• Title/Summary/Keyword: 모형의 보정

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The Impact of Nurse Staffing Level on In-hospital Death and Infection in Cancer Patients Who Received Surgery (간호사 확보수준이 수술한 암환자의 원내 사망 및 감염에 미치는 영향)

  • Kim, Myo-Gyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.408-417
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    • 2017
  • This study was conducted to examine the influence of the nurse staffing level on the level of in-hospital death and infection in cancer patients who received surgery. Secondary data were used and the subjects of this study were 24,510 patients who received surgery for six types of cancer with a high postoperative mortality rate in the first half of 2012 at 260 hospitals. Simple logistic and GEE multiple logistic regression analyses were used. After adjusting for the patient and hospital characteristics, a greater likelihood of dying was found in the nurse staffing level 2-3 group (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.00-2.11) and in the level 6-7 group (OR, 3.28; 95% CI, 1.87-5.74) compared to the level 0-1 group. The likelihood of in-hospital infection increased with each additional bed per nurse, being 6.63 times higher (95% CI, 3.00-14.62) in the level 2-3 group, 5.79 times higher (95% CI, 1.88-17.78) in the level 4-5 group, and 8.4 times higher (95% CI, 1.82-38.84) in the level 6-7 group, as compared to the level 0-1 group. A lower nurse staffing level was associated with higher in-hospital death and infection levels. This shows that an appropriate nurse staffing level is associated with superior postoperative cancer patient outcomes. Policies for providing adequate nurse staffing should be maintained for the sake of ensuring improved care quality and patient safety.

Simulation of Turbidity Flow in the Andon-Imha Linked Reservoir System (안동-임하호 연결 시스템의 탁수유동 모의)

  • Park, Hyung Seok;Chung, Se Woong
    • Proceedings of the Korea Water Resources Association Conference
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    • 2015.05a
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    • pp.46-46
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    • 2015
  • 강우가 지역별 계절별로 편중되어 있는 우리나라는 수자원의 안정적인 확보와 이용을 위해 다양한 형태의 댐을 건설하여 운영하고 있다. 그러나 대부분의 댐건설을 통해 형성된 저수지들은 탁수 장기화 및 녹조 발생 등의 환경, 생태적인 문제를 겪고 있으며, 그에 따른 사회적 우려로 인해 신규댐 건설을 통한 수자원확보는 더 이상 어려운 실정이다. 이러한 문제에 대응하기 위한 대안으로 기존 댐 저수지들(안동호-임하호)의 구조적 연계운영방안이 진행되고 있다. 본 연구의 목적은 2차원 CE-QUAL-W2모형을 활용하여 안동호와 임하호의 구조적 연결에 따른 탁수의 이동과 각 저수지 내에서의 유동 변화를 해석하는데 있다. 저수지 연계 시나리오는 EL. 138 m 위치에 길이 2 km, 직경 5.5 m 의 콘크리트관(마찰계수 0.05)이 안동호 좌안인 임동면 마리와 임하호 우안 망천리를 연결하는 것으로 가정하였다. 모델의 보정은 실측자료가 풍부한 2006년도 수문사상을 대상으로, 개별 저수지에 대해 수행하였고, 탁수 유동 시나리오 해석은 임하호에 심각한 탁수장기화 문제가 발생했던 2002년을 대상으로 댐 연계 탁수모의를 수행하였다. 안동호와 임하호의 댐 앞에서 모의값과 실측값을 오차를 분석한 결과 탁수예측오차는 AME 0.5~24 mg/L, RMSE 0.7~30.2mg/L의 범위로 비교적 실측값을 잘 반영한 것으로 나타났다. 임하댐의 경우 탁수층의 위치와 두께, 그리고 최고 탁도값을 적절히 재현 하였지만, 안동댐은 최고 탁도값 예측에서 다소 오차가 발생하는 것으로 나타났다. 안동호와 임하호 단독 운영시와 연계 운영시의 탁수변화 파악을 위해 초기 홍수사상이 발생한 8월 이후부터 저수지내의 TSS농도 분포를 비교하였다. 안동호의 경우 댐앞지점의 탁수분포는 수온성층구조에 영향을 받아, 단독 운영시(EL. 130 m)보다 연계운영시(EL. 140 m)에 탁수의 중심이 높은 위치에 형성되었다. 단독 운영시 10월 이후에 전도현상으로 인해 침강되지 않은 잔류 탁수층이 저수지 하부로 확산되었지만, 연계 운영시에는 재부상 되어 상층으로 확산되는 것으로 모의되었다. 또한 연계운영시 유량이동으로 인해 안동호의 탁수 댐앞 도달시간이 짧아지는 것으로 나타났다. 반면 임하호는 연계 운영시 안동댐으로 유출이 생기면서 중층에서 탁수량이 저감되는 것으로 모의되었다. 저수지 내 탁수량 분석을 위해 SS 15 mg/L 이상의 잔류 탁수량을 분석한 결과, 연계운영시 안동호의 평균 잔류탁수량 비율은 11.8% 증가, 임하호의 경우 11.7% 감소하였다. 또한, 탁수의 댐하류 방류일수도 SS 15 mg/L 기준 임하호 9일 저감, 안동호는 70일 증가하여 임하호의 탁수가 안동호의 탁수 장기화에 영향을 주는 것으로 나타났다.

