Health Behaviors Before and After the Implementation of a Health Community Organization: Gangwon’s Health-Plus Community Program

Hyeong,Kim Nam-Jun,Kim Soo-Hyeong,박웅섭 대한예방의학회 2023 예방의학회지 Vol.56 No.6

Objectives: Community organization is a resident-led movement aimed at creating fundamental social changes in the community by resolving its problems through the organized power of its residents. This study evaluated the effectiveness of health community organization (HCO), Gangwon’s Health-Plus community program, implemented from 2013 to 2019 on residents’ health behaviors.Methods: This study had a before-and-after design using 2011-2019 Korea Community Health Survey data. To compare the 3-year periods before and after HCO implementation, the study targeted areas where the HCO had been implemented for 4 years or longer. Therefore, a total of 4512 individuals from 11 areas with HCO start years from 2013 to 2016 were included. Complex sample multi-logistic regression analysis adjusting for demographic characteristics (sex, age, residential area, income level, education level, and HCO start year) was conducted.Results: HCO implementation was associated with decreased current smoking (adjusted odds ratio [aOR], 0.73; 95% confidence interval [CI], 0.57 to 0.95) and subjective stress recognition (aOR, 0.79; 95% CI, 0.64 to 0.97). Additionally, the HCO was associated with increased walking exercise practice (aOR, 1.39; 95% CI, 1.13 to 1.71), and attempts to control weight (aOR, 1.36; 95% CI, 1.12 to 1.64). No significant negative changes were observed in other health behavior variables.Conclusions: The HCO seems to have contributed to improving community health indicators. In the future, a follow-up study that analyzes only the effectiveness of the HCO through structured quasi-experimental studies will be needed.

응급의료센터로 내원한 헬기 후송 환자의 현황 및 분석

박진,조남수,조수형 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2

Our hospital is only emergency medical center that possess the landing zone of helicopter in chon-nam, Korea. An analysis of the present condition of helicopter-transport patient, was performed in order to pursuit and extend the availability of air transport in the future. The result were as follows; 1) The investigated in the present condition by yearly: 2 cases in 1991, 5 cases in 1992, 4 cases in 1993, 9 cases in 1994, 5 cases in 1995. 2) In the proportion of male to female, showed a ratio of three to one [male;72%(18), female;28%(7)] and showed third decade(7 cases), fifth decade(6 cases), sixth decade(4 cases) in comparison of age. 3) The geographical distribution of occurrence showed island areas(64%), inland areas(36%), and 6 cases of inland areas occurred of mountainous region. 4) One cause of events was traumatic causes(52%), which included traffic accident(5 cases) & fall down(4 cases). The other cause was disease(48%). 5) The expended time of helicopter from start to arrive at accident spot within Chon-nam area is from ten minutes to forty-five minutes, as mean expended time is thirty minutes. 6) The expended time from occurrence of patient to admitted hospital was from minimum twenty-five minutes to maximum eight hours and forty minutes, as expended time is one hundred and eighty-six minutes. 7) After arrived at landing zone, via emergency department to admitted patient; 12 cases, performed emergency operation; 4 cases, D.O.A. state; 2 cases, hopeless discharge; 2 cases, transfer to other hospital; 4 cases. Up to now, the present condition of helicopter-transport system was looked upon as petty affairs, and determination of transport was swayed by geographic element rather than severity of injury. And so, it is considered that epochal turning point is necessary for development of helicopter-transport system.

이동경계조건을 고려한 유동해석기법

김남형,박지훈 제주대학교 공과대학 첨단기술연구소 2003 尖端技術硏究所論文集 Vol.14 No.1

In this paper, the numerical model of the flow analysis by finite element technique is described. The Galerkin method is employed for spatial discretization. Two step explicit finite element scheme is used to discretize the time function, which has advantage in problems treating large numbers of elements and unsteady state. Two dimensional hydrodynamic model considering moving boundary condition is developed. Also the model flume was applied to verify in the idealized water, and the results of this study confirm the efficiency of moving boundary treatment in coastal numerical computation.

