• Journal of Preventive Medicine and Public Health
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• 제50권1호
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• pp.29-37
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• 2017

Objectives: The accurate measurement of geographic patterns of health care utilization is a prerequisite for the study of geographic variations in health care utilization. While several measures have been developed to measure how accurately geographic units reflect the health care utilization patterns of residents, they have been only applied to hospitalization and need further evaluation. This study aimed to evaluate geographic indices describing health care utilization. Methods: We measured the utilization rate and four health care utilization indices (localization index, outflow index, inflow index, and net patient flow) for eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee replacement surgery, caesarean sections, hysterectomy, computed tomography scans, and magnetic resonance imaging scans) according to three levels of geographic units in Korea. Data were obtained from the National Health Insurance database in Korea. We evaluated the associations among the health care utilization indices and the utilization rates. Results: In higher-level geographic units, the localization index tended to be high, while the inflow index and outflow index were lower. The indices showed different patterns depending on the procedure. A strong negative correlation between the localization index and the outflow index was observed for all procedures. Net patient flow showed a moderate positive correlation with the localization index and the inflow index. Conclusions: Health care utilization indices can be used as a proxy to describe the utilization pattern of a procedure in a geographic unit.

• 상하수도학회지
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• 제12권4호
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• pp.97-105
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• 1998

The goal of the present research was to develop a mean to determine indices of drought warning and emergency necessary to manage drought and establish water supply contingency plan for the municipal and industrial water supply system in urban areas. To do this, we worked on the Sayun catchment which is the main water source of Ulsan and used measured hydrologic data (storage, inflow, supply, outflow) from 1980 to 1996. The indices of drought calculated by the method of Phillips drought index based only on monthly precipitation do not pertinently represent drought phenomena in case water supply is from dam or reservoir in an urban area. Therefor, we developed the drought index technique including inflow, storage, outflow and supply which are the chief factors of drought management. The result showed that the method of Phillips drought index considering the capacity of water supply was excellent when applied to practical drought phenomena.

• Journal of Preventive Medicine and Public Health
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• 제21권2호
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• pp.390-403
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• 1988

The objectives of the study were to provide the basic informations needed in the development of balanced medical services throughout the nation. As the national health care system was expanding rapidly along with the economic growth, quantitative re-evaluation of the system is of great need. For that reason, characteristics of the admitted patients were analyzed for the case-mix and patients' flow within and through regions. Materials were 421,530 cases of inpatients, who were reported through Korea Medical Insurance Corporation(KMIC) for insurance claim, during the period of March 1, 1985 through February 28, 1987. Korean Diagnosis Related Groups(K-DRGs) classification system was adopted for the study of case-mix and 189 cities and counties were classified into 5 district groups by factor analysis results of K-DRGS. The major findings of this study were as follows ; 1) Factor analysis of case-mix, employing K-DRG system, revealed 5 distinct funtional district groups. Group A(18 districts) was prominent for tertiary medical care. In group B(36 districts), rather simple procedures were prevalent. Group C(26 districts) was distinctive for the medical care of well organized internal medicine practices with qualified clinical laboratories. Group D(17 districts) was characterized by relatively high balanced medical care. Group E (92 districts) was with very low level of medical care. 2) Analysis of the case-flow through the districts showed 3 types of flow patterns : inflow, outflow, and balanced types. Inflow type of case-flow was found in Group A, C and D while Group B and E showed outflow type. Inflow was most prominent in Group A and Group E was of typical outflow type. Group B was consistently the outflow type except for Major Diagnostic Category XX regardless of the disease treaters, but Group C and D were inflow or outflow types according to the disease tracers.

• 융합정보논문지
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• 제10권12호
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• pp.126-131
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• 2020

본 연구는 전라도 지역 시·군·구의 지역 유형 변화를 파악하기 위하여 응급실 환자들의 유출입 현황을 분석하였다. 2014-2018년의 국가응급진료정보망에서 전라도 지역의 자료를 추출하였고, 환자의 주소와 응급의료기관 주소를 활용하여 지역친화도(Relevance index, RI)와 지역환자구성비(Commitment index CI)를 계산하였다. 계산된 지표들을 적용하여 군집분석으로 지역유형을 분류하였고, 비모수적 방법인 크루스칼-왈리스 검정을 사용하여 지역유형에 대한 RI와 CI의 연도별 차이를 살펴보았다. RI와 CI를 활용한 군집분석 결과는 3개의 지역유형으로 구분되었고, 군집 1은 유출형, 군집 2는 유입형, 군집 3은 자체충족형으로 분류되었다. 각 군집(지역유형)에 대한 RI와 CI의 연도별 차이에서는 군집 2(유입형)와 군집 3(자체충족형)은 유의한 차이가 없었다. 군집 1(유출형)은 CI에서는 유의한 차이가 없었고, RI에서 2004년은 2017년과 2018년에 유의한 차이가 있었다. 이는 응급의료 집중화가 심해진 반면, 응급의료 환경이 개선되었다고 보기는 어려운 것으로 해석된다.

