed in Gyeongsangbuk-do, Jeollanam-do, Jeollabuk-do, Daejeon, and Busan. To appropriately manage hospital LOS, reliable statistical information about severity-adjusted LOS should be generated on a national level to make sure that hospitals voluntarily reduce excessive LOS and manage main causes of delayed discharge.

• 한국산학기술학회논문지
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• 제12권2호
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• pp.841-846
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• 2011

현재 우리나라 도로의 서비스 수준은 차량의 평균 통행속도를 기준으로 평가되어지고 있다. 이는 도로의 혼잡도만을 기준으로 적용한 것으로 교통안전 측면이 고려되지 않은 것이 현실이다. 합리적인 도로 설계와 운영을 위한 평가 지표라면 도로 이용자에게 영향을 미치는 제반 인자들을 보다 포괄적으로 포함할 수 있어야 한다. 본 논문에서는 교통안전과 소통측면을 총괄할 수 있는 변수로 사용자비용 개념을 적용하여 도로 평가방법을 개발하고자 한다. 또한, 본 논문에서는 이러한 도로 평가 방법을 기존의 일회성 개발 방법이 아닌 UML 기반의 사용자 중심 분석 방법을 이용하여 설계한다.

• Journal of Preventive Medicine and Public Health
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• 제54권3호
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• pp.161-165
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• 2021

Objectives: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads heterogeneously, disproportionately impacting poor and minority communities. The relationship between poverty and race is complex, with a diverse set of structural and systemic factors driving higher rates of poverty among minority populations. The factors that specifically contribute to the disproportionate rates of SARS-CoV-2 infection, however, are not clearly understood. Methods: We evaluated SARS-CoV-2 test results from community-based testing sites in Los Angeles, California, between June and December, 2020. We used tester zip code data to link those results with United States Census report data on average annual household income, rates of healthcare coverage, and employment status by zip code. Results: We analyzed 2 141 127 SARS-CoV-2 test results, of which 245 154 (11.4%) were positive. Multivariable modeling showed a higher likelihood of SARS-CoV-2 test positivity among Hispanic communities than among other races. We found an increased risk for SARS-CoV-2 positivity among individuals from zip codes with an average annual household income

• Earthquakes and Structures
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• 제14권3호
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• pp.249-259
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• 2018

This paper aims to assess the seismic risk of a plane moment-resisting frames (MRFs) consisting of concrete-filled double skin steel tube (CFDST) columns and I-section steel beams. Firstly, three typical limit performance levels of CFDST structures are determined in accordance with the cyclic tests of seven CFDST joint specimens with 1/2-scaled and the limits stipulated in FEMA 356. Then, finite element (FE) models of the test specimens are built by considering with material degradation, nonlinear behavior of beam-column connections and panel zones. The mechanical behavior of the concrete material are modeled in compression stressed condition in trip-direction based on unified strength theory, and such numerical model were verified by tests. Besides, numerical models on 3, 6 and 9-story CFDST frames are established. Furthermore, the seismic responses of these models to earthquake excitations are investigated using nonlinear time-history analyses (NTHA), and the limits capacities are determined from incremental dynamic analyses (IDA). In addition, fragility curves are developed for these models associated with 10%/50yr and 2%/50yr events as defined in SAC project for the region on Los Angeles in the Unite State. Lastly, the annual probabilities of each limits and the collapse probabilities in 50 years for these models are calculated and compared. Such results provide risk information for the CFDST-MRFs based on the probabilistic risk assessment method.

• Child Health Nursing Research
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• 제27권1호
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• pp.13-23
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• 2021

Purpose: This study aimed to develop a mobile-based self-management health alarm (MSHA) program for modifying obese children's lifestyle based on the information-motivation-behavioral skills (IMB) model and to test its feasibility. Methods: A methodological study for the development of the MSHA program and pilot study with a one-group pretest-posttest design for feasibility testing was conducted. The MSHA program was designed to provide obesity-related information (I), monitor daily diet and exercise, provide motivational text messages (M), and enhance healthy diet and exercise skills (B) via a mobile-based web platform. In the feasibility test, six obese children participated in the 4-week program, and the number of days per week that they achieved their goals and differences in metabolic components were assessed. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: Participants successfully achieved their diet and exercise goals≥5 days per week. Body mass index (z=-1.99, p=.046), waist circumference (z=-2.20, p=.028), and triglyceride levels (z=-2.21, p=.027) significantly decreased. Conclusion: The MSHA program showed positive effects on health behaviors and metabolic syndrome risk. The program may be effective in improving metabolic syndrome in obese children by promoting self-health management behaviors.

