• 농약과학회지
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• 제16권1호
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• pp.62-68
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• 2012

본 연구에서는 내분비계 장애물질의 영향 및 생태계 건강성의 스크리닝 평가를 위해 미꾸리를 지표종으로 선정하여 대조지점(RA)과 농업지점(AS)에서 biomarker 4가지 항목과 bioindicator 4가지 항목을 포함하여 총 8가지 항목의 생물지표를 분석하였다. 생태계 건강성 평가를 위한 생물지표의 분석 결과 독성 화학물질의 영향을 나타내는 ethoxyresorufin-O-deethylase(EROD), acetylcholinesterase(AChE) 및 DNA damage 등의 생화학적 생물지표는 대조지점(RA)에 비해 유의한 차이가 있는 것으로 나타났다. 반면, 내분비계 장애물질의 영향을 반영하는 vitellogenin(VTG)는 농업지점(AS)에서 유의한 차이를 보이지 않았고, 개체수준의 생물지표(condition factor (CF), hepato-somatic index (HSI), gonado-somatic index (GSI)) 또한 유의한 차이를 보이지 않았다. 따라서 농업지점(AS)의 생태계 건강성은 내분비계 장애물질에 의한 영향은 미비한 것으로 판단되었으나, 농약, 중금속 등과 같은 독성을 보이는 화학물질이나 농업 지역의 특수성에 따른 서식지 환경 조건에 의해 일부 영향을 받은 것으로 사료되었다. 본 연구는 생화학적 생물지표와 개체수준의 생물지표를 이용한 스크리닝 평가로서 농업지역에 대한 종합적인 생태계 건강성 평가를 위해서는 생물지표 적용 항목을 확대하고, 개체군이나 군집 수준의 분석이 추가적으로 적용 되어야 하며 수생태계 내의 추정 오염물질에 대한 분석이 필요할 것으로 사료된다.

• 대한치위생과학회지
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• 제4권1호
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• pp.53-64
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• 2021

Background: The elderly in long-term care facilities tend to have a diminished oral health status, with a high prevalence of dental caries and periodontal disease, as reduced cognitive function, joint mobility, and gait ability hinder the performance of oral hygiene. To improve the oral health of the elderly at long-term care facilities, it is necessary to have precise guidelines for oral health care and assessment; however, such guidelines are not readily available. Therefore, the present study aimed to develop an oral care assessment tool with verified reliability and validity. Methods: The participants in this study were 100 elderly patients at a care facilities and 10 clinical dental hygienists. Collected data were analyzed using the descriptive statistics, content validity index, and inter-rater reliability, as well as the analyses of intra-class correlation coefficient. Results: After a review of relevant literature, a preliminary questionnaire comprised of seven questions related to the evaluation of oral health was formed. After revising and supplementing the questions through a content validity test, a total of nine questions were selected. Conclusion: The novel assessment tool developed for the present study is anticipated to allow analyses of the level of problems related to oral health care before routine and professional care. Moreover, regular oral health status check-ups will enable the early diagnosis and treatment of diseases.

• 한국병원경영학회지
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• 제12권2호
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• pp.43-68
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• 2007

The administration of a regional public hospitals are expending from profit preference to publicity preference. The weight rate for a profitability and publicity of performance assessment has changed from 84:16 which was resulted by the assessment executed firstly in 1989 to 39:61 as resulted in 2004, the final assessment execution in 2005. Regional public hospitals are exerting and promoting a magnification in public sector to raise up the public-score. With comparison between publicity scores and profitability scores in original scores basis excluding weight rate, the publicity scores ranked higher than profitability scores although the latter was higher by 2002. However, for the administration performance of the regional public hospitals, the deficits increased 11 times from \92.6billion deficits with \460.3billion cost increased by 457% although income as \367.7billion increased by 394% comparing the last 2004 year to the first 1989 year for profit & loss statement of a regional public hospitals. There was analysis for the relation in yearly basis partitioning publicity and profitability for the assessment scores of the to regional public hospitals confirm the accumulated deficits of the hospitals like this attribute to the extension of public sector. The result showed that there was distinct plus relationship from 1999 although a minus relationship in general until 1997 except 1992 and there is a more plus relationship as approaching 2004. That is, it is hard to tell that the accumulated deficits increase of regional government medical center attributed to extension of public sector. On the contrary, the analysis showed the extension of public sector has a mutual relationship with uplift of profitability Meanwhile, it showed that operation cost rate and labor cost are the factors which influence a revenue & expenditure rate among the profitability index according to the results of relation analysis for the representative index of profitability and that of publicity.

