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A Study on Operation Problems for the Emergency Medical Process Using Real-Time Data (실시간데이터를 활용한 응급의료 프로세스 운영에 관한 연구)

  • Kim, Daebeom
    • Journal of the Korea Society for Simulation
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    • v.26 no.3
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    • pp.125-139
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    • 2017
  • Recently, interest in improving the quality of EMS(emergency medical services) has been increasing. Much effort is being made to innovate the EMS process. The rapid progress of ICT technology has accelerated the automation or intelligence of EMS processes. This study suggests an emergency room management method based on real-time data considering resource utilization optimization, minimization of human error and enhancement of predictability of medical care. Emergency room operation indices - Emergency care index, Short stay index, Human error inducing index, Waiting patience index - are developed. And emergency room operation rules based on these indices are presented. Simulation was performed on a virtual emergency room to verify the effectiveness of the proposed operating rule. Simulation results showed excellent performance in terms of length of stay.

Risk Based Accidental Limit State Evaluation on Explosion Accident at Shale Shaker Room of Semi-Submersible Drilling Rig (반잠수식 시추선의 Shale Shaker Room 폭발 사고에 대한 위험도 기반 사고한계상태 평가)

  • Yoo, Seung-Jae;Kim, Han-Byul;Park, Jin-Hoo;Won, Sun-Il;Choi, Byung-Ki
    • Special Issue of the Society of Naval Architects of Korea
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    • 2015.09a
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    • pp.69-73
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    • 2015
  • An evaluation of the accidental limit state (ALS) for design of a semi-submersible drilling rig is one of the essential design requirements as well as ultimate limit state (ULS) and fatigue limit state (FLS). This paper describes the ALS evaluation on the explosion accident at shale shaker room of semi-submersible drilling rig. There are three steps for the ALS evaluation such as structural analysis at concept design, risk based safety design and structural analysis at detailed design. For the ALS evaluation at concept design, conceptual explosion overpressure from the Rule guided by the classification society was used in the structural analysis that was carried out using LS-DYNA. To set up the design accidental load (DAL), explosion analysis was carried out using FLACS taking safety barriers into consideration. Then, the structural analysis was carried out applying DAL for the ALS evaluation at detailed design. Through the ALS evaluation on the explosion at shale shaker room, the importance of the risk based safety design was described.

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Relational Benefits, Alternative Attractiveness and Customer Loyalty: Implication for Service Distribution Channels

  • LEE, Kwang-Hoon;OU, Chen-Qi;CHOI, Choong-Ik
    • Journal of Distribution Science
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    • v.19 no.1
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    • pp.5-15
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    • 2021
  • Purpose: This study explores the types of relational benefits that generate loyalty to room-sharing services among Chinese customers based on the relationship marketing literature. The study also examines the moderating effect of alternative attractiveness on this relationship. Research design, data and methodology: Based on research hypotheses, questionnaires with items measuring the proposed constructs in three dimensions, including relational benefits, alternative attractiveness, and customer loyalty, were designed to test the hypotheses. Data were collected via an online questionnaire of 220 room-sharing service customers in China. Results: Results verify the effects of relational benefits on customers' loyalty to room-sharing services and the mediating effect of alternative attractiveness. More specifically, confidence, social, and safety benefits positively affect customer loyalty to room-sharing services, and alternative attractiveness moderates only the effect of social benefits. Conclusions: The results suggest that room-sharing service providers should concentrate on providing confidence, social, and safety benefits to maintain long-term relationships with customers. This study also provides practical implication for building relationships between channel members in service distribution channels. The study concludes that without customer relationships marketing for managing collaborative and social communication channels, the entire distribution channel might lose out eventually.

