• 보건행정학회지
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• 제21권1호
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• pp.44-60
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• 2011

Background : Surgical site infection(SSI) is one of the important nosocomial infections with pneumonia, urinary tract infection. SSI increases mortality, morbidity, length of stay, and costs for postoperative patients. The purpose of this study was to estimate length of stay(LOS) and health care costs from SSI using the large observational data. The ultimate objective was to show the effect of prevention of SSI. Method : This study used antibiotic prophylaxis evaluation data and claims data of the HIRA(Health Insurance Review and Assessment Service). The study population included 18,361 patients who underwent gastric surgery, endoscopic cholecystectomy, colon surgery, hysterectomy, cesarean section in nationwide hospitals from August to October 2007. SSI group and non-SSI group were matched according to propensity score resulted from logistic regression. The paired t-test was used to compare the difference of the LOS and health care costs between SSI group and non-SSI group. Results : The 598 cases of SSI were detected of total subjects, and the crude SSI rate was 3.3%. For each surgery, SSI rates were 5.5% for gastric surgery, 4.7% for cholecystectomy, 6.6% for colon surgery, 2.6% for hysterectomy, and 1.6% for cesarean section. The 596 cases of SSI and the 596 cases of non-SSI were matched by propensity score. The LOS of SSI group was longer than that of non-SSI group, and the difference was statistically significant. Health care costs of SSI group was more than that of non-SSI group which was significant. Conclusions : SSI increased apparently the LOS and healthcare costs. The economic loss might affect the cost of national healthcare as well as patients and hospitals. This study provided the evidence that the healthcare expenditure could be reduced by preventing SSI.

• 생태와환경
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• 제40권4호
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• pp.495-502
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• 2007

Species biotic index (SBI), based on a fish assemblage, was applied to a stream assessment using long-term ecological fish data set (1996 to 2001) in Boryong dam area, which is located in the mainstream of Ungchun Stream of Chungnam province, Korea. According to the methods of Hilsenhoff (1988), the scores of tolerance guild assigned 10 classes to each species by its habitat and feeding guild, but modified current 7 criteria to 5 scoring standards due to unclear borderline among species. Relative abundance in the species number of upper stream guilds was only 7% of the total, whereas the abundance in the species number of middle to downstream upper stream guilds was 64%. Mean SBI, based on dataset in Site 1 during 1995-2001 averaged 5.10, which was judged as a "good" condition by the rank criteria of SBI. Before the dam construction, mean SBI in the Site 1 was 4.61, indicating a "good" condition, but after the dam construction, mean SBI was 5.60, indicating a "fair" condition. Trajectory analysis in the Site 1 showed significantly (One-way ANOVA, $F_{6,21}=3.26$, p=0.02) different among years, reflecting the changes of fish composition and population density by the dam construction, whereas Site 2 showed no significant changes ($F_{6,21}=1.00$, P =0.45) difference among years. Mean SBI prior to the dam construction in the Site 3 was 4.52 but after the construction, the value was 6.30, indicating a distinct difference between the pre- and post-dam construction. Trajectory analysis at the Site 3 supported this fact: Values of SBI showed significantly ($F_{6,21}$=14.37, p<0.01) different. Mean SBI was 4.67 in the Site 4, indicating a "good" condition in the health and the health rank was same as the sampling sites 1, 2, and 4. Trajectory in the Site 4 showed no significant ($F_{6,21}=2.35$, p=0.07) difference among the years. Overall, our trajectory analysis indicated that three of four sampling sites (sites 1, 3, 4) showed significant decreases (n=7, p<0.05) and that the proportions of sensitive species declined evidently in the sites 1 and 2 and the tolerant species increased in the dam sites. Our outcomes may be used as a key data for diagnosis of the long-term ecological impact in the future in the watershed.

• 환경영향평가
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• 제31권4호
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• pp.250-264
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• 2022

현행 환경영향평가 체계 내 건강영향평가 대상사업은 「환경보건법」 시행령 제12조(건강영향 항목의 추가·평가 대상)에 따라 일부 대상사업으로 한정되어 있으나, 대상사업이 아닌 다양한 환경영향평가 대상 사업들에 대해서도 협의과정에서 건강영향 관련 사항들이 추가로 평가·검토되고 있다. 특히 주거지 관련 개발계획에 있어 개발부지가 오염원 주변에 계획될 경우 건강영향 측면에서의 입지 타당성 확보 여부를 평가·검토하게 되는데, 개발부지에서 주요 유해대기오염물질들의 현황농도 조사를 통한 위해도 기준 만족 여부를 확인하여 사후관리 방안을 마련하는 수준에 그치고 있다. 본 논문에서는 주거지 개발계획에 있어 개발하고자 하는 주거지역에 대한 입지의 타당성을 확인하는 정량적 방법을 마련하고 환경영향평가 절차 내에서 건강영향평가 대상사업의 확대 방안을 제안하고자 하였다. 환경영향평가 체계의 스크리닝 및 스코핑 절차를 검토하여 세부 방법론을 제안하였으며, 방법론 검증을 위해 과거 협의된 도시개발계획에 대한 사례분석을 진행하였다.

