• Journal of the Korean Society of Hazard Mitigation
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• v.6 no.2 s.21
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• pp.51-60
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• 2006

The objective of this research is to develop a least cost system design method for branched storm sewer systems while satisfying all the design constraints using heuristic techniques such as genetic algorithm and harmony search. Two sewer system models have been developed in this study. The SEWERGA and SEWERHS both determine the optimal discrete pipe installation depths as decision variables. Two models also determine the optimal diameter of sewer pipes using the discrete installation depths of the pipes while satisfying the discharge and velocity requirement constraints at each pipe. Two models are applied to the example that was originally solved by Mays and Yen (1975) using their dynamic programming(DP). The optimal costs obtained from SEWERGA and SEWERHS are about 4% lower than that of the DP approach.

• Tunnel and Underground Space
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• v.15 no.3 s.56
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• pp.195-212
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• 2005

Surface subsidence which occurs with several reasons, such as collapse of gangway, discharge of groundwater, compaction of weak rock mass, and tunnel excavation in shallow depth, gives rise to a serious problem in national infra-structures. In this study, therefore, the mechanism of subsidence has been examined numerically to overcome the passive approach on subsidence occurrence area. With many kinds of numerical studies, the major geotechnical parameters have been selected and the weighted values have been defined for each parameters. Also the authors developed the numerical program which can estimate the possibility of subsidence occurrence, and proposed the decision method for objective and quantitative guideline. It is anticipated that this research will be helpful to establish the hazard map on subsidence region.

• Archives of Plastic Surgery
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• v.48 no.5
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• pp.553-558
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• 2021

The diagnosis of the main complications resulting from lipoabdominoplasty has not yet been standardized. Infrared thermal imaging has been used to assess possible complications, such as necrosis and changes in micro- and macro-circulation, based on perforator mapping techniques, among others. The objective of this study was to present two clinical cases involving thermal imaging monitoring of the healing process of lipoabdominoplasty in the immediate postoperative evaluation and its preliminary results. Infrared thermography was performed 24 hours after the operation and on postoperative days 5, 25, and 27. In clinical case 1, it was found that the delta-R (∆T_R)-defined as the difference in minimum temperature between the highest and lowest points in the SA3 region (caution suction area) following the classification established by Matarasso-was 0.4℃ at 24 hours after surgery and decreased to 0.1℃ on a postoperative day 5. There were no complications in this case. In contrast, in clinical case 2, the ∆T_R was 1.7℃ at 24 hours after surgery (upon hospital discharge) and remained high, at 2.2℃, on postoperative day 5. A higher ∆T_R was found in the second patient, who developed necrosis of the surgical wound. The ∆T_R thermal index may be a new tool for predicting possible complications, complementing the clinical evaluation and therapeutic decision-making.

• Proceedings of the Korea Water Resources Association Conference
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• 2015.05a
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• pp.243-243
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• 2015

Low-flow simulation and forecasting is one of the emerging issues in hydrology due to the increasing demand of water in dry periods. Even though low-flow simulation and forecasting remains a difficult issue for hydrologists better simulation and earlier prediction of low flows are crucial for efficient water management. The UN has never stated that South Korea is in a water shortage. However, a recent study by MOLIT indicates that Korea will probably lack water by 4.3 billion m3 in 2020 due to several factors, including land cover and climate change impacts. The two main situations that generate low-flow events are an extended dry period (summer low-flow) and an extended period of low temperature (winter low-flow). This situation demands the hydrologists to concentrate more on low-flow hydrology. Korea's annual average precipitation is about 127.6 billion m3 where runoff into rivers and losses accounts 57% and 43% respectively and from 57% runoff discharge to the ocean is accounts 31% and total water use is about 26%. So, saving 6% of the runoff will solve the water shortage problem mentioned above. The main objective of this study is to present the hydrological modelling approach for low-flow simulation and forecasting using a model that have a capacity to represent the real hydrological behavior of the catchment and to address the water management of summer as well as winter low-flow. Two lumped hydrological models (GR4J and CAT) will be applied to calibrate and simulate the streamflow. The models will be applied to Seolmacheon catchment using daily streamflow data at Jeonjeokbigyo station, and the Nash-Sutcliffe efficiencies will be calculated to check the model performance. The expected result will be summarized in a different ways so as to provide decision makers with the probabilistic forecasts and the associated risks of low flows. Finally, the results will be presented and the capacity of the models to provide useful information for efficient water management practice will be discussed.

