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Collaborative Disaster Governance Recognized by Nurses during a Pandemic (코로나19 대응 간호사가 인식하는 협력적 재난 거버넌스)

  • Rim, Dahae;Shin, Hyunsook;Jeon, Hyejin;Kim, Jieun;Chun, Hyojin;Oh, Hee;Shon, Soonyoung;Shim, Kaka;Kim, Kyung Mi
    • Journal of Korean Academy of Nursing
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    • v.51 no.6
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    • pp.703-719
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    • 2021
  • Purpose: We aimed to identify collaborative disaster governance through the demand and supply analysis of resources recognized by nurses during the COVID-19 pandemic. Methods: We used a descriptive study design with an online survey technique for data collection. The survey questions were developed based on focus group interviews with nurses responding to COVID-19 and expert validity testing. A 42-question online survey focusing on disaster governance was sent to nurses working in COVID-19 designated hospitals, public health offices, and schools. A total of 630 nurses participated in the survey. Demand and supply analysis was used to identify the specific components of disaster governance during a pandemic situation and analyze priority areas in disaster governance, as reported by nurses. Results: Demand and supply analysis showed that supplies procurement, cooperation, education, and environment factors clustered in the high demand and supply quadrant while labor condition, advocacy, emotional support, and workload adjustment factors clustered in the high demand but low supply quadrant, indicating a strong need in those areas of disaster governance among nurses. The nurses practicing at the public health offices and schools showed major components of disaster governance plotted in the second quadrant, indicating weak collaborative disaster governance. Conclusion: These findings show that there is an unbalanced distribution among nurses, resulting in major challenges in collaborative disaster governance during COVID-19. In the future and current pandemic, collaborative disaster governance, through improved distribution, will be useful for helping nurses to access more required resources and achieve effective pandemic response.

Development and Verification of Active Vibration Control System for Helicopter (소형민수헬기 능동진동제어시스템 개발)

  • Kim, Nam-Jo;Kwak, Dong-Il;Kang, Woo-Ram;Hwang, Yoo-Sang;Kim, Do-Hyung;Kim, Chan-Dong;Lee, Ki-Jin;So, Hee-Soup
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.50 no.3
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    • pp.181-192
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    • 2022
  • Active vibration control system(AVCS) for helicopter enables to control the vibration generated from the main rotor and has the superb vibration reduction performance with low weight compared passive vibration reduction device. In this paper, FxLMS algorithm-based vibration control software of the light civil helicopter tansmits the control command calculated using the signals of the tachometer and accelerometers to the circular force generator(CFG) is developed and verified. According to the RTCA DO-178C/DO-331, the vibration control software is developed through the model based design technique, and real-time operation performance is evaluated in PILS(processor in-the loop simulation) and HILS(hardware in-the loop simulation) environments. In particular, the reliability of the software is improved through the LDRA-based verification coverage in the PIL environments. In order to AVCS to light civil helicopter(LCH), the dynamic response characteristic model is obtained through the ground/flight tests. AVCS configuration which exhibits the optimal performance is determined using system optimization analysis and flight test and obtain STC certification.

Comparison of Overall Immunity Levels among Workers at Grape Orchard, Rose Greenhouse, and Open-Field Onion Farm

