• 한국지반환경공학회 논문집
• /
• 제20권1호
• /
• pp.27-33
• /
• 2019

산성배수가 발생하는 비탈면에서 생태적 녹화를 위한 산성배수 중화기법을 알아보기 위한 연구를 진행하였다. 산성배수중화기법을 위한 4가지 유형의(무처리, 석회고토 처리, 인산염 처리, 석회고토 + 인산염 처리) 시험구를 조성하였다. 실험결과 산도(pH), 피복율(%), 고사율(%), 식물뿌리상태 등에서 중화기법에 따른 유의차가 발생하는 것을 알 수 있었다. 중화기법에 따른 연구결과 (첫 번째 : 석회고토 + 인산염 처리, 두 번째 : 인산염 처리, 세 번째 : 석회고토 처리, 네 번째 : 무처리) 순서로 산도 중화 및 식물생장에 효과적이었다. 산성배수 비탈면에서 석회고토 처리와 인산염 처리는 토양산도 중화와 식물생장에 효과적이었으나, 석회고토 처리에 비해 인산염 처리가 더 효과적이었으며, 인산염 처리가 황화광물의 코팅 효과 때문에 토양산도 중화와 식물 생장에 더 효과적이라는 것을 알 수 있었다.

• 농촌의학ㆍ지역보건
• /
• 제37권4호
• /
• pp.233-245
• /
• 2012

이 연구는 지역단위 예방접종률 시범조사를 통해 획득한 다양한 예방접종 자료를 분석하여 예방접종의 수진 관련 요인을 파악, 분석하였다. 2005년 2월부터 4월까지 일개 도농복합 지역사회 영유아 전수를 대상으로 해당 연령의 영유아들이 거주하는 가구를 조사자가 직접 방문하여 보호자를 대상으로 설문조사하였으며, 접종조사력에 대한 확인은 예방접종수첩자료를 우선적으로 하고, 없을 시에는 보호자의 기억력에 의존하여 조사하였다. 또한 2005년 5월부터 7월까지 지역 가구조사에서 확인된 예방접종 의료 기관을 대상으로 예방 접종력 확인 조사를 실시하였는데, 논산 및 대전지역 병의원에 대해서는 조사자가 직접 방문하였고, 타지역의 경우 우편 설문조사를 시행하였다. 예방접종수첩에 근거한 국가필수예방접종률은 DTaP 4차(79.3%)를 제외하고 92.7~96.4%였으며, 국가예방접종 완전접종률은 74.0%, 4:3:1 시리즈 완전접종률은 77.1%였다. 국가필수예방접종의 완전접종은 주 양육자가 부모인 경우(19개월 이상 영유아에서 교차비 0.59, 95% 신뢰구간 0.39-0.87), 출생순위가 셋째 이상에 비해 빠를수록(24개월 이상 영유아에서 교차비 1.79, 95% 신뢰구간 1.05-3.03) 접종률이 유의하게 높았다. 4:3:1 시리즈 완전접종은 19개월 이상 영유아에서 주양육자가 부모인 경우(교차비 0.58, 95% 신뢰구간 0.38-0.88), 출생순위가 첫째아일수록(교차비 1.94, 95% 신뢰구간 1.21-3.14) 접종률이 높았으며, 24개월 이상 영유아에서는 출생순위가 첫째아에서(교차비 2.23, 95% 신뢰구간 1.27-3.91) 유의하게 높았다. 90% 미만의 예방접종률을 보인 부적절한 수준의 예방접종에 대한 대책이 필요하며, 완전접종률을 높이기 위해서는 양육하는 부모의 존재와 출생순위 파악과 이에 대한 중재대책이 필요할 것이다.

