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Evaluation of Validity of the Korean Triage and Acuity Scale (한국형 응급환자 분류도구의 타당도 평가)

  • Choi, Heejung;Ok, Jong Sun;An, Soo Young
    • Journal of Korean Academy of Nursing
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    • v.49 no.1
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    • pp.26-35
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    • 2019
  • Purpose: The aim of this study was to identify the predictive validity of the Korean Triage and Acuity Scale (KTAS). Methods: This methodological study used data from National Emergency Department Information System for 2016. The KTAS disposition and emergency treatment results for emergency patients aged 15 years and older were analyzed to evaluate its predictive validity through its sensitivity, specificity, positive predictive value, and negative predictive value. Results: In case of death in the emergency department, or where the intensive care unit admission was considered an emergency, the sensitivity, specificity, positive predictive value, and negative predictive value of the KTAS were 0.916, 0.581, 0.097, and 0.993, respectively. In case of death in the emergency department, or where the intensive or non-intensive care unit admission was considered an emergency, the sensitivity, specificity, and positive predictive value, and negative predictive value were 0.700, 0.642, 0.391, and 0.867, respectively. Conclusion: The results of this study showed that the KTAS had high sensitivity but low specificity. It is necessary to constantly review and revise the KTAS level classification because it still results in a few errors of under and over-triage. Nevertheless, this study is meaningful in that it was an evaluation of the KTAS for the total cases of adult patients who sought help at regional and local emergency medical centers in 2016.

Assessment of the Historical Variability of Meteorological Drought in Bangladesh (방글라데시의 기상학적 가뭄 변동성 평가)

  • Kamruzzaman, Mohammad;Hwang, Syewoon;Cho, Jaepil;Jang, Min-Won
    • Journal of The Korean Society of Agricultural Engineers
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    • v.61 no.3
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    • pp.77-88
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    • 2019
  • Drought is the recurrent natural disasters which harshly affect agricultural production and society in various parts in Bangladesh. Information on the spatiotemporal variability of drought events plays a vital role to take necessary action towards drought mitigation and sustainable development. This study aims to analyze the spatial and temporal variation of meteorological drought in Bangladesh during 1981-2015 using Effective Drought Index (EDI). Monthly precipitation data for 36 years (1980-2015) were obtained from 27 meteorological stations. Drought frequency (DF) and areal extent of drought were considered to investigate the spatiotemporal structure of drought. The DF analysis showed that the northern, southwestern and central regions of the country are comparatively vulnerable to meteorological drought. The frequency of drought in all categories has considerably increased during the recent five years from 2011 to 2015. Furthermore, the most significant increasing trend of the drought-affected area was found over the central region especially for pre-monsoon (March-May) season during this period while the decreasing trend of the affected area was found within the eastern region during the study period. To prevent and mitigate the damages of drought disasters in Bangladesh, agricultural and government managers should pay more attention to those regional drought events that occur in pre-monsoon season. The outcome of the present study can be used as explanatory data in building the strategies to drought monitoring and mitigation activities in Bangladesh.

The Magnetic Anomaly Map of Korea (한국의 자력 이상도)

  • Park, Yeong-Sue;Rim, Hyoungrea;Lim, Mutaek;Shin, Young Hong
    • Geophysics and Geophysical Exploration
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    • v.22 no.1
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    • pp.29-36
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    • 2019
  • Regional airborne magnetic survey is very cost-effective mapping tool. Magnetic anomaly maps have abundant information, which are an important tool for understanding the geological evolution and mineral exploration. For this reason, the governments of many countries have made significant investment in the acquisition of airborne geophysical data over many decades. KIGAM (Korea Institute of Geoscience and Mineral Resources) began nationwide airborne magnetic mapping programme in 1982, and completed in 2017. The obtained magnetic data was reprocessed and magnetic database was built in 2018. In addition, the magnetic anomaly map of Korea with a scale of 1:1,000,000 was published. In this paper, we introduced a new magnetic anomaly map of Korea through describing the changing survey parameters during data acquisitions and history of data processing.

The Mediating Effect of Anxiety in the Relationship between the Oral Health Status and Oral Health Quality of Life of Workers Participating in Self-sufficiency (자활 참여 근로자들의 구강건강 상태와 구강건강 삶의 질의 관계에서 불안의 매개효과)

  • Hong, Min Hee;Lee, Jung-Min
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.176-185
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    • 2021
  • This study conducted a survey from September 5 to 30, 2020 targeting 415 workers participating in regional self-sufficiency center programs in four locations in Daejeon and Daegu. The purpose of the study was to examine oral symptoms of the study subjects and the effects if psychological anxiety parameters on oral health and quality of life. As a result of the study, oral dryness, temporomandibular joint symptoms, and periodontitis all had a significant effect on oral health and quality of life, and psychological anxiety factors had a partial mediating effect. The subjective oral symptom problems led to a negative psychological state, which could further impair the quality of life. In the future, the results of this study can be used as basic data for expanding psychological counseling programs for self-supporting workers and improving oral health policies for regular oral health education.

