• 한국구조물진단유지관리공학회 논문집
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• 제20권2호
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• pp.1-9
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• 2016

저자들은 비파괴시험에 의한 고강도콘크리트의 강도 예측식을 제안하기 위하여 실험적 연구를 수행하였다. 본 연구에서 사용된 콘크리트의 설계압축강도는 40~80 MPa 범위이며, 압축공시체를 제작하여 반발경도법과 초음파 속도법으로 실험한후 KS기준에 따라 압축강도 실험을 실시하였다. 실험결과는 기존의 연구자들에 의하여 제안된 다양한 실험예측식들과 비교분석하였다. 실험결과 고강도 콘크리트에서도 반발경도법과 초음파속도법의 경우 간편성과 신뢰성에 있어 콘크리트 강도를 측정하기에 충분한 유용성을 확보한 것을 확인할 수 있었다. 기존식들과의 비교를 통하여 고강도 콘크리트에 적합한 강도예측식을 제안하였으며, 실험결과에 대한 충분한 신뢰성을 확보한 것으로 판단되어, 향후 고강도 콘크리트 구조물에 적용할 수 있을 것으로 판단된다.

• Journal of Preventive Medicine and Public Health
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• 제40권2호
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• pp.162-168
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• 2007

Objectives : This prospective population-based cohort study was conducted to evaluate the risk factors of cognitive impairment and the degree of cognitive function change through a 5-year follow-up. Methods : The baseline and follow-up surveys were conducted in 1998 and 2003, respectively, Among 176 subjects who had normal cognitive function in the baseline study, 136 were followed up for 5 years. The cognitive function was investigated using the Korean version of the Mini-Mental State Examination (MMSE-K). The collected data were analyzed using SPSS and Stata. Results : Of the 136 subjects analyzed, 25 (18.4%) were cognitively impaired. Old age and low social support in the baseline survey were risk factors for cognitive impairment after 5 years. In the generalized estimating equation for 128 subjects except severe cognitive impairment about the contributing factors of cognitive function change, the interval of 5 years decreased MMSE-K score by 1.02 and the cognitive function was adversely affected with increasing age, decreasing education and decreasing social support. Conclusions : Although the study population was small, it was considered that the study results can be used to develop a community-based prevention system for cognitive impairment.

• 보건행정학회지
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• 제28권1호
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• pp.53-69
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• 2018

Background: This study investigates association modified category medical specialization (CMS) and hospital charge, length of stay (LOS), and mortality among lumbar spine disease inpatients. Methods: This study used National Health Insurance Service-cohort sample database from 2002 to 2013, using stratified representative sampling released by the National Health Insurance Service. A total of 56,622 samples were analyzed. The primary analysis was based on generalized estimating equation model accounting for correlation among individuals within each hospital. Results: Inpatients admitted with lumbar spine disease at hospitals with higher modified CMS had a shorter LOS (estimate, -1.700; 95% confidence interval [CI], -1.886 to -1.514; p<0.0001). Inpatients admitted with lumbar spine disease at hospitals with higher modified CMS had a lower mortality rate (odds ratio, 0.635; 95% CI, 0.521 to 0.775; p<0.0001). Inpatients admitted with lumbar spine disease at hospitals with higher modified CMS had higher hospital cost per case (estimate, 192,658 Korean won; 95% CI, 125,701 to 259,614; p<0.0001). However, inpatients admitted with lumbar spine surgery patients at hospitals with higher modified CMS had lower hospital cost per case (estimate, -152,060 Korean won; 95% CI, -287,236 to -16,884; p=0.028). Inpatients admitted with lumbar spine disease at hospitals with higher modified CMS had higher hospital cost per diem (estimate, 55,694 Korean won; 95% CI, 46,205 to 65,183; p<0.0001). Conclusion: Our results showed that increase in hospital specialization had a substantial effect on decrease in hospital cost per case, LOS, and mortality, and on increase in hospital cost per diem among lumbar spine disease surgery patients.

• Nutrition Research and Practice
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• 제11권4호
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• pp.300-306
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• 2017

BACKGROUND/OBJECTIVES: The doubly labeled water (DLW) method is considered the gold standard for the measurement of total energy expenditure (TEE), which serves to estimate energy requirements. This study evaluated the accuracy of predictive dietary reference intake (DRI) equations for determining the estimated energy requirements (EER) of Korean adults by using the DLW as a reference method. SUBJECTS/METHODS: Seventy-one participants (35 men and 36 women) aged between 20 and 49 years were included in the study. The subjects' EER, calculated by using the DRI equation ($EER_{DRI}$), was compared with their TEE measured by the DLW method ($TEE_{DLW}$). RESULTS: The DRI equations for EER underestimated TEE by -36.3 kcal/day (-1.3%) in men and -104.5 kcal/day (-4.9%) in women. The percentages of accurate predictions among subjects were 77.1% in men and 62.9% in women. There was a strong linear correlation between $EER_{DRI}$ and $TEE_{DLW}$ (r = 0.783, P < 0.001 in men and r = 0.810, P < 0.001 in women). CONCLUSIONS: The present study supports the use of DRI prediction equations to determine EER in Korean adults. More studies are needed to confirm our results and to assess the validity of these equations in other population groups, including children, adolescents, and older adults.

