Interprofessional education (IPE) is relatively new in medical schools in South Korea. Since the introduction of IPE in 2022, its effective and sustainable implementation has been of great interest in medical schools. This study analyzed literature on the development of IPE in the United States, Canada, the United Kingdom, Australia, and Japan to explore strategies for successful IPE in Korean medical schools. A systematic literature search focused on institutionalizing IPE yielded 30 papers for review. The findings included the following crucial elements for effective IPE: (1) government or institutional-led support; (2) establishment of networks and partnerships; (3) development of standardized core competency frameworks for IPE; and (4) inclusion of IPE in accreditation standards. These aspects underscore the importance of IPE as an essential component of health professional education that should be effectively and sustainably implemented in academic settings. The study concludes that the successful integration and sustainable development of IPE in Korean health education will necessitate expanded and proactive governmental support. Moreover, promoting collaborations among universities, hospitals, and local healthcare institutions will be vital for creating synergies in implementing IPE programs. Establishing networks to develop and execute joint IPE initiatives and securing initial support for conceptualizing and developing competency frameworks will be critical. Additionally, forming consortia of healthcare accreditation bodies to collaboratively develop and incorporate IPE standards into evaluation criteria will be essential. Efforts to surmount these challenges will contribute to building a structural and institutional support system for the successful introduction and sustainability of IPE in Korea.
Mokshal H. Porwal;Devesh Kumar;Sharadhi Thalner;Hirad S. Hedayat;Grant P. Sinson
Journal of Cerebrovascular and Endovascular Neurosurgery
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v.25
no.3
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pp.275-287
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2023
Objective: Flow diverting stents (FDS) are a validated device in the treatment of intracranial aneurysms, allowing for minimally invasive intervention. However, after its approval for use in the United States in 2011, post-market surveillance of adverse events is limited. This study aims to address this critical knowledge gap by analyzing the FDA Manufacturer and User Facility Device Experience (MAUDE) database for patient and device related (PR and DR) reports of adverse events and malfunctions. Methods: Using post-market surveillance data from the MAUDE database, PR and DR reports from January 2012-December 2021 were extracted, compiled, and analyzed with R-Studio version 2021.09.2. PR and DR reports with insufficient information were excluded. Raw information was organized, and further author generated classifications were created for both PR and DR reports. Results: A total of 2203 PR and 4017 DR events were recorded. The most frequently reported PR adverse event categories were cerebrovascular (60%), death (11%), and neurological (8%). The most frequent PR adverse event reports were death (11%), thrombosis/thrombus (9%) cerebral infarction (8%), decreased therapeutic response (7%), stroke/cerebrovascular accident (6%), intracranial hemorrhage (5%), aneurysm (4%), occlusion (4%), headache (4%), neurological deficit/dysfunction (3%). The most frequent DR reports were activation/positioning/separation problems (52%), break (9%), device operates differently than expected (4%), difficult to open or close (4%), material deformation (3%), migration or expulsion of device (3%), detachment of device or device component (2%). Conclusions: Post-market surveillance is important to guide patient counselling and identify adverse events and device problems that were not identified in initial trials. We present frequent reports of several types of cerebrovascular and neurological adverse events as well as the most common device shortcomings that should be explored by manufacturers and future studies. Although inherent limitations to the MAUDE database are present, our results highlight important PR and DR complications that can help optimize patient counseling and device development.
This paper presents an anomaly detection system that uses an LSTM-Autoencoder model to identify early-stage anomalies in the blade pitch system of floating wind turbines. The sensor data used in power plant monitoring systems is primarily composed of multivariate time-series data for each component. Comprising two unidirectional LSTM networks, the system skillfully uncovers long-term dependencies hidden within sequential time-series data. The autoencoder mechanism, learning solely from normal state data, effectively classifies abnormal states. Thus, by integrating these two networks, the system can proficiently detect anomalies. To confirm the effectiveness of the proposed framework, a real multivariate time-series dataset collected from a wind turbine model was employed. The LSTM-autoencoder model showed robust performance, achieving high classification accuracy.