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Mapping Inundation Area Using Analysis Result of SWMM (SWMM 분석결과를 이용한 내수침수지도 작성)

  • Lim, Ji On;Na, Seo Hyeon;Lee, Kyung Su
    • Proceedings of the Korea Water Resources Association Conference
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    • 2017.05a
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    • pp.486-490
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    • 2017
  • 도심지에서의 침수피해는 이상홍수 및 국지성 호우 시 우수관거 시설기준 미달, 펌프장 등 배수시설이 설치되지 않아 하천의 계획홍수위보다 제내지의 지반고가 낮은 저지대 지역에서 많이 발생하고 있다. 특히, 내수침수의 경우는 외수에 따른 범람보다는 국민의 재산과 인명피해에 직접적인 영향을 미치므로 침수피해 위험도가 높은 지역의 주민에게 그 지역의 침수빈도와 범위를 인지시키고 사전대응 능력을 향상시킬 필요가 있다. 따라서 연구의 목적으로 매년 피해가 발생한 이력이 있는 위험지구에 대해 전국단위 시군구별 침수피해 지도를 작성하여 침수심 산정과 피해액 예측할 수 있는 기초자료로 활용하고, 주민들의 신속한 대처를 통해 그들의 생명과 재산을 보호하여 재난 안전 국가 이미지 제고에 기여하고자 한다. 본 연구에서는 도심지 유출모형인 XP-SWMM을 활용하여 내수재해 위험요인에 대한 전국을 해석하는 것에 한계가 있어 풍수해저감종합계획에 수록된 XP-SWMM모의 분석 결과 값을 활용하고자 하였다. 기 수립된 전국 풍수해저감종합계획의 과거 피해 자료를 바탕으로 이상 집중호우나 태풍의 내습 시 풍수해 피해 발생 가능성이 제일 높은 지역을 연구범위 대상지역으로 선정하였다. 그 중 풍수해의 주요 원인으로서 태풍, 집중호우 및 해일로 인한 피해발생 빈도가 높은 지역이면서 하천재해 및 내수침수 피해가 많은 경기도 동두천시를 연구대상 지역으로 선정하였으며, 대상지 유역 현황과 지형정보 및 빈도별 침수심을 조사하였다. 수록된 내용에 따르면 경기도 동두천시는 우수관망의 밀도가 높은 4개 위험지구를 내수재해 발생가능성 지역으로 선정하여 10년, 20년, 30년, 50년, 100년, 200년 6개 빈도에 대해 XP-SWMM 모의를 실시하였다. 이와 같이 수록된 각 빈도에 대한 모의 결과 값을 GIS기술을 이용하여 디지털화 하고 부가적인 분석을 위한 GIS데이터화 하는 내삽법을 선정하여 침수면적 및 침수심을 산출하였다. 그러나 면적비교를 통해 모의 결과 값을 디지털화 하는 과정에서 많은 오차가 발생되는 것을 확인하였고, 이를 보완하기 위해 좌표보정 자동화 프로그램을 개발하여 이러한 문제점을 제거하여 신뢰도를 향상시켰다. 이렇게 계산된 연구 대상지역의 침수심과 침수면적을 활용하여 지도제작 표준 지침서 및 가이드라인을 제시하여 한국형 호우피해 지도제작 기술개발에 기여하고, 비구조적 대책으로서 이상홍수에 대한 위험도를 파악하여 지역별 도심침수 방지를 위한 대비체계를 구축하는 등 위험지역에 대한 사전분석 및 활용에 기초자료로 도움이 되고자 한다.