• 한국건설관리학회논문집
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• 제19권5호
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• pp.43-52
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• 2018

일반적으로 공사비에 대한 연구는 직접비 위주로 행해졌으며, 간접비를 면밀하게 산정하는 모델에 대한 연구가 부족하다. 본 연구의 목적은 국내 건설시장에서 큰 축을 차지하는 아파트 건설공사 현장의 현장관리비를 예측하기 위한 모델을 제시하는 것이다. 아파트 건설공사 현장 다수의 전체공사기간 동안의 실비사용 데이터를 분석하여 곡선접합 분석을 통해 공정률별 1일당 현장관리비를 도출할 수 있는 9차방정식을 제안하였으며, 이를 활용하여 300억 규모의 공사의 경우의 현장관리비를 추정하는 결과를 보여줌으로서 활용가능성을 설명하고 있다. 선행연구에서는 총 현장관리비의 규모의 변화패턴을 직접적으로 확인할 수 있는 다항식을 도출한 사례는 없었던 점에 비추어 본다면, 본 연구에서 제시한 모델은 그 편의성과 면밀성에 합리적 근거를 토대로 현장관리비를 예측할 수 있다는 점에서 연구의 기여도가 있다.

• 여성건강간호학회지
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• 제20권1호
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• pp.14-28
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• 2014

Purpose: This study was to identify relationships of maternal psychosocial factors including mother's mood state, childcare stress, social support and sleep satisfaction with breastfeeding adaptation and immune substances in breast milk, especially secretory immunoglobulin A (sIgA) and transforming growth factor-beta 2 (TGF-${\beta}2$). Methods: Data were collected from 84 mothers who delivered full-term infants by natural childbirth. Structured questionnaires and breast milk were collected at 2~4 days and 6 weeks postpartum. Data were analyzed using descriptive statistics, Pearson's correlation, multiple linear regression, and generalized estimating equation (GEE). Results: Scores for the breastfeeding adaptation scale were significantly related with child care stress, mood state and social support. Mother's anger was positively correlated with the level of sIgA in colostrum (p<.01). Immune substances of breastmilk was significantly influenced by time for milk collection (p<.001) and the type of breastfeeding (sIgA, p<.001, TGF-${\beta}2$, p=.003). Regression analysis showed that breastfeeding adaptation could be explained 59.1% by the type of breastfeeding, childcare stress, the Profile of Mood States, emotional support and sleep quality (F=16.67, p<.001). Conclusion: The findings from this study provide important concepts of breastfeeding adaptation program and explanation of psychosocial factors by immune substances in breast milk. Future research, specially, bio-maker research on breast milk should focus on the ways to improve breastfeeding adaptation.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2016년도 학술발표회
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• pp.412-427
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• 2016

댐의 건설은 자연하천에서 퇴적과 침식의 유사 순환과정에 영향을 주고 저수지 퇴사(reservoir sedimentation)를 야기한다. 이러한 현상은 댐의 건설 이후 장기간 축적되면서 이수와 취수에 대한 영향을 가져오기 때문에 댐 관리와 설계를 위해 정확한 추정이 필요하다. 퇴사량을 산정하는 방법에는 실측자료를 방법과 실제 유사량 자료를 이용하는 방법 그리고 경험공식을 이용하는 방법 등이 있으나, 가용한 자료의 부족으로 주로 경험 공식에 의존하고 있다. 이에 본 연구에서는 국내 대규모 다목적댐에 적합한 비퇴사량 산정 경험 공식을 제안하고자 하였다. 이를 위해 먼저 기존의 공식을 조사 및 검토하여 비퇴사량에 영향을 미칠 만한 여러 인자들을 선정하였다. 총 8개 국내 대규모 다목적댐의 비퇴사량 자료와 제원을 이용하여 다중 회귀분석을 실시하여 최종적인 식을 제안하였다. 그 결과, 대규모 다목적댐의 비퇴사량에 영향을 미치는 인자로 연평균 강우량(P, mm),연평균 유입량(I, cms), 유역 평균경사(S, %),저수지 길이(L, km),저수용량/유역면적(C/A, $m^3/km^2$)을 채택하였으며, 제안된 식을 이용하여 산정한 비퇴사량과 실측 비퇴사량의 상관계수와 결정계수는 각각 0.985, 0.970으로 확인되었다. 아울러, 다중 공선성 분석에서도 모두 일반적인 기준치를 범위 안에 존재함을 확인하면서, 선정된 독립변수들이 통계적으로 유의함을 확인하였다. 허나, 가용 자료의 부족과 불확실성으로 인해 여전히 한계점이 존재한다. 충분한 비퇴사량 실측 자료가 구축된다면, 보다 신뢰도 높고 발전된 형태의 경험 공식의 제안이 가능할 것이다.

