• Title/Summary/Keyword: 관리비항목

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Usefulness of Dental Hygiene Education Curriculum in the Public Oral Health Service Performance in Korea (한국의 보건소 근무 치과위생사의 공중구강보건사업 수행업무실태와 대학교육간의 연관성)

  • Yoo, Ja-Hea;Cho, Young-Sik;Chung, Won-Gyun;Kwon, Ho-Keun
    • Journal of dental hygiene science
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    • v.5 no.4
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    • pp.165-170
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    • 2005
  • The purpose of this study was to evaluate the usefulness of dental hygiene education curriculum such as oral prophylaxis, preventive dentistry, public oral health, oral health statistics, oral health education in the public oral health service performance. Questionnaire survey was posed to 96 dental hygienists working in health centers and health sub-centers. The relativity among frequency of task, usefulness, importance, and reinforcement of the education curriculum in the health centers, and the effect of current dental hygiene education curriculum on public oral health service were studied. The results were follows; 1. Sealant was performed the most frequently in the health centers and health sub-centers, and it was also the most useful content in the education curriculum. And the tooth brushing method was considered the most important in the curriculum. Therefore, oral health education was considered as factor which required the most reinforcement. However, the issues of school water fluoridation and water fluoridation in the public oral health were barely brought up as a matter of subject. 2. In the relationship between the frequency of task and the usefulness of curriculum, it showed that the more frequency of task was more useful. In the relationship between importance and reinforcements of curriculum, it showed that the more importance of the education curriculum requires more reinforcement. And more frequently performed task should be more strengthened. 3. According to the education course hours, current education curriculum course hours were 532.4 hours, which is 42.9 hours more spent than the original curriculum guideline. Lecture hours were 205.4 hours, which is 50.6 hours less, and the practice hours were 327 hours, which is 93.5 hours more than the original curriculum guideline. 4. Because of the insufficient course hours of curriculum compared to the frequency of the task, the oral health education, oral prophylaxis, and preventive dentistry should be reinforced more than now. But the oral health statistics and public oral health curriculum were not only emphasized, but also any reinforced compared to other tasks.

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Studies on the Hand Hygiene Practices of Food-Service Workers: A Comparison of Fast Food Restaurant Workers and Full-service Restaurant Workers (조리종사자의 손 위생관리에 관한 연구 - 패스트푸드점 및 일반음식점 종사자의 비교 -)

  • Kim, Jong-Gyu;Park, Jeong-Yeong;Kim, Joong-Soon
    • Journal of Food Hygiene and Safety
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    • v.27 no.3
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    • pp.215-223
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    • 2012
  • This study was performed to investigate hygienic behavior of food workers on the awareness of hand-washing, and the microbial load of their hands. This study focused on the comparison of fast food restaurant workers and full-service restaurant workers. A questionnaire survey and microbiological analysis were carried out for thirty fast food restaurant workers and forty full-service restaurant workers. Samples for microbiological analysis were collected through the glove-juice method from the hands of the food workers, and were analyzed for the presence of aerobic plate counts, total coliforms, fecal coliforms, Escherichia coli, Staphylococcus aureus, and Salmonella spp. Microbiological analysis was done according to the Food Code of Korea. In the survey, significant differences (p < 0.05) were found between the fast food restaurant workers and full-service restaurant workers in the use of hand washing tools and method of turning off water. More full-service restaurant workers responded to wash their hands after touching face, hair, or clothes; after handling raw food materials, and more fast food restaurant workers periodically (p < 0.05). Aerobic plate counts were higher in fast food restaurant workers while total coliforms were higher in full-service restaurant workers (p < 0.05). No remarkable difference was found between the two groups in the load of fecal coliforms, E. coli, S. aureus, and Salmonella spp. Poor hand hygiene practices were indicated by the positive results for E. coli, S. aureus, and Salmonella spp. on the hands of some food workers in both groups. The findings of this study emphasize the need for strict adherence to hand hygiene compliance among the food workers.

Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis (혈액투석을 실행중인 말기 신부전 환자의 식사관련 삶의 질(Diet-Related Quality of Life)과 식사요법 실천도, 건강관련 삶의 질 및 위장관 증상과의 관련성 연구)

  • Lee, JinJu;Kim, Ji-Myung;Kim, Yuri
    • Journal of Nutrition and Health
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    • v.46 no.2
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    • pp.137-146
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    • 2013
  • The purpose of this study was to evaluate diet-related Quality of Life (QOL) and to analyze the relationship among diet-related QOL, dietary regimen practice, health-related QOL, and gastrointestinal symptoms in hemodialysis patients. Subjects were recruited from an artificial kidney center in Seoul. The self-report questionnaire consisted of socio-demographic characteristics, diet-related QOL, compliance with dietary regimen practice, health-related QOL, and gastrointestinal symptoms was distributed. Diet-related QOL includes a 'Quality of Life and Related to Dietary Change Questionnaire', 'Satisfaction Survey', and 'Dietary Impact Survey'. According to their responses, participants had experienced the greatest difficulty with 'Dietary Impact'. In particular, the mean score for general health was low. Association of dietary regimen practice showed a positive association with 'Cost' and 'Self-care' score. In addition, diet-related QOL showed positive correlation with health-related QOL, particularly in 'taste'. Scores for 'Taste', 'Convenience', and 'Dietary Impact' were lower for subjects with constipation compared to those of subjects without constipation. Scores for 'Taste' and 'Dietary Impact' were lower in subjects with irritable bowel syndrome compared to those of subjects without the syndrome (p < 0.05). Diet-related QOL showed a positive association with health-related QOL (p < 0.05), whereas it showed a negative association with constipation (p < 0.01). In conclusion, hemodialysis patients in Korea suffer from burden of dietary regimen practice and most scores for diet-related QOL and health-related QOL from patients with gastrointestinal symptoms were low. Therefore, appropriate nutrition education considering gastrointestinal symptoms is necessary for improvement of patients' QOL during dietary regimen practice.

Analysis of Frequent Disease and Medical Expenses Structure of Patients Admitted in a Vaterans Hospital (일개 보훈병원 입원환자의 상병 및 진료비 구조분석)

  • Kim, Kyoung-Hwan;Lee, Sok-Goo;Kim, Jeong-Yeon
    • Journal of agricultural medicine and community health
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    • v.30 no.1
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    • pp.1-14
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    • 2005
  • Objectives: This study attempts to analyze the length of hospital stay and expenses of frequent disease admitted in a Vaterans Hospital. Methods: Data was collected from January 1, 2001 to December 31, 2003 from the Claim records of 9,640 patients in a Vaterans Hospital. Results: The results were as follows: 1. In age & sex distribution, there was male 70.9%, female 29.1%, and 35.8% of them is 70 age group. Frequency by insurance program was Health insurance 78.1%, Medical aid 14.2%, no insurance 4.1%, others 3.6%. Distribution of each department was internal medicine 28.3%, orthopedic surgery 21.3%, surgery 16.6%, neurosurgey 7.1%, pediatrics 5.9%. Also, in the veterans group, male to female patient ratio was 99.3% male to 0.7% female, them over 70 years old was 51.6%, and them which live in daejeon was 43.5%. 2. In frequency of disease, there was gastroenteritis 4.8%, pneumonia 3.8%, cartaract 3.7%, cerebral infarct 3.2%, hyperplasia of prostate 3.0%. In frequency of korean standard classification of diseases, there was injury and poisoning and certain other consequences of external causes 17.1%, diseases of digestive system 16.1%, diseases of musculoskeletal system and connective tissue 13.9%, diseases of respiratory system 9.4%, diseases of genitourinary system 8.6%. Also, in veterans group, frequency of them was diseases of musculoskeletal system and connective tissue 19.4%, diseases of digestive system 16.8%, injury and poisoning and certain other consequences of external causes 15.7%, diseases of genitourinary system 9.7%, diseases of circuatory system 8.2%. 3. Average length of hospital stay was 29.0 days for total patients, 51.8 days for the veterans group, 15.7 days for the non-veterans one. Average total expenses was 3,669,579 won, the veterans group 7,263,877 won, the non-veterans one 1,560,333 won. The ratio of insurer to insuree was 55.2 : 44.8, the ratio of amount paid by patient in the veterans group 61.7%, in the non-veterans one 33.0%. 4. In items of medical expenses, fee for hospital accommodation was 34.7%, fee for medication 13.2%(injection 7.8%, drug 5.4%), fee for service 48.6%(physical therapy 26.3%, operation 9.7%, laboratory examination 5.2%, radiological examination 3.1%, etc), others 3.4%. In them for the veterans group, fee for physical therapy was 35.3%, fee for hospital accommodation 35.2%, fee for injection 6.2%, fee for operation 5.9%, for the non-veterans one, fee for hospital accommodation 35.7%, fee for operation 16.4%, fee for injection 11.4%, fee for laboratory examination 8.3%. 5. In the comparison of the frequency by Korean standard classification of diseases and distance between the hospital and home, the region under 21.5Km was more frequent in symptoms, signs an abnormal clinical and laboratory findings 56.0%, injury and poisoning and certain other consequences of external causes 55.6%, diseases of the eye and adnexa 52.9%, the one over 21.5Km was more frequent in neoplasms 57.4%, diseases of musculoskeletal system and connective tissue 55.9%, diseases of genitourinary system 53.5%.

