• The Korean Journal of Emergency Medical Services
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• v.26 no.1
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• pp.151-166
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• 2022

Purpose: The severity classification in association with the time of visit to and the appropriateness of using a public ambulance for visiting the emergency department (ED) have not been thoroughly evaluated, and we aimed to evaluate these aspects. Methods: In this descriptive research, we retrospectively reviewed and analyzed the medical records of patients who visited the ED of the B General Hospital, Seoul from January to December 2019. Results: Of the 54,297 patients who were included in the analysis, 34,629 (63.8%) and 14,065 (25.9%) visited the ED directly and through public ambulances, respectively; 10,328 (73.4%) patients who used public ambulances were discharged home. In the daytime and nighttime, 24,891 (45.8%) and 29,406 (54.2%), respectively, visited the ED. The mean length of ED stay (LoS) of emergency and non-emergency patients was 326 and 159 minutes, respectively, and of patients classified as Korean Triage and Acuity Scale levels 1 and 2 was 427 and 430 minutes, respectively, which was longer than the total of 236 minutes. Conclusion: Patients who visited the ED using public ambulances constituted nearly 25% of all ED visits, and more than 70% of these patients were discharged home. Patients with high severity had a longer mean LoS, and daytime ED visits were characterized by higher numbers and severity of patients than nighttime ED visits.

• Fire Science and Engineering
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• v.33 no.6
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• pp.87-94
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• 2019

Through a press release dated July 17, 2018, the Anti-Corruption and Civil Rights Commission recommended that the National Fire Agency develop preventive measures against fire in the "Indoor Archery Ground" and "Room Escape Café" etc., which were originally excluded from the category of "Publicly Used Establishments." This study developed the hierarchy of domains and indicators of measurement for fire risk assessment of the new business of publicly used establishments through the Delphi Method. It analyzed the goodness of fit scores (over 3.00) and secured an average score of 4.25. Using AHP analysis, the ratio of consistency for the domains of measurement of fire risk assessment was found to be 4.0%, which was lower than CR ≤ 0.1 (10%). The consistency of subsequent measurement indicators were distributed in the range of 0.1%~3.6%, and they were identified as being commonly consistent. The indicators of measurement appeared as follows in order of importance and priority: Type of Internal Passage of Establishment and Evacuation Capacity of Exit (0.316), Control of Ignition Source (0.141), Inherent Risk (0.106), Appropriateness and Adaptiveness of Fire Detection System (0.097), Control of Inflammables/Combustibles (0.084), Guides and Facilities helping Evacuation (0.075), Fire Resistant Structure and Finishing Materials (0.060), Compartmentalization and Emergency Exit (0.049), Risk of Fire Expansion (0.046), and Appropriateness and Adaptiveness of Fire Extinguishing Facilities (0.026). The findings of this study are expected to be expansively used as data for future research on the development of fire risk assessment indicators.

• Journal of Korean Academy of Nursing
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• v.20 no.1
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• pp.16-37
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• 1990

