• 성인간호학회지
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• 제18권4호
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• pp.533-542
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• 2006

Purpose: The purposes of this study were to investigate medical records and to develop care records for management of patients with chest pain in the emergency department. Method: Retrospective review of the 42 medical chart of patients presented to the emergency department with chest pain were used. The collected data were analyzed with a frequency of items in the medical records. Results: In a frequency analysis of recorded items for doctors' chest pain assessment during history taking, the history/risk factors was the highest rank. The following ranks were 'commenced with when/timing, extra symptoms, place, nature, stay/radiate, alleviate/aggravate, intensity' in sequence. In a frequency of recorded items in nurse's progress notes according to nursing actions, the 'checking/monitoring' was the highest rank. The following ranks were 'performing, administering/injecting, referring/arranging, testing, preparing/catheterizing, teaching/informing' in sequence. Chest pain care records for the emergency department was designed, based upon data analysis and literature review. Conclusion: The designed records can be a rapid and effective approach tool for assessment and recording of patients with chest pain. Further research is necessary for evaluating the designed chest pain care records.

• The Journal of Asian Finance, Economics and Business
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• 제10권2호
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• pp.41-48
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• 2023

This study aims to evaluate patients' satisfaction with healthcare services in Hawtat Bani Tamim Governorate during the spread of coronavirus. The importance of this study stems from the fact that Covid-19 is challenging countries all over the world. The study adopted a questionnaire for collecting the data. The sample size reached 231 members. The study applied descriptive statistics and inferential statistical methods to obtain the result of the study. The analysis of the data revealed that most of the participants are satisfied with the healthcare services in hospitals and health centers during the Corona pandemic, Health precautions and distancing measures were applied appropriately, Vaccination against corona was available in health centers and easy to access, and rapid response of health care service providers to patients' requests. The participant's opinions showed that the application of Mawid is a suitable method to access healthcare services during Corona, the application is more efficient in providing the required healthcare services and facilitating their access to healthcare services. In addition, patient satisfaction with the "My health" application provided fast and convenient services during the Corona pandemic and provided medical consultations easily.

• 대한임상검사과학회지
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• 제39권3호
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• pp.271-276
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• 2007

Helicobacter pylori (H. pylori) infection is common in korea and high incidence at gastric ulcer and duodenal ulcer. $^{14}C-urea$ breath test ($^{14}C-UBT$) is regarded as a highly reliable and non-invasive method for the diagnosis of H. pylori infection. The purpose of this study was to evaluate the diagnositc performance of a new and rapid $^{14}C-UBT$, which was equipped with Geiger-Muller counter and compared the results with those obtained by gastroduodenoscopic biopsies (GBx). One hundred sixty-eight patients (M : F = 118 : 50) underwent $^{14}C-UBT$, rapid urease test (CLO test), and GBx. The results of $^{14}C-UBT$ were classified as positive (>50 cpm), borderline (25$^{14}C-UBT$ or CLO test results with GBx as a glod standard. In the assessment of the presence of H. pylori infection, the $^{14}C-UBT$ global performance yielded positive predictive value, negative predictive value and accuracy of 93.3% and 83.3%, respectively. However, the CLO test had performance yielded positive predictive value, negative predictive value and accuracy of 76.9%, 50.0%, respectively. In this study $^{14}C-UBT$ is a highly accurate, simple and non-invasive method or the diagnosis of follow up H. pylori infection.

• Smart Structures and Systems
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• 제31권2호
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• pp.101-111
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• 2023

Structural health monitoring (SHM) covers a range of damage detection strategies for buildings. In real-time, SHM provides a basis for rapid decision making to optimise the speed and economic efficiency of post-event response. Previous work introduced an SHM method based on identifying structural nonlinear hysteretic parameters and their evolution from structural force-deformation hysteresis loops in real-time. This research extends and generalises this method to investigate the impact of a wide range of flag-shaped or pinching shape nonlinear hysteretic response and its impact on the SHM accuracy. A particular focus is plastic stiffness (K_p), where accurate identification of this parameter enables accurate identification of net and total plastic deformation and plastic energy dissipated, all of which are directly related to damage and infrequently assessed in SHM. A sensitivity study using a realistic seismic case study with known ground truth values investigates the impact of hysteresis loop shape, as well as added noise, on SHM accuracy using a suite of 20 ground motions from the PEER database. Monte Carlo analysis over 22,000 simulations with different hysteresis loops and added noise resulted in absolute percentage identification error (median, (IQR)) in K_p of 1.88% (0.79, 4.94)%. Errors were larger where five events (Earthquakes #1, 6, 9, 14) have very large errors over 100% for resulted K_p as an almost entirely linear response yielded only negligible plastic response, increasing identification error. The sensitivity analysis shows accuracy is reduces to within 3% when plastic drift is induced. This method shows clear potential to provide accurate, real-time metrics of non-linear stiffness and deformation to assist rapid damage assessment and decision making, utilising algorithms significantly simpler than previous non-linear structural model-based parameter identification SHM methods.

