• Proceedings of the Korean Environmental Health Society Conference
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• 2005.12a
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• pp.87-94
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• 2005

Results from previous studies revealed that metal level in the body is related to certain types of diseases. For example. serum copper level with chronic heart failure, iron and transferrin in the blood serum with acute cerebral vascular diseases, Zn in the CNS, lead with neurotoxicity, hypertension, genetic damage, arsenic with cancer skin lesion, Al with neurobehavioral function (cognitive impairment and memory disorder), and etc. The rate of stroke has increased in recent years and several metals were found to be responsible for causing stroke. This study compared several blood metal concentrations between stroke and non-stroke patients. Patients with stroke (116 samples) and non-stroke (111 samples including lowback pain and others) participated in this study. Total of 227 blood samples were collected and participants completed questionnaires regarding age, gender, occupation, residence, alcohol, smoking, and etc. To be qualified into the stroke group, patients have never experienced stroke previously. Subjects only included ischemic stroke and intracerebral hemorrhage patients diagnosed by brain CT and brain MRI. Patients with high risk of metal exposure such as herbal intake and job related exposure were excluded. 10ml of blood samples were analyzed by ICP-MS method at the Center of Nature and Science at Sangji University. Metal geometric mean (SD) concentrations in blood of study subjects showed higher values, 2.64-36.12%, than WHO reference values in Mn, Ni, Hg, Se, and As. Metal concentration in blood of stroke patients non-adjusted for potential confounders was higher except for Hg and also higher except for Ni in adjusted for potential confounders. Co was significantly higher in stroke patients (p=0.002) than non-stroke patients adjusted for potential confounders. Regression coefficient values of stroke patients was 0.17-8.25 in each metals. Odd ratio of stroke patients had 0.96 (Ni)-2.68 (Co) compared to non-stroke cases. This result means that Co increase of 1 raises the risk ratio of stroke by 2.86 times. Based on the results, metal concentration in blood seems to affect incidence of stroke.

• Journal of Navigation and Port Research
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• v.44 no.4
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• pp.312-318
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• 2020

The purpose of this study was to activate marina development by empirically analyzing the development determinants of the marina, to provide the basic date for the effective implementation of 'the 2nd Marina Port Basic Plan' and marina industrial development. To accomplish the study goal, the survey was conducted with 356 locals residing in five marina development regions of three districts. The factors relative to the marina development included general characteristics such as age, income level, interest group, residential area, and the reasons of conflicts such as collectivism, exclusion from the development process, and the environmental problems. The marina development pros and cons (approval or opposition) and marina development conflict types (profit or value conflict) were used as the dependent variables. The following results were obtained by using the SPSS 25.0 statistical program to perform the technical statistics, factor analysis, reliability analysis, and logistic regression analysis. First, as a result of analyzing the marina development pros and cons, age, income level, interest group, residential area, and residence period among demographic characteristics were significant. Second, the factors of collectivism and exclusion of development process among the causes of conflict were significant. Third, age, income level, and residential area among demographic characteristics were significant factors.

• Journal of Preventive Medicine and Public Health
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• v.21 no.2 s.24
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• pp.431-441
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• 1988

The purpose of this study was to compare the difference of two survey methods for health services research. Data were collected by means of two types of household survey conducted from March 11 to September 19, 1985. A probability sample of 30,613 persons was taken from 180 Enumerated Districts designated by the Economic Planning Board. The sample was divided into two groups systematically. One group was surveyed by the self-administered questionnaire and the other group was interviewed. Response rates were 81.4% and 90.6% respectively. The data were analysed by the ratio of the results of the self-administered survey to those of the interview survey. No difference was observed in sex, age, residence, or occupation between the two groups. However the respondents' characteristics were statistically different between the two groups. The major findings of this study are as follows : 1. The morbidity rate was 142.5 per 1,000 persons during the two week period by the self-administered questionnaire survey and 74.3 per 1,000 persons with the interview survey method. The ratio of the morbidity rate by the self-administered questionnaire to that by the interview was 1.92, and the difference between the two rates were due to the personal characteristics. 2. The out-patient utilization rate was 10.2 visits per person per year by the self-administered questionnaire survey and 5.4 by the interview survey, and the ratio was 1.89; the admission rate was 3.2 times per 100 persons per year by the self-administered questionnaire survey and 1.9 times by the interview survey, and the ratio was 1.68. Differences due to the sociodemographic characteristics were greater in the out-patient utilization rates than in the adimssion rates. 3. Percentages of effective medical care demand were 90.2% in the self-administered survey and 92.3% in the interview survey; the ratio was 0.98 which was less than that of the morbidity rate and medical care utilization. But, differences of effective medical care demand occurred in persons with no occupation, and aged or low educated respondents. 4. Respiratory illness had the highest frequency in the two survey methods. But there was a slight difference between the two survey methods in morbidity composition. 5. It was concluded that data collected by the interview survey were inclined to be underestimated and this problem can be corrected by a modified self-administered survey.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.10
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• pp.4339-4345
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• 2015

