• Title/Summary/Keyword: Investigation priority

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Severity of Emergency Patient classified by Triage System (중증도 분류체계를 이용한 중증도분류(Triage))

  • Bae, Jung-Hee;Sohn, Sue-Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.264-274
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    • 2001
  • About the patients who visited the emergency department of a hospital, investigative study was performed to assess and to classify them with triage tool, and to estimate the characteristics of them. 210 patients older than 15 years were investigated. Among them 11 patients who had responded inappropriately were excluded and remaining 210 patients were chosen as study subjects. Investigation had been performed for 30 days from Jan. 10, 2001 to Feb. 9, 2001. The triage tool was designed through the modification of triage tools developed by Kim and Choi. The data were analyzed with the SPSS program using mean, standard deviation, frequency, percentage, ANOVA and Scheffe's test. The results were as follows: 1. Of the characteristics of the study subjects, mean age of patients were 55.76 years and 70-79 years group which included 41 patients(20.6%) were most numerous. 101 (51.8%) patients visited emergency room by 119 emergency service and 91(45.7%) patients walked with assistance. 127 patients were cared in internal medicine department. 2. The distribution of triage scores were from minimum 6 points to maximum 18 points with mean $13.76{\pm}2.58$ points. 3. Triage scores had significant relationship with age(F=13.349,P=0.000), visiting method (F=8.832, P=0.000), walking status(F=28.185, p=0.000), care department(F=2.596, P=0.019), and preexisting disease(F=12.012, P=0.000). 4. After trage there were no urgent patient, 35 emergent patients(17.6%),109 subemergent patients(54.8%), and 55 nonemergent patients (27.6%). The result of emergency care were 80 admission(40.2%), 59 discharge (29.6%), 34 ICU admission(17.1%), 14 transfer to other hospital(7%), 10 operation (5%), and 2 death (2%). 5. About the time required for triage, mean duration to triage were $7.54{\pm}2.28$ mins in emergent patients, mean $7.23{\pm}2.50$ mins in subemergent patients and mean $6.49{\pm}2.19$ mins in nonemergent patients. There were no differences in duration to triage according to the severity of triage. 6. Time required in emergency treatment were mean $116.23{\pm}88.10$ in emergent patients mean $101.61{\pm}73.27$ in subemergent patients and mean $81.56{\pm}61.01$ in nonemergent patients. There were no significant difference among groups. This study depicted that triage scores were below the middle level and there were many geriatric patients in this hospital. Among the characteristics of patients, age, visiting method, walking status, care department, and accompanying disease could be data for triage of emergency patients. With triage score of a patient, the outcome of emergency care of a patient could be anticipated and this could be basal data in determining the priority of emergency nursing.

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Usability Test and Investigation of Improvements of the ECDIS (ECDIS의 사용성 평가 및 개선사항 분석)

  • Lee, Bo-Kyeong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.2
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    • pp.146-156
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    • 2018
  • The ship's chart system was changed from the use of paper chart to the ENC (Electronic Navigational Chart) using ECDIS (Electronic Chart Display and Information System). The introduction of ENC in ships is necessary for ship automation and for the digitalizing of data and integration of information, but unexpected various problems have occurred and are posing a great threat to safe navigation in the transitional period when the new system has been applied to the sea. In this paper, to assess whether ECDIS contributes to the safety of navigation for its intended purposes as new navigation equipment, a usability test of ECDIS was conducted on masters and crew who have used ECDIS on ocean-going vessels. The result was verified with a paired sample T-test, and it was significantly analyzed with the effectiveness of a simplified task; cost efficiency was decreased since ECDIS was used. By analyzing 'MSC.1/Circ.1503 ECDIS - Guidance for good practice', we found that the effects of the maintenance of ECDIS software, operating anomalies identified within ECDIS, differences between raster chart display system (RCDS) and ECDIS, and matters of identification were compounded by the overlapping information on the safety of ships. The anomalies were also grouped according to their characteristics, and we proposed suitable improvements accordingly. The reason for the reduction in efficiency in the usability test was that the problems with ECDIS were intended to be solved only with the careful use of navigational officers who did not have systematic solutions. To solve these problems, the maintenance of software, the improvement of ECDIS anomalies, the reliable ENC issuance including the global oceans, and S-mode development are a priority.