• 한국학교보건학회지
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• 제7권1호
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• pp.9-28
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• 1994

This study is to investigate the status and problems in the anual physical examination in elementary & secondary schools. The study helps the introduction of health assessment. Two hundreds and forty nurse teachers of elementary & seconcary school in Seoul received in-service traomong fpr 20 daus frp, September 7 to September 27, 1992. Questionnaires were given to the 240 teachers and the number of collected questionnaire is 112. The result of the questionnaire analysis is like the following. First, the answered teachers aged 35~39, 36.6%; experience 6~10 years 37.5%; the number of class 31~40, 28.6%. Among the answered of the school doctors is practicioners. The doctors major subjects are 26.8% of internal medicine and 35.7% of surgery. Second, in elementary & secondary school nurse teachers received in-service training for the primary health assessment. And then 37.5% of schools practiced the health assessment. The term of the health assessment is largely a-year-length, occurately its rate of schools have practiced the assessment reaches 81.0%. The number of health assessment are consist of eyes, nose, ear, throat, skin, spine, heart and other abnormal regions and diseases all over the body. And 83.3% of the rate of the health assessment includes all these contents. The period of the health assessment is 7 to 28 days. Third, the physical examination conducted by school doctors is 91.0%. The method is various; one is 56.6% of the students who checked first by he nurse teacher. The number of 15.1% of the schools is directly checked by the school doctor. The invited medical doctors are divided into two categories. The number of general physician is 61.9%. Contrary to that school doctors are 38.1%. The contents of the medical examination is all the items printed on the medical examination sheet. To follow the medical examination sheet the number of school is 59.6%. Eyes, throat, skin and heart etc. partly medical examination is 40.4%. The rate of schools that used only stethoscope, tongue pressor as the medical instruments reaches 53.4% and 87.1% of elementary & secondary school give the invited doctors the allowance a nurse teachers conference decided. The number of 8.9% schools pay the doctors independent allowance. The medical examomatopm allowance is 200 to 250 won per capita. The rate is 56.1%. Forth, after the medical examination 72.1% of school sends letter to the parents to notice the result of the examination. The number of response from parent is 12.5%. The observation record in secondary school is 70.6% for junior, and 80.0% for senior respectively, and 65.5% is for the elementary school children. To conclude the regular physical examination in elementary & secondary school is very important. Because the students are in the stage of rapid growth and development. Early finding of the students diseases can help to cure with ease. In the light of public health the management of health program in the elementary & secondary school is of consequence.

• 한국작물학회지
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• 제61권4호
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• pp.270-276
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• 2016

The objective of this study was to find a rapid determination of the hot air stress in maize (Zea mays L.) leaves using a portable chlorophyll fluorescence imaging instrument. To assess the photosynthetic activity of maize leaves, an imaging analysis of the photochemical responses of maize was performed with chlorophyll fluorescence camera. The observed chlorophyll imaging photos were numerically transformed to the photochemical parameters on the basis of chlorophyll a fluorescence. Chlorophyll a fluorescence imaging (CFI) method showed that a rapid decrease in maximum fluorescence intensity ($F_m$) of leaf occurred under hot air stress. Although no change was observed in the maximum quantum yield ($F_v/F_m$) of the hot air stressed maize leaves, the other photochemical parameters such as maximum fluorescence intensity ($F_m$) and Maximum fluorescence value ($F_p$) were relatively lowered after hot air stress. In hot air stressed maize leaves, an increase was observed in the nonphotoquenching (NPQ) and decrease in the effective quantum yield of photochemical energy conversion in photosystem II (${\Phi}PSII$). Thus, NPQ and ${\Phi}PSII$ were available to be determined non-destructively in maize leaves under hot air stress. Our results clearly indicated that the hot air could be a source of stress in maize leaves. Thus, the CFI analysis along with its related parameters can be used as a rapid indicating technique for the determining hot air stress in plants.

• 한국지진공학회논문집
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• 제15권3호
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• pp.65-72
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• 2011

기존의 확률적 지진 취약성 분석은 그 중요성에도 불구하고 시간과 노력의 과도한 소요로 인하여 내진 성능 평가에 사용되기에 많은 제약이 따라왔다. 본 연구에서는 이를 극복하기 위해 획기적 수준의 신속성과 확장성을 갖춘 지진 취약성 분석 체계와 이를 실용화 하기위한 취약성 등고선을 개발하였다. 응답 데이터베이스를 활용하여 광범위한 구조물의 최대 응답을 즉각적으로 구하고 이를 바탕으로 구조물의 주기와 강성에 따른 한계상태확률의 변화를 한눈에 파악할 수 있는 취약성 등고선을 도출하였다. 최대응답 등고선의 도출과 비교를 통해서 최대응답의 분포는 연성도 요구치로 나타내는 것이 변위의 절대값으로 표현하는 것보다 안정적인 예측곡선을 보여 주며, 구조물의 응답특성변수인 주기와 강도비가 최대응답에 미치는 영향을 분석하는데도 유리함을 확인하였다. 연성도를 내진성능 평가의 기준으로 사용하기 위해서 내진설계기준에서 한계상태변위로서 제시되는 층간변위비와 연성도 요구치 사이의 상호 변환 관계를 정의하였다. 예제 구조물의 내진보강 전략 수립에 대한 논의를 통해서 신뢰성 이론에 기반 한 내진 보강과 설계에 취약성 등고선이 매우 유용하게 활용될 수 있음을 보여주었다.

