• Proceedings of the Korea Water Resources Association Conference
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• 2016.05a
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• pp.579-579
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• 2016

물이 상품에 내재되어 국가간 이동을 한다는 가상수 개념은 기후변화로 인해 물부족 현상이 심화되면서 세계 각국의 관심을 얻고 있다. 향후 물부족 현상 및 가상수 이동과 관련해 국제적인 물거래에 대한 전세계적 차원의 조치가 있을 가능성이 예상되면서 가상수의 국제적인 이동 추이에 대한 연구가 이루어지고 있다. 그럼에도 불구하고 가상수 교역에 영향을 미치는 요인이 무엇인지에 대한 연구는 아직 미비하다. 따라서 본 연구는 가상수 이동에 영향을 미치는 요인을 사회경제적 요인을 중심으로 탐색한다. 사회경제적요인으로서 국가의 경제위기 경험 유무, 경제규모, 생활수준, 경제성장속도, 그리고 수자원 정책기조를 선정하고, 이러한 요인들이 전세계국가 및 한국의 가상수 교역량 변화에 어느 정도나 영향을 미치는 지를 분석했다. 가상수 교역량에 대한 자료는 UNESCO, UN, FAO의 자료를 토대로 데이터셋을 구축해 활용했다. 총 10개 농축산 품목을 대상으로 산정한 가상수 교역량에 대해 1989년부터 2013년까지 총 24년간의 자료를 분석했다. 분석 결과 아시아 외환위기, 미국발 경제위기 등 세계적 수준의 경제위기는 전반적으로 가상수 교역추이에 큰 영향을 미치지는 않았으나, 미국발 경제위기는 가상수 교역흐름 완화와 일정 정도 관련성을 보였다는 사실을 알 수 있었다. 경제규모와 가상수 교역량은 전반적으로 높은 상관관계를 보였으며, 한국의 경우에는 경제규모 및 생활수준 모두 가상수 교역량과 높은 상관관계를 보였다. 반면 경제성장속도는 가상수 교역량과 큰 상관관계를 보이지 않았다. 시간적으로 보았을 때 한국의 경우 생활수준은 2007년도 이후에 가상수 교역량과 매우 큰 상관관계를 보였다. 경제적 요인, 특히 경제규모가 가상수 교역량과 높은 관계를 보이는 것은 경제력이 상승하면서 생활습관이 변화해 육류소비가 많은 것과도 관련이 있는 것으로 분석되었다. 사회적 요인과 관련해 분석한 수자원 정책의 기조변화는 가상수 교역량 변화에 영향을 미치지 않는 것으로 나타났다.

• Archives of Craniofacial Surgery
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• v.22 no.5
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• pp.254-259
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• 2021

Background: Prophylactic antibiotics are commonly used in craniofacial surgeries. Despite the low risk of surgical site infection after nasal surgery, a lack of consensus regarding the use of antibiotic prophylaxis in the closed reduction of nasal bone fractures has led to inappropriate prescribing patterns. Through this study, we aimed to investigate the status of prophylactic antibiotic use in closed reductions of nasal bone fractures in Korea. Methods: This retrospective cohort study was conducted using data from the National Health Insurance Service-National Sample Cohort of Korea from 2005 to 2015. We analyzed the medical records of patients who underwent closed reduction of nasal bone fractures. The sex, age, region of residence, comorbidities, and socioeconomic variables of the patients were collected from the database. Factors that affect the prescription of perioperative antibiotics were evaluated using multivariate logistic regression analysis. Results: A total of 3,678 patients (mean±standard deviation of age, 28.7±14.9 years; 2,850 men [77.5%]; 828 women [22.5%]) were included in this study. The rate of antibiotic prescription during the perioperative period was 51.4%. Approximately 68.8% of prescriptions were written for patients who had received general anesthesia. The odds of perioperative prophylactic antibiotic use were significantly higher in patients who received general anesthesia than who received local anesthesia (odds ratio, 1.59). No difference was found in terms of patient age and physician specialty. Second-generation cephalosporins were the most commonly prescribed antibiotic (45.3%), followed by third- and first-generation cephalosporins (20.3% and 18.8%, respectively). In contrast, lincomycin derivatives and aminoglycosides were not prescribed. Conclusion: The findings of this study showed that there was a wide variety of perioperative antibiotic prescription patterns used in nasal bone surgeries. Evidence-based guidance regarding the prescribing of antimicrobial agents for the closed reduction of nasal bone fractures should be considered in future research.

