• Title/Summary/Keyword: ED2

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Characteristics of non-emergent patients at emergency departments (응급실을 이용하는 비응급환자의 실태와 특성)

  • Chung, Seol-Hee;Yoon, Han-Deok;Na, Baeg-Ju
    • Health Policy and Management
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    • v.16 no.4
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    • pp.128-146
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    • 2006
  • The objective of this paper is to examine the proportion and characteristics of non-emergent patients at emergency departments. The observational survey was conducted using a structured form used by emergency medicine specialists or senior residents on June 7-20, 2005. 1,526 patients at ten emergency centers took part in this study. The structural form contained type of insurance, route and means of emergency department (ED) visit, triage based on the Manchester Triage Scale(MTS)-modified criteria, emergency level based on the government defined rule, type of emergency centers (Regional Emergency Medical Center; REMC, Local Emergency Medical Center; LEMC, Local Emergency Agency; LEA), as well as patient's general information. Data were analyzed using SAS statistical program(V.8.2). Descriptive analysis was performed to describe the magnitude of non-emergent patients. ${\chi}^2-analysis$ and logistic regression analysis was performed to identify the nonurgent patients' characteristics. In the MTS-modified criteria, we found a 15.3% rate of non-emergent patients. This rate differed from that of non-emergent patients obtained using government's rule. In particular, there were inaccuracies in the definition of government rule on non-emergent patients, so it is necessary to apply the new government rule regarding classification of non-emergent patients. There were significant differences in the rate of non-emergent patients according to type of ED, means of ED visit, time to visit, and insurance. Non-emergent patients are more likely to visit a D-type ED(LEA having less than 20,000 patients annually), not to use ambulance, to have 'Automobile Insurance, Industrial Accident Compensation Insurance, or pay out-of-pocket'. Non-emergent patients tend to visit ED due to illness rather than injury. Further studies on the development' of triage scale and reexamination of the government's rule on emergency visits are required for future policy in this area.

The Synthesis and characterization of of asphalt anti-stripping agents, amides synthesized from waste oils (폐오일을 이용한 아마이드계 아스팔트 박리방지제의 합성 및 특성 분석)

  • Lee, Sang Ah;Kim, Jiwung;Cho, Namjun
    • Analytical Science and Technology
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    • v.29 no.6
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    • pp.300-304
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    • 2016
  • The asphalt antistripping agents were synthesized from ethylenediamine (ED) or N,N'-bis(2-hydroxyethyl)ethylenediamine (HEED) with three different fatty acids. The formation of amide bonds were successfully performed and confirmed by FT-IR and $^1H-NMR$ data. The adhesive properties of antistripping agents were compared in terms of contact angle and BBS test. The reaction product of ED with waste animal fat exhibited the most hydrophobic by the contact angle measurement, and the strongest water resistance of 94 % by BBS test. However, the reaction product of ED with waste vegetable oil showed the strongest absolute bond strength of ca. 3610 and 3227 kPa for before and after water conditioning, respectively. For the bond strength in general, the reaction products of ED were superior to HEED reaction products, and the reaction products of animal fat and waste vegetable oil were superior to those of pure soybean oil.

Effects of a Web-Based Korean Triage and Acuity Scale Learning Program on Triage Self-Efficacy and Triage Performance Ability for Nurses in Emergency Department (웹기반 한국형 중증도 분류 체계 학습프로그램이 응급실간호사의 중증도 분류에 대한 자기효능감 및 수행능력에 미치는 효과)