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Development of Computer Code for Simulation of Multicomponent Aerosol Dynamics -Uncertainty and Sensitivity Analysis- (다성분 에어로졸계의 동특성 묘사를 위한 전산 코드의 개발 -불확실성 및 민감도 해석-)

  • Na, Jang-Hwan;Lee, Byong-Whi
    • Nuclear Engineering and Technology
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    • v.19 no.2
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    • pp.85-98
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    • 1987
  • To analyze the aerosol dynamics in severe accidents of LMFBR, a new computer code entitled MCAD (Multicomponent Aerosol Dynamics) has been developed. The code can treat two component aerosol system using relative collision probability of each particles as sequences of accident scenarios. Coagulation and removal mechanisms incorporating Brownian diffusion and gravitational sedimentation are included in this model. In order to see the effect of particle geometry, the code makes use of the concept of density correction factor and shape factors. The code is verified using the experimental result of NSPP-300 series and compared to other code. At present, it fits the result of experiment well and agrees to the existing code. The input variables included are very uncertain. Hence, it requires uncertainty and sensitivity analysis as a supplement to code development. In this analysis, 14 variables are selected to analyze. The input variables are compounded by experimental design method and Latin hypercube sampling. Their results are applied to Response surface method to see the degree of regression. The stepwise regression method gives an insight to which variables are significant as time elapse and their reasonable ranges. Using Monte Carlo Method to the regression model of LHS, the confidence level of the results of MCAD and their variables is improved.

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A study on the actuator arrays of a deformable mirror for adaptive optics (적응광학계 변형거울의 구동기 배열에 따른 성능 변화 연구)

  • 엄태경;이완술;윤성기;이준호
    • Korean Journal of Optics and Photonics
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    • v.13 no.5
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    • pp.442-448
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    • 2002
  • In the earth telescope for space observation, the adaptive optical (AO) system that immediately compensates atmospheric turbulence is helpful to get high-resolution images. An adaptive optics for earth telescopes is very attractive, since the Earth telescopes can be made at lower costs and have larger optical apertures than space telescopes. Generally. in order to remove the wavefront error produced by atmospheric turbulence, a deformable mirror, whose surface shape changes in a controllable way in response to a drive signal, is used. The characteristics and patterns of actuators are very important for the effective control of a deformable mirror. The mirror surface shape deformed by one actuator is defined as an influence function and the deformable mirror can be effectively modeled and designed using this influence function. In this paper. by simplifying the actual influence function obtained by FEM analyses into the Gaussian function and introducing the coupling coefficient between actuators, the influence function is constructed. The proper coupling coefficient of the target system can be obtained by performance analyses of a deformable mirror for various coupling coefficients. Using the constructed influence function, the deformable mirror with equally spaced triangular and square actuator patterns is analyzed for various spacings and an effective actuator pattern is proposed.

Analysis on dam operation effect and development of an function formula and automated model for estimating suitable site (댐의 운영효과 분석과 적지선정 함수식 및 자동화 모형 개발)

  • Choo, Taiho;Kim, Yoonku;Kim, Yeongsik;Yun, Gwanseon
    • Journal of Korea Water Resources Association
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    • v.52 no.3
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    • pp.187-194
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    • 2019
  • Intake ratio from river constitutes about 31% (8/26) that beings to "water stress country" as "Medium ~ High" with China, India, Italy, South Africa, etc. Therefore, the present study on a dam that is the most effective and direct for securing water resources has been performed. First of all, climate change scenarios were investigated and analyzed. RCP 4.5 and 8.5 with 12.5 km grid resolution presented in the IPCC (Intergovernmental Panel on Climate Change) 5th Assessment Report (AR5) were applied to study watershed using SWAT (Soil and Water Assessment Tool) and HEC-ResSim models that carried out co-operation. Based on the results of dam simulation, the reduction effects of floods and droughts were quantitatively presented. The procedures of dam projects of the USA, Japan and Korea were investigated. As a result, there are no estimating quantitative criteria, calculating methods or formulas. In the present study, therefore, indexes for selecting suitable dam site through literature investigation and analyzing dam watersheds were determined, Expert questionnaire for various indexes were performed. Based on the above mentioned investigation and expert questionnaire, a methodology assigning weight using AHP method were proposed. The function of suitable dam (FSDS) site was calibrated and verified for four medium-sized watersheds. Finally, automated model for suitable dam site was developed using FSDS and 'Model builder' of GIS tool.

Analysis of climate change impact on flow duration characteristics in the Mekong River (기후변화에 따른 메콩강 유역의 미래 유황변화 분석)

  • Lee, Daeeop;Lee, Giha;Song, Bonggeun;Lee, Seungsoo
    • Journal of Korea Water Resources Association
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    • v.52 no.1
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    • pp.71-82
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    • 2019
  • The purpose of this study is to analyze the Mekong River streamflow alteration due to climate change. The future climate change scenarios were produced by bias corrections of the data from East Asia RCP 4.5 and 8.5 scenarios, given by HadGEM3-RA. Then, SWAT model was used for discharge simulation of the Kratie, the main point of the Mekong River (watershed area: $646,000km^2$, 88% of the annual average flow rate of the Mekong River). As a result of the climate change analysis, the annual precipitation of the Kratie upper-watershed increase in both scenarios compared to the baseline yearly average precipitation. The monthly precipitation increase is relatively large from June to November. In particular, precipitation fluctuated greatly in the RCP 8.5 rather than RCP 4.5. Monthly average maximum and minimum temperature are predicted to be increased in both scenarios. As well as precipitation, the temperature increase in RCP 8.5 scenarios was found to be more significant than RCP 4.5. In addition, as a result of the duration curve comparison, the streamflow variation will become larger in low and high flow rate and the drought will be further intensified in the future.

