• Title/Summary/Keyword: 신속 대응

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Effectiveness of Rapid Response Team on In-hospital Mortality in Patients with Hematologic Malignancy (혈액암 환자의 원내 사망률에 미치는 신속대응팀의 효용성)

  • Park, So-Jung;Hong, Sang-Bum;Lim, Chae-Man;Koh, Youn-Suck;Huh, Jin-Won
    • Quality Improvement in Health Care
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    • v.27 no.2
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    • pp.18-29
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    • 2021
  • Purpose: Patients with hematologic malignancy (HM) typically have a high mortality rate when their condition deteriorates. The chronic progressive course of the disease makes it difficult to assess the effect of intervention on acute events. We investigated the effectiveness of a rapid response team (RRT) on in-hospital mortality in patients with HM. Methods: We retrospectively analyzed the data of patients with HM who admitted to the medical intensive care unit between 2006 and 2015. Clinical outcomes before and after RRT implementation were evaluated. Results: A total of 228 patients in the pre-RRT period and 781 patients in the post-RRT period were included. The overall in-hospital mortality was 55.4%. Patients in the post-RRT period had improved survival; however, they required more vasopressor therapy, continuous renal replacement therapy, and extracorporeal membrane oxygenation. Multivariate analysis revealed that in-hospital mortality was associated with RRT activation (hazard ratio [HR], 0.634; 95% confidence interval [CI], 0.498-0.807; p < .001), neurological disease (HR, 2.007; 95% CI, 1.439-2.800; p < .001), sequential organ failure assessment score (HR, 1.085; 95% CI, 1.057-1.112; p < .001), need for continuous renal replacement therapy (HR, 1.608; 95% CI, 1.206-1.895; p< .001), mechanical ventilation (HR, 1.512; 95% CI, 1.206-1.895; p< .001), vasopressor (HR, 1.598; 95% CI, 1.105-2.311; p = .013), and extracorporeal membrane oxygenation (HR, 1.728; 95% CI, 1.105-2.311; p = .030). Conclusion: RRT activation may be associated with improved survival in patients with HM.

Development of a Software for Re-Entry Prediction of Space Objects for Space Situational Awareness (우주상황인식을 위한 인공우주물체 추락 예측 소프트웨어 개발)

  • Choi, Eun-Jung
    • Journal of Space Technology and Applications
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    • v.1 no.1
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    • pp.23-32
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    • 2021
  • The high-level Space Situational Awareness (SSA) objective is to provide to the users dependable, accurate and timely information in order to support risk management on orbit and during re-entry and support safe and secure operation of space assets and related services. Therefore the risk assessment for the re-entry of space objects should be managed nationally. In this research, the Software for Re-Entry Prediction of space objects (SREP) was developed for national SSA system. In particular, the rate of change of the drag coefficient is estimated through a newly proposed Drag Scale Factor Estimation (DSFE), and is used for high-precision orbit propagator (HPOP) up to an altitude of 100 km to predict the re-entry time and position of the space object. The effectiveness of this re-entry prediction is shown through the re-entry time window and ground track of space objects falling in real events, Grace-1, Grace-2, Tiangong-1, and Chang Zheng-5B Rocket body. As a result, through analysis 12 hours before the final re-entry time, it is shown that the re-entry time window and crash time can be accurately predicted with an error of less than 20 minutes.

Application and Analysis of Remote Sensing Data for Disaster Management in Korea - Focused on Managing Drought of Reservoir Based on Remote Sensing - (국가 재난 관리를 위한 원격탐사 자료 분석 및 활용 - 원격탐사기반 저수지 가뭄 관리를 중심으로 -)

  • Kim, Seongsam;Lee, Junwoo;Koo, Seul;Kim, Yongmin
    • Korean Journal of Remote Sensing
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    • v.38 no.6_3
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    • pp.1749-1760
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    • 2022
  • In modern society, human and social damages caused by natural disasters and frequent disaster accidents have been increased year by year. Prompt access to dangerous disaster sites that are inaccessible or inaccessible using state-of-the-art Earth observation equipment such as satellites, drones, and survey robots, and timely collection and analysis of meaningful disaster information. It can play an important role in protecting people's property and life throughout the entire disaster management cycle, such as responding to disaster sites and establishing mid-to long-term recovery plans. This special issue introduces the National Disaster Management Research Institute (NDMI)'s disaster management technology that utilizes various Earth observation platforms, such as mobile survey vehicles equipped with close-range disaster site survey sensors, drones, and survey robots, as well as satellite technology, which is a tool of remote earth observation. Major research achievements include detection of damage from water disasters using Google Earth Engine, mid- and long-term time series observation, detection of reservoir water bodies using Sentinel-1 Synthetic Aperture Radar (SAR) images and artificial intelligence, analysis of resident movement patterns in case of forest fire disasters, and data analysis of disaster safety research. Efficient integrated management and utilization plan research results are summarized. In addition, research results on scientific investigation activities on the causes of disasters using drones and survey robots during the investigation of inaccessible and dangerous disaster sites were described.