Occupational exposure to wood dust is one cause of nasopharyngeal cancer (NPC); however, assessing this exposure remains problematic. Therefore, the objective of this study was to develop a semi-quantitative exposure assessment method and then utilize it to evaluate the association between occupational exposure to wood dust and the development of NPC. In addition, variations in risk by histology were examined. A case-control study was conducted with 327 newly diagnosed cases of NPC at the National Cancer Institute and regional cancer centers in Thailand with 1:1 controls matched for age, gender and geographical residence. Occupational information was obtained through personal interviews. The potential probability, frequency and intensity of exposure to wood dust were assessed on a job-by-job basis by experienced experts. Analysis was performed by conditional logistic regression and presented in odds ratio (ORs) estimates and 95% confidence intervals (CI). Overall, a non significant relationship between occupational wood dust exposure and NPC risk for all subjects was observed (ORs=1.61, 95%CI 0.99-2.59); however, the risk became significant when analyses focused on types 2 and 3 of NPC (ORs=1.62, 95%CI 1.03-2.74). The significant association was stronger for those exposed to wood dust for > 10 year (ORs=2.26, 95%CI 1.10-4.63), for those with first-time exposure at age > 25 year (ORs=2.07, 95%CI 1.08-3.94), and for those who had a high cumulative exposure (ORs=2.17, 95%CI 1.03-4.58) when compared with those considered unexposed. In conclusion, wood dust is likely to be associated with an increased risk of type 2 or 3 NPC in the Thai population. The results of this study show that semi-quantitative exposure assessment is suitable for occupational exposure assessment in a case control study and complements the information from self-reporting.

• The Journal of the Korea Contents Association
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• v.16 no.3
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• pp.22-32
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• 2016

As the number of aged population rapidly goes up, the cases of stroke and the related medical expenses continuously increase. The purpose of this study is to investigate the mortality of stroke patients based on CCI(Charlson Comorbidity Index) by utilizing the Korea National Hospital Discharge Injury Survey, analyzing the factors associated with the mortality of stroke patients. We analyzed 21,494 cases which are classified as the death of strokes aged over 20 years by using the Korea National Hospital Discharge Injury Survey between the year 2005 and 2010. In order to find out the mortality based on CCI and status of comorbidity, we used the technical statistics. We performed a logistic regression analysis to examine the reasons for the mortality of the strokes. We found that the independent variables for the influence of the mortality of strokes include age, type of insurance, residence urban size, size of hospital beds, the location of hospital, admission route, physical therapy, brain surgery, type of stroke, and CCI. This indicates that the effective monitoring on the age, types of stroke, comorbidity is needed. In addition to this, more medical support toward medicaid patients are needed, too. We believe that these results will be used positively for the evaluation of the stroke patients, providing the basic materials for the further research on the establishment of the health-related policy.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.2
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• pp.5-18
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• 1995

While the socioeonomic status of Koreas has been dramatically increasing in recent years, chronic and geriatric diseases have also been on the rise, bringing about many changes in our health care system. The basic goals of the home health care are to reduce health care costs, to increase the attrition rate in general hospitals, and to care for patients effectively and conveniontly at home. The purpose of this paper is to review and examine the current status of the home health care in Korea throughout the reports, surveys, other informations and education system of home health nurse. We identified the various types of home health care services programs, such as hospital-based home health care operated in public sector(demonstration project) and community-based home health care in health centers or in private sector, that is, Korean Nurse Association. Hospital based home heatlh care model was established as an alternative to traditional in-patiet services. Quality assurance and client satisfaction is an important measure of care received and establishment of payment and reimbursement for home health care services is important in promotng the home health care. We found out a fee-per-visit system composed of three kinds of fees : a basic service fee(16,000 Won), a travel fee(5,000 Won), and per-service fees (variables). Like fees paid for in-patient care, insureds pay 20% and insurers pay 80% of the basic and per-service fee. The travel fee is borne totally by the insured. Home health care continues to be viewed as not only the most preferred way to provide care to clients, but also the most cost effective. Home health care is that component of a continuum of comprehensive health care whereby health services are provided to individuals and families in their places of residence for the purpose of promoting, maintaining, or restoring health, or of maximizing the level of independence, while minimizing illness. Services appropriate to the needs of the individual patient and family should be planned and provided, nursing is to be a force for positive change and enhanced the nursing professionalism. Whatever type of involvement of home health care, it is essential to remember that home health care is highly service-oriented and highly touch health car deilvery system.

