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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.

Validation of Sea Surface Wind Estimated from KOMPSAT-5 Backscattering Coefficient Data (KOMPSAT-5 후방산란계수 자료로 산출된 해상풍 검증)

  • Jang, Jae-Cheol;Park, Kyung-Ae;Yang, Dochul
    • Korean Journal of Remote Sensing
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    • v.34 no.6_3
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    • pp.1383-1398
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    • 2018
  • Sea surface wind is one of the most fundamental variables for understanding diverse marine phenomena. Although scatterometers have produced global wind field data since the early 1990's, the data has been used limitedly in oceanic applications due to it slow spatial resolution, especially at coastal regions. Synthetic Aperture Radar (SAR) is capable to produce high resolution wind field data. KOMPSAT-5 is the first Korean satellite equipped with X-band SAR instrument and is able to retrieve the sea surface wind. This study presents the validation results of sea surface wind derived from the KOMPSAT-5 backscattering coefficient data for the first time. We collected 18 KOMPSAT-5 ES mode data to produce a matchup database collocated with buoy stations. In order to calculate the accurate wind speed, we preprocessed the SAR data, including land masking, speckle noise reduction, and ship detection, and converted the in-situ wind to 10-m neutral wind as reference wind data using Liu-Katsaros-Businger (LKB) model. The sea surface winds based on XMOD2 show root-mean-square errors of about $2.41-2.74m\;s^{-1}$ depending on backscattering coefficient conversion equations. In-depth analyses on the wind speed errors derived from KOMPSAT-5 backscattering coefficient data reveal the existence of diverse potential error factors such as image quality related to range ambiguity, discrete and discontinuous distribution of incidence angle, change in marine atmospheric environment, impacts on atmospheric gravity waves, ocean wave spectrum, and internal wave.

Risk Analysis and Selection of the Main Factors in Fishing Vessel Accidents Through a Risk Matrix (위험도 매트릭스를 이용한 어선의 사고 위험도 분석과 사고 주요 요인 도출에 관한 연구)

  • WON, Yoo-Kyung;KIM, Dong-Jin
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.2
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    • pp.139-150
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    • 2019
  • Though, fishing vessel accidents account for 70 % of all maritime accidents in Korean waters, most research has focused on identifying causes and developing mitigation policies in an attempt to reduce this rate. However, predicting and evaluating accident risk needs to be done before the implementation of such reduction measures. For this reasons, we havve performed a risk analysis to calculate the risk of accidents and propose a risk criteria matrix with 4 quadrants, within one of which forecasted risk is plotted for the relative comparison of risks. For this research, we considered 9 types of fishing vessel accidents as reported by Korea Maritime Safety Tribunal (KMST). Given that no risk evaluation criteria have been established in Korea, we established a two-dimensional frequency-consequence grid consisting of four quadrants into which paired frequency and consequence for each type of accident are presented. With the simple structure of the evaluation model, one can easily verify the effect of frequency and consequence on the resulting risk within each quadrant. Consequently, these risk evaluation results will help a decision maker employ more realistic risk mitigation measures for accident types situated in different quadrants. As an application of the risk evaluation matrix, accident types were further analyzed using accident causes including human error (factor) and appropriate risk reduction options may be established by comparing the relative frequency and consequence of each accident cause.

An Application of Statistical Downscaling Method for Construction of High-Resolution Coastal Wave Prediction System in East Sea (고해상도 동해 연안 파랑예측모델 구축을 위한 통계적 규모축소화 방법 적용)

  • Jee, Joon-Bum;Zo, Il-Sung;Lee, Kyu-Tae;Lee, Won-Hak
    • Journal of the Korean earth science society
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    • v.40 no.3
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    • pp.259-271
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    • 2019
  • A statistical downscaling method was adopted in order to establish the high-resolution wave prediction system in the East Sea coastal area. This system used forecast data from the Global Wave Watch (GWW) model, and the East Sea and Busan Coastal Wave Watch (CWW) model operated by the Korea Meteorological Administration (KMA). We used the CWW forecast data until three days and the GWW forecast data from three to seven days to implement the statistical downscaling method (inverse distance weight interpolation and conditional merge). The two-dimensional and station wave heights as well as sea surface wind speed from the high-resolution coastal prediction system were verified with statistical analysis, using an initial analysis field and oceanic observation with buoys carried out by the KMA and the Korea Hydrographic and Oceanographic Agency (KHOA). Similar to the predictive performance of the GWW and the CWW data, the system has a high predictive performance at the initial stages that decreased gradually with forecast time. As a result, during the entire prediction period, the correlation coefficient and root mean square error of the predicted wave heights improved from 0.46 and 0.34 m to 0.6 and 0.28 m before and after applying the statistical downscaling method.