  • Maharjan, Anju;Gautam, Ravi;Jo, JiHun;Acharya, Manju;Lee, DaEun;Pramod, Bahadur KC;Gim, Jin;Sin, Sojung;Kim, Hyocher;Kim, ChangYul;Lee, SooYeon;Lee, SooJin;Heo, Yong;Kim, HyoungAh
    • Safety and Health at Work
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    • v.13 no.2
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    • pp.248-254
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    • 2022
  • Background: Occupational hazards in crop farms vary diversely based on different field operations as soil management, harvesting processes, pesticide, or fertilizer application. We aimed at evaluating the immunological status of crop farmers, as limited systematic investigations on immune alteration involved with crop farming have been reported yet. Methods: Immunological parameters including plasma immunoglobulin level, major peripheral immune cells distribution, and level of cytokine production from activated T cell were conducted. Nineteen grape orchard, 48 onion open-field, and 21 rose greenhouse farmers were participated. Results: Significantly low proportion of natural killer (NK) cell, a core cell for innate immunity, was revealed in the grape farmers (19.8±3.3%) in comparison to the onion farmers (26.4±3.1%) and the rose farmers (26.9±2.5%), whereas cytotoxic T lymphocyte proportion was lower in the grape and the onion farmers than the rose farmers. The proportion of NKT cell, an immune cell implicated with allergic response, was significantly higher in the grape (2.3±0.3%) and the onion (1.6±0.8%) farmers compared with the rose farmers (1.0±0.4%). A significantly decreased interferon-gamma:interleukin-13 ratio was observed from ex vivo stimulated peripheral blood mononuclear cells of grape farmers compared with the other two groups. The grape farmers revealed the lowest levels of plasma IgG1 and IgG4, and their plasma IgE level was not significantly different from that of the onion or the rose farmers. Conclusion: Our finding suggests the high vulnerability of workplace-mediated allergic immunity in grape orchard farmers followed by open-field onion farmers and then the rose greenhouse farmers.

A Study on the Use and Risk of Artificial Intelligence (Focusing on the eproperty appraiser industry) (인공지능의 활용과 위험성에 관한 연구 (감정 평가 산업 중심으로))

  • Hong, Seok-Do;You, Yen-Yoo
    • The Journal of the Korea Contents Association
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    • v.22 no.7
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    • pp.81-88
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    • 2022
  • This study is to investigate the perception of domestic appraisers about the possibility of using artificial intelligence (AI) and related risks from the use of AI in the appraisal industry. We conducted a mobile survey of evaluators from February 10 to 18, 2022. We collected survey data from 193 respondents. Frequency analysis and multiple response analysis were performed for basic analysis. When AI is used in the appraisal industry, factor analysis was used to analyze various types of risks. Although appraisers have a positive perception of AI introduction in the appraisal industry, they considered collateral, consulting, and taxation, mainly in areas where AI is likely to be used and replaced, mainly negative effects related to job losses and job replacement. They were more aware of the alternative risks caused by AI in the field of human labor. I was very aware of responsibilities, privacy and security, and the risk of technical errors. However, fairness, transparency, and reliability risks were generally perceived as low risk issues. Existing studies have mainly studied analysis methods that apply AI to mass evaluation models, but this study focused on the use and risk of AI. Understanding industry experts' perceptions of AI utilization will help minimize potential risks when AI is introduced on a large scale.

History and Concept of Manual Therapy (도수치료의 역사 및 개념)

  • Moon, Sang Ho;Lee, Song;Bae, Dae Kyung
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.29-37
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    • 2020
  • Manual therapy has undergone parallel development throughout many parts of the world dating back to ancient times for at least 2,500 years. The earliest historical reference to the practice of manual therapy in Greece, dates back to 400 B.C. Over the centuries, manual medicines have fallen in and out of favor with the medical profession. To truly understand the principle, it is important to know that manual therapy was initially the mainstay of the three leading alternative health care systems, osteopathy, chiropractic, and most notably physical therapy. These were all founded in the latter part of the 19th century in response to the shortcomings in allopathic medicine. Although it has been around for a long time and has been used all over the world, there are a few reports on manual therapy treatment, and most papers provided a low level of evidence. Despite the controversies over manual therapy, its use appears to be increasing gradually. This article reviews the history of manual therapy from ancient times to the present including Korean history, discusses the current state of knowledge on manual therapy, and informs physicians who manage musculoskeletal pain.

