• Title/Summary/Keyword: appropriateness study

Search Result 1,199, Processing Time 0.026 seconds

Early Traumatic Deaths (외상 후 초기사망에 대한 고찰)

  • Paik, Seung-Won;Han, Chul;Hong, Yun-Sik;Choi, Sung-Hyuk;Lee, Sung-Woo;Moon, Sung-Woo;Yoon, Young-Hoon;Yu, Woo-Sung;Kim, Duk-Hwan
    • Journal of Trauma and Injury
    • /
    • v.23 no.2
    • /
    • pp.75-82
    • /
    • 2010
  • Purpose: In Korea, trauma is the $3^{rd}$ most common cause of death. The trauma treatment system is divided into pre-hospital and hospital stages. Deaths occurring in the pre-hospital stage are 50% of the total death, and 20% of those are deaths that are preventable. Therefore, the purpose of our study is to calculate the preventable death rates caused by trauma in our current pre-hospital system, to analyze the appropriateness of the treatment of traumatized patients and to draw a conclusions about the problems we have. Methods: The study was done on traumatized patients who expired at the emergency department from January 1, 2005, to December 31, 2009, at the Korea University Medical Centers in Anam, Guro and Ansan. The data on the patients were reviewed retrospectively based on characteristics, conditions on admission and trauma severity. The patient's RTS (revised trauma score) and ISS (injury severity score) was calculated. Preventable death rate was calculated by TRISS (the trauma score-injury severity score). Results: A total of 168 patients were enrolled. All patients were intubated and underwent CPR. Of the total, 72% patients were male, and traffic accidents were the most common form of trauma (52.4%), falls being second (28.6%). Head injury, solitary or multiple, was the most common cause of death (55.4%). Thirty-eight (38, 22.6%) deaths were preventable. The 22.6% preventable death rate consisted of 15.5% potentially preventable and 7.1% definitely preventable deaths. Based on a logistic regression analysis, the relationship between the time intervals until transfusion and imaging and death was statistically significant in the hospital stage. In the pre-hospital stage, transit time from the site of the injury to the hospital showed a significant relationship with the mortality rate. Conclusion: One hundred sixty-eight (168) patients died of trauma at the 3 hospitals of Korea University Medical Center. The TRISS method was used to calculate the preventable death rate, with a result of 22.6%. The only factor that was significant related to the preventable death rate in the pre-hospital stage was the time from injury to hospital arrival, and the time intervals until transfusion and imaging were the two factors that showed significance in the hospital stage. Shortening the time of treatment in the field and transferring the patient to the hospital as quickly as possible is the most important life-saving step in the pre-hospital stage. In the hospital stage, the primary survey, resuscitation and diagnosis should proceed simultaneously.

A study for conservation of plant-based cultural properties : on the subject of straw sandals excavated at Goongnamji in Buyeo (초본류 문화재의 보존처리를 위한 연구 -부여 궁남지 출토 짚신을 대상으로-)