• 한국지진공학회논문집
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• 제12권6호
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• pp.47-53
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• 2008

본 논문은 캘리포니아지역에 위치한 고속도로망을 대상으로 하여, 도로망내에 있는 교량의 내진보강 우선순위를 결정하는 방법에 관한 연구이다. 내진보강 우선순위 결정은 지진공학 분야에서 매우 중요한 이슈 중의 하나이며, 정부나 도로 관리청의 의사결정권자는 예산 배정 과정에서 이와 같은 문제에 항상 직면하게 된다. 본 연구는 특정지역의 고속도로망을 대상으로 어떻게 내진보강 우선순위를 결정할 것인가에 관한 방법론을 보여주고 있다. 우선순위 결정을 위하여 구조물의 지진 취약도, 도로망상에 위치한 각각 연결로의 중요도에 대한 개념이 먼저 소개되었다. 도로망상 각각의 교차로를 잇는 연결로를 지진 보강의 대상 단위로 하여 도로망의 내진 성능에 대한 시뮬레이션을 수행하였으며, 추가 소요되는 교통 지체시간을 각각의 시뮬레이션 경우에 대하여 측정함으로써 내진보강에 의한 효과를 평가하였다. 또한, 지진 위험도의 확률적인 특성을 반영하기 위하여 확률론적 시나리오 지진을 도입하였다. 본 연구의 결과에서 알 수 있듯이 우선순위의 의미는 이해관계자의 주요 관심 사항에 따라 다르게 정의될 수 있고, 각각 다른 우선순위 결과를 보여주게 된다. 본 연구는 교통망의 효과적인 내진보강을 위한 우선순위 결정 과정에 도움이 될 수 있는 일반적인 지침을 제공할 것으로 기대된다.

• 한국군사과학기술학회지
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• 제14권3호
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• pp.405-413
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• 2011

Defense Systems Test Center in ADD supports increasingly various missile test requirements such as higher altitude event, multi target operation and low-altitude, high velocity target tracking. In this paper, we have proposed the development of instrumentation radar tracking status simulator based on virtual reality. This simulator can predict the tracking status and risk of failure using several modeling algorithms. It consists of target model, radar model, environment model and several algorithms includes the multipath interference effects. Simulation results show that the predict tracking status and signal are similar to the test results of the live flight test. This simulator predicts and analyze all of the status and critical parameters such as the optimal site location, servo response, optimal flight trajectory, LOS(Line of Sight). This simulator provides the mission plan with a powerful M&S tool to rehearse and analyze instrumentation tracking radar measurement plan for live flight test at DSTC(Defense Systems Test Center).

• Journal of Ginseng Research
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• 제43권2호
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• pp.312-318
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• 2019

Background: To date, no study has described disease progression in Asian patients infected with HIV-1 subtype D. Methods: To determine whether the disease progression differs in patients infected with subtypes D and B prior to starting combination antiretroviral therapy, the annual decline (AD) in $CD^{4+}$ T cell counts over $96{\pm}59months$ was retrospectively analyzed in 163 patients and compared in subtypes D and B based on the nef gene. Results: $CD^{4+}$ T cell AD was significantly higher in the six subtype D-infected patients than in the 157 subtype B-infected patients irrespective of Korean Red Ginseng (KRG) treatment (p < 0.001). Of these, two subtype D-infected patients and 116 subtype B-infected patients had taken KRG. AD was significantly lower in patient in the KRG-treated group than in those in the $KRG-na{\ddot{i}}ve$ group irrespective of subtype (p < 0.05). To control for the effect of KRG, patients not treated with KRG were analyzed, with AD found to be significantly greater in subtype D-infected patients than in subtype B-infected patients (p < 0.01). KRG treatment had a greater effect on AD in subtype D-infected patients than in subtype B-infected patients (4.5-fold vs. 1.6-fold). Mortality rates were significantly higher in both the 45 $KRG-na{\ddot{i}}ve$ (p < 0.001) and all 163 (p < 0.01) patients infected with subtype D than subtype B. Conclusion: Subtype D infection is associated with a >2-fold higher risk of death and a 2.9-fold greater rate of progression than subtype B, regardless of KRG treatment.