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Health Center Director's Cognition and Attitude on the Strategies for Utilizing Oriental Public Health Doctors (공중보건한의사의 효율적인 활용방안에 대한 보건소장의 인식 및 태도)

  • Park Jae-San;Chang Dong-Min;Moon Ok-Ryun
    • Journal of Society of Preventive Korean Medicine
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    • v.6 no.1
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    • pp.1-14
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    • 2002
  • The proportion and role of public sector in health care industry is very small in Korea. Asymmetric distribution of health care resources is one of the major health care concerns. This issue is so important that it raises a question of accessibility, availability, continuity of care and equity of rural area people's health care utilization. To solve these problems and to satisfy the basic demand of oriental medical service in rural areas, the oriental public health doctors were placed in rural health centers since 1998. The main objectives of this study are twofold: to measure the cognition and attitude of health center directors on the strategies for utilizing oriental public health doctors and to provide basic data for improving the health manpower management program. Data have been collected by way of the self-administrative questionnaires. Developing the questionnaire, the literature review on the previous studies and delphi method were carried out. The response rate was 38.7%. The results of this study are summarized as follows; 1. community people respond positively on the oriental medical service activity in health center. 2. In regard to workloads of oriental public health doctor, 'appropriate' was 81.1% and 'burdensome' was 18.2%, respectively. 3. The 94.0% of respondents thought that the oriental medical service will be continued. 4. To activate oriental medical service in health center, the sufficient budget and provision of aid workers is a necessity. 5. The 75.5% of health center directors respond positively on the allocation of oriental public health doctor to health sub-centers. 6. Health center directors agreed that oriental public health doctor should perform the clinical service as well as prevention and health promotion activity. These results recommend that oriental medical service in health center should be continued gradually, and oriental public health doctors working at health center perform their work efficiently. Undoubtedly, their activity should be more focused on health promotion and disease prevention than daily patient care. For achieving this objective, more support of governmental policy is essential for utilizing oriental public health doctor and better health of the rural area community people.

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A Study on Applicability of Tensile Constitutive Model of Steel Fiber Reinforced Concrete in Model Code 2010 (Model Code 2010에 제시된 강섬유 보강 콘크리트의 인장 구성모델 적용성 고찰)

  • Yeo, Dong-Jin;Kang, Duk-Man;Lee, Myung-Seok;Moon, Do-Young
    • Journal of the Korea Concrete Institute
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    • v.28 no.5
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    • pp.581-592
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    • 2016
  • Tensile constitutive stress-strain model of steel fiber reinforced concrete (SFRC) in fib MC2010 was investigated. In order to model tensile behavior of SFRC, three point loading flexural tests were conducted on notched small beams according to BE-EN-14651. Design parameters for the constitutive model were determined from the flexural tests. Flexural test and finite element analysis were conducted on large SFRC beam without steel reinforcements and compared with each other. In addition, parametric study on the effect of compressive and tensile model, and characteristic length on flexural behavior of the SFRC beam was conducted also. In results, pre-peak load-displacement curves from the FE analysis was close to experimental curves but significant difference was shown in post-peak behavior. The reason of the difference is originated from the fact that the fiber distribution and orientation were not being properly considered in the MC2010 model. This study shows that modification and detail explanations on the orientation factor K in MC2010 might require to better reproduce the behaviour of large scale SFRC beams.