• 대한치과보철학회지
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• 제36권5호
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• pp.758-771
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• 1998

Assessment of implant mobility is an important and reliable method to clinically evaluate implant stability. PerioTest is a precise and reproducible device that cam dynamically measure the reaction of damping characteristics of peri-implant tissue. The aim of this study is to evaluate the effects of amount of implant surface area, diameter, type, implantation site, degrees of cortical engagement, and length of time in function on PTVs and to find out the most determining factor on PTVs. The results are as follows 1. 5.0mm diameter implants show significantly lower PTV than that of 3.75mm diameter implants. 2. PTV in the mandible is significantly lower than that of the maxilla 3. In the maxilla, there is no significant difference in PTV during the first year of implant function, but during the second year a significant decrease in PTV is noted. 4. In the mandible, there is a significant decrease in PTV during the first and second year of implant function. 5. Implantation site seems to be the most determining factor on PTV among the influencing factors in this study. In conclusion, the amount of implant surface area, type, degrees of cortical engagement had no significant effect on PTV, but installation site and diameter influenced significantly on PTV

• 한국산학기술학회논문지
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• 제20권4호
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• pp.56-68
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• 2019

설계안전성검토 제도 도입으로 현장공사수행 시 안전을 고려한 설계를 도입해야하나 실제 현장에서 설계안전성검토를 적용하여 수행하기에는 아직 미흡한 점이 많다. 본 연구에서는 설계안전성검토를 적용하지 않은 현장과 적용을 한 현장을 비교연구하였다. 적용공종은 건축물공사의 뼈대에 해당되는 골조공사 중 지하외벽공사에 대하여 연구하였다. 지하외벽 공사는 대부분 작업 조건이 외부 환경에 노출되어 작업조건이 열악하고 작업단계도 비계공사, 거푸집공사, 철근공사, 콘크리트타설공사 등을 거쳐야 완성되므로 안전사고 위험요소가 매우 높은 공종이다. 이에 각단계별 위험요소를 도출하고 위험성평가를 실시하여 이를 저감하기 위한 대안공법을 선정하였다. 대안으로 선정된 공법의 위험요소를 도출하고 위험성평가를 실시하여 설계안전성검토 미적용현장과 적용현장을 비교하여 위험성평가 가중치를 산출하고 저감효과를 연구하여 설계안전성검토가 필요한 사유를 설명하였다. 또한, 대안으로 수립된 공법을 실제 적용한 사례를 연구하여설계안전성검토 필요성을 제시하였다.

• 환경영향평가
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• 제16권2호
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• pp.177-186
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• 2007

The composition of water-friendly space in the port and harbour developments provides the accessibility to the sea and thus resting & recreational function of the local citizen, which should be treated importantly for the eco-friendly coastal development. However, the high demand on water-friendly space can induce another environmental problem because most port and harbour developments require marine reclamation and the water-friendly space are made up on the reclamation area. The present study analysed the problems and suggested matters to be considered in composing the water-friendly space of port and harbour developments. The study also established the management direction by site characteristics of port and harbour. In addition, we attempt to find a plan to avoid the water-friendly space composition with environmental damage and to secure the environmental and public soundness in site selection, land use and facilities plan based on case studies.

• 환경영향평가
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• 제2권2호
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• pp.59-71
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• 1993

Evaluation methods are employed in environmental impact assessment to choose between different project site, to determine the required measures to compensate impact and to decide whether the environmental impacts are more important than the social or economic effects of a project. The main obstacles that restrict use of quantitative evaluation method are a Lack of knowledge about the environmental effects (e.g. if impacts on wildlife or landscape amenities are predicted) and the relative importance of economic and social issues compared with nature conservation stability of ecosystem or landscape beauty. In Germany, the most common method for site planning is the "ecological risk analysis". It is a kind of multi-criteria-decision-method based on quantitative and qualitative description and ordinal ranking. The various kinds of "ecological balancing methods" that are more recently developed (within the last decade) to quantify the required amount for compensatory measures instead often use cardinal figures to express the value of ecosystems, the intensity of impacts, the need for additional measures to compensate for long recuperative periods when restoring ecosystems and so on. There are still only a view attempts to quantify decisions between environmental and socio-economic issues. Multicriteria-analysis as well as cost-benifit-analysis was used. Some new approaches which are still in a preliminary status are based on contingent valuation and on calculations for compensatory payments (instead of compensatory measures).

