• Title/Summary/Keyword: High risk service

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The Influence of High-Speed Railroad Construction on Territorial Organization : A Case Study of the French TGV Transportation Network (국토 공간조직에 미친 고속철도망 건설의 영향 : 프랑스 TGV 교통망의 사례를 중심으로)

  • Lee, Hyeon-Joo
    • Journal of the Korean association of regional geographers
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    • v.10 no.2
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    • pp.252-266
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    • 2004
  • This study analyzes the influence of the construction of a high-speed railroad on territorial organization in France. After development of a new transportation network, the French territorial organization has been largely modified. Many economic urban areas are modified by their position in the territorial hierarchy according to their condition of connection with the TGV network. At first, spatial convergence is the most important effect of the TGV network construction. Second, the development of a transportation network concentrated in the Paris area has influence as an intensified factor on metropolitan areas and as a weakening factor on middle- and small-sized cities. Thus, this system has risk in increasing territorial imbalance in France. Third, to implant an economic activity zone around new TGV stations, a new town or a new economic center starts to develop. This is going to grow into a second core outside of the old city center so that regional spatial organization is transformed from a mono-polarized(mono-centric) organization to a multi-polarized(polycentric) one. Lastly, the integration of the EU railroad system enhances the concentration of economic activity in European metropolitan areas as each metropolitan area tries to develop more competitive space for its rising position in the global urban hierarchical system.

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Comparative Analysis of CNN Deep Learning Model Performance Based on Quantification Application for High-Speed Marine Object Classification (고속 해상 객체 분류를 위한 양자화 적용 기반 CNN 딥러닝 모델 성능 비교 분석)

  • Lee, Seong-Ju;Lee, Hyo-Chan;Song, Hyun-Hak;Jeon, Ho-Seok;Im, Tae-ho
    • Journal of Internet Computing and Services
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    • v.22 no.2
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    • pp.59-68
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    • 2021
  • As artificial intelligence(AI) technologies, which have made rapid growth recently, began to be applied to the marine environment such as ships, there have been active researches on the application of CNN-based models specialized for digital videos. In E-Navigation service, which is combined with various technologies to detect floating objects of clash risk to reduce human errors and prevent fires inside ships, real-time processing is of huge importance. More functions added, however, mean a need for high-performance processes, which raises prices and poses a cost burden on shipowners. This study thus set out to propose a method capable of processing information at a high rate while maintaining the accuracy by applying Quantization techniques of a deep learning model. First, videos were pre-processed fit for the detection of floating matters in the sea to ensure the efficient transmission of video data to the deep learning entry. Secondly, the quantization technique, one of lightweight techniques for a deep learning model, was applied to reduce the usage rate of memory and increase the processing speed. Finally, the proposed deep learning model to which video pre-processing and quantization were applied was applied to various embedded boards to measure its accuracy and processing speed and test its performance. The proposed method was able to reduce the usage of memory capacity four times and improve the processing speed about four to five times while maintaining the old accuracy of recognition.

Factors Related to Admission via Emergency Room in Korean Hospitals with an Emergency Medical Center (응급의료센터를 보유한 의료기관 입원 중 응급실경유입원 관련 요인)

  • Na, Baeg-Ju;Lee, Sun-Kyung;Oh, Kyung-Hee;Kim, Keon-Yeop;Chung, Seol-Hee
    • Health Policy and Management
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    • v.19 no.2
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    • pp.71-84
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    • 2009
  • Objectives : The purpose of this study is to analyze the proportion of admission via the emergency room(the rest is ER) in an emergency medical center and to examine the factors related to admission. Methods : This study used 2005 National Health Insurance claims data for admitted patients of 112 hospitals having emergency medical centers in Korea. The study sample had 2,335,610 patients. The data was classified into emergency admission and non-emergency admission. To investigate the factors affecting the type of admission, the following were included as independent variables: type of health assurance_(national health insurance beneficiaries or medical aid beneficiaries), demographic characteristics_ (sex, age), cause of admission_ (disease or injury), whether an operation was performed or not, DRG severity level, the number of beds, and the location of the hospital. Data were analyzed using the Chi-square test for the differences in emergency admission rates for each variables, and multiple logistic regression analysis was used for identifying the factors affecting admission type. Results : The proportion of admission via the ER accounted for 40.6% of the total admission among hospitals having emergency medical centers. The risk of admission via ER was relatively high for patients who were male, the aged, the injured, the surgical patients, the patients having more severe symptoms, and the patients admitted the hospitals located in metropolitan areas, and the patients admitted the hospitals having 300-699 beds. Medical aid patients were more likely admitted through the emergency room than health insurance patients after other variables ware adjusted. Conclusions and Discussion : We analyzed the proportion of admission via the ER for the total admission rate of hospitals having an emergency medical center in Korea. And we explored the factors related to admission via the ER. This proportion may be used as an indicator of the adequacy of medical utilization or low accessibility to hospitals of patients with low socioeconomic status.