Correlation Between Environmental Factors and Plant Species - Example of Tributaries of the Han River and Nakdong River (하천의 자연환경과 식물출현과의 상관성 - 한강 및 낙동강 지류하천의 사례 -)

  • Kim, Hyea-Ju;Shin, Beom-Kyun;Kim, Chang-Wan
    • Korean Journal of Environment and Ecology
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    • v.22 no.1
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    • pp.43-58
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    • 2008
  • For this study, which was conducted in the summer from $2004\sim2007$, 10 small and medium sized streams in Korea were selected(Munsan and Gokreung Stream in the Han River watershed, Mi, Ssanggye and Nam Stream in the Nakdong River watershed, Gapeong and Jojong Stream in the Bukhan River watershed, Cheongmi, Yanghwa and Bokha Stream in the Namhan River watershed), and plant surveys were performed using the belt transect method on the most natural 1km sections of each stream in order to clarify the natural environment condition of the plants in each stream. In the results of the plant survey, the total number of plant species recorded was 296. After selecting 121 species of those surveyed plant in order of frequency, an RDA(Redundancy Analysis) and a Pearson Correlation Analysis were performed to determine the correlation between the selected plant species and environmental factors( such as distance from channel, size of bed material, number of bars, altitude, bed slope, width of channel, and measured data of water quality) of the study sites. There was no significant correlation between the 121 plant species and altitude, bed slope, and number of bars at the research sites, but the correlation of plant species with size of bed material, width of channel, electrical conductivity, and phosphate$(PO_4-P)$ concentration was from very high to moderate. Also, the spectrum of these plant species reflects the actual environmental conditions so the method used in the study seems to be correct, but owing to the range of diversity, the results of the study seem to be difficult to extend to other streams. Nevertheless, it is expected that this data can be used as a basic material for researching plants by stream characteristics or in selecting plant species for streams.

Research on the Methodology for Policy Deriving to active Artificial Intelligence (인공지능 활성화 정책 도출 방법 연구)

  • Yoo, Soonduck
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.20 no.5
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    • pp.187-193
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    • 2020
  • The purpose of this study is to study the methodology of deriving a policy that activates artificial intelligence from the governmental perspective in order to induce corporate growth by effectively grafting artificial intelligence technology into society and thereby improve individual and national competitiveness by creating new jobs. In order to derive activation plans, 1) detailed investigation of the domestic environment, 2) discovery of priority support fields and models that can be applied to artificial intelligence, 3) preparation of guidelines for activation and introduction, 4) specific methods for promoting and activating artificial intelligence Should be presented. The proposed artificial intelligence activation method performs a procedure to verify and confirm the effectiveness of artificial intelligence nurturing through a multi-faceted approach. The multi-faceted analysis approach includes business ecosystem aspects, industry-specific aspects including companies, technology fields, policy aspects, public and non-public services aspects, government-led and private-led aspects. Therefore, it can be reviewed as a method of inducing activation in various forms. In the future research field, it is necessary to prove the effectiveness of the proposed activation plan based on empirical data on artificial intelligence-based services. The expected effect of this study is to contribute to support the development of artificial intelligence technology and to establish related policies.

Study for Building Ecological Network in East-North Asia (동북아 생태네트워크 구축을 위한 방안 고찰)

  • Jeon, Seong-Woo;Lee, Moung-Jin;Kang, Byung-Jin;Shin, Ji-Young
    • Journal of Environmental Policy
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    • v.8 no.3
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    • pp.1-26
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    • 2009
  • In the 1990s, when the viewpoint that an ecosystem is a single network within a specific region was adopted, the preservation and management of natural ecosystems was proposed. With regard to Northeast Asia, the expansion of trans-boundary pollution due to rapid development and the swift destruction of the natural environment emphasize the necessity for environmental cooperation. The Northeast Asia region made up of South Korea, North Korea, three northeastern prefectures in China, the Russian far-east, and parts of Mongolia were selected to be analyzed for an ecological network. The significance of this study lies in the development of a methodology for building a Northeast Asian ecological network through the use of satellite images. Regarding the methods of analysis, stable habitats for four priority species were selected to be performed using overlay analysis. The result of the analysis of the ecological networks in the whole Northeast Asia region showed that there were key areas partly dispersed in the Korean Peninsula, but whether the key areas would be maintained in the long term is unknown. As for China, key areas were concentrated in the border areas around the Tumen River and in parts of the three northeastern prefectures. Russia had wide-ranging areas that could function as stable habitats for most species. As a result of the actual conditions of the ecological networks, most of the Northeast Asia region, including the Korean Peninsula, was in poor condition, requiring appropriate measures and their operation as soon as possible. Also, it was revealed that further investigation and research was necessary for border areas that were identified to be key areas.