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Adaptive Power Control Dynamic Range Algorithm in WCDMA Downlink Systems (WCDMA 하향 링크 시스템에서의 적응적 PCDR 알고리즘)

  • 정수성;박형원;임재성
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.8A
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    • pp.918-927
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    • 2004
  • WCDMA system is 3rd generation wireless mobile system specified by 3GPP. In WCDMA downlink, two power control schemes are operated. One is inner loop power control operated in every slot. Another is outer loop power control based on one frame time. Base station (BS) can estimate proper transmission power by these two power control schemes. However, because each MS's transmission power makes a severe effect on BS's performance, BS cannot give excessive transmission power to the specific user. 3GPP defined Power Control Dynamic Range (PCDR) to guarantee proper BS's performance. In this paper, we propose Adaptive PCDR algorithm. By APCDR algorithm, Radio Network Controller (RNC) can estimate each MS's current state using received signal to interference ratio (SIR). APCDR algorithm changes MS's maximum code channel power based on frame. By proposed scheme, each MS can reduce wireless channel effect and endure outages in cell edge. Therefore, each MS can obtain better QoS. Simulation result indicate that APCDR algorithm show more attractive output than fixed PCDR algorithm.

Prediction of Land-Use Change based on Urban Growth Scenario in South Korea using CLUE-s Model (도시성장 시나리오와 CLUE-s 모형을 이용한 우리나라의 토지이용 변화 예측)

  • LEE, Yong-Gwan;CHO, Young-Hyun;KIM, Seong-Joon
    • Journal of the Korean Association of Geographic Information Studies
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    • v.19 no.3
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    • pp.75-88
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    • 2016
  • In this study, we used the CLUE-s model to predict the future land-use change based on the urban growth scenario in South Korea. The land-use maps of six classes (water, urban, rice paddy, upland crop, forest, and grass) for the year 2008 were obtained from the Ministry of Environment (MOE), and the land-use data for 5-year intervals between 1980 and 2010 were obtained from the Water Resources Management Information System (WAMIS), South Korea. For predicting the future land-use change, the MOE environmental conservation value assessment map (ECVAM) was considered for identifying the development-restricted areas, and various driving factors as location characteristics were prepared for the model. The predicted results were verified by comparing them with the land-use statistics of urban areas in each province for the year 2008. The prediction error rates were 9.47% in Gyeonggi, 9.96% in Gangwon, 10.63% in Chungbuk, 7.53% in Chungnam, 9.48% in Jeonbuk, 6.92% in Jeonnam, 2.50% in Gyeongbuk, and 8.09% in Gyeongnam. The sources of error might come from the gaps between the development of political decisions in reality with spatio-temporal variation and the mathematical model for urban growth rate in CLUE-s model for future scenarios. Based on the land-use scenario in 2008, the land-use predictions for the year 2100 showed that the urban area increased by 28.24%, and the rice paddy, upland crop, and forest areas decreased by 8.27, 6.72, and 1.66%, respectively, in South Korea.

