• 한국환경과학회지
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• 제18권11호
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• pp.1189-1197
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• 2009

The purpose of this research was develop tailored landslide hazard assessment table (LHAT) in Gyeongsangbuk-do Province and propose building strategies on environmental information system to estimate landslide hazard area according to LHAT. To accomplish this purpose, this research investigated factors occurring landslide at 172 landslide occurred sites in 23 city and county of Gyeongsangbuk-do Province and analyzed what factors effected landslide occurrence quantity using the multiple statistics of quantification method(I). The results of analysis, factors affecting landslide occurrence quantity were shown in order of slope position, slope length, bedrock, aspect, forest age, slope form and slope. And results of the development of LHAT for predict mapping of landslide-susceptible area in Gyeongsangbuk-do Province, total score range was divided that 107 under is stable area(IV class), 107~176 is area with little susceptibility to landslide(III class), 177~246 is area with moderate susceptibility to landslide(II class), above 247 area with severe susceptibility to landslide(I class). According to LHAT, this research built landslide attribute database and made 7 digital theme maps at mountainous area located in Goryeong Gun, Seongju-Gun, and Kimcheon-City. The results of prediction on degree of landslide hazard using environmental information system, area with little susceptibility to landslide(III class) occupied 65.56% and severe susceptibility to landslide(I class) occupied 0.51%.

• 한국안전학회지
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• 제21권3호
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• pp.67-72
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• 2006

This study is to investigate the related materials such as domestic law regulation, research paper, research report, and the other material, and to suggest suitable counter measures, to find out hazard degree for its works of workers and work place through direct survey, in order to determine risk score of each hazardous work which is designated by the Government, without consideration of labour's consciousness against risk level at a site. Therefore, a new questionnaire survey related to the decision of risk level are made and distributed to find out what risk level each worker recognizes. Also, the authors tried to approach reasonable conclusions after discussing reasonability of qualification standard and improving ideas of worker at hazardous work places with worker, faculty member, H&S manager, labour union. And the results show hazard degrees by each work kind of the above: 3.75 for working with machinery, 3.7 for steel structure, 3.5 for operation of tower crane, 3.51 for retaining wall, 3.85 for form work, 3.46 for scaffolding are obtained. This quantified risk can be applied to establishing a reasonable system to keep safe against hazardous works.

• 한국유기농업학회지
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• 제25권1호
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• pp.233-246
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• 2017

본 연구는 친환경안전축산물 생산에 기반이 되는 돼지농장의 HACCP 평가항목별 점수부여 체계의 문제점에 대한 개선방안 도출하여 보다 안전하고 위생적인 돼지 생산에 기초자료로 활용을 제안하기 위한 목적으로 실시하였다. 현행 돼지농장 HACCP 평가항목은 중요도의 구분 없이 동일한 점수(5점)를 부여하고 있으나 본 연구에서는 최근 3년간 지적비율, 위해의 심각도 등을 고려하여 평가항목별로 중요도를 도출하였고 그 결과에 따라 평가항목의 점수를 차등 부여하도록 하였다. 돼지농장의 선행요건 평가항목(70개)은 중요도에 따라 최대 4점에서 최소 2점의 점수체계를 구축하여 총 점수가 200점이 되도록 하였으며, HACCP 관리 분야 평가항목(15개)은 최대 10점에서 최소 5점 체계를 구축하여 총 점수가 100점이 되도록 개발하였다. 본 연구결과를 현장에 적용할 경우 보다 안전하고 위생적인 돼지의 생산이 가능하여 돼지농장 HACCP 도입의 목적을 보다 효과적으로 달성할 수 있을 것으로 판단된다.

