소아 알레르기비염의 경제적 부담 평가를 위한 다기관 조사

공도연 ( Do Youn Kong ),김경원 ( Kyung Won Kim ),김우경 ( Woo Kyung Kim ),민택기 ( Taek Ki Min ),박용민 ( Yong Mean Park ),안재억 ( Jae Ouk Ahn ),양현종 ( Hyeon Jong Yang ),염혜영 ( Hye Yung Yum ),윤혜선 ( Hae Sun Yoon ),전유훈 ( 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 2012 소아알레르기 및 호흡기학회지 Vol.22 No.2

목적: 알레르기비염의 유병률은 전 세계적으로 급격히 증가하고 있으며, 그에 따른 경제적 부담도 증가하고 있다. 그러나, 소아 알레르기 질환이 미치는 경제적 부담에 관한 국내 연구는 제한적이어서 소아 알레르기비염이 환자와 그 가족에게 미치는 경제적 부담을 산출하고자 본 연구를 진행하였다. 방법: 2008년 7월 1일부터 9월 31일까지 서울시 6개 2-3차 의료기관을 방문한 18세 이하 소아 알레르기비염 환자 및 보호자를 대상으로 설문 조사를 진행하였다. 설문을 통해 직접 의료비 (병·의원 진료비, 및 약제비 한방 진료비 및 약제비, 보완/대체요법비), 직접비의료비 (교통비, 환경개선비), 그리고 간접비용 (월 평균 노동 손실)을 조사하였고 그 결과를 질환의 중증도 및 유병 기간에 따라 분석하여 그 차이를 비교하였다. 결과: 모집된 262명의 대상 중 174명(66.4%)이 남자였고, 평균 연령은 6.54세였다. 대상군의 연간 평균 직접 의료비는 177만 원이었고 직접비 의료비는 57만 원이었다. 비록 통계학적 유의성은 없었지만, 알레르기비염의 중증도가 증가할수록 직접 의료비가 증가하는 경향을 보였고, (P=0.053) 유병 기간 또한 직접 의료비의 증가와 유의한 양의 상관 관계를 보였다. (R=0.195, P=0.002) 대상 환자 보호자의 약 17%가 아이의 알레르기비염으로 인해 직장에 결근 또는 조퇴를 경험한 것으로 조사되어 사회적 간접비용을 미루어 생각할 수 있었다. 결론: 알레르기비염이 미치는 경제적 부담은 질환의 중증도가 심할수록, 그리고 유병 기간이 길수록 증가하며, 이는 특히 한방 진료 및 치료비와 보완/대체요법비의 증가에 기인한 것으로 조사되었다. 따라서 알레르기비염으로 인한 경제적 부담을 줄이기 위해서는 환자와 보호자를 대상으로 근거 중심의 치료를 할 수 있도록 지속적이고 체계적인 교육이 필요할 것으로 사료된다. Purpose: The prevalence of allergic rhinitis is rapidly increasing and results in relatively high socio-economic burden on their family and community. However, studies on the economic burden of pediatric allergic rhinitis in Korea are limited. Therefore, we conducted this study to investigate the impact of pediatric allergic rhinitis on economic burden. Methods: Two hundred sixty two children with allergic rhinitis were enrolled in 6 secondary or tertiary medical centers in Seoul from July to September, 2008. We collected data of the economic burden of allergic rhinitis (direct medical costs, direct nonmedical costs, and indirect costs) by face to face questionnaire survey. We compared the economic burden according to the severity and the duration of allergic rhinitis. Results: The mean age of subjects was 6.54 years, and male were 174 (66.4%). Direct medical costs (10,000 Korean Won/yr) were 177.75, and direct nonmedical costs were 57.92. Although, there was no statistical significance, direct medical costs showed increasing trends in severe allergic rhinitis. (P=0.053) In addition, direct medical costs were positively correlated with duration of allergic rhinitis.( R=0.195, P=0.002). About 17% of the parents who care the allergic rhinitis children experienced the work absence due to their child s illness. Conclusion: The economic burdens of allergic rhinitis were positively correlated with the severity and duration of illness. Particularly costs for alternative medicine including oriental medicine` were related with severity and duration allergic rhinitis. Therefore, special efforts for education with evidence based treatment strategy are necessary to decrease the economic burden of allergic rhinitis.

