• Journal of Preventive Medicine and Public Health
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• 제45권2호
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• pp.98-104
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• 2012

Objectives: A positive association between serum albumin levels and metabolic syndrome has been reported in observation studies, but it has not been established in the Korean population. The purpose of this study was to evaluate the association between serum albumin levels and the presence of metabolic syndrome among a sample of apparently healthy Korean adults. Methods: This cross-sectional study analyzed data of 3189 community-dwelling people (1189 men and 2000 women) who were aged 40 to 87 years and were living in a rural area in Korea. Serum albumin levels were classified into quartile groups for each sex. Metabolic syndrome was defined according to the National Cholesterol Education Program Adult Treatment Panel III guidelines with an adjusted waist circumference cut-off value ${\geq}90\;cm$ for men and${\geq}85\;cm$ for women). An independent association between serum albumin levels and metabolic syndrome was assessed by multiple logistic regression analysis. Results: Higher serum albumin levels were associated with increased prevalence of metabolic syndrome. The odds ratio (95% confidence interval) of the prevalence of metabolic syndrome for the highest versus the lowest serum albumin quartiles was 2.81 (1.91 to 4.14) in men and 1.96 (1.52 to 2.52) in women, after adjusting for age, smoking status, alcohol consumption, and physical activity. When each metabolic abnormality was analyzed separately, higher serum albumin levels were significantly associated with hypertriglyceridemia and hyperglycemia in both sexes, and with abdominal obesity in men. Conclusions: These results suggest that higher serum albumin levels are positively associated with an increased risk of metabolic syndrome in Korean adults.

• Journal of Preventive Medicine and Public Health
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• 제46권2호
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• pp.74-81
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• 2013

Objectives: The objective of this study was to evaluate the performance of risk-adjusted mortality models for colorectal cancer surgery. Methods: We investigated patients (n=652) who had undergone colorectal cancer surgery (colectomy, colectomy of the rectum and sigmoid colon, total colectomy, total proctectomy) at five teaching hospitals during 2008. Mortality was defined as 30-day or in-hospital surgical mortality. Risk-adjusted mortality models were constructed using claims data (basic model) with the addition of TNM staging (TNM model), physiological data (physiological model), surgical data (surgical model), or all clinical data (composite model). Multiple logistic regression analysis was performed to develop the risk-adjustment models. To compare the performance of the models, both c-statistics using Hanley-McNeil pair-wise testing and the ratio of the observed to the expected mortality within quartiles of mortality risk were evaluated to assess the abilities of discrimination and calibration. Results: The physiological model (c=0.92), surgical model (c=0.92), and composite model (c=0.93) displayed a similar improvement in discrimination, whereas the TNM model (c=0.87) displayed little improvement over the basic model (c=0.86). The discriminatory power of the models did not differ by the Hanley-McNeil test (p>0.05). Within each quartile of mortality, the composite and surgical models displayed an expected mortality ratio close to 1. Conclusions: The addition of clinical data to claims data efficiently enhances the performance of the risk-adjusted postoperative mortality models in colorectal cancer surgery. We recommended that the performance of models should be evaluated through both discrimination and calibration.

• 응용통계연구
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• 제28권3호
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• pp.477-483
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• 2015

본 연구에서는 계속조사에서 과거의 조사결과에서 얻은 추정값의 상대표준오차를 이용한 표본크기 결정 문제에 대하여 실제 사업체 조사자료를 활용하여 살펴보았다. 통계청 사업체 조사결과 중 건설업을 모집단으로 이용하여 표본크기를 500에서 3,000까지 500씩 증가시켜가면서 표본을 1,000개씩 단순임의추출 또는 층화추출하여 추출된 각 표본으로부터 상대표준오차들의 사분위수를 계산하였다. 그리고 이들 값들을 토대로 계속조사에서 시점 (t-1)에서의 상대표준오차를 이용한 시점 t에서의 표본크기를 추출법에 따라 구하였다. 그 결과 단순임의추출의 경우는 층화추출의 경우보다 시점 (t-1)에서의 상대표준오차들의 크기에 따라 표본크기가 매우 크게 차이가 나타남을 알 수 있었으며, 층화추출의 경우도 어떻게 층화를 하느냐에 따라 표본크기에 차이가 있을 수 있음을 알 수 있었다. 따라서 계속 조사에서 과거의 조사결과에서 얻은 추정값의 상대표준오차를 이용한 표본크기 식을 활용하는데 있어서 세심한 주의가 필요함을 확인할 수 있었다.