• Ecology and Resilient Infrastructure
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• 제2권2호
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• pp.108-117
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• 2015

본 연구는 우리나라 하천수계의 하천환경 관리를 위해 적용되고 있는 생물학적 평가체계를 법제도적 기준과 실행계획 측면에서 검토 분석하여 문제점을 도출하기 위하여 수행되었다. 하천법과 하천사업의 계획 설계과정의 관련 지침, 수질 및 수 생태계 보전법과 수 생태계 건강성 평가 기준을 중점적으로 비교 검토하였다. 무엇보다 하천환경평가 관련 법제도적 근거가 미흡하고 관련 기준과 지침이 구체적이지 못하여 하천환경 관리의 실효성이 확보되지 못하고 있는 것으로 판단되었다. 또한 국토교통부와 환경부로 이원화된 하천수계 관리체계를 반영하듯 생물 분야의 평가항목과 기준이 수자원 관리와의 통합적 수준에 이르지 못한 채 두 부서의 사업추진 과정에서 단편적으로 고려되고 있었다. 특히 생물 중심의 평가항목과 기준은 물리구조적 서식환경 또는 수질과 연관된 수생생물에 국한되어 있을 뿐만 아니라 대다수 생물에 대한 정밀 조사를 필요로 하는 환경영향평가의 과정으로 고려되는 수준이었다. 결론적으로 하천수계를 대표할 수 있고 비교적 변동성이 적은 식생, 어류, 조류 등 고등생물을 지표화한 신속하면서도 공간 정보화된 정량적 평가기법이 마련되어야 할 것으로 판단되었다.

• 해양환경안전학회지
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• 제27권1호
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• pp.88-96
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• 2021

각종 해양사고로 인해 유조선, 대형 여객선 및 화물선 등이 해저에 침몰하는 경우 선적된 화물유 또는 연료유는 해양환경에 대한 직접적 위험요소로서 안전하고 신속한 제거가 요구된다. 침몰선 잔존유 회수작업에서는 국내외 구난업체가 현장여건을 반영하여 다양한 방법 및 기술을 활용하고 있으나 작업과정 전반에 대한 합리적인 평가모듈에 대한 연구는 현재까지 비교적 미흡한 실정이다. 본 연구에서는 잔존유 회수작업 평가모듈 설계를 목적으로 상이한 작업환경에서 수행된 작업사례들의 자료를 조사하여 작업과정 단계를 사전준비, 작업실행, 작업완료 단계로 구분한 후 세부공정별 핵심요인을 도출하였다. 이후 이 핵심요인들을 평가할 수 있는 평가지표들을 구성하는 방식으로 평가모듈을 설계하였다. 평가에서 특정인의 주관적 의견을 최대한 배제하기 위해 최대한 계량적으로 평가할 수 있는 데이터 지표들로 평가항목을 구성하였으며, 잔존유 회수작업 사례에 적용하여 결과를 분석하고 그 유용성을 일부 검증하였다. 본 연구를 통해 도출된 침몰선 잔존유 회수작업 방법 및 기술 평가모듈을 각 회수작업의 사전 또는 사후 적정성을 검증하는데 도움이 될 수 있을 것으로 사료된다. 또한, 과거 또는 미래의 여러 작업사례 평가데이터 축척 및 피드백이 지속적으로 이루어진다면 잔존유 회수작업 전반에 대한 안전성, 효율성, 현장적용성 제고에 기여할 수 있을 것이라 기대한다.

• 한국환경복원기술학회지
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• 제6권1호
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• pp.65-70
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• 2003

This research aims to classify wetland types and evaluate functions of a wetland created by abandoned rice paddies. The case study area is Ja-un wetland in Daejeon Metropolitan City. In this study, wetland types were classified based on the basic elements of wetlands such as hydrology, vegetation, and soil conditions. This study was carried out based upon field surveys, drawing maps and publication, and modified-RAM which can evaluate the general functions and conservation values of wetlands. The analysis shows that several types of wetlands were identified, such as Palustrine/ Perennial/ Hydrophytes, Palustrine/ Perennial/ Openwater, Palustrine/ Seasonal/Herbal, Palustrine/ Seasonal/ Shrub and Scrub, Palustrine/ Seasonal/ Hydrophye, and Riparian/ Seasonal/ Shrub and Scrub in the Ja-un wetland. The average level of functions of the wetlands is very "HIGH", and it is recommended that prompt conservation measures should be taken.