• Health Policy and Management
• /
• v.34 no.1
• /
• pp.17-25
• /
• 2024

Background: This study aimed to assess the appropriate allocation of emergency medical beds across 17 provinces and presume the economic benefits associated with such allocation. Methods: To estimate the optimal allocation of emergency medical beds by province, data from the Statistics Korea's "cause of death statistics (2014-2021)," regional statistics on "area, population, gender, age," and "population projections" were utilized. The "number of emergency beds by city and district" provided by the Health Insurance Review and Assessment Service was also used. In estimating the economic benefits of preventing avoidable emergency deaths due to the expansion of emergency medical facilities, guidelines from the Korea Development Institute and the Korea Transport Institute were referenced to calculate the wage loss costs associated with emergency deaths and estimate the economic benefits. Results: The optimal ratio of emergency medical beds allocation by region was highest in Gyeonggi, Seoul, Gyeongnam, Gyeongbuk, and Busan, while Daejeon, Jeju, and Sejong showed lower ratios. Additionally, the prevention of avoidable deaths and economic benefits resulting from the increase in emergency medical facilities were highest in Gyeonggi, Seoul, Gyeongbuk, Gyeongnam, and Busan. However, when standardized by population, the prevention of avoidable deaths and economic benefits were analyzed to be highest in Gyeongbuk, Chungnam, Jeonnam, Gyeongnam, and Busan. Conclusion: The results of this study can serve as foundational data for future policy measures aimed at addressing the imbalance in the supply of emergency medical facilities across regions. Considering regional characteristics in the distribution of emergency medical facilities is expected to ultimately increase the efficiency of national finances and yield economic benefits.

• The Journal of Korean Society for School & Community Health Education
• /
• v.9 no.1
• /
• pp.47-61
• /
• 2008

Objectives: This study examined to explain the practical health behaviour and health-related quality of life, and their influencing factors in high school students. Methods: Total of 718 high school students from 1 school in Seoul were assessed with a self-administered questionnaire regarding general characteristics, health related characteristics, obesity index(Height and weight calculated by using the relative weight law: obesity group>20%, overweight group $10{\sim}20%$, normal weight group $-10{\sim}10%$, under weight group <-10%), health behaviour in school-aged children(eating, exercise and weight control) and health-related quality of life(PedsQLTM4.0 Generic Core Scale: physical health, emotional functioning, social functioning, school functioning). Results: Major results were as follows. 1. The rate of obesity by obesity index was 5.3% of high school students. Obesity incidence in adolescents was mainly associated with gender and parents whether obesity. 2. Perceived health status was lower in obese adolescents than in normal adolescents. 3. The rate of miss a breakfast was 37.9%, and obesity group than normal weight group were fruits, vegetables and milk intake at least, a lot of fastfood intake. During the past week, followed by intense physical activity, and overweight consumed a lot of time for TV and the Internet. Overall, under weight group and normal weight group belong to the students evaluated fatter than themselves. Weight control for weight loss, gain and maintain was grater in obesity group than in normal weight group. Weight loss showed highest scores in overweight group which appeared significant difference. 4. Obese adolescents compared with other groups, reported lower total QOL score and all QOL in domain, and especially social functioning showed significant differences. 5. Factors influencing the adolescents's QOL were found to be gender, perceived health status and exercise. Conclusions: High school girls were aware of their bad health status and likely to improve the QOL by practicing health behaviour. But obese adolescents were likely to degrade the quality of life by reducing the practice of health behaviors. So further school-based education about proper practical health behaviors and obesity prevention is necessary.

• Fire Science and Engineering
• /
• v.28 no.3
• /
• pp.55-61
• /
• 2014

This study was performed to test the combustive properties of pinus rigida specimens treated with methylpiperazinomethyl-bis-phosphonic acid $M^{n+}$ ($PIPEABPM^{n+}$)s and methylpiperazinomethyl-bis-phosphonic acid (PIPEABP). Pinus rigida Plates were painted in three times with 15 wt% $PIPEABPM^{n+}s$ and PIPEABP solutions at the room temperature respectively. After drying specimen treated with chemicals, combustive properties were examined by the cone calorimeter (ISO 5660-1). It was indicated that the specimens treated with $PIPEABPM^{n+}s$ showed the lower speed to peak mass loss rate ($MLR_{peak}$), (0.104~0.121) g/s than that of PIPEABP plate. In adition, the specimens treated with $PIPEABPM^{n+}s$ showed both the lower total smoke release rate (TSRR), (224.4~484.0) $m^2/m^2$ and $CO_{mean}$ production (0.0537~0.0628) kg/kg than those of PIPEAB plate. Especially, for the specimens treated with $PIPEABPM^{n+}$ by reducing the smoke production rate except 2nd-smoke production rate (2nd-SPR), (0.0254~0.02270) g/s treated with $PIPEABPNi^{2+}$, 2nd-SPR (0.0117~0.0146) g/s was lower than that of PIPEABP plate. Thus, It is supposed that the combustion-retardation properties were improved by the partial due to the treated $PIPEABPM^{n+}s$ in the virgin plate.