  • Kim, Hyo-Jin;Kang, Hee-Young
    • Journal of Korean Academy of Nursing
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    • v.49 no.2
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    • pp.171-180
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    • 2019
  • Purpose: The Korean Triage and Acuity Scale (KTAS) is a tool used to classify the severity and urgency of emergency department (ED) patients, focusing on their symptoms. In consideration of the importance of the KTAS, a web-based learning program has emerged as a new mode of education; it enables ED triage nurses to access it anytime and anywhere, and according to their own learning abilities. This study aimed to develop a web-based KTAS learning program and evaluate its effects on self-efficacy and triage performance ability in ED nurses. Methods: A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The conceptual framework was Bandura's self-efficacy theory. There were 30 participants in the experimental group and 29 in the control group. The experimental group attended an orientation and 4 sessions of a web-based KTAS learning program. The learning program lasted 280 minutes over five weeks, consisting of 40 minutes of orientation and four 60-minute sessions. Results: The scores of self-efficacy, triage performance ability in KTAS level, and chief complaints significantly increased in the experimental group compared to the control group. In addition, the numbers of under-triage in KTAS significantly decreased in the experimental group in comparison to the control group. Conclusion: The results suggest that the learning program was effective in improving ED nurses' level of self-efficacy and triage performance ability (KTAS level and KTAS chief complaint). Accordingly, the web-based KTAS learning program can be applied as an education intervention to improve ED nurses' triage skill.

Studies on Seed Production of Rainbow Trout, Oncorhynchus mykiss - Hatching rate and early stage performance of USA strain rainbow trout, Oncorhynchus mykiss - (무지개송어, Oncorhynchus mykiss의 종묘생산에 관한 연구 - 미국산 무지개송어의 부화 및 자치어 성장 -)

  • Baik, Kook-Ki;Choi, Young-Hee;Lee, Joong-Chul;Park, In-Sik;Kim, Young-Kil;Kim, Doo-Youn;Lee, Chae-Sung
    • Journal of Aquaculture
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    • v.20 no.2
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    • pp.85-89
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    • 2007
  • This study examined the hatching rate of eyed-eggs and growth of fingerlings of USA strain rainbow trout, Oncorhynchus mykiss, which were transplanted on Nov. 17, 2005 from the USA for improvement of breeding. The diameter and weight of eyed-eggs were $4.95{\pm}0.34\;mm$ and $0.07{\pm}0.003\;g$, respectively. The eyed-eggs were hatched in 8 days later and hatching rates were $77.3{\sim}98.6%$. After 56 days from hatching, the fingerlings grew to $4.0{\pm}0.7$ cm and 0.62 g in total length and body weight, respectively. The relationships between total length (TL) and elapsed days (ED) were expressed as TL=0.0366ED+1.8645 ($r^2=0.928$, n=350). The relationships between body weight (BW) and elapsed days (ED) were expressed as following; $BW=0.0638e^{0.0408ED}\;(r^2=0.9917,\;n=350)$. And survival of rainbow trout was $64.5{\pm}1.3%$ in 56 days after hatching.

Application of Electro-membrane for Regeneration of NaOH and H2SO4 from the Spent Na2SO4 Solutions in Metal Recovery Process (금속회수공정에서 발생되는 Na2SO4 폐액으로 부터 NaOH 및 H2SO4 재생을 위한 Electro-membrane 응용)

  • Cho, Yeon-Chul;Kim, Ki-Hun;Ahn, Jae-Woo
    • Resources Recycling
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    • v.31 no.5
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    • pp.3-19
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    • 2022
  • Electro-membrane technology is a process for separating and purifying substances in aqueous solution by electric energy using an ion exchange membrane with selective permeability, such as electrodialysis (ED) and bipolar electrodialysis (BMED). Electro-membrane technology is attracting attention as an environmental friendly technology because it does not generate by-products during the process and the recovered base or acid can be reused during the process. In this paper, we investigate the principles of ED and BMED technologies and various characteristics and problems according to the cell configuration. In particular, by investigating and analyzing research cases related to the treatment of waste sodium sulfate (Na2SO4), which is generated in large amounts during the metal recovery process.

Empirical Study on Double Discrimination on the Elderly with Disability in Labor Market -Focusing on Employment Discrimination and Wage Discrimination of Wage Earners- (고령장애인의 노동시장 이중차별 실증적 분석 -임금노동자의 고용차별과 임금차별을 중심으로-)

