• 약학회지
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• 제57권2호
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• pp.101-109
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• 2013

Depressive disorders are the most common psychiatric problem in the elderly. Most depression treatment guidelines emphasize treatment with antidepressant medication and recommend that benzodiazepine use be minimized for limited period, particularly to elderly patients. In order to evaluate appropriate use of antidepressants and benzodiazepine, retrospective review of prescriptions was performed. The study population are older than 65 years who had been newly diagnosed with major depressive disorder in specialty mental health at a community general hospital from January $1^{st}$, 2007 to October $31^{th}$, 2012 (N=373). Initial antidepressant accounted for 89.5% with SSRI, and escitalopram accounted for 60.9% of SSRI group. 79% or more of the patients were prescribed the recommended dosage. The maintenance rate for 4 weeks of initial antidepressant was 48% and 6 weeks was 39%. Treatment-discontinuation rate was 68% at 3 month. Alprazolam (short acting benzodiazepine) was prescribed the most, followed by clonazepam (long acting benzodiazepine) and then diazepam. 55% of patients received a duplicated prescription for short acting plus long acting benzodiazepine. 61% of patients used long acting benzodiazepines. Prescribed dosages of benzodiazepines were commonly within a recommended range, while no one was prescribed a appropriate period (up to 2 weeks) except for the early discontinued patients. Appropriate use of zolpidem was only 16.2%. The depressed elderly treated in specialty mental health mostly received long-term treatment with benzodiazepines in combination with antidepressants, guideline recommendations was not followed. Multidisciplinary interventions like audit and feedback of benzodiazepine use are needed and education for the elderly is needed to properly maintain antidepressant treatment.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2007년도 정기학술발표대회 논문집
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• pp.54-59
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• 2007

현재까지 아파트 재건축사업은 추진 의사결정과 관련한 확정된 지표나 기준이 없이 막연한 수익성에 대한 기대를 토대로 시행되어 왔으며, 사업시행과정에서 직면하게 되는 제반 위험에 대해 경험적으로 대응하여 왔다. 재건축조합이나 시공예정회사들이 관리처분계획을 통해 수익성을 비롯한 사업추진 의사결정과 관련한 정보를 제공하고 있으나, 결정론적 분석을 통한 단순한 예측에 불과하여 재건축시행 과정상의 유동적인 상황에서 예측결과가 자주 변경됨에 따라 결과를 신뢰하기 어려운 한계를 갖고 있다. 따라서 본 연구는 재건축사업의 수익성에 영향을 미치는 변수들을 확률적으로 평가하여 수익과 위험을 동시에 분석하는 수익성예측모델을 개발하고, 사례연구를 통해 개발모델의 적합성을 검증하여 기존의 결정론적 접근방식이 갖는 한계를 극복하고자 한다.

• 한국조경학회지
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• 제28권3호
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• pp.39-52
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• 2000

The purpose of this paper is to investigate the difference in facilities of natural recreation forests developed by public and private body to answer the research that what is the difference in development of natural recreation forest between public and private developer\ulcorner After reviewing the literatures, developer's decision-making and motivation of investment, and the planning process of natural recreation forest, we had constructed th conceptual framework and have found the hypothesis of this research. Using data on development status of natural recreation forests and questionnaire surveying of 625 visitors from 9 among 72 natural recreation forests in Korea, We analyzed the data through the comparison of quantity of facilities per 1000 visitors and logistic regression method for quality of facilities. We have found that 1) the six facilities have been turned out to be statistically significant in determining the difference of public and private recreation forests. i.e., infrastructure including roads, maintenance and information and lodging and evacuation, indoor education, outdoor education, and shopping, 2) public recreation forests are well equipped such basic facility as roads, maintenance and information, lodging and evacuation while private recreation forests are well equipped such facility as indoor education, outdoor education, and shopping, and 3) the importance of such facility as roads, maintenance and information, lodging and evacuation, outdoor education, and shopping have been turned out to have 1.99, 2.26, 1.99, 3.01 and 2.24 times more important than that of indoor education, respectively. We can conclude that public recreation forest seems to be equipped with the facilities for sound recreational opportunities for general public, and private recreation forest turned out to have more facilities for pursuit of profits, installed basic facilities for user convenience and service, and special facilities for attracting user and raising revenue. Using the results of this research, we can make a guideline for a market positioning, and standards and provisions of natural recreation forests. We suggest that the relationship between user-satisfaction and recreation facility is needed to be examined in the future research.