• Journal of the Korea institute for structural maintenance and inspection
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• v.20 no.4
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• pp.120-127
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• 2016

Due to the enlargement and high-rise of reinforced concrete structure, the application of high functional material is required. However, high-strength bar is recently introduced to the country and the material is insufficient to measure the variation of quantity of rebar quantitatively when using high-strength bar. For these reasons, this study is to provide useful data in cost decision making when applying high-strength bar at a stage of architectural project planning. For residence-commerce complex buildings, we set up six types of conditions such as in case of using only rebar, in case of using only high-strength bar, in case of using rebar mixed with high-strength bar and so on. With the standard of study model 1 that applies only SD400 regardless of rebar diameter, the analyzed result of rebar variation and the cost change of construction in other study model is as follows. When the rebar amount and cost in study model I was 100%, each ratio was 88.3% and 90.5% in study model II, 80.2% and 83.4% in study model III, 91.9% and 93.5% in study model IV, 88.9% and 87.7% in study model V and 82.4% and 85.5% in study model VI. Therefore, in case of rebar amount and construction cost, study model III was evaluated as the best that was applied only SD600.

• Korean Journal of Social Welfare Studies
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• v.45 no.2
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• pp.99-122
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• 2014

The purpose of this study is to examine how providing care to grandchildren and the continuity of care affects the grandparents' perception on old-age support. Specifically, in this study, providing care is divided into three continuous types: did not provide care, provided care at one point in time and provided care at two points in time. This is done to investigate how the duration of providing care influences the perception on old-age support. The results show that grandparents providing care to their grandchildren prefer to reside with their own children in the future more often than those who do not provide care to their grandchildren. Furthermore, grandparents providing care to their grandchildren during two-time points and grandparents providing care during one-time point prefer to reside with their adult children in the future more than grandparents providing care not once during two-time points. Interestingly, grandparents who provide care to grandchildren during two-time points prefer to reside with their children in the future more frequently than grandparents providing care during just one-time point. These results suggest it is likely that grandparents recognize providing care to their grandchildren as an insurance in care and support for themselves in the future. Additionally, these results suggest that the family plays an efficient and flexible role to meet needs of family members through a reciprocal relationship in Korean society where the public sector is weak. These findings have suggested theoretical implications.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.18 no.2
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• pp.44-57
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• 2019

It is crucial to understand how people make decisions on mode choice and to accurately predict their behaviors in transportation planning. One of avenues for advancing modeling is, in particular, taking into account for taste heterogeneity in modeling that can incorporate different decision-making processes across group. In this study, we hypothesize that how people make decisions on mode choice would differ by destination in that land use characteristics are heterogeneous by zone even if zones are all in the same area. To this end, we apply Latent Class Modeling (LCM) to commute trips in Seoul by using 2010 household travel diary survey, investigate types of latent classes with the aid of characteristics of destination, and analyze how those classes differently response to factors. The LCM identifies two classes: in the first one, modal split of auto and public transit (bus and metro) is almost half-and-half and the trip destinations are characterized by relatively more residence facilities and less business/commercial facilities; in the second one, public transit has a notably high share and trip destinations are characterized by relatively more business/commercial facilities. In addition, it turns out that demographic and socio-economic variables affect mode choice differently by class.

• Journal of Wetlands Research
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• v.23 no.2
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• pp.189-200
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• 2021

To improve the water quality of agricultural reservoirs, constructed wetlands are applied in many places. These are technologies that establish ecosystems and important design factors include water depth distribution, inflow and outflow, water flow distribution, hydraulic residence time, water quality treatment efficiency, aspect ratio, and the distribution of open water and covered water surfaces. For high efficiency during the operation of a constructed wetland, the design needs to be optimized and this requires consideration of the different types and length of the intake dam as well as the type and connection of wetland cells. Therefore, this study was conducted to investigate and suggest factors that needs to be considered during the design and for efficient operation measures through field surveys of 23 constructed wetlands that have been established and operated in agricultural reservoirs. Results of the field investigation shows that several sites were being operated improperly due to the malfunctioning or failure of the water level sensors, sedimentation in the intake dam, and clogging of the mechanical sluice frames. In addition, it was found that as the length of the inlet channel increases, the ecological disconnection between the intake dam upstream and the wetland outlet downstream also increases and was identified as a problem. Most of the wetlands are composed of 2 to 5 cells which can result to poor hydraulic efficiency and difficulty in management if they are too large. Moreover, it was found that the flow through a small wetland can be inadequate when there are too many cells due to excessive amounts of headloss.