  • Park, Jaecheol
    • Korean Journal of Social Welfare
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    • v.65 no.2
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    • pp.79-102
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    • 2013
  • This study aimed at empirically analysing the double discrimination on the elderly with disabilities due to both age and disabilities in the labor market. To achieve this research goal, real employment probabilities and hourly wages of the elderly disabled(below "ED") were compared with those of the young disabled(below "YD") and those of the elderly non-disabled(below "END") to calculate empirical differentials between ED's and YD's, and ED's and END's. The differential decompositions between groups were applied by the Oaxaca(1973). The study results were as followings. First, the real gaps of the employment probabilities between ED and YD only appeared at the regular jobs and the gaps due to the characteristics between ED and YD were bigger than those due to the age discrimination. Second, on the contrary, the gaps of the hourly wages were caused by age discrimination more than characteristics between YD and ED. Third, it was not true that the elderly with disabilities take double discriminations in the labor market. It is therefore required to give the additional incentives to ED workers with government subsidies of employment promotion for the disabled provided. Second, it is proposed that the integrations the employment policies for the disabled with those for the aged because the disability as dependent valuable didn't have statistically significant effects on the employment probabilities and the hourly wage levels.

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Clinical analysis of febrile infants and children presenting to the pediatric emergency department (소아응급실에 내원한 발열 환아에 대한 연구 분석)

  • Kwak, Byeong Gon;Jang, Hyun Oh
    • Clinical and Experimental Pediatrics
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    • v.49 no.8
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    • pp.839-844
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    • 2006
  • Purpose : We studied clinical patterns of the febrile infants and children presenting to the Pediatric Emergency Department(ED) in the general pediatric population. Method : We analyzed 1,764 infants and children who had a history of measured body temperature of $38.3^{\circ}C$ or higher, before or after arrival at Pediatric ED of Ilsan Paik Hospital from September 2004 to August 2005. We analyzed their clinical patterns, such as the frequency of febrile illness, age distribution, monthly distribution, diagnosis. Result : The frequency of the febrile illness at Pediatirc ED was 19.9 percent (1,764/8,881 cases). The percentage of admission into hospital was 26.4 percent. The most common age group presenting to Pediatric ED with febrile illness was the 12-23 months group(22.8 percent) followed by the 4-11 months group and the 2 years group. In May, the most numerous patients presented to the Pediatric ED with febrile illness. The frequency of febrile illness was significant higher in the 'Spring & Summer group' compared to the 'Autumn & Winter group'. The ratio of male to femal was 1.4:1. The most common diagnosis was acute pharyngitis(42.5 percent), followed by acute gastroenteritis (15.3 percent), pneumonia(7.0 percent). Conclusion : The frequency of the febrile illness at Pediatirc ED was 19.9 percent. The most numerous patients visited Pediatric ED in May. And, the most common age group was 12-23 months. The proportion of non-urgent disease, such as acute pharyngitis, acute gastroenteritis, acute nasopharyngitis and acute bronchitis, was high. There is a need to educate parents and improve the medical system in Korea.

Effects of Chronic Ethanol Consumption and Taurine Supplementation on Hepatic Total and Phospholipid Fatty Acid Compositions in Rats (만성적인 에탄올 섭취와 타우린보강이 흰쥐간의 총지방산 및 인지질지방산 조성에 미치는 영향)