• 한국재난정보학회 논문집
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• 제19권3호
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• pp.719-728
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• 2023

연구목적: 이동식크레인은 높은 사망률에 기여하는 기계로 최근 6년간(2016~2021) 사고사망사례 중 건설업 2,574건을 분석한 고위험요인(SIF)정보에서 이동식크레인의 사고는 총 61건의 재해가 발생하였다. 현장의 안전대책에도 불구하고 제대로 활용이 안되고 있다. 본 연구에서는 표준 리스크 평가 지수를 제시하여 사고예방에 기여하고자 한다. 연구방법: 전문가 면담과 사망사고 사례분석, 현장실태분석, 문헌조사를 통해 위험성평가의 4M방식의 표준 리스크 평가 지수 방법을 제시하고자 한다. 연구결과: 현장 8개현장 위험성평가를 분석한 결과 재해예방에 실질적인 기여를 할 수 없다는 결론을 얻었으며, 표준 리스크 평가 지수 방식의 개선방안으로 적용하여야 한다. 결론: 건설현장에서 표준 리스크 평가 지수방식으로 전환함으로써 안전보건관계자 및 근로자가 쉽게 이용할 수 있고 재해감소에 기여할 수 있을 것으로 제안한다.

• 대한지역사회영양학회지
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• 제10권1호
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• pp.122-131
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• 2005

The purpose of this study was to assess the needs for nutrition programs in the public health centers by general characteristics and body mass index (BMI) of community residents. Information of general characteristics of study participants including age, education, income, marital status, residence, and job, and resident's interest in nutrition programs, the preferred educational methods and the willingness to participate in nutrition programs were collected by an interview. Weight and height were measured and were used to calculate the BMI. The program that resident's were most interested in was 'diet therapy for chronic disease and counseling' ($28.5\%$), followed by 'nutritional management for the elderly' ($21.1\%$), and 'obesity and weight control' ($17.1\%$). 'Education and counseling by nutrition professionals' was the most preferred educational method. Among the programs that the subjects would participate in, if they were offered in public health centers, $65.8\%$ subjects would participate in 'diet therapy for chronic disease and counseling' programs, $64.9\%$ would participate in 'nutritional management for the elderly' programs and $52.2\%$ would participate in 'obesity and weight control' programs. The contents of programs that the subjects were interested in, the preferred methods and their willingness to participate nutrition programs differed significantly by age, income, education, marital status, and body mass index. The results imply that the planning of nutrition interventions in the public health centers must be tailored and targeted group specific by taking the participants general characteristics and body mass index into consideration. This would surely increase the nutrition program's effectiveness

• Journal of Nutrition and Health
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• 제36권1호
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• pp.83-92
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• 2003

Improving dietary patterns, na, in turn, improving nutritional status, is now viewed as a key to improve public health and to prevent chronic diseases. There has been a peat needs to assess diet quality to identify nutritional risk group, however, little research has been done on methods to assess overall diet quality. The purpose of this study was to develope a mini dietary assessment (MDA) index for evaluation of overall dietary quality. A 10-component system was devised based on dietary guidelines and food Tower for Koreans. The system contained 4 food elements of which use is encouraged, such as milk, meat, vegetables, fruits, and 3 food elements of which use is limited, such as fat, salt, or sugar. Also the included were elements on dietary regulation and variety. A subject is to check one of ‘always' 'generally'seldom', which has score of 5, 3, and 1, respectively, so the total possible index score is 50. This index is to use without dietary survey and is to use even by non-nutritionist. A sample of 432 healthy males and females in their 30's and 40's contributed diet intake data based on 24-hour recall for the validation of MDA. The mean MDA score was 31.34 of a possible 50 points. The main nutrients for each MDA component was correlated very well with the results of 24-hour recall. Also, very good correlation was found between healthy eating index (HEI) score and MDA score. However, some of MDA components were needed a modification of term or/and statement. So the Uh was revised and another effort for validation was made with new sample of 169 subjects and even better correlation was found. The revised MDA could be used with minor modification to assess diet quality and to screen nutritional status. (Korean J Nutrition 36(1): 83-92, 2003)

• 한국지역사회생활과학회지
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• 제26권4호
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• pp.749-760
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• 2015

This study establishes a safe and healthy farm certification system for Korean farmers and presents the certification system and assessment items. Existing certification systems for safety and health were compared through a review of local and international studies as well as an examination of advanced examples. Then the certification system and assessment items were objectively verified through an expert evaluation process. As a result, four domains of certification participation, implementation, certification evaluation, and post management were identified as components of the certification system. For assessment measures, 6 categories, 21 factors, and 96 items were derived. The results are expected to be used as basic data in establishing a foundation for the implementation and operation of a certification system appropriate for distinct characteristics of the Korean agricultural sector.

