• 자원ㆍ환경경제연구
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• 제21권1호
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• pp.175-210
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• 2012

2012년부터 유기성 폐기물의 해양투기가 전면 금지됨에 따라 우리나라도 이러한 국제 협약을 준수해야 한다. 이에 따라 유기성 폐기물을 대폭 저감하기 위해 다양한 방법들이 제시되고 있으나 바이오가스화는 배출량 저감과 동시에 에너지 생산이 가능하다는 점에서 가장 주목받는 기술이다. 그러나 경제성이 낮기 때문에 정부 보조가 불가피한데 7,800여억 원에 이르는 보조금에 대한 재원 확보가 시급한 상황이다. 한편 축산분뇨나 음식물 쓰레기, 하수 슬러지 등의 유기성 폐기물은 비접오염원에 해당된다. 비접오염원에 대한 직접적인 배출부과금 제도는 오염원과 오염 수준 간의 높은 불확실성으로 인해 실효성이 낮은 것으로 평가되어 왔다. 본 연구에서는 유기성 폐기물의 배출과 간접적으로 관련 있는 축산물 생산량 혹은 식품 소비에 대한 간접 배출부담금 제도를 제안하고, 그 세원을 바이오가스 산업에 대한 보조금으로 이용하는 방안의 경제적 환경적 효과를 비교하였다. 연산가능일반균형모형을 이용하여 분석한 결과, 축산물 생산에 대한 간접부담금은 식품 소비에 대한 부담금에 비해 특정 부문에 과세 부담이 집중되며, 거시적으로는 GDP와 총소비가 식품 소비에 대한 부담금에 비해 더 감소하는 것으로 나타났다. 또한 온실가스 저감 측면에서도 식품 소비에 대한 간접부담금이 우수한 것으로 나타났다. 따라서 유기성 폐기물 배출을 단기에 감소시키고, 이를 에너지로 전환하기 위해 필요한 재원 확충 농반으로 음식 및 식품 소비에 대한 간접부담금이 축산물 생산에 대한 간접부담금보다 적절한 것으로 분석되었다.

• International Journal of Oral Biology
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• 제45권2호
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• pp.51-57
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• 2020

Thromboelastography or rotational thromboelastometry, is being increasingly utilized in cardiac surgery of late. However, it is an indirect test and is not available in all centers. Low fibrinogen levels before and after cardiopulmonary bypass (CPB) have been described to be associated with postoperative bleeding in cardiac surgery. This study explored the usefulness of reduction ratio of the fibrinogen levels before CPB (preCPB) and after CPB (postCPB) in predicting postoperative hemorrhage. A retrospective, observational study of adult patients who underwent cardiac surgery with CPB between February 2014 and January 2016 was conducted, which included a total of 264 patients. The fibrinogen levels were measured twice, preCPB and postCPB, and the fibrinogen reduction ratio was acquired [(preCPB - postCPB)/preCPB]. Postoperative blood loss, which was defined as the blood collected from the chest drain for 12 hours following arrival at the intensive care unit, was considered severe if it was more than 1,000 mL. A multivariate analysis showed that fibrinogen reduction ratio, sex, and postCPB platelet count were significantly associated with severe postoperative bleeding. However, the pre- and postCPB fibrinogen levels were not significantly associated with severe bleeding. Furthermore, a fibrinogen reduction ratio of > 41.3% was independently associated with postoperative severe bleeding, with an odds ratio of 3.472 (1.483-8.162). These results suggest that the reduction ratio of pre- and postCPB fibrinogen levels may be utilized in predicting postoperative bleeding.

