• 보건행정학회지
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• 제23권1호
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• pp.52-58
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• 2013

This study was conducted to investigate the responsiveness and its related factors of public health center for novel influenza A (H1N1) epidemic. The data was collected through a web-based survey conducted during February to April 2011. The 182 respondents were team leaders or persons who were responsible for H1N1-related work at public health centers during the H1N1 prevalence. The related factors affecting the responsiveness were different by urban or rural area. In the level of gu (urban) area, cooperation with the public organizations, preparing its own response plan were the significant factors. But, in the level of si or gun (rural) area, cooperation with private organizations (clinic or pharmacy), physical (facilities, equipments, and medicines), and human infrastructures (public health professions, education and knowledge, and motivation) were more important factors. Therefore, how to cope with H1N1 prevalence in the future should be different by local characteristics. As a result, there are several challenges that public health centers should prepare for the further emerging infectious diseases. First, it is needed to make standard manuals which could strengthen education and training in order to respond appropriately, as well as to prepare enough physical infrastructures for the crisis. Next, the public health center should prepare correct media response and cooperation system with public and private organizations.

• 한국ITS학회 논문지
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• 제17권4호
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• pp.26-40
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• 2018

본 연구는 자전거사고에 영향을 주는 요인들을 분석하기 위해 PLS 구조방정식을 이용하여 자전거사고모형을 개발한다. 본 연구에서는 자전거사고를 전국 시 군 구를 대상으로 전체 사고건수, 중상이상 사고, 경상사고로 사고유형을 구분하였다. 본 연구에서 개발된 사고모형들을 통해 자전거사고의 주요 원인들을 살펴보면 도시화의 확대가 자전거사고의 가장 큰 요인임을 알 수 있다. 자전거사고모형들에 포함된 주요 요소들을 살펴보면 인구수, 경제활동인구비율, 교차로밀도, 시가화 면적비율, 상업과 공업의 토지이용, 운전면허소지자, 자동차등록대수, 교육기관 설립수, 공원수 등의 증가가 자전거사고의 증가로 이어졌다. 또한 자전거도로연장, 자전거보유대수, 자전거수단분담률의 증가 등 각 지자체 별로 활성화되고 있는 자전거이용의 확산 역시 자전거사고를 증가시키는 주요 요소들로 밝혀졌다.

• 한국융합학회논문지
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• 제9권1호
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• pp.151-159
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• 2018

이 연구는 의원 간 경쟁이 급성중이염 총진료비와 항생제처방률에 미치는 영향을 분석하였다. 건강보험심사평가원 2015년 유 소아 급성중이염 평가 자료를 활용하여 기초통계, 상관분석, 회귀분석을 실시한 결과는 다음과 같다. 첫째, 총진료비와 의원 간 경쟁지수는 시 구 군별 큰 격차를 보였으나, 항생체처방룰은 차이를 보이지 않았다. 둘째, 의원 간 경쟁은 총진료비에 통계적으로 유의한 영향을 미쳤다. 셋째, 의원 간 경쟁은 항생제처방률에 통계적으로 유의한 영향을 미치지 않았다. 향후 연구에서 의료기관 경쟁정도가 진료행태에 미치는 다른 요인을 규명하기 위해 재진비율, 방문당 진료비 등에 대한 추가 연구가 필요하다.

• Journal of Ecology and Environment
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• 제38권3호
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• pp.327-334
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• 2015

We investigated the current and potential spatial distributions and habitable areas of Biston robustum and Camellia japonica in South Korea in order to provide useful data for the conservation of C. japonica and minimize the damage caused by B. robustum. It was predicted that, by 2070, although B. robustum would be widely distributed throughout the Korean Peninsula, except for the western and eastern coastal areas, it would be narrowly distributed along the Sokcho-si and Goseong-gun coastlines in Gangwon Province. C. japonica is currently located along the southern coastline but its critical habitable area is predicted to gradually disappear by 2070. Assessment of the potential distribution probabilities of B. robustum and C. japonica revealed that the area under the curve (AUC) values were 0.995 and 0.991, respectively, which indicate high precision and applicability of the model. Major factors influencing the potential distribution of B. robustum included precipitation of wettest quarter and annual precipitation (BIO16 and BIO12), whereas annual mean temperature and mean temperature of wettest quarter (BIO1 and BIO8) were important variables for explaining C. japonica distribution. Overlapping areas of B. robustum and C. japonica were $11,782km^2$, $5447km^2$, and $870km^2$ for the current, 2050-predicted, and 2070-predicted conditions, respectively, clearly showing a dramatic decrease in area. Although it is predicted that B. robustum would cause continuous damage to C. japonica in the southern part of the Korean Peninsula, such impacts might diminish over time and become negligible in the future.