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Comparison and Analysis on Risk Assessment Models of Coastal Waters considering Human Factors (인적요인을 고려한 연안해역 위험도 평가모델 비교·분석)

  • Kim, In-Chul;An, Kwang
    • Journal of Navigation and Port Research
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    • v.40 no.1
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    • pp.27-34
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    • 2016
  • For the prevention of marine casualties, international bodies have mainly focused on strengthening ship's stability and design, maritime education and training, and improving maritime traffic environment. Statistics analysis on marine casualties showed that most of casualties occurred in coastal waters, especially by human elements. In order to review the conformity of existing prevention measures with the result of the statistics analysis, the IMO's SHELL model was applied to the established measures. As a result, ergonomic approaches were needed for the prevention of human errors in coastal waters, so that the priority should be given to the interface between ship's operator and navigational environment. For this study, Rasmussen's SRK pyramid, which showed decision making mechanism of human, and the US Coast Guard's investigation manual on marine casualties concerning the collapse of safe maritime transportation system were reviewed, and the merits and demerits within the risk assessment tools such as IWRAP, PAWSA, ES model, PARK model, and NURI model were also studied. Although the effectiveness of the existing risk assessment models was proved in ports and approaching channels, it is concluded that the need of new models for converting Korean seafarers' qualitative risk to quantitative risk was proposed so as to print hazard maps which make seafarers instinctively recognize comparative hazard levels of coastal waters.

The Optimum Design of Suspended Growth Systems (부유성 미생물을 이용한 생물처리법의 최적 설계)

  • Lee, Jeoung-Su
    • Journal of Korean Society of Environmental Engineers
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    • v.22 no.6
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    • pp.1011-1019
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    • 2000
  • The purpose of this study is to examine the basis of design condition of existing treatment processes, namely, Extended Aeration Process, Conventional Activated Process, High Rate Aeration Process and Modified Aeration Process, by clarifying the correlations of influent wastewater concentration, hydraulic retention time, food-to-microorganism ratio and sedimentation of sludge, as well as to ascertain the feasibility of design, regardless of the existing design condition. In particular, this study made a priority investigation of hydraulic retention time and sludge sedimentation, because sludge sedimentation is the main factor$^{1)}$ which determines the operating conditions of existing treatment processes. Therefore, it is generally known that in case exceeds the sphere of design presented for each treatment, sludge bulking may occur. The results of Lesperance's test$^{1)}$, which formed the basis of design, showed the sphere of loading without security of sludge sedimentation, as in Fig. 1. The reason for sludge bulking in a certain condition, as above, is due to failure in application of optimum loading corresponding to each retention time by employing a few operating condition, which proved to be consecutively workable after years of trials and failures by Lesperance, for test conditions. However, the result of this test showed that in case of proper maintenance of loading. sludge sedimentation can be ensured under 120 SVI. Therefore, this study suggested hydraulic retention time and its corresponding optimum loading, and identified the hydraulic retention time as a determinant of sludge sedimentation. And. on the basis of these findings, this study suggested the feasiblity of UHR(Ultra High Rate), a new operating process, exceeding several times the applicable loading value of High Rate Aeration Process under one hour retention time which has not yet applied to the existing treatment processes.