A Study on the Classification of OVAL Definitions for the Application of SCAP to the Korea Security Evaluation System (국내 보안평가체제에 SCAP을 활용하기 위한 OVAL 정의 분류 연구)

  • Kim, Se-Eun;Park, Hyun-Kyung;Ahn, Hyo-Beom
    • Smart Media Journal
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    • v.11 no.3
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    • pp.54-61
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    • 2022
  • With the increase in the types of information systems managed by public institutions and companies, a security certification system is being implemented in Korea to quickly respond to vulnerabilities that may arise due to insufficient security checks. The korea security evaluation system, such as ISMS-P, performs a systematic security evaluation for each category by dividing the categories for technical inspection items. NIST in the United States has developed SCAP that can create security checklists and automate vulnerability checks, and the security checklists used for SCAP can be written in OVAL. Each manufacturer prepares a security check list and shares it through the SCAP community, but it's difficult to use it in Korea because it is not categorized according to the korea security evaluation system. Therefore, in this paper, we present a mechanism to categorize the OVAL definition, which is an inspection item written in OVAL, to apply SCAP to the korea security evaluation system. It was shown that 189 out of 230 items of the Red Hat 8 STIG file could be applied to the korea security evaluation system, and the statistics of the categorized Redhat definition file could be analyzed to confirm the trend of system vulnerabilities by category.

A Study on Automatic Calculation of Earth-volume Using 3D Model of B-Rep Solid Structure (B-Rep Solid 구조의 3차원 모델을 이용한 토공량 자동 산정에 관한 연구)

  • Kim, Jong Nam;Um, Dae Yong
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.40 no.5
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    • pp.403-412
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    • 2022
  • As the 4th industrial revolution is in full swing and next-generation ICT(Information & Communications Technology) convergence technology is being developed, various smart construction technologies are being rapidly introduced in the construction field to respond to technological changes. In particular, since the earth-volume calculation process for site design accounts for a large part of the design cost at the construction site, related researches are being actively conducted to improve the efficiency of the process and accurately calculate the earth-volume. The purpose of this study is to present a method for quickly constructing the topography of a construction site in 3D and efficiently calculating earth-volume using the results. For this purpose, the construction site was constructed as a 3D realistic model using large-scale aerial photos obtained from UAV(Unmanned Aerial Vehicle). At this time, since the constructed 3D realistic model has a surface model structure in which volume calculation is impossible, the structure was converted into a 3D solid model to enable volume calculation. And we devised a methodology to calculate earth-volume based on CAD(Computer-Aided Design and Drafting) using the converted solid model. Automatically calculating earth-volume from the solid model by applying the method. As a result, It was possible to confirm a relative deviation of 1.52% from the calculated earth-volume from the existing survey results. In addition, as a result of comparative analysis of the process time required for each method, it was confirmed that the time required is reduced of 60%. The technique presented in this study is expected to be utilized as a technology for smart construction management, such as periodic site monitoring throughout the entire construction process, as well as cost reduction for earth-volume calculation.

Web-based Disaster Operating Picture to Support Decision-making (의사결정 지원을 위한 웹 기반 재난정보 표출 방안)

  • Kwon, Youngmok;Choi, Yoonjo;Jung, Hyuk;Song, Juil;Sohn, Hong-Gyoo
    • Korean Journal of Remote Sensing
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    • v.38 no.5_2
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    • pp.725-735
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    • 2022
  • Currently, disasters occurring in Korea are characterized by unpredictability and complexity. Due to these features, property damage and human casualties are increasing. Since the initial response process of these disasters is directly related to the scale and the spread of damage, optimal decision-making is essential, and information of the site must be obtained through timely applicable sensors. However, it is difficult to make appropriate decisions because indiscriminate information is collected rather than necessary information in the currently operated Disaster and Safety Situation Office. In order to improve the current situation, this study proposed a framework that quickly collects various disaster image information, extracts information required to support decision-making, and utilizes it. To this end, a web-based display system and a smartphone application were proposed. Data were collected close to real time, and various analysis results were shared. Moreover, the capability of supporting decision-making was reviewed based on images of actual disaster sites acquired through CCTV, smartphones, and UAVs. In addition to the reviewed capability, it is expected that effective disaster management can be contributed if institutional mitigation of the acquisition and sharing of disaster-related data can be achieved together.