• Proceedings of the Korea Water Resources Association Conference
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• 2015.05a
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• pp.264-264
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• 2015

최근 기후변화는 우리 삶에 다양한 영향을 미치고 있으며, 이에 따른 수문순환 변화 역시 자명하게 받아들이고 있다. 이에 따라 수자원 취약성 평가 및 대책에 관한 연구는 다양하게 진행되고 있는 실정이다. 하지만 국내의 경우 전체 유역에 대한 수자원 취약성 평가 연구는 부족한 실정이다. 따라서 본 연구에서는 국내 총 12 수계인 한강, 안성천, 금강, 삽교천, 영산강, 섬진강, 탐진강, 만경강, 동진강, 낙동강, 태화강, 형산강 유역에 대한 수자원 취약성 평가를 실시하였다. 평가 방법으로는 장기간에 걸친 다양한 토양의 특징, 토지이용, 관리상태의 변화에 따른 크고 복잡한 유역의 유출량을 추정하기 위해 개발된 SWAT(Soil and Water Assessment Tool) 모형을 이용하여 수문 모형을 구축하였고, 유출 관련 매개변수 최적화 작업은 SWAT-CUP 모형을 이용하였다. 최적화된 매개변수의 적용을 통해 각 유역별 유출량을 산정하였다. 그 결과 2009년과 2011년은 한강, 낙동강, 금강, 영산강순 이였으며, 2010년은 낙동강, 한강, 금강, 영산강순 이였다. 면적별 유출량인 비유량(specific discharge)을 산정한 결과, 2009년에는 영산강, 낙동강, 금강, 한강순 이며, 2010년에는 영산강, 금강, 낙동강, 한강순 이였으며, 2011년에는 금강, 한강, 영산강, 낙동강 순을 보였다. 또한, 인구당 유출량 산정 결과 2009년에는 영산강, 금강, 낙동강, 한강순 이며, 2010년에는 영산강, 금강, 낙동강, 한강순 이며, 2011년에는 영산강, 금강, 낙동강, 한강순 이었다. 이를 바탕으로 국내 총 12 수계에 대한 수자원 취약성을 산정해보았다. 대응변수는 이수의 수요 및 공급적인 측면에서 구분하였으며, 사회/경제, 물 이용, 환경, SWAT으로 구성하였습니다. 수자원 취약성 평가를 위해 다기준의사결정기법(MCDM, Multi-Criteria Decision Making) 중 하나인 TOPSIS(Technique for Order of Preference by Similarity to Ideal Solution)기법을 사용하였다. 산정 결과 삽교천, 동진강, 형산강, 안성천, 섬진강, 만경강, 낙동강, 영산강, 태화강, 금강, 한강, 탐진강 순 이였다. 본 연구 결과는 향후 다중 공간에 구축한 고해상도 모형을 통해 국내 수문상황 진단 및 고해상도 미래 수문 시나리오 생산을 통한 수자원 관리에도 활용될 전망이며, 기후변화 취약성 평가를 위한 지표 개발에 이용될 예정이다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.47 no.3
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• pp.197-208
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• 2021

Objectives: The purpose of this retrospective study was to evaluate the variables associated with length of stay (LOS), hospital costs, intensive care unit (ICU) use, and treatment outcomes in patients hospitalized for maxillofacial infections at a tertiary medical center in South Korea. Materials and Methods: A retrospective chart review was conducted for patients admitted for treatment of maxillofacial infections at Dankook University Hospital from January 1, 2011 through September 30, 2020. A total of 390 patient charts were reviewed and included in the final statistical analyses. Results: Average LOS and hospital bill per patient of this study was 11.47 days, and ₩4,710,017.25 ($4,216.67), respectively. Of the 390 subjects, 97.3% were discharged routinely following complete recovery, 1.0% expired following treatment, and 0.8% were transferred to another hospital. In multivariate linear regression analyses to determine variables associated with LOS, admission year, infection side, Flynn score, deep neck infection, cardiovascular disease, admission C-reactive protein (CRP) and glucose levels, number and length of surgical interventions, tracheostomy, time elapsed from admission to first surgery, and length of ICU stay accounted for 85.8% of the variation. With regard to the total hospital bill, significantly associated variables were age, type of insurance, Flynn score, number of comorbidities, admission CRP, white blood cell, and glucose levels, admission temperature, peak temperature, surgical intervention, the length, type, and location of surgery, tracheostomy, time elapsed from admission to first surgery, and length of ICU use, which accounted for 90.4% of the variation. Age and ICU use were the only variables significantly associated with unfavorable discharge outcomes in multivariate logistic regression analysis. Conclusion: For successful and cost-effective management of maxillofacial infections, clinicians to be vigilant about the decision to admit patients with maxillofacial infections, perform appropriate surgery at an adequate time, and admit them to the ICU.