• 대한한방내과학회지
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• 제21권1호
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• pp.162-168
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• 2000

Irritable Bowel Syndrome(IBS) is the most common disease in the western male, and it is founded in $70{\sim}80%$ patient who has Gastrointestinal trouble. It is characterized by the formation of disorders of Gastrointestinal tract, for example, constipation, diarrhea, abdominal pain& discomfort, stool urgency, and so on. The etiology of IBS is uncertain, but the majority of patients has emotional problems. The aims of this study are to investigate and summarize the current trends of treatment for IBS so as to suggest the effective and available way to treat this disease. In Oriental Medicine, the IBS is recognized as Stagnation of the Iiver-qi(肝氣鬱結), Incoordination between the liver and the stomach(肝胃不和). So the point of treatment of IBS is Invigorating the spleen and relieving the depression of Iiver-qi(疏肝健脾), Regulating the function of the liver and the flow of qi(調肝理氣), Regulating the stomach and lowering the adverse flow(和胃降逆), and the treatment can be approached in several ways through herb drugs, acupuncture. Some of the herb drugs have substances which promote gastric and small intestinal emptying. Acupuncture and moxibustion therapies stimulate the meridian points of LR(足厥陰肝經), ST(足陽明胃經), LI(手陽明腸經), SI(手太陽小腸經) and is reported to be effective for releafing syndromes. Anal therapy, attachment of herb drug to umbilicus are annunced as the effective treatments. So, this study of the approach and application of these treatments on IBS would be necessary.

• 보건교육건강증진학회지
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• 제29권5호
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• pp.103-113
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• 2012

Objectives: This study aims to identify the effects of environmental characteristics of the community on adults' drinking problems with held constant effects of characteristics of drinkers themselves. Methods: A multi-level regression analysis was employed to differentiate the variances accounted for by measurements both at individual and group levels. Data on individual demographic, behavioral, and mental health status were obtained from the Community Health Survey conducted in 2009 in the province of Kyunggido, which include 41,376 respondents aged 19 and over. This study included 28,335 adults who were classified as drinkers. They were from 45 communities(si, gun, or gu) for which data on contextual characteristics were collected by secondary data available on local government websites and KOSIS(Korea Statistical Information System). Results: Multi-level analyses showed that the variance of the dependent variable, harmful use of alcohol measured by alcohol use disorder identification test was independently accounted for by variance of independent variables at group level, including number of on-premises alcohol outlet per inhabitant and divorce rate, with held other independent variables of the model controlled. Conclusions: This study confirms that in order to prevent and reduce harms caused by harmful use of alcohol requires restricting physical availability of alcohol in the community where the drinker lives.

• 한국멀티미디어학회논문지
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• 제16권5호
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• pp.610-618
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• 2013

과거와는 다른 형태의 기상 현상으로 인해 농경지 중심의 침수 피해가 도시 지역의 내수 침수 피해 중심으로 홍수 피해 지역이 변화하고 있다. 이로 인해 인명 및 재산 피해뿐만 아니라 사회기반시설에 대한 피해도 급격히 증가하고 있다. 또한 도로 침수로 인해 운전자의 고립 및 교통 체증의 심화로 인해 경제적으로 큰 피해를 주고 있는 실정이다. 이에 본 연구에서는 과거 기상 정보 및 침수 피해 이력을 활용하여 시 군 구의 행정 구역 형태로 제공되던 침수위험지수를 도로 중심의 집약적인 형태로 제공하는 방법을 시도하고자 한다. 또한 기상청에서 제공되는 실시간 성격의 강수량을 활용하여 강우 당시의 도로별 침수 위험 정도를 정량적으로 제공하여 사용자로 하여금 침수된 도로에 의한 고립을 사전에 방지하고자 한다.