• Journal of Gastric Cancer
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• 제21권2호
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• pp.155-168
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• 2021

Purpose: Previous studies have demonstrated the usefulness of the controlling nutritional status (CONUT) score in nutritional assessment and survival prediction of patients with various malignancies. However, its value in advanced gastric cancer (GC) treated with neoadjuvant chemotherapy and curative gastrectomy remains unclear. Materials and Methods: The CONUT score at different time points (pretreatment, preoperative, and postoperative) of 272 patients with advanced GC were retrospectively calculated from August 2004 to October 2015. The χ² test or Mann-Whitney U test was used to estimate the relationships between the CONUT score and clinical characteristics as well as short-term outcomes, while the Cox proportional hazard model was used to estimate long-term outcomes. Survival curves were estimated by using the Kaplan-Meier method and log-rank test. Results: The proportion of moderate or severe malnutrition among all patients was not significantly changed from pretreatment (13.5%) to pre-operation (11.7%) but increased dramatically postoperatively (47.5%). The pretreatment CONUT-high score (≥4) was significantly associated with older age (P=0.010), deeper tumor invasion (P=0.025), and lower pathological complete response rate (CONUT-high vs. CONUT-low: 1.2% vs. 6.6%, P=0.107). Pretreatment CONUT-high score patients had worse progression-free survival (P=0.032) and overall survival (OS) (P=0.026). Adjusted for pathologic node status, the pretreatment CONUT-high score was strongly associated with worse OS in pathologic node-positive patients (P=0.039). Conclusions: The pretreatment CONUT score might be a straightforward index for immune-nutritional status assessment, while being a reliable prognostic indicator in patients with advanced GC receiving neoadjuvant chemotherapy and curative gastrectomy. Moreover, lower pretreatment CONUT scores might indicate better chemotherapy responses.

• 한국환경생태학회지
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• 제20권4호
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• pp.415-424
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• 2006

산림유역 조건에 따른 붕괴 토사량을 측정하여 사면 붕괴가능성을 평가하고 붕괴위험 지역에 대한 예지기술(豫知技術)을 개발함으로서 산지사면에서 발생하는 각종 재해에 대한 피해를 최소화 할 수 있는 산림유역 관리에 대한 기술적 기초 자료를 제공하고자 연구하였다. 붕괴 위험지역을 평가한 결과 I급지(매우 위험지역)는 화성암지 역으로 침엽수림이며 임령은 20년생 이하, 토심은 30cm 이하, 토성은 사질식양토(SCL), 석력함량은 $31{\sim}40%$, 사면방위는 남${\sim}$동$(S{\sim}E)$사면, 주하천길이는 $2,501{\sim}3,500m$, 총하천수는$26{\sim}30$개, 총하천길이는$5,501{\sim}10,000m$, 하천차수는 3차수, 일차하천수는 $11{\sim}15$개 또는 16개 이상, 사면경사는 $31^{\circ}$이상의 지역으로 평가되었고, II급지(위험지역)는 변성암지역으로 활엽수림이며 임령은 $21{\sim}24$년생, 토심은$31{\sim}40cm$, 토성은 미사질식양토(SiCL) 또는 사질식양토(SCL), 석력함량은 $11{\sim}20%$, 사면방위는 남${\sim}$서$(S{\sim}W)$사면, 주하천길이는 $1,501{\sim}2,500m$, 총하천수는 $6{\sim}10$개, 총하천길이는 $3,501{\sim}5,500m$, 하천차수는 2차수, 일차하천수는 $6{\sim}10$개, 사면경사는 $31^{\circ}$이상의 지역으로 평가되었으며, III급지(비 위험지역)는 퇴적암지역으로 임상은 혼효림, 임령은 25년생 이상, 토심은 $41{\sim}50cm$, 토성은 미사질식양토(SiCL), 석 력함량은 10% 이하, 사면방위는북${\sim}$서$(N{\sim}W)$사면, 주하천길이는 500m 이하, 총하천수는 5개 이하, 총하천길이는 1,000m 이하, 하천차수는 1차수, 일차하천수는 2개 이하, 사면경사는 $25^{\circ}$이하의 지역으로 평가되었다. 붕괴위험 예측치를 이용하여 붕괴위험지역을 예지한 결과 점수의 합계가 I급지는 4.8052점 이상이며 II급지는 4.8051점에서 2.5602점 사이에 해당하며 III급지는 2.5601점 이하의 지역으로 분석되었다.

