• Journal of Korean Society of Coastal and Ocean Engineers
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• v.24 no.2
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• pp.128-137
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• 2012

This paper deals with the local scour around a pipeline exposed to combined waves and current in the shallow water zone. To investigate the characteristics of the scour around a pipeline on the sea bed, experiments were performed according to the various pipe diameters, wave periods, wave heights, and current velocities. Wave generator and current generator were used for the experiments. Two current directions were used ; co-direction and counter direction to the waves. With the experimental results, the correlations between the scour depths and non-dimensional parameters such as Keulegan-Carpenter number(KC), Froude number(Fr), Ursell number(Ur) and velocity ratio were analysed. The relative scour depths were found obviously to be dominated by the wave component when the velocity ratio function approaches zero and those are gorverned by the current component when the velocity ratio approaches unity. Velocity ratio function was approved to be a proper parameter which is able to express the change of the scour in the combined wave and current zone. Also considering the orbital velocity and the current velocity into Fr numer and KC number respectively, scour depths show more favorable correlationship with the parameters.

• Korea Journal of Hospital Management
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• v.12 no.3
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• pp.47-67
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• 2007

This paper aims at suggesting several ways lo change financial vulnerability and to improve managerial capability of local public hospitals (LPHs) in Korea through the identification of factors affecting profitability. Several findings of the research are as follows: To begin with, LPHs exhibited a statistically significant difference in their profitability from one another, according to tile analyses of their profitable margins from tile general characteristics. It depends on the number of hospitals in the area, the population of the hospital-built area, the number of competing hospitals, the number of staff per 100 beds, the opening of special clinic, the educational function, and the capacity of rooms. However, there was no variable in the managerial characteristics, presenting a significant difference, in contrast with hospitals which have been managed by private companies and made a great amount of profits. Second, according to the analyses of profit differences in behavioral effort-characteristics, a statistically significant difference was revealed upon the basis of the efforts to improve the clinic service, invite special patients, and shorten the period of being hospitalized. Third, the result of analyses about the difference of profitability from medical care and finance is statistically significant in the rate of labor cost, the rate of management cost, bed-occupancy rate, and the period of being hospitalized. Fourth, according to the analyses of the factors influencing the net profit ratio of the entire capital, Adjusted explanatory power(Adjusted $R^2$) was shown up to 65.2%, which is high. To compare the adjusted explanatory power stage by stage, the first stage model applying only two variables such as structural and strategic characteristics exhibited 23.8%, and the second stage model adding financial characteristics showed 51.5%. The explanatory power was much improved up to 65.2% when the third stage model incorporated the outcome of medical care performance. When the return on investment(ROI) was examined by using the multi-variate linear regression analysis at the final model of third stage, it was found that ROI had a positive relationship with the increase rate of patients, labor costs per doctor, and medical care rate of socially protected inpatients. However, it revealed that ROI had a negative relationship with the ratio of labor costs, the number of patients per managerial staff, and occupancy rate of rooms, respectively. The research suggests that in order for LPHs to increase profitability, LPH, should make efforts not only to attract patients to the hospitals without any discrimination of the patients depending on their financial status, but also to develop efficient management methods to reduce labor costs.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.41 no.4
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• pp.365-376
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• 2021

In general, domestic streams and rivers are composed of alluvial rivers consisting of sand and gravel beds. These rivers can cause erosion and riverbed changes due to sudden changes in flow rates, such as floods, torrential rains, and heavy rains. In particular, there are various types of erosion, such as contraction erosion caused by changes in river shape, or local erosion occurring around obstacles such as piers, abutments or embankments. In addition, river changes can occur in various forms, such as static or dynamic periods, due to limitations such as flow rate, velocity, and shear stress. This study focused on the erosions of embankments directly related to human casualties among various river structures, and evaluated limit velocities and critical shear stress in order to identify changes in strength of natural materials by identifying the characteristics of natural hoan materials and resistance to erosions. In particular, the limitations of materials according to the type of materials in the river, characteristics of particles, and size of particles were studied using Soil loss, which is a change in the volume of the revetment material, and it is intended to be used as basic data for river design and restoration.

• Journal of Korea Water Resources Association
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• v.56 no.9
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• pp.553-562
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• 2023

The Gobiobotia naktongensis is a species endemic to Korea, and it has recently been designated as a class I endangered species of freshwater fish. Naeseong Stream, one of the tributaries of the Nakdong River, where the Gobiobotia naktongensis was first discovered, provided an optimal habitat for the Gobiobotia naktongensis in the past with fine sand beds and riffle. Currently, due to the construction of Yeongju Dam and the excessive dredging of river channels by the local government, the riverbed armoring in the downstream area of the dam is undergoing rapid changes, and as a result, the habitat environment of the Gobiobotia naktongensis is deteriorating. In this study, the variations of the habitat suitability of the Gobiobotia naktongensis due to the change in the riverbed grain size of the Naeseong Stream were analyzed based on the WUA (weight usable area) using the physical habitat model, River2D. The study domain is the reach from Seoktap Bridge to Hoeryong Bridge downstream of Yeongju Dam. The change in riverbed grain size was analyzed using D50 acquired in 2010 and 2020, respectively. The substrate grain size of Naeseong Stream in 2020 was thicker than that in 2010, and the riverbed coarsening phenomenon was evident overall. As a result of the River2D analysis, the area in which the Gobiobotia naktongensis could inhabit was only about 0.75% in 2010 compared to the entire area of the flow, and even this decreased to 0.55% in 2020 due to riverbed armoring.

