• Journal of Environmental Policy
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• v.13 no.1
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• pp.69-93
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• 2014

The aim of this research was to develop a climate change vulnerability index at the district level (Si, Gun, Gu) with respect to the health care sector in Korea. The climate change vulnerability index was esimated based on the four major causes of climate-related illnesses : vector, flood, heat waves, and air pollution/allergies. The vulnerability assessment framework consists of six layers, all of which are based on the IPCC vulnerability concepts (exposure, sensitivity, and adaptive capacity) and the pathway of direct and indirect impacts of climate change modulators on health. We collected proxy variables based on the conceptual framework of climate change vulnerability. Data were standardized using the min-max normalization method. We applied the analytic hierarchy process (AHP) weight and aggregated the variables using the non-compensatory multi-criteria approach. To verify the index, sensitivity analysis was conducted by using another aggregation method (geometric transformation method, which was applied to the index of multiple deprivation in the UK) and weight, calculated by the Budget Allocation method. The results showed that it would be possible to identify the vulnerable areas by applying the developed climate change vulnerability assessment index. The climate change vulnerability index could then be used as a valuable tool in setting climate change adaptation policies in the health care sector.

• Proceedings of the Korean Environmental Sciences Society Conference
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• 2007.05a
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• pp.308-311
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• 2007

황해의 25개 조사정점의 표층수에 대한 해양환경요인 및 식물플랑크톤 현존량의 월별 조사결과를 종합하여 주성분분석(PCA)을 실시한 결과 주성분 I에서는 변화를 26.6% 설명할 수 있으며, 이중 질산질소가 가장 많이 기여하였고, 이어서 용존무기질소, 규산규소, 수온, 용존산소, 암모니아질소 순으로 기여 하고 있었다. 주성분 II에서는 20.3%를 설명 할 수 있으며, 이중 용존산소가 가장 많이 기여하였고 그 외 엽록소 a, 수온, 염분, 규산규소, 식물플랑크톤 현존량 순으로 기여 하였다. 주성분 III에서는 15.1%를 설명 할 수 있으며, 이중 인산인이 가장 많이 기여하였고 그 외 염분, 아질산질소, 수온, 용존산소, 질산질소, 용존무기질소 순으로 기여하였다. PCA에 이용된 항목 중 부유물질은 제외한 모든 항목은 주성분 I, II, III에 5%이하 유의수준에서 의미 있는 상관성이 있었다. 주성분 I은 질산성질소, 용존무기질소, 규산규소, 인산인과는 긍정적인 상관성(p<0.0001)을 갖고, 수온, 암모니아질소와는 부정적인 상관성을 보였다(p<0.001). 주성분 II에서는 용존산소, 엽록소 a, 식물플랑크톤 현존량은 긍정적 상관성을 나타내었고, 수온, 염분, 규산규소와는 부정적인 상관성을 보였으며(p<0.0001), 주성분 III에서는 염분, 수온, 질산질소, 용존무기질소, 식물플랑크톤 현존량과는 긍정적인 상관성(P<0.0001)을 나타내었고 인산인, 아질산질소, 용존산소는 부정적인 상관성을 나타내었다 (p<0.01). 공간적인 분포특성은 조사정점에 따라 항목별 결과에 대한 분산이 커서 일정한 특성을 도출하기가 어려운 상태이나 대체로 PCA II축을 기준으로 상부인 $1/4{\sim}2/4$분면에 북부와 중부의 조사정점이 위치하고 음의 방향인 $3/4{\sim}4/4$분면에 중부와 남부의 조사정점이 위치하고 있어 북측의 307선과 308선 및 중부의 309선과 310선 그리고 남측의 311선과 312선으로 구분되어지는데 그 중에서 태안반도의 연안역인 307선의 03점은 계절에 변화가 가장 커서 분산의 폭이 심한 상태로서 다른 조사정점들과 구분되어진다. 전반적으로 북측해역에서는 용존산소, 엽록소 a, 식물플랑크톤 현존량이 남측해역에 비해 상대적으로 많은 반면, 남측해역은 수온과 염분 및 규산규소가 높은 상태이었다. 북쪽인 307선과 308선은 연안역과 외해에서 상대적으로 영양염류가 높았으며, 중부인 309선과 310선은 연안역과 준 외해역인 07점과 09점에서 영양염류가 높았었고, 남부 해역인 311선과 312선에서는 연안역에서 영양염류가 상대적으로 높은 경향을 나타내었다. 즉 황해 동부는 연안역에서는 조석간만의 차가 심하고, 새만금 및 시호호등과 같은 대규모의 간척 매립으로 육상의 오염원이 자정작용을 거치지 못하고 직접 연안으로 유입되고 있는 실정이다. 또한 10여 년 전부터 육지의 모래부족으로 다량의 바다 모래가 채취되어 왔고 그 량이 점차 증가추세이며, 중부외해역에서는 각종 폐기물 투기로 점차 영양염류의 부하량이 증가되고 있어 특히 질소계와 인의 영양염류 농도가 높아지고 있는 추세이다. 시간적 변동특성은 전반적으로 순환하는 형태를 유지하고 있다. 2005년 2월에는 질산질소, 용존무기질소, 규산규소, 인산인, 용존산소가 높았었으며 4월로 접어들면서 항목 간에 분산되는 경향을 보이면서 수온, 엽록소 a 및 식물플랑크톤이 증가 하면서 해역에 따라 좌우로 분산되는 경향을 나타내었고 6월에는 아질산질소를 제외한 영양염류가 감소하는 경향을 보였다. 8월에는 6월에 비해 수온이 높아지고 규산규소, 질산질소, 용존무기질소 등이 약간 증가추세이었으며 10월로 접어들면서 증가추세가 더 높아졌었고 12월에는 질산질소, 용존무기질소, 규산규소, 인산인, 용존산소가 높아졌었다. 2006년 4월에는 2005년 4월에 비해 수온, 엽록소 a, 식물플랑크톤의 현존량이 높아져서 전년 동시기와 약간 다른 양상을 보이고 있었다. 즉 동계인 2월을 시작으로 반 시계 또는 시계 방향으로 순환하는 형태를 유지하고 있으며, 4월은 2개년 비교해 보았을 때 해마다 해양환경에 따라 그 순환 정도 및 형태가 다를 것으로 추정된다.