Bacterial Contamination of Surfaces in an Ultrasound Room (초음파실 표면의 세균 오염평가)

  • Kim, Hee-jeong;Choi, Yujin;Lee, Chang-Lae
    • Journal of radiological science and technology
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    • v.44 no.3
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    • pp.231-237
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    • 2021
  • The ongoing coronavirus disease 2019 (COVID-19) pandemic has highlighted the importance of hospital hygiene and infection control in hospital settings. To raise hygiene awareness among ultrasound technicians, we evaluated the hygiene status of an ultrasound room, in comparison with that of objects used in daily life. Using the swab method, the following surfaces were examined: eight surfaces in the ultrasound room including the ultrasound probes (convex, linear, sector, 3D), ultrasound track ball, ultrasound keyboard, ultrasound gel (sealed and in use) and pillow as well as four surfaces of everyday objects including subway handles, common computer keyboards, common computer mouse, and cell phones. The streak plate technique was used for inoculation into media, which was observed for the formation of bacterial colonies following incubation for 24 h. Six bacterial strains were detected from objects used in the ultrasound room, including methicillin-resistant Staphylococcus aureus. Four strains of bacteria were detected on surfaces of everyday objects. The equipment and accessories used in an ultrasound room can act as vehicles for infecting patients. Establishment of standardized hygiene protocols and periodic training of the staff are recommended to avoid cross-infection.

Factors Influencing Emergency Room Nurses' Intention to Report Child Abuse (응급실 간호사의 아동학대 신고의도 영향요인)

  • Choi, Yoon Ji;Yang, Sook Ja
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.1
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    • pp.66-75
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    • 2022
  • Purpose: The purpose of this study is to identify the factors influencing the intention to report child abuse of emergency room nurses based on the health belief model. Methods: This was a descriptive study that used a cross-sectional design. A total of 188 emergency room nurses working at general hospitals with more than 300 beds in Seoul participated in the study. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression analysis with the SPSS 25.0 program. Results: Correlations and regression analyses showed that the perceived severity (β=.14, p=.024), perceived barrier (β=-.25, p<.001), and self-efficacy (β=.31, p<.001) were factors influencing emergency room nurses' intention to report child abuse, and the explanatory power of the model was 33.0%. Conclusion: The results of this study related to the health belief model, being a valid theoretical basis for child abuse reporting intention research, significantly suggest new research directions in the future. In addition, to increase the nurses' intention to report child abuse in the emergency room, the influencing factors identified in this study can be utilized and develop specific interventions using the health belief model.

A Study on Efficient VR Room Escape Game Production (효율적인 VR방탈출 게임 제작에 관한 연구)

  • Lee, Yun-ho;Sheo, Dong-hee;Song, Eun-jee
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.579-580
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    • 2022
  • As virtual reality drew attention, VR room escape games were based on the most popular and successful VR content. This study was based on the survey results of citizens who experienced actual VR room escape and field-type room escape. It clarifies the parts that can be implemented and the parts that have technical limitations. And the factors that can increase the immersion of VR room escape games are analyzed. It is hoped that the significance of the research can contribute to the production of more advanced VR escape games and further VR contents.

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Measurement of missing video frames in NPP control room monitoring system using Kalman filter

  • Mrityunjay Chaubey;Lalit Kumar Singh;Manjari Gupta
    • Nuclear Engineering and Technology
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    • v.55 no.1
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    • pp.37-44
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    • 2023
  • Using the Kalman filtering technique, we propose a novel method for estimating the missing video frames to monitor the activities inside the control room of a nuclear power plant (NPP). The purpose of this study is to reinforce the existing security and safety procedures in the control room of an NPP. The NPP control room serves as the nervous system of the plant, with instrumentation and control systems used to monitor and control critical plant parameters. Because the safety and security of the NPP control room are critical, it must be monitored closely by security cameras in order to assess and reduce the onset of any incidents and accidents that could adversely impact the safety of the NPP. However, for a variety of technical and administrative reasons, continuous monitoring may be interrupted. Because of the interruption, one or more frames of the video may be distorted or missing, making it difficult to identify the activity during this time period. This could endanger overall safety. The demonstrated Kalman filter model estimates the value of the missing frame pixel-by-pixel using information from the frame that occurred in the video sequence before it and the frame that will occur in the video sequence after it. The results of the experiment provide evidence of the effectiveness of the algorithm.