• 상하수도학회지
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• 제22권1호
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• pp.39-48
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• 2008

This study was carried out to investigate the characteristics of the pollutant discharge from non-point source and to estimate the unit loads of the pollutant discharge from the upper watershed of Seomjin Dam during rainy season. The upper watershed of Seomjin Dam is located in the middle of Jeonbuk province is formed two tributaries mainly. A sub-branch stream of those tributaries is Imsil stream of which flow rate is about 13% of the main stream of Seomjin reservoir normally. On the basis of measurement result in this study, the water quality of Imsil stream was fluctuated highly and the quantity of measured pollutant discharge was higher than the value calculated with the proportion of flow rate during dry season. On the contrary, during rainy season the mean values of flow rate and water quality were higher than the quartile according to the statistical analysis. That means rainfall can influence strongly on the water quality of the upper watershed of Seomjin reservoir. Among the several criteria of water quality, SS discharge was most sensitive to the flow rate variation of stream, which was fluctuated in proportion of rainfall, basically. It was evaluated the event mean concentration (EMC) of non-point source pollutants depending on rainfall events as well. Though the pollutant discharge unit of Imsil stream was lower than the main stream of Seomjin reservoir, the EMC value of Imsil stream was higher than the main stream of Seomjin reservoir.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2005년도 학술발표회 논문집
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• pp.937-942
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• 2005

It is necessary to estimate the runoff hydrograph and peak flood discharge using law of probability for synthetic flood control policy and design of hydraulic structures. Rainfall analysis is needed in the process of peak flood discharge estimation and the time distribution of a design rainfall is a very important process in the analysis. In this study, we estimate design flood for a small urban basin and a rural basin of medium scale which have different travel times. The Huff method is widely used in Korea for the time distribution of design rainfall to estimate design flood. So, we use Huff method and a conceptual method which is suggested in this study for the comparative purpose. The 100-year frequency rainfall is used to estimate design flood for each basin and the design flood is compared with the existing design flood. As the result, the design flood is overestimated $14.6m^3/sec$ by Huff method and is underestimated $70.9m^3/sec$ by a conceptual method for the rural basin. For the small urban basin, the design flood is excessively overestimated $294.65m^3/sec$ by Huff method and is overestimated $173m^3/sec$ by a conceptual method. The reason of excessive overestimation by Huff method in the small urban basin is that the increased rate of rainfall intensity according to the decrease of duration is large and the duration exceeds the time of concentration when the increased rainfall intensity is concentrated in a quartile. Therefore, we suggested a conceptual method for the time distribution of design rainfall by considering the rainless period and duration. Especially, the conceptual method might be useful for the small urban basin with short concentration time which the design flood is overestimated by Huff method.

