The purpose of this study was to survey a perception of frequency & importance level of job performance, from 249 paramedics who were working at fire station. The job related activities of 4 duties, 18 tasks and 145 task elements were checked by 4 rating scale. The data were analyzed using a SPSS program for descriptive statistics. The results of the study were as follows ; 1. Some of the most frequent tasks were medical tx, managing people & organization, trauma care, pt assessment, general coping skill 2. Some of the most frequent task elements were preparation of written reports, operation of pt lifting supplies, transportation of patients on stretchers, administration of cervical collar and utilization of scoop stretcher. 3. Some of the highest level of importance in task were resuscitation of circulation, surgical tx, safety & infection control, environmental emergency care, trauma care. 4. Some of the highest level of importance in task elements were administration of cervical collar, adult CPR, infant CPR, child CPR, and AED. 5. The highest level of task elements in perception of frequency & importance were administration of cervical collar, infection control after pt care, utilization of long back board, disinfection of ambulance after ride a long, care of chest pain pt, care of unconscious pt, tx of asthma. 6. A difference between frequent & importance score were due to lack of supplies(41%), structural problems(30%) and medical control system(16%), lack of skills(10%), Suggestion; 1. This paper would be more reliable and confirm through wilder range of survey. 2. It would be necessary of more depth survey through dacom study from paramedic. 3. Development of field oriented protocol & curriculum that based on task elements which have high score of both frequency & importance level is required.
Acute renal failure refers to a rapid reduction in renal function that usually occurs in an individual with no known previous renal disease. Development of a complication of acue renal failure in critically ill surgical patients is not unusual, and it causes high morbidity and mortality. Acute renal failure can be divided as Pre-renal (functional), Renal (organic), and Post-renal (obstructive) azotemia according to their etiologies. Early recognition and proper correction of pre-renal conditions are utter most important to prevent an organic damage of kidney. These measures include correction of dehydration, treatment of sepsis, and institution of shock therapy. Prolonged exposure to ischemia or nephrotoxin may lead a kidney to permanent parenchymal damage. A differential diagnosis between functional and organic acute renal failure may not be simple in many clinical settings. Renal functional parameters, such as $FENa^+$ or renal failure index, are may be of help in these situations for the differential diagnosis. Provocative test utilyzing mannitol, loop diuretics and renovascular dilators after restoration of renal circulation will give further benefits for diagnosis or for prevention of functional failure from leading to organic renal failure. Converting enzyme blocker, dopamine, calcium channel blocker, and propranolol are also reported to have some degree of renal protection from bioenergetic renal insults. Once diagnosis of acute tubular necrosis has been made, all measures should be utilized to maintain the patient until renal tubular regeneration occurs. Careful regulation of fluid, electrolyte, and acid-base balance is primary goal. Hyperkalemia over 6.5 mEq/l is a medical emergency and it should be corrected immediately. Various dosing schedules for medicines excreting through kidney have been suggested but none was proved safe and accurate. Therefore blood level of specific medicines better be checked before each dose, especially digoxin and Aminoglycosides. Indication for application of ultrafiltration hemofilter or dialysis may be made by individual base.
This Study starts from a recognition that the architecture is based on the process demanded by substantial needs as well as pure theoretical logic system. So this study aims at proposing another point of view differentiating process and principle of architecture from pure theoretical logic system in the creative process of the Governor's Palace by analyzing drawings in chronological order. Even though the Governor's Palace had not been built because of discord between authorities of India and Le Corbusier, it is undoubtedly one of the best proposals which contains very concepts and ideas of later Le Corbusier's architectural intentions. In the first design stage, overall conception of the building was carried out in the sketches and drawings till Jan, 1954 and in the second stage, the elaboration of the project was pursued till Mar. 1995. The scheme tends to begin too large and general in character, becoming tighter and more complex under pressure from the client and adjustments required by the design process itself. For example, scale reduction, division and development of internal circulation system and applying his early 'Five Points'. So new solutions are searched by oscillating between compromise modifications and radically different solutions in contracting the first ideas. From all these, it is concluded that the early doctrine (Five Points) are adjusted and extended towards another stage by the use of restricted pilotis, the concept of fenetre en longueur transformed into a sub stricture of facade, sustained concept of le plan libre, les toits jardins extended towards concept of the urban area. And these formal intentions of the Governor's Place has been carried through other contemporary projects like Mill Owner's Association in 1954 and Villa Shodan in 1952.