A Study on Evacuation Safety of Trainingship HANBADA using FDS & maritimeEXODUS

Won-Ouk KIM,Ki-Young HAN,Dae-Hee KIM 해양환경안전학회 2017 海洋環境安全學會誌 Vol.23 No.4

In this study, it was simulated and analyzed the evacuation safety to identify the cadets’ evacuation time by using maritimeEXODUS which is applied IMO MSC.1/Circ.1238 theory as well as the trim and heel which are the major factor of reducing the ship evacuation speed. In addition, this study carried out a simulation through the special program for fire analysis - FDS (Fire Dynamics Simulator) in order to find the effective evacuation time, i.e. life survival time. Particularly, this study did comparative analysis of the influence on the survival of cadets based on the collected simulation data by fire size and sort. As a result of the analysis, It was analyzed the Evacuation Allowable Limit Temperature 60°C and resulted that there is no influence in evacuation by temperature. As a result of the analysis on visibility evacuation limit 5 m, it was found that the only one evacuation rallying point could not meet the evacuation safety. However, it derived the perfect evacuation safety under the condition of two rallying points available on wood fire. In case of Kerosene, it was satisfied the evacuation safety if the heeling was under 10°. Moreover, it could not meet the evacuation safety by evacuating through upper deck although there were two evacuation rallying points. When it was set by the lifeboat descending maximum angle-20°heel and 10°trim which was described in SOLAS regulation, it was simulated that the wood fire having two evacuation rallying points in the center of the ship satisfied the evacuation safety.

Experimental Study on Neck Injury in Low Speed Frontal and Rear-End Collisions

Kim, Gyu-Hyun,Lee, Ouk-Sub,Hwang, Si-Won The Korean Society of Mechanical Engineers 2000 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.14 No.11

Motor vehicle accidents in rear impacts cause more than fifty percents of drivers to suffer from neck injuries. It is known that most neck injuries are associated with rear-end collisions at a speed lower than 32 km/h and between the Abbreviated Injury Scale (AIS) 1 and AIS 2. Two different types of low speed crash tests such as the frontal barrier and rear moving barrier crashes have been conducted by following the procedure of the Research Committee for Automobile Repairs (RCAR). The injury for the neck and the Head Injury Criteria (HIC) were measured by using the sensors mounted on dummies. We reviewed neck injures and the relationship between the neck and head injuries, and examined the deceleration of the body. Using the experimental test data at the neck, we investigated an improved neck injury criterion Nij. Also, the effects of the position of a head restraint on reducing the frequency and severity of the neck injury in rear-end collisions were investigated.

Fabrication and Electrochemical Characterization of TiO₂ Three-Dimensional Nanonetwork Based on Peptide Assembly

Kim, Sung-Wook,Han, Tae Hee,Kim, Jongsoon,Gwon, Hyeokjo,Moon, Hyoung-Seok,Kang, Sang-Won,Kim, Sang Ouk,Kang, Kisuk American Chemical Society 2009 ACS NANO Vol.3 No.5

<P>The three-dimensional network of TiO(2) hollow nanoribbons designed from a peptide assembly using atomic layer deposition is demonstrated as a promising Li secondary battery electrode in this study. The nanoribbon network ensures effective transport of electrons and Li ions due to (i) a well-connected network of nanoribbons and (ii) the hollow structure of each nanoribbon itself, into which Li ions in the electrolyte can readily diffuse. The improved specific capacity, rate capability, and cyclability of the nanonetwork show that the utilization of a nanonetwork of individual hollow ribbons can serve as a promising strategy toward the development of high-performance electrode for Li secondary batteries.</P>