The Effect of Auricular Acupuncture for Obesity: A Systematic Review and Meta-analysis (비만치료에 대한 이침요법의 효과에 대한 고찰: 체계적 문헌고찰 및 메타분석)

  • Park, Seohyun;An, Sunjoo;Choi, Sunghwan;Kang, Shinwoo;Keum, Dongho
    • Journal of Korean Medicine for Obesity Research
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    • v.20 no.1
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    • pp.52-68
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    • 2020
  • Objectives: The purpose of this study is to investigate the weight loss effects of auricular acupuncture in obese patients. Methods: Six databases (Research Information Sharing Service [RISS], Korean studies Information Service System [KISS], Oriental Medicine Advanced Searching Integrated System [OASIS], PubMed, The Cochrane Library, China National Knowledge Infrastructure [CNKI]) were searched up to May 20, 2020. Eight eligible randomized controlled trials were included the present study. The quality of included studies was assessed by the Cochrane risk of bias tool and a meta-analysis was performed by Review Manager software. A meta-analysis was conducted using a random-effects model and a subgroup analysis was performed to detect the sources of heterogeneity, identify the selection of acupuncture methods and explore its contributions to the weight loss effects. Results: Among 8 trials, 5 trials used auricular acupuncture and 2 trials used auricular acupressure, 1 trial used both types of intervention. Most commonly selected acupoints were Shenmen (TF4) and stomach (CO4). Treatment duration was six to twelve weeks, and total treatment session was six to twelve. Compared to the control groups, auricular acupuncture significantly decreased body weight, body mass index (BMI), high density lipoprotein-cholesterol (HDL) and ghrelin. For the selection of acupuncture methods, both methods performed similarly in most outcome except waist circumference (WC), body fat percentage (BFP), and triglycerides (TG). Conclusions: We found that auricular acupuncture can be effective for weight loss and controlling appetite. However, the findings should be interpreted with caution due to heterogeneity. So further vigorous and well-designed studies should be conducted to strengthen the evidence of the use of auricular acupuncture for obesity.

Factors Affecting Emotional Labor among Physical Therapists and Occupational Therapists (물리치료사 및 작업치료사의 감정노동 수준에 미치는 요인)

  • Hur, Yoon-Jung;Lee, Suk-Min
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.237-247
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    • 2019
  • The purpose of this study was to evaluate the level and intensity of emotional labor of physical therapists and occupational therapists, and to identify the factors affecting them. Cross-sectional study was conducted on physical therapists and occupational therapists across the country using self-populated questionnaire. A total of 2,000 questionnaires were distributed to retrieve 1,500 questionnaires(75%), of which 1,374 questionnaires(68.7%) were finally analyzed, excluding 126 that answered duplicates or were missing answers. Multi-linear regression was performed to identify factors on the strength of emotional labor. According to the analysis results, high-risk groups in the areas under 'Emotional demand and regulation' and 'Overload and conflict in customer service' and 'Emotional disharmony and hurt' were 29.4%, 19.0% and 22.0% respectively, especially in 'Emotional demand and regulation', 'Overload and conflict in customer service', 'Emotional disharmony and hurt' for women working days, and 49% of daily work hours. Accordingly, we will be able to regularly screen physical therapists and occupational therapists for dangerous groups, and manage the intensity of emotional labor through the creation of a therapist's working environment, such as limiting overtime hours and assigning appropriate number of patients. Through this study, the grounds and methods for mitigating the negative effects of emotional labor and mediating emotional labor should be provided.

Factors associated with tobacco and alcohol use (저소득층의 음주 및 흡연 관련 요인)