  • Um, Young-Sook;Chung, Eung-Jung;Oh, Joo-Yeon;Park, Tae-Sun
    • Journal of Nutrition and Health
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    • v.33 no.2
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    • pp.124-133
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    • 2000
  • This study evaluated the effects of chronic ethanol consumption and/or taurine supplementation on hepatic total, phospholipid fatty acid composition and the metabolism of rats fed one of three purified liquid diets for 8 weeks. the rats followed either the control diet (CD, ethanol-free and taurine-free diet); ethanol diet (ED, CD+ 50g ethanol/L) or ethanol-taurine diet (ETD, ED+3.75g taurne/L). Chronic ethanol consumption and/or dietary taurine supplementation were associated with altered hepatic total and phospholipid fatty acid composition. compared to the values for the control rats, ED or ETD significantly decreased the percentage of total monounsaturated fatty acids ($\Sigma$MUFA), and increased the percentage of total polyunsaturated fatty acids ($\Sigma$PUFA) of hepatic total lipids(p〈0.01). Percentages of 14:0(P〈0.01) and 16:0(p〈0.001) were sigificantly lower, and those of 18:0(p〈0.01), 20:0(p〈0.001), 20:3$\omega$6(p〈0.01) and 22:4$\omega$6(p〈0.01) in hepatic total fatty acid compositions were oserved in rats fed ETD versus those fed ED or ETD. No significant differences in hepatic total fatty acid compositions were observed in rats fed ETD versus those fed ED. Percentages of 24:0(p〈0.01), 16:1(p〈0.05), 20:1(p〈0.01), 18:2$\omega$6(p〈0.01) and 18:3$\omega$3(p〈0.05) in hepati phospholipids were significantly higher, and those of 14:0(p〈0.01), 16:0(p〈0.001), 20:3$\omega$3(p〈0.05) in hepatic phospholipids were significantly higher, and those of 14:0(p〈0.01), 16:0(p〈0.001), 20:3$\omega$3(p〈0.001), 22:6$\omega$3(p〈0.001) and $\Sigma$$\omega$3(P〈0.001) were significantly lower in rats fed ED or ETD compared to the values for the control rats. The Δ5 desaturation index(20:3$\omega$6⇒20:4$\omega$6) and elongation index (20:5$\omega$3⇒22:5$\omega$3) of hepatic phospholipid index (20:3$\omega$6⇒20:4$\omega$6) and decreased Δ4 desaturation index (22:5$\omega$3⇒22:6$\omega$3) compared to the values for the ED rats. These changes in hepatic fatty acid composition induced by chronic ethanol consumption and/or taurine supplementation might be associated with the modulations of physical properties of the hepatic cell membrane and its sensitivity to peroxidation damage.

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Decision Feedback Algorithms using Recursive Estimation of Error Distribution Distance (오차분포거리의 반복적 계산에 의한 결정궤환 알고리듬)

  • Kim, Namyong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.5
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    • pp.3434-3439
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    • 2015
  • As a criterion of information theoretic learning, the Euclidean distance (ED) of two error probability distribution functions (minimum ED of error, MEDE) has been adopted in nonlinear (decision feedback, DF) supervised equalizer algorithms and has shown significantly improved performance in severe channel distortion and impulsive noise environments. However, the MEDE-DF algorithm has the problem of heavy computational complexity. In this paper, the recursive ED for MEDE-DF algorithm is derived first, and then the feed-forward and feedback section gradients for weight update are estimated recursively. To prove the effectiveness of the recursive gradient estimation for the MEDE-DF algorithm, the number of multiplications are compared and MSE performance in impulsive noise and underwater communication environments is compared through computer simulation. The ratio of the number of multiplications between the proposed DF and the conventional MEDE-DF algorithm is revealed to be $2(9N+4):2(3N^2+3N)$ for the sample size N with the same MSE learning performance in the impulsive noise and underwater channel environment.

Quality Characteristics of Mul-kimchi Prepared Using Eastern Deep Seawater Added with Chitosan-Ascorbate (Chitosan-Ascorbate 함유 동해심해수로 담근 물김치의 품질특성)

  • Lee, Ye-Kyung;Shin, Kyung-Ok;No, Hong-Kyoon;Kim, Soon-Dong
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.34 no.9
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    • pp.1450-1458
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    • 2005
  • Quality characteristics of mul-kimchi prepared using eastern deep seawater added with $0.1\%$ chitosan-ascorbate (CA) were investigated during fermentation for 12 days at $10^{\circ}C$, in an effort to effectively utilize the eastern deep seawater in Korea. Four water sources were considered for preparation of mul-kimchi; (1)distilled water added with $1\%$ mineral salt (DW), (2) eastern deep seawater (containing $6\%$ salt) diluted to $1\%$ salt concentration with distilled water (ED), (3) DW+CA (DW-CA), and (4) ED+CA (ED-CA). Juice of mul-kimchi prepared with ED-CA as a water source showed higher PH and antioxidant activity, and lower acidity, total microbe numbers, turbidity and alcohol insoluble substance compared with those Prepared with other three water sources. The former also showed higher overall acceptability compared with the latter. This study demonstrated the possibility of use of eastern deep seawater added with chitosan-ascorbate as a water source for extension of shelf-life of mul-kimchi.