  • Na, Mi-Sun;Kim, Ik-Joo;Kim, Soo-Ki
    • 한국문화재보존과학회:학술대회논문집
    • /
    • 2004.10a
    • /
    • pp.115-130
    • /
    • 2004
  • Plant-based cultural assets using straw and grass as household goods of our people's have been used as indispensable tools for practical living for a very long time. However, only a limited number of artifacts were unearthed so far due to tile fragility of the material. For this reason, research on plant-based cultural properties had close to no progress, and the appropriateness of the PEG method, high-grade alcohol method, alcohol--ether-resin method, and Paraloid B-72 used in preserving plant-based cultural properties has not been sufficiently investigated. Therefore, this study examined the weight change rate by applying the methods of Primal MC-76 and vacuum freeze-drying used mostly as a earth-layer hardening material among PEG and acrylic resin, which are applied widely for preservation of waterlogged archaeological wood, as a means to preserve plant-based cultural properties along with the examination of the subject material, and an experiment was also performed on moisture absorption. The findings as a result were, first, the plant-based material being studied was found to be Typha (Typha orientalis Presl). Secondly, the weight change experiment applying $PEG\#400$ and $PEG\#4000$ confirmed a steady increase of weight if PEG -2Step is used for treatment. Third, in preserving all subject materials with soil, treatment with $PEG\#4000$, Primal MC-76, and vacuum freeze-drying showed that tile vacuum freeze-drying method resulted in the largest or $20\%$ reduction in weight, while Primal MC-76 resulted in $18\%$ and $PEG\#4000$ in $8\%$ of weight reduction. It was concluded that, considering the stability of soil measurement, this came to be because resin permeation was carried out along with tile drying process. Fourth, the weight changes were found to be around $10\%$ in various humidity conditions after the preservation treatment. The greatest weight change rate was seen in the case of $PEG\#4000$, particularly having chemicals gush out in a high humidity (RH $84\%$ or higher) environment. In the case of Primal MC-76 and vacuum freeze-drying methods, $6\~8\%$ weight changes were detected, and the lowest weight change was found in the case of the vacuum freeze-drying method. Fifth, as for color changes after treatment, blackening occurred most strongly with $PEG\#4000$, while Primal MC-76 and vacuum freeze-drying manifested colors closest to dry straw or grass. However, the texture of straw was not very evident in the case of Primal MC-76, due to a glossy surface, but vacuum freeze-drying was found to offer tile best result in terms of texture. Putting together the results of the above experiments, vacuum freeze-drying presented after being treated with PEG2-Step the most stabilized changes in weight, while it offered the smallest change in color as well.

  • PDF

PRISM-KNU Development and Monthly Precipitation Mapping in South Korea (PRISM-KNU의 개발과 남한 월강수량 분포도 작성)

  • PARK, Jong-Chul;KIM, Man-Kyu
    • Journal of the Korean Association of Geographic Information Studies
    • /
    • v.19 no.2
    • /
    • pp.27-46
    • /
    • 2016
  • In this study, the parameter-elevation regressions on independent slopes model-Kongju National University(PRISM-KNU) system was developed to interpolate monthly precipitation data. One of the features of PRISM-KNU is that it can adjust the allowable range of slope according to the elevation range in the equation representing a linear relationship between the precipitation and elevation. The parameter value of the model was determined by using the optimization technique, and the result was applied to produce monthly precipitation data with a spatial resolution of $1{\times}1km$ from 2000 to 2014 in South Korea. In the result, the Kling-Gupta Efficiency for model evaluation was over 0.7 in 86% of the total cases simulated. In addition, a dramatic change in the spatial pattern of precipitation data was observed in the output of the Modified Korean PRISM, but such a phenomenon did not occur in the output of the PRISM-KNU. This study confirmed the appropriateness of the PRISM-KNU, and the result showed that the spatial consistency of the data produced by the model improved compared with that produced by the Modified Korean PRISM. It is expected that the PRISM-KNU and its output will be utilized in various studies in the future.

Policy Study on Appropriateness of Safety Check Costs in Construction Projects - Focusing on Industrial Safety and Health Act - (건설공사 안전점검대가의 적정성에 대한 정책적 고찰 - 산업안전보건법을 중심으로 -)

  • Kim, Byeong-Cheol;Lee, Dong Wook
    • KSCE Journal of Civil and Environmental Engineering Research
    • /
    • v.37 no.4
    • /
    • pp.747-757
    • /
    • 2017
  • Of safety check regulation, 'Construction Technology Promotion Act' and 'Special Act on the Safety Control of Public Structures' contain provisions about the content of safety in construction works and the items of safety checks in the maintenance aspect and thus contribute to accident prevention in the construction industry. Of the regulations responsible for the practical safety of workers, the safety check regulation of Ministry of Employment and Labor demand for safety check from the start of construction based on an agreement with a concerned agency to the completion of construction solely based on 'Guidance Standards for the Specialized Disaster Prevention Instruction in Article 32 of Occupational Safety and Health Act' and 'Appropriation and Usage Standards of Safety and Health Management Costs in the Construction Industry'. There is, however, a huge gap, as well, in them according to client agencies. In small construction sites ordered by a private organization, checks are done formally with no detailed regulations. As a result, the costs of checks continue to drop with only the contract kept intact. This study examined the forms of safety checks practically done in the Jeju region, distinguished and compared them by the construction costs, calculated proper costs based on each construction act, and further proposed improvement measures for the detailed regulations.