• Fire Science and Engineering
• /
• v.28 no.4
• /
• pp.57-63
• /
• 2014

This study was performed to test the combustive properties of Medium Density Fibreboard (MDF) specimens treated with piperazinomethyl-bis-phosphonic acid (PIPEABP), methylpiperazinomethyl-bis-phosphonic acid (MPIPEABP), and N,N-dimethylethylenediaminomethyl-bis-phosphonic acid (MDEDAP). MDF Plates were painted in three times with 15 wt% solution of the alkylenediaminoalkyl-bis-phosphonic acids at the room temperature, respectively. After drying specimen treated with chemicals, combustive properties were examined by the cone calorimeter (ISO 5660-1). It was indicated that the specimens treated with chemicals showed the later time to peak mass loss rate ($TMLR_{peak}$) = (340475) s than that of virgin plate by reducing the burning rate. In adition, the specimens treated with chemicals showed the higher $CO_{mean}$ production (0.0883~0.0963) kg/kg than that of virgin plate. Especially, the specimens treated with chemicals showed the higher mean smoke extinction area ($SEA_{mean}$) ($5m^2/kg{\sim}21.5m^2/kg$) than that of virgin plate. Thus, It is supposed that the combustion-retardation properties were improved by the partial due to the treated alkylenediaminoalkyl-bis-phosphonic acids in the virgin MDF Plate. However, It gave a negative effect on smoke reduction.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2009.05a
• /
• pp.260-266
• /
• 2009

Non-revenue water reduction(NRW) technologies are implemented to evaluate and manage leakages scientifically in water distribution systems under local governments. A development of quantitative leakage indicator by measuring minimum night flow, pressure control policy by installation of PRV(pressure reducing valve) and the establishment of leakage prevention schemes by residual life modeling of deteriorated water pipes are reviewed and studied. Estimation models of allowable leakage are developed by measuring and analyzing minimum night flow at residential and commercial area in Nonsan city, which is suggested from UK water industry and can improve an existing leakage indicator for the evaluation of non-revenue water. Also, pressure control method is applied and analyzed to Uti distribution area in Sacheon city in the operation aspect. As results, $466\;m^3/day$ of leakage can be reduced and it is expected that 113million won of annual cost can be saved. In the part of corrosion velocity and residual life assessment, non-linear prediction models of residual thickness are proposed by assessment of corrosion velocity based on exposure years, soil and water quality etc., since the deteriorated water pipe play a major role to increase leakage. It is expected that collection data and analyzing results can be applied effectively and positively to reduce non-revenue water by accumulating surveying data and verifying the results in the business field of water distribution systems under local governments.

• Journal of Preventive Medicine and Public Health
• /
• v.41 no.5
• /
• pp.307-314
• /
• 2008

Objectives : We conducted an epidemiologic survey to evaluate the effect of the aircraft noise exposure on the health of the residents near the military airbases in Pyeongtaek City. Methods : The evaluation of environmental noise level, questionnaire survey, and health examination were performed for 917 residents. The study population consisted of four groups: subjects who lived in the village close to the fighter airbase (high exposure), subjects who lived along the course of fighters (intermediate exposure), and subjects near a helicopter airbase, and the control group. Results : The prevalence of the aircraft noise related accident and irritable bowel syndrome in the exposure groups were higher than that of the control group. The risks of noise induced hearing loss, hypertension and diabetes mellitus were higher in the exposed groups than in the control group. The prevalence of anxiety disorder and primary insomnia were higher in the exposed groups than in the control group. Prevalence odd ratios of the risk for primary insomnia after adjusting age, sex, agricultural noise, and occupation were 4.03 [95% confidence interval (95% Cl) 1.56-10.47] for the subject near the helicopter airbase, 1.23 (95% Cl 0.40-3.76) for those intermediately exposed to fighter noise, and 4.99 (95% Cl 2.14-11.64) for those highly exposed to fighter noise. Conclusions : The results of the present study suggest that the aircraft noise may have adverse effects on hearing function, cardiovascular health and mental health. Therefore, it seems to be needed to take proper measures including the control of the aircraft noise and the management of the exposed people's health.