• 대한안전경영과학회지
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• 제11권2호
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• pp.19-26
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• 2009

This study was designed to analyse the performance and the mechanisms of workers' participation and communications in industrial accident prevention activities leading to the reduction of industrial accidents. This study also aimed to find out the causal relationship influencing the promotion of prevention activities of industrial accidents. Of the manufacturing businesses with more than 5 workers as the population of the survey, a questionnaire was conducted with 2,500 workspaces chosen by stratified sampling. Out of 2500 workspaces, 971 workspaces equipped with industrial safety and health committee were analysed in this study. According to the results of this study, the primary influential factors on safety activities were the management of industrial accidents and the cooperations between supervisors and workers on site. The secondary influential factor was the establishment of industrial safety and health committee. Regarding the effectiveness of industrial accident reduction, -0.01 was shown by workplace safety activities by themselves and -0.09 was shown by participation and communications through indirect safety activities. This indicated workers' participation and communications play an important role in the reduction of industrial accidents. By discovering the clue to the mechanism of the workers' participation and communications, this study is expected to stimulate the reduction of industrial accidents by emphasizing the importance of workers' participation and communications in resolving the safety and health problem in the workplaces.

• Archives of Plastic Surgery
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• 제39권3호
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• pp.209-215
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• 2012

Background : Among all facial fractures, nasal bone fractures are the most common, and they have been reduced by closed reduction (CR) for a long time. But several authors have reported suboptimal results when using CR, and the best method of nasal bone reduction is still being debated. We have found that indirect open reduction (IOR) through an endonasal incisional approach is a useful method for more accurate reduction of the nasal bone. Methods : A retrospective chart review was performed of 356 patients who underwent reduction of a nasal bone fracture in our department from January, 2006, to July, 2011. We treated 263 patients with IOR. We assessed patients' and doctors' satisfaction with surgical outcomes after IOR or CR. We evaluated the frequency of nasal bleeding owing to mucosal injury, and followed the surgical outcomes of patients who had simultaneous dorsal augmentation rhinoplasty. Results : According to the analysis of the satisfaction scores, both patients and doctors were significantly more satisfied in the IOR group than the CR group (P<0.05). Mucosal injury with nasal bleeding occurred much less in the IOR group (5.3%) than the CR group (12.9%). Dorsal augmentation rhinoplasty with IOR was performed simultaneously in 34 cases. Most of them (31/34) showed satisfaction with the outcomes. Conclusions : IOR enables surgeons to manipulate the bony fragment directly through the endonasal incisional approach. However, we propose that CR is the proper technique for patients under 16 and for those with comminuted nasal bone fractures because submucosal dissection in IOR can damage the growth or circulation of nasal bone.

• 자원ㆍ환경경제연구
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• 제18권2호
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• pp.279-309
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• 2009

산업에서 발생되는 온실가스를 줄이기 위해서는 각 산업별 온실가스 발생량을 정확히 예측해야 한다. 이에 본 연구에서는 2003년 산업연관표와 에너지 사용량 통계자료를 기초로 401개 산업별 직 간접 $CO_2$ 원단위를 산출하고 이를 활용하는 방안을 검토하였다. 본 연구는 국내에 없는 일부 데이터 대신 해외 데이터 사용, 석유정제부문에 대한 분배 문제, 카본뉴트럴 측면에서 재검토 필요성, 폐기물처리 부문 과정의 일부 미고려 등에 따른 결과의 한계를 가지고 있다. 그럼에도 불구하고 부산물로 얻어지는 코크스로가스나 철강계 가스, 자원순환 관점에서 주목받고 있는 폐기물 영향까지를 고려한 401개 상세 산업별 직 간접 $CO_2$ 원단위를 산출했다는 측면에서 의미가 있다. 산업별 $CO_2$ 배출 원단위 분석 결과를 살펴보면, 간접 $CO_2$ 원단위가 크게 나타난 대표적인 산업으로는 조강, 레미콘, 선재 및 궤조, 주철물, 철근 및 봉강 산업이다. 이들 산업은 직접 $CO_2$ 원단위가 큰 산업에서 생산된 원료물질을 이용하여 제품을 생산하고 있다. 직접 $CO_2$ 배출 원단위가 크게 나타난 대표적인 산업으로는 시멘트, 선철, 석회 및 석고 제품, 석탄화합물 등 자연으로부터 채취한 원광석 등을 이용하여 다른 산업에 유용한 원료물질로 정제하는 산업이었다. 본 연구 결과는 산업별 특성이 반영된 저감 목표치 산정, $CO_2$ 저감정책별 감축 잠재량 산정, 기업의 $CO_2$ 배출량 수준 파악 및 저감 목표량을 설정할 때 유용하게 활용될 수 있다. 그 밖에도 국내에서 활발히 연구되고 있는 환경경제통합계정, 산업별 물질흐름분석 분야에서 널리 응용될 수 있을 것이다.