• 한국방재학회 논문집
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• 제11권1호
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• pp.77-84
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• 2011

각종 수공구조물 설계를 위한 첨두홍수량을 추정시 합리식(rational formula) 및 가지야마(Kajiyama)공식 등을 사용하고 있으나, 이러한 방법들을 이용하여 가능최대홍수량(PMF)을 산정하기 위해서는 가능최대강수량(PMP)의 추정이 선행되어야 하므로 미계측지역에서는 적용에 상당한 제약이 따른다. Creager 등이 1945년에 제시한 Creager방법은 비홍수량산정기법의 일종으로 유역면적과 PMF사이의 비선형성을 직접 수식화하여 제공하므로 PMP값이 주어지지 않은 상황에서 PMF산정이 가능하며, 주로 중규모이상 다목적댐의 PMF 산정시 사용되어 왔는데, 국내에는 아직 적용된 사례가 많지 않다. 본 연구에서는 PMP도를 이용한 강우-유출 모델로 산정된 상수전용댐과 다목적댐의 PMF를 이용하여 유역규모와 강우지속시간에 따라 보편적으로 적용할 수 있는 Creager 공식의 매개변수와 Creager 계수값의 결정범위 및 기준 등을 산정하여 국내 유역에 적용가능한 방법을 제시하였다.

• 한국물환경학회지
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• 제37권2호
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• pp.103-113
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• 2021

In this study, an Excel-based model (ROADMOD) was developed to estimate pollutant loading from the road and evaluate BMPs. ROADMOD employs the Chezy-Manning equation and empirical expression for estimating surface runoff, and power function for pollutant buildup, and exponential function for pollutant washoff in SWMM. The results of model calibration for buildup and washoff using observed data revealed a good match between the simulation results and the observed data. The long-term surface runoff and sediment simulated by ROADMOD demonstrated a good match with those by SWMM with 2 ~ 14% of relative error. The shorter sweeping interval (within 8 days) remarkably decreased sediment loads from the road. It was found that the effect of reducing sediment loads from the road was greatly affected not only by the sweeping interval but also by sweeping on the day before a rainfall event. The 48% of removal efficiency of sediment loads from the road was achieved with 26 times of road sweeping per year when sweeping was performed on the day before the rainfall event. A 4-day sweeping interval showed similar removal efficiency (48%) with 96 times of sweeping per year. It is considered that the road sweeping on the day before a rainfall event could maximize the effect of reducing the non-point source pollution from the road with minimization of the number of road sweeping. So, the road sweeping on the day before a rainfall event can be considered as one of the useful and best management practices (BMPs) on road.

• 보건행정학회지
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• 제31권4호
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• pp.518-530
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• 2021

Background: This study examined the effect of having a usual source of care on the degree of patient-centered communication among persons with disability. The role of the usual source of care has been emphasized to improve patient experience, especially for patients with complex health conditions. Methods: This study used the 2017-2018 Korean Health Panel data, and the final study observations were 22,475 (20,806 people without disability and 1,669 people with disability). We applied generalized estimating equation model to show the effect of having a usual source of care on patient-centered communication, and subgroup analysis considering the types and severity of disabilities. Results: Persons who have disabilities, compared with ones without it, significantly had more usual sources of care (32.4% vs. 24.6%). By type of disability, persons with mental (51.4%), internal organ (43.8%), visual (37%), and physical disabilities (31.6%) had more usual sources of care than hearing/speech (26.6%), and developmental disabilities (18.6%). The average score of patient-centered communication was higher among who had a usual sources of care (3.2 vs. 2.7), and the regression analysis showed that having a usual sources of care was positively associated with higher patient-centered communication score (𝛽=0.476, p<0.05). However, the positive effects of usual sources of care was not observed among persons with severe hearing/speech, developmental, and mental disabilities. Conclusion: This study showed that role of patient-centered communication was limited in persons with severe hearing/speech disabilities, developmental, and mental disabilities. The education programs and supports are needed to improve communication skills between medical staff and persons with specific types of disabilities.