• Research in Community and Public Health Nursing
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• v.10 no.1
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• pp.70-79
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• 1999

This study attempts to encourage the development of a rehabilitation delivery system as a substitute service for hospitalization such as a community based intermediate facility or home health care. We need substitute services for hospitalization to curtail the length of stay for inpatients due to car accidents. It focused on developing an estimation for early discharge based on a detailed statement of treatment from medical records of 109 inpatients who were hospitalized at General Hospital in 1997. This study has three specific purposes: First, to find the mean length of stay and mean medical expenditure. Second, to estimate the mean of early discharge from the mean length of stay. Third, to analyize the income effect per bed from early discharge. In order to analyze the length of stay and medical expenditure of inpatients the author conducted a micro and macro-analysis with medical expenditure records. To estimate the early discharge we examined with a group of 4 experts decreases in the amount of treatment after surgery, in treatments, in tests, in drug methods. We also looked their vital signs, the start of ROM exercise, the time removel, a patient's visitations, and possible stable conditions. In addition to identifing the income effect due to an early discharge, the data was analyzed by an SPSS-PC for windows and Excell program with a regression analysis model. The research findings are as follows: First, the mean length of stay was 47.56 days, but the mean length of stay due to early discharge was 32.26 days. The estimation of early discharge days was shown to depend on the length of stay. The longer the length of stay, the longer the length before discharge. For example, if the patient stayed under 14 days the mean length of stay was 7.09 while an early discharge was 6.39, whereas if the mean length of stay was 155.73, the early discharge time was 107.43. The mean medical expenditure per day of car accident patients was found to be 169,085 Won, whereas the mean medical expenditure per day was shown to be in a negative linear form according to the length of stay. That is the mean expenditure for under 14 days of stay was 303,015 Won and the period of the hospitalization of 15 days to 29 days was 170,338 Won and those of 30 days to 59 days was 113,333 Won. The estimation of the income effect due to being discharged 16 days was around 2,350,000 Won with a regression analysis model. However, this does not show the real benefits from an early discharge, but only the income increasing amount without considering prime medical cost at a general hospital. Therefore, we need further analysis on cost containments and benefits incending turn over rates and medical prime costs. From these research findings, the following suggestions have been drawn, we need to develop strategies on a rehabilitation delivery system focused on consumers for the 21st century. Varions intermediate facilities and home health care should be developed in the community as a substitute for shortening the length of stay in hospitals. In home health care cases, patients who want rehabilitation services as a substitute for hospitalization in cooperation with private health insurance companies might be available immediately.

• Journal of the Korean Institute of Gas
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• v.19 no.4
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• pp.29-34
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• 2015

Accidents in laboratory dealing with chemicals have constantly occurred. In the case of a gas explosion or an accident related to leakage of chemical materials, the damage is much greater, thereby leading to a serious accident. Especially, the safety of laboratory in University is important because students build up knowledge and skills and accumulate experience as the main researchers. In this paper, 5 gases(CO, $NH_3$, $H_2$, $CH_4$, $N_2$) are selected to model since they are often used in university laboratories. From the scenarios where the gases are released, the diffusion process is estimated and analyzed to predict damage degree by PHAST v.6.7. Internal diffusion process is modeled through FLUENT which is Computational Fluid Dynamics(CFD) tool. Also, we compare indoor damage with outdoor one when discharged to the outside through the laboratory's window. In the modeling results, the outdoor damages for accident scenarios in the results are far less than then of real plants since the vessel usually used in laboratory(i.e. the capacity of the cylinder; 47 L or less) is significantly less than workplace's one(using ton measure). However as shown in the results small amount can have high consequences for indoor accidents.