A cost analysis for hospitalized patients was carried out based upon Patient Classification System(PCS) in order to determine an appropriate nursing fee. The data were collected from 21 nursing units of three teaching hospitals from April 1 to June 30, 1989. first, all of the 22,056 inpatients were classified into mildly ill(Class Ⅰ), moderately ill(Class Ⅱ), acutely ill(Class Ⅲ), and critically ill(Class Ⅳ) by the PCS which had been carefully developed to be suitable for the Korean nursing units. Second. PCS cost accounting was applied to the above data. The distribution of inpatients, nursing costs, and nursing productivity were as follows : 1) Patient distribution ranged from 45% to class Ⅰ, 36% to class Ⅱ, 15% to class Ⅲ, and 4% to class Ⅳ, the proportion of class Ⅳ in ‘H’ Hospital was greater than that of the other two hospitals. 2) The proportion of Class Ⅲ and Ⅳ in the medical nursing units was greater than that of surgical nursing units. 3) The number of inpatients was greatest on Tuesdays, and least on Sundays. 4) The average nursing cost per hour was W 3,164 for ‘S’ hospital, W 3,511 for ‘H’ hospital and W 4,824 for ‘K’ hospital. The average nursing cost per patient per day was W 14,126 for ‘S’ Hospital, W 15,842 for ‘H’ hospital and W 21,525 for ‘K’ hospital. 5) The average nursing cost calculated by the PCS was W 13,232 for class Ⅰ, W 18,478 for class Ⅱ, W 23,000 for class Ⅲ, and W 25,469 for class Ⅳ. 6) The average nursing cost for the medical and surgical nursing units was W 13,180 and W 13,303 respetively for class Ⅰ, W 18,248 and W 18,707 for class Ⅱ, W 22,303 and W 23,696 for class Ⅲ, and W 24,331 and W 26,606 for class Ⅳ. 7) The nursing costs were composed of 85% for wages and fringe benefits, 3% for material supplies and 12% for overhead. The proportion of wages and fringe benefits among the three Hospitals ranged from 75%, 92% and 98% for the ‘S’, ‘H’, ‘K’ hospitals respectively These findings explain why the average nursing cost of ‘K’ hospital was higher than the others. 8) According to a multi- regression analysis, wages and fringe benefits, material supplies, and overhead had an equal influence on determining the nursing cost while the nursing hours had less influence. 9) The productivity of the medical nursing units were higher than the surgical nursing units, productivity of the D(TS) - nursing units was the lowest while the K(Med) - nursing unit was the highest in 'S' hospital. In ‘H’ hospital, productivity was related to the number of inpatients rather than to the characteristics of the nursing units. The ‘K’ hospital showed the same trend as ‘S’ hospital, that the productivity of the medical nursing unit was higher than the surgical nursing unit. The productivity of ‘S’ hospital was evaluated the highest followed by ‘H’ hospital and ‘K’ hospital. Future research on nursing costs should be extended to the other special nursing areas such as pediatric and psychiatric nursing units, and to ICU or operating rooms. Further, the PCS tool should be carefully evaluated for its appropriateness to all levels of institutions(primary, secondary, tertiary). This study took account only of the quantity of nursing services when developing the PCS tool for evaluating the productivity of nursing units. Future research should also consider the quality of nursing services including the appropriateness of nursing activities.

• Structural Engineering and Mechanics
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• v.62 no.4
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• pp.417-430
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• 2017

Ultra high performance concrete (UHPC) has aroused interest around the world owing to superior mechanical and durability properties over conventional concrete. However, the application of UHPC in practice poses difficulties due to its inherent brittleness. UHPC filled in steel tube columns (UHPC-FSTCs) are capable of restricting the brittle failure of non-reinforced UHPC columns and forming a high performance member with enhancement of strength and ductility. Currently, research on UHPC-FSTCs remains very limited and there is relatively little information about the mechanical behavior of these columns. Therefore, this study presents a review of past experimental studies to have a deeper insight into the compressive behavior of UHPC-FSTCs under axial loading on entire section and on concrete core. Based on the test results obtained from Schneider (2006) and Xiong (2012), an analysis was conducted to investigate the influence of the confinement index (${\xi}$) and diameter to steel tube thickness ratio (D/t) on the strength and the ductility in short circular UHPC-FSTCs. Furthermore, the appropriateness of current design codes including EC4, AISC, AIJ and previous analytical models for estimating the ultimate loads of composite columns was also examined by the comparison between the predictions and the test results. Finally, simplified formulae for predicting the ultimate loads in two types of loading pattern were proposed and verified.

• Korean System Dynamics Review
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• v.12 no.2
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• pp.95-126
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• 2011

This paper aims at developing a System Dynamics model with an augmented predator-prey interaction structure to deal with the population management of roe deer in Jeju, Korea. Although people still regard the creature as one of the important tourist attractions, there has been much debate on the issues of the appropriateness of the population size of roe deers because they have been stigmatized as crop damagers, and roadkill/poaching victims due to their natural habit to move around from the top mountain to the lowland of the island. The model is therefore to incorporate these migrating and grazing behaviors into an augmented Lotka-Volterra model coupling roe deer population in both parts of the island to that of predators and preys of the species. The authors also provide a comprehensive set of dynamic hypotheses and relevant CLD/SFD to understand the population dynamics of roe deer and co-evolving species and perform the steady-state analysis of the proposed equation system to verify the model behavior of the numerical example lastly presented in this paper.

• Journal of Korean Society for Atmospheric Environment
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• v.23 no.5
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• pp.526-538
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• 2007

Since air quality monitoring data sets are important base for developing of air quality management strategies including policy making and policy performance assessment, the environmental protection authorities need to organize and operate monitoring network properly. Air quality monitoring network of Busan, consisting of 18 stations, was allocated under unscientific and irrational principles. Thus the current state of air quality monitoring networks was reassessed the effect and appropriateness of monitoring objectives such as population protection and sources surveillance. In the process of the reassessment, a GIS-based decision support system was constructed and used to simulate air quality over complex terrain and to conduct optimization analysis for air quality monitoring network with multi-objective. The maximization of protection capability for population appears to be the most effective and principal objective among various objectives. The relocation of current monitoring stations through optimization analysis of multi-objective appears to be better than the network building for maximization of population protection capability. The decision support system developed in this study on the basis of GIS-based database appear to be useful for the environmental protection authorities to plan and manage air quality monitoring network over complex terrain.

