Pilot-scale coagulation and sedimentation processes were operated to investigate the T-P (Total phosphorus) removal efficiency. A multiple regression model was also derived to predict the water quality improvement effect with river water characteristics. The inflow rates for the pilot-scale facility were 157–576 m3/day, and the coagulant doses were in the range of 13.7–58.5 mg/L (average 38.9 mg/L) for PAC (Poly alum chloride) and 16.5–62.1 mg/L (average 36.0 mg/L) for alum. The results found that the influent BOD (Biochemical oxygen demand) and T-P concentrations were 4.9 mg/L and 0.115 mg/L, and the removal efficiencies were 52.7% and 59.4%, respectively. T-P removal efficiencies on wet weather days were higher by 10% than dry weather days because influent solids influenced T-P's coagulation process. The pH of river water was 6.9–7.8, and the average pH was 7.3. Although the pH variation was not significant, the trend showed that the treatment efficiency of T-P and PO4-P removal increased. Thus, the pH range considered in this study seems to be appropriate for the coagulation process, which is essential for phosphorous removal. The T-P removal efficiencies were 19.6–93.3% (average 59.2%) for PAC and 16.4–98.5%(average 55.9%) for alum; thus, both coagulants showed similar results. Furthermore, the average coagulant doses were similar at 42.4 mg/L for PAC and 41.3 mg/L for alum. When the T-P concentration of the effluent was compared by the [Al]/[P] ratio, the phosphorus concentration of the treated water decreased with an increasing [Al]/[P] ratio, and the lowest T-P concentration range appeared at the [Al]/[P] ratio of 10–30. A seasonal multiple regression analysis equations were derived from the relationships between 10 independent and dependent variables (T-P concentration of effluent). This study could help lake water quality maintenance, reduce eutrophication, and improve direction settings for urban planning, especially plans related to developing waterfront cities.

Background: The chin tuck exercise is a therapeutic approach for improving swallowing function in patients with dysphagia. However, the clinical evidence of the effect is still lacking. Objectives: To investigate the effect of a multidirectional chin tuck exercise on swallowing function in patients with post-stroke dysphagia. Design: A two-group prospective study. Methods: In total, 14 patients with post-stroke dysphagia were enrolled and assigned to either the experimental or control group. The experimental group performed the chin tuck exercise in the vertical and diagonal directions, whereas the control group performed the exercise only in the vertical direction. The intervention was performed 20 minutes a day, 5 times a week, for 4 weeks. Videofluoroscopic Dysphagia Scale (VDS) and Penetration–Aspiration Scale (PAS) scores determined via a videofluoroscopic swallowing study were the outcome measures used for evaluating swallowing function. Results: Post-intervention, the experimental group exhibited significantly better improvement in the pharyngeal phase score of VDS and PAS score than the control group. Conclusion: This study demonstrated that the multidirectional chin tuck exercise is more effective than the vertical chin tuck exercise in improving the swallowing function in patients with post-stroke dysphagia.

중국은 1979년 이후로 한자녀정책을 주요 정책으로 추진해왔고, 이로 인해 저출산 사회로 전환되었 다. 또한 발전된 보건과 의료기술로 노인들의 수명이 급격히 늘어나면서 중국의 고령화율 역시 급증하 였다. 이렇듯 수발이 필요한 고령인구는 급증하였으나, 현재 중국에는 이들을 돌볼 돌봄인력이나 인프 라가 턱없이 부족한 상태이다. 본 연구는 이러한 노인수발 문제를 해결하기 위한 제도적 해법으로 노인 장기요양보험에 주목한다. 본 연구는 중국 노인장기요양보험제도의 도입과정과 시범사업 등을 살펴본 후, 노인장기요양보험제도 도입의 선도국가인 한국으로부터 어떤 정책교훈을 얻을 수 있는지 살펴보았 다. 본 연구는 연구를 수행함에 있어 주로 문헌연구 분석을 사용하였다. 본 연구는 두 가지 의의를 갖는다. 첫째, 중국 노인장기요양보험제도의 시범사업을 개관함으로써 그 흐름은 물론 그에 관한 기초 자료를 제공하고 있다. 둘째, 중국의 노인수발 문제를 연구함에 있어 기존 연구들에서 찾아볼 수 없는 비교사회정책학적 접근법, 특히 동아시아 사회복지에 대한 비교연구를 수행하였다.

