• Proceedings of the KAIS Fall Conference
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• 2010.05b
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• pp.859-862
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• 2010

본 연구는 대전광역시의 응급의료서비스 취약지를 도출하고 취약지역의 보건학적 특성 및 응급의료서비스 취약여부와의 관련성을 분석하여 응급의료 관련 정책의 의사결정에 유용한 기초자료로 제공하기 위한 연구이다. 응급의료서비스 취약지 도출은 Arc GIS의 공간분석 방법 중 가중분석(Cost Weighted distance) 방법으로 응급의료센터로부터의 접근성 분석을 하였으며, 응급의료서비스 취약지의 보건학적 특성 및 응급의료서비스 취약여부와의 관련성은 SPSS 17.0을 이용하여 비모수 t-검정 및 다중회귀분석을 시행하였다. 본 연구의 주요 결과는 다음과 같다. 연구지역의 응급의료기관 분포는 동구와 유성구, 대덕구는 지정된 응급의료센터가 없으나 서구와 중구는 응급의료센터가 2개소 이상 위치하고 있어 응급의료기관 분포가 편중되어 있으며, GIS를 활용하여 응급의료센터와의 접근성 분석을 수행한 결과, 대전광역시 자치구별 전체 면적 대비 응급의료서비스 취약지의 비율이 높은 자치구는 동구가 41.2%로 가장 높았다. GIS를 활용하여 행정동별 응급의료서비스 취약지를 분석한 결과, 대덕구 신탄진동, 동구 대청동과 산내동, 유성구 구즉동과 노은2동, 서구 기성동, 중구 산성동으로 나타났으며, 응급의료서비스 취약지 중 기성동, 대청동이 노인 인구밀도가 높게 나타났다. 응급의료서비스 취약여부에 따른 보건학적 특성별 차이를 분석한 결과, 국민기초생활수급권자, 장애인등록자, 농업인구 비율의 평균은 취약지가 비취약지에 비해 높았으며 통계적으로 유의한 차이를 보였다(p<0.01). 응급의료서비스 취약여부를 종속변수로 하고 지역별 보건학적 특성을 독립변수로 하여 로지스틱 회귀분석을 시행한 결과, 농업인구 비율과 국민기초생활수급권자 비율이 높았으며 이는 통계적으로 유의하여 응급의료서비스 취약여부를 설명할 수 있는 변수인 것으로 나타났다(p<0.01, p<0.05). 이상의 결과를 종합하면 대전광역시 5개 자치구의 행정동 중 응급의료서비스 접근 불평등지역이 도출되었고 이러한 지역은 보건학적 특성 중 농업인구 비율과 국민기초생활수급권자의 비율이 높았으며 이는 통계적으로 유의하여 응급의료서비스 취약여부와 관련성이 있는 것으로 나타났다. 향후 효율적인 응급의료 자원 분배를 위해서는 GIS를 활용한 의사결정이 필요하며, 응급의료서비스 이용의 형평성을 증진시키기 위해서 응급의료서비스의 사각지대에 놓여있는 지역의 보건학적 특성을 고려한 정책이 시행되어야 할 것으로 사료된다.

• Journal of Korean Society for Geospatial Information Science
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• v.22 no.3
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• pp.39-46
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• 2014

Network RTK positioning, one of GNSS positioning systems, is currently very popular due to its easy operation and low cost. However, the network RTK positioning unquestioningly accepts observation result acquired with an ambiguity fixed-solution regardless of different field conditions and situations, and then it is applied to the practice. This paper, therefore, has investigated the effects of field conditions obtained network RTK survey data for the area with obstacles on the variation of positioning accuracy. Being explained in detail, after conducting survey by GPS-only positioning and combined GPS/GLONASS observations giving changes to the distance from obstacles and elevation angles, and then accuracy results of each positioning method were compared each other. As a result, while GPS-only point positioning method showed more stable results than combined GPS/GLONASS method in the areas with no obstacles, combined method gave better result than GPS-only for the areas with presence of obstacles. Based on the results of this experiment, when the further study is conducted with a variety of different field conditions affecting the survey accuracy, it can be expected that the accuracy of network RTK survey method would become to more popular.

• Quality Improvement in Health Care
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• v.9 no.2
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• pp.210-228
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• 2002

