• 대한지역사회영양학회지
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• 제12권3호
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• pp.272-283
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• 2007

This study was performed to delineate the relationship between lifestyle and nutritional risk factors associated with hypertension in representative middle-aged Korean population. Hypertension in this study is defined as hypertensive ($SBP{\geq}140mmHg\;or\;DBP{\geq}90mmHg$) adults without recognition of a disease state before a health exam. With data from the 1998 and 2001 National Health and Nutritional Survey, nutrient intakes of 6,112 adults, 40-64 years of age were calculated using food composition database and matched with health examination records by individual ID. After excluding those with extreme intake values, the number of final subjects included in the analysis was 5,200 (male 2,458, female 2,742). Using logistic regression method, socio-demographic data, lifestyle factors, and nutrient intakes were analyzed. Risky factors for hypertension revealed in this study were age, sex, BMI over 23, waist circumference, alcohol intake of more than 16g (male) or 8g (female). Regarding nutrient intakes, the intakes of highest quartile for energy (${\geq}2363.0kcal$) and protein (${\geq}90.2g$) were significantly associated with higher risk of hypertension after adjusting for age, sex, and other socio-demographic factors (OR=1.312(1.046-1.711), OR=1.488(1.194-1.854), respectively)). Although high intakes of sodium (${\geq}6604.0mg$) and phosphorus seemed to be risk factors of hypertension also before energy adjustment (OR=1.278(1.034-1.581), OR=1.280(1.024-1.600), respectively), only high intakes of energy and protein remained significant after adjustment. This study revealed that modifying risky lifestyles and dietary patterns, especially high energy intake, high protein intake, and high alcohol drinking, in middle-aged Korean adults could result in a prevalence decrease and/or prevention of hypertension.

• 보건행정학회지
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• 제30권2호
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• pp.185-191
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• 2020

Background: From January 2018, a policy was applied to differentially apply the co-payment for medical expenses of 15,000 won or more from 30% to 10%-30% for each medical fee. This policy lowers the burden on the medical use of the elderly, and it is necessary to analyze the effect of the policy by confirming changes in medical use and supply behavior after 2 years. Methods: The National Health Insurance Service's national medical use database was used. As for the analysis method, first, the medical use and medical supply behavior change over the age of 65 years were confirmed, and second, in order to check the net effect of the policy, the 66-year-old as the experimental group and the 63-year-old as the control group were selected as the control group. The propensity score matching was performed using the variables of age, living alone, income quartile, residence, disability, chronic disease, and co-morbid disease scores, and then it was analyzed using the difference in difference analysis method. Results: The share of the number of treatments under 15,000 won decreased from 37.0% in 2017 to 20.2% in 2018, while the share of the number of treatments under 15,001-20,000 won increased from 8.0% to 22.7%. It was confirmed that the reason for the increase in the cost of treatment per treatment was the result of the increase in the amount of physical therapy and examination. As a result of the policy effect, the burden of co-payment per person was reduced, and as a result, the number of hospital visits per person and the total medical cost per person increased. Conclusion: The self-pay rate differential policy reduced the burden of medical expenses for the elderly and confirmed the increase in medical use. However, the interpretation of the increase in medical use was not able to distinguish whether the unsatisfactory medical care was satisfied or the inducement demand. Efficient allocation of resources is a more important point in the future when the super-aged society is in front. It is necessary to prepare a plan to induce rational medical use within a range that does not impair the medical accessibility of the elderly.

• 한국축산식품학회지
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• 제31권2호
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• pp.266-272
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• 2011

국내에서 유통되고 있는 오리의 도체중량 및 도체품질 현황을 조사하기 위해 총 419,164수의 오리 도체중량을 분석한 결과, 평균 2,164.4 g, 최빈값은 2,000 g, 중위수는 2,200 g 및 사분위 범위는 300 g이었다. 오리 생체중량 구간별 도체수율은 평균 70.1% 인 것으로 나타났다. 오리도체의 외모 불량률은 28.4%, 외관손상 발생률은 4.8%인 것으로 나타났다. 변색 발생률은 34.1% 인 것으로 나타났는데, 특히 다리살에서 유의적으로(p<0.05) 높게 나타났다. 오리 도체표면의 잔모제거 불량률은 평균 44% 수준으로 도체중량 2.15 kg 미만일 때 전체 불량률의 약 86%를 차지하는 것으로 나타났다. 이는 오리 생체중량으로 환산할 경우 약 3 kg 내외가 된다. 오리 도체의 탈골(골절) 발생률은 평균 9.91% 수준으로 대부분 날개 부위와 다리 부위에서 발생하는 것으로 나타났다. 오리 가슴살의 지방함량은 도체중량 2.3 kg 구간에서 유의적으로(p<0.05) 높게 나타났다. 이는 오리 생체중량으로 환산할 경우 약 3.28 kg 내외가 된다. 이상의 결과를 종합해 볼 때 오리의 출하체중은 최소 3 kg 이상은 되어야 할 것으로 사료된다.

