• Journal of radiological science and technology
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• v.30 no.4
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• pp.435-442
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• 2007

The number of thyroid diseases treated with radioiodine(I-131) is increasing steadily. The sharp increase in patients who require high dose radioiodine therapy greatly increased the need for new therapy rooms. Accordingly, interest in radiation exposure is rising as well, and is a major psychological stress factor for the patient and those who come in close contact with the patient. This study aimed to minimize the radiation exposure on discharge. Based on various previous reports, the decision for discharge should be individualized depending on many factors related to the patient's living or working environment. Educating patients repeatedly on the importance of sufficient oral hydration, while the adequate amount was relative to the patient's individual condition, greatly lowered the detected radiation measurement within the same admission period. In some cases, the period of admission could be abbreviated.

• Journal of Wetlands Research
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• v.14 no.1
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• pp.89-99
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• 2012

This study aims to develop the Masan bay special management system of the point and nonpoint sources of pollution using GIS as part of the Integrated Management System of the Masan Bay Special Management Area and utilize Total Pollution Loads Management System in Masan Bay more systematically and scientifically. The result of the pollution sources management at the Masan bay in conjunction with GIS was made possible the comparison of the source of pollution and the pollutant load among each administration area. It also developed Arc-GIS watershed management program which enables to estimate the population for discharge facilities, the water use of domestic population and commercial population, and pollutant load and discharge load of COD, TN and TP by the administration areas, years, and usages. In addition, this study anticipated minimizing temporal, economical efforts in utilizing large amounts of property and space utilization data and expediting the decision making process of policies in relation to the systematic and effective management system of pollutant loads at the Masan bay area. Further studies are required to plan the systematic management of the point and nonpoint sources of pollution and complement the watershed management system using GIS program for pollutant load which enables to predict the current and future state of point and nonpoint sources.

• Fire Science and Engineering
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• v.26 no.6
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• pp.15-23
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• 2012

Indirect Test Method is often used instead of direct test method in test method for extinguishing performance of $CO_2$ extinguishing facility because of high cost, environment problems and difficulties of procedure. But in the danger facilities for a unit of nation, such as a petrochemical plant, a nuclear power plant, or etc. is better to verify the performance of the extinguishment through direct discharge test. In $CO_2$ extinguishing system for total flooding system installed in dangerous facilities in Korea, each protected area in surface fire and deep-seated fire had selected and verified of extinguishing performance of $CO_2$ extinguishing facilities. To get recognized as extinguishing performance, discharged $CO_2$ concentration to protected area should be equivalence with design concentration standards (NFSC and NFPA). The Design Concentration means that $CO_2$ extinguishing agent is considerate of concentration for percentage of allowance (20 %) from extinguishing concentration which available to control of flame. As test result, surface fire and deep seated fire in protected area is obtained $CO_2$ design concentration and maintained design concentration more than 20 minutes as deep-seated fire. Through this study, we introduced direct discharging test method and decision method. And furthermore, especially in the dangerous facilities as a unit of Nation, we suggested necessity about reliability of extinguishing facilities to use direct test method.

• THE INTERNATIONAL COMMERCE & LAW REVIEW
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• v.42
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• pp.275-305
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• 2009

Marine insurance contracts, which intended to provide indemnity against marine risks upon the payment of price, known as a premium, originated in Northern Italy in the late 12th and early 13th centuries. The law and practice were later introduced into England through the Continent. It is, therefore, quite exact that English and European marine insurance law have common roots. Nevertheless, significant divergences between English and European insurance systems occurred since the late 17th century, mainly due to different approaches adopted by English courts. The rule of warranty in English marine insurance was developed and clarified in the second part of the 18th century by Lord Mansfield, who laid the foundations of the modern English law of marine insurance, and developed different approaches, especially in the field of warranty in marine insurance law. Since the age of Lord Mansfield, English marine insurance law has a unique rule on warranty. This article is, therefore, designed to analyse the overall rule of the rule of warranty in English marine insurance law. The result of analysis are as following. First, warranties are incorporated to serve a very significant function in the law of insurance, that is, confining or determining the scope of the cover agreed by the insurer. From the insurer's point of view, such the function of warranties is crucial, because his liability, agreed on the contract of insurance, largely depend on in, and the warranties, incorporated in the contract play an essential role in assessing the risk. If the warranty is breached, the risk initially agreed is altered and that serves the reason why the insurer is allowed to discharge automatically further liability from the date of breach. Secondly, the term 'warranty' is used to describe a term of the contract in general and insurance contract law, but the breach of which affords different remedies between general contract law and insurance contract law. Thirdly, a express warranty may be in any form of words from which the intention to warrant is to be inferred. An express warranty must be included in, or written upon, the policy, or must be contained in some document incorporated by reference into the policy. It does not matter how this is done. Fourthly, a warranty is a condition precedent to the insurer's liability on the contract, and, therefore, once broken, the insurer automatically ceases to be liable. If the breach pre-dates the attachment of risk, the insurer will never put on risk, whereas if the breach occurs after inception of risk, the insurer remains liable for any losses within the scope of the policy, but has no liability for any subsequent losses. Finally, the requirements on the warranty must be determined in according to the rule of strict construction. As results, it is irrelevant: the reason that a certain warranty is introduced into the contract, whether the warranty is material to the insurer's decision to accept the contract, whether or not the warranty is irrelevant to the risk or a loss, the extent of compliance, that is, whether the requirements on the warranty is complied exactly or substantially, the unreasonableness or hardship of the rule of strict construction, and whether a breach of warranty has been remedied, and the warranty complied with, before loss.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.4
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• pp.1739-1750
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• 2012

This study was to develop the assessment of medical service outcome using administration data through compared with hospital standardized mortality ratios(HSMR) in various hospitals. This study analyzed 63,664 cases of Hospital Discharge Injury Data of 2007 and 2008, provided by Korea Centers for Disease Control and Prevention. We used data mining technique and compared decision tree and logistic regression for developing risk-adjustment model of in-hospital mortality. Our Analysis shows that gender, length of stay, Elixhauser comorbidity index, hospitalization path, and primary diagnosis are main variables which influence mortality ratio. By comparing hospital standardized mortality ratios(HSMR) with standardized variables, we found concrete differences (55.6-201.6) of hospital standardized mortality ratios(HSMR) among hospitals. This proves that there are quality-gaps of medical service among hospitals. This study outcome should be utilized more to achieve the improvement of the quality of medical service.