• 대한지역사회영양학회지
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• 제2권5호
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• pp.721-727
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• 1997

This study investigated whether dietary factors are more influential factor than other health behavior such as drinking, smoking and exercise on abnormal serum cholesterol level inspite of Korean dietary pattern differences compared to Europeans and Americans. A double case control study model has been used for the study design. One model consisted of high blood cholesterol cases and control. the other model consisted of low blood cholesterol cased and controls. 5.398 sedentary male workers who had taken medical examinations at a university hospital were used as the study subjects. Out of the study subjects, 36individuals with high blood cholesterol cases and 30 individuals with low blood cholesterol cases were selected. For the 66 individual control selection, the individual control selection, the individuals matching method was adopted. The food frequency method was used to collect the data for assessment of the dietary factors. A standardized questionnaire was used to investigate other health behavior. logistic regression analysis was employed to measure the relative importance between the factors considered. There were no statistically significant differences observed in nutrients consumption or other health behavior among the low, normal and high blood cholesterol groups, An overmatching effect had been suspected as the cause of those findings. However, the results of logistic regression analysis to identify the factors influencing high serum cholesterol showed that odd ratios of dietary factors such as tocopherol(3.0) and saturated fatty acid(1.6) were higher than I. I of smoking and 1.2 of drinking. Similar results were also observed incases of low serum cholesterol. The above findings imply that although the dietary pattern is quite different from that of Europeans and America, the dietary factor is still a significant factor for abnormal blood cholesterol in Koreans. Therefore, the dietary risk factor identified in high fat consumption populations are still relevant for the relatively healthy Korean as guideline for preventive health practices. (Korean J Community Nutrition 2(5) : 721∼727, 1997)

• 한국콘텐츠학회논문지
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• 제13권9호
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• pp.400-409
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• 2013

본 연구에서는 한국 운전자의 특성을 고려한 회전교차로 진입 임계간격을 조사하여 이를 기반으로 다양한 교통조건 및 다지 회전교차로에 대하여 그 효과를 분석하였다. 회전교차로의 임계간격은 4지, 5지, 6지, 그리고 7지에 대하여 현장조사를 수행하였으며, Raff의 추정기법을 이용하여 임계간격을 도출하였다. 도출된 임계간격은 모의실험을 위한 정산 및 통계적 검증과정을 거쳤으며, 이를 기반으로 다양한 조건에서 회전교차로 운영분석을 수행하였다. 그 결과 운영 교통량 및 회전비율 등에 따른 다지 회전교차로의 설계요소인 내접원 직경을 서비스수준별로 제시하였다. 이는 향후 회전교차로 설계지침에 반영할 수 있을 것으로 사료된다.

• 한국실내디자인학회논문집
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• 제17권3호
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• pp.23-33
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• 2008

After the concept of apartments was introduced in 1960s in Korea, on account of the development of architectural technology and science, high-rise residences in Korea are getting higher, and these residences have been becoming high-rise commercial/residential buildings since 1990. Nowadays, as the construction of high-rise commercial residential building complex is booming, the difference between these complex and high-rise apartments is getting smaller, and these two kind of high-rise residences are becoming new residential style in Korea. And these high-rise residences are considered the symbol of wealth owing to the marketing strategy emphasizing high quality, refined interior, a fair view, and the protection of privacy. However, high-rise residences bring about many problems related to health and psychology caused by the consumption of a large amount of energy, pollutant emission, the deterioration of the quality of indoor air, and vibration. For this reason, in this study, we tried to emphasize the necessity of environment-friendly access to provide healthy living environment and to reduce the negative effect of housing life in high-rise residences, and find the method to improve environment-friendly quality and health of residents in interior space. Therefore, this study aims to detect the problems and the items to be improved of interior spaces of high-rise residences by quantitative, qualitative analysis of the evaluation elements and the floor planning elements deduced from environment-friendly architectural certification in Korea and the other countries, and suggest the guideline to improve the environment-friendly quality of these interior spaces.

• 한국실내디자인학회논문집
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• 제19권1호
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• pp.236-244
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• 2010

The objective of this study is to investigate the difference between the standard 'design guideline' in barrier free laws for the disabled and the disabled's real experience in public convenient facilities. It is mainly focused on accessibility by the disabled people who use an electric motion wheel chair, a wheel chair and crutches as well as a visual impaired person in the public resident centers. For this purpose, four resident centers in Busan have been selected as the objects of investigation. We observed and video recorded the disabled people with various handicaps to access and use facilities in four resident centers, and interviewed them afterwards. We found out problems from the perspective of the disabled and figured out the difference between barrier free laws and the disabled's real experience. The research result is as follows. First, it is important to make the arrangement of public convenient facilities according to the flow of the user's movements. Second, it is necessary to provide better conditions for the disabled to access the public toilet easily and conveniently. Third, it is essential for public convenient facilities to be more strictly controlled by regulations. Fourth, we need to make better standards that could reflect real experiences of various disabled users. Fifth, we need to keep providing the best follow-up service for the disabled in terms of using public convenient facilities safely. This study can contribute for designers to understand specific users through their experiences and suggest improvement ideas for better public convenient Facilities.