• 대한기계학회논문집B
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• 제28권3호
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• pp.296-303
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• 2004

The heat and flow characteristics in a single-phase parallel-flow heat exchanger was examined numerically to obtain its optimal shape. A response surface method was introduced to approximately predict its performance with respect to the design parameters over the design domain. The inflow/outflow angle of the working fluid, the location of inlet/outlet, the protruding height of flat tube and the height of header were chosen as a design parameter The evaluation of the relative importance of the design parameters was performed based on a sensitivity analysis. An efficiency index was used as an evaluation characteristics value to simultaneously consider both the heat transfer and the pressure drop. The efficiency index of the optimum model, compared to that of the base model, was increased by 9.3%.

• 환경위생공학
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• 제15권4호
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• pp.59-77
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• 2000

This study was carried out to investigate on several factors, which contaminative the water quality through the water pipe during feeding water, in 42 largescaled apart-ments(total 84 cases) and assayed the Volatile Organic Compounds(VOCs) and concen-tration of heavy metals that inflow and outflow in reservior water in Jeonnam area(Mokpo, Suncheon, Yeosu) from January 1999 to December 1999. The results obtained were summarized as follows ; 1. The quality of the water pipe composition in the order of frequency in the quality of water pipes were Copper(45.2%)> Zinc(38.9%)> Stainless steel(9.5%)> PVC(4.8%)> PM(2.4%) in observing 42 sites. All of the drain pipes were used the cast iron quality. 2. The result of certification curve from 12 items(17kind) of VOCs was $1.0-4.0{\mu{g}}/{\ell}$ range, a coefficient of correlation was shown 0.99 over. A MDL of each substance range was within $0.1-1.0{\mu{g}}/{\ell}$. 3. The result of the assay, 5 kinds(Viny chloride, Dichloromethane, Ethylbenzene, M,P-xylene, Styrene) of the VOCs of 14 kinds was not detected and the other items were detected slightly. The detection rate of one item and over in total VOCs samples, were 25.9% in inflow and 27.9% in outflow. And frequency of detect in inflow/outflow of THM(Chloroform, Bromodichloro-methane, Dibromochloromethane, Bromoform) were shown higher than 94.1%, 97.0% each stages. It comes to the conclusion that all of the samples were reason able for drinking water standards. 4. The coefficient of correlation were reasonable, it shown 0.999 over in $0.1-1.0{\mu{g}}/{\ell}$ of a measuring range conditions of 4kinds in organic substance(Zn, Cu, Fe, Mn). 5. The results were showed suitability in 78 cases(92.9%) and unsuitability in 6 cases (7.1%), in 84 cases of in organic substances. Compare to inflow stage, mean concentrations of heavy metal, were increased slightly in Zn, Cu, Fe except Mn than outflow stage. The result of the mean concentration in organic substance inflow and outflow in the apartment water tank using Pair-compared T-test, in 95% reliance index, were $0.179mg/{\ell}(0.151-0.307mg/{\ell})$ in Zinc, $0.136mg/{\ell}(0.113-0.230mg/{\ell})$ in Copper, $0.052mg/{\ell}(0.048-0.098mg/{\ell})$ in Fe, and there was a bit growing tendency but there was no differece in Mn. 6. The mean concentration of Copper which used Cu pipe as a water supply pipe in apartment were $0.216mg/{\ell}(0.161-0.338mg/{\ell})$ in case of the Zine pipe were $0.286mg/{\ell}(0.204-0.435mg/{\ell})$. It shows that the detection rate was more higher than the other material used in Cu or Zn as the water supply pipe. We supposed to Cu and Zn substance were gushing out water supply pipe.

• Journal of Plant Biology
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• 제24권1호
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• pp.1-12
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• 1981

옥수수개체군의 생장기간중 생산구조의 발달과 건물생산과정에 따른 인의 동태, 즉 토양으로부터 흡수준, 동화율, 회전율, 수요공급의 수지 및 이용효율의 계절적 변화를 분석하였다. 인의 흡수율(최대 2.4mgPg$^{-1}$day$^{-1}$) 및 흡수효율(0.03)은 개체군의 상대생장률과 밀접한 상관을 보였고, 생육기간중 총 동화율은 3.41gPm$^{-2}$ 로서 월 최대 동화율은 2.99mgPg$^{-2}$ month$^{-1}$ (7월)였다. 한편 개체군의 인현존량의 변화는 최대치 1.4mgPg$^{-2}$ 였고, 최대 회전율은 178%를 나타내었다. 생육기간중 개체군의 각 기관별 인의 수요량은 엽 24.4%, 경 22.5%, 근 3.5% 및 종실 49.6% 였으며, 총 인요구량의 81.8%는 토양으로부터 흡수되였고 나머지 18.2%는 개체군내의 전류에 의해 공급되였다. 옥수수개체군의 인이용지수는 최대치가 6월에 1,091이며 평균지수는 655였다.