  • Choi, Eun-Jin;Kim, Chang-Woo
    • Korean Journal of Health Education and Promotion
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    • v.25 no.5
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    • pp.39-51
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    • 2008
  • The objectives of this study were to analyze the socio-economical factors related to smoking and drinking behaviors using the Korea Welfare Panel data. The key variables were sex, age, frequency of health and medical facilities visit, subjective health level, smoking level, drinking level, depression symptoms, and low income level. Since the health variables in the Welfare Panel data were limited, the analysis was exploratory. In male population of those older than 30 years old, low income group people were more likely to smoke cigarettes than the general income population. In the result of the Chi square analysis, the smoking rate showed significantly different relationships with the different age groups, gender and income level. According to the descriptive analysis, persons with low income level were more likely to experience health risk behaviors and showed more medical service utilization. The utilization of the local public health centers was 4.6% for the Bow income level and 1% for the general level. The higher smoking rate was associated with the younger age, and the lower income. The smoking rate in the age category from 20 to 29 was 23.3% for the general level and 25% for the low income level. On the other hand, the drinking rate was even higher in the general families. The rates of non use of alcohol was 36.7% in the general families and 58.4% for the low income families. For both smoking and high risk drinking issues, demographic and sociological variables such as sex, age, education levels and income levels were analyzed, and there wer significant relationships. Health risk factors were serious for males, with age groups of 20's and 30's, lower education level, and in a low income family. In general, females were more unhealthy. The rates of smoking and drinking were higher in the low income level. Even in the health and nutrition survey results in 2005, persons in the low income class were experiencing poorer health in health level or the degree of action restriction. Since the effects of the health promotion could not be measured in a short period of time, it has not been easy to create the basis for the substantial effects. Factors related to health risks needs to be continuously studied using data from diverse field.

Secular Trend in Dietary Patterns in a Korean Adult Population, Using the 1998, 2001, and 2005 Korean National Health and Nutrition Examination Survey (우리나라 성인의 식사패턴 변화 추세 - 1998, 2001, 2005년도 국민건강영양조사자료를 이용하여 -)

  • Kang, Min-Ji;Joung, Hyo-Jee;Lim, Jeong-Hyun;Lee, Yeon-Sook;Song, Yoon-Ju
    • Journal of Nutrition and Health
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    • v.44 no.2
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    • pp.152-161
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    • 2011
  • Koreans have undergone many changes in dietary patterns with economic growth. The purpose of this research was to examine changes in dietary patterns using data from the 1998, 2001, and 2005 Korean National Health and Nutrition Examination Survey. The study included 21,525 subjects (8,295 from 1998, 6,880 from 2001, and 6,350 from 2005) who were 20 years or older and who participated in a 24-h diet recall. The percentage energy intake from 22 food groups was calculated, and a cluster analysis was applied to identify dietary patterns. Two dietary patterns emerged; the first pattern was characterized by high intake of white rice, legumes, vegetables, kimchi, and seaweeds, the so-called "traditional" pattern (53%), whereas the other pattern was characterized by high intake of other grains, noodle dumplings, floured bread, pizza, hamburgers, cereals and snacks, potatoes, sugared sweets, nuts, fruits, meat·its products, eggs, fish, milk and dairy products, oils, beverages and seasoning, or the so-called "modified" pattern. The modified pattern comprised a higher proportion of younger aged, metropolitan residents with more education and higher incomes. However, the gender distribution was not significantly different. The modified pattern had a significantly higher intake of all nutrients except carbohydrates and had a higher proportion of energy from fat and protein. No association with a risk for metabolic syndrome was found for either dietary pattern. After age was standardized, the traditional pattern included 52% of the respondents in 1998, 54% in 2001, and 50% in 2005. However, the modified pattern was significantly more prevalent in the younger age group (20-29 yr), whereas the traditional pattern increased significantly in the older age group (${\geq}$ 65 yr). In conclusion, a secular trend was found for dietary pattern by age group, suggesting that it is necessary to monitor the changes in dietary pattern by age group and to develop appropriate dietary education and guidelines.

Protective Effect of Selenium on Experimental Colon Carcinogenesis in Mice Fed a Low Iron Diet

  • Park, Hyun-Ji;Kim, Jun-Hyeong;Kang, Bong-Su;Nam, Sang-Yoon;Kim, Jong-Soo;Jeong, Jae-Hwang;Kim, Eun-Young;Lee, Beom-Jun;Yun, Young-Won
    • Journal of Food Hygiene and Safety
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    • v.26 no.4
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    • pp.388-397
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    • 2011
  • Selenium (Se) is known to prevent from several cancers, while iron (Fe) is known to be associated with high risk of cancers. The role of Se on colon carcinogenesis was investigated in an animal model induced by azoxymethane (AOM) and dextran sodium sulfate (DSS) in low Fe mice. Six-week old ICR mice fed on a low Fe diet (4.5 ppm Fe; generally 10 times lower than normal Fe) with three different Se (0.02, 0.1 or 0.5 ppm) levels for 24 weeks. The animals received weekly three ($0{\sim}2^{nd}$ weeks) i.p. injections of AOM (10 mg/kg RW), followed by 2% DSS with drinking water for 1 week to induce the colon cancer. There were five experimental groups including vehicle, positive control (normal Fe level, AOM/DSS), Low Fe (LFe) + AOM/DSS+Low Se (LSe), LFe + AOM/DSS + medium Se (MSe) and LFe + AOM/DSS + high Se (HSe) groups. HSe group showed a 66.7% colonic tumor incidence, MSe group showed a 69.2% tumor incidence, and LSe group showed a 80.0% tumor incidence. The tumor incidence was negatively associated with Se levels of diets. Tumor multiplicity in Hse group was significantly low compared to the other groups (p < 0.05). With increasing Se levels of diets, the primary anti-proliferating cell nuclear antigen (PCNA)-positive cells were decreased and apoptotic bodies were increased in a dose-dependent manner. Se-dependent glutathione peroxidase activity and its protein level were dependent on the levels of Se of diets. Malondialdehyde level in liver was lowest in Hse group among experimental groups. These findings indicate that dietary Se is chemopreventive for colon cancer by increasing antioxidant activity and decreasing cell proliferation in Fe-deficient mice.