• The Journal of the Korea institute of electronic communication sciences
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• v.16 no.5
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• pp.917-930
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• 2021

Recently, as part of the crime prevention measures that focus on spatial characteristics on the determinants of crime-causing, interest in crime prevention (CPTED) through environmental design has been increasing. This study analyzed crime vulnerabilities in Ulju-gun for the purpose of establishing a master plan for crime prevention urban design (CPTED). The 12 indicators, including demographic, socioeconomic, and physical factors, were sampled from prior studies. As a next step, statistical analysis resulted in criminal vulnerability indexes. According to the analysis, districts with a high demographic crime vulnerability indexes were concentrated on apartment complexes, while districts with high socio-economic crime vulnerability indexes have low land prices and high proportion of female population. Also, the districts with high physical crime vulnerability indexes were found to be heavily distributed commercial ones with a large number of entertainment places. However, there was a limit to generalizing the indicators of previous studies to local governments with different regional characteristics. Therefore, further studies should be carried out by establishing additional indicators considering regional characteristics in the future.

• Health Policy and Management
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• v.29 no.2
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• pp.228-236
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• 2019

Background: This study investigates the impact of weekend admission with a patient safety indicator (PSI) on 30-day mortality among long-term insurance beneficiaries. Methods: Data were obtained from the National Health Insurance Service-Senior claim database from 2002 to 2013. To obtain unbiased estimates of odds ratio, we used a nested case-control study design. The cases were individuals who had a 30-day mortality event after their last medical utilization, while controls were selected by incidence density sampling based on age and sex. We examined the interaction between the main independent variables of weekend admission and PSI by categorizing cases into four groups: weekend admission/PSI, weekend admission/non-PSI, weekday admission/PSI, and weekday admission/non-PSI. Results: Of the 83,400 individuals in the database, there were 20,854 cases (25.0%) and 62,546 controls (75.0%). After adjusting for socioeconomic, health status, seasonality, and hospital-level factors, the odds ratios (ORs) of 30-day mortality for weekend admission/PSI (OR, 1.484; 95% confidence interval [CI], 1.371-1.606) and weekday admission/PSI (OR, 1.357; 95% CI, 1.298-1.419) were greater than for patients with weekday admission/non-PSI. Conclusion: This study indicated that there is an increased risk of mortality after weekend admission among patients with PSI as compared with patients admitted during the weekday without a PSI. Therefore, our findings suggest that recognizing these different patterns is important to identify at-risk diagnosis to minimize the excess mortality associated with weekend admission in those with PSI.

• Journal of Nutrition and Health
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• v.52 no.3
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• pp.277-284
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• 2019

Purpose: Sodium intake is known to be a critical dietary factor in several diseases including cataract. Earlier studies have reported that excess intake of sodium may elevate the risk of cataract. However, little is known about this in Koreans. Thus, the purpose of this study was to examine whether dietary intake of sodium and potassium might modify the risk of cataract. Methods: A total of 1,319 males (219 cases) and 1,966 females (369 cases) from Korean National Health and Nutrition Examination Survey 2012 were analyzed. Energy adjusted dietary intakes of sodium and potassium and their ratios were evaluated to ascertain their associations with the risk of cataract. Dietary intake levels were stratified into quartiles and their risk modifying effects were estimated with logistic regression models with or without subjects' socio-economic characteristics and life styles for each sex. Results: Findings suggested that various descriptive factors were associated with the risk of cataract either in males or females. Males' intake levels of sodium and potassium and their ratios did not differ between phenotypes. Higher intakes or higher ratio was not associated with the risk of cataract. In contrast, female controls had higher intakes of sodium and potassium. Higher intake of potassium reduced the risk of cataract in females. However, such association was not retained when subjects' socioeconomic status and life styles were factored into the analysis. Conclusion: Dietary sodium and potassium intakes minimally affected the risk of cataract in Korean males and females. More studies are needed to ascertain the true pathological effect of sodium intake on cataract aetiology.

• Journal of the Economic Geographical Society of Korea
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• v.22 no.2
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• pp.196-213
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• 2019

This paper attempts to analyze the contribution of different socioeconomic factors such as income, age, gender, household composition, education and employment status etc. to the difference between the Capital and Non-Capital Regions in the net wealth inequality of household in Korea. To this end, a two-stage Oaxaca-Blinder type decomposition is employed regarding the regional gap in the inequality of net wealth based upon the Recentered Influence Function of the Gini index for 'the 2018 Household Finance and Living Conditions Survey.' Despite the shortcomings of the survey data on wealth, the findings reveal that regional differences in income, marriage status (divorce), job type (agriculture, forestry and fishery related, and technical and assembly), family type (multi-cultural) variables deepen the regional gap in the net-wealth inequality, but employment status (full-time), job type (administrative and specialized, and service sales), household size variables mitigate the gap, and that regional differences in life cycles play an offsetting role.