• 한국수자원학회논문집
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• 제47권9호
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• pp.777-787
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• 2014

불투수지역이 대부분인 도시유역의 경우, 우수관을 통한 우수의 배제가 유출시스템의 대부분을 차지한다. 도시지역의 우수관로 및 빗물펌프장의 용량을 설계하기 위해서는 일반적으로 강우빈도해석을 통해 계산된 빈도별 강우를 Huff시간분포 등을 사용하여 일괄적으로 시간 분포시켜 유출을 계산한다. 그러나 이러한 설계는 기후변화 등으로 인해 게릴라성 호우 등이 빈번히 발생하고, 평균적인 강우강도가 증가하고 있는 현실의 불확실성을 제대로 반영하지 못한다. 그러므로 본 연구에서는 설계강우사상의 첨두강우강도가 가지는 불확실성을 분석하기 위해, 설계강우사상을 시간 분포시키는 대표적인 방법이며, 실제 본 연구의 적용지역인 가산1빗물펌프장의 설계에 사용된 Huff 2분위 방법과 과거 발생한 실제 강우사상들을 이용한 유출해석을 실시하였다. 그 결과, 유역 내 지체효과가 거의 없는 도시지역의 경우에는 총강우량보다는 첨두강우강도에 의해 유역 내 홍수가 유발된다는 것을 확인하였고, 이를 입증하기 위해 회귀분석을 수행하였다. 즉, 총강우량이 같다고 하더라도, 첨두강우강도에 따라 상류 우수관의 범람이 야기될 수 있으며, 이러한 현상은 같은 빈도의 설계강우량이라고 해도 지속시간이 짧은 경우에 더 큰 첨두강우강도를 가지므로 더욱 두드러졌다. 이것을 본 연구에서는 설계강우사상를 시간분포시킴에 의해 야기되는 첨두강우강도의 불확실성이라고 정의하고, 이에 대한 정량화 및 고려가 도시지역의 유출시스템 설계 시 고려되어야 함을 제안하였다.

• 대한지역사회영양학회지
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• 제7권2호
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• pp.167-176
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• 2002

To assess the dietary fiber intake of preschool children in Busan and to evaluate the relationship between of the intake of dietary fiber and nutrient intake. Nutrient intake using 24 hour recall, and total dietary fiber (TDF) intake based on tables of TDF of common Korean floods developed by the modified Prosky Method, were estimated for 176 preschool children. The mean daily intakes of TDF, and TDF after adjusting energy intake, were 10.20 g and 7.69 g/1,000 kcal, respectively. The mean daily intakes of TDF for children aged 1-3 and 4-6 years were 9.20 g and 11.08 g, respectively. The range of TDF intake was 1.86 to 22.16 g. The major sources of TDF were cereals (31.0%), vegetables (18.9%) and fruits (11.9%). The TDF intake showed positive correlations with nutrient adequacy ratios (NAR) of iron and Vitamin $B_1$, (p < 0.05, p < 0.05). The TDF intake per 1,000 kcal showed negative correlations with the NARs of protein, calcium, phosphate, iron, Vitamin A, vitamin $B_1$, Vitamin $B_2$, and niacin (p < 0.001, p < 0.001, p < 0.001, p < 0.05, p < 0.001, p < 0.001, p < 0.001, p < 0.001) and with the mean adequacy ratio (MAR, p < 0.001). When children were stratified into quartiles ($Q_1-Q_4$) on the basis of their fiber intake per 1,000 kcal, their NARs for calcium, phosphate, iron, Vitamin A, Vitamin $B_1, Vitamin $B_2$ and niacin (p < 0.05, p < 0.05, p < 0.001, p < 0.05, p < 0.05, p < 0.001, p < 0.001), and their MAR (p < 0.001) were significantly lower in the children with higher fiber intake per 1,000 kcal (the upper quartile). The NARs fur calcium (0.63), iron (0.60), Vitamin A (0.66), Vitamin $B_2$(0.74), niacin (0.64), Vitamin C (0.65) and the MAR (0.74) were lower than 0.75 in the children with fiber intakes of more than 9.25 g per 1,000 local (0,), the highest fiber intake per 1,000 kcal. Based on these results, the mean TDF intake of children was higher than the age (yr)+5g , the minimum recommended level for American children. Meals with a fiber intake of more than 9.25 g per 1,000 local ($Q_4$) could cause a decreased nutritional status for minerals and vitamins. The result of this study could contribute to the establishment of Recommended Dietary Allowances (RDA) for dietary fiber for Korean Preschool children.

