• Health Policy and Management
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• v.29 no.4
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• pp.482-495
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• 2019

Background: An important function of the regional public hospital is to satisfy the basic medical needs of the community through the stable provision of high-quality medical services. The purpose of this study was to identify the relevance index (RI) of the regional public hospital and to identify the factors that affect the RI. Methods: Data were obtained from the 2017 regional public hospital operation evaluation report and 2017 medical monitoring report for vulnerable area. RI of the regional public hospital was a dependent variable, and multiple regression analysis was performed with observed variables of medical supply-demand condition, medical supply, and medical supply structure. Direct effects and indirect effects were confirmed by the analysis of structural equation models (SEM) to see if there were mediating effects. Results: The RI was 13.1%, and the average of all percentage refined diagnosis-related group (RDRG) was 29.4%. Factors affecting RI were medical supply-demand conditions, medical supply, and medical supply structure. As a result of multiple regression analysis, RI was higher when high percentage RDRG of the regional public hospital (t=4.117, p<0.05), the size of regional public hospital location (t=-2.554, p<0.05), and the population of regional public hospital location (t =-2.415, p<0.05) were smaller. The results of the SEM analysis show that the higher the medical supply-demand conditions, the more direct effect of decreasing the RI and the indirect effect of decreasing the effect of reduction through the medical supply (direct effect=-1.322, total effect=-0.573, p<0.01). The higher the medical supply structure, the more direct effect on the RI (direct effect=1.047, p<0.05) and the higher the medical supply, the more indirect effect of RI through the medical supply structure (total effect=direct effect=0.619, p<0.05). Conclusion: It has been confirmed that the provision of medical services can affect the RI the regional public hospital which should be considered in carrying out future policies.

• Proceedings of the KAIS Fall Conference
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• 2010.05b
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• pp.859-862
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• 2010

본 연구는 대전광역시의 응급의료서비스 취약지를 도출하고 취약지역의 보건학적 특성 및 응급의료서비스 취약여부와의 관련성을 분석하여 응급의료 관련 정책의 의사결정에 유용한 기초자료로 제공하기 위한 연구이다. 응급의료서비스 취약지 도출은 Arc GIS의 공간분석 방법 중 가중분석(Cost Weighted distance) 방법으로 응급의료센터로부터의 접근성 분석을 하였으며, 응급의료서비스 취약지의 보건학적 특성 및 응급의료서비스 취약여부와의 관련성은 SPSS 17.0을 이용하여 비모수 t-검정 및 다중회귀분석을 시행하였다. 본 연구의 주요 결과는 다음과 같다. 연구지역의 응급의료기관 분포는 동구와 유성구, 대덕구는 지정된 응급의료센터가 없으나 서구와 중구는 응급의료센터가 2개소 이상 위치하고 있어 응급의료기관 분포가 편중되어 있으며, GIS를 활용하여 응급의료센터와의 접근성 분석을 수행한 결과, 대전광역시 자치구별 전체 면적 대비 응급의료서비스 취약지의 비율이 높은 자치구는 동구가 41.2%로 가장 높았다. GIS를 활용하여 행정동별 응급의료서비스 취약지를 분석한 결과, 대덕구 신탄진동, 동구 대청동과 산내동, 유성구 구즉동과 노은2동, 서구 기성동, 중구 산성동으로 나타났으며, 응급의료서비스 취약지 중 기성동, 대청동이 노인 인구밀도가 높게 나타났다. 응급의료서비스 취약여부에 따른 보건학적 특성별 차이를 분석한 결과, 국민기초생활수급권자, 장애인등록자, 농업인구 비율의 평균은 취약지가 비취약지에 비해 높았으며 통계적으로 유의한 차이를 보였다(p<0.01). 응급의료서비스 취약여부를 종속변수로 하고 지역별 보건학적 특성을 독립변수로 하여 로지스틱 회귀분석을 시행한 결과, 농업인구 비율과 국민기초생활수급권자 비율이 높았으며 이는 통계적으로 유의하여 응급의료서비스 취약여부를 설명할 수 있는 변수인 것으로 나타났다(p<0.01, p<0.05). 이상의 결과를 종합하면 대전광역시 5개 자치구의 행정동 중 응급의료서비스 접근 불평등지역이 도출되었고 이러한 지역은 보건학적 특성 중 농업인구 비율과 국민기초생활수급권자의 비율이 높았으며 이는 통계적으로 유의하여 응급의료서비스 취약여부와 관련성이 있는 것으로 나타났다. 향후 효율적인 응급의료 자원 분배를 위해서는 GIS를 활용한 의사결정이 필요하며, 응급의료서비스 이용의 형평성을 증진시키기 위해서 응급의료서비스의 사각지대에 놓여있는 지역의 보건학적 특성을 고려한 정책이 시행되어야 할 것으로 사료된다.