• Safety and Health at Work
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• v.12 no.2
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• pp.225-229
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• 2021

Background: The socioeconomic burden of musculoskeletal disorders (MSDs) is significant, and kitchen work is a high-risk occupation for MSDs due to the intensive manual workload and repetitive movements that are involved. However, there are very few studies on MSDs and rest breaks as a workplace intervention among kitchen workers. This study examined the relationship between insufficient rest breaks and increased MSD risk among Korean kitchen workers. Methods: Sociodemographic and occupational factors of 1,909 kitchen workers were collected from the 3rd-4th Korean Working Conditions Survey data. Five items on rest breaks at work were categorized into two groups, "sufficient" and "insufficient." The number of MSDs and work-related MSDs (WMSDs), an outcome variable, was obtained from the sum of MSDs/WMSDs in three anatomical sites (back, neck, and upper limb, lower limb). The association between rest breaks and MSDs was estimated using zeroinflated negative binomial analyses, with adjustments for age, education level, and weekly working hours, and the analyses were stratified by sex. Results: After adjustment, significant associations were found between insufficient rest breaks and an increased risk of MSDs (odds ratio [OR] 1.68 95% confidence interval [CI] 1.11-2.54) and WMSDs (OR 1.40 95% CI 1.01-1.96) among female kitchen workers. Insufficient rest breaks were significantly associated with MSDs in female kitchen workers in all three anatomical sites. Conclusion: This study emphasizes the need for rest breaks as a workplace intervention for preventing MSDs in kitchen workers. Further studies to reveal the causality of this relationship are required.

• Journal of the Architectural Institute of Korea Planning & Design
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• v.35 no.1
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• pp.139-147
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• 2019

The purpose of this paper is to analyze the linkage between Si-Jeong-Chon (municipalities of Japan) catastrophic disaster recovery-regeneration plan (DRRP) and regional comprehensive plan (RCP), each of which was made after the Great East Japan Earthquake, and to make implications on establishment of a disaster recovery plan of Korea. In order to explore the relationship between the two plans, the DRRPs and RCPs of 30 municipalities are collected and categorized according to their characteristics. The results show that DRRPs of the municipalities are not always in a consistent form and contents because regulations and guidelines on DRRP are not definite and specific. The relationship between DRRP and RCP in terms of its form and contents can be divided into 3 categories; Reflective Type (RT), Complementary Type (CT), and Substitutive Type (ST). The 22 RT plans as the majority of those DRRPs appear to reflect the development strategies of municipalities' RCPs. Both 3 CT plans and 5 ST plans seem to be integrated with RCPs in some way. The plan in CT of a municipality supplements its RCP by adding some new strategies to its recovery section and the plan in ST of a municipality appears to replace its RCP. Finally the influential factors which are considered to determine linkage type are identified as remaining time which is legally required to re-establish its RCP, the extent of damage, and socioeconomic condition changes.

• Korean Journal of Ecology and Environment
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• v.53 no.4
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• pp.408-426
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• 2020

This study aims to establish the national strategy for biodiversity conservation by analyzing the current status of ecodiversity as the foundation of biodiversity conservation. Furthermore, this study has another purpose of preparing the measures for conservation and restoration of biodiversity. Ecodiversity was discussed as the basis for conserving biodiversity. Five climate zones and 14 climatic regions, eight plant geographic regions, three massifs and major geologic series, horizontal and vertical topographic conditions, 16 ecoregions, major ecosystems including forest, river and streams, wetlands, coast and marine, agriculture, and urban esosystems, and land use types were discussed as the element of the ecodiversity. In terms of biodiversity conservation, the actual conditions of each ecological unit were reviewed and measures were proposed to reduce biodiversity loss. Destruction and fragmentation of habitat, poor ecosystem management due to socioeconomic changes, the effects of exotic species and chemicals, and climate change were discussed as the major factors causing biodiversity loss. Systematic monitoring based on scientific principles and ecological restoration based on those monitoring results were recommended as measures for biodiversity conservation.

• Journal of Preventive Medicine and Public Health
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• v.55 no.4
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• pp.379-388
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• 2022

Objectives: Throughout history, societies have been impacted by inequality. Many studies have been conducted on the topic more broadly, but only a few have investigated inequalities in out-of-pocket health payments (OHP). This study measures OHP inequality trends among the Iranian households. Methods: This study used data from the Iranian Statistics Center on Iranian household income and expenditures. The analysis included a total of 995 300 households during the 36 years from 1984 to 2019. The Gini coefficient, Atkinson index, and Theil index were calculated for Iranian OHP. Results: Average Iranian household OHP increased from 33 US dollar (USD) in 1984 to 47 USD in 2019. During this 36-year span, the average±standard deviation Gini coefficient for OHP was 0.73±0.04, and the Atkinson and Theil indexes were 0.68±0.05 and 1.14±0.29, respectively. The Gini coefficients for the subcategories of OHP of outpatient diagnostic services, medical assistant accessories, hospital inpatient services, and addiction cessation were 0.70, 0.61, 0.84, and 0.64, respectively. Conclusions: In this study, we scrutinized trends of inequality in the OHP of Iranian households. Inequality in OHP decreased slightly over the past four decades. An analysis of trends among different subgroups revealed that affluent households, such as households with insurance coverage and households in higher income deciles, experienced higher inequality. Therefore, lower inequality in health care expenditures may be related to restricted access to health care services in Iran.