• Title/Summary/Keyword: Distribution & Service

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Current status of vivax malaria among civilians in Korea (한국에서의 민간인 삼일열말라리아 발생현황)

  • Jong-Soo LEE;Weon-Gyu KHO;Hyeong-Woo LEE;Min SEO;Won-Ja LEE
    • Parasites, Hosts and Diseases
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    • v.36 no.4
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    • pp.241-248
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    • 1998
  • A result of national malaria surveillance in Korean civilians was described. Since a case of indigenous vivax malaria was detected in 1993, a total of 2,198 cases was confirmed by blood smear up to 1997. Of them, 1,548 cases were soldiers serving in the demilitarized zone (DMZ), while 650 cases were civilians. Number of civilian cases was 3 in 1994, 19 in 1995, 71 in 1996, and 557 in 1997. Of them, 239 were ex-soldiers who discharged after military service in the prevalent areas such as Paju, Yonchon, Kimpo, Kangwha, Tongduchon in Kyonggi-do and Chorwon in Kangwon-do while 308 patients were civilian residents in the prevalent areas. Seventy-two patients, living nationwide, had a history of visiting the prevalent areas during transmission season. Only 32 civilian patients denied any relation with the prevalent areas. As a whole, a half of the civilian cases was diagnosed when living in non-prevalent areas. Male patients in their twenties was the highest in number. Annual parasite index is steadily elevated in residents living in the prevalent areas. Monthly incidence showed an unimodal distribution, forming a peak in August. Ex-soldiers exhibited a delayed incubation ranging from 153 to 452 days ($279{\pm}41$ days). The time required for diagnosis was shortened from 23.6 days in 1995 to 13.7 days in 1997. Although the current epidemic of vivax malaria started as a border malaria, it seems highly probable that vivax malaria is established in the local areas and responsible for at least a part of transmission.

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An Analysis of Primary Causes for Waiting for Inpatient Admission and Length of stay at Emergency Medical Center(EMC) (응급의료 센터의 체류 및 입원대기 시간 지연 요인 - 일개 의료기관을 중심으로 -)

  • Kil Suk-Yong;Kim Ok-Jun;Park Jin-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.522-531
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    • 1999
  • This research identifies the ingress to egress primary factors that causes a patient to receive delayed emergency medical care. This material was collected between February 1st to 28th, 1998. Research envolved 4,118 people who visited the college emergency medical center in Kyeongido Province, South Korea. Medical records were examined, using the retrospective method. to determine the length of stay and the main cause for waiting. Results are as follows : 1. The age group with the highest admission rate was 10 and under, approximately 1,394 (33.9%). Followed by an even distribution for ages between 11-50 at 10-15% for their respective ranges. The lowest admission rate was 50 years and above. 2. From the 4,118 records examined, 3,489 received outpatient treatment (84.7%); 601 were admitted for inpatient care (14.6%); 25 arrived dead on arrival (0.6%); and 4 people died at the hospital. 3. Between 7PM to 12AM, 42.9% were admitted to the EMC. The hours from 9PM to 11PM recorded the highest admission rate and 5AM to 8AM was the lowest From 8PM to 12AM, the most beds were occupied. 4. For most patients. the average length of stay was approximately 2.2 hours. By medical department, external medicine was the longest for 2.8 hours. Pediatrics was the shortest for 1.6 hours. The average waiting period for inpatient admission was 2.6 hours. Inpatient admission for pediatrics and external medicine was 3.4 hours and 2.2 hours respectively. 5. Theses are primary factors for delay at EMC: 1) pronged medical consultations to decide between inpatient versus outpatient treatment, and delaying to be inpatient, 2) when you call physicians they are delayed to come 3) Understaffing during peak or critical hours, 4) Excessive consulting with different medical departments, 5) some patients require longer monitoring periods, 6) medical records are delayed in transit between departments, 7) repeated laboratory tests make delay the result, 8) overcrowded emergency x-ray place causes delay taking x-ray and portable x-ray, 9) the distance between EMC and registration and cashier offices is too far. 10) hard to control patient's family members. The best way to reduce EMC waiting and staying time is by cooperation between departments, both medical and administrative. Each department must work beyond their job description or duty and help each other to provide the best medical service and satisfy the patient needs. The most important answer to shortened the EMC point from ingress to egress is to see things from a patient point of view and begin from there to find the solution.

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The Honam Region제s Evolutions in the 1990s: Convergence or Divergence\ulcorner (1990년대 호남지역경제의 전개과정: 지역경제의 수렴 또는 확산\ulcorner)

  • 정준호
    • Journal of the Economic Geographical Society of Korea
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    • v.4 no.2
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    • pp.57-77
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    • 2001
  • The Honam region has been recognized as one of the most lagging regions in Korea. Drawing upon some decompositions oi Gross Regional Domestic Product(GRDP) per head and labor productivity, the overall trend of inequalities in Korea has been revealed and the trajectory of the Honam region's economic change has been identified by examining how the region's economic performance changed relative to that of Korea in the 1990s. There are some findings. First of all, Korea is characterized by strong divergence in the development of its region economies, in terms o\ulcorner per capita GRDP, which relies upon productivity differentials rather than differences in employment rates. Second, the Honam region has displayed poor economic performances in terms of GRDP per head except for Jeonnam. Third, the dramatic fall in cumulative population growth relative to the national average has been an important factor in the Jeonnam's overwhelming economic performance measured by per capita GRDP. Fourth, the decline in the relative productivity of the Honam region is mostly explained by falling relative regional productivity growth in construction, transport and manufacturing, although it should be noted that the latter sector has made positive contribution to raising relative regional productivity of Jeonnam. Fifth, overall the shift in employment to service sector, especially to social, personal, public, health, education, other services other than distribution, hotels, catering has tended to support relative regional productivities, along with the positive contribution being made oi agriculture, forestry and fishing to relative regional productivity growth in the Honam region.