Water Quality Characteristics in Keum River Watershed (금강 수계의 수질 특성)

  • An, Kwang-Guk;Yang, Woo-Mi
    • Korean Journal of Ecology and Environment
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    • v.40 no.1
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    • pp.110-120
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    • 2007
  • The objective of this study was to analyze temporal trends of water chemistry and spatial heterogeneity for 13 sampling sites of the Keum River watershed using water quality dataset (obtained from the Ministry of Environment, Korea) during $2001{\sim}2005$. The water quality, based on eight physical and chemical parameters, varied largely depending on the years, seasons, and sampling sites. Seasonal and annual means of conductivity, used as a key indicator for a ionic dilution declined during the monsoon season, and nutrients (TN and TP), based on overall mean of all sites, showed marked declines during the monsoon, compared to those of the premonsoon. In the mean time, BOD and COD had no significant relations with a precipitation, in spite of some differences in the sampling sites. In contrast, major input of SS occurred during the period of summer monsoon. and the variation of TN was similar to that of TP. Spatial trend analyses of all parameters, except for DO and temperature, showed that Site 9 acted as a point source, and thus, water quality at the locations of $S9{\sim}S13$ declined abruptedly over 2 fold, compared to locations of $S1{\sim}S8$. Based on the overall dataset, efficient water quality management in the point source tributary streams is required for better water quality of the main Keum River.

Improvement of the Soil Pollution Investigation in South Korea and Gyeonggi-do (전국 및 경기도를 대상으로 한 토양오염실태조사의 효율성 제고방안)

  • Na, Kyung-Ho;Kim, Jong-Chan
    • Journal of Soil and Groundwater Environment
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    • v.13 no.6
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    • pp.31-39
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    • 2008
  • The purpose of this research is to evaluate the efficiency of soil pollution investigation conducted at South Korea and Gyeonggi-do, and to drive the way to improve its efficiency. The average pollution discovery rates in the soil pollution investigation were 2,7% in South Korea and 1.9% in Gyeonggi-do respectively during the last six years (2002${\sim}$2007), which the discovery rates were lower than those of Japan and United States of America. The exceeding rate of the Korea soil pollution standard of the heavy metal and petroleum compounds in the soil pollution investigation were 89.8% and 8.9%, respectively in the whole country. The investigation rate of topsoil for heavy metal and deepsoil analysis for petroleum compounds analysis were 38% and 62% respectively. This show contradictory result which is demanded the improvement of investigation method on the deep soil. The main steps affecting the discovery rate of soil pollution were site selection step, sampling step and analysis step. We suggested the the guideline of priority on the site selection step which was the most important step. Also, the certificate need to be provided to the companies which have lower soil pollution degree after conducting the soil pollution investigation.

ILLUDAS-NPS Model for Water Quality in Urban drainage (도시유역의 수질해석을 위한 ILLUDAS-NPS 모형)