Population structure and regeneration of Himalayan endemic Larix species in three high-altitude valleys in Nepal Himalaya

  • Dhamala, Man Kumar;Aryal, Prakash Chandra;Suwal, Madan Krishna;Bhatta, Sijar;Bhuju, Dinesh Raj
    • Journal of Ecology and Environment
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    • v.44 no.3
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    • pp.196-206
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    • 2020
  • Background: The Himalayan forests are of great importance to sustain the nature and community resource demands. These forests are facing pressures both from anthropogenic activities and ongoing global climatic changes. Poor natural regeneration has been considered a major problem in mountainous forests. To understand the population structure and regeneration status of Larix (Larix griffithiana and Larix himalaica), we conducted systematic vegetation surveys in three high-altitude valleys namely Ghunsa (Kanchenjunga Conservation Area, KCA), Langtang (Langtang National Park, LNP), and Tsum (Manaslu Conservation Area, MCA) in Nepal Himalaya. The average values of diameter at breast height (DBH), height, and sapling height were compared for three sites and two species using Kruskal-Wallis test. Population structure was assessed in terms of proportion of seedlings, saplings, and trees. Regeneration was analyzed using graphical representation of frequencies of seedlings, saplings, and trees in histograms. Results: The results showed that the population structure of Larix in terms of the proportion of seedling, sapling, and tree varied greatly in the three study areas. KCA had the highest record of seedling, sapling, and tree compared to other two sites. Seedlings were the least among three forms and many plots were without seedlings. We found no seedling in MCA study plots. The plot level average DBH variation among sites was significant (Kruskal-Wallis χ2 = 7.813, df = 2, p = 0.02) as was between species (Kruskal-Wallis χ2 = 5.9829, df = 1, p = 0.014). Similarly, the variation in average tree height was significant (Kruskal-Wallis χ2 = 134.23, df = 2, p < 0.001) among sites as well as between species (Kruskal-Wallis χ2 = 128.01, df = 1, p < 0.001). All the sites showed reverse J-shaped curve but more pronounced for KCA and MCA. In comparing the two species, Larix griffithiana has clear reverse J-shaped diameter distribution but not Larix himalaica. Conclusion: The varied responses of Larix manifested through regeneration status from spatially distinct areas show that regeneration limitations might be more pronounced in the future. In all the three studied valleys, regeneration of Larix is found to be problematic and specifically for Larix griffithiana in MCA and Larix himalaica in LNP. To address the issues of disturbances, especially serious in LNP, management interventions are recommended to sustain the unique Himalayan endemic conifer.

The Analysis of PM10 Concentration and Emission Contribution in the Major Cities of Korea (한반도 주요 대도시의 PM10 농도 특성 및 배출량과의 상관성 분석)

  • Kang, Minsung;Kim, Yoo-Keun;Kim, Taehee;Kang, Yoon-Hee;Jeong, Ju-Hee
    • Journal of Environmental Science International
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    • v.25 no.8
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    • pp.1065-1076
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    • 2016
  • This study analyzes the $PM_{10}$ characteristics (particulate matter with aerodynamic diameter less than $10{\mu}m$), concentration, and emissions in eight large South Korean cities (Seoul, Incheon, Daejeon, Daegu, Gwangju, Ulsan, Busan, Jeju). The annual median of $PM_{10}$ concentration showed a decline of $0.02{\sim}1.97{\mu}g/m^3$ in the regions, except for Incheon, which recorded an annual $0.02{\mu}g/m^3$ increase. The monthly distribution levels were high in spring, winter, fall, and the summer, but were lower in summer for all regions except for Ulsan. These differences are thought to be due to the dust in spring and the cleaning effect of precipitation in summer. The variation in concentrations during the day (diurnal variation) showed that $PM_{10}$ levels were very high during the rush hour and that this was most extreme in the cities (10.00 and 18.00-21.00). The total annual $PM_{10}$ emissions analysis suggested that there had been a general decrease, except for Jeju. On-road mobile (OM) sources, which contributed a large proportion of the particulates in most regions, decreased, but fugitive dust (FD) sources increased in the remaining regions, except for Daegu. The correlation analysis between $PM_{10}$ concentrations and emissions showed that FD could be used as a valid, positive predictor of $PM_{10}$ emissions in Seoul (74.5% (p<0.05)), Dajeon (47.2% (p<0.05)), and Busan (59.1% (p<0.01)). Furthermore, industrial combustion (IC) was also a significant predictor in Incheon (61.7% (p<0.01)), and on-road mobile (OC) sources were a valid predictor in Daegu (24.8% (p<0.05)).

