• Title/Summary/Keyword: 보정기준

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Triage Accuracy of Pediatric Patients using the Korean Triage and Acuity Scale in Emergency Departments (한국형응급환자분류도구를 적용한 응급실에서 소아 환자의 중증도 분류 정확성)

  • Moon, Sun-Hee;Shim, Jae Lan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.626-634
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    • 2018
  • This retrospective study investigates the accuracy of triage procedures for pediatric patients in emergency departments (EDs) using the Korean Triage and Acuity Scale (KTAS). The study includes 250 randomly selected initial nursing records and clinical outcomes of pediatric patients who visited one regional ED or a local ED from October 2016 to September 2017. The collected data were analyzed by a qualified expert to determine the true triage score. The accuracy of triage was defined as the agreement between the triage score of the emergency nurses (ENs) and the true triage score as determined by the expert. Based on expert comments, the cause of the triage error was analyzed and the KTAS score was compared with the discharge, length of stay (LOS), and medical cost. The results showed that the degree of agreement in the triage score between the experts and the ENs was excellent (weighted kappa=0.77). Among the causes of triage discordance, the most frequent was the incorrect application of vital signs to the KTAS algorithm criteria (n=13). Patients with high severity KTAS levels 1 and 2 were discharged less often (${\chi}=43.25$, p<0.001). There were significant differences in the length of stay (F=12.39, p<0.001) and cost (F=11.78, p<0.001) between KTAS scores when adjusting for age. The results of this study indicate that KTAS is highly accurate in EDs. Hence, the newly developed triage tool is becoming well established in Korea.

Analysis of Water Quality Variation by Lowering of Water Level in Gangjeong-Goryong Weirin Nakdong River (낙동강 강정고령보 수위저하 운영에 따른 수질 변동특성 분석)

  • Park, Dae-Yeon;Park, Hyung-Seok;Kim, Sung-Jin;Chung, Se-Woong
    • Journal of Environmental Impact Assessment
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    • v.28 no.3
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    • pp.245-262
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    • 2019
  • The objectives of this study were to construct a three-dimensional water quality model (EFDC) for the river reach between Chilgok Weir and Gangjeong-Goryong Weir (GGW) located in Nakdong River, and evaluate the effect of hydraulic changes, such as water level and flow velocity, on the control of water quality and algae biomass. After calibration, the model accurately simulated the temporal changes of the upper and lower water temperatures that collected every 10 minutes, and appropriately reproduced changes in organic matter, nitrogen, phosphorus, and cyanobacteria. However, the simulated values were overestimated for the diatoms and green algae cell density, possibly due to the uncertainties of the parameters associated with algae metabolism and the lack of zooplankton predation function in the simulations. As a result of scenario simulation of running the water level of GGW from EL. 19.44 m to EL. 14.90 m (4.54 m drop), Chl-a and algae cell density decreased significantly.In particular,the cyanobacteria on the surface layer, which causes algal bloom, declined by 56.1% in the low water level scenario compared to the existing management level. The results of this study are in agreement with the previous studies that maintenance of critical flow velocity is effective for controlling cyanobacteria, and imply that hydraulic control such as decrease of water level and residence time in GGW is an alternative to limit the overgrowth of algae.

Estimation of hourly daytime air temperature on slope in complex terrain corrected by hourly solar radiation (복잡지형 경사면의 일사 영향을 반영한 매시 낮 기온 추정 방법)

  • Yun, Eun-jeong;Kim, Soo-ock
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.20 no.4
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    • pp.376-385
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    • 2018
  • To estimate the hourly temperature distribution due to solar radiation during the day, on slope in complex terrain, an empirical formula was developed including the hourly deviation in the observed temperature following solar radiation deviation, at weather stations on the east-facing and west-facing slopes. The solar radiation effect was simulated using the empirical formula to estimate hourly temperature at 11 weather observation sites in mountainous agricultural areas, and the result was verified for the period from January 2015 to December 2017. When the estimated temperature was compared with the control, only considering temperature lapse rate, it was found that the tendency to underestimate the temperature from 9 am to 3 pm was reduced with the use of an empirical formula in the form of linear expression; consequently, the estimation error was reduced as well. However, for the time from 5 pm to 6 pm, the estimation error was smaller when a hyperbolic equation drawn from the deviation in solar radiation on the slope, which was calculated based on geometric conditions, was used instead of observed values. The reliability of estimating the daytime temperature at 3 pm was compared with existing estimation model proposed in other studies; the estimation error could be mitigated up to an ME (mean error) of $-0.28^{\circ}C$ and RMSE (root mean square error) of $1.29^{\circ}C$ compared to the estimation error in previous models (ME $-1.20^{\circ}C$, RMSE $2.01^{\circ}C$).