• Korean Journal of Acupuncture
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• 제20권2호
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• pp.77-92
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• 2003

Objective; This study was investigated to test the anti-anemic effects of Danggwibohyeol-tang for herbal acupuncture on rat with anemia induced by phenylhydrazine according to composition ratio. Methods; Danggwibohyeol-tang herbal-acupuncture was administered into Kyoksu(膈兪穴, BL17) and RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, platelet, MPV, PDW, indirect bilirubin and lactate dehydrogenase were tested. Results; The obtained results are summarized as follows: (1) In control group RBC was significantly reduced in comparison with normal group. And in Danggwibohyeol-tang group A, B, C there was significant inhibitory effect on reduction in comparison with control group. The effect of Danggwibohyeol-tang group C was similiar to that of Danggwibohyeol-tang group B and was higher than that of Danggwibohyeol-tang group A. (2) In control group hemoglobin was significantly reduced in comparison with normal group. And in Danggwibohyeol-tang group A, B, C there was significant inhibitory effect on reduction in comparison with control group but there was no significant difference between Danggwibohyeol-tang group A, B, C. (3) In control group hematocrit was significantly reduced in comparison with normal group. And in Danggwibohyeol-tang group A, B, C there was significant inhibitory effect on reduction in comparison with control group. The effect of Danggwibohyeol-tang group C was higher than that of Danggwibohyeol-tang group A or B. (4) In case of MCV, MCH, MCHC and RDW there was no significant anti-anemic effect. (5) Danggwibohyeol-tang group significantly inhibited the growth of platelet. In case of Danggwibohyeol-tang A and B group there was more inhibitory effect than Danggwibohyeol-tang C group but there was no significant difference between Danggwibohyeol-tang A and B group. (6) In case of MPV, PDW and indirect bilirubin there was no significant difference between Danggwibohyeol-tang group and control group. (7) Danggwibohyeol-tang group significantly inhibited the growth of lactate dehydrogenase. In case of Danggwibohyeol-tang C group there was more inhibitory effect than Danggwibohyeol-tang B group and Danggwibohyeol-tang B group showed more inhibitory effect than Danggwibohyeol-tang A group. Conclusion; From above results Danggwibohyeol-tang for herbal acupuncture showed significant anti-anemic effect in some parameters. Further study is needed for the effect of Danggwibohyeol-tang according to different composition ratio.

• 대한족부족관절학회지
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• 제8권1호
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• pp.71-75
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• 2004

Purpose: The purpose of this study was to evaluate retrospectively the clinical results of closed reduction and percutaneous screw fixation for unstable injuries on stress radiographs in subtle injuries of Lisfranc joint. Materials and Methods: From June 1997 to March 2003, 6 cases of unstable injuries on stress radiograph in subtle injuries of Lisfranc joint were treated by percutaneous cannulated screw fixation after closed reduction. All cases were injuried by indirect force (twisting injury). The average diastasis between the 1st and 2nd metatarsal base was 3 mm (2-4 mm) on initial nonweight bearing AP radiograph. The average follow-up period was 20 months. Clinical evaluation was assessed according to the American Orthopedic Foot and Ankle Society (AOFAS) midfoot score. Results: The AOFAS midfoot score was average 86 (80-90) points. The average diastasis between 1st and 2nd metatarsal base was 2 mm (1-3 mm) on weight bearing AP radiograph in final follow up. The final diastasis was increased slightly than diastasis in initial postoperative radiographs. But the clinical results were good. There was no correlation between the degree of diastasis and the clinical results. On weight bearing lateral radiograph, the average difference with normal foot in the distance between plantar aspect of 5th metatarsus and medial cuneiform was 2 mm (0-3 mm). One case had mild arthritic change on the radiographs. Conclusion: When the Lisfranc injuries, especially in the subtle injuries were suspicious, the stress views are helpful to assess stability of the Lisfranc injuries and planning of treatment. For unstable injuries on stress radiographs in subtle injuries of Lisfranc joint, closed reduction and percutaneous screw fixation is useful method to expect good clinical results.