Assessing greenhouse gas footprint and emission pathways in Daecheong Reservoir (대청댐 저수지의 온실가스 발자국 및 배출 경로 평가)

  • Min, Kyeong Seo;Chung, Se Woong;Kim, Sung Jin;Kim, Dong Kyun
    • Journal of Korea Water Resources Association
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    • v.55 no.10
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    • pp.785-799
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    • 2022
  • The aim of this study was to characterize the emission pathways and the footprint of greenhouse gases (GHG) in Daecheong Reservoir using the G-res Tool, and to evaluate the GHG emission intensity (EI) compared to other energy sources. In addition, the change in GHG emissions was assessed in response to the total phosphorus (TP) concentration. The GHG flux in post-impoundment was found to be 262 gCO2eq/m2/yr, of which CO2 and CH4 were 45.7% and 54.2%, respectively. Diffusion of CO2 contributed the most, followed by diffusion, degassing, and bubbling of CH4. The net GHG flux increased to 510 gCO2eq/m2/yr because the forest (as CO2 sink) was lost after dam construction. The EI of Daecheong Reservoir was 86.8 gCO2eq/kWh, which is 3.7 times higher than the global EI of hydroelectric power, due to its low power density. However, it was remarkable to highlight the value to be 9.5 times less than that of coal, a fossil fuel. We also found that a decrease in TP concentration in the reservoir leads to a decrease in GHG emissions. The results can be used to improve understanding of the GHG emission characteristics and to reduce uncertainty of the national GHG inventory of dam reservoirs.

Dementia Patient Wandering Behavior and Anomaly Detection Technique through Biometric Authentication and Location-based in a Private Blockchain Environment (프라이빗 블록체인 환경에서 생체인증과 위치기반을 통한 치매환자 배회행동 및 이상징후 탐지 기법)

  • Han, Young-Ae;Kang, Hyeok;Lee, Keun-Ho
    • Journal of Internet of Things and Convergence
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    • v.8 no.5
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    • pp.119-125
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    • 2022
  • With the recent increase in dementia patients due to aging, measures to prevent their wandering behavior and disappearance are urgently needed. To solve this problem, various authentication methods and location detection techniques have been introduced, but the security problem of personal authentication and a system that can check indoor and outdoor overall was lacking. In order to solve this problem, various authentication methods and location detection techniques have been introduced, but it was difficult to find a system that can check the security problem of personal authentication and indoor/outdoor overall. In this study, we intend to propose a system that can identify personal authentication, basic health status, and overall location indoors and outdoors by using wristband-type wearable devices in a private blockchain environment. In this system, personal authentication uses ECG, which is difficult to forge and highly personally identifiable, Bluetooth beacon that is easy to use with low power, non-contact and automatic transmission and reception indoors, and DGPS that corrects the pseudorange error of GPS satellites outdoors. It is intended to detect wandering behavior and abnormal signs by locating the patient. Through this, it is intended to contribute to the prompt response and prevention of disappearance in case of wandering behavior and abnormal symptoms of dementia patients living at home or in nursing homes.

Influencing Factors the Psychological Well-being of Psychiatric Nurse (정신과 간호사의 심리적 안녕감 영향 요인)

  • Choi, Jae Eun;Bae, Jeong Yee
    • Journal of Naturopathy
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    • v.11 no.2
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    • pp.85-92
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    • 2022
  • Background: Research is necessary to enhance the mental health of psychiatric unit nurses and the quality of nurse services. Purpose: This study was to obtain primary data for enhancing the psychological well-being of psychiatric nurses by investigating the factors that affect them. Methods: This study was conducted as a descriptive research study. The study period was from February 18 to March 31, 2019, with the subjects being 150 psychiatric nurses working in the ward of a psychiatric hospital in Gyeongnam. We used questionnaires on job stress measurement, the Korean version of the interpersonal response index, resilience scale, and psychological well-being. The collected data were analyzed using the SPSS program. Results: The subjects' levels of the job stress, empathy, resilience, and psychological well-being ranged from 2.34 to 3.33 points. The level of recovery resilience and well-being according to the subject's characteristics is 40 years or older, married, religious, ten years of nurse experience, above average economic level, psychiatric qualifications, senior nurse or higher, resilience education. All participants were significantly (p < .001). Conclusions: In this study, psychological well-being increased as the job stress was low and empathy and resilience were high. Therefore, it should make a proper education program to improve the strength and well-being of psychiatric nurses.