• Nutrition Research and Practice
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• 제4권2호
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• pp.142-148
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• 2010

The food frequency questionnaire (FFQ) has been used as an important dietary assessment tool in epidemiologic studies, but the usefulness of the FFQ has been debated in recent years. This study was performed to evaluate the relative validities of 3-day food records and the semi-quantitative FFQ. A total of 124 subjects finished 3-day food records (FRs) during each of the four seasons, as well as the FFQ from December 2002 to May 2004. The FFQ was a food based semi-quantitative FFQ including 103 items. Three-day FRs from each season and a randomly selected season were compared with the remaining 9-day FRs. The remaining 9-day FRs, as a reference measurement, were also compared with the FFQ. Pearson's correlation coefficients between the 3-day FRs and the 9-day FRs were between 0.14 and 0.56. Pearson's correlation coefficients between the FFQ and the 9-day FRs ranged between 0.07 and 0.41. Average proportions of classification into the same quartiles, adjacent quartiles, and distant quartiles between the 3-day FRs and the 9-day FRs were 35.8%, 40.5%, and 5.2%, respectively. On average, the proportions of classification into the same quartiles, adjacent quartiles, and distant quartiles between the FFQ and the 9-day FRs were 31.1%, 39.4%, and 6.9%, respectively. Three-day FRs showed higher correlations and higher agreement proportions of quartile classification with the 9-day FRs than did the FFQ, but both relative validities of 3-day FRs and the FFQ appear to be acceptable as dietary assessment tools. Further studies for validating food intake by reliable biomarkers are necessary.

• 대한지역사회영양학회지
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• 제16권2호
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• pp.215-226
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• 2011

The purpose of this study was to assess calcium and sodium intakes and urinary excretion of adults in Busan and to evaluate the relationship between urinary calcium excretion (UCa) and the status of anthropometric, blood pressure, urine analysis, and nutrient intake of subjects. Nutrient intake by 24 hr recall, 24 hr urinary calcium and sodium excretion (UNa) were measured with 87 adults aged 20-59 yrs (42 men and 45 women). The mean calcium intake was 88.0% for men and 103.0% for women of Recommended Intake. The mean sodium intake was 283.4% for men and 250.5% for women of Adequate Intake (AI). The mean 24hr UCa was 127.4 mg in men and 107.3 mg in women. The mean 24 hr UNa was 3650.6mg in men and 3276.4mg in women. The intake and urinary excretion of calcium and sodium were not significantly different by gender. UCa showed significantly positive correlations with sodium intake and UNa in men (p < 0.001, p < 0.05) and women (p < 0.001, p < 0.001) and with age, systolic blood pressure (SBP) and sodium density in women (p < 0.05, p < 0.05, p<0.01). The UCa/creatinine showed significantly positive correlations with age, sodium intake, sodium density, and UNa in women (p < 0.05, p < 0.01, p < 0.01, p < 0.01). When UCa was stratified into quartile (Q1-Q4), age, SBP, UCa, UNa, sodium intake, and AI percentage of sodium (p < 0.01, p < 0.05, p < 0.001, p < 0.001, p < 0.001, p < 0.001) were significantly higher in Q4. The mean intake and AI percentage of sodium in Q4 were 4768.8mg and 329.0. Based on the results, UCa was related to age, SBP, UNa, and sodium intake. Therefore, nutritional education of decreasing sodium intake for decreasing UCa is needed.

• Journal of Preventive Medicine and Public Health
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• 제41권5호
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• pp.300-306
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• 2008

Objectives : This study was performed to compare the standardized mortality ratios among different small areas and to explore the usefulness of standardized mortality ratios in South Korea. Methods : To calculate the standardized mortality ratio (SMR), we obtained the national deaths certificate data (2004-2006) and national registration population data (2003-2006), and these were provided by the National Statistical Office. The small areas (Eup.Myoun.Dong) were based on the subdivisions of counties. Among the 3,580 small areas classified by the National Statistical Office, 3,571 areas were included in this study. The basic statistics and decile distributions of the SMRs for all the regional levels were calculated, and the small area maps were also produced for some selected regions. To evaluate the precision of SMR, we calculated the 95% confidence intervals of the SMR in selected small areas. Results : The mean and the standard deviation of the SMRs among all small areas were 100.8 and 17.0, respectively. The range was 30.6-211.7 and the inter-quartile range was 20.7. Seoul metropolitan city displayed the lowest mean SMR among 16 regions in South Korea, and 34.6 percent of the small area SMRs belonged to the first decile(the lowest group). On the contrary, the mean SMR of Gyeongsangnam province was highest, and 26.1 percent of the small area SMRs belonged to the tenth decile(the highest group). In some areas, the precision of the SMR, which was calculated by the 95% confidence intervals, remained questionable, yet it was quite stable for almost areas. Conclusions : The standardized mortality ratios can be useful for allocating health resources at the small area level in Korea.