• Nuclear Engineering and Technology
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• v.52 no.5
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• pp.984-994
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• 2020

It is reported that about 20% of accidents at nuclear power plants in Korea and abroad are caused by human error. One of the main factors contributing to human error is fatigue, so it is necessary to prevent human errors that may occur when the task is performed in an improper state by grasping the status of the operator in advance. In this study, we propose a method of evaluating operator's fitness-for-duty (FFD) using various parameters including eye movement data, subjective fatigue ratings, and operator's performance. Parameters for evaluating FFD were selected through a literature survey. We performed experiments that test subjects who felt various levels of fatigue monitor information of indicators and diagnose a system malfunction. In order to find meaningful characteristics in measured data consisting of various parameters, hierarchical clustering analysis, an unsupervised machine-learning technique, is used. The characteristics of each cluster were analyzed; fitness-for-duty of each cluster was evaluated. The appropriateness of the number of clusters obtained through clustering analysis was evaluated using both the Elbow and Silhouette methods. Finally, it was statistically shown that the suggested methodology for evaluating FFD does not generate additional fatigue in subjects. Relevance to industry: The methodology for evaluating an operator's fitness for duty in advance is proposed, and it can prevent human errors that might be caused by inappropriate condition in nuclear industries.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.8
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• pp.407-414
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• 2016

This study was conducted to provide basic data to evaluate the appropriateness of convalescent hospitalization treatment by investigating the number of hospitalization days and the total treatment expenses of a total of 44,037 monthly billing statements requested from the Health Insurance Review and Assessment Service. Evaluated data consisted of medical care expenses of patients of the diem payment system hospitalized at convalescent hospitals in Daejeon, Chungnam, Chungbuk and Sejong from January through December of 2014. According to the analysis result of the general characteristics of the study objects and the canonical correlation analysis of the top 15 main diagnosis names, 7 canonical functions have been deducted. Among them, six canonical functions were shown to be statistically significant (p<0.001), and canonical function 1 had a chi-squared value of 5955.49 and 98 degrees of freedom at p<0.001 level. Overall, the results indicated that if health and welfare service in the regional society is magnified, social hospitalization can be reduced.

• The Korean Journal of Health Service Management
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• v.10 no.3
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• pp.99-111
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• 2016

Objectives : This study developed an iPad-based animation for an electronic informed consent to directly help patients prepare an informed consent. The goal was to raise patients' understanding about the contents contained in a DNR informed consent in the current medical situation in which DNR informed consents are mostly written by a guardian. Methods : The development of a DNR electronic informed consent was done in 3 stages: analysis, design and development. The analysis stage was done with a survey on the real status of preparing a DNR informed consent in a medical institution. The design stage was done with the contents in the DNR electronic informed consent through a primary and secondary Delphi survey. The development stage created a DNR electronic informed consent and evaluated it through a tertiary Delphi survey. Results : After evaluating the appropriateness of the composition of the contents, the understanding of the contents, the convenience of use, the reflection of an expert opinion, and the suitability of the application, all had scores higher than 4 points. Conclusions : The results of this study show that our proposed DNR electronic informed consent can help patients better understanding the contents of a DNR informed consent.

• Journal of the Korea Safety Management & Science
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• v.11 no.2
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• pp.69-75
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• 2009

This paper was proposed to show the comprehensive review of laws and regulations on the musculoskeletal disorders (MSDs) that are being established and carried out in various countries. Ten countries including USA, Canada, Australia, Japan, and 6 European countries which were regarded as the leaders in the prevention of MSDs were selected for review. Comparative analysis were performed on the laws, regulations, and guidelines of MSDs among different countries. The purpose of this study was to investigate the status of the various efforts of the advanced countries concerning on preventing MSDs and suggest the improvement factors that might be introducible to Korean policies. Some recommendations were made to improve the appropriateness and efficiency of our MSDs prevention policies based on the comprehensive review and comparative analysis. It is expected that the results of this study would be used as valuable information when revising relevant legal system.