• Title/Summary/Keyword: Multiple Time Scale

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Current State and Problem of the Transfer of Severely Injured Patients in One Regional Emergency Medical Center (일개 권역응급의료센터에서의 중증 외상환자의 전원 현황과 문제점)

  • Lee, Won-Chul;Jo, Choong-Hyun;Jung, Kyoung-Won;Min, Young-Gi;Choi, Sang-Cheon;Kim, Gi-Woon;Ahn, Jung-Hwan;Jung, Yong-Sik;Hwang, Sun-Ae;Kim, Ji-Yong;Lee, Kug-Jong;Jung, Yoon-Seok
    • Journal of Trauma and Injury
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    • v.23 no.1
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    • pp.6-15
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    • 2010
  • Purpose: Trauma is one of the leading causes of death, especially among young people. Life-threatening conditions are very common in multiple-traumatized patients due to concurrent multi-organ injuries. Treating such severely injured patients is time critical. However, in Korea, the transfer of severely injured patients is not uncommon due to the lack of a mature trauma care system. In developed countries, the preventable trauma death rate is very low, but the rate is still very high in Korea. This study's objective was to demonstrate the current serious state in which severely injured patients have to be transferred from a Regional Emergency Medical Center even though it actually serves as a trauma center. Methods: Ajou University Medical Center is a tertiary hospital that serves as a trauma center in Gyeonggido. The medical records at Ajou University Medical Center for a 1-year period from January 1, 2008, to December 31, 2008, were retrospectively reviewed. A severely injured patient was defined as a patient who showed more than 15 point on the ISS (injury severity score) scale. We investigated the clinical characteristics of such patients and the causes of transfer. Results: Out of 81,718 patients who visited the Regional Emergency Medical Center, 19,731 (24.1%) were injured patients. Among them, 108 severely-injured patients were transferred from one Regional Emergency Medical Center to other hospitals. The male-to-female ratio was about 3.5:1, and the mean ISS was 23.08. The most common mechanism of injury was traffic accidents (41.7%). A major cause of transfer was the shortage of intensive care units (44.4%); another was for emergent operation (27.8%). Most of the hospitals that received the severely-injured patients were secondary hospitals (86.1%). Conclusion: Although the Regional Emergency Medical Center played a role as a trauma center, actually, severely-injured patients had to be transferred to other hospitals for several reasons. Most reasons were related with the deficiencies in the trauma care system. If a mature trauma care system is well-organized, the numbers of transfer of severely injured patients will be reduced significantly.

Temporal Change in Radiological Environments on Land after the Fukushima Daiichi Nuclear Power Plant Accident

  • Saito, Kimiaki;Mikami, Satoshi;Andoh, Masaki;Matsuda, Norihiro;Kinase, Sakae;Tsuda, Shuichi;Sato, Tetsuro;Seki, Akiyuki;Sanada, Yukihisa;Wainwright-Murakami, Haruko;Yoshimura, Kazuya;Takemiya, Hiroshi;Takahashi, Junko;Kato, Hiroaki;Onda, Yuichi
    • Journal of Radiation Protection and Research
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    • v.44 no.4
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    • pp.128-148
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    • 2019
  • Massive environmental monitoring has been conducted continuously since the Fukushima Daiichi Nuclear Power accident in March of 2011 by different monitoring methods that have different features together with migration studies of radiocesium in diverse environments. These results have clarified the characteristics of radiological environments and their temporal change around the Fukushima site. At three months after the accident, multiple radionuclides including radiostrontium and plutonium were detected in many locations; and it was confirmed that radiocesium was most important from the viewpoint of long-term exposure. Radiation levels around the Fukushima site have decreased greatly over time. The decreasing trend was found to change variously according to local conditions. The air dose rates in environments related to human living have decreased faster than expected from radioactive decay by a factor of 2-3 on average; those in pure forest have decreased more closely to physical decay. The main causes of air dose rate reduction were judged to be radioactive decay, movement of radiocesium in vertical and horizontal directions, and decontamination. Land-use categories and human activities have significantly affected the reduction tendency. Difference in the air dose rate reduction trends can be explained qualitatively according to the knowledge obtained in radiocesium migration studies; whereas, the quantitative explanation for individual sites is an important future challenge. The ecological half-lives of air dose rates have been evaluated by several researchers, and a short-term half-life within 1 year was commonly observed in the studies. An empirical model for predicting air dose rate distribution was developed based on statistical analysis of an extensive car-borne survey dataset, which enabled the prediction with confidence intervals. Different types of contamination maps were integrated to better quantify the spatial data. The obtained data were used for extended studies such as for identifying the main reactor that caused the contamination of arbitrary regions and developing standard procedures for environmental measurement and sampling. Annual external exposure doses for residents who intended to return to their homes were estimated as within a few millisieverts. Different forms of environmental data and knowledge have been provided for wide spectrum of people. Diverse aspects of lessons learned from the Fukushima accident, including practical ones, must be passed on to future generations.