• Journal of Chest Surgery
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• 제57권1호
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• pp.70-78
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• 2024

Background: This study investigated the outcomes of biventricular repair using right ventricle to pulmonary artery (RV-PA) conduit placement in patients aged <1 year. Methods: Patients aged <1 year who underwent biventricular repair using an RV-PA conduit between 2011 and 2020 were included in this study. The outcomes of interest were death from any cause, conduit reintervention, and conduit dysfunction (peak velocity of ≥3.5 m/sec or moderate or severe regurgitation). Results: In total, 141 patients were enrolled. The median age at initial conduit implantation was 6 months. The median conduit diameter z-score was 1.3. The overall 5-year survival rate was 89.6%. In the multivariable analysis, younger age (p=0.006) and longer cardiopulmonary bypass time (p=0.001) were risk factors for overall mortality. During follow-up, 61 patients required conduit reintervention, and conduit dysfunction occurred in 68 patients. The 5-year freedom from conduit reintervention and dysfunction rates were 52.9% and 45.9%, respectively. In the multivariable analysis, a smaller conduit z-score (p<0.001) was a shared risk factor for both conduit reintervention and dysfunction. Analysis of variance demonstrated a nonlinear relationship between the conduit z-score and conduit reintervention or dysfunction. The hazard ratio was lowest in patients with a conduit z-score of 1.3 for reintervention and a conduit z-score of 1.4 for dysfunction. Conclusion: RV-PA conduit placement can be safely performed in infants. A significant number of patients required conduit reintervention and had conduit dysfunction. A slightly oversized conduit with a z-score of 1.3 may reduce the risk of conduit reintervention or dysfunction.

• 한국지리정보학회지
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• 제15권1호
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• pp.119-132
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• 2012

최근 급증하고 있는 국지성 집중호우로 인해 급경사지를 중심으로 산지토사재해가 빈발하고 있으며 이에 대한 예방과 취약지역 분석을 위해 산사태 위험지도의 중요성이 부각되고 있다. 본 연구에서는 산지하천유역의 토사재해 위험지역 분석을 목적으로 수자원지리정보시스템 기반의 HyGIS-Landslide 콤포넌트를 개발하였다. HyGIS-Landslide는 산림청의 산사태 위험지 판정기준 및 등급기준을 토대로 수치공간자료의 연산결과를 분류한 후 산사태 위험성을 제시하도록 설계되었으며 위험지 판정기준의 가중치를 사용자가 재 설정할 수 있도록 구현하여 산사태 발생공간의 지역적 특성을 반영할 수 있도록 하였다. 본 콤포넌트에서는 사용자가 원하는 지역을 대상으로 현시성 있는 공간자료를 활용할 수 있으며 조사자의 점수보정 과정을 반영하여 시스템 활용성을 높이고자 하였다. HyGIS-Landslide는 HyGIS가 제공하는 지형분석 기능을 통해 사용자 편의를 확보할 수 있으며 산사태 발생구역도와의 중첩연산을 통해 위험지 분류결과의 검증이 가능하다. 본 연구에서는 강원도 인제군의 시험유역을 대상으로 HyGIS-Landslide를 적용하였으며 산사태 맵핑결과와의 중첩비교를 통해 모형의 활용성을 평가하고 위험지 판정기준의 가중치를 재조정하여 위험지역을 보다 효과적으로 분류할 수 있음을 제시하였다.

