• Clinical and Experimental Emergency Medicine
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• v.5 no.4
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• pp.240-248
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• 2018

Objective Determine differences between faculty, residents, and nurses regarding night shift preparation, performance, recovery, and perception of emotional and physical health effects. Methods Survey study performed at an urban university medical center emergency department with an accredited residency program in emergency medicine. Results Forty-seven faculty, 37 residents, and 90 nurses completed the survey. There was no difference in use of physical sleep aids between groups, except nurses utilized blackout curtains more (69%) than residents (60%) and faculty (45%). Bedroom temperature preference was similar. The routine use of pharmacologic sleep aids differed: nurses and residents (both 38%) compared to faculty (13%). Residents routinely used melatonin more (79%) than did faculty (33%) and nurses (38%). Faculty preferred not to eat (45%), whereas residents (24%) preferred a full meal. The majority (>72%) in all groups drank coffee before their night shift and reported feeling tired despite their routine, with 4:00 a.m. as median nadir. Faculty reported a higher rate (41%) of falling asleep while driving compared to residents (14%) and nurses (32%), but the accident rate (3% to 6%) did not differ significantly. All had similar opinions regarding night shift-associated health effects. However, faculty reported lower level of satisfaction working night shifts, whereas nurses agreed less than the other groups regarding increased risk of drug and alcohol dependence. Conclusion Faculty, residents, and nurses shared many characteristics. Faculty tended to not use pharmacologic sleep aids, not eat before their shift, fall asleep at a higher rate while driving home, and enjoy night shift work less.

• Journal of The Korean Society of Clinical Toxicology
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• v.21 no.2
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• pp.128-134
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• 2023

Purpose: The Prescott nomogram has been utilized to forecast hepatotoxicity from acute acetaminophen poisoning. In developing countries, emergency medical centers lack the resources to report acetaminophen concentrations; thus, the commencement and cessation of treatment are based on the reported dose. This study investigated risk factors that can predict acetaminophen detection after 15 hours for safe treatment termination. Methods: Data were collected from an urban emergency medical center from 2010 to 2020. The study included patients ≥14 years of age with acute acetaminophen poisoning within 15 hours. The correlation between risk factors and detection of acetaminophen 15 hours after ingestion was evaluated using logistic regression, and the area under the curve (AUC) was calculated. Results: In total, 181 patients were included in the primary analysis; the median dose was 150.9 mg/kg and 35 patients (19.3%) had acetaminophen detected 15 hours after ingestion. The dose per weight and the time to visit were significant predictors for acetaminophen detection after 15 hours (odds ratio, 1.020 and 1.030, respectively). The AUCs were 0.628 for a 135 mg/kg cut-off value and 0.658 for a cut-off 450 minutes, and that of the combined model was 0.714 (sensitivity: 45.7%, specificity: 91.8%). Conclusion: Where acetaminophen concentrations are not reported during treatment following the UK guidelines, it is safe to start N-acetylcysteine immediately for patients who are ≥14 years old, visit within 15 hours after acute poisoning, and report having ingested ≥135 mg/kg. Additional N-acetylcysteine doses should be considered for patients visiting after 8 hours.

• Journal of Preventive Medicine and Public Health
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• v.23 no.1 s.29
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• pp.22-32
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• 1990