Journal of the Korean Society for Industrial and Applied Mathematics
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v.28
no.3
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pp.71-87
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2024
In this paper, we adopt the MF-DCCA (Multifractal Detrended Cross-Correlation Analysis) method to study the nonlinear correlation between the returns of financial stock markets and investors' sentiment index (SI). The return series of Shanghai Securities Composite Index (SSEC) of China, Shenzhen Securities Component Index (SZI) of China, Nikkei 225 Index (N225) of Japan, and Standard & Poor's 500 Index (S&P500) of the United States are adopted. Firstly, we preliminarily analyze the correlation between SSEC and SI through the Pearson correlation coefficient. In addition, by MF-DCCA, we observe a power-law correlation between investors' sentiment index and SSEC stock market returns, with a significant multifractal correlation. Besides, SI series and SSEC return series have positive persistence. We compare the differences in multifractal cross-correlation between SI and stock return sequences in different markets. We found that the values of SZI-SI in terms of cross-correlation persistence and cross-correlation strength are relatively close to those of SSEC-SI, while the Hxy(2), ∆Hxy, and ∆αxy of N225-SI and S&P500 are much smaller than those of SSEC-SI and SZI-SI. This reason is related to the fact that the investors' sentiment index originated from the Shanghai Composite Index Tieba. The SI is obtained through natural language processing method. Finally, we study the rolling of Hxy(2) and ∆αxy. Results indicate that the macroeconomic environment may cause fluctuations in two sequences of Hxy(2) and ∆αxy.
This study concerns itself with the development of a new model of comprehensive health service for rural communities of Korea. The study was conceived to resolve the problems of both underservice in rural communities and underutilization of valuable health manpower, namely the nurses, the disenchanted elite health personnel in Korea. On review of the current situation, the greatest deficiencies in the Korean health care system were found in the availability of primary care at the peripheries of md communities, in the dissemination of knowledge of disease prevention and health care, and in the induction of and guidance for active participation by the clientele in health maintenance at the personal, family and community level Abundant untapped health resources were identified that could be brough to bear upon the national effort to extend health services to every member of the Korean Population. Therefore, it was Postulated that the problem of underservice in rural communities of Korea can be structurcturally resolved by the effective mobilization and organization of untapped health resources, and that. a primary care Nursing Service System offers the best possibility for fulfillment of rural health service goals within the current health man-power situation. In order to identify appropriate strategies to combat the present difficulties in Korean rural health services and to utilize nurses and other health personnel in community-centered health programs, a search was made for examples of innovative service models throughout the world. An extensive literature survey and field visits to project sites both in Korea and in the United States were made. Experts in the field of world health, health service, planners, administrators, and medical and nursing practitioners in Korea, in the United States as well as visitors from other Asian countries were widely consulted. On the basis of information and inputs from these experts a new rural health service model has been constructed within the conceptual framework of community development, especially of the innovation diffusion Model. It is considered especially important that citizens in each community develop capacities for self-care with assistance and supports from available health professionals and participate in health service-related decisions that affect their own well-being. The proposed model is based upon the regionalization of health care planning utilizing a comprehensive Nursing Service System at the immediate delivery level The model features: (1) a health administration unit at each administrative level; (2) mechanisms for community participation; (3) a continuous source of primary health care at the local community level; (4) relative centralization of specialty care and provision of tertiary or super-specialty care only at major national metropolitan centers; and (5) a system for patient referral to the appropriate level of care. This model has been built around professional nurses as the key community health workers because their training is particularly suited and because large numbers of well-trained nurses are currently available and being trained. The special element in this model is a professional nurse-guided, self-care facilitating primary care Community Nursing Service System. This is supported by a Nursing Extension Service as a new training and support structure. (See attached diagrams). A broad spectrum of programs was proposed for the Community Nursing Service System. These were designed to establish a balance of activities between the clinic-centered individual care component and the field activity-centered educational and supportive component of health care services. Examples of possible program alternatives and proposed guidelines for health care in specific situations were presented, as well as the roles and functions of the key health personnel within the Community Nursing Service System. This Rural Health Service Model was proposed as a real alternative to the maldistributed, inequitable, uncoordinated solo-practice, physician-centered fee-for-service health care available to Koreans today.