Subnanometer Cobalt-Hydroxide-Anchored N-Doped Carbon Nanotube Forest for Bifunctional Oxygen Catalyst

Kim, Ji Eun,Lim, Joonwon,Lee, Gil Yong,Choi, Sun Hee,Maiti, Uday Narayan,Lee, Won Jun,Lee, Ho Jin,Kim, Sang Ouk American Chemical Society 2016 ACS APPLIED MATERIALS & INTERFACES Vol.8 No.3

<P>Electrochemical oxygen redox reactions are the crucial elements for energy conversion and storage including fuel cells and metal air batteries. Despite tremendous research efforts, developing high-efficient, low-cost, and durable bifunctional oxygen catalysts remains a major challenge. We report a new class of hybrid material consisting of subnanometer thick amorphous cobalt hydroxide anchored on NCNT as a durable ORR/OER bifunctional catalyst. Although amorphous cobalt species-based catalysts are known as good OER catalysts, hybridizing with NCNT successfully enhanced ORR activity by promoting a 4e reduction pathway. Abundant charge carriers in amorphous cobalt hydroxide are found to trigger the superior OER activity with high current density and low Tafel slope as low as 36 mV/decade. A remarkably high OER turnover frequency (TOF) of 2.3 s(-1) at an overpotential of 300 mV was obtained, one of the highest values reported so far. Moreover, the catalytic activity was maintained over 120 h of cycling. The unique subnanometer scale morphology of amorphous hydroxide cobalt species along with intimate cobalt species-NCNT interaction minimizes the deactivation of catalyst during prolonged repeated cycles.</P>

A Numerical Study on the Effects of the Smoke Exhaustion on Safe Evacuation in Emergency Situations during Fires on Ships

Kim, Won-Ouk Korean Institute of Navigation and Port Research 2013 한국항해항만학회지 Vol.37 No.1

Sometimes, an evacuation should be executed from a ship for many reasons. This study considers on emergency evacuation on fire in a ship, one of the many reasons for evacuation. Due to the characteristic of fire, the most loss of life is known to be caused by suffocation resulted by smoke. To reduce the suffocation by smoke, the time available for evacuation should be improved for the higher survival rate of crews. In this study, crews' survival times and Evacuation time are analyzed quantitatively in during fire in the same sealed space in two different cases of the natural ventilation and the forced ventilation.

A New Black Seed Cost Soybean Cultivar, "Heugmi" with Lodging Tolerance and Green Cotyledon

Won Young Han,In Youl Baek,Hyun Tae Kim,Jong Min Ko,Nam Suk Kang,Doo Chull Shin,Sung Taek Kang,Myung Gun Chung,Ki Won Oh,Sang Ouk Shin,Keum Yong Park,Duck Yong Suh,Jin Hwan Lee 한국육종학회 2007 한국육종학회지 Vol.39 No.3

A new black seed coat soybean cultivar, “Heugmi” was developed at the Yeongnam Agricultural Research Institute (YARI) in 2006. The goal to breed the black seed coat soybean is to develop the cultivar with high yield, lodging tolerance, resistant to disease such as soybean mosaic virus (SMV), and bacterial pustule and seed size. Heugmi was selected from the cross between Milyang 78, which was late maturing, susceptible to lodging and SMV and with large seed size and green cotyledon, and Milyang 68, which was middle maturing, resistant to lodging and SMV and with middle seed size and yellow cotyledon. The preliminary, advanced and regional yield trials for evaluation and selection of this cultivar were carried out from 2001 to 2006. It has determinate growth habit, purple flower, brown pubescence, black pod color, black seed coat, green cotyledon, spherical seed shape, oval leaf shape and middle seed size (24.8 grams per 100 seeds), and it was 2 days earlier in maturity than the check cultivar Cheongjakong. Heugmi was better in the seed quality of crude protein contents, sucrose and total sugar contents than the check cultivar. It also has been identified to have resistance to SMV which was the troublesome soybean diseases. The average yield of Heugmi was 2.53 ton per hectare in the regional yield trials carried out in seven locations of Korea from 2004 to 2006, which was 8 percent higher than the check cultivar Cheongjakong.