Microbial Risk Analysis of Cooked Foods Donated to Foodbank(I) (푸드뱅크 기탁 조리식품의 미생물학적 위해분석(I))

  • Park, Hyung-Soo;Ryu, Kyung
    • Korean Journal of Community Nutrition
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    • v.12 no.5
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    • pp.617-629
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    • 2007
  • To ensure the microbiological safety of food items prepared after cooking process, this study was aimed to identify the hazards related with cooked foods donated to foodbanks through quantitative microbial analysis. Five foodbanks located in Incheon and Gyeonggi area among government-dominant foodbanks were surveyed from February to June, 2007. Manager, recipient, donator, type and quantity of donated foot and facility and equipment were examined for the general characteristics of foodbank. The time and temperature of food md environment were measured at steps from after-production to before-distribution, and the microbial analysis was performed mainly with indicator organism and major pathogens. The amount of cooked foods donated to each foodbank was about 20 to 30 servings and consisted of 80% of total donated foods. Only three foodbanks had separate offices for foodbank operation and four institutions had at least one temperature-controlled vehicle. The flow of donated foods was gone through the steps; production, meal service and holding at donator, collection by foodbank, transport (or holding after transport) and distribution to recipients. It took about 3.8 to 6.5 hours at room temperature from after-production to before-distribution. Only aerobic plate counts (APC) and coliforms were found in microbial analysis. The APC after production were relatively high in $8.2{\times}10^5,\;7.4{\times}10^5,\;6.9{\times}10^5$ and $4.2{\times}10^5 CFU/g$ while $2.8{\times}10^6, \;9.4{\times}10^5,\;1.0{\times}10^6$ and $5.4{\times}10^5CFU/g$ before distribution in mixed Pimpinella brachycarpa, mixed chard mixed amaranth and mixed spinach, respectively. The levels of coliforms in mixed chard and mixed spinach were complied with the standards of the Ministry of Education and Human Resources Management The level of APC in boiled pork was increased from $< 1.0{\times}10 CFU/g$ to $4.0{\times}10^2 CFU/g$. One of delivery vessels was shown $6.2{\times}10^3 CFU/100 cm^2$ in APC, which was over the standards for environment. One of serving tables also showed the high level of $1.2{\times}10^3 CFU/100 cm^2$ in APC and $6.6{\times}10^2 CFU/100 cm^2$ in coliforms. These results suggest the sanitary management of holding at donator and the time-temperature control are key factors to ensure the safety of cooked foods donated to foodbank.

Factors Influencing Stress Coping Behaviors of Elementary Students in Korea (한국 초등학생들의 스트레스 대응 행동에 영향을 미치는 요인)

  • Lee, Chung-Yul;Lee, Gyu-Young;Jeon, Kyoung-Mi;Park, So-Hyun;Hong, Yoon-Mi;Lee, Hyeon-Kyeong
    • Korean Journal of Health Education and Promotion
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    • v.26 no.5
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    • pp.1-13
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    • 2009
  • Objectives: The purpose of this study was to examine factors influencing stress coping behaviors of elementary students in Korea. Methods: This study used a descriptive comparative survey design. A total of 1,161 elementary students voluntarily participated in the study from 10 schools at three regional levels (large and medium-sized cities, and rural towns). Coping behaviors were measured by the modified Ways of Coping Checklist. The data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression. Results: The most commonly used stress coping behavior reported by the participants was mystic coping, followed by positive coping, and negative coping. Students living in the large city and female students tended to use more coping behaviors than students living in the medium-sized city or rural towns and male students, respectively. Positive coping behaviors were associated with high school performance while myotic coping behaviors were associated high life satisfaction. Conclusion: Elementary students who are males, dissatisfied with their lives, or living in large cities or rural towns tended to be at risk for poor coping. There were differences in factors influencing coping behaviors by type of coping behaviors. An approach to building a successful coping behavior that is specifically tailored to the gender subsets of population and region-specific social and physical environment is recommended.