• Journal of Wetlands Research
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• v.25 no.2
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• pp.99-110
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• 2023

Non-point source (NP) pollutants in an agricultural landuse are discharged from a large area compared to those in other land uses, and thus effective source control measures are needed. To develop appropriate control measures, it is necessary to quantify discharge load of each source and evaluate the degree of water quality improvement by implementing different options of the control measures. This study used Hydrological Simulation Program-FORTRAN (HSPF) to quantify pollutant discharge loads from different sources and effects of different control measures on water quality improvements, thereby supporting decision making in developing appropirate pollutant control strategies. The study area is the Gyeseong river watershed in Changnyeong county, Gyeongsangnam-do, with agricultural areas occupying the largest proportion (26.13%) of the total area except for the forest area. The main pollutant sources include chemical and liquid fertilizers for agricultural activities, and manure produced from small scale livestock facilities and applied to agriculture lands or stacked near the facilities. Source loads of chemical fertilizers, liquid fertilizers and livestock manure of small scale livestock facilities, and point sources such as municipal wastewater treatment plants (WWTPs), community WWTPs, private sewage treament plants were considered in the HSPF model setup. Especially, NITR and PHOS modules were used to simulate detailed fate and transport processes including vegitation uptake, nutrient deposition, adsorption/desorption, and loss by deep percolation. The HSPF model was calibrated and validated based on the observed data from 2015 to 2020 at the outlet of the watershed. The calibrated model showed reasonably good performance in simulating the flow and water quality. Five Pollutants control scenarios were established from three sectors: agriculture pollution management (drainge outlet control, and replacement of controlled release fertilizers), livestock pollution management (liquid fertilizer reduction, and 'manure management of small scale livestock facilities) and private STP management. Each pollutant control measure was further divided into short-term, mid-term, and long-term scenarios based on the potential achievement period. The simulation results showed that the most effective control measure is the replacement of controlled release fertilizers followed by the drainge outlet control and the manure management of small scale livestock facilities. Furthermore, the simulation showed that application of all the control measures in the entire watershed can decrease the annual TN and TP loads at the outlet by 40.6% and 41.1%, respectively, and the annual average concentrations of TN and TP at the outlet by 35.1% and 29.2%, respectively. This study supports decision makers in priotizing different pollutant control measures based on their predicted performance on the water quality improvements in an agriculturally dominated watershed.

• Korean Journal of Psychosomatic Medicine
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• v.24 no.1
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• pp.74-82
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• 2016

Objectives : Suicide attempters have impaired decision making and are at high risk of reattempt. Therefore it is important to refer them to psychiatric treatment. Especially, People with medical comorbidity are at higher risk of suicidal attempt and mortality. The aim of this study was to investigate the characteristics of suicidal attempters and to analyze the influence of the medical comorbidity on decision to receive psychiatric treatment after visit to an emergency department. Methods : One hundred and thirty two patients, who visited the emergency room of a general hospital in Gyeonggi-do between January, 2012 and December, 2012 were enrolled as the subjects of this study. After reviewing each subject's medical records retrospectively, demographic and clinical factors were analyzed. Results : Regardless of the engagement type, either via admission or outpatient clinic, the determinant factors of psychiatric treatment engagement were psychiatric diagnosis, employment status, previous psychiatric treatment history, and previous attempt history. Comparison of severity of medical comorbidity(Charlson Comorbidity Index) showed that suicide attempters who received psychiatric treatment via admission or refused the treatment tended to have higher level of medical comorbidity than who received psychiatric treatment via outpatient department. Conclusions : Our findings showed that medical comorbidity of suicide attempters affected the decision to accept psychiatric treatment. All psychiatrists should evaluate the presence and the severity of medical comorbidity of the suicide attempters and consider implementing more intervention for the medically ill attempters who are willing to discharge against advice.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.4
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• pp.1895-1904
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• 2014