A Study on the Development of Ability Women Specialist -Focused on the nursing specialist- (여성전문인의 능력발전에 관한 연구 - 전문간호사를 중심으로 -)

  • Kwon Ill Zoo
    • Journal of Korean Public Health Nursing
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    • v.3 no.1
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    • pp.101-119
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    • 1989
  • In the present, since a five-year plan for economic development which was started in the early 60's has been successfully promoted for a quarter century, with consolidation in a department of social welfare in our country the participation. in economic society for women is more required than any other times. As a professional occupation for women is incereaing through a high-standard specialization, I think the upbringing for productive woman expert who has a strong motive of accomplishment as a developed person as well as a technical and skilful capacity which can be contributed to the growth of organization is very important. So in this study, I am evaluating the technical disposition of character of professional nurses working with hospital and also trying to supply the basic data being served to th extension of a skillful ability as a nurse, understanding the important factor related to it. The research method applied here is that we used 527 of formed questionnaires which were distributed to 7 University and General Hospitals, somewhat large in a scale, located in Seoul as an analytical material. It was performed between October 11, 1988 and October 18, 1988. An implement which was invented by Cho Moo-Sung is used after being amended and supplemented, which can measure the disposition of professional character. The formation of questionnaires of the disposition of character is 26 totally, 10 for Open-disposition, 11 for Active-disposition, 5 for wise-disposition, and it was measured. 'Ye', or 'No' through an one-half-standard and the environment of hospital organization is composed 12 questions from one point of 'Very Good' to 5 points of 'Very Bad.' Collected materials were analysed through an electronic calculation into the average value, the standard deflection, percentage, person correlative number, $X^2-test, m$ stepwise multiple regression. Summarizing the result from this research is as follows; 1. The average age of the subjective person of this investigation is 28.6 and the average career as a nurse is 6.0 years. 2. The Open-disposition that technical nurses showed is mostly half and half. 3. The Active-disposition of professional nurses was discovered affirmative largely and what they said in their questionnaires describes that they are very active answering $88.2\%$ for the disposition of self-control, $87.3\%$ for the people who think the training more seriously. 4. It was found out that the wise·disposition of technical nurse showed $90.7\%$ of 'Yes' about a new alternative of inquisitive question and we can see a progressive and profound aspect here. 5. As technical character of nurses, mutual relations between Active-disposition, Active-disposition, and wise­disposition were very profitably revealed as 0.42 in justice relations and also suggested that relations between Open-disposition, Active-disposition, and wise-disposition are 0.27 and 0.20 respectively. 6. What nurses recognize about the environment of hospital organization is reasonably acceptable while they feel very bad about rewards and punishments showing average 3.1 comparing to average 2.2 about time­control each other. Considering the prosperity of Active-disposition upon the result what I mentioned above, th possibility which is contributed to the productive improvement of hospital organization is very great and I think it can be more developed as a professional woman who has a strong motive of accomplishment, in advance.

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Perception on the Importance of Items on Psychosocial Assessment among Hospice and Palliative Care Social Workers (호스피스·완화의료 사회복지사의 심리사회적 사정항목에 대한 중요도 인식)

  • Kim, Won-Chul;Hwang, Myung Jin
    • Journal of Hospice and Palliative Care
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    • v.17 no.4
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    • pp.259-269
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    • 2014
  • Purpose: This preliminary study is aimed at developing standardized tools for psycho-social assessment of patients in needs for hospice/palliative care. To accomplish the purpose, investigators examined effects of perceptions of social workers on the importance of psycho-social domains of assessment in hospice/palliative care settings. Moreover, investigators paid attention to variances of perceptions of social workers' along with types of institution and credentials of those family settings. Methods: A form of questionnaire was first explored from an initial interview assessment of 10 government-certified hospice care providers and a literature review, second constructed with eight domains and 80 items, and sent by e-mail to 55 institutions and hospitals providing hospice/palliative cares in Korea. Lastly, a total of 31 agencies returned with a completed responses and consent form (56% response rate). SPSS program (version 18.0) was used for data analysis. Results: Study found that social workers perceived patients' family background (m=4.53, 5-point scale) as the most important assessment domain, whereas economic conditions (4.06 point) the least important. Social workers' perception varied by credentials (i.e., license types, training, full-time position, types of care facility). Conclusion: Based upon study findings, investigators can conclude strong needs for developing a assessment tool that measures multiple domains (i.e., psychological, social and ecological aspects) of patients. A standardized assessment tool should be structured with 2 axis (center/core and expanded/peripheral) and tailored for institution type. Second, professional trainings must be provided by strengthening legal institutionalization and fostering qualified social workers with full responsibilities of hospice and palliative care patients.