목적 : 본 연구는 초기 뇌졸중 환자에서 휠체어 기술 훈련 프로그램 적용이 휠체어 기술 능력, 휠체어 추진 속도, 일상생활수행력에 미치는 효과를 알아보고자 실시하였다. 연구방법 : 초기 뇌졸중 환자 18명을 실험군과 대조군으로 무작위 배정하였다. 두 군 모두 일반적인 재활치료를 실시하였으며, 추가적으로 실험군에는 휠체어 기술 훈련을, 대조군에는 기립기를 통한 서기 훈련을 각 1일 30분, 주 3회, 총 3주간 실시하였다. 중재 전·후 휠체어 기술 능력을 측정하기 위해 휠체어 기술 검사 (Wheelchair Skills Test; WST), 휠체어 추진 속도(Wheelchair Propulsion Velocity; WPV), 한국판 수정 된 바델 지수(Korean version of Modified Barthel Index; K-MBI)을 사용하였다. 결과 : 3주 중재 후, 두 그룹에서 중재 전·후 WST, WPV, K-MBI에서 유의한 차이가 나타났으며(p < .05), 중재 후 두 그룹 간 변화량의 차이는 WST와 WPV에서 유의한 차이가 나타났다(p < .05). 결론 : 본 연구 결과 휠체어 기술 훈련 프로그램이 초기 뇌줄중 환자의 휠체어 기술 능력과 휠체어 추진 속도를 향상 시킬 수 있는 중재 방법으로 나타났다. 그러므로 휠체어 기술 훈련 프로그램은 독립적인 독립적 보행이 불가한 초기 뇌졸중 환자에게 안전하고 효율적인 이동 능력을 제공할 수 있는 중재 방법으로 사용될 수 있을 것이다.

본 연구는 치유농업 프로그램이 현재 운영되고 있는 현황을 조사하여, 향후 치유농업 산업의 활성화를 위한 정책 수립에 활용하고자 수행하였다. 조사 모집단은 치유농업육성 시범사업에 참여한 173개소의 농장으로 하였으며, 2019년을 기준으로 치유농업 사업을 운영한 농장 중 설문에 응답한 곳은 106개소였다. 조사 결과, 치유농장에서 운영한 프로그램의 개수는 농장당 평균 3.8개였다. 프로그램 운영 기간은 4∼10월에 집중되었다. 대부분은 요일에 관계없이 주중, 주말 모두 운영하였으며 시간대는 주중과 주말이 유사하게 10시에서 16시까지 운영하는 곳이 많았다. 이용객 비중은 단체가 69.1%, 개인이 30.9% 이었으며 프로그램에 활용하는 자원은 식물이 58.8%로 가장 많았다. 치유농업 프로그램 참여 대상은 초/중/고 청소년이 69.8%로 가장 많았으며, 특성별 기준에서는 일반인이 70.8%로 가장 많은 비중을 차지했다. 프로그램 1회당 정원은 평균 26명이었고, 연간 평균 진행 횟수는 19회, 연간 평균 참여 인원은 450명 수준이었다. 치유농업 프로그램 다양화나 대상자 맞춤형으로 활용할 수 있도록 좀 더 심화된 사례조사가 이루어져야 할 것으로 여겨진다.