Journal of the Korean Society of Environmental Restoration Technology
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v.17
no.4
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pp.57-67
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2014
The vigor condition of trees is an important indicator for the management of urban forested area. But difficulties in how to assess the tree vigor condition still remain. Previous efforts were limited in the 1) measurement of single indicator rather than using multiple indices, 2) purpose-oriented measurement such as for air-pollution effect or specific pathological symptom, and 3) ordinal-scale evaluations by field crews 4) despite human errors based on his/her experiences or prior knowledge. Therefore, this study attempted to develop a quantitative and objective methodology for assessing tree vigor condition, by measuring multiple modules and building the profile inventory. Furthermore, the possibility and limitations were discussed in terms of schematic frames describing tree vigor condition. The vigor condition of 56 flowering cherry plants in urban park were assessed by in-situ measurements of following eight items; growth of crown(Gc), growth of shoots, individual tree volume(Vol), plant area index, woody area index, leaf area index, leaf chlorophyll content(Lc) and leaf water content(Lw). For validation, these measurements were compared with the ranks of holistic tree vigor condition, which were visually assessed using a 4-point grading scale based on the expert's knowledge. As a result, the measures of each evaluation item successfully highlighted a variety of aspects in tree vigor condition, including the states of both photosynthetic and non-photosynthetic parts. The variation in the results depending on evaluated parts was shown within an individual tree, even though the broad agreement among the results was found. The result of correlation analysis between the tested measurements and 4-point visual assessment, demonstrated that the state of water-stressed foliage of the season (Lw) or the development of plant materials since sapling phase (Vol) could be better viewed from the outer appearance of trees than other symptoms. But only based on the visual assessment, it may be difficult to detect the quality of photosynthesis (Lc) or the recent trend in growth of trees (Gc). To make this methodology simplified for the broad-scale application, the tested eight measurements could be integrated into two components by principal component analysis, which was labelled with 'the amount of plant materials' and 'vigor trend', respectively. In addition, the use of these quantitative and multi-scale indicators underlies the importance of assessing various aspects of tree vigor condition, taking into account the response(s) on different time and spatial scale of pressure(s) shown in each evaluated module. Future study should be advanced for various species at diverse developing stages and environment, and the application to wide areas at a periodic manner.
Journal of the Korean Association of Geographic Information Studies
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v.17
no.3
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pp.104-115
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2014
A levee is defined as an man-made structure protecting the areas from temporary flooding. This paper suggests a methodology for establishing the levee GIS database using the airborne topographic LiDAR(Light Detection and Ranging) data taken in the Nakdong river basins and the WAMIS(WAter Management Information System) information. First, the National Levee Database(NLD) established by the USACE(United States Army Corps Engineers) and the levee information tables established by the WAMIS are compared and analyzed. For extracting the levee information from the LiDAR data, the DSM(Digital Surface Model) is generated from the LiDAR point clouds by using the interpolation method. Then, the slope map is generated by calculating the maximum rates of elevation difference between each pixel of the DSM and its neighboring pixels. The slope classification method is employed to extract the levee component polygons such as the levee crown polygons and the levee slope polygons from the slope map. Then, the levee information database is established by integrating the attributes extracted from the identified levee crown and slope polygons with the information provided by the WAMIS. Finally, this paper discusses the advantages and limitations of the levee GIS database established by only using the LiDAR data and suggests a future work for improving the quality of the database.
Kim, Shin;Ahn, Jungmin;Kim, Hyounggeun;Kwon, Heongak;Kim, Gyeonghoon;Shin, Dongseok;Yang, Deukseok
Journal of Environmental Science International
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v.27
no.6
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pp.411-423
/
2018
To investigate the distribution characteristics of grain size and organic matter of surface sediments from the Nakdong-Goryeong Mid-watershed, surface sediments were collected and analyzed. The samples were collected from six sited at four different times between May 2013 and May 2014. The were analyzed for grain size, water content, ignition loss, chemical oxygen demand, total organic carbon and total nitrogen. The surface sediments were mainly composed of medium sand (mean 44.7%) and coarse sand (mean 32.8%) and became coarser in May 2014. Fine sediments at the site NG-2 were poorly sorted and positively skewed, and occur in a tributary environment that is relatively low-energy compared with the other sites. The water content at the studied sites (15.3 ~ 34.9%) averaged 20.25%, and ignition loss (0.4 ~ 5.8%) and total nitrogen (274 ~ 2493 mg/kg) averaged 1.33% and, 696 mg/kg, respectively. These values indicated that the sediments were not seriously contaminated when compared with the sediment pollution evaluation standard of the National Institute of Environmental Research. The chemical oxygen demand (mean 0.17%) was at the non-polluted level compared with United States Environmental Protection Agency sediment quality standards. The total organic carbon (mean 0.18%) at all sites except site NG-2 (lowest effect level) was the no effect level of the Ontario sediment quality guidelines. The COD/IL (0.02 ~ 0.20) and C/N (0.73 ~ 6.76) were less than 1 and 10, respectively. Organic matter in the study area produced naturally from aquatic organisms. Results of principal component analysis showed that fine sediments (very fine sand and silt) were significantly affected by organic matters (ignition loss, chemical oxygen demand, total organic carbon and total nitrogen). In addition, the highest organic matters content in the study area occurred at the site with the finest sediments (NG-2).
