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Cognitive outcomes in late childhood and adolescence of neonatal hypoxic-ischemic encephalopathy
이보린,Glass Hannah C. 대한소아청소년과학회 2021 Clinical and Experimental Pediatrics (CEP) Vol.64 No.12
Hypoxic-ischemic encephalopathy (HIE) is the most common cause of neonatal encephalopathy with a global incidence of approximately 1 to 8 per 1,000 live births. Neonatal encephalopathy can cause neurodevelopmental and cognitive impairments in survivors of hypoxic-ischemic insults with and without functional motor deficits. Normal neurodevelopmental outcomes in early childhood do not preclude cognitive and behavioral difficulties in late childhood and adolescence because cognitive functions are not yet fully developed at this early age. Therapeutic hypothermia has been shown to significantly reduced death and severe disabilities in term newborns with HIE. However, children treated with hypothermia therapy remain at risk for cognitive impairments and follow-up is necessary throughout late childhood and adolescence. Novel adjunctive neuroprotective therapies combined with therapeutic hypothermia may enhance the survival and neurodevelopmental outcomes of infants with HIE. The extent and severity of brain injury on magnetic resonance imaging might predict neurodevelopmental outcomes and lead to targeted interven tions in children with a history of neonatal encephalopathy. We provide a summary of the long-term cognitive outcomes in late childhood and adolescence in children with a history of HIE and the association between pattern of brain injury and neurodevelopmental outcomes.
지붕형 태양광 발전량 산정을 위한 서울지역 그림자 효과 분석
윤창열(Yun ChangYeol),정보린(Jung BoRin),김신영(Kim ShinYoung),김창기(Kim ChangKi),김진영(Kim JinYoung),김현구(Kim HyunGoo),강용혁(Kang YongHeack),김용일(Kim YongI) 한국태양에너지학회 2018 한국태양에너지학회 논문집 Vol.38 No.2
For the preliminary step for estimating the performance of roof-type photovoltaic system in urban areas, we analyzed the solar radiation reduction ratio by shadow effect by buildings using DSM (Digital Surface Model) and GIS (Geographical Information System) tools. An average loss by the shadow is about 19% in Seoul. The result was related to the building density and distribution. Monthly results show that the winter season (December and January) was more affected by the shading than during the summer season (June and July). It is expected that useful empirical formulas can be made if more detailed correlation studies are performed.
만성질환자의 예방가능한 입원 및 질병으로 인한 응급실 방문: 의료급여 수급여부를 중심으로
김수정 ( Kim Soojung ),김보린 ( Kim Borin ),박소정 ( Park Sojung ) 한국보건사회연구원 2015 保健社會硏究 Vol.35 No.2
이 연구는 의료급여 수급여부에 따른 만성질환자의 예방가능한 입원 및 질병으로 인한 응급실 이용의 차이를 분석하는데 목적이 있다. 이를 위해 2009년부터 2011년까지의 한국의료패널 자료를 사용하여 최소 1개 이상의 만성질환을 가진 20세 이상 성인 8,870명을 대상으로 실증분석을 실시한 결과, 인구학적 요인, 건강 중증도 및 건강 위험행동 요인, 사회경제적 요인을 보정하고도 의료급여 환자의 예방가능한 입원 확률과 응급실 방문 확률은 건강보험 환자에 비해 높게 나타났다. 이 결과는 추가로 외래이용 횟수를 보정한 후에도 유효하였다. 이는 의료급여 수급여부에 따른 차이가 예방가능한 입원과 질병으로 인한 응급실 이용의 차이와 밀접한 관련이 있음을 시사한다. 일반적으로 예방가능한 입원과 예방가능한 응급실 이용은 적절한 시기와 양질의 일차의료 및 예방 의료 서비스를 통해 최소화할 수 있다고 알려진 바, 입원 및 응급실 이용에 비해 상대적으로 저비용인 일차의료 서비스를 통해 의료급여 환자의 건강관리가 가능해지면 의료 급여 재원의 지속가능성을 유지하는데 도움이 될 것이다. 동시에, 수급권자의 건강권을 보장하고 질병으로 인한 빈곤화를 예방하고자 하는 의료급여 정책의 목표를 달성하는 효과적인 방법이 될 것이라 생각한다. This study aims to investigate the differences in access to health care between National Health Insurance and Medical Aid Program beneficiaries with chronic conditions in South Korea by focusing on preventable hospitalizations and emergency room visits. Data came from 2<sup>nd</sup> - 4<sup>th</sup> wave (2009-2011) of the Korea Health Panel (KHP). The analytic sample included only respondents aged 20 years and older with chronic disease (N=8,870). Logistic Regression Analysis was conducted using Random Intercept Model to examine the associations between health insurance types and Ambulatory Care Sensitive Conditions (ACSC) - related hospitalization/ Emergency Room (ER) visit. The key independent variables were two types of health coverage schemes: National Health Insurance and Medical Aid. Compared to National Health Insurance beneficiaries, Medical Aid recipients were more likely to be hospitalized due to ACSCs and to use ER services, even after controlling for socio-demographic characteristics, health conditions, socio-economic status, and number of outpatient visits. Our findings suggest that current Medical Aid policy needs to be improved to enhance access to appropriate and timely medical service among its beneficiaries. Policy discussion about Medical Aid should be focused on its gaps and limitations and on ways to address them.
김현구(Kim, Hyun Goo),황효정(Hwang, Hyo Jung),강용혁(Kang, Yong Heack),윤창열(Yun, Chang Yeol),정보린(Jung, Bi Rin),송규봉(Song, Kyu Bong) 대한공간정보학회 2014 대한공간정보학회지 Vol.22 No.4
한반도와 같은 산악지형에서 풍력단지를 조성할 경우, 인근 지형에 의한 차폐영향이 없기 때문에 상대적으로 풍력자원이 우수한 능선을 따라서 풍력터빈을 설치하는 것이 유리하다. 본 연구에서는 산악지형에서의 풍력단지 입지 평가를 위하여 SRTM v4.1 3 arc-second 해상도의 수치고도 데이터베이스와 지형형태 분류 프로그램인 LandSerf v2.3을 이용하여 풍력터빈 설치 가능한 능선을 추출하였으며, 강원도에 건설된 강원풍력단지, 태기산풍력단지 및 매봉산풍력단지의 사례분석을 통하여 대부분의 풍력터빈이 상대적으로 풍력자원이 우수한 능선을 따라 배치되었음을 확인함으로써 이 방법의 유효성을 검증하였다. To develop a wind farm in a mountainous terrain like Korea, it is generally more advantageous to install wind turbines along a mountain ridge where has relatively better wind resource because that is open in all directions and free from shielding by the surrounding topography. In this study, the SRTM (Shuttle Radar Topography Mission) v4.1 3 arc-second resolution digital elevation database and the geomorphometric characterization software LandSerf v2.3 are used to extract ridge lines for assessing a wind farm siting in mountainous terrain. The effectiveness of wind farm siting along a ridge line is confirmed that the most of wind turbines in the Gangwon, Taegisan, and Maebongsan wind farms in Korea’s mountainous terrain are placed along the primary and secondary ridge lines where wind resource is relatively outstanding.