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Parish Nursing : A New Challenge for Primary Health Care (지역교회간호(Parish Nursing) - 일차건강간호를 위한 새로운 도약)

  • No, Yu-Ja;Baek, Yeong-Mi
    • The Korean Nurse
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    • v.37 no.2
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    • pp.53-62
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    • 1998
  • ursing as a profession is characterized by its holistic, mind-body-spirit approach to the patient. Also, nurses have historically been the leaders in health education and promotion. Parish nursing has a great potential for providing primary preventive health care. services as well as assisting people to access the health care system. While working in the community, parish nurses see the church as the new arena for delivering health care services. The parish nurse program was introduced by Granger Westberg in 1984. The concept of parish nursing is based on several beliefs; health is multidimensional and affects all aspects of an individual-physical, psychological, social, and spiritaul being. Parish nursing is one model in which churches can cooperatively work with health care institutions to address the needs of their parishioners. The role of the parish nurse is emphasized in four basic area: a) health education, b) health counseling, c) referal services, and d) facilitation and organization of support groups within the congregation. The parish nurse programs work chiefly in congregation or commuity where a certain language of faith is ready at hand. This means that the parish nurse works in an ecology of meanings and care which encourages the drawing on the message of God's grace, the practices and habits it encourages. The parish nurse may be involved in the church's health ministries and may work on either paid or volunteer basis; however, one of the most important qualification of the parish nurse is to have the nursing knowledge and skills to practice within the standards of Nursing Practice Act. The completion of standards of practice for professional nurses practicing as parish nurses had been identified as a priority by the HMA Executive Board (1996, HMA). In conclusion, parish nursing promotes health and healing by empowering the faith community, family, or individual to incorporate health and healing practices. There are several preconditions that should proceed to establish the foundation for successful development of the parish nursing program in Korea. First, reciprocal relationship with home health nursing should be considered. Second, correct terms and concepts of parish nursing should be studied and understood. Third, systematic study and investigation should be followed for further development of parish nursing. Fourth, strengths and weaknesses of different models should be studied to develop proper model of parish nursing for Korean situation. Finally, consensus of standardized education program and corporation with various religious communities as well as health institutions should be established. When these preconditions are met, the role of parish nursing as a new program for the promotion of holistic health will be established.

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Improvement Plan through Investigation and Analysis of Road Signs of National Highway (일반국도 도로표지 조사 및 분석을 통한 개선방안 도출)

  • Lee, Woo-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.604-609
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    • 2019
  • A variety of complaints about road signs have occurred for various reasons, such as new road facilities, new road signs such as road name signs, and an increase in nearby important facilities. In addition, there are many road signs that are in violation of road sign regulations. The basic principles of road signs, the connectivity of guide names, the location suitability, and a consistent road sign guidance system have not implemented. To solve these problems, various errors were investigated on major road signs on eight national highways, including direction signs, distance signs, boundary signs, and route signs. In addition, we classified the errors on road signs by grade to give them maintenance priority. We also analyzed the error status of signs for each route and grade. Based on the data, the problems of the road signs were derived, and an improvement plan is discussed. Based on this research, more systematic installation and management of road signs through cooperation between the government and local governments could increase the efficiency of road signs, as well as provide safer and more convenient road sign guidance systems for road users.

A study on School Safety Policies by an Needs Analysis (요구분석을 통한 학교안전정책 개선방안 연구)

  • Oh, Dae-Young;Shin, Seon-Hi;Park, Youn-Ju;Kim, Kyung-Hwoi;Han, Jong-Guk
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.18 no.2
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    • pp.22-34
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    • 2019
  • The purpose of this study was two-fold. Firstly, it investigated the current state of the 34 specific policies of school safety-accident prevention that were implemented at K-12 public schools in accordance with the $1^{st}$ School Safety-Accident Prevention Plan established in December 2015. Secondly, it prioritized the policies based on the outcomes from the investigation to make policy recommendations for future improvement. For this purpose, we surveyed 614 school teachers and staff from 24 school-safety research schools across the nation on their perception of the current policies for preventing school safety accidents. Specifically, they were asked about the degree of realization and the necessity of expansion of the policies. Based on the survey results, the Borich index as a needs measure was computed for each policy and a list of policies prioritized in descending order of the index was presented. The results of the study showed that school teachers and staff's perception of the improvement of school safety since the policies took effect was highly positive in general. It was also shown that the policies perceived as best-implemented were, in descending order, "first-aid education for teachers and staff", "safety management of school meals", "prevention activity of student traffic safety-accident", and so on. The majority of survey respondents said that the policies were being implemented well and that they should be expanded and enhanced. As a result of the Borich's needs analysis, it was found that "more collegial collaboration between the Office of Education and other relevant organizations in the community for school safety", "prevention education activity for water safety", and so forth should be more actively implemented.