Associations between type A behavior Pattern (TABP) and parental social control were examined by a questionnaire survey in a sample of 803 undergraduates of the three universities in Daegu city in 1988. TABP was assessed by the Student Jenkins Activity Survey (SJAS, short form) and social control of parents by Bernstein and Brandis' Index of control and communication which were both dichotomized by median. The mean age of the sample was 20.7 (standard deviation, 2.2) and mean of total score of SJAS was 5.6 with its standard deviation and median, 2.7 and 5, respectively. In stratified analysis for TABP-social control association by the native place, sex and socioeconomic status (SES), males of rural origin with low SES showed odds ratio (OR), 2.49 but those with high SES 0.40. For females of rural origin, those with low SES showed OR, 1.02, whereas those with high SES did 0.35. For those who was of urban origin, males with low SES had OR 1.27, and those with high SES did 1.29. Females with high SES showed 0.85 and those with low SES 0.67. None of the TABP-social control associations among the strata showed confidence intervals not including unity. In multiple logistic regression by native place, for those with rural origin the only term showed a statistically significance was the social control-SES of parents interaction, OR 3.99 (95% confidence interval, $1.03{\sim}15.46$). For those of urban origin, none of the terms are statistically significant. These results suggest a social upward mobility by education of the rural disadvantaged group and a Confucian idea that regards academic achievement as one of social virtues, both of which may reflect the different sociocultural structures from the West.

• Journal of Korean Society of Environmental Engineers
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• v.34 no.2
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• pp.109-118
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• 2012

This study achieves results from 22 maternity breast milk samples in total to demonstrate exposure level and risk assessment of PBDEs in Seoul area. PBDEs were detected in all the breast milk samples of the present study, indicating that general population in these Seoul area are widely exposed to these chemicals. Residue levels of total PBDEs (sum PBDEs from tri- to hepta-BDE) ranged of 0.84~13.1 ng/g lipid with an arithmetic mean and median of 3.56 ng/g lipid and 2.6 ng/g lipid, respectively. Global comparison shows that the levels of total PBDEs were relatively similar to those of China, Taiwan and European country (Sweden), and somewhat higher than those in some Asian (Vietnam, Philippines, and Indonesia). In the present study, however, the levels of total PBDEs in human milk are still one to two orders of magnitude lower than those in North America. Contribution rate of each congener appeared to be predominant with BDE-47, followed by BDE-153, BDE-100, BDE-99, BDE-154 and BDE-183. The sum of BDE-47 and BDE-153 accounted for more than 65% of total PBDEs in most samples. From the result of the human risk assessment of infants for total PBDEs and BDE-47 by breast milk feeding, we could find out that the average daily doses and hazard index (95th percentile) were 16.5 ng/kg bw/day and $1.2{\times}10^{-1}$ each other when nursing for 6 months after infants born. However, it was concluded that the infant health hardly had adverse seriously effects under this research condition.

• Journal of Korea Water Resources Association
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• v.35 no.1
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• pp.97-108
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• 2002

The use of land at the time of investigation of groundwater quality in the rapidly urbanized Bu-chon city is classified into 5 categories based on the change process of land use. The difference in groundwater quality according to the land use and its usage period is tested by non-parametric statistical procedures. The seven constituents of water quality with the highly frequent detection in the area for this study are used for the statistical test. The shallow groundwater quality within the areas of the same land use at the time of investigation varies significantly according to the period of land usage. The concentration of KMnO$_4$consumed and hardness is significantly higher in the old residential area (of more than 20 years old) than in the younger one (of less than 10 years old). The quality of the shallow groundwater is also significantly different among the three categories with the similar period of land usage (of more than 15 years old). The concentration of No$_3$-N, hardness and total solid is significantly higher in the residential area than in the agricultural one (namely, the area used as paddy fields 2 to 5 years ago). The median concentration of these constituents is 2.2 to 3.8 times higher in the residential area than in the agricultural one. The concentration of NO$_3$-N, KMnO$_4$, consumed and Cl is significantly higher in the industrial area than in the agricultural one. The median concentration of these constituents is 5.5 to 18 times higher in the industrial area than in the agricultural one. The concentration of KMnO$_4$consumed is significantly higher in the industrial area than in the residential area. The median concentration of these constituents is 12 times higher in the industrial area than in the residential one. The spatial distribution of shallow groundwater quality in the rapidly urbanized area is closely related to the period of land usage as well as the land use, which is presumed to be attributed to the difference in the concentration and leakage rate of the contaminants leaking from damaged sewer into shallow groundwater.

