• Korean Journal of Agricultural Science
• /
• v.47 no.3
• /
• pp.533-544
• /
• 2020

In this paper, we conducted a dynamic ex-post assessment on the grape business cessation support System. Based on the analysis results, in the short term, there was an increase in grape price due to a decrease in production and accompanying increases in the prices of consumption substitution items. However, in the long run, grape prices fell again due to an increase in grape production because of the entry of new grape farmers and the growth of adult grape trees. In addition, the analysis showed that the balloon effect caused by the conversion of crops caused indirect damage such as an increase in the production volume of substitution crops and a decrease in prices. When analyzing the social welfare measurement, the results showed that the support system for business cessation increased the overall social welfare due to an increase in producer welfare because of a price increase in the short term, but in the long term, both producer and consumer welfare decreased. In the end, it is necessary to review the system because the government's intervention may cause market distortion and inefficient resource allocation. Above all, it is necessary to minimize the indirect effect of the industry's contraction and balloon effect due to excessive business cessation. For this, conditional support should be provided in parallel with post management rather than unconditional support. In addition, it is necessary to provide a strategic support system that considers substitution items in addition to those items to be supported.

• Journal of Gastric Cancer
• /
• v.21 no.2
• /
• pp.155-168
• /
• 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.

• The Journal of the Society of Stroke on Korean Medicine
• /
• v.16 no.1
• /
• pp.89-102
• /
• 2015

■ Objectives This study aimed to investigate the domestic research trend about Amyotrophic Lateral Sclerosis(ALS) treated with Traditional Korean Medicine(TKM). ■ Methods Searches of two major TKM databases were conducted for articles published up to July 2015. Searching keyword was "Lou Gehrig's disease" OR "amyotrophic lateral sclerosis". Studies dealt TKM for ALS were included. ■ Results 18 studies were met our inclusion criteria(two prospective studies, one retrospective study, one follow-up study, 14 case reports). Complex TKM intervention of herbal medication, acupuncture and pharmacopuncture was the most frequently used treatment. Individually, herbal medication was the most frequent followed by acupuncture. Short-term assessment showed improvement in ALS symptoms but long-term assessment showed progression of disease. Accessory symptoms including depression, anxiety and insomnia were improved in four studies. ■ Conclusion For more definite evidence, larger studies with long-term follow-up period are needed. Moreover, benefits that TKM can provide for ALS patients as a part of multi-disciplinary approach should be studied in depth.

• Journal of Korean Society for Atmospheric Environment
• /
• v.12 no.5
• /
• pp.555-566
• /
• 1996

In order to assess the long-term airborne concentrations of 6 metals such as Cr, Cd, Pb, Zn, K, and Na and the associated health resk, a great number of PM-10 samples were collected and analyzed in Kyung Hee University-Suwon Campus for three years from 1991 to 1993. The 3-year average concentration of Pb in respirable particulate matters was 142.6 ng/m$^{3}$ while that of Zn was 1,210.5ng/m$^{3}$. The corresponding hazard index from Pb Zn for the ingalation route was estimated to be 9.5.times.10$^{-2}$ and 3.5.times.10$^{-2}$ , respectively. Therefore, it can be said that there was no adverse chronic health effects by airborne Pb and Zn. However, the 2-year average concentration of Cr(6) was estimated to be 1.3ng/m$^{3}$ shile the 3-year average concentration of Cd was 3.1ng/m$^{3}$. The total cancer risk by these two metals for the inhalation route was estimated to be about 7.2.times.10$^{-6}$ . This order-of-magnitude risk estimate suggests that the ingalation risk in the study area from all carcinogenic metals including As and Ni (subsulfide) might exceed the acceptable risk criteria of 10$^{-5}$ -10$^{-6}$ by U.S.EPA.For a better risk assessment in the future, alveolar deposition of PM-10 in the study area were also discussed and an assessment was done.

• Health Policy and Management
• /
• v.31 no.4
• /
• pp.451-461
• /
• 2021

Background: Readmissions related to lack of quality care harm both patients and health insurance finances. If the factors affecting readmission are identified, the readmission can be managed by controlling those factors. This paper aims to identify factors that affect readmissions of convalescent rehabilitation patients. Methods: Health Insurance Review and Assessment Service claims data were used to identify readmissions of convalescent patients who were admitted in hospitals and long-term care hospitals nationwide in 2018. Based on prior research, the socio-demographics, clinical, medical institution, and staffing levels characteristics were included in the research model as independent variables. Readmissions for convalescent rehabilitation treatment within 30 days after discharge were analyzed using logistic regression and generalization estimation equation. Results: The average readmission rate of the study subjects was 24.4%, and the risk of readmission decreases as age, length of stay, and the number of patients per physical therapist increase. In the patient group, the risk of readmission is lower in the spinal cord injury group and the musculoskeletal system group than in the brain injury group. The risk of readmission increases as the severity of patients and the number of patients per rehabilitation medicine specialist increases. Besides, the readmission risk is higher in men than women and long-term care hospitals than hospitals. Conclusion: "Reducing the readmission rate" is consistent with the ultimate goal of the convalescent rehabilitation system. Thus, it is necessary to prepare a mechanism for policy management of readmission.

