• Title/Summary/Keyword: Critical National Facilities

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A Literature Review of Issues and Tasks by Period of Revision of Regulations Related to Convalescent Rehabilitation Wards in Japan: Focusing on Quality Evaluation

  • Lee, Minyoung;Jeon, Boyoung
    • The Journal of Korean Physical Therapy
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    • v.34 no.1
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    • pp.26-37
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    • 2022
  • Purpose: Japan established the convalescent rehabilitation wards, corresponding to Korea's rehabilitation medical institutions, in 2000 and developed it into the present system through continuous revisions. This study sought to analyze the issues and tasks faced by Japan segregated by the period of revision of convalescent rehabilitation ward-related medical fee regulations, through a literature review and further aimed to explore the direction of development of domestic rehabilitation medical institutions. Methods: Ten revisions of the medical fee regulations were classified into three stages based on quality evaluation: (1) the quantitative expansion stage (2000-2006); (2) quality evaluation introduction stage (2008-2014); and (3) quality evaluation maturity stage (2016-2020). Results: The following issues and tasks emerged: (1) For the quantitative expansion stage; insufficient rehabilitation within the ward, insufficient after-hour rehabilitation, insufficient connection with acute-stage hospitals and maintenance facilities, and the low ratio of specialists. (2) For the quality evaluation introduction stage; disparity in the manpower between institutions, the necessity of a 365-day rehabilitation system, avoidance of critical patients, and the problem that an increase in the amount of rehabilitation did not lead to a qualitative improvement. 3) For the quality evaluation maturity stage; cream-skimming issues in selecting patients, inappropriate evaluation of rehabilitation effects, and the necessity of follow-up measures after discharge. Conclusion: It is worth referring to the established regulations in Japan, and concurrently it is necessary to strengthen the evaluation of the structures, processes, and results when operating and evaluating rehabilitation medical institutions in Korea taking into account the side effects that could be identified in Japan.

Expectation and Satisfaction of Foreign Customers Visiting Korean Restaurants Located in USA;Analysis for Food and Service Attributes through IPA Analysis (재미 한국 식당을 이용하는 외국인 고객들의 한국 음식 및 서비스 속성에 대한 인식도 조사;IPA 분석을 통한 음식${\cdot}$서비스 속성 분석)

  • Lee, So-Jung;Chae, In-Sook
    • Journal of the Korean Society of Food Culture
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    • v.23 no.2
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    • pp.152-162
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    • 2008
  • The objectives of this study were to: a) examine foreign customers’ satisfaction and expectations for the food and service attributes of Korean restaurants located in the U.S., b) measure the gap between the satisfaction and expectations for food and service attributes, c) analyze through IPA analysis the crucial attributes needing improvement in order to minimize the discrepancy between customers’ expectations and performance, and d) analyze the effects of factors related to the food and service attributes on overall customer satisfaction in regard to Korean restaurant selection. A total of 255 American customers who had visited four Korean restaurants located within metropolitan and rural areas of the U.S. were surveyed for this study. Statistical analyses, including t-tests, factor analysis, and multiple regression, were performed using the SPSS statistical package (12.0). The American customers’ overall satisfaction of the food and services offered by the Korean restaurants was relatively high, with the exception of tangible service attributes such as comfortable chairs, restroom cleanliness, and restaurant interior. The urban foreign customers, however, were dissatisfied with the use of healthful ingredients in Korean food, because their expectation level toward this aspect exceeded their satisfaction level. In terms of Korean restaurant selection, tangible services related to the restaurant facilities were identified as the critical factor having an effect on American customer satisfaction.