• 유기물자원화
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• 제21권4호
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• pp.88-100
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• 2013

본 연구는 사업장폐기물 소각시설의 운영에 대한 직접 및 간접 환경영향을 전과정평가 기법으로 평가하고 개선방안을 검토한 것이다. 소각시설에서 직접환경영향은 배출되는 오염물질이 처리공정에서 처리되어 공정을 거치면서 감소하였으나, 시설의 처리운영에 따른 자원과 에너지 사용으로 간접환경영향은 증가하여 직접영향 89.1%, 간접영향이 10.9%로 나타났다. 소각시설의 공정에 따른 환경영향은 소각로-반건식반 응탑-백필터공정 순으로 나타났으며, 이는 소각로에서는 폐기물이 소각되면서 대기오염물과 소각재가 발생되기 때문이다. 영향범주별 환경영향은 지구온난화-부영양화-자원고갈 순으로 나타났으나 지구온난화가 85%이상의 절대적 환경영향을 미치는 것으로 나타났다. 또한, 소각시설에서 소각열을 활용에 의한 회피효과를 검토한 결과, 스팀과 전기로 활용할 경우 각각 45.5%, 19.8%의 환경영향 저감을 얻을 수 있어, 소각로의 입지 선정 시 소각열의 효율적 활용이 중요하게 고려되어야 할 것으로 나타났다.

• 한국환경과학회지
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• 제13권2호
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• pp.117-127
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• 2004

The purpose of this study is to present the conditions and methods for keeping the sustainability of the landscape resources of the East Coast of Gangwon province, the Republic of Korea by investigating the landscape resources management in the area and pointing out its problems. The unit of analysis in this study is four cities and two counties located along the national road route seven in Gangwon province. The classification and characteristics of the landscape resources in this area was analyzed by a literature review, and we surveyed the tourists visiting the area and statistically analyzed the data in order to examine their satisfaction with the landscape resources management and make recommendations. The problems of the landscape resources management are: 1) the disturbance of the persistence of life by reclamation, the population reduction in the ecosystem due to the overload in environmental capacity, and the severance of space between land and water. 2) the reduction of the benefits from indirect experience by interfering with the conservation of fluxes --- the manipulation of horizontal arrangement of the landscape resource, the visual disturbance by the construction of high-storied buildings, and the disharmony between the color/image and the environment. The means for keeping sustainability of the landscape resources include the regulations of development and use, the change in the recognition of the value of landscape resources and the moral system, and the improvement of resource management skills.

• 한국해안해양공학회지
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• 제12권3호
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• pp.149-155
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• 2000

마산만의 오염물질 수지변화를 파악하여 하수처리장 건설 효과를 정량적으로 분석하였다. 하수처리장 건설에 의한 유역의 오염부하량 삭감효과는 명확한 것으로 추정되었으나, 해역의 수질개선에 미치는 영향은 그에 상응하는 오염부하량 증가로 인하여 뚜렷하게 효과를 보이고 있지 않은 것으로 추정되었다. 하수처리장 건설에 의한 마산만(I 영역)의 오염부하량 삭감효과는 COD, SS, TN, TP 항목의 경우 각각 17.6%, 68.9%, 66.7%, 38%에 해당된다. 반면, 진해만 북부 방류해역(II 영역)은 하수처리장 방류수의 직접적인 오염부하와 오염된 퇴적물에 의한 용출부하(간접적인 효과)가 가중되고 있다. 따라서, 하수처리장 건설로 인하여 방류해역의 환경은 오히려 악화되어 가고 있는 것으로 파악되었다.