• 생태와환경
• /
• 제38권3호통권113호
• /
• pp.393-402
• /
• 2005

본 연구에서는 비점오염원 제어를 목적으로 조성한 인공습지의 현장실험 결과를 바탕으로 인공습지의 식생피도가 습지의 처리효율에 미치는 영향과 습지식물의 조성 및 관리방안에 대해 고찰하였다. 인공습지에 수생식물을 인공식재하지 않고 자연적인 활착을 유도한 결과 3번의 생장기를 거치면서 평균 약 90% 이상의 높은 식생피도를 얻을 수 있었으며, 원활한 식생활착을 위해서는 물 관리가 매우 중요한 것으로 나타났다. T-N, T-P의 제거율은 연 평균 약 45 ${\sim}$ 55% 정도로 높게 나타났으며, T-P는 생장기와 동절기 모두 비슷한 제거율을 나타낸 반면에, T-N의 제거율은 수온의 영향으로 동절기 동안 생장기보다 낮은 약 33%를 나타내었다. 약 15%의 범위 내에서 식생피도의 차이는 T-P의 처리효율에 영향을 미치지 않는 반면에, 동절기 T-N의 처리효율에 영향을 미쳐 식생피도가 낮은 습지가 처리효율 또한 낮게 나타났다. 이는 질산성질소의 탈질화에 필수적인 유기탄소가 식생피도가 낮은 습지에서 적게 공급되었기 때문이라 생각된다. 영양물질 제거를 위한 인공습지를 조성할 경우 습지 전체를 모두 식생으로 피복되도록 하는 것 보다는 약 10 ${\sim}$ 15% 범위 내에서 일부 구역을 개방수역 (open water)으로 처리하여 어류 및 물새들을 위한 서식공간을 제공하여도 영양물질 제거효율에는 큰 차이가 발생하지 않을 것으로 생각된다. 대규모로 인공습지를 조성할 경우에는 영양물질 제거량을 증대시키기 위해 식물체를 제거하는 관리방안은 수행하지 않는 것이 경제적으로나 습지의 관리적인 측면에서 좋을 것으로 생각된다.

• Journal of Preventive Medicine and Public Health
• /
• 제27권2호
• /
• pp.337-365
• /
• 1994

Rubella is a viral disease with mild constitutional symptoms and generalized rashes. In childhood, it is an inconsequential illness, but when it occurs during early pregnant period, there are significant risks of heart defects, cataract, mental retardation to the fetus. The series of congenital defects induced by rubella is called 'congenital rubella syndrome'. Many research have been performed to find out more effective prevention program on rubella. The objectives of this study are, first, to calculate the incidence rate of acute rubella infection and congenital rubella syndrome in Korea, second, to evaluate economic efficiency of several rubella vaccination policies and to offer data for the most reasonable decision on vaccination policy. Study populations are 663,312 children of one year-old in 1992. The author has performed cost-benefit analyses according to the three vaccination policies-U.S.A.'s. U.K.'s and Sweden's. In this Study, the author got the incidence rate of acute rubella infection using the catalytic model. In the meantime, the author used 50 per 100,000 live births as the incidence rate of congenital rubella syndrome. The discount rate used in this study was 5 percent per annum. The sensitivity analyses were done with different discount rates (4%, 7%) and different incidence rate of congenital rubella syndrome (10,100 per 100,000 live births) : The study results are as follows: 1. Without vaccination, lifetime expenditures per patient for acute rubella infeciton amount to 14,822 won and the total expenditures to about 3.1 billion won. Meanwhile, lifetime expenditures per patient for congenital rubella syndrome amount to about 91 million won and the total expenditures to about 16.3 billion won without vaccination. 2. The cost of vaccination for a child of one year old was 2,322 won and the total cost for the one year old children was about 1.5 billion won (American style). The cost for vaccination of female children at fifteen was about 339 million won (Birtish style). And the cost of vaccination at one for both sex and female children at fifteen was about 1.9 billion won (Swedish style). 3. The benefit to cost ratios of vaccination of female children at fifteen that is the british mode of rubella vaccination, was 60.0 at the level of 80% population coverage and 48.6 at 100% coverage. It shows much higher benefit to cost ratio than those of the other two vaccination policies. 4. Both net benefits of vaccination at one (American style) and that of vaccinations at one and fifteen (Swedish style) range from about 17.0 billion to 17.8 billion won, those were larger than that of vaccinations of female children at fifteen (Birtish style, about 16.0 billion). 5. In marginal cost-benefit analysis of only additional program of revaccination, the benefit to cost ratios were 3.6 (80% coverage rate) or 0.6 (100% coverage rate). It implies that additional program was less efficient or inefficient. 6. In sensitivity analysis with different discount rates(4% or 7%) and different incidence rates of congenital rubella syndrome (10 or 100 per 100,000 live births), the benefit to cost ratios has fluctuated in wide range. However, all the ratios of vaccination of female children at fifteen were higher than those of the others. Even under the most conservative assumption, the benefit to cost ratios of all the rubella vaccination policies were higher than 3.3. In conclusion, all the rubella vaccination policies found to be cost-effective and particularly the vaccination of female children at fifteen was strongly recommended.