A Study on the Thermal Flow Analysis for Heat Performance Improvement of a Wireless Power Charger (열 유동해석을 통한 무선충전기 발열 성능 향상에 관한 연구)

  • Kim, Pyeong-Jun;Park, Dong-Kyou
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.310-316
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    • 2019
  • In automotive application, customers are demanding high efficiency and various functions for convenience. The demand for these automotive applications is steadily increasing. In this study, it has been studied the analysis of heat flow to improve the PCB(printed circuit board) heating performance of WPC (wireless power charger) recently developed for convenience. The charging performance of the wireless charger has been reduced due to power dissipation and thermal resistance of PCB. Therefore, it has been proposed optimal PCB design, layout and position of electronic parts through the simulation of heat flow analysis and PCB design was analyzed and decided at each design stage. Then, the experimental test is performed to verify the consistency of the analysis results under actual environmental conditions. In this paper, The PCB modeling and heat flow simulation in transient response were performed using HyperLynx Thermal and FloTHERM. In addition, the measurement was performed using infrared thermal imaging camera and used to verify the analysis results. In the final comparison, the error between analysis and experiment was found to be less than 10 % and the heating performance of PCB was also improved.

Exploring Elementary Teachers' Difficulties on Teaching Science by Analyzing Questions in an Autonomous Online Teacher Community : Focusing on Physics Questions in Indischool (자생적 온라인 교사 공동체의 질문분석을 통한 초등교사의 과학 교수 관련 어려움 탐색 -인디스쿨의 물리 관련 질문 게시글을 중심으로-)

  • Kim, Yunhwa;Yoo, Junehee
    • Journal of The Korean Association For Science Education
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    • v.39 no.1
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    • pp.73-88
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    • 2019
  • The purpose of this study is to explore elementary teachers' difficulties on teaching science by analyzing questions that have been posted for a long time in an autonomous online teacher community named Indischool. For this purpose, 409 question postings(the 2007 and 2009 revised curriculum, third to sixth grade) were analyzed using the framework for analyzing questions about elementary teachers' science teaching(modified from Alake-Tuenter et al., 2013). The study revealed that there were more science-SMK questions than science-PCK questions, and most of the questions were 'about lenses' and 'in 2014 and 2015, when the curriculum was changing from the 2007 to the 2009 revised curriculum'. The long-standing difficulties in science-SMK were 'an application of facts and concepts in lenses' and 'an unexpected experimental error in electricity'. In particular, there are the principle of transparent cup-shaped objects acting as lenses, the process of image formation by convex lenses, experimental errors of 'compass movement due to current flow change' and experimental errors 'serial connection of bulbs'. The long-standing difficulties in science-PCK were 'understanding and response to context' and 'understanding and response to aims mentioned in standard document' and these are not related to physical units but to others. In particular, there are request class materials, activity ideas at the end of the semester and understanding the national curriculum guidelines. These teachers' difficulties should be reflected in the science teaching support system like a teacher's guide compilation, teacher's training curriculum development, etc.

A Measure of Landscape Planning and Design Application through 3D Scan Analysis (3D 스캔 분석을 통한 전통조경 계획 및 설계 활용방안)

  • Shin, Hyun-Sil
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.36 no.4
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    • pp.105-112
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    • 2018
  • This study aims to apply 3D scanning technology to the field of landscape planning design. Through this, 3D scans were conducted on Soswaewon Garden and Seongrakwon Gardens to find directions for traditional landscape planning and designs. The results as follows. First, the actual measurement of the traditional garden through a 3D scan confirmed that a precise three-dimensional modeling of ${\pm}3-5mm$ error was constructed through the merging of coordinate values based on point data acquired at each observation point and postprocessing. Second, as a result of the 3D survey, the Soswaewon Garden obtained survey data on Jewoldang House, Gwangpunggak Pavilion, the surrounding wall, stone axis, and Aeyangdan wall, while the Seongnakwon Garden obtained survey data on the topography, rocks and waterways around the Yeongbyeokji pond area. The above data have the advantage of being able to monitor the changing appearance of the garden. Third, spatial information developed through 3D scans could be developed with a three-dimensional drawing preparation and inspection tool that included precise real-world data, and this process ensured the economic feasibility of time and manpower in the actual survey and investigation of landscaping space. In addition, modelling with a three-dimensional 1:1 scale is expected to be highly efficient in that reliable spatial data can be maintained and reprocessed to a specific size depending on the size of the design. In addition, from a long-term perspective, the deployment of 3D scan data is easy to predict and simulate changes in traditional landscaping space over time.