• Economic and Environmental Geology
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• v.23 no.4
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• pp.425-452
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• 1990

A tentative hydrogeologic and hydrodispersive study was carried out to evaluate the groundwater pollution potential at a selected site by utilizing empirical assessment methodologies in an advanced stage of quantitative computer aided assessment. The upper most aquifer is defind as saturated overburden and weathered zone including the upper part of highly fractured rock. Representative hydraulic conductivity and storativity of the uppermost aquifer are estimated at 2.88 E-6 m/s and 0.09, respectively. Also calculated Darcian and average linear velocity of groundwater along the major pathway are 0.011 m/d and 0.12 m/d with average hydraulic gradient of 4.6% in the site. The results of empirical assessment methodologies indicate that 1) DRASTIC depicts that the site is situated on non-sensitive and non-vulnerable area. 2) Legrand numerical rating system shows that the probability of contamination and degree of acceptability are classed to "Maybe-Improbable, and Probable Acceptable and Marginally Unacceptable" with situation grade of "B". 3)Waste soil-site interaction matrix assessment categorizes that the study site is located on "Class-8 Site".

• Economic and Environmental Geology
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• v.46 no.2
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• pp.105-121
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• 2013

This study introduces integrated approach on detection of a leakage in a sea wall based on remote sensing, electric resistivity survey, electromagnetic survey, and borehole survey for the Seosan A-Region sea wall. The satellite temperature distribution from Landsat ETM+ data identifies water leakage distribution and period by analyzing temperature mixing patterns between sea water and fresh water. Electric resistivity survey provides both horizontal and vertical anomaly distributions over the sea wall showing below average electric resistivity. Electromagnetic survey(electrical conductivity survey) reveals the potential possible leakage areas with minimal background impact by comparing electrical conductivity values between high and low tides. Borehole image processing system confirmed the locations of anomalies identified from the other survey methods and distributions of vertical fracture zones. The integrated approach identified 41.7% of the sea wall being the most probable area vulnerable to water leakage and effectively approximated both horizontal and vertical distribution of water leakage. The integrated analysis of remote sensing, electric resistivity survey, electromagnetic survey and borehole survey is considered to be an optimal method in identifying water leakage distribution, period, and extent of fractures knowledged from the boreholes.

• The Journal of Korean Academic Society of Nursing Education
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• v.8 no.1
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• pp.120-130
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• 2002

This study was attempted to identify and compare in developing a health promotion program for extending healthy life expectancy of the middle-aged women and protecting health of women in the vulnerable class by comparing and researching life-style and actual conditions of health for the middle-aged women in rural and urban areas. Subjects of this study were 160 middle-aged urban women in Seoul city and chongju city and 155 middle-aged rural women in rural community goisangun. For collecting data, questionnaire was performed with structured questionnaires was used to know their actual conditions of health and life-style. Findings of this study were as follows. 1. In comparing life-style of the urban middle- aged women with the rural community, the percentage of regularly checked-up were higer urban women (46.4%) than the rural women (35%); women who have not checked up were 21.3% and 11.4% in the rural community and cities respectively, but it had a statistically significant difference (p=0.009). For the types of checkup, the rate of uterine cancer checkup than that of breast cancer self-examination or cholesterol test was higher both in the rural community(75.6%) and cities(77.4%). 2. The results of comparing actual conditions of the middle-aged women in the rural urban area were as follows; the recognition of health of the urban women was 'Very healthy (7.2%),' 'Healthy (35.5%),' 'Moderate (46.5%),' and 'Not healthy (10.3%), while the recognition of the rural women was 'Very healthy (2.5%),' 'Healthy (30.0%),' 'Moderate (36.3%),' and 'Not healthy (30.6%)'. These results showed a statistically significant difference (p=.000). Women having any problems in health were 48.1% and 36.8% in the rural and the urban respectively and it had a statistically significant difference (p=.042). For the most of health problems, arthritis accounted for 29.4% in the rural community and arthritis and constipation accounted for 21.3% in the urban. According to findings of this study, it can be concluded that rural women had more health problems, felt they were not healthy themselves and were checked up regularly less than the urban women, and their health care was poor. Therefore, more effective nursing intervention plans should be designed to enhance the performance level of health promotion for rural women.

• Korean Journal of Environment and Ecology
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• v.32 no.2
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• pp.176-184
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• 2018

This study was intended to provide basic data for more ecological and systematic preservation and management planning of forest vegetations in the Baekdudaegan sector between Danmoknyeong and Guryongnyeong where biodiversity is considered to be very important. A vegetation survey using the Zurich-Montpellier (Z.-M.) method of phytosociology was carried out in a total 142 sites to examine the environmental characteristics. The survey showed the forest vegetation types of one community group, two communities, four groups, and four subgroups. Quercus mongolica and Acer pseudosieboldianum, which fall under Constancy Class V, were dominant species and deemed to be the key species of the forest ecosystem management plan for the investigated areas. Regarding species diversity, it was found that the dominant species of the VT3 type were evenly distributed in the area while the species of the VT4 type showed not only a diverse composition but also the most abundant number of species. Moreover, there were 24 of rare plants found in the Danmoknyeong-Guryongnyeong section: the critically endangered species include Dracocephalum rupestre; the endangered species include Saxifraga octopetala; the vulnerable species include Paeonia japonica, Euphorbia fauriei, Hanabusaya asiatica, and Parasenecio pseudotaimingasa; the least concern species include Aristolochia manshuriensis, Rodgersia podophylla, Salvia chanryoenica, Scopolia japonica, and Parasenecio firmus.