• 대한원격탐사학회지
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• 제29권6호
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• pp.595-600
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• 2013

In order to spatially interpolate the near-surface temperature (Ta) values, satellite and reanalysis methods were used from previous studies. Accuracy of reanalysis Ta was generally better than that of satellite-based Ta, but spatial resolution of reanalysis Ta was large to use at local scale studies. Our purpose is to evaluate accuracy of reanalysis Ta and satellite-based Ta according to elevation from April 2011 to March 2012 in Northeast Asia that includes various topographic features. In this study, we used reanalysis data that is ERA-Interim produced by European Centre for Medium-Range Weather Forecasts (ECMWF), and estimated satellite-based Ta using Digital Elevation Meter (DEM), Normalized Difference Vegetation Index (NDVI), difference between brightness temperature of $11{\mu}m$ and $12{\mu}m$, and Land Surface Temperature (LST) data. The DEM data was used as auxiliary data, and observed Ta at 470 meteorological stations was used in order to evaluate accuracy. We confirmed that the accuracy of satellite-based Ta was less accurate than that of ERA-Interim Ta for total data. Results of analyzing according to elevation that was divided nine cases, ERA-Interim Ta showed higher accurate than satellite-based Ta at the low elevation (less than 500 m). However, satellite-based Ta was more accurate than ERA-Interim Ta at the higher elevation from 500 to 3500 m. Also, the width of the upper and lower quartile appeared largely from 2500 to 3500 m. It is clear from these results that ERA-Interim Ta do not consider elevation because of large spatial resolution. Therefore, satellite-based Ta was more effective than ERA-Interim Ta in the regions that is range from 500 m to 3500 m, and satellite-based Ta was recommended at a region of above 2500 m.

• 대한지역사회영양학회지
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• 제5권1호
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• pp.3-12
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• 2000

The nutritional and health status of low-income alone-living elderly(ALE) was assessed in relation to the activity of daily living (ADL) and nutritional risk factors. One hundred and eighty five ALE over 65 years old, living in the Sungnam area, were interviewed in their homes through questionnaires. The results were as follows : 63.6% of the subjects considered themselves in poor the health and only 4.3% of them considered thermselves healthy. 89.7% of the subjects answered that they were suffering from illness and 29.7% were taking medication. The ADL was assessed through 10 checklist items and the average score of the ADL was $84.78{\pm}11.11$(maximum :100) The nutritional risk index(NRI) was evaluated by 12 risk factors and the average score of the NRI was $4.43{\pm}1.38$ (maximumː12) The scores of the ADL were positively correlated with the scored of the instrumental activities of daily living (IADL)(r=0.7523, p<0.001) and negatively correlated with NRI(r= -0.2694, p<0.001) When subjects were divided into nutritionally high risk group(HNARI: TEX>$NRI{\geq}5$) and nutritionally low risk group(LNRI : NRI<5) according to the USA screening basis, 48.9% of the subjects belonged to the HNRI, But 16.9% of the HNRI and 34.4% of the LNRI belonged to the fourth quartile($Q_{0.75}$) of the ADL, the distribution of which showed significant differences(p<0.05) We suggest that the application of the ADL as a screening tool for nutrition intervention programs for the elderly. Oncemore, further research is needed to develop appropriate checklist items for the ADL and NRI along with the screening basis for the NRI 새 diagnose the adverse nutritional status of the Korean elderly.