Background: The purpose of this research was to examine the fall incidence rate and its related factors of fall in inpatients. Methods: The data were collected from the 138 fall incident reports in one tertiary hospital in Seoul from April 1st 1999 to September 30th 2001. The Fall Incident Report Form was originally developed based on that of Massachusetts General Hospital revised in 1995. And this was modified for this survey by the collaborating work of QI team including researcher and department of nursing service of this particular hospital. The contents of Fall Incident Form were general characteristics of patient. factors related to fall. types and places of fall. circumstances, nursing interventions. and outcome. Results: 1) The incidence rate of fall was 0.08% of total discharged patients and 0.081 per 1000 patient-day. This incidence rate is much lower than that of several hospitals in USA. This finding might result from the different incidence report system of each hospital. 2) The characteristics of fall-prone patient were found as follows. They were mostly over 60 years old, in alert mental status, ambulatory with some assistance, and dependent on ambulatory device. The types of diseases related high incidence rate were cerebrovascular disease(3.2), hypertension(1.6), cardiovascular disease(1.4), diabetes(1.3) and liver disease(0.6). 3) The majority of fall events usually occurred m bed. bedside(walking or standing) and bathroom in patient room. Usually they were up on their own when they fell. And there were more falls of elderly occurred during night time than day or evening. 4) 63.8% of fall events resulted in physical injuries such as fracture and usually the patients had diagnostic procedures and some treatment(ex. suture) which caused additional cost to the patients and their families. 5) The found risk factors of fall were drugs(antihypertensive drug, diuretics) and environmental factors like too high bed height, long distance of bedside table and lamp switch, and slippery tile of bathroom floor. Conclusion: Considering these results, every medical and nursing staff should be aware of the risk factors of patients in hospital, and should intervene more actively the preventive managements, specially for the elderly patients during night. Therefore, it is recommended that the development of Fall Prevention Programs based on these results.

• Quality Improvement in Health Care
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• v.9 no.2
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• pp.116-133
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• 2002

Background : It is very common in Korea to take care of non-acute patients in an acute setting, due to the lack of long-term facilities. Long term hospitalization increase medical expenses and decreases the bed utilization, which can affect the urgent and emergent admissions, and eventually jeopardize the hospital financially. In this study, strategies for effective transfers to the lower levels of care, and to decrease the length of stay were presented by surveying and analyzing the patient's knowledge of the transfer needs, and the willingness to transfer those whose hospital length of stay was more than 30days. Method : The survey is subject to a group of 251 patients who have been hospitalized over 30 days in a general hospital in Seoul. Excluding those that were in the Intensive Care Unit and psychiatric ward, 214 in-patients were used as participants. They were surveyed from April 9, 2002 to April 17, 2002. One hundred and thirty seven out of 214 were responded which made the response rate 64%. Data were analyzed by SAS and SPSS. Result : Multi-variable Logistic Regression Analysis showed a significant effect in medical expenses, knowledge of referral system and the information of the receiving hospital. The financial burden in medical expenses made the patient 10.7 times more willing to be transferred, knowledge of the referral system made them 5 times more willing to be transferred, and the information of receiving hospital makes 6.5 times more willing to be transferred. Reasons for willing to be transferred to a lower level of care were the phase of physical therapy, the distance from home, the attending physician's advice and being unable to be treated as an out patient. Reasons for refusing to be transferred were the following. The attending physician's competency, not being ready to be discharged, not trusting the receiving hospital's competency due to the lack of information, or never hearing about the referring system by the attending physician. Conclusion : Based on this, strategies for the effective transfer to the lower levels of care were suggested. It is desirable for the attending physician to be actively involved by making an effort to explain the transfer need, and referring to the Healthcare Coordinating Center, which can help the patient make the right decision. Nationwide networking for the referral system is the another key factor that may need to be suggested as an alternative to decrease the medical expenses. Collaborating with the Home Health Agency for the early discharge planning and the Social Service Department for financial aid are also needed. It is recommended that the hospital should expedite the transfer process by prioritizing the cost and the information as medical expenses, knowledge of referring system and the information of the receiving hospital, are the most important factors to the willingness to transfer to a lower level of care.

• Spatial Information Research
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• v.21 no.6
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• pp.91-98
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• 2013

Government introduces a Total Maximum Daily Loads(TMDL) which can be implemented for total pollutant amounts in 2004. Normally, the local governments have been calculated the amounts of pollutant discharge of each watershed using a water quality model. However, among the input data to use the water quality model, creating a schematic diagram of the stream or the modeling usually requires considerable amount of time and efforts due to the manual work. Therefore, this study tried to develop an algorithm which automates the creation of a schematic diagram for water quality modeling using the Korean Reach File capable of river network analysis. Further, this study creates a schematic diagram with the shape of a stream utilizing GIS capabilities. The diagram can be easily analyzed with overlapping various spatial information such as pollution sources and discharge points. This study mainly has automated element segmentation algorithm to divide streamflows into equal distance using line graphic data of Koran Reach File. Also, automated attribute input algorithm has also been developed to enable to insert element order and type into elements using point graphic data of Korean Reach File. For the verification of the developed algorithm, the algorithm was applied to kyungan stream basin to see the acceptable results. To conclude, it was possible to automate generating of schematic diagram of water quality model and it is expected to be able to save time and cost required for the water modeling. In future study, it is necessary to develop an automatic creation system of various types of input data for water quality modeling and this will lead to relatively easier and simple water quality modeling.