• 한국학교ㆍ지역보건교육학회지
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• 제12권2호
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• pp.113-127
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• 2011

Background: University health services have provided comprehensive medical care, counseling, health promotion, and public health services to their students and several other local institutions. To their faculty and staff, university health care centers have served occupational health services and employee assistant program. Purpose: We performed this study to review the health promotion services on two kinds of health care center with different style of university formate. Methods: We tried to collect the data by literature review and interview with executive and provider at health care center in University of California at Berkeley and San Jose State University. Results: Our results were as followed. First, students could use the medical services just as they would their regular doctor's office and urgent care center. Second, the health promotion unit offered programs and services for keeping students healthy and safe, including many opportunities for students to get involved in shaping the public health of the campus. Third, the health promotion recommendation offered from ACHA was useful guideline to improve health status of their member in university campus. Finally, the student satisfaction surveys were used for evaluation and quality improvement. Conclusions: The systematic approach to improve health status of students, faculty and staff can use to maintain a state of optimum health among the diverse student community in support of academic excellence. Coupled with health promotion and public health programs, university health service have to reach all segments of the healthy campus community. To achieve study goals in university, the health care center contributes to promote accountability and responsibility for the health and well being of the members in their campus.

• 터널과지하공간
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• 제15권3호
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• pp.195-212
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• 2005

지하채굴적의 함몰, 지하수의 무분별한 양수, 연약지반의 압밀 및 얕은 심도에서의 지하굴착 등의 원인으로 기인하는 지반침하는 국가 기간망에 심각한 안전문제를 야기하고 있다. 특히 인구밀집 지역에서는 가옥 및 기타 시설물의 붕괴요인으로 작용함에 따라 국민의 생활권을 위협하고 있는 실정이다. 따라서 본 연구에서는 지반침하가 발생한 이후 조사와 보강작업이 실시되는 기존의 수동적인 접근법을 탈피하고 지반침하를 예측하여 피해발생을 최소화하기 위해 사례분석을 통해 국내 지질조건에 부합하는 지반침하의 메커니즘을 규명하였으며, 지반침하에 영향을 미치는 제반 요인들을 수치해석적으로 분석하였다. 또한 이를 통해 각 요인들의 가중치를 점검, 합리적인 판단 기준을 제시코자 하였으며, 지반침하 발생여부를 파악할 수 있는 프로그램을 제작하여 이러한 가중치를 접목시킴으로써 지반침하 발생가능성에 대한 객관적인 판단과 정량적인 기준을 제시할 수 있도록 하였다. 이러한 연구결과를 통해, 지질학적 분포 현황과 같은 자연적인 조건과 지하채굴적 및 양수 현황 등과 같은 인공적인 조건들을 결부시켜 추후 전 국토에 대한 지반침하 재해 위험지도를 작성함으로써 지반침하 발생 가능성을 억제하고 그 피해규모를 최소화할 수 있는 근간을 마련하였다.

• Korean Journal of Hydrosciences
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• 제7권
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• pp.37-49
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• 1996

This study aims at suggesting an alternative to improve flood controling capacity according to the cument design criteria for the existing Soyanggang Multi-purpose Dam which was constructed 20 years ago as the largest dam in Korea. The peak inflow of the adopted probable maximum flood (PMF) at the time of construction was 13,500 $m^3$/s. However, the newly estimated peak inflow of the PMF is 18,000 $m^3$/s which is 1.34 times bigger than the original one. This is considered to be due to the accumulation of the reliable flood and storm event records after construction, and due to the increasing tendency of the local flood peaks according to the influence of world-wide weather change. The new estimation of the probable maximum precipitation (PMP) was based on the hydro-meteorological method suggested by the guideline of the World Meteorological Organization (WMO). The unit hydrograph which was applied for the estimation of PMF was derived through linear programming algorithm by minimizing the sum of absolute deviations of the calculated and recorded flood hydrographs. In order to adopt the newly estimated PMF as a design flood, following four alternatives were compared : (1) allocation of more flood control space by lowering the normal high water level, (2) construction of a new spillway in addition to the existing spillway, (3) construction of a new dam which has relevant flood control storage at the upstream of the Soyanggang dam, (4) raising the existing dam crest. The preliminary evaluation of these alternatives resulted in that the second alternative is most economic and feasible. So as to stably cope with the newly estimated PMF by meeting all the current functions of the multipurpose dam, a detailed study of an additional spillway tunnel has to be followed.