Analysis of Coastline Changes in Yeongdong Region Using Aerial Photos and CORONA Satellite Images (항공사진과 CORONA 위성영상을 이용한 영동지역 해안선 변화 분석)

  • Ahn, Seunghyo;Kim, Gihong;Lee, Hanna
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.40 no.3
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    • pp.187-193
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    • 2022
  • In the Yeongdong region of Gangwon-do, coastal areas are important resources in terms of cultural, social and economic aspects. However, the coast of Gangwon-do is experiencing severe erosion, and it is concerned that its adverse effects will gradually increase. In this study, coastline changes of Yangyang and Gangneung in Gangwon-do were tracked and analyzed over a long period of time. In order to build time series image data, aerial photos from the 1940s to the present were mainly used, and data from CORONA satellite, which operated from the 1960s to the early 1970s, were collected and used together. Using 51cm resolution ortho image and 2m resolution Digital Elevation Model(DEM) as reference, ground control points were selected to perform geometric correction on the aerial photos and CORONA images. Subsequently, Canny edge detector applied to these images to extract the coastlines. As a result of analyzing the extracted and vectorized coastlines by overlaying them in chronological order, erosion and deposition occurring around the artificial structures and on the nearby beaches were observed. In this study, the effect of seasonal variation, tide, and various coastal management including the beach filling were not considered. Because coastal erosion is greatly affected by geographic factors, each local government must find its own solution. Continuous research and local data accumulation are required.

Settlement Evaluation of Caisson-Type Quay Wall Using PSI of Velocity During Earthquake (지진시 속도의 PSI를 활용한 케이슨식 안벽의 침하량 평가 )

  • Gichun Kang;Hyunjun Euo;Minje Baek;Hyunsu Yun;Jungwook Choi;Seong-Kyu Yun
    • Journal of the Korean Geosynthetics Society
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    • v.22 no.2
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    • pp.71-83
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    • 2023
  • It is very important to predict the amount of settlement in order to maintain the function of the coastal structure. Finite element analysis methods and real and model experiments are used as methods for this, but this has the disadvantage of requiring a lot of cost and time. Therefore, this study was conducted for the purpose of a simple formula proposal that can easily predict the amount of settlement of the caisson-type quay wall structure. In the research process, after calculating the PSI (Power Spectrum Intensity) of the velocity, the amount of settlement of the structure is calculated by substituting it into the simple formula of the existing gravity breakwater. By comparing and analyzing the amount of settlement of the structure obtained through numerical analysis, it was confirmed that the error between the amount of settlement of the existing simple formula and the amount of settlement of the numerical analysis was large, and it was confirmed that the background could not be considered in the case of the existing simple formula. Therefore, this study proposed a correction factor for the background of the quay wall structure, indicating a simple formula that can obtain the amount of settlement of the caisson-type quay wall structure. Compared to the numerical analysis settlement amount, it was judged that this simple formula had sufficient precision in calculating the caisson-type quay wall settlement amount. In addition, facilities vulnerable to earthquake resistance can be easily extracted in situations where time and cost are insufficient, and it is expected to be used as a screening technique.

Estimation of Pile Ultimate Lateral Load Capacity in Sand Considering Lateral Stress Effect (응력상태를 고려한 사질토지반에 관입된 말뚝의 극한수평지지력 분석 및 평가)

  • Lee, Jun-Hwan;Paik, Kyu-Ho;Kim, Dae-Hong;Hwang, Sung-Wuk;Kim, Min-Kee
    • Journal of the Korean Geotechnical Society
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    • v.23 no.4
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    • pp.161-167
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    • 2007
  • In this study, ultimate lateral load capacity of piles is analyzed with consideration of lateral stress effect. Based on results obtained in this study, a method for the estimation of ultimate lateral load capacity is proposed. This makes it possible to more realistically estimate the ultimate lateral load capacity under various stress states caused by in-situ soil condition and pile installation process. Calibration chamber test results with various soil conditions were used in the analysis. From the test results, it was found that effect of the lateral stress was greater than that of the vertical stress on the ultimate lateral load capacity of piles. It was also found that, as the relative density increases, displacements required to reach the ultimate state increases, showing relative displacements of around 14% and 18-25% for $D_R$ : 55% and 86%, respectively. Based on results obtained in this study, a methodology for the estimation of ultimate lateral load capacity of piles using correction factors was proposed. Results from proposed method matched well measured results.