Smart Healthcare: Enabling AI, Blockchain, VR/AR and Digital Solutions for Future Hospitals (스마트 헬스케어: 미래 병원을 위한 AI, 블록체인, VR/AR 및 디지털 솔루션 구현)

  • Begum, Khadija;Rashid, Md Mamunur;Armand, Tagne Poupi Theodore;Kim, Hee-Cheol
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.406-409
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    • 2022
  • In recent years, the developments in technologies, such as AI systems, Blockchain, VR/AR, 3D printing, robotics, and nanotechnology, are reshaping the future of healthcare right before our eyes. And also, healthcare has seen a paradigm shift towards prevention-oriented medicine, with a focus on consumers requirements. The spread of infectious diseases such as Covid-19 have altered the definition of healthcare and treatment facilities, necessitating immediate action to redesign hospitals' physical environments, adapt communication models to address social distancing requirements, implement virtual health solutions, and establish new clinical protocols. Hospitals, which have traditionally served as the hub of healthcare systems, are pursuing or being forced to reestablish themselves against this landscape. Rather than only treating ailments, future healthcare is predicted to focus on wellness and prevention. In personalized care, long-term prevention strategies, remote monitoring, early diagnosis, and detection are critical. Given the growing interest in smart healthcare defined by these modern technologies, this study looked into the definitions and service kinds of smart healthcare. The background and technical aspects of smart hospitals were also explored through a literature review.

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The Changes of Solid, Nitrogen and Phosphorus Concentrations in Pig Slurry Stored at Various Depth of Slurry Storage Tank (돼지분뇨슬러리의 액비조내 저장깊이별 고형물 및 질소, 인의 함량분포에 관한 연구)

  • Jeong, Kwang-Hwa;Chung, Eui-Soo;Park, Chi-Ho;Kwag, Jung-Hoon;Choi, Dong-Yoon;Yoo, Yong-Hee
    • Journal of Animal Environmental Science
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    • v.12 no.3
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    • pp.161-168
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    • 2006
  • This paper describes the changes of characteristics of pig slurry according to storing depth. Most of the substances containing pollutants, such as were Management of manure and wastewater from animal confinement facilities is a critical factor for pollution control. With proper treatment processing method in both solid and liquid forms, it can be used as a fertilizer and soil conditioner. In Korea, liquid-manure handling system is very popular because its treatment and application is easy and labor saving. In the storage tank treatment, the period of fermentation process and solids-liquid separation averages six months and the supernatant liquid is being used as a fertilizer. In this study, the changes in chemical characteristics of pig slurry at varying depths of the storage tank were investigated. Results showed that the pH value of the fermented pig slurry was > 7, while the major pollutants such as BOD, SS, N and P were highest in the bottom of the tank. Therefore, the above findings proved that varying depths in the storage tank can influence the concentration of pollutants of the fermented pig slurry.

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Mixing Analysis of Oil Spilled into the River by GPS-equipped Drifter Experiment and Numerical Modeling (GPS 부자 실험과 수치모델링에 의한 하천에 유입된 유류오염물질의 거동 해석)

  • Jang, Juhyoung;Jong, Jaehun;Mun, Hyunsaing;Kim, Kyunghyun;Seo, Ilwon
    • Journal of Korean Society on Water Environment
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    • v.32 no.3
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    • pp.243-252
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    • 2016
  • In cases of water pollution accidents, accurate prediction for arrival time and concentration of contaminants in a river is essential to take proper measures and minimize their impact on downstream water intake facilities. It is critical to fully understand the behavior characteristics of contaminants on river surface, especially in case of oil spill accidents. Therefore, in this study, the effects of main parameters of advection and diffusion of contaminants were analyzed and validated by comparing the results of Lagrangian particle tracking (LPT) simulation of Environmental Fluid Dynamic Code (EFDC) model with those of Global Position System (GPS)-equipped drifter experiment. Prevention scenario modeling was accomplished by taking cases of movable weir operation into account. The simulated water level and flow velocity fluctuations agreed well with observations. There was no significant difference in the speed of surface particle movement between 5 and 10 layer modeling. Therefore, 5 layer modeling could be chosen to reduce computational time. It was found that full three dimensional modeling simulated wind effects on surface particle movements more sensitively than depth-averaged two dimensional modeling. The diffusion range of particles was linearly proportional to horizontal diffusivity by sensitivity analysis. Horizontal diffusivity estimated from the results of GPS-equipped drifter experiment was 0.096 m2/sec, which was considered to be valid for applying the LPT module in this area. Finally, the scenario analysis results showed that particle movements could be stagnant when discharge from the upstream weir was reduced, implying the possibility of securing time for mitigation actions such as oil boom installation and wiping oil contaminants. The outcomes of this study can help improve the prediction accuracy of particle tracking simulation to establish the most suitable mitigation plan considering the combination of movable weir operation.