• Journal of the Korean Society of Safety
• /
• v.21 no.3 s.75
• /
• pp.107-113
• /
• 2006

Speeding is one of major causes of frequent and severe traffic accidents in school zones. In this paper, the long-term effectiveness of speed monitoring displays (SMD) on speed variability was investigated through a field study in a school zone environment. The performance difference was discussed with several dependent variables including average speed, 85th percentile speed, and distribution of speed. Study results showed that the speed of vehicles began to reduce where the driver recognized the presence of an SMD, and about 12.4 percent (5.8km/h) of average speed was reduced at the SMD location. This speed reduction was observed throughout the day regardless of time of day. Statistical tests showed that the speed difference was statistically significant. In addition, analysis results of speed distribution showed that the number of speeding vehicle was greatly reduced after the SMD was installed, and 85th percentile speed also decreased from 54.3km1h to 45.0km/h. Therefore, it was concluded that the application of SMD produced a positive impact on the driver's behavior for a long period of times.

• Journal of The Korean Society of Agricultural Engineers
• /
• v.62 no.4
• /
• pp.99-110
• /
• 2020

The objective of this study is to analyze the trend of changes in the water circulation rates under climate change by adopting the concept of WCR defined by the Ministry of Environment. With the need for sound water circulation recovery, the MOE proposed the idea of WCR as (1-direct flow/precipitation). The guideline for calculating WCR suggests the SCS method, which is only suitable for short term rainfall events. However, climate change, which affects WCR significantly, is a global phenomenon and happens gradually over a long period. Therefore, long-term trends in WCRs should also be considered when analyzing changes in WCR due to climate change. RCP (Representative Concentration Pathway) 4.5 and 8.5 scenarios were used to simulate future runoff. SWAT (Soil and Water Assessment Tool) was run under the future daily data from GCMs (General Circulation Models) after the calibration. In 2085s, monthly WCR decreased by 4.2-9.9% and 3.3-8.7% in April and October. However, the WCR in the winter increased as the precipitation during the winter decreased compared to the baseline. In the aspect of yearly WCR, the value showed a decrease in most GCMs in the mid-long future. In particular, in the case of the RCP 8.5 scenario, the WCR reduced 2-3 times rapidly than the RCP 4.5 scenario. The WCR of 2055s did not significantly differ from the 2025s, but the value declined by 0.6-2.8% at 2085s.

• Journal of Korean Society on Water Environment
• /
• v.22 no.5
• /
• pp.768-783
• /
• 2006

Biological stream environment assessment has been an essential trend of aquatic ecosystems among advanced countries, because the chemical water quality assessment has limitations that only represent temporal water environmental status. Benthic macroinvertebrates are the most popular bioindicator group useful to biological water quality assessment for a long time. In addition, a number of indices using benthic macroinvertebrates have recently been developed not only for water quality assessment but also for ecological health assessment. In this paper Korean Saprobic Index (KSI) based on Zelinka-Marvan's saprobic valency concept is developed by applying DIN 38410 in Germany. The KSI value was widely applicable to most Korean streams with the exception of sand-based large streams, for example main stream of Nakdong River. But as a result of non-linear regression analysis the correlation between KSI and $BOD_5$ concentration was high and KSI reflected water quality alteration for mid and long-term period. In spite of applicability of KSI, it should be supplemented and developed to make it strong by accumulating field data as well as to manage integrated water environment in general through continuous biomonitoring.

• Journal of Environmental Impact Assessment
• /
• v.22 no.6
• /
• pp.745-751
• /
• 2013

Environmental Specimen Banks (ESBs) have been established widely in the world since 1979 for monitoring long-term bio-accumulation of environmental pollutants. The ESBs perform the retrospective analysis of representative biological samples collected regularly and store them in cryogenic condition. In Korea, National Environmental Specimen Bank (NESB) was established in 2009. Since then, NESB had prepared the standard operating procedures (SOPs) for the seven kinds of specimens (Red Pine (Pinus densiflora), Common Carp (Cyprinus carpio), and etc.) for monitoring the effect of environmental pollution on the terrestrial ecosystem and river ecosystem. In 2012, NESB added Black-tailed Gull (Larus crassirostris)'s eggs to the list of the environmental specimen for monitoring marine environmental pollution. In this study, we sampled the eggs of the Black-tailed Gull on two islands (Baekryeongdo of the West Sea and Hongdo of the South Sea). Especially, we selected eggs which remained in the early stages of embryo development for certifying the consistent and stable monitoring for environmental pollutants in egg contents. However, it was not considered to classify an order of eggs per clutch in this study. It is known that the concentration variations of pollutants exist among eggs in one clutch. Therefore, it is needed to consider the positions of eggs in the laying sequences to meet the objective of bioaccumulation monitoring. We collected 30 eggs in each site but the amount may be insufficient to achieve storage target (over 2,000 g). Therefore, we need to consider an optimal sampling size.

• Journal of the Korean Society of Environmental Restoration Technology
• /
• v.13 no.3
• /
• pp.114-127
• /
• 2010

This study aimed at reviewing the case examples of environmental assessment of development projects within management zones, identifying problems and improvement opportunities and suggesting the direction of environmental assessment for management zones that are increasingly segmented Findings showed that first, the assessment of environment soundness in management zones must incorporate the national land environmental map and wide-area ecological axes established by the Ministry of Environment. Second, regarding development activities in management zones, rather than an issue of simply destroying natural environment in a development site itself during a development period, an issue of permanently isolating ecosystems from surrounding areas in a mid/long-term perspective and continually polluting water in mid-stream/upstream regions where sites are located must be considered. Third, in the case of development projects with vast areas, existing plant communities will be disturbed and the naturalness of vegetation will gradually decline due to foreign tree species introduced for landscape architecture. Therefore, creating buffer forests at forest boundaries and planting native tree species that are same as nearby tree species must be examined. Last but not least, when assessing the environmental soundness of management zones, it would be crucial to comprehensively review the environmental, social and locational features of management zones, including surrounding areas, and set the direction of environmental assessment accordingly.