• The Korean Nurse
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• v.36 no.1
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• pp.59-76
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• 1997

The purposes of this study were to identify the contents and satisfaction level of the patients received home care service, and to compare the differences of the contents by the characteristics of the patients. Seventy eight patients received home care service from 1st Jan. to 30th Sept., 1996 were data-collected to analyze the contents and outcomes of home care service. Sixty-nine patients currently receiving home care service were participated to evaluate the satisfaction level of home care service. The data were analyzed using mean, standard deviation, $x^2$ test, and ANOVA by SPSS $PC^+$ program. The findings of this study were as follow : 1. The contents & outcomes of home care service 1) The mean age of the subjects was 64.4 years: 58% of them were female. Those who living in Seoul were 83% and the rest of the subjects was living in Kyung-Gi. 2) The subjects who had one diagnosis were 41%. Over 60% of them had the disease of neurologic & sensory system. 3) The mean number of visit was 6. Only one visit was 22%. The mean time of care was 79 minutes. Duration of visit from 31 minutes to 60 minutes were 47 %. The subjects who terminated the visit because of death were 67.3%. 62% of the persons who referred them to the home care service were nurses. 4) The pain after the service was more relieved than before. The amounts of intake, the degree of bed sore, edema & fracture after the service were more improved than before. Health status after the service was improved in general. 5) There were significant differences between initial and last conscious level in tracheostomy care & oxygen inhalation care. There was significant difference between initial and last degree of activity in blood sugar check. 6) There were significant differences on the number of visit in assessment of the status, evaluation & observation, vital sign check, skin care, injection, medication, bed sore care, colostomy care, relaxation therapy for pain relief, patient education, family care, exercise therapy, position change, supply of disinfected equipments and infection control. There were significant differences on visiting time in nasogastric tube care, drainage tube care and oxygen inhalation care. 2. The satisfaction level of home care service 1) 50% were male. Over 60 years of the subjects was 61 %. Those who living in Seoul were 82%. 2) The subjects who had one or two diagnosis were 32% respectively. 55% of the persons who referred them to the home care service were nurses. 3) Total level of satisfaction of home care service was very high. 4) The older the age, the higher the satisfaction level. The larger the number of visit, the higher the satisfaction level. 5) The subjects who were in cloudy state were higher level of satisfaction than in alert or coma state. The subjects whose activity were normal or who needed assistance were higher level of satisfaction than bedridden or immobilized subjects. These findings suggested that the patients had substantial need for posthospital care. They tended to be elderly and to have experienced the wide range of health problems associated with aging, chronicity, including limitations in activities, and other serious health problems. So, the nationwide home care systems beyond the limit of demonstration program by local association and the development of the effective financial system of home based health care are necessary for the clients who are in need of home care.

• Journal of Wetlands Research
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• v.22 no.3
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• pp.194-199
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• 2020

Unlike in the past, the world is facing water shortages due to climate change and difficulties in simultaneously managing the risks of flooding. The Four Major Rivers project was carried out with the aim of realizing a powerful nation of water by managing water resources and fostering the water industry, and the construction period was relatively short compared to the unprecedented scale. Therefore, the prediction and analysis of how the river environment changes after the Four Major Rivers Project is insufficient. Currently, part of the construction section of the Four Major Rivers Project is caused by repeated erosion and sedimentation due to the effects of sandification caused by large dredging and flood-time reservoirs, and the head erosion of the tributaries occurs. In order to solve these problems, the riverbed maintenance work was installed, but it resulted in erosion of both sides of the river and the development of new approaches and techniques to keep the river bed stable, such as erosion and excessive sedimentation, is required. The water agent plays a role of securing a certain depth of water for the main stream by concentrating the flow so much in the center and preventing levee erosion by controlling the flow direction and flow velocity. In addition, Groyne products provide various ecological environments by forming a natural form of riverbeds by inducing local erosion and deposition in addition to the protection functions of the river bank and embankment. Therefore, after reviewing the method of determining the shape of the Groyne structure currently in use by utilizing the mobile limit flow rate and marginal reflux force, a new Critical Movement Velocity(${\bar{U}}_d$) and a new resistance coefficient formula considering the mathematical factors applicable to the actual domestic stream were developed and the measures applicable to Groyne installation were proposed.

• Journal of Korea Water Resources Association
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• v.47 no.5
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• pp.459-468
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• 2014

Groyne to control the direction and velocity of flow in rivers is generally installed for the purpose of protecting riverbanks or embankments from erosion caused by running water. In particular, as interest in river restoration and natural river improvement increases, groynes are proposed as a key hydraulic structure for local flow control and riparian habitat establishment. Groynes are installed mainly in groups rather than as individual structures. In case of groynes installed as a group, flow around the groynes change according to spacing in between the groynes. Therefore, groyne spacing is regarded as the most important factor in groyne design. This study aimed at examining changes of flows around and within the area of groynes that take place according to the spacing of groynes installed in order to propose the optimal spacing for upward groynes. To examine flow characteristics around groynes, this study looked at flows in main flow area and recirculation flow area separately. In main flow area, it examined the impact of flow velocity increasing as a result of conveyance reduction that is exerted on river bed stability in relation to changes in the maximum flow velocity according to installation spacing. As a factor causing impacts on scouring and sedimentation within the area of groynes, recirculation flow in the groyne area can lead problems concerning flow within the area and stability of embankment. As for recirculation area, an analysis was conducted on the scale of rotational flow and the flow around embankment that exerts impacts on stability of the embankment. In addition, a comparative analysis was carried with reference to changes of the central point of rotational flow that occur within the area of groynes. As a result of compositely examining the results, the appropriate installation spacing is proposed as min. four times-max. six times considering a decrease in flow velocity according to the installation of upward groynes, river bed stability and stability of embankments against counterflow within the area of groynes.