• Korean Journal of Environment and Ecology
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• v.25 no.5
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• pp.787-798
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• 2011

An arboretum is defined as a collection of facilities that conserve plant species by surveying, collecting, and proliferating and preserving the plants in nature, perform diverse researches on plants and display the plants in exhibition spaces or outdoors as well as provide the public with educational programs and refreshment spaces according to the laws concerned. The public, however, recognizes the exhibition and education functions on plants of arboretum more importantly compared with the roles to survey, collect, and proliferate plants as regulated by the laws. In particular, arboretum plays a role to offer a pivotal educational place in urban area where the public can obtain an hands-on experience and understanding on a wide range of plant species and natural environment. The study aims to estimate the non market environmental values of Daegu Arboretum operated by Daegu Metropolitan City government by using the Contingent Valuation Methods (CVM), which yields the current monetary estimates for the arboretum. The value estimation was undertaken by using the Double-Bound Dichotomous Choice (DBDC) method, and each estimated value was derived from respective functions based on a logit distribution known to include relatively stable estimates according to the shape of the distribution. Considering the statistical fitness test results, the author estimated the amounts of the Willingness To Pay (WTP) such as mean WTP of 12,718 KRW, median WTP of 11,033 KRW, and truncated mean WTP of 11,468 KRW, which represented the annual recreational values per a person visiting Daegu Arboretum respectively. The analysis showed that Daegu Arboretum created the annual environmental values which were estimated to be approximately 16 to 19 billion KRW. The study also has an implication that the valuation method for the environment of Daegu Arboretum may be effectively applied for estimating the values of other types of environmental goods by altering the locations or goods to be analyzed.

• Journal of Korea Water Resources Association
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• v.45 no.3
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• pp.275-290
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• 2012

In this study, we have developed an optimal time distribution model through extraction of peaks over threshold (POT) series. The median values for annual maximum rainfall dataset, which are obtained from the magnetic recording (MMR) and the automatic weather system(AWS) data at Seoul meteorological observatory, were used as the POT criteria. We also suggested the improved methodology for the time distribution of extreme rainfall compared to Huff method, which is widely used for time distributions of design rainfall. The Huff method did not consider changing in the shape of time distribution for each rainfall durations and rainfall criteria as total amount of rainfall for each rainfall events. This study have suggested an extracting methodology for rainfall events in each quartile based on interquartile range (IQR) matrix and selection for the mode quartile storm to determine the ranking cosidering weighting factors on minutely observation data. Finally, the optimal time distribution model in each rainfall duration was derived considering both data size and characteristics of distribution using kernel density function in extracted dimensionless unit rainfall hyetograph.

• Korean Journal of Environmental Biology
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• v.22
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• pp.30-37
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• 2004

Peysistent oyganochlorine compounds (OCs) weve determined in sediments and bivalves from Gwangyang Bay. The concentrations of ∑PCB, ∑DDT, ∑HCH and ∑CHL in sediments were in the range of f 2.25∼11.4 ng g$\^$-1/, 0.16∼1.16 ng g$\^$-1/, nd∼0.51 ng g$\^$-1/, and 0.05∼0.79 ng g$\^$-1/, respectively. The overall OCs concentrations in sediments were below the effect range -median (ER-M) values toy benthic organisms suggested by NOAA (1991). Levels of PCB compounds a re relatively lower than other industrialized bays (Pusan Bay, Ulsan Bay, and Youngil Bay). OCs accumulated in bivalves were higher than those in sediments. In bivalves, the concentration ranges of ∑PCB, ∑DDT, ∑HCH and ∑CHL were 9.97∼31.7 ng g$\^$-1/, 7.54∼22.6 ng g$\^$-1/, 0.49∼2.0 ng g$\^$-1/, and 0.82∼7.32 ng g$\^$-1/, respectively. Relatively high PCB concentrations in both environmental matrices are found at the inner bay than the outer part, indicating that the sources of PCBs were located inside the bay. DDT compound showed relatively high concentrations in the vicinity of the mouth of river and urban area, whereas other organochlorine pesticides show homogeneous distributions over the bay. Homologue profile of PCB compounds shows that low-chlorinated congeners (especially, di-, tyi- and tetra-) are abundant in Gwangynng Bay, which is diferent from other areas in Korea.