Facial Expression Animation which Applies a Motion Data in the Vector based Caricature (벡터 기반 캐리커처에 모션 데이터를 적용한 얼굴 표정 애니메이션)

  • Kim, Sung-Ho
    • The Journal of the Korea Contents Association
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    • v.10 no.5
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    • pp.90-98
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    • 2010
  • This paper describes methodology which enables user in order to generate facial expression animation of caricature which applies a facial motion data in the vector based caricature. This method which sees was embodied with the plug-in of illustrator. And It is equipping the user interface of separate way. The data which is used in experiment attaches 28 small-sized markers in important muscular part of the actor face and captured the multiple many expression which is various with Facial Tracker. The caricature was produced in the bezier curve form which has a respectively control point from location of the important marker which attaches in the face of the actor when motion capturing to connection with motion data and the region which is identical. The facial motion data compares in the caricature and the spatial scale went through a motion calibration process too because of size. And with the user letting the control did possibly at any time. In order connecting the caricature and the markers also, we did possibly with the click the corresponding region of the caricature, after the user selects each name of the face region from the menu. Finally, this paper used a user interface of illustrator and in order for the caricature facial expression animation generation which applies a facial motion data in the vector based caricature to be possible.

The Effect of Travel Motivation on Satisfaction for the Walking Tourist (도보여행객의 여행동기와 만족의 영향관계연구)

  • Son, Ha-Na;Yhang, Wii-Joo
    • Asia-Pacific Journal of Business
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    • v.6 no.2
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    • pp.81-95
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    • 2015
  • This study is an investigative study into the effects that the 'travel motivations' of participants on walking tourism has on their 'degree of satisfaction' by identifying tourist motivations for selecting walking tour among many types of tourism and their effects on hikers' degree of satisfaction. This study was conducted with hikers affiliated with 'walking on beautiful roads '-one of Busan's preliminary social enterprises- with a total of 176 copies used for a final effective sample. Data collected was analyzed using SPSS WIN 18.0 to conduct a frequency analysis of the sample. Along with exploratory factor analysis, Cronbach's ${\alpha}$ coefficient was used as an estimate of the validity and reliability of each factor. Multiple regression analysis was done for an analysis of travel motivations and their effects on satisfaction. The scale rates items in the questionnaire in the following categories: 'Motivations' for walking tours consist of 5 factors- vacation, soul-searching, social get-togethers, nature tour, community experience-with a total of 20 items. 'The degree of satisfaction' is made up of a factor with a total of 4 items. The results of the study are as follows: with respect to the hypothesis that motivations for walking tour would have a positive effect on the degree of satisfaction, test results show that 'motivations' have significant partial effects on the 'degree of satisfaction'. Motivations affect the degree of satisfaction in the order of nature tour and soul-searching except for experience and social get-togethers- an indication that participants on walking tours tend to travel for the attractiveness of nature, wanting time for reflection and meditation. As the first investigative study into participants in walking tours products offered by travel agencies, the study has the following implications for marketers: First, travel agencies selling walking tour products and government institutions concerned about the development of hiking trails need to discuss ways to make the most of natural resources as they are- rather than using development-oriented approaches. The study has its own limitation: it is that with the lack of domestic and international studies on walking tours, the study has not gained access to precedent studies on the subject so it has not established a systemic approach to the emerging type of tourism. Hopefully, this study will make a small contribution to its development.

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A Global Buffer Manager for a Shared Disk File System in SAN Clusters (SAN 환경에서 공유 디스크 파일 시스템을 위한 전역 버퍼 관리자)

  • 박선영;손덕주;신범주;김학영;김명준
    • Journal of KIISE:Computing Practices and Letters
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    • v.10 no.2
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    • pp.134-145
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    • 2004
  • With rapid growth in the amount of data transferred on the Internet, traditional storage systems have reached the limits of their capacity and performance. SAN (Storage Area Network), which connects hosts to disk with the Fibre Channel switches, provides one of the powerful solutions to scale the data storage and servers. In this environment, the maintenance of data consistency among hosts is an important issue because multiple hosts share the files on disks attached to the SAN. To preserve data consistency, each host can execute the disk I/O whenever disk read and write operations are requested. However, frequent disk I/O requests cause the deterioration of the overall performance of a SAN cluster. In this paper, we introduce a SANtopia global buffer manager to improve the performance of a SAN cluster reducing the number of disk I/Os. We describe the design and algorithms of the SANtopia global buffer manager, which provides a buffer cache sharing mechanism among the hosts in the SAN cluster. Micro-benchmark results to measure the performance of block I/O operations show that the global buffer manager achieves speed-up by the factor of 1.8-12.8 compared with the existing method using disk I/O operations. Also, File system micro-benchmark results show that SANtopia file system with the global buffer manager improves performance by the factor of 1.06 in case of directories and 1.14 in case of files compared with the file system without a global buffer manager.