• 보건행정학회지
• /
• 제18권3호
• /
• pp.58-89
• /
• 2008

The purpose of this study was to evaluate comparatively the content of the Expanded National Immunization Program according to the provision method between 2005 and 2006 in Korea. We assessed the impact of the mutually exclusive vaccination policy using the result reports of the 2005 and 2006 Demonstration Project and the related references by the content analysis. The public health centers paid vaccination fees to the private clinic and hospital in the 2005 Demonstration Project in Daegu metropolitan city and Gunpo city. But, the public health centers directly supplied free vaccination services to the children in the 2006 Demonstration Project in Gangneung city, Yangsan city, and Yeongi-gun. The total budgets of 2005 and 2006 Demonstration Project were 6.57 billion won and 0.65 billion won, respectively. The computerized registration rates and timeliness rates of administration of each vaccination had improved all in the 5 Demonstration Project regions. However, the computerized registration rates of most vaccination in Gunpo city were higher than those in the 2006 Demonstration Project regions except hepatitis B. Especially, the computerized registration rate of BCG was 48.3%, but the BCG coverage rate by the follow-up telephone survey was 99.8% in Daegu metropolitan city. The community parents in all the regions were satisfied because of expanding financial and geographical access to immunization coverage. In conclusions, from the aspect of the main outcomes, the implementation of two different financial immunization aids appears to be widely accepted among these parents and to have had an impact on vaccination coverage. In the future, the government must try to enact that the national immunization policy including under-immunised or incompletely immunised groups would be achieved by the affordable method of the public-private dynamics.

• 한국산학기술학회논문지
• /
• 제16권6호
• /
• pp.4067-4076
• /
• 2015

본 연구는 2008년~2011년 "한국의료패널" 원시자료를 이용하여 연간 가구 과부담 의료비 지출 추이와 과부담 의료비 발생에 영향을 미치는 요인을 알아보고자 하였다. 연도별 과부담 의료비 발생률 추이는 교차분석(correspondence analysis)을 실시하였고, 과부담 의료비 발생에 영향을 미치는 요인은 일반화 추정방정식(generalized estimating equation)을 이용하였다. 연간 과부담 의료비 발생률 추이는 10%, 15%, 20%, 30%, 40% 역치 수준에서 각각 평균 25.1%, 15.4%, 10.1%, 5.4%, 3.2%로 나타났다. 과부담 의료비 발생에 영향을 미치는 요인을 살펴본 결과, 연간 총가구소득이 낮을수록, 가구주의 교육수준이 낮을수록, 의료보장형태가 건강보험가입 가구일수록, 가구주가 장애가 있을수록, 가구주의 연령이 높아질수록, 총가구원 수가 적을수록, 가구원의 주관적 건강수준이 낮을수록, 가구당 만성질환 유병률이 높을수록 과부담 의료비 발생 확률이 높게 나타났다(p<0.05). 따라서 의료 접근성 향상을 위한 전반적인 보장성 확대를 위한 노력과 동시에 특히 의료비 부담이 큰 노인 가구, 만성질환 가구 등의 취약계층을 우선으로 고려하는 정책 마련이 필요하다.

• 한국통신학회논문지
• /
• 제29권8A호
• /
• pp.868-878
• /
• 2004

본 논문에서는 멀티미디어 트래픽을 효율적으로 서비스하기 위해 CDMA 순방향 링크에 제안되었던 Zone-based 전력제어 방식(1)의 역방향 링크 적용 타당성을 검증 및 분석하였다. Zone-based 전력제어 방식을 운용하기 위해서는 각 트래픽 채널에 할당되는 최대 전력량이 결정되어야 한다. 순방향 링크에서는 기지국의 전력 자원을 다수의 트래픽 채널이 공유하기 때문에 각 트래픽 채널에 할당 가능한 최대 전력 자원을 결정하는 메커니즘이 요구되지만, 역방향 링크에서는 서비스 단말별로 전송되는 트래픽 채널에 할당 가능한 최대 전력 자원이 결정되어져 있는 특성으로 인해 Zone-based 전력제어 방식이 쉽게 구현될 수 있다. 실험 결과는 Zone-based 전력제어 방식이 기존의 전력제어 방식에 비해 전력 소비량과 이동국의 트래픽 성능에 있어서 향상된 결과를 보여주었다. 결국 Zone-based 전력제어 방식은 멀티미디어 트래픽 환경에서 고속 데이터호의 서비스 반경을 셀의 전체 서비스 반경으로 확보할 수 있게 하고, 시스템 내에 생성되는 간섭 량을 억제하여 저속 음성호의 QoS도 적절히 보장해줄 수 있는 방안임을 확인하였다.