A Study on Changes and Challenges in Operation of Urban Regeneration Project in Gangwon-do Due to COVID-19 (코로나19 사태에 따른 강원도 도시재생사업 운영 변화와 과제)

  • Ham, Kwang-Min
    • Journal of Environmental Science International
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    • v.30 no.2
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    • pp.153-159
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    • 2021
  • This study aims to suggest the direction of urban regeneration policies of Gangwon-do in accordance with COVID-19 outbreak, and the results are as follows. First, it is inevitable to urgently execute the project from the perspective of cities and counties in Gangwon-do, where the promotion of urban regeneration projects has been delayed due to COVID-19 incident. As a result, it is highly likely to cause the employees overloaded and have negative effect on achieving the goals of urban regeneration, so, it is necessary to provide support measures at the government and provincial level, such as the actual execution index and the adjusting time of start and completion of particular business. Second, as the uncertainty of COVID-19 continues, it needs to strengthen the operation and monitoring of urban regeneration support centers in Gangwon-do and examine the changes in business operation plans in advance. In particular, the decrease in visitors to traditional markets and restaurants is expected to have a direct effect on small business owners engaged in the service industry. Therefore, it is necessary to actively consider the utilization plans of smart city regeneration, such as online shopping and non-contact payment. Third, it is necessary to phase in smart urban regeneration training focused on information weakness to narrow the digital gap, in preparation for general lifestyle changes such as contactless and non-face-to-face interactions. At a time when new light is being shed on local areas, which are quieter than heavily populated cities, a project that reflects the regional characteristics and culture of Gangwon-do is necessary.

Locational Characteristics of Survived and Closed Coffee Shops by Spatial Cluster Type (커피전문점 생존 및 폐업 분포의 군집 유형별 생멸 특성)

  • Park, Sohyun;Eo, Jeongmin;Lee, Keumsook
    • Journal of the Economic Geographical Society of Korea
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    • v.23 no.4
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    • pp.408-424
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    • 2020
  • This study attempts to analyze the spatial clustering of survived and closed coffee shops based on the land price and land use for each coffee shop location. The locational characteristics of survived and closed coffee shops for each cluster type are identified through various locational properties such as transport factors (physical accessibility), shop properties (franchise information, newly open/closed business experience), and spatial density (kernel density estimation). To this end, we categorize the clusters of survived and closed coffee shops into three types (general locational distribution type, commercialization type of residential area and location type of commercial center), and then analyze their locational characteristics. As the result, we found that the locations of newly open and closed coffee shops show different distribution characteristics, even though they are classified into the same type due to the double sidedness of new open and closed locations. The results of this study can be provided as basic data for planning the location of coffee shop as well as regional commercial district.

The Differences and Activation of Physical Activity Therapy Program in Urban-Rural Region Before and After COVID-19 - Focused on Gimcheon, Jeongeup, and Pyeongtaek - (코로나19 전후 도농지역 신체활동 치유 프로그램의 차이와 활성화 방안 연구 - 김천, 정읍, 평택 중심으로 -)

  • Park, Sang-Kyun;Tomita, Sigeru;Oh, Yoon-Ji;Kim, Dae-Sik;Lee, Wang-Lok
    • Journal of Korean Society of Rural Planning
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    • v.27 no.4
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    • pp.25-32
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    • 2021
  • This study was to analyze the Physical Activity Therapy Programs (PATPs) in U rban-rural region before and after COVID-19 in order to suggest a way of activating program. The subjects were the 43 PATPs performed in 4 Community Health Centers of Gimcheon, Jeongeup, and Pyeongtaek. The basic data was collected by official documents, expenditure budget, the homepage of the centers, national information disclosure portal, telephone interview, and e-mail with the person in charge of the programs. All the data were classified to the administrative districts, the health-related fitness variables, and the life cycles. The American College Sports Medicine Guidelines were used to evaluate the PATPs. As a results, the number of the PATPs was too small compared to the population of the regions. Also, the PATPs were not considered to the characteristics of participants such as Life-Cycle and regional facilities so on. The organization and management of the PATPs were principally deficient in improving health-related fitness variables. In 2020 as the period of COVID-19 pandemic, the number of programs and participants with face-to-face PATPs was significantlry decreased compared to 2019, while that was increased with non-face-to-face PATPs. In conclusion, PATPs should be increased and operated in accordance with scientific exercise prescription guidelines. Also, the programs should be considered with the proportion and characteristics of Life-Cycle population. Further, the various with non-face-to-face PATPs should be developed and screened with based on scientific data for post-corona virus pandemic. Further, non-face-to-face PATPs programs should include a kind of practical way to promote the individual physical activity.