Background: Stroke is a neurological disorder characterized by an impaired static balance. A change in poor posture after stroke may worsen static balance. The balance control through an upright posture may include kinesiology taping of the middle back. Objectives: To investigated the effect of kinesiology taping of middle back on static balance in patients with stroke. Design: A randomized controlled trial. Methods: A total of 10 patients with stroke were divided into two groups. The experimental and control groups received kinesiology taping and placebo taping of the middle back, respectively. After 24 h, static balance (i.e., sway area and path length) was measured in closed eyes condition. Results: The experimental group (kinesiology taping group) showed a significant decrease in sway area and path length after the intervention. In addition, kinesiology taping group showed a significant decrease in sway area and path length compared to the control group. Conclusion: Kinesiology taping of the middle back can improve static balance in stroke patients.

Background: Researchers have previously commenced examining the degree of concordance between parent proxy and child self-reports on health-related quality of life (HRQOL) of many disease and impairment populations. Objects: To explore the differences between parent proxy and child self-reports on the HRQOL using Korean version of KIDSCREEN-10 questionnaires for applying to elementary school children and their parents who participated for a school-based wellness program. Methods: The focus groups were recruited for a school-based wellness program by implementing the following wellness services: 1) referring to a screening session for detecting potential posture-related musculoskeletal problems and 2) recommending home exercise programs. Before a primary field testing for the program, two focus groups were formed with a group of 9 parents and their 9 elementary school children aged 8–10 years of age. The parent proxy and child self-report versions of KIDSCREEN-10 questionnaires were administered to both groups after completion of the wellness program. Item level Rasch rating scale analysis was applied to compute logit scales of KIDSCREEN-10 questionnaire. Intraclass correlation coefficients (ICCs) and scatterplot of item difficulty between two reports were analyzed. Results: For fit statistics of parent proxy report, all items except 4 items (i.e., psychological well-being, mood/emotions, self-perception, parent relation) were found to be acceptable. For fit statistics of child self-report, all items except 3 items (i.e., psychological well-being, autonomy and home life) were acceptable. The relationship between two reports using ICCs were ranging from weak to very strong at p = 0.05 (i.e, ICCs = 0.011 to 0.905). Scatterplot analysis between two reports showed a major disparity on self-perception item at 95% confidence intervals. Conclusion: Both item level analyses and ICC comparisons provided a disparity between parent proxy and child self-reports of the HRQOL on self-perception item after competing a school-based wellness program. Therapist should consider the item as part of the HRQOL assessment.

Eutrophication and algal blooms can lead to increase of taste and odor compounds and health problems by cyanobacterial toxins. To cope with these eco-social issues, Ministry of Environment in Korea has been reinforcing the effluent standards of wastewater treatment facilities. As a result, various advanced phosphorus removal processes have been adopted in each wastewater treatment plant nation-widely. However, a lot of existing advanced wastewater treatment processes have been facing the problems of expensive cost in operation and excessive sludge production caused by high dosage of coagulant. In this study, the sedimentation and dissolved air flotation (SeDAF) process integrated with sedimentation and flotation has been developed for enhanced phosphorus removal in wastewater treatment facilities. Design and operating parameters of the SeDAF process with the capacity of 100 m3/d were determined, and a demonstration plant has been installed and operated at I wastewater treatment facility (located in Gyeonggi-do) for the verification of field applicability. Several empirical evaluations for the SeDAF process were performed at demonstration-plant scale, and the results showed clearly that T-P and turbidity values of treated water were to satisfy the highest effluent standards below 0.2 mg/L and 2.0 NTU stably for all of operation cases.