• 대한지역사회영양학회지
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• 제11권5호
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• pp.661-672
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• 2006

This study was performed to determine the dietary risk factors associated with hypertension. The hypertensive group were composed of 112 hypertensive patients (male 53, female 59) who first visited the hypertension clinic and had been diagnosed as having primary hypertension ($SBP{\ge}140mmHg\;or\;DBP{\ge}90mmHg$). The regular visitors or the subjects on special diets or medical therapies were excluded. The normal group consisted of as subjects (male 41, female 54) matched with age and socioeconomic levels. The subjects having higher intakes (above the 75 percentile) in energy, protein, iron, vitamin A or C showed significantly higher hypertension risk estimated with odds ratio after the covariance factors (age, sex and BMI) were adjusted. More than 2400 mg of sodium (6 g of salt) intake was associated with significantly higher risk of hypertension (odds ratio: 1.773, CI: 1.014-3.014 for $SBP{\ge}140mmHg$; odds ratio: 2.373, CI: 1.359-4.215 for $DBP{\ge}90mmHg$). Hypertensive group showed significantly increased intakes of vegetables and fish and shell fish compared to the normal group. When the vegetable intakes were classified into Kimchi, fresh vegetables and cooked vegetables with seasoning, the hypertensive group was observed as having higher intakes of Kimchi and cooked vegetables with seasoning. The intakes of highest quartile for vegetables (${\ge}327g/day$) (odds ratio: 3.164, CI: 1.740-5.752), fish and their products (${\ge}102g/day$) (odds ratio: 2.756, CI: 1.486-5.109), grains(${\ge}311g/day$) (odds ratio 2.393, CI: 1.186-4.832), meats and their product (${\ge}106g$) (odds ratio: 2.210, CI: 1.225 - 3.987) compared to the lower were significantly associated with the higher risk of hypertension estimated with DBP (${\ge}90mmHg$) after covariance factors were adjusted. In conclusion, our findings confirm that higher intake of energy or sodium are associated with the increased risk of hypertension. Because increased intake of vegetable or fish was associated with the higher risk of hypertension, in contrast with the finding of western countries, choosing or preparation of vegetables or fish with reduced salt is recommended.

• Journal of the Korean Data and Information Science Society
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• 제27권5호
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• pp.1349-1360
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• 2016

본 연구는 국내 COPD 환자의 삶의 질 정도 및 삶의 질과 관련이 있는 요인을 확인하기 위해 시도되었다. 2013년도 국민건강영양조사의 일반적 및 질병관련 변수, 폐기능검사 결과, 삶의 질(EuroQol-5Dimension) 자료를 이용하여 가중치를 적용한 후 복합표본 교차분석과 복합표본 회귀분석으로 분석하였다. 연구결과, EQ-5D Index는 COPD 환자 0.916점, 정상인 0.941점으로 COPD 환자가 정상인보다 통계적으로 유의하게 낮았다. 삶의 질 하부 영역인 이동, 자가간호, 일상활동, 통증/불편감, 불안/우울 모두 COPD 환자는 정상인과 비교하여 문제 없음의 비율이 낮고 문제 있음의 비율이 높았지만, 기도폐쇄 정도에 따른 삶의 질은 자가간호 영역만 유의한 차이가 있었다 (${\chi}^2=9.50$, p=.013), COPD 환자의 삶의 질과 관련이 있는 요인은 연령, 성별, 교육수준, 가구당 수입, 흡연상태, 동반질환 수이었다. 본 연구결과를 바탕으로, COPD 환자의 삶의 질에 대한 관심과 함께 이동, 자가간호, 일상생활을 증진하고 통증/불편감, 불안/우울을 감소하는 등 삶의 질을 향상시키기 위한 포괄적인 접근이 이루어져야 할 것이다.