Factors affecting the number of emergency room visits in a public hospital in Korea (일개 공공병원 응급실 방문건수 관련 요인)

  • Byung-Keun Yang;Jae-Hwan Oh;Kwang-Soo Lee
    • Korea Journal of Hospital Management
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    • v.28 no.3
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    • pp.39-46
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    • 2023
  • Purpose: Korean medical services are not balanced across regions and social classes. To prevent mortality gaps, Korea must distribute its medical resources more efficiently. Patient factors affecting emergency room visits serve as basic data for determining best practices for public healthcare distribution. Methods: The data included 18 473 visits by 14 949 de-identified patients who visited a public emergency room over one year. The dependent variable was the number of emergency room visits. A Poisson regression was conducted with the independent variables, comprising sociodemographic, socioeconomic, and spatial accessibility factors and patient characteristics. Results: Older men with higher Korean Triage and Acuity Scale scores visited more frequently. Greater patient-hospital distance decreased visits; however, the presence of a hospital within 1 km of a patient's residence did not affect the number of visits. The use of 119 services was negatively correlated with the number of visits. Visits increased with more medical benefits. Conclusions: Patient age, distance to hospital, use of 119 services, and medical benefits should be considered when planning or managing public hospitals in Korea.

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A Study on the Area Composition of the Operating Unit After Remodeling (수술부 리모델링을 통한 공간구성 변화에 관한 연구)

  • Kim, Khilchae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.4
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    • pp.57-67
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    • 2023
  • Purpose: Recently, the operating unit remodeling compititon has been increasing rapidly in Korea, but there are no design infomation for spatial planning of sterile supply storage. Therefore, the propose of this study is to present area composition of the operating unit after remodeling. Methods: For literature review, the 6 studies and guidelines of operating unit(guidelines in the U.S, Australia, UK and Korea and 2 studies in Korea) conducted surveys and analysis. Room and space composition and zone of operating unit are redefined for this study. For obtaining area, to conduct masuring and calcuating of document of operating unit before and after remodeling in 3 cases. There are some patterns of plan in operaing unit by sterile supply storage. This study derived data for attributes of area composition of sterile supply storage. Results: The results of this study are as follows: First, Reviewing previous studies and Guidelines, for this study the suggested model was 5 zones(Operating zone, Support zone, Patient zone, Staff zone, Circulation zone) and redefined each room and space. Second, For infection control, sterile supply storage was provided to directly accessible to the operating room. Third, According to ralation of operting room and sterile supply storage, there are two types : 'double loaded type' and 'single loded type'. Sterile supply storage shall increase area of ciculation zone. Implications: This study can be used as primary data on remodeling of operating unit. In addition, it suggests that for infect control sterile supply storage is functional area.

Effective Room Equalization Using Warped Common Acoustical Pole and Zero (Warped Common Acoustical Pole and Zero 방법을 이용한 효율적인 공간 등화)

  • Lee, Jun-Ho;Park, Young-Cheol;Youn, Dae-Hee;Lee, Seok-Pil
    • The Journal of the Acoustical Society of Korea
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    • v.28 no.1
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    • pp.51-60
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    • 2009
  • This paper presents a new method of designing room equalization filters using a warped common acoustical pole and zero (WCAPZ) modeling. The proposed method is capable of significantly reducing the order of the equalization filters without sacrificing the filter performance, especially, at low frequencies. Thus, the associated input-output delay is much smaller than the conventional block transform method while its computational complexity is comparable to it. The computational complexity also is still comparable to the conventional room equalization method, since the filter is implemented in the linear frequency domain after the pole-zero dewarping. Simulation results confirm that the use of the proposed algorithm significantly improves the room equalization over a range of low frequencies.