A 1,000 m3/d DAF(dissolved air flotation) pilot plant was installed to evaluate the performance of the floating process using the Nakdong River. Efficiency of various DAF operations under different conditions, such as hydraulic loading rate, coagulant concentration was evaluated in the current research. The operation conditions were evaluated, based on the removal or turbidity, TOC(total organic carbon), THMFP(trihalomethane formation potential), Mn(manganese), and Al(aluminum). Also, particle size analysis of treated water by DAF was performed to examine the characteristics of particles existing in the treated water. The turbidity removal was higher than 90%, and it could be operated at 0.5 NTU or less, which is suitable for the drinking water quality standard. Turbidity, TOC, and THMFP resulted in stable water quality when replacing the coagulant from alum to PAC(poly aluminum chloride). A 100% removal of Chl-a was recorded during the summer period of the DAF operations. Mn removal was not as effective as where the removal did not satisfy the water quality standards for the majority of the operation period. Hydraulic loading of 10 m/h, and coagulant concentrations of 40 mg/L was determined to be the optimal operating conditions for turbidity and TOC removal. When the coagulant concentration increases, the Al concentration of the DAF treated water also increases, so coagulant injection control is required according to the raw water quality. Particle size distribution results indicated that particles larger than 25 μm showed higher removal rates than smaller particles. The total particel count in the treated water was 2,214.7 counts/ml under the operation conditions of 10 m/h of hydraulic loading rate and coagulant concentrations of 60 mg/L.

In the membrane process, it is important to improve water treatment efficiency to ensure water quality and minimize membrane fouling. In this study, a pilot study of membrane process using reservoir water was conducted for a long time to secure high flux operation technology capable of responding to influent turbidity changes. The raw water and DAF(Dissolved Air Flotation) treated water were used for influent water of membrane to analyze the effect of water quality on the TMP (Trans Membrane Pressure) and to optimize the membrane operation. When the membrane flux were operated at 70 LMH and 80 LMH under stable water quality conditions with an inlet turbidity of 10 NTU or less, the TMP increase rates were 0.28 and 0.24 kPa/d, respectively, with minor difference. When the membrane with high flux of 80 LMH was operated for a long time under inlet turbidity of 10 NTU or more, the TMP increase rate showed the maximum of 43.5 kPa/d. However, when the CEB(Chemically Enhanced Backwash) cycle was changed from 7 to 1 day, it was confirmed that the TMP increase rate was stable to 0.23 kPa/d. As a result of applying pre-treatment process(DAF) on unstability water quality conditions, it was confirmed that the TMP rise rates differed by 0.17 and 0.64 kPa/d according to the optimization of the coagulant injection. When combined with coagulation pretreatment, it was thought that the balance with the membrane process was more important than the emphasis on efficiency of the pretreatment process. It was considered that stable TMP can be maintained by optimizing the cleaning conditions when the stable or unstable water quality even in the high flux operation on membrane process.

Background: The myofascial release technique is known to be an effective technique for increasing posterior fascia flexibility in short hamstring syndrome (SHS) subjects. But therapeutic mechanism of myofascial relaxation remains unclear. Recently, the theory of autonomic nervous system domination has been raised, however, a proper study to test the theory has not been conducted. Objectives: To investigate whether the application of the myofascial release technique can induce changes in the autonomic nervous system and affect the secretion of stress hormones and myofascial relaxation. Design: Quasi-experimental study. Methods: Twenty-four subjects with SHS were randomly divided into two groups. In the experimental group, the suboccipital muscle inhibition (SMI) technique was applied to the subjects for 4 min in supine position, and in the control group, the subjects were lying in the supine position only. A forward flexion distance (FFD) was conducted, blood pressure, heart rate, and cortisol levels were measured before and after the intervention and 30 min after intervention to determine myofascial relaxation and stress hormone levels. The evaluation was conducted separately in blind by an evaluator. Results: A FFD decreased in the experimental group, no change in cortisol was observed. On the contrary, a decrease in cortisol appeared in the control group after 30 minutes. Conclusion: The myofascial release technique is an effective treatment to increase the range of motion through posterior superior myofascial chain, but there is no evidence that myofascial release technique can control the autonomic nervous system.