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.

A Study on the Evaluation of Cargo Securing Safety for Car ferry Ships Using Wave Height Information (해상 파고 정보를 활용한 카페리 선박의 고박안전성 평가에 관한 연구)

  • Yu, Yong-Ung
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.27 no.4
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    • pp.457-464
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    • 2021
  • Cargo securing safety, which is one factor for the safe operation of car ferry ships, has been applied since 2015 and evaluated by comparing the hull motion and securing load capacity generated by waves. To ensure the safe operation of the 3700 ton class car ferry, it is important to analyze the hull acceleration motion based on the sea wave information of the navigation area to determine the cargo securing load that can prevent the movement of cargo. In this study, the meteorological information of three wave buoys installed in Busan and Jeju area was analyzed for the past 5 years. In addition, the hull acceleration was measured in actual sea conditions and compared to that of numerical simulations. Under the condition of a significant wave height of 2.5 m from Feb to Mar, except typhoon seasons, the lateral acceleration was observed to be 1.5 m/s2 in real ship measuring and 1.8 m/s2 in numerical calculation. It was analyzed to be less than 40% under general weather conditions compared to the high wave warning using an approximate formula for estimating the hull motion by wave height. The cargo securing safety proposed in this study will be widely used based on the actual measuring acceleration with the sea wave height.

A Study on Development of Damage Impact Distance Calculation Formula for Accident Response and Prevention in case of Leakage of Substances Prepared for Evacuation of Residents in Chungju (충주의 주민대피 대비물질 누출사고 시 사고대응·예방을 위한 피해영향거리 산정식 개발 연구)

  • Jeon, Byeong-Han;Kim, Hyun-Sub;Lee, Myeong-Ji;Yun, Jeong-Hyeon;Jung, Woong-Yul;Oh, Seung-Bo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.703-712
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    • 2021
  • In this study, a formula was derived to calculate the damage impact distance using the Chemical Accident Response Information System (CARIS) so that local governments can decide on the evacuation and notification of 13 types of substances. The National Institute of Chemical Safety selected 16 out of 97 types of accident preparedness substances in 2018 and called them residents' evacuation preparedness substances. In a chemical accident, local governments should prepare for resident notification, such as emergency disaster texts. Using the CARIS in Chungju, this study modeled the damage-affected distances of 13 types of substances for the evacuation of residents. Under all conditions, the coefficient of determination R2 was 0.99 or higher, representing a range of at least 0.9921 to a maximum 0.9999. The relative standard deviation between the damage impact distance obtained using the calculation formula, and the CARIS result was compared. The minimum separation distance was corrected considering the actual chemical accident response situation, and the range was found to be between 0.58 and 5.97%. The damage impact distance can be calculated at the site using the calculation formula derived from the research, and local governments can determine whether to evacuate or notify residents.

Performance Evaluation of KOMPSAT-3 Satellite DSM in Overseas Testbed Area (해외 테스트베드 지역 아리랑 위성 3호 DSM 성능평가)