A Mathematical Model for Coordinated Multiple Reservoir Operation (댐군의 연계운영을 위한 수학적 모형)

  • Kim, Seung-Gwon
    • Journal of Korea Water Resources Association
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    • v.31 no.6
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    • pp.779-793
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    • 1998
  • In this study, for the purpose of water supply planning, we propose a sophisticated multi-period mixed integer programming model that can coordinate the behavior of multi-reservoir operation, minimizing unnecessary spill. It can simulate the system with operating rules which are self- generated by the optimization engine in the algorithm. It is an optimization model in structure, but it indeed simulates the coordinating behavior of multi-reservoir operation. It minimizes the water shortfalls in demand requirements, maintaining flood reserve volume, minimizing unnecessary spill, maximizing hydropower generation release, keeping water storage levels high for efficient hydroelectric turbine operation. This optimization model is a large scale mixed integer programming problem that consists of 3.920 integer variables and 68.658 by 132.384 node-arc incidence matrix for 28 years of data. In order to handle the enormous amount of data generated by a big mathematical model, the utilization of DBMS (data base management system)seems to be inevitable. It has been tested with the Han River multi-reservoir system in Korea, which consists of 2 large multipurpose dams and 3 hydroelectric dams. We demonstrated successfully that there is a good chance of saving substantial amount of water should it be put to use in real time with a good inflow forecasting system.

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Selection of Integrated Concepts Across Science and Humanities Using the Delphi Method (과학과 인문학의 통합개념 선정을 위한 델파이 연구)

  • Kim, Jiyoung;Park, Jieun;Yoon, Heojeong;Park, Eunmi;Bang, Dami
    • Journal of The Korean Association For Science Education
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    • v.34 no.6
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    • pp.549-558
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    • 2014
  • Integrated concepts that are broad enough to embrace facts, principles, laws, and concepts of multiple disciplines could become the core of integrated education. Integrated concept-centered education enables effective and practical learning. In this study, the Delphi Method was implemented targeting experts in science (physics, life science, chemistry, and earth science) and humanities (history, geology, economics, ethics, and politics) to find out the integrated concept that can be used to design the concept-centered integrated education in the Republic of Korea. 124 experts participated in this survey. Delphi survey was conducted for three rounds. In the first round, an open questionnaire was given to experts to collect feasible integrated concepts in each major field. Then, in the second round experts were asked to select integrated concepts that could be used practically in the field of their major. In the third round, the integrated concept with selection frequency over medium value were given. They were asked to evaluate the applicability of integrated concepts by using the Likert-scale questionnaire. Through this process, content validity was analyzed. As a result, five integrated concepts (change, interaction, space-time, energy, and equilibrium) were selected for the inter-science integration. And thirteen integrated concepts (conflict, community, relationship, structure, power, diversity, culture, change, society, interaction, freedom, justice, and equality) were chosen for the inter-humanities integration. Finally, for the science-humanities integration, seven integrated concepts (structure, diversity, change, interaction, cycle, system, and environment) were determined.

Prediction of a Debris Flow Flooding Caused by Probable Maximum Precipitation (가능 최대강수량에 의한 토석류 범람 예측)

  • Kim, Yeon-Joong;Yoon, Jung-Sung;Kohji, Tanaka;Hur, Dong-Soo
    • Journal of Korea Water Resources Association
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    • v.48 no.2
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    • pp.115-126
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    • 2015
  • In recent years, debris flow disaster has occurred in multiple locations between high and low mountainous areas simultaneously with a flooding disaster in urban areas caused by heavy and torrential rainfall due to the changing global climate and environment. As a result, these disasters frequently lead to large-scale destruction of infrastructures or individual properties and cause psychological harm or human death. In order to mitigate these disasters more effectively, it is necessary to investigate what causes the damage with an integrated model of both disasters at once. The objectives of this study are to analyze the mechanism of debris flow for real basin, to determine the PMP and run-off discharge due to the DAD analysis, and to estimate the influence range of debris flow for fan area according to the scenario. To analyse the characteristics of debris flow at the real basin, the parameters such as the deposition pattern, deposit thickness, approaching velocity, occurrence of sediment volume and travel length are estimated from DAD analysis. As a results, the peak time precipitation is estimated by 135 mm/hr as torrential rainfall and maximum total amount of rainfall is estimated by 544 mm as typhoon related rainfall.