• 보건행정학회지
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• 제30권1호
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• pp.26-36
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• 2020

Background: The purpose of this study was to analyze the relationship between the regional characteristics and the age-adjusted cardio-cerebrovascular disease mortality rates (SCDMR) in 229 si·gun·gu administrative regions. Methods: SCDMR of man and woman was used as a dependent variable using the statistical data of death cause in 2017. As a representative index of regional characteristics, health behavior factors, socio-demographic and economic factors, physical environment factors, and health care factors were selected as independent variables. Ordinary least square (OLS) regression and geographically weighted regression (GWR) were performed to identify their relationship. Results: OLS analysis showed significant factors affecting the mortality rates of cardio-cerebrovascular disease as follows: high-risk drinking rates, the ratio of elderly living alone, financial independence, and walking practice rates. GWR analysis showed that the regression coefficients were varied by regions and the influence directions of the independent variables on the dependent variable were mixed. GWR showed higher adjusted R² and Akaike information criterion values than those of OLS. Conclusion: If there is a spatial heterogeneity problem as Korea, it is appropriate to use the GWR model to estimate the influence of regional characteristics. Therefore, results using the GWR model suggest that it needs to establish customized health policies and projects for each region considering the socio-economic characteristics of each region.

• 대한공간정보학회지
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• 제16권1호
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• pp.57-65
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• 2008

본 연구에서는 시 군 구 경계지역의 지적도면 전산화 데이터와 현황을 참조할 수 있는 데이터를 이용하여 대상 지역에서의 지적불부합지 실태를 분석하여 봄으로써 향후 행정경계 지역에서의 지적불부합지 정리를 위한 기초자료를 제공하고자 하였다. 조사지역의 지적불부합 실태를 조사한 결과, 행정경계 주변지역의 지적불부합 정도는 X좌표의 RMSE가 ${\pm}3.15m$, Y좌표의 RMSE가 ${\pm}2.85m$로 산출되었고, 행정경계 비주변 지역은 X좌표의 RMSE가 ${\pm}1.33m$, Y좌표의 RMSE가 ${\pm}0.75m$로 산출되어 행정구역 경계지역에서 지적불부합지가 많이 발생되고 있음을 확인 할 수 있었다.

• 보건교육건강증진학회지
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• 제21권4호
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• pp.75-97
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• 2004

Objectives: To examine whether the socioeconomic characteristics of communities (contextual effects) are related to the self-rated health of community residents after controlling individual characteristics (compositional effects). Methods: A linked data set including information on individuals from raw data of 1998 Korean National Health and Nutrition Survey(KNHNS) and information on the regions where the individuals lived from the socioeconomic statistical indices of Si-Gun-Gu (city-county-ward) in 1998 was established. The contextual factors of communities were generated from these socioeconomic indices through factor analysis. The contextual effects of community over and above the individual characteristics on the self-rated health were investigated using multilevel analysis. Results: The contextual factors of the community expressed as the factor scores have influence on the self-rated health of their residents above the compositional factors. When the communities were categorized into 5 groups (highest, high, middle, low, lowest) according to each of their factor scores, for factor 1 reflecting urbanization reversely, the residents of the communities that had the high, middle, and low factor scores showed significantly poor subjective health status than the residents of the lowest (most urbanized) group. For factor 2 reflecting community services and health resources, the subjective health status of the residents gradually became poorer when the group went from the highest to the lowest, and the low and lowest groups showed a significant difference. For factor 3 reflecting the manufacturing industry, as compared with the communities that have the highest factor scores, the other 4 groups showed significantly poorer subjective health status. And for factor 4 reflecting the scale of the regional government, as compared with the middle group, the rest of the 4 groups showed significantly better self-rated health. Conclusions: There existed regional contextual effects on their residents' health in Korean adults. To make policies tackling these contextual effects possible, more elaborate researches to find more specific factors and to explain the mechanisms of how health is influenced by the contextual factors are needed.