The Effectiveness of Traditional Korean Medicine for Treating Postoperative Ileus in Gastric Cancer Patients: A Systematic Review and Meta-Analysis (위암 수술 후 장마비에 대한 한의학적 치료의 효과 : 체계적 문헌 고찰 및 메타분석)

  • Bae, Hye-ri;Kim, Eun-ji;Seo, Hyun-sik;Lee, Nam-hun
    • The Journal of Internal Korean Medicine
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    • v.43 no.4
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    • pp.625-642
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    • 2022
  • Objectives: Postoperative ileus (POI) is a common impairment of gastrointestinal motility and causes a delay in postoperative recovery, as well as an increased length of hospital stay, but no single strategy has a significant recuperative effect on POI. Studies of traditional Korean medicine (TKM) have reported improvements in bowel function after surgery. The aim of this systematic review was to assess the effectiveness of TKM on postoperative ileus in gastric cancer patients. Methods: We used six databases to search for studies published from January 1, 2007, until May 11, 2022. The included studies were those reporting gastric cancer patients who received TKM treatment after gastrectomy through indicators related to POI. Results: The search identified 27 RCTs that used herbal medicine (Daegeonjung-tang and Gami-leejoongtang), herbal medicine combined with acupuncture (Sama-tang, Gumiseunggi-tang, Daeseunggi-tang, and Insam-tang), acupuncture, acupuncture and moxibustion, electroacupuncture, warm needling, transcutaneous electroacupuncture (TEA), low-frequency electrical acupoint stimulation (LEAS), moxibustion, auricular acupressure, and ST-36 acupoint injection with neostigmine as treatments for POI. The time to first flatus was shortened by herbal medicine combined with warm needling (Sama-tang, Gumiseunggi-tang, Daeseunggi-tang, and Insam-tang), acupuncture, electroacupuncture, warm needling, TEA, moxibustion, auricular acupressure, and ST-36 acupoint injection with neostigmine (p<0.00001). The time to the first defecation decreased significantly in response to the herbal medicine combined with warm needling (Sama-tang, Gumiseunggi-tang, Daeseunggi-tang, and Insam-tang), acupuncture, electroacupuncture, warm needling, TEA, moxibustion, auricular acupressure, and ST-36 acupoint injection with neostigmine (p<0.00001). No serious adverse events occurred. Conclusions: TKM could be a promising option for preventing and resolving POI in gastric cancer patients after gastrectomy.

Ground Vibration Reduction Technology Using High Damping Polymer Concrete (고 감쇠 폴리머 콘크리트를 활용한 지반진동 저감기술에 대한 연구)

  • Kim, Jeong-Jin;Seok, Won-Gyun;We, Joon-Woo;Ahn, So-Hee
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.25 no.6
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    • pp.154-160
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    • 2021
  • Recently, there have been increasing construction works carried out in urban centers, which are inducing frequent artificial vibration in the vicinity of existing structures due to such construction works. moreover, in case of industrial estates, vibration is induced due to operation of machines in the surrounding areas, thereby causing problems. meanwhile, in case of ordinary concrete that compose structure has low level of damping capability for vibration. accordingly, there are difficulties in blocking a wide range of vibrations delivered to the structures from outside including not only vibrations generated in the structures themselves but also ground vibration. recently, numerous studies are being carried out actively on high-damping system that markedly enhanced the damping performances of structures by utilizing polymer concrete in order to block the vibrations delivered to the structures through ground. therefore, this study compared the performances of polymer concrete with those of ordinary concrete, polyurethane pad and foamed rubber pad in order to review its performances in reducing ground vibration. for this purpose, review of FRF and vibration acceleration as dynamic characteristics was made. after comparative verification on the dynamic characteristics is made when polymer concrete and other aforementioned materials are applied to underground structures, the possibility of application of polymer concrete to structures is reviewed.