• Journal of Korea Port Economic Association
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• v.35 no.3
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• pp.19-40
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• 2019

Ports have been facing the adverse impacts of the global recession. In terms of imports, with a vast consumption hinterland, the Incheon Port has developed as the metropolitan's gateway. Additionally, the port's exports to China has been increasing due to a consistent increase in the demand of cold chain foods in the country. Considering the short distance between the Incheon Port and the ports in Northern China, the Incheon Port can serve as a logistics hub and a distribution center for exporting processed foodstuffs to China. The establishment of a cold chain logistics system at the Incheon Port will prove to be a robust strategy. After reviewing studies and interviews from various departments, this study suggested strengths, weaknesses, opportunities, and threats (SWOT) facing the Incheon Port, based on a SWOT analysis; it also recommended competitive strategies for the port. Additionally, the study used the analytic hierarchy process (AHP) to identify important factors such as the infrastructural, operational, cost, and technology factors. This study identified the infrastructural factor to be highly critical to the activation of the Incheon Port's cold chain system. Based on the results, the study proposed policies and strategy directions.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.2
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• pp.821-828
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• 2011

This paper developed the algorithm for improving the performance the auto pilot in the autonomous vehicle system consisting of the Track keeping control, the Automatic steering, and the Automatic mooring control. The automatic steering is the control device that could save the voyage distance and cost of fuel by reducing the unnecessary burden of driving due to the continuous artificial navigation, and avoiding the route deviation. During the step of the ship autonomic navigation control, since the wind power or the tidal force could make the ship deviate from the fixed course, the automatic steering calculates the difference between actual sailing line and the set course to keep the ship sailing in the vicinity of intended course. first, we could get the transfer function for the modeling of ship according to the Nomoto model. Considering the maneuverability, we propose it as linear model with only 4 degree of freedoms to present the heading angle response to the input of rudder angle. In this paper, the model of ship is derived from the simplified Nomoto model. Since the proposed model considers the maximum angle and rudder rate of the ship auto pilot and also designs the Fuzzy controller based on existing PID controller, the performance of the steering machine is well improved.

• Economic and Environmental Geology
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• v.43 no.6
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• pp.615-623
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• 2010

Seismic refraction survey is a geophysical method that delineates subsurface velocity structure using direct wave and critically refracted wave. The generalized reciprocal method(GRM) is an inversion technique which uses travel-time data from several forward and reverse shots and which can provide the geometry of irregular inclined refractors and structures underlain by hidden layer such as low velocity zone and thin layer. In this study, a simple Excel-GRM routine was tested for fast mapping of the interface between weathering layer and bedrock during the survey, with employing a pair of forward and reverse shots. This routine was proved to control the maximum dip of approximately $30^{\circ}C$ and maximum velocity contrast of 0.6, based on the panel tests in terms of dipping angle and velocity contrast for the two-layer inclined models. In contrast with conventional operation of five to seven shots with sufficient offset distance and indoor data analysis thereafter, this routine was performed in the field shortly after data acquisition. Depth to the bedrock provided by Excel-GRM, during the field survey for Cheongju granite area, correlates well with the elevation of the surface of soft rock from the drill core and SPS logging data. This cost-effective routine developed for quickly delineating the bedrock surface in the field survey will be readily applicable to mapping of weathering zone in narrow zone with small variation of elevation of bedrock.

• Journal of Bio-Environment Control
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• v.14 no.2
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• pp.76-82
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• 2005

Evaporative cooling pad system is one of the main cooling methods in greenhouses and its efficiency is very high. However, it has some disadvantages such as greenhouse temperature distributions are not uniform and installation cost is expensive. In this study, a CFD simulation model f3r predicting the air temperature distribution in the fan and fad cooling greenhouse was developed. The model was calibrated and validated against experimental data and a good fit was obtained. The influence of different outside wind, fan and pad height, ventilation rate, shading, and greenhouse length, were then examined. In order to reduce the internal temperature gradients, it is desired that the prevail wind direction and the fan and pad heights are considered. The simulation indicates that high ventilation rates and shading contribute to reduce the temperature gradients in the fan and pad cooling greenhouse. In order to maintain the desired greenhouse temperature, the pad-to-fan distance should be restricted according to the design climate conditions, shading and ventilation rates. The developed CFD model can be a useful tool to evaluate and design the fan and pad systems in the greenhouses with various configurations.

• Journal of the Korean Geotechnical Society
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• v.38 no.11
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• pp.43-54
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• 2022

The settlement at the railroad foundation is often the leading cause of track irregularity and potential derailment. The control of such deformation is considered necessary in track maintenance practice. Nevertheless, the monitoring process performed by in situ surveying requires an excessive amount of manpower and cost. The InSAR, a remote sensing technique by RADAR satellite, is used to overcome such a burden. The PS-InSAR technique is preferred for a long-term precise monitoring method. However, this study aims to obtain relatively brief analysis results from only two satellite images using the D-InSAR technique, while a minimum of 25 images are required for PS-InSAR. This study verifies the precision of D-InSAR within a few millimeters by inspecting railroad facilities and land settlements in Korea Railroad Research Institute's test track with images from TerraSAR-X Satellite. Multiple corner reflectors were adopted and installed on an embankment and the building roof to raise the surface reflectivity. Those reflectors were slightly adjusted periodically to verify the detecting performance. The results revealed the optimum distance between corner reflectors. Further, the deformation of railway tracks, slopes, and concrete structures was analyzed successively. In conclusion, this study indicates that the D-InSAR technique effectively monitors the short-term deformation of a broad area such as railway structures.