• 한국물환경학회지
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• 제36권1호
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• pp.1-13
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• 2020

The purpose of this study was to investigate the thermal and chemical stratification in Lake Paldang 2013-2018 weekly using Schmidt's stability index (SSI) and the index of chemical stratification (IC-i). The annual average for SSI was 19.1 g cm/㎠ with the maximum value of 45.3 g cm/㎠ in the summer and the minimum value of 4.8 g cm/㎠ in fall-winter showing seasonal differences as well as increased vertical mixing in the summer. The lake stability increased higher in 2016 as compared with the other period. The most influential factors of thermal stratification were temperature and heavy rainfall. Especially, high water temperature and a prolonged residence duration caused by reduced rainfall and inflows could result in an increase of the stratification period. While decreasing inflow and outflow at the end of the rainfall, the thermal stratification was restrengthened within 7-14 days, and then stabilized rapidly before the rainfall. IC-DO increased with high air temperature in the spring and fall-winter. However increasing sunshine duration and residence time and decreasing rate of outflow caused an increase of IC-DO in the summer. Rainfall (less than 800 mm/year) and discharge (less than 200 CMS) significantly declined in 2015 resulting in IC-DO (0.77) increased more than three times over the other years and bottom water hypoxia occurred. The SSI and IC-i used in this study could be applied to other lakes to understand changes in stratification and mixing dynamics.

• Journal of Plant Biology
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• 제18권3호
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• pp.101-108
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• 1975

The nitrogen economy and primary production of a Helianthus annuus "Manchurian" population were studied with special reference to the pattern of seasonal changes of vertical distributions of dry matter and nitrogen quantities, and its quantitative significance was discussed in relation to the pattern of the plant population growth, distribution ratios among organs, and turnover rates of dry matter and nitrogen. The population was established in plant density of 11.1plant/$m^2$ at the experimdntal field of Kyungpook National University, Daegu. During the period of population developemnt (April-September, 1973), the annual inflow rates and outflow rates of dry matter and nitrogen were 5560 gDM/$m^2$/year and 89 gN/$m^2$/year, respectively. The distribution ratios of dry matter and nitrogen to leaves were 28% and 45%, to stems 48% and 18%, to roots 13% and 5%, and to flowers and seeds 11% and 32%, respectively. The maximum turnover rates of inflow of dry matter and nitrogen were attained in May-June, and were 216%/month and 210%/month, respectively. The amount of nitrogen demand was 52gN/$m^2$/year (58%) for the foliage growth, 13 gN/$m^2$/year(15%) for the stem growth, 20 gN/$m^2$/year(23%) for the reproductive organs, and 4 gN/$m^2$/year(4%) for the growth of the underground parts. The amount of nitrogen supply by the nitrogen withdrawn from senescing leaves and stems was 25gN/$m^2$/year(28%) and the amount of nitrogen absorption by the root from the environmental soil was 64 gN/$m^2$/year(72%). The ratiio of the a mount of produced dry matter to that of assimilated nitrogen during a year was calculated for this annual plant population as 60, which can be used as the nitrogen utility index.ity index.

• 한국환경생태학회지
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• 제33권5호
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• pp.525-538
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• 2019

낙동강에 위치한 신규조성 습지의 현황 파악 및 관리 방안 마련을 위한 기초연구의 일환으로 부착규조류의 서식현황과 종다양성을 분석하고 부착돌말영양지수(TDI, Trophic Diatom Index)의 적용가능성을 평가하였다. 조사 기간 동안, 부착규조류는 총 38과 173종이 출현하였으며, 봄과 가을에 각각 156종, 154종으로 비슷한 종수를 나타냈다. 자기조직화지도(SOM)를 활용한 분석 결과, 부착규조류의 분포는 각 습지의 영양염류의 농도와 강우 등의 환경요인에 따라 영향 받는 것으로 나타났다. 클러스터 1의 경우, 대부분 가을시기이며, 총인과 총질소 등의 영양염류의 농도와 부착규조류의 종수 및 풍부도가 낮음에도 불구하고, 부착돌말영양지수가 높은 지점들로 구성되었다. 이와 반대로, 클러스터 4는 봄시기의 지점들이며, 총질소가 높음에도 불구하고 부착돌말영양지수가 낮은 특징을 보였다. 신규조성 습지 대부분이 유입 유출구 기능이 원활하지 않은 점을 감안하면, 여름철에 증가된 유량은 가을철에 영양염류 값을 감소시키며, 탁도 증가로 인해 빛의 유입이 원활하지 않아 부착규조류의 종수와 풍부도가 낮아진다. 이와 반대로, 봄철에는 낮은 수위로 인해 부착규조류가 부착할 수 있는 기질표면이 부족하며, 호오탁성 종이 정착 및 발달하기에 이른 시기이기 때문에 부착돌말영양지수 값이 낮게 측정된다. 다양한 기존 연구에서, 부착돌말영양지수를 서식환경 및 수질 평가지표로 활용하고 있으나, 본 습지는 흐름이 적고 정체수역에 가깝기 때문에 대부분 영양염류 농도가 높아 부착돌말영양지수의 평가지표 가치성은 낮은 것으로 판단된다. 여름강우나 유입 유출 조절부의 기능이 부착규조류의 종다양성과 분포에 영향을 미치는 점을 종합적으로 감안한 지속적이고 주기적인 추가 조사가 필요하다.