• Korean journal of applied entomology
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• v.23 no.4 s.61
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• pp.221-232
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• 1984

A series of experiments were carried out in the laboratory and fields to reevaluate the effects of Padan (cartap) to the brown planthopper (BPH). Nilapanata lugens. The $LD_{50}\;land\;LC_{50}$ values for the female and male BPH were determined by the topical application and seedling- dipping/root -soaking methods. The values were differed with the sex and test methods, and the BPH mortality was greatly increased with a rise in temperatures $(25-35^{\circ}C)$. In a viewpoint of honeydew excretion and offsprings produced, there was no any possibility in BPH resurgence at the sublethal exposures of Padan. The BPH mortality to Padan 4 G was greatly low in the pot tests compared with those to diazinon and carbofuran, but in the paddy fields the efficacy of Padan 4G was nearly reversed. A single application of Padan 4G at the rate of 4kg/10a dramatically suppressed the BPH populations in the paddy fields, and the control effect was much more accelerated in the drained paddy field than in the submerged paddy field.

• Nuclear Medicine and Molecular Imaging
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• v.40 no.5
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• pp.243-248
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• 2006

Purpose: Liver demonstrates heterogeneous FDG uptake and sometimes it shows abnormally increased uptake even though there is no malignant tissue. However, there was no previous study to correlate these various pattern of hepatic FDG uptake with benign liver disease. Therefore, we evaluated the significance of hepatic FDG uptake associated with various clinical factors including fatty liver, liver function tests and lipid profiles. Materials and Methods: We reviewed a total of 188 patients (male/female: 120/68, mean age: $50{\pm}9$) who underwent PET/CT for screening of malignancy. Patients with DM, impaired glucose tolerance, previous severe hepatic disease or long-term medication history were excluded. The FDG uptake in liver was analyzed semi-quantitatively using ROI on transaxial images (segment 8) and we compared mean standardized uptake value (SUV) between fatty liver and non-fatty liver group. We also evaluated the correlation between hepatic FDG uptake and various clinical factors including serum liver function test (ALT, AST), ${\gamma}-GT$, total cholesterol and triglyceride concentration. The effect of alcoholic history and body mass index on hepatic FDG uptake was analyzed within the fatty liver patients. Results: The hepatic FDG uptake of fatty liver group was significantly higher than that of non-fatty liver group. Serum total cholesterol and triglyceride concentration showed significant correlation with hepatic FDG uptake. However, there was no significant correlation between other factors (ALT, AST, and ${\gamma}-GT$) and FDG uptake. Also there was no difference of mean SUV between normal and abnormal groups on the basis of alcoholic history and body mass Index within fatty liver patients. Fatty liver and high serum triglyceride concentration were the independent factors affecting hepatic FDG uptake according to multivariate analysis. Conclusion: In conclusion, hepatic FDG uptake was strongly correlated with fatty liver and serum triglyceride concentration.