An Yeong-Soon;Hong Yeong-Pyo;Kim Hyong-Yol;Lee Keun-Bo;Lee Mi-Sook
Food Science and Preservation
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v.12
no.2
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pp.151-155
/
2005
General problems on the quality in circulation process of Kochujang are fluidity, separated water at upper layer, and color change to dark-brown. Rice powders, glutinous rice powder and gelatinized rice powder, gelatinized glutinous rice powder were applied for solving such problems to Kochujang. Relationship between blending ratio of com syrup and fluidity had a linear correlation. Water separation in Kochujang was prevented by addition of gelatinized cereal powders, and gelatinized glufinous rice powder was most effective. Optimal amount of gelatinized glutinous rice powder was $0.5\~1.0\%$ (w/w).
This study was conducted to determine a 'platform' as a mean of interactions between users in contemporary spatial design and network(web) and to verify the similarity between the platform and space of Rem Koolhaas, one of the leading contemporary architects of our time. A platform, referring to tangible or intangible structures designed for common use in a variety of ways, is activated by the networking effect of participants. Aided by the recent development of the IT industry encompassing computers and smart phones, the concept of platforms is extending to all areas of modern life, in general. In this study, the similarity between architectural space and platforms after reviewing the computer-related platforms, ecological features that refer to virtuous circulation, and various cases applied with platform thinking. Through this process, the platform feature of architectural platforms is defined as the 'open spatial system combined with control and freedom that acts more than one function and facilitates direct/indirect exchanges between users regardless of its type or size'. Establishing the criteria for spatial analysis based on this definition, analysis was conducted on interior design projects that were planned and conducted by Rem Koolhaas after 2000. As a result of this analysis, it was learned that Rem Koolhaas designs space using dual space structures where the extension and mixture of the user group, mixture of various functions defined by users, loose control that induces voluntary participation, community reinforcement, and inducement of accidental events, and opening and closing coexist. In addition, this design approach was found to be a design strategy similar to the concept of platforms that began to be developed in the IT field.
KSCE Journal of Civil and Environmental Engineering Research
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v.35
no.2
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pp.327-340
/
2015
General Circulation Models (GCMs) are the basic tool used for modelling climate. However, the spatio-temporal discrepancy between GCM and observed value, therefore, the models deliver output that are generally required calibration for applied studies. Which is generally done by Multi-Model Ensemble (MME) approach. Stochastic downscaling methods have been used extensively to generate long-term weather sequences from finite observed records. A primary objective of this study is to develop a forecasting scheme which is able to make use of a MME of different GCMs. This study employed a Nonstationary Hidden Markov Chain Model (NHMM) as a main tool for downscaling seasonal ensemble forecasts over 3 month period, providing daily forecasts. Our results showed that the proposed downscaling scheme can provide the skillful forecasts as inputs for hydrologic modeling, which in turn may improve water resources management. An application to the Nakdong watershed in South Korea illustrates how the proposed approach can lead to potentially reliable information for water resources management.
Subject : Treatment of acupuncture & moxibustion in Huangdineijing Objectives : Discover the principles and substances of acupuncture & moxibustion treatment of Huangdineijing Methods : The author reviewed the Huangdineijing: Suwen, Lingshu to gain a realistic sense of the facts and the medical book's contents that deal with the practices of acupuncture & moxibustion treatment for clinical praxis. Conclusions : 1. The acupuncture & moxibustion of Huangdineijing can be defined as follows. A treatment for correcting of meridian's drift by proper selection of surgical site, using suitable implementation and appropriate manipulation skill from a correct judgement of meridian's flowing through sensing the pulse for diagnosis when the meridian's flowing which come and go constantly driven by the tidal order of defensive Qi tactually appeared hard or soft caused by diseases, thus bring out the soft & gradual 50 laps circulation of nutrient Qi moderately driven by defensive Qi. 2. Today's acupuncture & moxibustion treatments greatly differ from those of Huangdineijing in that we do not know the substance of that treatment which is correcting of meridian's drift and do not obligatorily carry out feeling of the pulse for diagnosis which is a measure & judgement of meridian's flowing against a preliminary treatment in parallel with treatment so reduce use and power of that treatment. 3. I could form a list of general principle from the substances of acupuncture & moxibustion of Huangdineijing like as the flowing or fate of meridian Qi(tidally going in order of defensive Qi and nutrient Qi), deficiency or excess of Meridian flowing, comparing diagnosis before and after treatment, bring out the soft & gradual Qi. That was imposing "the concept of time" on recognition and treatment to human body.