• Journal of the Korea Safety Management & Science
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• v.25 no.4
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• pp.45-56
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• 2023

This study attempted to provide implications by analyzing the impact of business Owner's safety commitment on industrial accidents and examining the mediating role of management supervisors' safety leadership and worker participation. Analysis was conducted on 2,067 manufacturing sites with 20 to 50 employees in the 10th Occupational Safety and Health Survey data. SPSS waw used to secure the reliability of the measurement variable. Hypothesis vertification was carried out after securing the suitability and validity of the structural model using AMOS. The direct impact of three latent variables on industrial accidents was confirmed: the business owner's safety commitment, the management supervisor's safety leadership, and the worker participation. The employer's safety will and the management supervisor's safety leadership do not directly affect industial accidents, but it has been verified that worker participation has a diret impact on industrial accident reduction. In addition, it has been confirmed that the safety leadership and worker participation of the management. Supervior have a complete mediating effect on the reduction of industrial accidents by mediating with the safety leadership of the management supervior and the participation of the workers. This study analyzed the impact on industrial accidents by dividing the stakeholders constituting the workplace into three classes: business owners, superviors, and workers, but the results suggest that employers and all workers inside the workplace may be organically linked to achieving the goal of reducing industrial accidents. Therefore, in order to establish an autonomous safety management system for safety and health at workerplaces, efforts are needed to reduce industrial accidents in their respective location by forming an organic community among internal stakeholders.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.28 no.6
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• pp.675-682
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• 2015

Current design codes such as AASHTO LRFD or Korean Highway Bridge Design Code recommend of using static force for designing bridge column against vehicle collisions. However, there was an accident that the bridge was collapsed shortly after vehicle impact on bridge pier in Nebraska(near Big Spring, 2003). It was found that the second largest cause of bridge collapse is collision after hydraulic causes. It can be thought that the possibility of truck-bridge collision are getting increasing as the size of truck increases and traffic condition are becoming improved. However, dynamic behavior under the impact loading seldom considered in bridge design procedure due to computational cost and time. In this study, in order to reduce the computational cost for dynamic impact analysis, model reduction method was developed. Obtained results of residual displacement were compared with the results of direct impact simulations.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.14 no.6
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• pp.50-59
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• 2015

This study aimed at suggesting Willingness To Pay (WTP) for introduction of the Traffic Accident emergency Call (TAC) system by using Contingent Valuation Method (CVM) which is a general valuation method. As the method, this study suggested a WTP estimation method of the TAC system with the double-bound dichotomous choice model. In previous studies, the data are processed differently according to the type of questions and analysis models used for the calculation of willingness to pay. Therefore, we re-organized the model by the cases using the truncated data sets, and showed the difference in WTPs. The dataset was developed by more than 500 questionnaire obtained from online and offline survey with the consideration of composition ratio by age group referring housing census in 2010 to mitigate regional bias of samples. At last, this study applied various statistical methods, survival analysis, multiple regression, and Tobit model for better interpretation of the questionnaires.

• Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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• v.17 no.1
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• pp.1-13
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• 2019

The accident at the Fukushima Dai-ichi Nuclear Power Plant (FDNPP) resulted in the deposition of large quantities of radionuclides over parts of eastern Japan. Radioactive contaminants have been observed over a large area including forests, cities, rivers and lakes. Due to the strong adsorption of radioactive cesium by soil particles, radioactive cesium migrates with the eroded soil, follows the surface flow paths, and is delivered downstream of population-rich regions and eventually to coastal areas. In this study, we developed a model to simulate the transport of contaminated sediment in a watershed hydrological system and this model was compared with observation data from eroded soil observation instruments located at the Korea Atomic Energy Research Institute. Two methods were applied to analyze the soil particle size distribution of the collected soil samples, including standardized sieve analysis and image analysis methods. Numerical models were developed to simulate the movement of soil along with actual rainfall considering initial saturation, rainfall infiltration, multilayer and rain splash. In the 2019 study, a numerical model will be used to add rainfall shield effect by trees, evaporation effect and shield effects of surface water. An eroded soil observation instrument has been installed near the Wolsong nuclear power plant since 2018 and observation data are being continuously collected. Based on these observations data, we will develop the numerical model to analyze long-term behavior of radionuclides on land as they move from land to rivers, lakes and coastal areas.