Analysis of solute transport in rivers using a stochastic storage model (확률론적 저장대모형을 이용한 하천에서의 물질혼합거동 해석)

  • Kim, Byunguk;Seo, Il Won;Kwon, Siyoon;Jung, Sung Hyun;Yun, Se Hun
    • Journal of Korea Water Resources Association
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    • v.54 no.5
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    • pp.335-345
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    • 2021
  • The one-dimensional solute transport models have been developed for recent decades to predict behavior and fate of solutes in rivers. Transient storage model (TSM) is the most popular model because of its simple conceptualization to consider the complexity of natural rivers. However, the TSM is highly dependent on its parameters which cannot be directly measured. In addition, the TSM interprets the late-time behavior of concentration curves in the shape of an exponential function, which has been evaluated as not suitable for actual solute behavior in natural rivers. In this study, we suggested a stochastic approach to the solute transport analysis. We delineated the model development and model application to a natural river, and compared the results of the proposed model to those of the TSM. To validate the proposed model, a tracer test was carried out in the 4.85 km reach of Gam Creek, one of the first-order tributaries of Nakdong River, South Korea. As a result of comparing the power-law slope of the tail of breakthrough curves, the simulation results from the stochastic storage model yielded the average error rate of 0.24, which is more accurate than the 14.03 and 1.87 from advection-dispersion model and TSM, respectively. This study demonstrated the appropriateness of the power-law residence time distribution to the hyporheic zone of the Gam Creek.

Application of Integrated Modelling Framework Consisted of Delft3D and HABITAT for Habitat Suitability Assessment (생물서식지 적합성 평가를 위한 Delft3D와 HABITAT 모델의 연계 적용)

  • Lim, Hyejung;Na, Eun Hye;Jeon, Hyeong Cheol;Song, Hojin;Yoo, Hojun;Hwang, Soon Hong;Ryu, Hui-Seong
    • Journal of Korean Society on Water Environment
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    • v.37 no.3
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    • pp.217-228
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    • 2021
  • This paper discusses a methodology where an integrated modelling framework is used to quantify the risk derived from anthropic activities on habitats and species. To achieve this purpose, a tool comprising the Delft3D and HABITAT model, was applied in the Yeongsan river. Delft3D effectively simulated the operational condition and flow of weirs in river. In accuracy evaluation of the Delft3D-FLOW, the Bias, Pbias, Mean Absolute Error (MAE), Nash-Sutcliffe Efficiency (NSE), and Index of Agreement (IOA) were used, and the result was evaluated as grade above 'Satisfactory'. The HABITAT calculated Habitat Suitability Value (HSV) for the following eight species: mammal, fish, aquatic plant, and benthic macroinvertebrate. An Area was defined as a suitable habitat if the HSV was larger than 0.5. HABITAT was judged accurately by measuring the Correct Classification rate (CCR) and the area under the ROC curve (AUC). For benthic macroinvertebrate, the CCR and AUC were 77% and 0.834, respectively, at thresholds of 0.017 and 4 inds/m2 for HSV and individuals per unit area. This meant that the HABITAT model accurately predicted the appearance of the benthic macroinvertebrates by approximately 77% and that the probability of false alarms was also very low. As a result of evaluating the suitability of habitats, in the Yeongsan river, if the annual "lowest level" (Seungchon weir: 2.5 EL.m/ Juksan weir: -1.35 EL.m) was maintained, the average habitat improvement effect of 6.5%P compared to the 'reference' scenario was predicted. Consequently, it was demonstrated that the integrated modelling framework for habitat suitability assessment is able to support the remedy aquatic ecological management.

Development and Verification of NEMO based Regional Storm Surge Forecasting System (NEMO 모델을 이용한 지역 폭풍해일예측시스템 개발 및 검증)

  • La, Nary;An, Byoung Woong;Kang, KiRyong;Chang, Pil-Hun
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.32 no.6
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    • pp.373-383
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    • 2020
  • In this study we established an operational storm-surge system for the northwestern pacific ocean, based on the NEMO (Nucleus for European Modeling of the Ocean). The system consists of the tide and the surge models. For more accurate storm surge prediction, it can be completed not only by applying more precise depth data, but also by optimal parameterization at the boundaries of the atmosphere and ocean. To this end, we conducted several sensitivity experiments related to the application of available bathymetry data, ocean bottom friction coefficient, and wind stress and air pressure on the ocean surface during August~September 2018 and the case of typhoon SOULIK. The results of comparison and verification are presented here, and they are compared with POM (Princeton Ocean Model) based Regional Tide Surge forecasting Model (RTSM). The results showed that the RTSM_NEMO model had a 29% and 20% decrease in Bias and RMSE respectively compared to the RTSM_POM model, and that the RTSM_NEMO model had a lower overall error than the RTSM_POM model for the case of typhoon SOULIK.