• Journal of radiological science and technology
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• v.31 no.3
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• pp.259-266
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• 2008

Objective : The purpose of this study was to examine the relationship between bone mineral density (BMD) and the metabolic syndrome. Method : We conducted a cross-sectional study of 1204 adults(males: 364 females: 840) in a general hospital health promotion center. They were grouped into the normal and lower BMD group according to bone loss(osteopenia, osteoporosis), as determined by duel energy X-ray absorptiometery(DEXA). We analyzed the association between BMD and metabolic syndrome by multiple logistic regression analysis. After adjustment for age, weight, alcohol intake, smoking, regular exercise, regular intake of meals, and menopausal status, odds ratios for the prevalence of the metabolic syndrome by gender were calculated for lower BMD. Results : After adjustment for the effect of potential covariates, the prevalence of metabolic syndrome was associated with bone loss in men(p<0.001). If the odds ratio of normal group is 1.00, then that of the lower BMD group is 3.07(95% CI=1.83-5.16). The prevalence of metabolic alterations fitting the criteria of metabolic syndrome was significantly decreased in High BMI, Low HDL in men and in High BMI in women(p<0.05). Conclusions : This study shows that BMD was associated with metabolic syndrome. Further studies needed to obtain evidence concerning the association between BMD and metabolic syndrome.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.3 no.1
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• pp.17-22
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• 2000

Purpose: This study was conducted to evaluate the association between H. pylori infection and socioeconomic status and to determine the current prevalence of H. pylori infection in Korean adolescents. Methods: A structured questionnaire was sent to the children's parents to obtain demographic information on the parents and environmental information. Of the 532 questionnaires sent out, 375 (70.5%; 170 girls and 205 boys) were returned. Their ages ranged from 10 to 15 years (mean, 12.9 years). After collecting blood samples, we measured serum IgG antibody to H. pylori using ELISA method. The association of risk factors such as age, sex, socioeconomic class, type of house, and crowding index with H. pylori infection were analyzed by multiple regression analysis. Socioeconomic status was estimated from the parents' education and occupation using a modified Hollingshead index. Results: The prevalence rate of H. pylori infection was 16.8% (63/375). It increased with age (10.3% at 10~11 years, 15.9% at 12~13 years, and 20.7% at 14~15 years). The H. pylori infection was inversely related to the socioeconomic class (6.3% for the upper class, 16.0% for the middle class, and 20.0% for the lower calss). Crowding condition and type of house did not affect significantly on seroprevalence of H. pylori infection. After logistic regression, we found that the odds ratio for age was 2.2 (95% confidence interval 0.9~5.4), and for socioeconomic status, 3.6 (95% confidence interval 0.5~28.9). Conclusion: The prevalence of H. pylori infection in Korean adolescents was 16.8%. It related inversely to socioeconomic status but was not statistically significant. Socioeconomic status based on parents' education and occupation seemed to affect more on H. pylori seroprevalence than crowding or type of house did.