Changes in the Hosptal Length of Stay and Medical Cost between before and after the Applications of the DRG payment system using Health Insurance Big Data (건강보험 빅 데이터를 활용한 종합병원에서의 포괄수가제 적용 전·후 재원일수와 진료비의 변화)

  • Jeong, Su-Jin;Choi, Seong-Woo
    • The Journal of the Korea institute of electronic communication sciences
    • /
    • v.12 no.2
    • /
    • pp.401-410
    • /
    • 2017
  • This study aimed to identify appropriateness and efficiency in the DRG payment system by analysing the hospital length of stay and changes in fees before and after the application of DRG payment system. The subjects of the study were a total of 398 patients consisting of 204 for the fee for service system and 194 for the DRG payment system. They received surgery in the Obstetrics and Gynecology (OBGY) department of a general hospital in G metropolitan city between January and December 2013. The mean hospital length of stay was significantly decreased after application of the DRG payment system(p=0.013). Total fees, insurance charges, and deductions increased significantly(p<0.001), and non-payment charges and total deductions decreased significantly(p<0.001). Application of the DRG payment system reduced length of stay, non-payment charges and total patient's cost sharing and increased out-of-pocket, insurance charges, and total fees.

Estimation of Soil Conversion Factor for the Non-compacted Soil in Embankment (비다짐 성토지반의 합리적 토량평가를 위한 토량환산계수 추정)

  • Oh, Sewook;Lee, Bongjik;Kim, Hongseok
    • Journal of the Korean GEO-environmental Society
    • /
    • v.18 no.11
    • /
    • pp.13-18
    • /
    • 2017
  • In a banking process for construction of a complex, non-compaction construction has been applied in most sites, which is a method that soils are compacted by the equipment load without being compacted separately. However, there are no specific descriptions in the construction manual or specifications, so it is unclear to evaluate the excavation volume. Hence, this study is a basic study to compare the soil conversion factor at a design stage and the actual soil conversion factor of a banking ground under a non-compaction condition in order to examine the feasibility in constructing the ground for construction of the complex and to examine appropriateness of the earth work in the site by conducting an indoor, field, and load-settlement test and proposing a reasonable soil conversion factor. Under the non-compaction condition, the soil conversion factor C is set to be 1.0 at the design stage, but the result of the field test was 0.86 which is smaller than the value at the design stage. It was expected that this result would increase the banking volume, and the construction result actually showed a difference in the banking volume. Therefore, for the baking ground under the non-compaction condition, it is necessary to apply the value C suitable for the site condition after performing test by considering the site's condition and the banking height.

A Relationship study between the internal marketing-related organizational factors in construction companies and corporate performance - Surveyed by executives and employees in Contractor - (건설기업 내부마케팅 구성요인과 기업성과 간의 관계 연구 - 시공사 임직원을 대상으로 -)

  • Lee, Jong-Sun;Park, Soon-Kyu
    • Korean Journal of Construction Engineering and Management
    • /
    • v.14 no.2
    • /
    • pp.65-77
    • /
    • 2013
  • Recent economic slump is making the construction industry's overall construction business environment worse. Contractors which are under the legal management and/or walk out are to the brink of 25 companies according to the Construction association of Korea released in 2011. It means that existing construction companies are required to transform the fundamental ideology of existing operation framework, and besides, existing companies should be transformed to service industry in order to proceed further into the developing future industries. In this study, it will be chosen the internal marketing related factor like 'Satisfying employees, internal customer, are the first thing to do in order to satisfy external customer.' which is about existing service industry field before its implementation in construction companies. In addition, appropriateness test will be performed including both interactions between each of the factors affect mutually and looking into any management improvement effects on contractors. And also, this proposal is suggested by approaching with internal marketing strategy which is both paradigm shift for customers by construction company members and another internal communication way as a means of overcoming the crisis of overall construction industry under currently happening.