Importance of Impregnation and Polishing for Backscattered Electron Image Analysis for Cementitious Self-Healing Specimen (시멘트계 자기치유 시편에 대한 반사전자현미경 이미지 분석을 위한 함침과 연마의 중요성)

  • Kim, Dong-Hyun;Kang, Kook-Hee;Bae, Seung-Muk;Lim, Young-Jin;Lee, Seung-Heun
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.5 no.4
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    • pp.435-441
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    • 2017
  • Studies on self-healing have currently been diversified and the methods to evaluate the studies have become more diversified as well. Among them, the back-scattered electron (BSE) image acquired through the scanning electron microscope (SEM) is attempted as the means to evaluate the self-healing effect on cracks. In order evaluate by the BSE image, sophisticated pre-processing of specimen is critical and this injected inside the particle, pore and artificial crack of the hardener to stabilize the structure of the newly generated self-healing product and it enables to endure the stress on polishing without deformation. The impregnated specimen smoothen the surface to obtain the BSE image of high resolution that polishing is made for diamond suspension for wet polishing after dry polishing. As a result of evaluating the self-healing product on the impregnated and polished self-healing specimen, the generated product is formed from the surface of the artificial crack and the self-healing substances are confirmed as $Ca(OH)_2$ and C-S-H.

Measurement of Dust Concentration in a Mechanically Ventilated Broiler House and Analysis of Dust Generation from Ground Beds (강제환기식 계사의 공기 중 분진 농도 측정 및 바닥재로부터의 분진 발생량 분석)

  • Kwon, Kyeong Seok;Jo, Ye Seul;Lee, In Bok;Ha, Tae Hwan;Hong, Se Woon
    • Journal of The Korean Society of Agricultural Engineers
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    • v.56 no.6
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    • pp.31-43
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    • 2014
  • Confined and mechanically ventilated broiler house has been recently come into wide use to increase productivity and control rearing conditions. However, high dust concentration inside facility can threaten respiratory welfare of farmers and broilers. In Korea, there is no regulation in terms of air quality control inside agricultural facilities and sufficient data is not available. To cope with these, periodic monitoring of inhalable and respirable dust concentration were conducted according to season, broiler's activity and specific events such as shipment work for broilers in mechanically ventilated broiler house. Chamber experiment was also designed to analyze mechanism of dust generation from ground beds according to water contents and surrounding wind environment. Results showed that significant increase of inhalable (p=0.002) and respirable (p=0.03) dust were observed when activity of broilers was high according to entrance of the workers. Even shipment work for matured broilers, high level of dust were observed; inhalable dust was exceeded the threshold limit over maximum 303 % and respirable dust was over maximum 1,550 %, implying that acute respiratory symptoms could be manifested for the workers. From the chamber experiment, critical water contents for interrupting of dust generation were measured; about 45 % for inhalable dust and about 50 % for respirable dust. These results can be a trigger for designing plan of dust control however it still needs consideration of various environmental conditions, hygiene problems, etc.

Optimization of monitoring methods for air-borne bacteria in the environmental conditions of pig facilities (무균 돈사 환경 모니터링을 위한 대기 중 미생물 탐지기법 확립)