• 한국의료질향상학회지
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• 제5권1호
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• pp.128-138
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• 1998

Background : There is increased recognition that rigorous approach to functional assessment will complement the assessment of clinical status. This study is to develop the appropriate visual function index in Korean patients with cataracts by the assessment of the reliability, validity of visual function indexes including VF-14. Methods : An prospective study was performed with 92 patients who had undergone either one eye or both eye cataract surgery by 3 ophthalmologists practicing at a university hospital. Patients were interviewed. and clinical data were obtained. Doctors were questioned with self-entered questionnaire forms. Medical record was examined to understand surgery process. The survey was conducted at 1-2 days before cataract surgery. Results : We used following measures : 7 visual function indexes, global measures of patients' trouble and satisfaction with vision, and best-corrected visual acuity(VA) in each eye. 7 visual function indexes showed a high internal consistency reliability (Cronbach's alpha coefficients ${\geq}$ 0.86). The better visual acuity(operated eye, better eye), the higher patient satisfaction with vision, the lower symptom score, the lower patient trouble with vision was correlated with preoperative visual function index scores. Among 7 indexes, VF-12 with the exclusion of 2 items drivings from VF-14 is a high Cronbach's alpha coefficient and correlation coefficient and the highest $R^2$. Conclusion : We conclude that VF-12 is reliable and valid in Korea. So we suggest that in Korea, all items of VF-14, the visual function index, which is in use internationally, ought to be surveyed and VF-12 which has been excluded by 2 items of drivings from VF-14 ought to be used for analysis.

• Journal of Preventive Medicine and Public Health
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• 제28권2호
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• pp.497-510
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• 1995

This study was carried out to assess work ability of manufacturing workers and managerial workers. Subjects were 446 manufacturing workers and 278 managerial workers employed in Gumi industrial complex and the observation period was for 1 month(February to March), 1995. In this study, as a questionnaire for the assessment of work ability, we used the Work Ability Index(WAI) which was developed by Institute of Occupational Health in Finland. Major findings obtained from this study were as follows ; WAI was poor in lower economic condition, shift work, irregular diet group(p<0.05). There were no evident trends of WAS in sex, educational level, obesity index, exercise, smoking, and alcohol drinking. In the groups of sensitive to perception of stress, other industrial classification except textile and electronics, the more than 9 hours work, the evident trends of poor WAS were observed(p<0.01). In the groups of $30\sim39$ years old, $40\sim49$ years old, unmarried, high school, shift work, standard body weight, and regular .diet, WAI between manufacturing workers and managerial workers was significantly different(p<0.01) and WAI of managerial worker was worse than that of manufacturing worker.

• 한국수자원학회논문집
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• 제52권spc2호
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• pp.777-789
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• 2019

본 연구에서는 SWAT (Soil and Water Assessment Tool)을 이용하여 한강유역 ($34,148km^2$)내 다목적 댐(소양강댐, 횡성댐, 충주댐)의 하천유지유량 추가 방류 모의를 통한 유역의 수질 및 수생태계 건강성 변화를 평가하였다. 추가 방류기간은 수생태계 건강성 조사가 수행되는 봄(4-6월), 가을(8-10월)로 산정하였으며, 방류량은 댐의 기존 방류량에 비례하며 총 방류량이 댐별 고시된 하천유지유량을 초과하지 않도록 산정하였다. 하천 유지유량 방류에 따른 수질(T-N, $NH_4$, $NO_3-N$, T-P, $PO_4-P$) 농도는 봄철에 감소하지만 가을철에는 오히려 증가하는 것으로 모의되었다. 변화한 수질농도 데이터를 기존에 구축한 Random Forest 알고리즘에 적용하여 수생태계 건강성을 평가하였을 때, 유역의 하류에서 모든 수생태계 건강성 지수(FAI, TDI, BMI) 등급이 개선되는 것으로 분석되었다. 가을보다 봄에 하천유지유량 방류에 따른 수생태계 개선의 효과가 큰 것으로 나타났다.