• Journal of Korean Society of Occupational and Environmental Hygiene
• /
• v.11 no.1
• /
• pp.85-91
• /
• 2001

Background : It goes without saying that cumulative trauma disorders is spreading to various types of occupation in many advanced countries including America, and it forms considerable rate of total occupational disorders already. and as the result of it, the seriousness of worker health problem and economic loss owing to production loss, recuperation expense, etc. are on the increasing trend through whole society. In case of Korea, the related measures as well as accurate fact-finding survey data on cumulative trauma disorders aren't prepared in detail, so it implies forward problem would be serious. Purpose : The purpose of this study is to draw the risk factor of cumulative trauma disorders in production factory, to forecast the rate of occurrence of cumulative trauma disorders on the basis of subjective symptoms, and to present forward realistic and effective prevention measures by showing the risk of cumulative trauma disorders, objecting the production factory of a domestic riding automobile assembly shop, by estimating in the aspect of human-engineering through the analysis of risk factor being a cause of cumulative trauma disorders. Methods : For this study, I investigated work type and on-duty hours, breathing time, and subjective symptoms of cumulative trauma disorders through questionnaire, objecting the workers in press. car body, coating, and outfit factory. Results : As a result of research, 81.2% of workers were in the physical burden due to present working, and the highest prevalence by part of body is an waist. The higher a rule score, The higher the number of workers complaind for working intensity, and the higher age work duration, tool used time, the higher prevalence of subjective symptoms by part of body. The number of workers complaind subjective symptom for treatment is the highest in drugstore.

• Journal of Korean Tunnelling and Underground Space Association
• /
• v.16 no.2
• /
• pp.213-224
• /
• 2014

Recently, tunnelling with TBM is getting popular for the construction of cable tunnel in urban area. Mechanized tunnelling method using shield TBM has various advantages such as minimization of ground settlement and prevention of vibration induced by blasting that should be accompanied by conventional tunnelling. In Korea, earth pressure balance (EPB) type shield TBM has been mainly used. Despite the popularity of EPB shield TBM for cable tunnel construction, study on the mechanical behavior of cable tunnel driven by shield TBM is insufficient. Especially, the effect of backfill grout injection on the behavior of cable tunnel driven by shield TBM is investigated in this study. Tunnelling with shield TBM is simulated using 3D FEM. The distance of backfill grout injection from the end of shield skin varies. Sectional forces such as axial force, shear force and bending moment are monitored. Vertical displacement at the ground surface is measured. Futhermore, the relation between volume loss and the distance of backfill grout injection from the end of skin plate is derived. Based on the stability analysis with the results obtained from the numerical analysis, the most appropriate injection distance can be obtained.

• Journal of Korea Water Resources Association
• /
• v.47 no.8
• /
• pp.717-728
• /
• 2014

In this study, we developed a depth-damage function based on flood damage survey with focusing on building damage in urban area. We designed items for the questionnaire survey to develop a depth-damage function which estimates the amount of damage based on inundation depth targeting Dongducheon, Korea, which has experienced severe inundation damage due to significant flooding in July 2011. Based on the survey of the area, we developed a depth-damage function and used this to estimate the real amount of damage on buildings in the inundation area. To assess the damage on buildings, we categorized buildings into two groups; namely residential buildings and commercial buildings. Also, in order to calculate the real amount of damage caused by flooding, properties and detailed damaged items were sub-divided into two groups for the survey; facilities loss (wall paper, floor paper, painting, electrical facilities, and boilers) and furnishing loss (furniture, electronic products, and daily necessities. We expect this study on the process for developing depth-damage function and on the investigation research for flooded area to help in the efficient implementation of all kinds of disaster management policies and the attainment of a society safe from disaster.

• International Journal of Oral Biology
• /
• v.44 no.4
• /
• pp.173-181
• /
• 2019

The CC chemokine receptor 5 (CCR5) is a G protein-coupled receptor that regulates chemotaxis and effector functions of immune cells. It also serves as the major co-receptor for the entry of human immunodeficiency virus (HIV). Recently, CCR5 inhibitors have been developed and used for the treatment or prevention of HIV infections. Additionally, it has been identified that CCR5 controls bone homeostasis by regulating osteoclastogenesis and the communication between osteoblasts and osteoclasts. However, the effects of CCR5 inhibition on bone tissue in elderly patients are unknown. This study aimed to examine the bone phenotype of aged CCR5 knockout (KO) mice. Femoral and tibial bones were isolated from 12-month and 18-month old wild-type (WT) and CCR5 KO mice, and microcomputed tomography and histology analyses were performed. Twelve-month-old CCR5 KO mice exhibited a decreased trabecular bone mass and cortical bone thickness in both femoral and tibial bones compared with age-matched WT mice. Eighteen-month-old mice also showed a decreased trabecular bone mass in femurs compared with control WT mice, but not in tibial bones. Unlike in 12-month-old mice, the cortical margin of femurs and tibias in 18-month-old mice were rough, likely because they were aggravated by the deficiency of CCR5. Overall, our data suggest that the deficiency of CCR5 with aging can cause severe bone loss. When CCR5 inhibitors or CCR5 inactivating technologies are used in elderly patients, a preventive strategy for bone loss should be considered.