• 한국환경보건학회지
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• 제30권2호
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• pp.140-148
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• 2004

To evaluate the acute effects of fine particles on pulmonary function, a longitudinal study was conducted. This study was carried out for the schoolchildren (3rd and 6th grades) living in Beijing, China. Each child was provided with a mini-Wright peak flow meter and a preformatted health symptom diary for 40 days, and was trained on their proper use. Participants were instructed to perform the peak flow test three times in standing position, three times a day (9 am, 12 pm, and 8 pm), and to record all the readings along with the symptoms (cold, cough, and asthmatic symptoms) experienced on that day. Daily measurement of fine particles (PM$_{10}$ and PM$_{2.5}$) was obtained in the comer of the playground of the participating elementary school for the same period of this longitudinal study. The relationship between daily peak expiratory flow rate (PEFR) and fine particle levels was analyzed using a mixed linear regression models including gender, height, the presence of respiratory symptoms, and daily average temperature and relative humidity as extraneous variables. The total number of students participating in this longitudinal study was 87. The range of daily measured PEFR was 253-501$\ell$/min. In general, the PEFR measured in the morning was lower than the PEFR measured in the evening (or afternoon) on the same day. The daily mean concentrations of PM$_{10}$ and PM$_{2.5}$ over the study period were 180.2$\mu\textrm{g}$/㎥ and 103.2$\mu\textrm{g}$/㎥, respectively. The IQR (inter-quartile range) of PM$_{10}$ and PM$_{2.5}$ were 91.8$\mu\textrm{g}$/㎥ and 58.0$\mu\textrm{g}$/㎥. During the study period, the national ambient air quality standard of 150$\mu\textrm{g}$/㎥ (for PM$_{10}$) was exceeded in 23 days (57.5%). The analysis showed that an increase of 1$\mu\textrm{g}$/㎥ of PM$_{10}$ corresponded to 0.59$\mu\textrm{g}$/㎥ increment of PM$_{2.5}$. Daily mean PEFR was regressed with the 24-hour average PM$_{10}$ (or PM$_{2.5}$) levels, weather information such as air temperature and relative humidity, and individual characteristics including gender, height, and respiratory symptoms. The analysis showed that the increase of fine particle concentrations was negatively associated with the variability in PEFR. The IQR increments of PM$_{10}$ or PM$_{2.5}$ (at 1-day time lag) were also shown to be related with 1.54 $\ell$/min (95% Confidence intervals: 0.94-2.14) and 1.56$\ell$/min (95% CI: 0.95-2.16) decline in PEFR.R.ine in PEFR.ine in PEFR.

• 한국수자원학회논문집
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• 제43권3호
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• pp.245-256
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• 2010

이 연구에서는 FFC2Q모형의 WQUAL블럭의 기본이론과 적용성을 검토하고, 도시지역의 강우초기 시 집중적으로 발생하는 CSOs의 비점오염부하 특성을 분석하였다. 또한 비점오염물 축적량 산정법과 쓸림방정식에서 주요 매개변수들의 선택과 그 영향을 분석하였다. 군자 배수구역의 3개 강우사상에 대한 실측치와의 비교를 통해 첨두유출량, 총유출량, 총부하량, 첨두농도 발생시간 등을 적정하게 모의할 수 있었으며, 입력자료의 단순화에도 불구하고 SWMM, MOUSE 등과 대등한 계산 결과를 보였다. 강우분포와 관련하여서는, 초기에 집중도가 높은 Huff1 분포에서 오염부하가 다른 분포에 비해 빠르게 발생하였으며, 강우초기 $BOD_5$, COD의 부하량 증가율은 SS에 비해 크게 나타났다. 비점오염부하량은 일정 강우 초기에 집중되어 결국 총부하량에 이르며, 이후 강우지속에 따른 유출은 비점오염부하량에 큰 영향을 미치지 못하는 것으로 분석되었다.

• 한국수자원학회논문집
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• 제53권11호
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• pp.1039-1047
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• 2020

중위도에서 내륙으로 많은 양의 수증기를 운반하는 대기천(Atmospheric rivers, AR)은 물 순환과 극한 수문현상에 큰 영향을 미친다. 본 연구에서는 2000 - 2015년도에 한반도에 상륙한 AR이 수문학적으로 미치는 영향력을 분석하였다. 그 결과 AR은 한반도 지역의 강우, 하천수위 및 유량특성과 밀접하게 연관되어 있는 것으로 나타났다. AR의 상륙이 한반도 연 강우량의 약 57%에 영향을 주었고, 여름철 강우량에 큰 영향을 주는 결과를 보였다. AR은 한반도 5대강 주변의 하천 수위와 유량 발생에도 영향을 주었는데, AR이 상륙한 당시 홍수 주의보 및 경보 기준을 넘는 수위가 관측되었다. 또한 유량의 경우, 한반도 5대강 대부분 지역의 3분위 이상 유량 값의 발생에 영향을 주는 것으로 나타났다. 이러한 결과들은 AR이 한반도 수문학적 특성에 큰 영향을 미칠 뿐만 아니라, 홍수와 같은 극한 수문 현상 발생과 매우 밀접한 관련이 있음을 시사하고 있다. 본 연구는 한반도의 다양한 영역에 대한 AR의 영향 분석에 대한 기초 자료로 활용될 수 있을 것으로 기대하는 바이다.