• Journal of Korean Society on Water Environment
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• v.24 no.3
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• pp.291-296
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• 2008

Pollutant unit load developed by Ministry of Environment (MOE) in 1995 has been a tool commonly used for water quality management and environmental policy decision. In spite of the convenience of the method in application, the shortcoming of the method has been criticized especially for nonpoint source pollution from paddy field. In this paper the estimation procedures of pollutant unit load from paddy field in the major river basins (Han, Nakdong, Geum, and Youngsan river) were investigated, and some suggestions of improvement measures of the unit-load estimation were made. The investigation showed that the distributions of rainfall, run-off, and run-off ratio, which are the most important factors affecting discharge amount of pollutants, were not similar among river basins. Such differences seemed to result in a greater unit loads estimation at Han river and at Nakdong river watersheds compared to the others. Therefore, it is not likely to be rationale to compare unit load among the watersheds without consideration of such differences. We conclude that estimation of unit-load through an intensive monitoring of pollutant discharge is crucial for better estimation of unit-load. When such an intensive monitoring is not easy due to labor and expense restriction, we suggest that unit-load should be estimated based on the storm-events which is a representative rainfall-runoff event of the area.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.38 no.2
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• pp.261-268
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• 2018

The study used the simplified flooding analysis model, SIMOD, to distribute the total flood discharge by time, so research on flooding in urban areas can be conducted. The conventional flooding analysis models have limitations in constructing input data and take a long time for analysis. However, SIMOD is useful because it supports rapid decision-making process using quick modeling based on simple hydrological data, such as topography and inflow flood of the study area, to analyze submerged routes formed by flooding. Therefore, the study used the SIMOD model to analyze flooding in urban areas before conducting a comparative study with the outputs from FLO-2D, which is one of the conventional flooding analysis models, to identify the model's applicability. Seongseoje was selected as the study area, as it is located downstream the Geumho river where streams flow in the adjacent areas, and dikes are high enough to apply the "Overflow and Break" scenario for urban areas. With regard to topography, the study applied DEM data for the conventional flooding analysis and DSM data to represent urban building communities, distribution of roads, etc. Input flood discharge was calculated by applying the rectangular weir equation under the bank and break scenario through a 200-year return period of a design flood level. Comparative analysis was conducted in a flooded area with a simulation time of 1-24 hours. The time for the 24-hour simulation in SIMOD was less than 7 minutes. Compared with FLO-2D, the difference in flooded areas was less than 20%. Furthermore, the study identified the need for topography data using DSM for urban areas, as the analysis result that applies DSM showed the influence of roads and buildings.

• Journal of Korean Clinical Nursing Research
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• v.25 no.2
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• pp.120-132
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• 2019

Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.4
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• pp.435-447
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• 2019

In order to prevent unnecessary re-admission, it is necessary to intensively manage the groups with high probability of re-admission. For this, it is necessary to develop a re-admission prediction model. Two - year discharge summary data of one university hospital were collected from 2016 to 2017 to develop a predictive model of re-admission. In this case, the re-admitted patients were defined as those who were discharged more than once during the study period. We conducted descriptive statistics and crosstab analysis to identify the characteristics of rehospitalized patients. The re-admission prediction model was developed using logistic regression, neural network, and decision tree. AUC (Area Under Curve) was used for model evaluation. The logistic regression model was selected as the final re-admission predictive model because the AUC was the best at 0.81. The main variables affecting the selected rehospitalization in the logistic regression model were Residental regions, Age, CCS, Charlson Index Score, Discharge Dept., Via ER, LOS, Operation, Sex, Total payment, and Insurance. The model developed in this study was limited to generalization because it was two years data of one hospital. It is necessary to develop a model that can collect and generalize long-term data from various hospitals in the future. Furthermore, it is necessary to develop a model that can predict the re-admission that was not planned.

• The Korean Society of Law and Medicine
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• v.24 no.4
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• pp.37-63
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• 2023

In medical litigation, there are various cases where a doctor's 'explanation' of a patient becomes problematic. Medical explanations and guidance are required from the doctor, starting from the beginning of diagnosis, through treatment processes such as surgery, when hospitalization is necessary for treatment, during hospitalization, upon discharge, and after discharge. Furthermore, notification from the doctor or medical institution may be requested regarding the economic costs that will be incurred due to medical treatment. South Korea's judiciary has been developing legal principles regarding such doctor's explanations by distinguishing between explanations for obtaining consent for medical treatment and medical explanations related to guidance on patient treatment methods, taking into account related laws such as the stage of treatment and the Medical Service Act. Additionally, the Constitutional Court recently ruled on the non-benefit cost notification system linked to the explanation of economic costs. However, holding a doctor accountable solely because the doctor's explanation was insufficient has aspects that do not correspond to the actual situation in clinical reality, and may have a reflexive disadvantage that results in a decline in legal rights. Therefore, the doctor's explanation needs to be examined from both perspectives: guaranteeing the patient's right to self-determination and protecting his or her right to decision.