• Journal of Veterinary Clinics
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• v.26 no.6
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• pp.637-640
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• 2009

A 13-year-old female 30 kg Korean Jin-do dog was presented with severe defects due to vasculitis and perivascular dermatitis at the left antebrachium area. A left superficial brachial axial pattern flap was elevated to cover the defect and the wound was covered. However, one week post surgery, the flap was survived about 1/3 of total flap length. Remaining two thirds defects were performed by the free skin mesh graft as an additional method. After ten days, the entire wound was achieved completely. Skin flaps carry own blood supply in other hands, the flap method is dependent upon continuation of adequate circulation until vascularization takes place. Because they are much thicker than other grafts, this is a slower process and the flap method is vulnerable to problems with kinking or tension of the base. According to this case, a practician has to consider length of flap and thickness in order to vascular perfusion when superficial brachial axial pattern flap is performed in a dog.

• Korean Journal of Plant Resources
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• v.29 no.1
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• pp.90-109
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• 2016

This study aims to investigate the flora of Mt. Cheonma (Namyangju-si, Gyeonggi-do, Korea), including Korean endemic, rare and endangered plants. To support the biodiversity and usefulness of this investigation, we checked the red list plants, floristic regional indicator plants, climate change adaptation target plants and naturalized plants, and compared composition of plant species in Mt. Cheonma with nearby mountains. Totally, we performed 22 field investigations from April 2012 to October 2014. The number of vascular plants in this region is 433 taxa and comprised of 94 families, 266 genera, 378 species, 2 subspecies, 46 varieties, and 7 forms. Among them, there are 13 endemic plants designated by Korean Forest Service, whereas only 10 taxa are endemic species by Korean Ministry of Environment (KME). According to the IUCN criteria, there are 12 rare and endangered plants composed of 9 Least Concerned (LC), 2 Vulnerable species (VU), and one Endangered species (EN) found by Korea National Arboretum (KNA). Meanwhile, 8 taxa including 7 Least Concerned (LC) were found in Red List of KME. The floristic regional indicator plants designated by KME were 49 taxa. In addition, there are 14 taxa in The Adaptable to Climate Change Plant List designated by KNA, while only 19 taxa are naturalized plants. Generally, there are 190 common taxa in Gwangju Mountains area, and only 51 taxa are distributed in Mt. Cheonma.

• Journal of Korea Water Resources Association
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• v.48 no.5
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• pp.345-355
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• 2015

Climate change impact on urban drainage system are analyzed in Seoul by using high-resolution climate change scenario comparing 2000s (1971~2000) with 2020s (2011~2040), 2050s (2041~2070) and 2080s (2071~2100). The historical hourly observed rainfall data were collected from KMA and the climate change scenario-based hourly rainfall data were produced by RegCM3 and Sub-BATS scheme in this study. The spatial resolution obtained from dynamic downscaling was $5{\times}5km$. The comparison of probability rainfalls between 2000s and 2080s showed that the change rates are ranged on 28~54%. In particular, the increase rates of probability rainfall were significant on 3, 6 and 24-hour rain durations. XP-SWMM model was used for analyzing the climate change impacts on urban drainage system. As the result, due to the increase of rainfall intensities, the inundated areas as a function of number of flooded manhole and overflow amounts were increasing rapidly for the 3 future periods in the selected Gongneung 1, Seocho 2, Sinrim 4 drainage systems. It can be concluded that the current drainage systems on the selected study area are vulnerable to climate change and require some reasonable climate change adaptation strategies.

• Journal of the Korean association of regional geographers
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• v.22 no.1
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• pp.195-210
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• 2016

The purpose of this study was to understand characteristics of groups vulnerable to extreme heat and to reduce mortality caused by high temperature. For this purpose, relationship between socioeconomic factors and mortality-threshold temperatures were studied. The study area was limited to Seoul (South Korea) and climate data from 2000 to 2010 was used. Our results indicate that mortality-threshold temperatures for regions with a high proportion of aging population and a low proportion of aging population are $27.6^{\circ}C$ and $27.9^{\circ}C$, respectively. It was also found that a relative size of welfare dependant population did not affect mortality-threshold temperatures. However, regions with a high proportion of aging and welfare dependant population experienced $0.7^{\circ}C$ lower mortality-threshold temperature than other regions. This implies that low income and older people in Seoul are more easily affected by high temperature. Thus, this study suggests that it needs a policy targeted to low income and aging population to decrease mortality rate caused by extreme heat.