Impact of Student Assessment Activities on Claim and Evidence Formation in High School Argument-Based Inquiry (고등학교 논의기반 탐구 과학수업에서 학생 평가활동이 주장과 증거 형성에 미치는 영향)

  • Lee, Seonwoo;Nam, Jeonghee
    • Journal of the Korean Chemical Society
    • /
    • v.62 no.3
    • /
    • pp.203-213
    • /
    • 2018
  • The purpose of this study was to investigate the impact of student assessment activities on claim and evidence formation in argument-based inquiry (ABI) for high school students. The participants of the study were 166 grade 10 students from six different classes in the same high school. The experimental group (84 students) was taught Argument-Based Inquiry with students' self and peer assessment activities. The comparative group (82 students) was taught without the activities. Over one semester students participated in five ABI programs that we developed. According to the analysis of the claim and evidence from groups, the experimental group had a significantly higher mean score than the comparative group. The result of analysis of students' assessment in the experimental group, the frequency about accurate and sufficient evidence revealed to be high and students assessed whether peers' claims fit with the evidence and whether peers' explanations of the evidence's validity was sufficient. Students' answers in the survey and interviews showed that the students though they could improve the accuracy of their ideas, appropriateness of their evidence, and the method of presenting evidence based on the assessment results.

A study on AI Education in Graduate School through IPA (대학원 인공지능교육의 방향 탐색: IPA를 활용하여)

  • Yoo, Jungah
    • Journal of The Korean Association of Information Education
    • /
    • v.23 no.6
    • /
    • pp.675-687
    • /
    • 2019
  • As interest in artificial intelligence increases, each university has been establishing a special graduate school with artificial intelligence major, and recently, the Korea government has established various support policies for artificial intelligence education. However, each university has a lot of difficulties because it has little experience in operating graduate education with the latest field of artificial intelligence and it is not easy to find experts. In this study, the response of graduate school students majoring in artificial intelligence was analyzed using IPA technique, and the direction of education of graduate school artificial intelligence major was searched. Among the 40 items surveyed by IPA, 12 items such as systematization of artificial intelligence curriculum, progress of class considering learning level, improvement of academic relations with guidance professors were extracted as items to be improved first. On the other hand, 8 items such as assistant capacity, and relationship with colleagues were overloaded, and twelve items such as instructor's lecture competency, appropriateness of educational contents, learner's artificial intelligence skills and knowledge, and attitude acquisition were to be maintained. In addition, eight items such as convergence education curriculum and diversity of education methods were all low in importance and performance. It is suggested that AI graduate school should be divided into two tracks(technical specialization, convergence expansion) by educational goal, and each track should be conducted by level-specific educational contents and methods suitable for student level. The curriculum should be elaborate and systematic to acquire AI knowledge, skills, and attitudes, and should have an individualized guidance system centered on excellent faculty members.

A Study of Point Selection for Loading Cells in Bi-directional Pile Load Test (양방향재하시험에서 재하장치 위치 선정에 관한 연구)

  • Yoon, Minseung;Kim, Junwoo;Kim, Myunghak
    • Journal of the Korean GEO-environmental Society
    • /
    • v.14 no.10
    • /
    • pp.11-16
    • /
    • 2013
  • Success or failure of the bi-directional pile load test for drilled shaft depends on point selection for loading cells, that is balanced location both uplift force and downward force. Methods to evaluate the ultimate unit side resistance in rockmass layer in both domestic and foreign are based on the uniaxial compression strength of rock core, which can hardly be obtained in domestic rockmass layers which are weathered rockmass layer and soft rockmass layer with very low RQD. Therefore, this study suggested the relation charts between the revised SPT N values and developed unit side resistance of each different layers, which were obtained from bi-directional pile load tests in various domestic sites. To evaluate the appropriateness of the relation charts, the developed unit side resistances from the relation charts were used to select the loading cell position and compared with the measured unit side resistances from field pile load test. Results showed that the developed side resistance from relation charts and the measured side resistance of weathered soil layer and weathered rock layer were very close. Average developed side resistance($1,325kN/m^2$), which are average of upper soft rock layer of loading device($1,151kN/m^2$) and lower($1,500kN/m^2$), was similar with the estimated value ($1,250kN/m^2$).