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Effects of consultation length and the number of outpatients on physicians' occupational burnout (의사의 진찰시간과 진료환자 수가 직무소진에 미치는 영향)

  • Sungje, Moon;Jeong Hun, Park;Jung Chan, Lee
    • Korea Journal of Hospital Management
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    • v.27 no.4
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    • pp.22-35
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    • 2022
  • Purpose: Physician's occupational burnout has been a very important issue that can cause negative consequences not only for individual's physical and mental health, but also for patient's health and the overall national healthcare system. For the reason, this study confirmed how consultation length and the number of outpatients affect physician's occupational burnout in the medical environment. Methodology: In the study, the data of '2020 Korean Physician Survey' conducted by Korean Medical Association(KMA) was used for the analysis, and a total of 4,215 physicians were selected as study samples. The differences in the degree of occupational burnout according to the physicians' general characteristics were confirmed through uni-variate analysis, and also a regression analysis was conducted to confirm the effects of consultation length and the number of outpatients on physician's occupational burnout. Findings: As a result. the overall degree of physician's occupational burnout decreased(𝛽=-0.051, p<0.01) as the consultation length increased. Specifically, the physician's emotional exhaustion increased(𝛽=0.051, p<0.01), while the reduction of accomplishment decreased(𝛽=-0.131, p<0.001). Furthermore, the overall occupational burnout decreased(𝛽=-0.047, p<0.01) as a proportion of advice and education during the consultation increased, and it had an effect on the decrease in depersonalization(𝛽=-0.045, p<0.01) and the reduction of accomplishment(𝛽=-0.065, p<0.001). At last, as the number of outpatients increased, the overall occupational burnout increased(𝛽=0.041, p<0.05) with more emotional exhaustion(𝛽=0.095, p<0.001), depersonalization(𝛽=0.065, p<0.001), and less reduction of personal achievement(𝛽=-0.081, p<0.001). Practical implication: Consequently, it is necessary to prevent physician's occupational burnout by ensuring sufficient consultation length and providing a medical environment to treat an appropriate number of patients. Therefore, national policies should expand health insurance coverage and compensate medical fees for sufficient consultation length that both patients and physicians can satisfy. It will ultimately contribute to ensuring the patients' health and improving the quality of national healthcare services.

Study on Generation Volume of Floating Solar Power Using Historical Insolation Data (과거 일사량 자료를 활용한 수상태양광 발전량 예측 연구)

  • Na, Hyeji;Kim, Kyeongseok
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.2
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    • pp.249-258
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    • 2023
  • Solar power has the largest proportion of power generation and facility capacity among renewable energy in South Korea. Floating solar power plant is a new way to resolve weakness of land solar power plant. This study analyzes the power generation of the 18.7 MW floating solar power project located in Saemangeum, Gunsan-si. Since the solar power generation has a characteristic that is greatly affected by the climate, various methods have been applied to predict solar power generation. In general, variables necessary for predicting power generation are solar insolation on inclined surfaces, solar generation efficiency, and panel installation area. This study analyzed solar power generation using the monthly solar insolation data from the KMA (Korea Meteorological Administration) over the past 10 years. Monte Carlo simulation (MCS) was applied to predict the solar power generation with the variables including solar panel efficiency and insolation. In the case of Saemangeum solar power project, the most solar power generation was in May, the least was in December, the average solar power generation simulated on MCS is 2.1 GWh per month, the minimum monthly power generation is 0.3 GWh, and the maximum is 5.0 GWh.