This study explores the way to improve service quality with the application of Service Blueprint and Analytic Hierarchy Process (hereafter, "AHP") in medical tourism. Service Blueprint has been widely accepted to identify the possible fail points in service delivery system, and AHP analysis has been recognized as beneficial method to rate relative importance in multi-criteria decision making process. We try to understand possible pitfalls to enhance Chinese medical tourists, and propose the priority in the resolution process. In the first step, we reviewed the extant literatures about medical tourism of South Korea, and built initial Service Blueprint. Experts who experienced service delivery process towards Chinese patients participated to review the proposed Service Blueprint in the second step. Thirdly, after extracting the possible fail points from revised Service Blueprint, we asked experts to guess the relative importance of Chinese patient by AHP methodology. Four domains (Arrival and Welcoming, Hospitalization, Process before, operations, and after surgery, Recovery and discharge) were emerged with detail criteria. Results show that operations and treatment is the most important domain not to lose Chinese patient's loyalty with following hospitalization process domain. Also, we suggest the priority among sixteen criteria to prevent service failure.

• Agribusiness and Information Management
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• v.9 no.1
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• pp.7-17
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• 2017

Agricultural water management has gained enormous attention in the developing world to alleviate poverty, reduce hunger and conserve ecosystems in small-scale production systems of resource-poor farmers. The story of food security in the $21^{st}$ century in India is likely t o be closely linked to the story of water security. Today, the water resource is under severe threat. The past experiences in India in general and in Andhra Pradesh in particular, indicated inappropriate management of irrigation has led to severe problems like excessive water depletion, reduction in water quality, water logging, salinization, marked reduction in the annual discharge of some of the rivers, lowering of ground water tables due to pumping at unsustainable rates, intrusion of salt water in some coastal areas etc. Considering the importance of irrigation water resource efficiency, Krishna Western Delta (KWD) of Andhra Pradesh was purposively selected for this in depth study, as the farming community in this area are severely affected due to severe soil salinity and water logging problems and hence, adoption of different water saving crop production technologies deserve special mention. It is quite disappointing that, canals, tube wells and filter points and other wells could not contribute much to the irrigated area in KWD. Due to less contribution from these sources, the net area irrigated also showed declining growth at a rate of -6.15 per cent. Regarding paddy production, both SRI and semi-dry cultivation technologies involves less irrigation cost (Rs. 2475.21/ha and Rs. 3248.15/ha respectively) when compared to transplanted technology (Rs. 4321.58/ha). The share of irrigation cost in Total Operational Cost (TOC) was highest for transplanted technology of paddy (11.06%) followed by semi-dry technology (10.85%) and SRI technology (6.21%). The increased yield and declined cost of cultivation of paddy in SRI and semi-dry production technologies respectively were mainly responsible for the low cost of production of paddy in SRI (Rs. 495.22/qtl) and semi-dry (Rs. 532.81/qtl) technologies over transplanted technology (Rs. 574.93/qtl). This clearly indicates that, by less water usage, paddy returns can be boosted by adopting SRI and semi-dry production technologies. Both the system-level and field-level interventions should be addressed to solve the issues/problems of water management. The enabling environment, institutional roles and functions and management instruments are posing favourable picture for executing the water management interventions in the State of Andhra Pradesh in general and in KWD in particular. This facilitates the farming community to harvest good crop per unit of water resource used in the production programme. To achieve better results, the Farmers' Organizations, Water Users Associations, Department of Irrigation etc., will have to aim at improving productivity per unit of water drop used and this must be supported through system-wide enhancement of water delivery systems and decision support tools to assist farmers in optimizing the allocation of limited water among crops, selection of crops based on farming situations, and adoption of appropriate alternative crops in drought years.