  • Kim Tae-Hwa;Lee Jong-Tae
    • Proceedings of the Korea Water Resources Association Conference
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    • 2005.05b
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    • pp.482-486
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    • 2005
  • 불투수지역의 증가에 따른 도시지역의 비점오염원 해석 및 예측은 수자원 관리측면에서 중요성이 증가하고 있다. 그러나, 실측자료의 부족, 오염물질 발생경로의 불명확, 간헐성, 강우 및 유역특성에 따라 오염부하량 및 첨두농도 등의 변화가 심하므로 인하여 연구에 어려움이 많은 실정이다. 이를 극복하기 위해서는 장기적인 자료수집과 국내실정에 맞는 모형개발이 이루어져야 할 것이다. 따라서, 본 연구에서는 초기강우에 의한 수질항목별 오염부하량 및 농도계산이 가능한 ILLUDAS-NPS 모형을 개발하였다. 본 모형은 국내의 도시지역 유출해석에 주로 사용되는 ILLUDAS 모형에 건기 및 우기시의 수질해석 과정들을 추가하여 해석되어 진다. 건기시의 경우 유량 및 수질 계산은 계수지정법을 사용하였으며, 우기시의 경우 유량계산은 기존 ILLUDAS 모형의 알고리즘을 이용하였고, 수질 계산은 일일 오염물 축적법과 쓸림방정식을 적용하여 계산시간별 오염물질 부하량 및 농도 등을 계산하였다. 모형의 검정을 위하여 홍제천 시험유역의 총 3가지 강우사상을 대상으로 검토한 결과 총부하량, 첨두농도, 첨두농도 발생시간 등에서 전반적으로 실측치와 유사한 결과를 얻을 수 있었다. 또한, ILLUDAS-NPS 모형과 SWMM, STORM 등의 기존 도시유출$\cdot$수질 모형들에 의한 결과들의 비교에서 SWMM 모형과 다소의 차이는 있으나 대부분 잘 일치함을 확인할 수 있었다. 추후, 합리적이고 보다 정확한 비점오염 해석을 위하여 도시지역의 건거시 오염물질의 축적율 및 초기강우에 의한 오염물질 쓸림량 등에 관한 실험 및 현장자료 축적이 필요하다.월이 긴 것으로 나타났다. 이러한 현상은 유입수가 저수지로 유입되면서 초기수위가 높은 경우에 운동량이 상대적으로 많이 소멸되기 때문으로 판단된다. 또한 탁수층의 두께도 8월 성층의 경우가 상대적으로 큰 것으로 나타났다. 이는 중층의 8월 수온분포 또는 밀도분포가 상대적으로 균일하기 때문에 연직방향 이송$\cdot$확산이 많이 이루어졌기 때문으로 판단된다.이는 토성간의 침투속도 및 투수속도의 경향이 반영된 것이다. 경사에 따라서는 경사도가 증가할수록 지수적으로 감소하였으며 $10\% 경사일 때를 기준으로 $I(mm)=I_{10}{\times}1.17{\times}e^{-0.0164s(\%)}$로 나타났다. 같은 조건에서 강우량과 유거수의 관계는 $Ro_{10}(mm)=5.32e^{0.11R(mm)}(r^2=0.69)$로 나타났다. 이는 토양의 투수특성에 따라 강우량 증가에 비례하여 점증하는 침투수와 구분되는 현상이었다. 경사와 토양이 같은 조건에서 나지의 경우 역시 $Ro_{B10}(mm)=20.3e^{0.08R(mm)(r^2=0.84)$로 지수적으로 증가하는 경향을 나타내었다. 유거수량은 토성별로 양토를 1.0으로 기준할 때 사양토가 0.86으로 가장 작았고, 식양토 1.09, 식토 1.15로 평가되어 침투수에 비해 토성별 차이가 크게 나타났다. 이는 토성이 세립질일 수록 유거수의 저항이 작기 때문으로 생각된다. 경사에 따라서는 경사도가 증가할수록 증가하였으며 $10\% 경사일 때를 기준으로 $Ro(mm)=Ro_{10

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Effects of Flood Peak Location on Riverbed Variation (하천의 하상변동에 대한 첨두 유량 발생위치의 영향)