In this paper, we introduce a pilot's scheduling model which is able to maintain and balance their capabilities for each relevant skill level in military helicopter squadron. Flight scheduler has to consider many factors related pilot's flight information and spends a lot of times and efforts for flight planning without scientific process depending on his/her own capability and experience. This model reflected overall characteristics that include pilot's progression by basis monthly and cumulative flight hours, operational recent flight data and quickly find out a pinpoint areas of concern with respect to their mission subjects etc. There also include essential several constraints, such as personnel qualifications, and Army helicopter training policy’s constraints such as regulations and guidelines. We presented binary Integer Programming (IP) mathematical formulation for optimization and demonstrated its effectiveness by comparisons of real schedule versus model's solution to several cases experimental scenarios and greedy random simulation model. The model made the schedule in less than 30 minutes, including the data preprocessing process, and the results of the allocation were more equal than the actual one. This makes it possible to reduce the workload of the scheduler and effectively manages the pilot's skills. We expect to set up and improve better flight planning and combat readiness in Korea Army aviation.

Human and material resource planning is one representative example of Operations Research. Resource planning is important not only in civilian settings but also in military ones. In the Air Force, flight scheduling is one of the primary issues that must be addressed by the personnel who are connected to flight missions. However, although the topic is of great importance, relatively few studies have attempted to resolve the problem on a scientific basis. Each flight squadron has its own scheduling officers who manually draw up the flight schedules each day. While mistakes may not occur while drafting schedules, officers may experience difficulties in systematically adjusting to them. To increase efficiency in this context, this study proposes a mathematical model based on a binary variable. This model automatically drafts flight schedules considering pilot’s mission efficiency. Furthermore, it also recommends that schedules be drawn up monthly and updated weekly, rather than being drafted from scratch each day. This will enable easier control when taking the various relevant factors into account. The model incorporates several parameters, such as matching of the main pilots and co-pilots, turn around time, availability of pilots and aircraft, monthly requirements of each flight mission, and maximum/minimum number of sorties that would be flown per week. The optimal solution to this model demonstrated an average improvement of nearly 47% compared with other feasible solutions.

목적 : 본 연구는 학령기 아동을 대상으로 학교에서의 활동에 기초한 감각처리능력을 알아보기 위한 평가 도구의 문항을 개발하는 예비연구로 진행되었다. 연구방법 : 연구 과정은 예비 문항 구성과 본 문항 구성을 통해 이루어졌다. 예비 문항 구성은 문헌고찰을 통한 문항 수집 후 감각통합 교육 경험이 있는 초등교사 3명과 학교 작업치료 경험이 있는 작업치료사 4명에게 문항 적절성 조사 및 신규 문항 수집을 하였다. 본 문항 구성은 초등교사 24명에게 내용 타당 도 지수(Content Validity Index; CVI)를 이용한 문항 적절성 조사, 작업치료사 19명에게 내용 타당도 지수(CVI)를 이용한 문항 적절성 조사 및 감각의 종류, 감각처리장애의 분류에 대한 조사를 하였다. 결과 : 문헌고찰을 통해 179문항이 수집되었고, 이후 예비 문항 구성 단계에서 93개 문항 삭제, 23개 문 항 추가되어 105개 문항이 구성되었다. 본 문항 구성 단계에서는 내용타당도 지수 값이 단계에 따라 70-80%가 만족될 때 선정하여 19개 문항 삭제, 1개 문항 추가되어 87개 문항이 구성되었다. 최종적으 로 학교에서의 활동에 기초한 감각처리 문항으로 분류하면, 일반적 학습 활동은 45개 문항, 예체능 활동 은 17개 문항, 식사 시간 및 쉬는 시간 활동은 25개 문항으로 총 87개 문항이 개발되었다. 결론 : 본 연구는 국내 학교의 활동 영역을 바탕으로 감각처리능력을 평가 할 수 있는 평가도구의 문항을 개발하였다는 데 의의가 있다. 본 평가도구의 임상적, 연구적 사용을 위해서는 추후 본 평가도구의 다양 한 타당도를 검증하기 위한 연구가 진행되어야 할 것이다.