• Journal of Yeungnam Medical Science
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• 제40권3호
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• pp.259-267
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• 2023

Background: Malnutrition and impaired immune responses significantly affect the clinical outcomes of patients with atherosclerotic stenosis. The Controlling Nutritional Status (CONUT) score has recently been utilized to evaluate perioperative immunonutritional status. This study aimed to evaluate the relationship between immunonutritional status, indexed by CONUT score, and postoperative complications in patients undergoing carotid endarterectomy (CEA). Methods: We retrospectively evaluated 188 patients who underwent elective CEA between January 2010 and December 2019. The preoperative CONUT score was calculated as the sum of the serum albumin concentration, total cholesterol level, and total lymphocyte count. The primary outcome was postoperative complications within 30 days after CEA, including major adverse cardiovascular events, pulmonary complications, stroke, renal failure, sepsis, wounds, and gastrointestinal complications. Cox proportional hazards regression analysis was used to estimate the factors associated with postoperative complications during the 30-day follow-up period. Results: Twenty-five patients (13.3%) had at least one major complication. The incidence of postoperative complications was identified more frequently in the high CONUT group (12 of 27, 44.4% vs. 13 of 161, 8.1%; p<0.001). Multivariate analyses showed that a high preoperative CONUT score was independently associated with 30-day postoperative complications (hazard ratio, 5.98; 95% confidence interval, 2.56-13.97; p<0.001). Conclusion: Our results showed that the CONUT score, a simple and readily available parameter using only objective laboratory values, is independently associated with early postoperative complications.

• 대한지역사회영양학회지
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• 제21권1호
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• pp.84-92
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• 2016

Objectives: This study was performed to develop a food safety education program for school foodservice employees and evaluate its effectiveness. Methods: Food safety education programs were made into two levels; one for new employees in school foodservice and another for employees in charge of Critical Control Point (CCP) monitoring. The programs were for 40-minute-long lecture using PowerPoint. The effectiveness of these programs were assessed based on eleven evaluation items by school foodservice dieticians (n=30) and the Hazard Analysis Critical Control Point (HACCP) specialist (n=13). All statistical analyses are conducted by SPSS package program (ver 20.0). Results: According to the results of evaluating the food safety education program by dietitian and HACCP specialist, the overall satisfaction score was 4.14, evaluated by 5 point scale. There were no significant difference in results of evaluation between dieticians and HACCP specialists. The score of 'it is helpful to work' and 'pictures, images and charts are pertinent to study' were higher than others while the score of 'education contents is pleasant and interesting' and 'screen is pleasant and interesting' were the lowest among all evaluation items. Conclusions: To increase the school foodservice quality, employees should be offered regular food safety education and training through effective education media including prerequisite program and HACCP manual for school foodservice.

• 한국유기농업학회지
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• 제25권2호
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• pp.431-443
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• 2017

본 연구는 안전한 육계 및 계란 생산에 기반이 되는 닭 농장의 HACCP 심사의 객관성을 높이기 위하여 현행 심사항목 점수부여 체계의 문제점에 대한 개선방안을 도출하기 위한 목적으로 실시하였다. 기존 닭 농장 HACCP심사항목은 중요도 수준의 구분 없이 동일한 점수(5점)를 부여하고 있으나 본 연구에서는 최근 3년간 지적비율, 위해의 심각도 수준 등을 고려하여 심사항목별로 중요도 수준을 도출하였고 그 결과에 따라 심사항목의 점수를 차등 부여하도록 하였다. 닭 농장의 선행요건 분야 심사항목(60개)은 중요도에 따라 최대 5점에서 최소 2점의 점수체계를 구축하여 총 점수가 200점이 되도록 하였으며, HACCP 관리 분야 심사항목(15개)은 최대 10점에서 최소 5점 체계를 구축하여 총 점수가 100점이 되도록 개발하였다. 본 연구결과를 현장에 적용할 경우 심사의 객관성을 높여 더욱 안전하고 위생적인 육계 및 계란 생산이 가능할 것으로 예상된다. 이는 나아가 닭 농장 HACCP 제도의 활성화와 소비자에게 보다 안전한 축산물을 공급할 수 있을 것으로 판단된다.