• Journal of Korean Society of Transportation
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• v.30 no.4
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• pp.21-32
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• 2012

Exclusive bus lane (EBL) is typically located in the roadway median, and is accessed by weaving across the GPLs(general purpose lanes) before entering from the left lane of the GPLs. To maximize the potential for successful EBL operations, a critical design issue that requires special attention is the length of bus weaving section before entering EBL. The process of developing guidelines for the length of bus weaving section can be supported by a sensitivity analysis of performance measure (safety) with respect to the bus weaving distance. However, field data are difficult to obtain due to inherent complexity in creating performance measure (safety) samples under various interesting flows and bus weaving distance that are keys to research success. In this paper, VISSIM simulation is applied to simulate the operation of roadway weaving areas with EBL, and based on vehicle trajectory data from microscopic traffic simulation models, the Surrogate Safety Assessment Model (SSAM) computes the number of surrogate conflicts (or degree of safety) with respect to the bus weaving distance. Then, a multiple linear regression (MLR) model using safety data (number of surrogate conflicts) is developed. Finally, guidelines for bus weaving distance are established based on the developed MLR. Developed guidelines explicitly indicate that a longer bus weaving distance is required to maintain desired safety as weaving volume increases.

• Journal of Korean Society for Atmospheric Environment
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• v.32 no.4
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• pp.360-371
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• 2016

The goal of this research is to examine the recent decade-long (2000~2014) trends of national background concentrations over China, Japan, and Korea. Based on the Long-range Transboundary Air Pollutants in Northeast Asia (LTP) project, which is three-party collaboration project among three countries, we investigated the long-term trends of national background $PM_{10}$ concentrations in three countries over the recent 15 years, including the 2008 Beijing Olympic Game period. In accordance with the agreement among three countries, a total of 8 national background sites: three national background monitoring sites in China (2 sites in Dalian, and 1 in Xiamen), three sites in Korea (Ganghwa, Gosan, and Taean), and two sites in Japan (Oki and Rishiri), were chosen for the trend analysis. The results showed that Chinese background concentration recorded the highest level overall. However, the rapid declining recent trends of annual median ($50^{th}$-percentile) values were surprisingly detected since 2006 or 2007 in every site in China, with the most rapidly decreasing rate (- $18.6{\pm}10.3%$/year) over 2006~2007, and the second most rapidly decreasing rate (- $18.0{\pm}1.5%$/year) over 2007~2008. Based on the previous statistical literature, we concluded that this declining trends were due to the emission reduction of $PM_{10}$ concentrations in China for 2008 Beijing Olympic Game. In Korea, Ganghwa was also showing the decreasing trends over the recent years since 2006, which is also well accorded with the decreasing period of Chinese background concentrations. Taean also implied some impact of Beijing Olympic Game, showing small but detectable decreasing trends, while Gosan showed the increasing tendencies probably due to the near-urban influences. However, since 2012, most sites in both China and Korea showed strong increasing trends, undoubtedly implying the increasement of both emission in China and its long-range transport process toward Korea. Two sites in Japan, Oki and Rishiri recorded the lowest level of $PM_{10}$ level during whole period with the smallest deviations of measurements. Other discussions including the decade-long trends of $5^{th}$, $10^{th}$, $25^{th}$, $50^{th}$, $75^{th}$, $90^{th}$, $95^{th}$-percentiles of $PM_{10}$ background concentrations in three countries were also comparatively addressed here.