• Journal of Chest Surgery
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• 제49권sup1호
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• pp.14-19
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• 2016

Background: This study uses the relevance index to understand the condition of regional medical service use for cardiovascular surgery and to identify the medical service use imbalance between regions. Methods: This study calculated the relevance index of 16 metropolitan cities and provinces using resident registration address data from the Ministry of Government Administration and Home Affairs and the 2010-2014 health insurance, medical care assistance, and medical benefits claims data from the Health Insurance Review and Assessment Service. We identified developments over the 5-year time period and analyzed the level of regional imbalance regarding cardiovascular surgery through the relative comparison of relevance indexes between cardiovascular and other types of surgery. Results: The relevance index was high in large cities such as Seoul, Daegu, and Gwangju, but low in regions that were geographically far from the capital area, such as the Gangwon and Jeju areas. Relevance indexes also fell as the years passed. Cardiovascular surgery has a relatively low relevance index compared to key types of surgery of other fields, such as neurosurgery and colorectal surgery. Conclusion: This study identified medical service use imbalance between regions for cardiovascular surgery. Results of this study demonstrate the need for political intervention to enhance the accessibility of necessary special treatment, such as cardiovascular surgery.

• 환경영향평가
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• 제1권1호
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• pp.31-40
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• 1992

As the environmental concerns in Korea have shifted gradually from the environmental pollutions to the quality of life (QOL) enhancement, it has become increasingly important to implement comprehensive assessment of environmental quality as possible. This is the major reason to develop Environmental Assessment Index. This study focuses on indices development of factors in Environmental Impact Statement Preparation Regulation. Environment in this regulation is composed of natural environment, life environment and socio-economic environment, and it is composed of 22 factors. EAI(Environmental Assessment Index)studied in this research is integrated by 16 factors. It will contribute to public participation in Environmental Impact Assessment process and environmental policy.

• 한국치위생학회지
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• 제17권4호
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• pp.555-564
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• 2017

Objectives: The purpose of the study is to investigate the oral health assessment and satisfaction according to recognition and beneficiary oral health projects for oral health promotion of the elderly. Methods: The subjects were elderly over 65 years old in Jeonbuk province. The study instrument was structured questionnaire including general characteristics, oral care condition, recognition of project, satisfaction of project, geriatric oral health assessment index, life satisfaction. For data analysis, the study used independent t-test, one way ANOVA and Pearson correlation analysis. Results: The subjects of this study were well aware of the perceived health status of oral health projects. Satisfaction scaling project was the highest in the satisfaction of the received projects. People who recognized the oral health project had a high oral health assessment index. People who benefit from oral health project showed higher satisfaction in life. Conclusions: As for the elderly's perception on oral health care, they showed higher oral health assessment index and life satisfaction.

• 한국병원경영학회지
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• 제26권4호
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• pp.51-58
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• 2021

Purpose: This study is based on the results of previous studies that falls, which is a frequent social problem, causes physical, mental and social health problems in the elderly. In order to identify risk factors for falls in the elderly, this study derives a relationship with oral health and proposes the necessity of oral health care as part of countermeasures to prevent falls in the elderly. Methodology: The final 6,936 people were analysed using the 2018 Korean Longitudinal Study of Ageing(KLoSA) survey data, and the analysis was conducted using the multiple logistic and multiple regression analysis to investigate the relationship between Geriatric Oral Health Assessment Index (GOHAI) and falls experience. Findings: As a result of the analysis in this study, the number of falls experiences and whether or not falls were higher in the elderly female group than in the male group. The likelihood of falls experience has been statistically reduced as Geriatric Oral Health Assessment Index increases by one unit.(OR : 0.991) The number of falls has also been statistically reduced as Geriatric Oral Health Assessment Index increase by one unit.(B : -0.001) Practical Implications: The results of this study, which showed that higher Geriatric Oral Health Assessment Index was lower risk of falls, explained by the connection that oral health may affect nutritional intake, which leads to sarcopenia and physical loss, which in turn increases the risk of falls. As a way to solve the fall problem, efforts should be made to improve the oral health of the elderly, and furthermore, the importance of nutrition management thorugh oral health care of the elderly is increasd.

• Ocean and Polar Research
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• 제30권1호
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• pp.109-117
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• 2008

해양환경 건강성 평가에서 바이오마커의 적용은 상대적으로 새로운 분야이다. 국립학술원 및 세계보건기구에 따르면 바이오마커는 노출바이오마커, 영향바이오마커 및 민감바이오마커 등 3가지로 나누어진다. 해양생태계에 대한 환경오염물질의 노출 및 영향을 평가하기 위하여 다음과 같은 바이오마커들이 시험되고 있다: 해독, 산화스트레스, 분해산물, 스트레스 반응, 세포사멸, 물질대사, 신경반응, 생식, 스테로이드 호르몬, 항산화물질, 유전적 변형. 1990년대 초부터 여러 바이오마커 연구그룹들은 해양생물의 건강지수를 개발하여 해양환경의 상태를 평가하기 위한 수단으로 활용해 왔다. 바이오마커 지수는 생물학적 효과에 대한 모니터링활동으로부터 얻어진 자료의 해석에 사용될 수 있다. 본 총설에서는 이제까지 보고된 바이오마커 지수 관련 연구 중 대표적인 건강평가지수(Health assessment Index), 바이오마커 지수(Biomarker Index), 생물영향평가지수(Bioeffect Assessment Index) 및 일반화된 선형모델(Generalized Linear Model) 등의 연구를 요약하였다. 오염된 지역에 서식하는 해양생물의 바이오마커 반응 측정 및 바이오마커 지수 개발은 다양한 측면의 해양생태계 위해성 평가를 위해 고안된 환경모니터링 프로그램에 공헌할 수 있는 정보를 제공해 줄 수 있을 것이다.