• Clinical and Experimental Pediatrics
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• v.52 no.3
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• pp.364-369
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• 2009

Purpose : Clinical and laboratory findings predict a severe outcome for mucocutaneous lymph node syndrome. This study aimed to define the clinical characteristics of Kawasaki disease (KD) patients with hyponatremia and to determine the factors associated with its development. Methods : Retrospective studies were performed on 114 KD patients who received an initial high-dose intravenous immunoglobulin (IVIG, single 2 g/kg/dose) within 10 days of fever onset from January 2006 to February 2008. These patients were divided into 2 groups. Group 1 consisted of 30 (26.3%) patients with hyponatremia, and group 2 consisted of 84 (73.6%) patients without hyponatremia. Clinical manifestations, laboratory results, and echocardiographic findings were compared between the groups. Results : Group 1 patients were more likely to have a coronary artery lesion (53.3% versus 20.2%, P=0.005) and suffered from diarrhea (41.3% versus 14.1%, P=0.007). There was a higher incidence of cardiovascular involvement in group 1 patients, including coronary dilatation (46.6%), valvular regurgitation (13.3%), pericardial effusion (6.7%) and medium-sized aneurysm (6.7%). There were no coronary aneurysms in group 2 patients. Serum C-reactive protein (CRP) was significantly higher in patients with hyponatremia ($12.2{\pm}7.79$ mg/dL versus $7.3{\pm}4.7$ mg/dL, P=0.003) and IVIG-resistant patients were more common in group 1 (13.3% versus 3.6%). Conclusion : These results indicate that hyponatremia in KD occurs in patients exhibiting severe inflammation and was significantly associated with the development of coronary disease. Further studies will be necessary to confirm the pathogenic mechanisms of hyponatremia in KD patients.

• Korean Security Journal
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• no.23
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• pp.109-131
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• 2010

This research analyzed how the new and senior security guards employed privately are influenced on their task performance by the factors operated before task performance: cognitive state anxiety, physical state anxiety and state confidence which are the sub-factors of the Competitive State Anxiety(CSAI-II) according to the educational background, career, gender and athletic capacity. First, as for the new and senior security guards' state anxiety before task performance, the senior guards felt the cognitive anxiety more than the new guards, but there was not a distinct difference statistically. Therefore, it is estimated that there is little difference in the level of cognitive anxiety between the new security guards with insufficient career and the seniors. Second, the level of the physical state anxiety was shown higher from the senior guards than from the new ones and had a distinct difference. However, it seems to be derived from the extent of physical development as the seniors are at the time of vigorous physical development. Third, the level of state anxiety had no distinct difference between them statistically though the new security guards felt it higher than the seniors. Fourth, the state confidence was shown higher from the seniors than from the new and had a distinct difference statistically, also. Fifth, as for gender, the male and female guards did not have a difference so much in the cognitive and physical state anxiety, and state confidence. Sixth, as a whole, the state anxiety was highest as for the security guards with athletic capacity level 1 and 2. Those with the level 2, and 3 and the level above 7 felt it less than those with the level 5-6, which had a distinct difference in statistics. The manager of the new and senior security guards should make them dispel anxiety in piece of mind through physical and mental education encouraging them to have self-confidence, practical training, and psychological training based on the analysis of causes of various cases.

• Tuberculosis and Respiratory Diseases
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• v.43 no.3
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• pp.331-338
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• 1996

Background : Lung cancer continues to be the leading cause of cancer death in the United States and it's incidence has been rapidly increasing in Korea, too. The overall cure rate for non-small cell lung cancer(NSCLC) is approximately 10%, and the cure is generally achieved by surgery. Unfortunately, however, less than 15% of all patients and less than 25% of those who present with localized disease are candidates for curative surgical resection. So preoperative staging evaluation followed by curative resection has a major role in determining the long tenn prognosis of NSCLC patients. Therefore, we have conducted this study to compare pre-operative and post-operative staging and the long-tenn relapse-free survival rates in NSCLC patients according to its stage. Methods : We analyzed the medical records of 217 NSCLC patients who were operated on for curative resection in Seoul National University Hospital, retrospectively. Among them, 170 patients who were completely resected were selected to determine the long term relapse-free survival rates. Results : Among 217 NSCLC patients, men were 157 and women were 30. The median age was 58 and the difference between men and women was not found. The discrepancy rate between preoperative and postoperative staging was 40.1%. Its major cause was due to the difference of nodal staging. The 3-year relapse-free survival rates were 73%, 53% and 48% in stage I, II and IIIa, respectively. There was no difference of relapse-free duration in recurred patients according to the stage or histologic types. Conclusion : The postoperative pathologic staging determines the long tenn prognosis of patients with NSCLC after surgery, but current preoperative clinical staging can not predict the postoperative pathologic staging correctly. So the improved modality of staging system is required to predict the pathologic staging more correctly.