• 한국환경복원기술학회지
• /
• 제19권2호
• /
• pp.121-135
• /
• 2016

The present study is an analysis of the monitoring results of the four areas that underwent the experimental construction of Straw-net+seedspray, Vegetation media spray method(t=2cm), and Vegetation media spray method(t=3cm), with the purpose of selecting the adequate revegetation of cutting slopes in weathered granite soil. Cutting slopes are mostly designed in the Straw-net+seedspray method, but since weathered granite soil slopes tend to have an infertile soil quality that runs down, it is difficult for seed germination and growth. It is difficult to apply Straw-net+seedspray to weathered granite soil slopes considering the germination rate and coverage rate of the Straw-net+seedspray method, which accompanies erosion and scouring. The final conclusions are summarized as follows. First, Straw-net+seedspray has difficulty recruiting plants to infertile weathered granite soil, which results in a lower coverage rate and fewer species, so it is not adequate construction method. Second, Vegetation spraying methods with wet media are more advantageous in early revegetation. The wet construction methods are faster than the dry construction methods in terms of early germination and its early growth are more excellent. Third, when constructing Vegetation spray methods with dry media, it were more advantageous if the thickness was thicker. When the soil-media is thicker, the soil is resilient to droughts, so the thickness must be flexibly applied according to the soil quality and slant of the weathered granite soil slope. The present study is a monitoring result for some areas of Gangwon-do, so its results may differ from other areas.

• Journal of Chest Surgery
• /
• 제50권6호
• /
• pp.430-435
• /
• 2017

Background: Mycotic aortic aneurysms are rare and life-threatening. Unfortunately, no established guidelines exist for the treatment of patients with mycotic aortic aneurysms. The purpose of this study was to evaluate the midterm outcomes of the open repair of mycotic thoracic and thoracoabdominal aneurysms and suggest a therapeutic strategy. Methods: From 2006 to 2016, 19 patients underwent open repair for an aortic aneurysm. All infected tissue was extensively debrided and covered with soft tissue. We recorded the clinical findings, anatomic location of the aneurysm, bacteriology results, antibiotic therapy, morbidity, and mortality for these cases. Results: The median age was $62{\pm}7.2years$ (range, 16 to 78 years), 13 patients (68%) were men, and the mean aneurysm size was $44.5{\pm}4.9mm$. The mean time from onset of illness to surgery was $14.5{\pm}2.4days$. Aortic continuity was restored in situ with a Dacron prosthesis (79%), homograft (16%), or Gore-Tex graft (5%). Soft-tissue coverage of the prosthesis was performed in 8 patients. The mean follow-up time was $43.2{\pm}11.7months$. The early mortality rate was 10.5%, and the 5-year survival rate was $74.9%{\pm}11.5%$. Conclusion: This study showed acceptable early and midterm outcomes of open repair of mycotic aneurysms. We emphasize that aggressive intraoperative debridement with soft-tissue coverage results in a high rate of success in these high-risk patients.

• Journal of Preventive Medicine and Public Health
• /
• 제32권2호
• /
• pp.147-154
• /
• 1999

Objectives: To construct basic data to develop strategies for achieving higher Pap test coverage rate by evaluating factors associated with the use of Pap test through population-based survey. Methods: 16.4%(671) of the 4,090 women, who were eligible population for this study, in 3 Myens of Chung-ju City participated in this study voluntarily from July 21 to 26, 1997. After basic physical examination by trained doctors, they were interviewed with structured questionnaire by well-educated interviewers. Results: It shows that only 54.3% of study participants experienced Pap test. The strongest factor which is related with the use of Pap test was the history of having breast screening tests(aOR=8.71, 95% CI=4.25-17.84). Probability of ever having Pap test was also higher in married women(aOR of single=0.46, 95% CI=0.29-0.72), younger(Ptrend<0,051, more educated (Ptrend<0.001), non-smoker (aOR of smoker=0.25, 95% CI=0.12-0.55), women of ever having Hepatitis test(aOR=2.60, 95% CI=1.73-3.88) in multiple lineal logistic analysis. Conclusions : This study suggests that several factors significantly associated with the use of Pap test, and especially, high-risk population for cervical cancer such as women of older ages, less educated, living alone are less likely to have the Pap test. We should concentrate on encouraging high-risk women in the use of Pap test to improve Pap test coverage rate.