A Study on Prioritizing Sustainable Management of Social Enterprises Related to Early Childhood Education Using the AHP Method (AHP 기법을 활용한 유아교육 관련 사회적기업의 지속경영 우선순위 연구)

  • Jeon, Hong-Ju;Lee, Sung-Mi
    • The Journal of the Korea Contents Association
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    • v.21 no.7
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    • pp.317-327
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    • 2021
  • The purpose of this study is to identify the priority factors for sustainable management of social enterprises related to early childhood education. To achieve the purpose of this study, sustainable management factors were extracted by examining previous studies related to social enterprises, and the priorities of factors were derived using the AHP method after conducting surveys of those who are related to early childhood education and social enterprises. As a result of the study, the priorities of the four major factors for sustainable management of social enterprises were confirmed in the following order: strategic factors, organizational factors, management capability factors, and social environment factors. And the priorities of the 16 sub-factors were confirmed in the following order: program originality, excellence of program content, CEO's leadership, expertise in operation and education, securing information on early childhood education market, etc. This study is meaningful in that it discovered the basic success factors for the performance and sustainability of social enterprises related to early childhood education and suggested directions for establishing management strategies for social enterprises related to early childhood education.

Burn-back Analysis for Propellant Grains with Embedded Metal Wires (금속선이 삽입된 추진제 그레인의 Burn-back 해석)

  • Lee, Hyunseob;Oh, Jongyun;Yang, Heesung;Lee, Sunyoung;Khil, Taeock
    • Journal of the Korean Society of Propulsion Engineers
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    • v.26 no.2
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    • pp.12-19
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    • 2022
  • Propellant grains with embedded metal wires have been used for enhancement of burning rate while maintaining high loading density. For the performance design of a solid rocket motor using propellant grain with embedded metal wires, burn-back analysis is required according to number, location, arrangement angle of metal wires, and augmentation ratio of the propellant burning rate near a wire region. In this study, a numerical method to quickly calculate a burning surface area was developed in response to the design change of the propellant grain with embedded metal wires. The burning surface area derived from the developed method was compared with the results of a CAD program. Error rate decreased as the radial size of the grid decreased. Analysis for characteristics of burning surface area was performed according to the number and location of metal wires, the initial and final phases were shortened and the steady-state phase was increased when the number of metal wires increased. When arranging the metal wires at different radii, the burning surface area rapidly increased in the initial phase and sharply decreased in the final phase compared to the case where the metal wires were disposed in the same radius.

Predicting the amount of water shortage during dry seasons using deep neural network with data from RCP scenarios (RCP 시나리오와 다층신경망 모형을 활용한 가뭄시 물부족량 예측)

  • Jang, Ock Jae;Moon, Young Il
    • Journal of Korea Water Resources Association
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    • v.55 no.2
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    • pp.121-133
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    • 2022
  • The drought resulting from insufficient rainfall compared to the amount in an ordinary year can significantly impact a broad area at the same time. Another feature of this disaster is hard to recognize its onset and disappearance. Therefore, a reliable and fast way of predicting both the suffering area and the amount of water shortage from the upcoming drought is a key issue to develop a countermeasure of the disaster. However, the available drought scenarios are about 50 events that have been observed in the past. Due to the limited number of events, it is difficult to predict the water shortage in a case where the pattern of a natural disaster is different from the one in the past. To overcome the limitation, in this study, we applied the four RCP climate change scenarios to the water balance model and the annual amount of water shortage from 360 drought events was estimated. In the following chapter, the deep neural network model was trained with the SPEI values from the RCP scenarios and the amount of water shortage as the input and output, respectively. The trained model in each sub-basin enables us to easily and reliably predict the water shortage with the SPEI values in the past and the predicted meteorological conditions in the upcoming season. It can be helpful for decision-makers to respond to future droughts before their onset.

Development of Drawing Processing Tool Program and Establishment Strategy of 3D Underground Structures based on Standardized Drawings (표준도 기반의 3차원 지하구조물 구축 방안 및 도면가공 툴 프로그램 개발)

  • LEE, Min-Kyu;HAN, Sang-Hoon;KIM, Sung-Su
    • Journal of the Korean Association of Geographic Information Studies
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    • v.24 no.4
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    • pp.1-25
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    • 2021
  • In order to respond and prevent underground safety accidents, the Korean government has been preparing a submitting completion drawing web system project for converting the current manual-based 3D Underground Geospatial Map construction and its update system to an automation-based 3D underground information construction. However, research on standard drawings required for the automatic update of 3D underground structures is insufficient, so detailed research is needed. In this research paper, a standard map-based 3D underground structure construction plan was presented for the six types of underground structures constituting the 3D Underground Geospatial Map, enabling rapid and accurate drawing data creation and systematically 3D underground structure drawing data could be managed. In addition, we developed a 3D construction drawing tool that can be used in underground information practice so that ordinary CAD program users can easily produce processing drawings. The results derived from this paper are expected to be major reference materials for the establishment of standard frameworks and practical application guidelines for the construction of 3D underground structures in the future.