Thermal Stability and Electrical Properties of HfO_xN_y Gate Dielectrics with TaN Gate Electrode

Kim Jeon-Ho,Choi Kyu-Jeong,Seong Nak-Jin,Yoon Soon-Gil,Lee Won-Jae,Kim Jin-dong,Shin Woong-Chul,Ryu Sang-Ouk,Yoon Sung-Min,Yu Byoung-Gon The Korean Institute of Electrical and Electronic 2003 Transactions on Electrical and Electronic Material Vol.4 No.3

[ $HfO_2$ ] and $HfO_xN_y$ films were deposited by plasma-enhanced chemical vapor deposition using $Hf[OC(CH_3)_3]_4$ as the precursor in the absence of $O_2$. The crystallization temperature of the $HfO_xN_y$ films is higher than that of the $HfO_2$ film. Nitrogen incorporation in $HfO_xN_y$ was confirmed by auger electron spectroscopy analysis. After post deposition annealing (PDA) at 800$\Box$, the EOT increased from 1.34 to 1.6 nm in the $HfO_2$ thin films, whereas the increase of EOT was suppressed to less than 0.02 nm in the $HfO_xN_y$. The leakage current density decreased from 0.18 to 0.012 $A/cm^2$ with increasing PDA temperature in the $HfO_2$ films. But the leakage current density of $HfO_xN_y$ does not vary with increasing PDA temperature because an amorphous $HfO_xN_y$ films suppresses the diffusion of oxygen through the gate dielectric.

A New Pea Cultivar, Cheongmi with Short Stem Height, Lodging Resistance and High Yield

Won Young Han,Sang Ouk Shin,Myoung Gun Choung,Chan Sik Jung,Doo Chull Shin,Sea Kwan Oh,Sung Taeg Kang,In Youl Baek,Duck Yong Suh,Soon Chul Kim,Dong Kwan Kim,Chang Ki Son 한국육종학회 2004 한국육종학회지 Vol.36 No.5

A new pea cultivar, Cheongmi was developed at the Yeongnam Agricultural Research Institute (YARI) in 2003. It was selected from a cross YP303 (Frescoloy / Upton) // YP113 (Sparkle/Early Bird) /3/ YP115 (Sparkle / Euiseongjaerae) in 1992. The preliminary,

A Study on Evacuation Safety of Trainingship HANBADA using FDS & maritimeEXODUS

KIM, Won-Ouk,HAN, Ki-Young,KIM, Dae-Hee The Korean Society of Marine Environment and safet 2017 海洋環境安全學會誌 Vol.23 No.3

In this study, it was simulated and analyzed the evacuation safety to identify the cadets' evacuation time by using maritimeEXODUS which is applied IMO MSC.1/Circ.1238 theory as well as the trim and heel which are the major factor of reducing the ship evacuation speed. In addition, this study carried out a simulation through the special program for fire analysis - FDS (Fire Dynamics Simulator) in order to find the effective evacuation time, i.e. life survival time. Particularly, this study did comparative analysis of the influence on the survival of cadets based on the collected simulation data by fire size and sort. As a result of the analysis, It was analyzed the Evacuation Allowable Limit Temperature $60^{\circ}C$ and resulted that there is no influence in evacuation by temperature. As a result of the analysis on visibility evacuation limit 5 m, it was found that the only one evacuation rallying point could not meet the evacuation safety. However, it derived the perfect evacuation safety under the condition of two rallying points available on wood fire. In case of Kerosene, it was satisfied the evacuation safety if the heeling was under $10^{\circ}$. Moreover, it could not meet the evacuation safety by evacuating through upper deck although there were two evacuation rallying points. When it was set by the lifeboat descending maximum angle-$20^{\circ}heel$ and $10^{\circ}trim$ which was described in SOLAS regulation, it was simulated that the wood fire having two evacuation rallying points in the center of the ship satisfied the evacuation safety.