  • Chae, Kuk-Sheok;Park, Sang-Deog;Kim, Nam-Ho;Kim, Min-Kyu
    • Proceedings of the Korea Water Resources Association Conference
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    • 2006.05a
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    • pp.1591-1595
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    • 2006
  • 하천은 인간에게 있어 물을 공급하는 중요한 하나의 공급원인 동시에 재해를 발생시킴으로서 인간에게 큰 피해를 줄 수 있는 위험물로서 존재한다. 이러한 이면을 가진 하천은 하천 자체로는 하천의 특성이 변화하지 않으며, 인위적이나 자연적인 원인으로 변화하는 것이다. 특히 강도가 큰 강우가 발생하였을 때 하천의 특성은 크게 변화한다. 강우시 하천은 유출량 증가와 유사량의 시공간적인 변화로 인해 형상거동의 자기조절 기작을 통하여 유역밖으로 이들을 안전하게 배출시키는 기능을 발휘한다. 하천 합류부는 각기 다른 특성을 가진 두 흐름이 만나는 지점으로 흐름과 지형 둘 다 변화하며, 합류부 이후에는 그 이전과는 다른 특성을 나타낸다. 따라서 합류부는 하천의 흐름상에서 중요한 부분이라고 할 수 있다. 본 연구에서는 강릉에 위치한 경포천과 제 1지류인 위촌천이 합류하는 구간을 대상으로 하여 홍수시 첨두유량의 크기와 발생위치 및 홍수 모의기간에 따른 하상변동에 대해 연구하였다. 이를 위해 1차원 하상 변동 모형인 HEC-6를 이용하여 하상변동을 모의하고 그 결과를 실측 하상변동량과 비교분석하였다. 유입수문곡선에서 첨두유량의 발생위치는 전반부, 중앙부, 후반부로 구분하였고, 홍수모의 기간은 1년, 5년, 10년으로 하였으며 1년 이상의 수문곡선은 1년의 수문곡선을 모의 기간만큼 반복 발생시키는 것으로 하였다. 그 결과 하상변동은 홍수 모의기간, 유입수문곡선의 첨두유량 발생위치와 첨두유량의 크기에 따라 그 양상이 현저히 달라지는 것을 확인하였다. 유입유량 조건에서 동일수문곡선의 반복에 따른 모의기간 별 하상변동은 퇴적과 침식의 규모가 확대되는 형태로 나타나는 것을 알 수 있다. 미치는 시간축척의 영향을 파악하기 위해 $70{\sim}90$ 시간 동안 실험을 수행하였다. 세굴의 측정은 투명한 아크릴로 제작된 수제 내부에 CC카메라를 수제 전 후면 및 측면에 설치하여 월류수제의 세굴 발생을 실시간으로 측정하며 동시에 수제의 각 면에 각각 3개의 압력센서를 설치하여 압력분포를 측정함으로써, 월류수제 주변의 압력변화에 따른 세굴심의 실시간 변화를 비교할 수 있도록 하였다. 수심이 연중 $25{\sim}35m$를 유지하는 H호의 경우 간헐식 폭기장치를 가동하는 기간은 물론 그 외 기간에도 취수구의 심도를 표층 10m 이하로 유지 할 경우 전체 조류 유입량을 60% 이상 저감할 수 있을 것으로 조사되었다.심볼 및 색채 디자인 등의 작업이 수반되어야 하며, 이들을 고려한 인터넷용 GIS기본도를 신규 제작한다. 상습침수지구와 관련된 각종 GIS데이타와 각 기관이 보유하고 있는 공공정보 가운데 공간정보와 연계되어야 하는 자료를 인터넷 GIS를 이용하여 효율적으로 관리하기 위해서는 단계별 구축전략이 필요하다. 따라서 본 논문에서는 인터넷 GIS를 이용하여 상습침수구역관련 정보를 검색, 처리 및 분석할 수 있는 상습침수 구역 종합정보화 시스템을 구축토록 하였다.N, 항목에서 보 상류가 높게 나타났으나, 철거되지 않은 검전보나 안양대교보에 비해 그 차이가 크지 않은 것으로 나타났다.의 기상변화가 자발성 기흉 발생에 영향을 미친다고 추론할 수 있었다. 향후 본 연구에서 추론된 기상변화와 기흉 발생과의 인과관계를 확인하고 좀 더 구체화하기 위한 연구가 필요할 것이다.게 이루어질 수 있을 것으로 기대된다.는 초과수익률이 상승하

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