An Improvement Study on the Hydrological Quantitative Precipitation Forecast (HQPF) for Rainfall Impact Forecasting (호우 영향예보를 위한 수문학적 정량강우예측(HQPF) 개선 연구)

  • Yoon Hu Shin;Sung Min Kim;Yong Keun Jee;Young-Mi Lee;Byung-Sik Kim
    • Journal of Korean Society of Disaster and Security
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    • v.15 no.4
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    • pp.87-98
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    • 2022
  • In recent years, frequent localized heavy rainfalls, which have a lot of rainfall in a short period of time, have been increasingly causing flooding damages. To prevent damage caused by localized heavy rainfalls, Hydrological Quantitative Precipitation Forecast (HQPF) was developed using the Local ENsemble prediction System (LENS) provided by the Korea Meteorological Administration (KMA) and Machine Learning and Probability Matching (PM) techniques using Digital forecast data. HQPF is produced as information on the impact of heavy rainfall to prepare for flooding damage caused by localized heavy rainfalls, but there is a tendency to overestimate the low rainfall intensity. In this study, we improved HQPF by expanding the period of machine learning data, analyzing ensemble techniques, and changing the process of Probability Matching (PM) techniques to improve predictive accuracy and over-predictive propensity of HQPF. In order to evaluate the predictive performance of the improved HQPF, we performed the predictive performance verification on heavy rainfall cases caused by the Changma front from August 27, 2021 to September 3, 2021. We found that the improved HQPF showed a significantly improved prediction accuracy for rainfall below 10 mm, as well as the over-prediction tendency, such as predicting the likelihood of occurrence and rainfall area similar to observation.

Assessing habitat suitability for timber species in South Korea under SSP scenarios (SSP 시나리오에 따른 국내 용재수종의 서식지 적합도 평가)

  • Hyeon-Gwan Ahn;Chul-Hee Lim
    • Korean Journal of Environmental Biology
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    • v.40 no.4
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    • pp.567-578
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    • 2022
  • Various social and environmental problems have recently emerged due to global climate change. In South Korea, coniferous forests in the highlands are decreasing due to climate change whereas the distribution of subtropical species is gradually increasing. This study aims to respond to changes in the distribution of forest species in South Korea due to climate change. This study predicts changes in future suitable areas for Pinus koraiensis, Cryptomeria japonica, and Chamaecyparis obtusa cultivated as timber species based on climate, topography, and environment. Appearance coordinates were collected only for natural forests in consideration of climate suitability in the National Forest Inventory. Future climate data used the SSP scenario by KMA. Species distribution models were ensembled to predict future suitable habitat areas for the base year(2000-2019), near future(2041-2060), and distant future(2081-2100). In the baseline period, the highly suitable habitat for Pinus koraiensis accounted for approximately 13.87% of the country. However, in the distant future(2081-2100), it decreased to approximately 0.11% under SSP5-8.5. For Cryptomeria japonica, the habitat for the base year was approximately 7.08%. It increased to approximately 18.21% under SSP5-8.5 in the distant future. In the case of Chamaecyparis obtusa, the habitat for the base year was approximately 19.32%. It increased to approximately 90.93% under SSP5-8.5 in the distant future. Pinus koraiensis, which had been planted nationwide, gradually moved north due to climate change with suitable habitats in South Korea decreased significantly. After the near future, Pinus koraiensis was not suitable for the afforestation as timber species in South Korea. Chamaecyparis obtusa can be replaced in most areas. In the case of Cryptomeria japonica, it was assessed that it could replace part of the south and central region.

Downscaling Technique of Monthly GCM Using Daily Precipitation Generator (일 강수발생모형을 이용한 월 단위 GCM의 축소기법에 관한 연구)

  • Kyoung, Min Soo;Lee, Jung Ki;Kim, Hung Soo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.29 no.5B
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    • pp.441-452
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    • 2009
  • This paper describes the evaluation technique for climate change effect on daily precipitation frequency using daily precipitation generator that can use outputs of the climate model offered by IPCC DDC. Seoul station of KMA was selected as a study site. This study developed daily precipitation generation model based on two-state markov chain model which have transition probability, scale parameter, and shape parameter of Gamma-2 distribution. Each parameters were estimated from regression analysis between mentioned parameters and monthly total precipitation. Then the regression equations were applied for computing 4 parameters equal to monthly total precipitation downscaled by K-NN to generate daily precipitation considering climate change. A2 scenario of the BCM2 model was projected based on 20c3m(20th Century climate) scenario and difference of daily rainfall frequency was added to the observed rainfall frequency. Gumbel distribution function was used as a probability density function and parameters were estimated using probability weighted moments method for frequency analysis. As a result, there is a small decrease in 2020s and rainfall frequencies of 2050s, 2080s are little bit increased.