  • Lee, Deok-Yong;Seo, Yeon-Soo;Kang, Sang-Gyun;Yoo, Han Sang
    • Korean Journal of Veterinary Research
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    • v.46 no.3
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    • pp.255-261
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    • 2006
  • Experimental animals have been used to biological and medical purposes and the animals must be, for these purposes, healthy and clean to microbial infection. However, the animals can be easily exposed to pathogenic microorganism via several routes. Of the routes, environmental conditions are the most important factors to keep the animals healthy and clean, especially air condition. Monitoring of air-condition has been required to keep the animal healthy and clean. However, any guideline is not available for experimental conditions with pigs. Therefore, the sampling times and points were compared in different conditions to establish an optimal protocol for monitoring of air borne bacteria. Tryptic soy agar(TSA), blood agar containing 5% defibrinated sheep blood and Sabraud dextrose agar(SDA) were used as media to capture total bacteria, pathogenic bacteria and fungi, respectively. Two methods, compulsive capture using an air-sampler and capturing fall-down bacteria were used to capture the microorganisms in the air. The points and time of capturing were different at each experiment. Air borne microorganisms were captured at three and five points in the open and closed equipments, respectively. Air was collected using an air-sampler for 1 min and 5 min and the agar plates as open status were left from 30 min to 2hr. At first, we monitored an experimental laboratory which dealt with several pathogenic bacteria and then, a protocol obtained from the investigation was applied to open or close experimental conditions with pigs. Number of bacteria was high from 10:00 to 15:00, especially on 13:30-15:30 but sharply decreased after 17:00. The tendency of the number of bacteria was similar between two methods even though the absolute number was higher with air sampler. Critical difference in the number of cells was observed at 5 min with air sampler and 2 hr with fall-down capturing method. However, 1 min with air sampler and 1 hr with fall-down capturing were the best condition to identify bacterial species collected from the air. Number of bacteria were different depending on the sampling points in closed condition but not in opened condition. Based on our results, a guide-line was suggested for screening air-borne microorganism in the experimental conditions with pigs.

Retrospective Analysis of Chief Complaints and Causes of Dogs and Cats during Emergency Visits: 3,180 Cases (응급실에 내원하는 개와 고양이의 주증과 원인에 대한 후향분석: 3,180례)

  • Lee, Hyekyung;Son, Won-Gyun;Seo, Jimin;Kim, Hyunwook;Lee, Inhyung
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.90-94
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    • 2014
  • This study was performed to investigate on the frequent chief complaints and the causes of dogs and cats visiting to an emergency department, and to suggest the minimum requirements for veterinary emergency clinics in South Korea. The medical records were reviewed for 2,368 dogs and 347 cats visiting the emergency department of Haemaru Referral Animal Hospital from March 2012 to August 2013. Among them, 255 dogs and 35 cats visited more than one time and each visit was considered as an individual case. Therefore, 2,784 cases of dogs and 396 cases of cats were reviewed. The medical records were analyzed according to the criteria such as signalment, chief complaints, diagnoses, hospital admission, and outcome. In dogs, vomiting, diarrhea, or both were the most common chief complaints, followed by dyspnea, trauma, seizure, and lethargy. The most common causes of emergency visits were gastrointestinal disorders, followed by neurologic, cardiovascular, respiratory, urologic, and hematologic disorders. In cats, dyspnea was the most common chief complaint, followed by vomiting, diarrhea, or both, trauma, dysuria, and lethargy. The most common causes of emergency visits were urologic disorders followed by gastrointestinal, respiratory, infectious, and cardiovascular disorders. According to the results, vomiting, diarrhea, dyspnea, and trauma were the most frequently encountered chief complaints, which accounted for approximately 48.6% of all cases in both dogs and cats. However common causes were differed between the dogs and the cats. In order to provide proper emergency service, it is required to prepare the clinicians and facilities to diagnose and stabilize these emergency patients.

Electrocatalytic properties of Nd1.5Ba1.5CoFeMnOx for water splitting (수전해용 Nd1.5Ba1.5CoFeMnOx 전기촉매 특성 분석)

  • Lee, Ho Jun;Cho, Kyungwon;Ryu, Jeong Ho
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.30 no.1
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    • pp.17-20
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    • 2020
  • Developing effective and earth-abundant electrocatalyst for oxygen evolution reaction (OER) and hydrogen evolution reaction (HER) is critical for the commercialization of a water splitting system. In particular, the overpotential of the OER is relatively higher than the HER, and thus, it is considered that one of the important methods to enhance the performance of the electrocatalyst is to reduce the overpotential of the OER. In this work, we present a simple synthetic route for triple perovskite Nd1.5Ba1.5CoFeMnOx with high performance OER and HER activity. This triple perovskite structure which shows high crystallinity through combustion method shows superior bifunctional catalytic performance in alkaline media. We believe that the prepared triple provskite with high performance OER and HER activity can give further feasibility for the commercialization of a water splitting system.