  • Oh, Kwan-Young;Hwang, Jeong-In;Yoo, Woo-Sun;Lee, Kwang-Jae
    • Korean Journal of Remote Sensing
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    • v.36 no.6_2
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    • pp.1615-1627
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    • 2020
  • The purpose of this study is to compare and analyze the performance of KOMPSAT-3 Digital Surface Model (DSM) made in overseas testbed area. To that end, we collected the KOMPSAT-3 in-track stereo image taken in San Francisco, the U.S. The stereo geometry elements (B/H, converse angle, etc.) of the stereo image taken were all found to be in the stable range. By applying precise sensor modeling using Ground Control Point (GCP) and DSM automatic generation technique, DSM with 1 m resolution was produced. Reference materials for evaluation and calibration are ground points with accuracy within 0.01 m from Compass Data Inc., 1 m resolution Elevation 1-DSM produced by Airbus. The precision sensor modeling accuracy of KOMPSAT-3 was within 0.5 m (RMSE) in horizontal and vertical directions. When the difference map was written between the generated DSM and the reference DSM, the mean and standard deviation were 0.61 m and 5.25 m respectively, but in some areas, they showed a large difference of more than 100 m. These areas appeared mainly in closed areas where high-rise buildings were concentrated. If KOMPSAT-3 tri-stereo images are used and various post-processing techniques are developed, it will be possible to produce DSM with more improved quality.

A Statistical Analysis of Results of Detailed Inspections on Aged Concrete Erosion Control Dams in Gyeongsangbuk-do (경상북도 지역 노후 콘크리트사방댐 정밀점검 결과의 통계적 분석)

  • Kim, Jeongsig;Kim, Dongyeob
    • Journal of Korean Society of Forest Science
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    • v.111 no.2
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    • pp.276-286
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    • 2022
  • We carried out this study to provide basic data necessary to establish a management plan for concrete erosion control dams in the future by analyzing results of detailed inspections of aged dams conducted in accordance with 「Guidelines for the Maintenance of the Erosion Control Facility」. We analyzed the results of a detailed inspection of 54 concrete erosion control dams which had been built over 20 years previously, located in private forests of Gyeongsangbuk-do using statistical methods. Having conducted exterior defect investigations, we found 18 dams (33.4%) in need of repair or follow-up measures and 15 dams in which the overall grade was changed due to investigator's corrections; we therefore considered that standardization of related standards and indicators would be necessary. After conducting concrete compression strength tests, we found 19 dams (35.2%) to be below the standard value of 21 MPa, and in particular, we included, in grade A, eight dams which we judged to be in good condition as a result of the exterior defect inspection. There was little clear correlation between the total score and the compressive strength of concrete, but there was a statistically significant difference in the compressive strength by overall grade. After analyzing the changes in the characteristics of the erosion control dams according to the elapsed years after construction, we detected no particular trend in the changes of total score and compressive strength over time. However, the cumulative ratio of the dams that required repair and follow-up measures and the dams below the compression strength standard had a strong positive linear relationship over time, suggesting that it would be possible to identify the aging characteristics of concrete erosion control dams.

The Case Study on the Design, Construction, Quality Control of Deep Cement Mixing Method (심층혼합처리공법(DCM)의 설계, 시공 및 품질관리 사례 연구)

  • Kim, Byung-Il;Park, Eon-Sang;Han, Sang-Jae
    • Journal of the Korean Geosynthetics Society
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    • v.20 no.4
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    • pp.19-32
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    • 2021
  • In this study, evaluation and consideration of domestic/overseas design, construction, and quality control performed by the authors on the deep cement mixing method were performed, and improvements for the development of the DCM method were suggested in the future. As a result of this study, it was found that the cross-sectional area correction for strength is required during the laboratory test of mix proportion, and caution is required because the extrapolation method may lead to different results from the actual one. Applicable design methods should be selected in consideration of both the improvement ratio and the type of improvement during design, and it was confirmed that the allowable compressive strength to which the safety factor was applied refers to the standard value for stability review and not the design parameters. In the case of the stress concentration ratio, rather than applying a conventional value, it was possible to perform economical design by calculating the experimental and theoretical stress concentration ratio reflecting the design conditions. In the case where pre-boring is expected during construction, if the increased water content is not large compared to the original, there were cases where a major problem did not occur even if the result that did not consider the increase in water content was used. In addition, it was confirmed that when the ratio of the top treatment length to the improved length is high, a small amount of design cement contents per unit length can be injected during construction. In the case of quality control, it was evaluated that D/4~2D/4 for single-axis and D/4 point for multi-axis were optimal for coring of grouting mixtures. As an item for quality control, it is judged that the standard that considers the TCR along with the unconfined compressive strength of grouting mixtures is more suitable for the domestic situation.

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.