Journal of Korean Society for Geospatial Information Science
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v.19
no.4
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pp.153-159
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2011
Vegetative land cover is an important variable many Earth system process, general circulation and carbon exchange model requires vegetative cover as boundary layer necessary to run model. The purpose of this study is to detect and to understand land surface change. To monitor changes of East Asia vegetation, we used NDVI 10-day MVC data derived from SPOT VEGETATION during 12 years from 1999 to 2010. Finally, according to the land cover of classified class, we performed analysis for dynamic zone(positive change zone and negative change zone), static zone in 1999, 2010. Therefore, land covers corresponding to each class have appeared change by 2010. Land cover change was confirmed by analyzing data during 12 years which appeared vegetation change of surrounding the actual desert area to east.
Kim, Min-Ji;Shin, Jin-Ho;Lee, Hyo-Shin;Kwon, Won-Tae
Atmosphere
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v.18
no.4
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pp.507-524
/
2008
In this paper, future climate changes over East Asia($20^{\circ}{\sim}50^{\circ}N$, $100^{\circ}{\sim}150^{\circ}E$) are projected by anthropogenic forcing of greenhouse gases and aerosols using coupled atmosphere-ocean general circulation model (AOGCM) simulations based on Intergovernmental Panel on Climate Change (IPCC) Special Report on Emissions Scenarios (SRES) B1, A1B and A2 scenarios. Before projection future climate, model performance is assessed by the $20^{th}$ Century (20C3M) experiment with bias, root Mean Square Error (RMSE), ratio of standard deviation, Taylor diagram analysis. The result of examination of the seasonal uncertainty of T2m and PCP shows that cold bias, lowered than that of observation, of T2m and wet bias, larger than that of observation, of PCP are found over East Asia. The largest wet bias is found in winter and the largest cold bias is found in summer. The RMSE of temperature in the annual mean increases and this trend happens in winter, too. That is, higher resolution model shows generally better performances in simulation T2m and PCP. Based on IPCC SRES scenarios, East Asia will experience warmer and wetter climate in the coming $21^{st}$ century. It is predict the T2m increase in East Asia is larger than global mean temperature. As the latitude goes high, the warming over the continents of East Asia showed much more increase than that over the ocean. An enhanced land-sea contrast is proposed as a possible mechanism of the intensified Asian summer monsoon. But, the inter-model variability in PCP changes is large.
Lee, Myung Chul;Lew, Dae Hyun;Park, Beyoung Yun;Kwon, Soon Man
Archives of Plastic Surgery
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v.36
no.4
/
pp.445-449
/
2009
Purpose: A successful surgical treatment for a wide alveolar cleft with bone graft is difficult to achieve due to several factors such as the limitation of gingivoperiosteal flap, the presence of large scar tissues, and the poor blood circulation. To overcome these problems, alveolar distraction osteogenesis using Liou alveolar distraction device was applied. We analyzed the consequences of this surgical treatment. Method: Between 2006 January and 2007 August, we have conducted analysis on the methods and consequences of Liou alveolar distraction osteogenesis for 6 patients. The age of patients was 12 years and 6 months in average. The follow up period was 19 months in average. The Reverse L osteotomy followed by the placement of the Liou alveolar distraction device was performed. After serial distraction, the distractor was removed after 5 months of the process of osteogenesis, and the result was analyzed using the computed tomography and the x-ray films of the alveolar bone and the teeth. Results: The alveolar cleft with 12.5 mm in average width was filled with 8.5 mm of newly formed bone tissue in average width after 5 months of osteogenesis. Among the 6 cases, 5 required the additional bone graft and 1 case only required the gingivoperioplasty. The newly formed bone tissues did not show any signs of bone resorption. However, a considerable degree of teeth displacement was shown. Conclusion: For the alveolar cleft too wide to be reconstructed by a general bone graft, it is strongly recommended to perform the reverse L osteotomy of the cleft side with Liou alveolar distraction device to initiate the alveolar osteogenesis. However, the migrated teeth showed some degree of relapse, thus, the orthodontic treatment is essential following the distraction osteogenesis treatment.
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