제주대학교 학내 공동이용 불규칙 조파수조의 실험과 그 특징

김경태,김남형 제주대학교 해양연구소 1998 해양자원연구소연구보고 Vol.22 No.-

This paper represents a general description and its feature of the irregular wave generator, which was settled in the Coastal & Harbor Engineering Laboratory of the Department of Ocean Civil Engineering. Cheju National University, in January 1998. The irregular wave generator is designed to generate regular wave and irregular wave. The wave hight. wave pressure, wave velocity and sand surface in the wave flume were measured with standard instrument respectively. The results of the experimentation were almost satisfied except on sand suface measuring

常溫에서 豚·人糞 混合廢棄物의 嫌氣性處理(綜合編)

김남천,민달기,이형춘 서울保健大學 1989 論文集 Vol.9 No.1

Pig was mixed with the same quantity of human night soil and was anaerobically digested at 25℃. 1. The gas production was 0.21~0.36㎥/㎏ VS Fed/day and the gas had a methane content of 43∼64%. 2. The maximum gas production was 0.39㎥/㎏ VS Fed/day and the methane gas production was estimated at 0.29㎥ CH_(4)/㎏ VS Fed/day. 3. The percentage removals in COD, BOD, TS and volatile solid (VS) were 13∼35.3%, 20.8∼58.5%, 14.8∼40% and 36∼49% respectively and were increased with increase of hydraulic retention time (HRT). 4. When the HRT was increased from l0day to 40day, the gas production was increased by 1.7 times and the methane gas production was increased by 2.6times. 5. The refractory fraction on inlet VS was 37.5% and substrate removal rate constant (K) was estimated at 0.107/day. 6. The specific resistance of sludge was 3.23 x 10^(10) ∼ 7.58 x 10^(10) sec²/g and dewatering depended on HRT.

生物學的 改良劑를 利用한 슬럿지의 脫水

김형석,신남철,이태호,박승조 동아대학교 환경문제연구소 1991 硏究報告 Vol.14 No.2

To conditioning sludge to occure in the course of food processing industry, after culturing Rhoodotorula glutinis, dosing a certain amount of culture solution into the sludge and measured the variation of total suspended solids and then, in the aerobic and anaerobic conditions after manage sludge, examining the result of measured specific resitance, the coefficient of cmopressibility to know the dewateability. Arrangements of this result are as follows : 1) As the result of total suspended solids concentration by change of aeration time and the amount of Rhodotorula glutinis dose, optimal dose was Rhodotorula glutinis 10㎖ by 20㎖ sludge. The very suitable aeration time was 4-5days. 2) After dosing biological conditioner(Rhodotorula glutinis) 60㎖ by 11 sludge in aerobic condition, aeration for five days. The results of specific resistance, the coefficient of compressibility were 22.71×10^(5)m/㎏ 1.6, respectively. 3) In the cases of using Rhodotoruls glutinis for biological conditioner, using polymer for chemical conditioner. This results are as follows : Biological conditioner ; the moisture content of sludge cake 77.7% Chemical conditioner ; the moisture content of sludge cake 70.3% But, I author propose that biological conditioner is more useful than chemicals in the total operating and maintenance cost.

응급실에서 기관내 삽관후 발생한 후두육아종 1례

조남수,김용배,조수형,송민엽,송성용 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.1

Endotracheal intubation has been used widely for the maintenance of airway in the emergency patient and CPR in the acute airway obstruction patient and to treat respiratory insufficiency. Endotracheal intubation has many advantages but it may cause several complications which rate about 4% of endotracheal intubation patient. Among these complications, laryngeal granuloma is a relatively rare complication arising about 1 case per 10,000∼20,000 cases. Authors report a case of laryngeal granuloma which developed after endotracheal intubation required during emergency treatment. Case: A 55-year old female patient visited Chosun University Hospital Emergency Room complaining of dyspnea, cyanosis and sweating on Feb. 8th 1995. According to past history, she had a little obesity, dyspnea on exercise and mild hypertension. At arrival, blood pressure was 240/110mmHg, pulse rate 150 rates/min, respiratory rate 12/min, body temperature 36.5℃ and cyanosis with sweating on whole body was observed. And the mental state was semicoma. At 5 minutes after arrival, sudden respiratory arrest developed and immediate endotracheal intubation which emergency treatment was performed it was difficult to intubate endotracheally due to short neck and obesity. At 1 hour after arrival, general condition of the patient recovered well and extubation was done. The patient was transferred to internal medicine department and discharged after 12 days of medical treatment. At 2 months after discharge, the patient felt a progressive hoarseness and foreign body sensation of larynx. She was diagnosed as laryngeal granuloma at ENT department of Chosun University. She underwent the surgical operation and discharged in good health after 7 days of admission.