Application of Intensity-Duration-Frequency Curve to Korea Derived by Cumulative Distribution Function (누가분포함수를 활용한 강우강도식의 국내 적용성 평가)

  • Kim, Kewtae;Kim, Taesoon;Kim, Sooyoung;Heo, Jun-Haeng
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.4B
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    • pp.363-374
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    • 2008
  • Intensity-Duration-Frequency (IDF) curve that is essential to calculate rainfall quantiles for designing hydraulic structures in Korea is generally formulated by regression analysis. In this study, IDF curve derived by the cumulative distribution function ("IDF by CDF") of the proper probability distribution function (PDF) of each site is suggested, and the corresponding parameters of IDF curve are computed using genetic algorithm (GA). For this purpose, IDF by CDF and the conventional IDF derived by regression analysis ("IDF by REG") were computed for 22 Korea Meteorological Administration (KMA) rainfall recording sites. Comparisons of RMSE (root mean squared error) and RRMSE (Relative RMSE) of rainfall intensities computed from IDF by CDF and IDF by REG show that IDF by CDF is more accurate than IDF by REG. In order to accommodate the effect of the recent intensive rainfall of Korea, the rainfall intensities computed by the two IDF curves are compared with that by at-site frequency analysis using the rainfall data recorded by 2006, and the result from IDF by CDF show the better performance than that from IDF by REG. As a result, it can be said that the suggested IDF by CDF curve would be the more efficient IDF curve than that computed by regression analysis and could be applied for Korean rainfall data.

Analysis of Impact Climate Change on Extreme Rainfall Using B2 Climate Change Scenario and Extreme Indices (B2 기후변화시나리오와 극한지수를 이용한 기후변화가 극한 강우 발생에 미치는 영향분석)

  • Kim, Bo Kyung;Kim, Byung Sik
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.29 no.1B
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    • pp.23-33
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    • 2009
  • Climate change, abnormal weather, and unprecedented extreme weather events have appeared globally. Interest in their size, frequency, and changes in spatial distribution has been heightened. However, the events do not display regional or regular patterns or cycles. Therefore, it is difficult to carry out quantified evaluation of their frequency and tendency. For more objective evaluation of extreme weather events, this study proposed a rainfall extreme weather index (STARDEX, 2005). To compare the present and future spatio-temporal distribution of extreme weather events, each index was calculated from the past data collected from 66 observation points nationwide operated by Korea Meteorological Administration (KMA). Tendencies up to now have been analyzed. Then, using SRES B2 scenario and 2045s (2031-2050) data from YONU CGCM simulation were used to compute differences among each of future extreme weather event indices and their tendencies were spatially expressed.The results shows increased rainfall tendency in the East-West inland direction during the summer. In autumn, rainfall tendency increased in some parts of Gangwon-do and the south coast. In the meanwhile, the analysis of the duration of prolonged dry period, which can be contrasted with the occurrence of rainfall or its concentration, showed that the dryness tendency was more pronounced in autumn rather than summer. Geographically, the tendency was more remarkable in Jeju-do and areas near coastal areas.