A Case Study of Electrical Resistivity and Borehole Imaging Methods for Detecting Underground Cavities and Monitoring Ground Subsidence at Abandoned Underground Mines (폐광산 지역의 공동 탐지 및 지반침하 모니터링을 위한 전기비저항탐사와 시추공영상촬영기법 적용 사례)

  • Choi, Jeong-Ryul;Kim, Seung-Sep;Park, Sang-Kyu;Shin, Kwang-Soo;Kang, Byung-Chun
    • Journal of the Korean earth science society
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    • v.34 no.3
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    • pp.195-208
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    • 2013
  • We employed electrical resistivity and optical borehole imaging methods to identify underground cavities and determine ground subsidence rate at the study area affected by land subsidence due to abandoned underground mines. At the study site 1, the anomalous zones of low resistivity ranging between 100 ohm-meter and 150 ohm-meter were observed and confirmed as an abandoned underground mine by subsequent borehole drilling and optical borehole imaging. Although the electrical resistivity survey was unavailable due to the paved surface of the study site 2, we were able to locate another abandoned underground mine with the collapsed mine shaft based on the distribution of the ore veins and confirmed it with borehole drilling. In addition, we measured vertical displacements of underground features indicating underground subsidence by conducting optical borehole imaging 6 times over a period of 43 days at the study site 2. The displacement magnitude at the deep segment caused by subsidence appeared to be 3 times larger than those at the shallow segment. Similarly, the displacement duration at the deep segment was 4 times longer than those at the shallow segment. Therefore, the combination of electrical resistivity and optical borehole imaging methods can be effectively applicable to detect and monitor ground subsidence caused by underground cavities.

A Study on Metabolic Effects of Norinyle Administration on Female Guinea Pig (Norinyle 복용이 체내대사에 미치는 영향에 대한 연구)

  • Kim, Chang-Yeon;Ju, Soon-Jin
    • Journal of Nutrition and Health
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    • v.12 no.4
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    • pp.29-42
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    • 1979
  • In order to observe metabolic effects of an oral conceptive, Norinyle, on female Guinea pig, the changes of ascorbic acid amount and alkaline phosphatase activity in the liver and serum were determined, and histochemical changes of the uterus were observed by microscopic and electronmicroscopic methods by administration of Norinyle with or without ascorbic acid. The results obtained are summerized as follows: 1) The metabolic changes were clearly influenced by the administration of Norinyle alone, but the changes were diminshed by administration of Norinyle with ascorbic acid. 2) The adimnistration of Norinyle influenced to increases the requirment of ascorbic acid in the liver. 3) The uterus weight of the Norinyle administered group was much increased, while the weight was less increased in the group of administered Norinyle with ascorbic acid than the control. 4) The Norinyle administration was brought about an atrophy of endometrium, of uterus especially, functional layer, that the formation of glands were inadequately and the fromation of basal layer and stroma were diminished. 5) An acute infarction on the all layers of the uterus was developed at 9th and 25th days of Norinyle administration and 20th day of Norinyle with ascorbic acid administration. 6) A hypertrophy of stromal and endovascular cells were observed on the groups administered of Norinyle alone(group II ) or Norinyle with ascorbic acid(group IV). 7) It was observed that amount of collagen fiber in the basal and muscular layeres of uterus were diminished under a microscopical observation by the special stained specimen on the Norinyle administered group, but the amount and distribution of reticulin fiber were not changed significantly. 8) The fille structure of outer functional layer of the uterus were significantly changed by administration of Norinyle which were shown irregurarity of nuclear membrane, poor development ana significant expansion of enaoplasmic reticulum, decreases of the amount of ribosome due to slip off, increases of the number of dense bodies, obvious formation of vaccule, an4 decreases the amount of collagen in inner and outer layer of the stroma. 9) The amount of ascorbic acid in the serum did not much changed but the amount in the liver was much decreased by the administration of Norinyle, And the administration of Norinyle with ascorbic acid induced for a significant diminishing on the changes of uterus which might be able to developed by the administration of Norinyle alone.