• 환경영향평가
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• 제29권5호
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• pp.391-402
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• 2020

국내 법적 근거를 가진 건강영향평가(Health Impact Assessment)는 환경영향평가 항목 중 위생공중보건 항목에서 작성 수행되고 있다. 택지개발 등 주거지 개발사업들은 「환경보건법」 제13조에 따른 건강 영향평가 대상사업은 아니다. 하지만 환경영향평가협의회 단계에서 인근 산업단지 등 오염원에서 배출되는 물질 중 건강영향평가 대상물질을 확인하여 위해도(발암·비발암 포함)를 산정하여 제시하라는 심의내용에 근거하여 부분적인 건강영향평가로 수행하고 있다. 주거지 개발사업은 특정대기유해물질 등 오염물질 배출시설 계획이 없지만 주변 산업단지와 같은 대기오염 발생원에서 배출되는 오염물질에 의해 향후 입주하는 계획지구 주민들에게 건강영향을 미칠 수가 있다. 본 연구에서는 실제 도시개발사업 사례를 분석하여 미래에 입주하는 계획지구 입주민들에게 미치는 영향을 검토하고자 하였다. 미래에 영향 검토 시 주변지역에 대한 문헌을 통한 예측 case1, 대기확산모델(AERMOD)을 이용한 발암성물질 노출농도예측과 기여도 분석 case2를 하였다. 본 연구를 통해 계획지구 인근 산업단지 등의 오염원에 대한 수용체를 고려한 건강영향평가 방법으로는 현황조사와 대기확산모델(AERMOD)을 이용한 노출농도예측 및 기여도분석을 상호 보완적으로 적용하여 평가하는 것이 효용성이 높은 것으로 판단되었다.

• Toxicological Research
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• 제13권1_2호
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• pp.49-54
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• 1997

PCBs are classified as B2 (Probable human carcinogen) based on the induction of hepatocellular carcinomas in rats and mice from IRIS (Integrated Risk Information System). About 20 years ago, PCBs were phased out for electrical use in Korea, but PCBs were continuously used in the other field. Lately, there has been increasing concern on possible effects of contaminated soil to the other environment and human health. The purpose of this study is to determine PCBs level in soil at some site and to assess the human exposure doses according to exposure routes for people living within sites which expected to be exposed to PCBs. Pollution level of PCBs on the site was monitored using gas liquid chromatography. To assess the transport of PCBs in soil to plant and to air, various transfer factors(diffusion coefficient, bioconcentration factor etc.) were considered in simple calculations. To calculate the residential exposure doses by routes, some equations were considered using assumption value, which define inhalation, ingestion (soil, plant) and derreal uptake pathway. Computated results will be used as risk assessment information for human health evaluation on contaminated soil.

• Journal of Welding and Joining
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• 제13권2호
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• pp.12-24
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• 1995

최근에 국내 화력발전설비도 사용 기간이 30년을 넘게 됨에 따라, 고온설비의 경년열화도 평가 및 수명예측 기술에 대한 연구가 활발해지고 있다. 본 논문에서는 l965년부터 사용되어 노 후된 영월화력발전소 2호기의 주증기 파이프를 대상으로 실시한 열화도 및 수명평가 결과를 보고하였다. 주증기관의 취약부인 맞대기 용접부, 지류 용접부, Y부 및 T부 등의 용접부에 대해 표면복제법, 경도측정법을 사용하여 수명평가를 실시하였으며, 비파괴 검사에 의해 균열이 탐지된 경우에는 수명평가 컴퓨터 코드를 사용하여 균열성장에 의한 잔여수명을 계산하였다. 또한 파이프 모재의 잔여 수명은 해석적 방법에 의해 정량적으로 잔여수명을 계산한 후, 외경 패출량 측정, 입계부식법 등에 의해 재질 열화도를 정성적으로 평가하였다. 본 논문에서 사용한 기법 이외의 방법을 사용하여 수명평가 정확도를 개선하는 방향에 대한 의견도 제시하였다.