A Study on the Spatiotemporal Characteristics of Chemical Discharges and Quantified Hazard-Based Result Scores Using Pollutant Release and Transfer Register Data (화학물질배출이동량 자료를 활용한 화학물질배출량 및 유해기반지수 정량화와 시공간 특성 연구)

  • Lim, Yu-Ra;Gan, Sun-Yeong;Bae, Hyun-Joo
    • Journal of Environmental Health Sciences
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    • v.48 no.5
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    • pp.272-281
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    • 2022
  • Background: The constant consumption of chemical products owing to expanding industrialization has led to an increase in public interest in chemical substances. As the production and disposal processes for these chemical products cause environmental problems, regional information on the hazard level of chemical substances is required considering their effects on humans and in order to ensure environmental safety. Objectives: This study aimed to identify hazard contribution and spatiotemporal characteristics by region and chemical by calculating a hazard-based result score using pollutant release and transfer register (PRTR) data. Methods: This study calculated the chemical discharge and hazard-based result score from the Risk-Screening Environmental Indicators (RSEI) model, analyzed their spatiotemporal patterns, and identified hotspot areas where chemical discharges and high hazard-based scores were concentrated. The amount of chemical discharge and hazard-based risk scores for 250 cities and counties across South Korea were calculated using PRTR data from 2011 to 2018. Results: The chemical discharge (high densities in Incheon, Daegu, and Busan) and hazard-based result scores (high densities in Incheon, Chungcheongnam-do, and some areas of Gyeongsangnam-do Province) showed varying spatial patterns. The chemical discharge (A, B) and hazard-based result score (C, D) hotspots were identified. Additionally, identification of the hazard-based result scores revealed differences in the type of chemicals contributing to the discharge. Ethylbenzene accounted for ≥80% of the discharged chemicals in the discharge hotspots, while chromium accounted for >90% of the discharged chemicals in the hazard-based result score hotspots. Conclusions: The RSEI hazard-based result score is a quantitative indicator that considers the degree of impact on human health as a toxicity-weighted value. It can be used for the management of industries discharging chemical substances as well as local environmental health management.

Improving the Professional Competence of a Specialist in Poland by Implementing Multimedia Technologies

  • Kravchenko, Tetiana;Varga, Lesia;Lypchanko-Kovachyk, Oksana;Chinchoy, Alexander;Yevtushenko, Nataliia;Syladii, Ivan;Kuchai, Oleksandr
    • International Journal of Computer Science & Network Security
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    • v.22 no.9
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    • pp.51-58
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    • 2022
  • The article emphasizes the features of the modern education system in Poland, reveals the peculiarities of improving the professional competence of a specialist in Poland through the implementation of multimedia technologies. Various forms of innovations implemented in improving the professional competence of a specialist are listed: improvement (rationalization), modernization, innovation. The forms of professional improvement through the introduction of computer technologies in general and multimedia technologies, in particular, primarily include various professional courses, qualification, preparatory, methodological conferences, seminars, postgraduate studies, foreign and state internships. At the same time, the main direction is self-education. The subject of professional improvement in the application of computer technologies by specialists is the updating of existing knowledge, exchange of professional experience, planning, as well as discussion of innovative works in which specialists participate. Professional growth of specialists can occur both during work and in higher education institutions during their studies. Modernization of computer technologies, especially multimedia ones, is a necessary condition for the functioning of specialists in modern society, since specialists are at the center of the educational process, during the improvement of professional competence. The main functions of the educational process necessary for improving the professional competence of specialists through the implementation of multimedia technologies are revealed. These functions not only contribute to the professional improvement of specialists, but also affect their solutions and optimize the maintenance of contacts between specialists. The importance of creating conditions that are consistent with the modern needs of innovative education is emphasized.

Evolution of Anatomical Studies on the Arterial, Venous, and Lymphatic System in Plastic Surgery

  • Soo Jin Woo;Hee Tae Koo;Seong Oh Park;Hiroo Suami;Hak Chang
    • Archives of Plastic Surgery
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    • v.49 no.6
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    • pp.773-781
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    • 2022
  • Anatomies of the vascular and lymphatic systems have been vital research topics in reconstructive surgery. Harvey was a pioneer who provided the earliest descriptions of the cutaneous vasculature in the 17th century. The concept of vascular territories of the skin was first described by Manchot. The radiographic injection method in cadavers was developed by Salman, who defined more than 80 vascular territories. The arterial system has been thoroughly investigated with the development of regional and free flaps. The concept of axial and random pattern flaps was introduced by McGregor and Morgan. Manchot's vascular territories were refined by Taylor and Palmer as the angiosome concept. Detailed information about the venous circulation is essential for reconstructive surgeries. The concept of intrinsic and extrinsic venocutaneous vascular systems was introduced by Nakajima and led to the development of the venoadipofascial flap. The importance of venous augmentation in flap survival was emphasized by Chang. The lymphatic system was discovered much later than the arterial and venous systems. Aselli was credited for discovering the lacteal vessels in the 17th century; mercury was popularly used as a contrast agent to distinguish lymphatic vessels for the next three centuries. A radiographic method in cadavers was developed by Suami. Lymphatic imaging devices are constantly upgrading, and photoacoustic imaging was recently introduced for three-dimensional visualization of architecture of superficial layers of the lymphatic and venous systems.