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Nutrients and Dish Intake by Fasting Blood Glucose Level (혈당 수준에 따른 영양섭취 및 음식섭취 상태)

  • Choi, Ji-Hyun;Moon, Hyun-Kyung
    • Journal of Nutrition and Health
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    • v.43 no.5
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    • pp.463-474
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    • 2010
  • The nutrient intake and association between dish group intake and blood glucose and serum lipid level (TG, cholesterol, LDL and HDL) was analyzed among 3 groups: 452 subjects in normal blood glucose group (NG: fasting blood glucose < 100 mg/dL and 2 hours postprandial blood glucose < 140 mg/dL), 258 subjects in impaired fasting glucose group (IFG: fasting blood glucose 100~125 mg/dL and 2 hours postprandial blood glucose ${\geq}$ 140 mg/dL) and 101 subjects in diabetic group (DG: fasting blood glucose $\geq$ 126 mg/dL and 2 hours postprandial blood glucose ${\geq}$ 140 mg/dL). The data were obtained from the 2005 National Health and Nutrition Survey of Korea. The 811 subjects were adults aged 40~64 without dietary treatment. In nutrients intake, IFG was the highest and DG the lowest in both quantity and quality. DG, especially, had the lowest intake in carbohydrates, fiber, proteins, Ca, P, K, vitamins B1 and C, and consumed the highest amount of alcohol. In macronutrients distribution ratio, the DG diet showed a lower energy intake from carbohydrates but higher from fat than the NG diet, while IFG showed a higher energy intake from carbohydrates and lower intake from fat in supper out of 3 meals and snacks. IFG preferred salt-fermented foods and DG preferred soups, braised foods and kimchi compared to other groups. NG preferred multi-grain cooked rice and both IFG and DG preferred plain white cooked rice. Regarding the association between dish group intake and blood glucose, cooked rice, soups, salt-fermented foods and kimchi were significantly related to blood glucose. In blood lipids, steamed-foods, beverages and fruits were inversely related to the risk of developing type 2 diabetes, whereas cooked rice, stews, saltfer-mented foods, seasoned-fermented foods and seasoned vegetables were directly proportional to the risk of developing type 2 diabetes and related diseases. Therefore, it is beneficial to avoid rich, salty and fatty foods and heavy alcohol consumption for controlling blood glucose and blood lipids, while steamed foods, foods rich in fiber (like multigrain rice) as a staple, and fruits and teas are recommended for preventing or managing type 2 diabetes risks.

A Study on 8-Stage Loading Method of the Scaffolding Module for LNG Carriers (LNG 운반선 비계 모듈의 8단 탑재 방안 연구)

  • Shin, Sang-Hoon;Ko, Dae-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.78-85
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    • 2020
  • The scaffolding system, which is a construction workbench of the cargo containment for a membrane LNG carrier, is a large truss structure composed of various members. To shorten the installation period and process of the scaffolding system, it is effective to enlarge the mounting unit from the existing two stages to eight stages. Owing to the increase in lifting load according to the large size of the module, the stresses around the pin and hole will be increased significantly. In this study, a tensile strength test and contact stress analysis were performed to confirm the structural safety. The relatively large hole deformation was observed visually near the average load generated in the vertical pipe at the top through tensile strength tests. A contact stress calculation confirmed the stress distribution around the hole. The contact problem was dealt with in terms of the Herzian contact stress. The possibility of 8-stage loading was examined by comparing the yield strength and contact stresses of failure critical locations. As a result, the 8-stage loading method of the existing scaffolding material was inadequate, and a new loading method with proper safety is proposed.