Takayasu′s 동맥염에 의한 쇄골하 동맥류(1예)

조남수,조수형,박광철 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Takayasu's arteritis is a non-specific inflammatory process that involves the aorta and its main branches, the etiology of which remains unknown. This arteritis occurs predominantly in young Asian women, although there have been many documented cases in males and non-Asians. Criteria for the diagnosis of Takayasu's arteritis were developed by The Subcommittee on Classification of Vasculitis of the American College of Rheumatology in 1990, of which a modified version is shown in Table 1. The presence of three or more of the six criteria shown demonstrated a diagnostic sensitivity of 90.5% and a specificity of 97.8%. Takayasu's arteritis is known as 'pulseless disease,' and this non-specific inflammatory arteriopathy typically produces segmental arterial narrowing and occlusion with resultant end-organ ischemic consequences, including upper extremity digital necrosis, stroke, visceral ischemia and renal failure. Previously reported sites of aneurysm formation include the thoracic and abdominal aorta, as well as the innominate, the carotid and the superior mesenteric arteries, but rarely the subclavian artery. A 26-year-old man presented with a progressively enlarging and tender pulsatile mass at the base of the left neck, intermittent Claudication of the upper limbs in association with a decreased brachial artery pulse and a bruit over the subclavian artery. Computed tomography and aortography demonstrated a 4 cm × 5 cm aneurysm of the left subclavian artery. There was no evidence of occlusive disease. An aneurysmectomy with 8 mm hemashield graft interposis was performed. Pathology revealed a chronic, active inflammatory process. Aneurysm formation is an unusual complication of Takayasu's arteritis. Emergency department physicians must carefully observed patiens with symptomatic upper extremity pain and paresthesia and must consider whether those symptoms might be due to the formation of a subclavian artery aneurysm due to Takayasu's arthritis

유한요소법에 의한 제주항 정온도 모의

김남형,허영택 제주대학교 해양과환경연구소 2001 해양과환경연구소 연구논문집 Vol.25 No.-

In this paper, the finite element method is applied to the calmness simulation of Jeju Harbor. The mild-slope equation as the basic equation if used. The key of this model is that the bottom friction and boundary absorption are imposed. Two numerical computation, rectangular harbor and arbitrary shaped harbor are carried out to show the present study's applicability for the analysis of wave oscillation. These numerical results are compared with the results obtained from the other numerical analysis and experimental data and are in very well agreement. From the application to Jeju Harbor it is seen that wave height is relatively high in 4 pier and 6 pier, and low in 1 pier, 2 pier and 3 pier compared with design manual(MOMAF, 1999).

境界要素法에 의한 波動場에 있어서 非線形波의 假想境界處理

金南亨,瀧川淸,崔漢圭 江原大學校 附設 環境硏究所 1991 環境硏究 Vol.8 No.-

본 연구는 境界要素法을 이용하여 非線形 自由表面波을 解析한 것으로 假想境界處理는 流體의 連續性을 고려하여 mass-flus와 energy-flux를 사용하여 有限振幅波動의 解析을 提示했다. 의 非線形性 때문에 增分法을 적용했으며 境界要素法에 의해 얻어진 結果는 有限要素法의 結果와 實驗値와 比較하여 보았으며 좋은 一致가 얻어졌다. 따라서, 이 方法은 廣範圍한 波動問題 解析에 유효하게 이용될 수 있으리라 사료된다. In this paper, boundary element method is applied to the analysis of nonlinear free surface wave. A particular concern is given to the treatment of the open boundaries at in-flow boundary and out-flow boundary, which uses the mass-flux and energy-flux considering the continuity of fluid. By assuming the fluid to be inviscid and incompressible and the flow to be irrotational, the problem is formulated mathematically as a two-dimentional nonlinear problem in terms of a velocity potential. The equaton(Laplace equation) and the boundary conditions are transformed into two boundary integral equations. Due to the nonlinearity of the problem, the incremental method is used for the numerical analysis. Numerical results obtained by the present boundary element method are compared with those obtained by the finite element method and also with experimental values.