The trend of "Blockbuster Exhibitions" over the past decade has led to the unfortunate reality that museums, losing sight of their role as an Academic organization, are becoming increasingly influenced by the corporate world. In my dissertation entitled "The Commercialization of Blockbuster Exhibitions in Museums," I explore the modern tendency toward Blockbuster exhibitions in art museums and the negative impact of those exhibitions on the art world. Museums of the modern day have expanded their territory from the traditional venue of public education to the hybrid cultural space. This mission, evident in the museum's attempt to satisfy audiences with the offering of diverse activities, has changed the concept of the museum, giving priority to the desire for financial gain. From the viewpoint of this new museology, the museum considers Blockbuster exhibitions as the safest method to increase ticket sales. As a program that openly reveals the commercialism of the museum, I explore the Blockbuster show and its strategies as a means of exposing the influence of the corporate world on art. A key component to the Blockbuster exhibition is the "hype" that is created to attract an audience. This devotion to increased publicity distracts from what should be the goal of public education, as the primary focus leans towards the desire for a large number of visitors. Consequently, this unavoidably standardized exhibition is presented to the public in a manner that deprives the audience of a unique experience. With large crowds and increased ticket prices, it is difficult to form a genuine appreciation of the artwork. In addition to the profit gained by increased ticket prices and the commercial sales of "souvenirs" from the museum gift shop, Blockbuster shows are used as a means to attract the attention of corporate sponsors. As explained in my dissertation, the importance that the museum places on corporate sponsorship as a capital resource is evident, however the degree to which the museum allows itself to he influenced by the desire for capital gain poses a threat to its function as an academic organization. Circumstances in American museum history, in particular, have influenced the transition from academic resource to corporation within museology. In keeping with the nation's tendency towards capitalism, art museums in the United States were initially established and developed by individual capitalists who applied principals of corporate operation to museum management. As a result, in modern days, We witness the influence of enterprise on museum programs, while corporate management may be able to guarantee immediate fiscal benefits, however, it is unable insure the future of the museum. In Slim, my dissertation discusses the mechanism of the commercialized "Blockbuster Exhibition" and the impact that it has on the future of the museum as an industry. This research provides an opportunity to reconsider the role of the museum as an academic institution, particularly in regard to the need to decrease the capitalization of exhibitions and refocus their influence on the art world as an educational resource.
Asia-Pacific Journal of Business Venturing and Entrepreneurship
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v.9
no.2
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pp.187-200
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2014
Industry Cooperation is not the choice of national development but the inevitable component in the world. Industry cooperation results of the reconstruction of the country is an important place as an essential element of the economic development of the national policy in the major economies. Despite several changes in the international economic environment, United States, Canada, Finland, Sweden, Israel settled and maintaining the sustainable development of the countries which successfully established Industry-University Cooperation or Industry-Acaemy Cooperation system in history. In this study, delivered to the realistic ways of Industry cooperation through comparison study on domestic and international cooperation programs. The new activation programs of industry academic cooperation are delivered, that is, The bonus payments system of technology development patent and free technology transfer for joint development, bonus points system and evaluation indicators for joint capacity building program which participate student, industry and academic sector, step-by-step training. system for total employment and entrepreneurship at the same time strengthening management training programs and education opportunity gives to the benefits for the community members. Finally, Intellectual property expert matching program which develops basis of technology trader and expert maps in the smallest unit by administrative area. practice the internet information search services in national wide network for this matching program and government office dedicated to staffing for technology transfer.
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