• Journal of the Korea institute for structural maintenance and inspection
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• v.14 no.2
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• pp.113-120
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• 2010

Recently, various evaluations concerning structural stability under construction step and completely constructed step have been executed during a Long-span Arch Bridge designing procedure. However, the breakage of cable-hangers of arched bridge in unexpected accident or periodic cable-replacement has not been considered. Therefore, the purpose of this study is that analyzing structural safety of arched bridge when the cable-hangers being fractured by that reasons. Dynamic analysis are performed by idealizing impact load to three types of impact functions as fracturing the cables. Consequently, when the hangers are fractured, the maximum tensile force by dynamic analysis is larger than those by static analysis. Therefore, the dynamic analysis is demanded to accurately obtain the responses for the structural stability with a realistic impact loading model in the breakage and replacement of cable hangers of long-span arched bride. Moreover, the analysis method and results in this study can be used to basic criteria in design.

• The Journal of Society for e-Business Studies
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• v.20 no.4
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• pp.177-191
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• 2015

Recently, the necessity of systematic security management system that consider company' character and environment has appeared because of increasing security accident continuously in domestic companies. However, most of companies has applied to only K-ISMS which is existing information security management system, although They are different from object, purpose and way of security level evaluation by companies. According to this situation, Many experts have questioned that there are many problems with effectiveness of introducing security management system. In this study, We established definition of information security management system, industrial security management system and research security management system through analysis of previous study and developed evaluation item which can implement security in whole industry comparing and analyzing the control items of them. Also, we analyzed existing security level evaluation and suggest design direction of industry-centric security level evaluation model considering character of industry.

• International Journal of Highway Engineering
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• v.18 no.6
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• pp.173-180
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• 2016

OBJECTIVES : Fixed roadside objects are a threat to drivers when their vehicles deviate from the road. Therefore, such roadside objects need to be suitably dealt with to decrease accidents. This study determines the factors affecting the severity of accidents because of fixed roadside objects. METHODS : This study analyzed the crash severity impact of fixed roadside objects by using ordered probit regression as the analysis methodology. In this research, data from 896 traffic accidents reported in the last three years were used. These accidents consisted of sole-car accidents, fixed roadside object accidents, and lane-departure accidents on the national highway of Korea. The accident severity was classified as light injury, severe injury, and death. The factors relating to the road and the driver were collected as independent variables. RESULTS : The result of the analysis showed that the variables of the crash severity impact are the collision location (left side), gender of the driver (female), alcohol use, collision facility (roadside trees, traffic signals, telephone poles), and type of road (rural segments). Additionally, the collision location (left side), gender of the driver (female), alcohol use, collision facility (street trees, traffic signals, telephone poles), and type of road (rural segments), in order of influence, were found to be the factors affecting the crash severity in accidents due to fixed roadside objects. CONCLUSIONS : An alternative solution is urgently required to reduce the crash severity in accidents due to fixed roadside objects. Such a solution can consider the appropriate places to install breakaway devices and energy-absorbing systems.

• Journal of Navigation and Port Research
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• v.36 no.10
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• pp.857-864
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• 2012

Reviewing the statistics of harbor shipment of hazardous and noxious substance and the past spill accidents of HNS enabled us to assess the potential risks of transportation of HNS through the major harbors in Korea. Ulsan, Yeosu, Daesan port are relatively evaluated high risk in fire, health and environment disaster. Through the analysis of domestic preparedness to HNS accidents, the supplement of expertise resource to respond the vulnerability of the explosion, the fire and the physiological hazard, is required. Based on this risk assessment and review of the advanced case of Japan in building up HNS response system, a resource model at a national level was proposed which differentiates the sea areas for the proper allocation of resources to respond effectively to HNS accidents in the future.