• 환경영향평가
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• 제6권1호
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• pp.47-54
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• 1997

Vegetation Index(VI) derived from remote sensing data is used to assess ecosystem factor in Environmental Impact Assessment(EIA) process. Ecosystem factor has been prepared by Degree of Green Naturality(DGN) mainly in Environmental Impact Statements. But DGN has room for improvement of assessing actual ecosystem situation. The objectives of this study are to define the relationship between field measure DGN and VI, and to develop methodologies to use VI for assessing the status and conditions of natural ecosystem. For verification of DGN and VI, 35 sites using global positioning system are selected and reviewed. Correlation coefficients of DGN and VI shows highly as 0.69. Also VI in EIA found it can be applied to assess ecosystem. It concluded that VI as well as DGN can be applied to assess ecosystem newly and largescale.

• KIEAE Journal
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• 제17권5호
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• pp.33-41
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• 2017

Purpose: Indoor air quality in residential buildings needs to be evaluated over the long term. In previous research, there has been an attempt to perform the health risk assessment of pollutants by using numerical models as a method of long-term evaluation. However, the numerical model of this precedent study has limitations that do not reflect the actual concentration distribution. Therefore, this study introduces the CRPS index, constructs a numerical model that can reflect the concentration distribution, and then presents a more accurate health risk assessment method using it. At this time, the pollutants are toluene, which is a typical material released from building materials. Method: CRPS index was applied to existing numerical model to reflect concentration distribution. This was used to calculate concentrations at adult breathing area and to use them for exposure assessment in a health risk assessment. After that, we entered adult data and conducted a health risk assessment of toluene. Results: The non-carcinogenic risk of toluene was calculated to be 0.0060. This is 5% smaller than the existing numerical model, meaning that it is more accurate to predict the pollutant risks. This value is also lower than the US EPA reference value of 1. Therefore, under the conditions of this study, long-term exposure of adults to toluene has no impact on health.

• 환경영향평가
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• 제2권1호
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• pp.31-38
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• 1993

As the environmental concerns have shifted gradually from the environmental pollutions to the Quality of Life (QOL) enhancement, it has become increasingly important to implement comprehensive assessment of environmental quality for public information as well as decision making. This study focuses on development of PEI(Public Environment Index) which has purposes to improve regional environment and analyzes the status of environment by public as one kind of environmental indices. Factors of PEI calculations are air, water, noise, green space and landscape. Factors are composed of 20 items including soiling and odor. Major contents are calculation of PEI, correlation analysis of factors and items of PEI, regression analysis of PEI and objective environmental indicators prepared as a dong unit, and PEI presentation using GIS. Also, for applying PEI effectively, environmental information as a dong unit is to be collected and managed periodically.

• 한국환경보건학회지
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• 제40권5호
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• pp.355-366
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• 2014

Objectives: This study seeks to evaluate the vulnerability assessment of the human health sector for $PM_{10}$, which is reflected in the regional characteristics and related disease mortality rates for $PM_{10}$ in Busan over the period of 2006-2010. Methods: According to the vulnerability concept suggested by the Intergovernmental Panel on Climate Change (IPCC), vulnerability to $PM_{10}$ is comprised of the categories of exposure, sensitivity, and adaptive capacity. The indexes of the exposure and sensitivity categories indicate positive effects, while the adaptive capacity index indicates a negative effect on vulnerability to $PM_{10}$. Variables of each category were standardized by the rescaling method, and each regional relative vulnerability was computed through the vulnerability index calculation formula. Results: The regions with a high exposure index are Jung-Gu (transportation region) and Saha-Gu (industrial region). Major factors determining the exposure index are the $PM_{10}$ concentration, days of $PM_{10}{\geq}50$, ${\mu}g/m^3$, and $PM_{10}$ emissions. The regions that show a high sensitivity index are urban and rural regions; these commonly have a high mortality rate for related disease and vulnerable populations. The regions that have a high adaptive capacity index are Jung-Gu, Gangseo-Gu, and Busanjin-Gu, all of which have a high level of economic/welfare/health care factors. The high-vulnerability synthesis of the exposure, sensitivity, and adaptive capacity indexes show that Dong-Gu and Seo-Gu have a risk for $PM_{10}$ potential effects and a low adaptive capacity. Conclusions: This study presents the vulnerability index to $PM_{10}$ through a relative comparison using quantitative evaluation to draw regional priorities. Therefore, it provides basic data to reflect environmental health influences in favor of an adaptive policy limiting damage to human health caused by vulnerability to $PM_{10}$.

• 한국물환경학회지
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• 제24권2호
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• pp.156-163
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• 2008

This study was to introduce a methodology of ecological health assessment for efficient management and to provide some diagnostic results of the survey. We evaluated ecological health assessment at five sampling locations of Sikjang Mountainous Stream using the index of biological integrity (IBI) and Qualitative Habitat Evaluation Index (QHEI) during May - October 2006. The health condition, based on the IBI model, averaged 32 and varied from 27 to 37 depending on the sampling sites. Thus, the stream health was judged as "good" to "fair" conditions. IBI values showed slight differences between upstream and downstream sites. Whereas, QHEI values varied from 75 (fair condition) to 196 (excellent condition) and QHEI at St. 4~5, indicating the downstream reach had significantly lower than the headwater site (St.1). Regression analyses also showed that QHEI values had a linear decrease from the headwater to downstream. This result indicated that habitat quality was rapidly degradated by human influence. Overall, data of IBI and QHEI suggested that the stream health was maintained well in the present but the habitat and biological quality were partially degradated in the downstream. So, the human interference should be minimized to protect the downstream environment.