Realtime Streamflow Prediction using Quantitative Precipitation Model Output (정량강수모의를 이용한 실시간 유출예측)

  • Kang, Boosik;Moon, Sujin
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.6B
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    • pp.579-587
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    • 2010
  • The mid-range streamflow forecast was performed using NWP(Numerical Weather Prediction) provided by KMA. The NWP consists of RDAPS for 48-hour forecast and GDAPS for 240-hour forecast. To enhance the accuracy of the NWP, QPM to downscale the original NWP and Quantile Mapping to adjust the systematic biases were applied to the original NWP output. The applicability of the suggested streamflow prediction system which was verified in Geum River basin. In the system, the streamflow simulation was computed through the long-term continuous SSARR model with the rainfall prediction input transform to the format required by SSARR. The RQPM of the 2-day rainfall prediction results for the period of Jan. 1~Jun. 20, 2006, showed reasonable predictability that the total RQPM precipitation amounts to 89.7% of the observed precipitation. The streamflow forecast associated with 2-day RQPM followed the observed hydrograph pattern with high accuracy even though there occurred missing forecast and false alarm in some rainfall events. However, predictability decrease in downstream station, e.g. Gyuam was found because of the difficulties in parameter calibration of rainfall-runoff model for controlled streamflow and reliability deduction of rating curve at gauge station with large cross section area. The 10-day precipitation prediction using GQPM shows significantly underestimation for the peak and total amounts, which affects streamflow prediction clearly. The improvement of GDAPS forecast using post-processing seems to have limitation and there needs efforts of stabilization or reform for the original NWP.

Calculating Sea Surface Wind by Considering Asymmetric Typhoon Wind Field (비대칭형 태풍 특성을 고려한 해상풍 산정)

  • Hye-In Kim;Wan-Hee Cho;Jong-Yoon Mun
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.7
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    • pp.770-778
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    • 2023
  • Sea surface wind is an important variable for elucidating the atmospheric-ocean interactions and predicting the dangerous weather conditions caused by oceans. Accurate sea surface wind data are required for making correct predictions; however, there are limited observational datasets for oceans. Therefore, this study aimed to obtain long-period high-resolution sea surface wind data. First, the ERA5 reanalysis wind field, which can be used for a long period at a high resolution, was regridded and synthesized using the asymmetric typhoon wind field calculated via the Generalized Asymmetric Holland Model of the numerical model named ADvanced CIRCulation model. The accuracy of the asymmetric typhoon synthesized wind field was evaluated using data obtained from Korea Meteorological Administration and Japan Meteorological Administration. As a result of the evaluation, it was found that the asymmetric typhoon synthetic wind field reproduce observations relatively well, compared with ERA5 reanalysis wind field and symmetric typhoon synthetic wind field calculated by the Holland model. The sea surface wind data produced in this study are expected to be useful for obtaining storm surge data and conducting frequency analysis of storm surges and sea surface winds in the future.

A Comparative Study on Reservoir Level Prediction Performance Using a Deep Neural Network with ASOS, AWS, and Thiessen Network Data

  • Hye-Seung Park;Hyun-Ho Yang;Ho-Jun Lee; Jongwook Yoon
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.3
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    • pp.67-74
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    • 2024
  • In this paper, we present a study aimed at analyzing how different rainfall measurement methods affect the performance of reservoir water level predictions. This work is particularly timely given the increasing emphasis on climate change and the sustainable management of water resources. To this end, we have employed rainfall data from ASOS, AWS, and Thiessen Network-based measures provided by the KMA Weather Data Service to train our neural network models for reservoir yield predictions. Our analysis, which encompasses 34 reservoirs in Jeollabuk-do Province, examines how each method contributes to enhancing prediction accuracy. The results reveal that models using rainfall data based on the Thiessen Network's area rainfall ratio yield the highest accuracy. This can be attributed to the method's accounting for precise distances between observation stations, offering a more accurate reflection of the actual rainfall across different regions. These findings underscore the importance of precise regional rainfall data in predicting reservoir yields. Additionally, the paper underscores the significance of meticulous rainfall measurement and data analysis, and discusses the prediction model's potential applications in agriculture, urban planning, and flood management.