Comparison of Effects of Mask Style and Donning Training on Fit Factors of Particulate Filtering Facepiece Respirators (안면부 여과식 방진 마스크의 형태 및 착용 방법 교육이 밀착계수에 미치는 영향 비교)

  • Eoh, Won Souk;Choi, Youngbo;Shin, Changsub
    • Journal of the Korean Society of Safety
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    • v.31 no.5
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    • pp.35-41
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    • 2016
  • Particulate filtering facepiece respirators (PFFR) is one of the most widely used items of personal protective equipments, and a tight fit of the respirators on the wearers is critical for the protection effectiveness. In order to effectively protect the workers through the respirators, it is important to find and evaluate the ways that can be readily applicable at the workplace to improve the fit of the respirators. This study was designed to evaluate effects of mask style (cup or foldable type) and donning training on fit factors (FF) of the respirators, since these are available at various workplace, especially at small business workplace. A total of 40 study subjects, comprised of 30~50s aged male and female workers in metalworking industries, were enrolled in this study. The FF were quantitatively measured before and after training related to the proper donning and use of cup or foldable-type respirators. The pass/fail criterion of FF was set at 100. After the donning training for the cup-type mask, subjects who passed the fit test were increased from 10 to 33. Moreover, the geometric mean (GM) of FF was increased by 340% in subjects who failed the test. In addition, the training effects for the cup-type mask were significant in female and 50s aged subjects. On the other hand, although the GM of FF for the foldable-type mask was also increased after the donning training, the GM of FF for the foldable-type mask and it's increase rate were smaller as compared to the cup-type mask. Furthermore, the differences of the increase rates of the GM of FF in sex and aged of the subjects were not significantly for the foldable-type mask. The multi-distribution of leak points for the foldable-type mask may be one of causes for the less effect of training on the fit of the foldable-type mask. These results imply that the raining on the donning and use of PFFR can enhance the protection effectiveness of cup or foldable-type mask, and that the training effects for the foldable-type mask is less significant than that for the cup-type mask. Therefore, It is recommended that the donning training and fit tests should be conducted before the use of the PFFR, and that efficient tranining programs for the foldable-type mask are required.

Analysis on Topographic Normalization Methods for 2019 Gangneung-East Sea Wildfire Area Using PlanetScope Imagery (2019 강릉-동해 산불 피해 지역에 대한 PlanetScope 영상을 이용한 지형 정규화 기법 분석)

  • Chung, Minkyung;Kim, Yongil
    • Korean Journal of Remote Sensing
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    • v.36 no.2_1
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    • pp.179-197
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    • 2020
  • Topographic normalization reduces the terrain effects on reflectance by adjusting the brightness values of the image pixels to be equal if the pixels cover the same land-cover. Topographic effects are induced by the imaging conditions and tend to be large in high mountainousregions. Therefore, image analysis on mountainous terrain such as estimation of wildfire damage assessment requires appropriate topographic normalization techniques to yield accurate image processing results. However, most of the previous studies focused on the evaluation of topographic normalization on satellite images with moderate-low spatial resolution. Thus, the alleviation of topographic effects on multi-temporal high-resolution images was not dealt enough. In this study, the evaluation of terrain normalization was performed for each band to select the optimal technical combinations for rapid and accurate wildfire damage assessment using PlanetScope images. PlanetScope has considerable potential in the disaster management field as it satisfies the rapid image acquisition by providing the 3 m resolution daily image with global coverage. For comparison of topographic normalization techniques, seven widely used methods were employed on both pre-fire and post-fire images. The analysis on bi-temporal images suggests the optimal combination of techniques which can be applied on images with different land-cover composition. Then, the vegetation index was calculated from the images after the topographic normalization with the proposed method. The wildfire damage detection results were obtained by thresholding the index and showed improvementsin detection accuracy for both object-based and pixel-based image analysis. In addition, the burn severity map was constructed to verify the effects oftopographic correction on a continuous distribution of brightness values.