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A Survey on the Actual Conditions of Group Feeding in Seoul City and Kyongki Province. (서울 . 경기 일부지역의 전체급식소에 대한 실태조사)

  • 한양일;정은자
    • Journal of Environmental Health Sciences
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    • v.5 no.1
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    • pp.10-17
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    • 1978
  • Recently this writer has conducted a comprehensive survey of 38 private businesses where group feeding is practiced, with a view to determining the condition of nutrition intake by the blue collar workers of these businesses firms as well as gaining an indication of their facilities management along with their sanitary precautions. The survey has revealed, among others, a number of interesting data such as shown below. 1. There are a total of 1,054 workers being fed in groups daily at each of the above business companies, with only one nutrition specialist regardless of the number of workers to be fed or the number of times they are fed daily. The average number of cooks comes to 2.7 persons per 100 workers, while 42.2% of the companies provide four meals a day including mid-night supper, with the result that the workers are fed 3.13 times a day on an average. 2. The average feeding cost amounts to 151 won per meal per person, of which 86 won is payed by the workers themselves and 115 won by the companies involved. 3. The average fbod intake has been found to be 490 grams which can be further broken down into 44grams of animal food and 446grams of vegetable food. These figures are higher than those revealed by the 1975 investigation of the nation's average nutrition intake. 4. The survey also shows the daily calorie consumption per person to be as high as 896 calories including 37 grams of protein which is further broken down into 11 grams of animal protein and 26grams of vegetable protein. With respect to other types of nutrients excepting Vitamin-A, the companies concerned are believed to prorids more than what the survey of the nation's nutrition has revealed or the amount recommended by Korea FAO assoc!ation as desirable. 5. As for facilities management, there is still much room for future improvement. Some 97.4% of the companies surveyed are not equipped with the steam table, which indicates lack of concern along this line as well as a very how degree of equipment utilizations. Distribution of the food in the dining room is generally depedent on self-service method. 6. Speaking of sanitary precautions taken by those businesses involved, some 76.3% are found to have their compounds haunted by rats and other insects. Some 73.7% of them are dependent on boiling method for disinfection of kitchen utensils, which is conducted by 50% of those industries only two or three times a week. It seems hardly feasible to conduct disinfection everyday.

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Association between Scrub Typhus Outbreaks and Meteorological Factors in Jeollabuk-do Province (전북지역 쯔쯔가무시증 발생과 기후요소의 상호 관련성)

  • Kang, Gong-Unn;Ma, Chang-Jin;Oh, Gyung-Jae
    • Journal of Environmental Health Sciences
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    • v.42 no.1
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    • pp.41-52
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    • 2016
  • Objectives: Scrub typhus is one of the most prevalent vector-borne diseases. It is caused by Orientia tsutsugamushi, which is transmitted when people are bitten by infected chigger mites. This study aims at quantifying the association between the incidence of scrub typhus and meteorological factors in Jeollabuk-do Province over the period 2001-2015. Methods: Reported cases of scrub typhus were collected from the website of the Disease Web Statistical System supported by the Korea Centers for Disease Control and Prevention (KCDC). Simultaneous meteorological data, including temperature, rainfall, relative humidity, and sunshine duration were collected from the website of the National Climate Data Service System by the Korea Meteorological Administration. Correlation and regression analyses were applied to identify the association between the incidence of scrub typhus and meteorological factors. Results: The general epidemiological characteristics of scrub typhus in Jeollabuk-do Province were similar to those nationwide for sex, age, and geographical distribution. However, the annual incidence rate (i.e., cases per 100,000) of scrub typhus in Jeollabuk-do Province was approximately four times higher than all Korea's 0.9. The number of total cases was the highest proportion at 13.3% in Jeonbuk compared to other regions in Korea. The results of correlation analysis showed that there were significant correlations between annual cases of scrub typhus and monthly data for meteorological factors such as temperature and relative humidity in late spring and summer, especially in the case of temperature in May and June. The results of regression analysis showed that determining factors in the regression equation explaining the incidence of scrub typhus reached 46.2% and 43.5% in May and June. Using the regression equation, each 1oC rise in the monthly mean temperature in May or June may lead to an increase of 38 patients with scrub typhus compared to the annual mean of incidence cases in Jeollabuk-do Province. Conclusion: The result of our novel attempts provided rational evidence that meteorological factors are associated with the occurrence of scrub typhus in Jeollabuk-do. It should therefore be necessary to observe the trends and predict patterns of scrub typhus transmission in relation to global-scale climate change. Also, action is urgently needed in all areas, especially critical regions, toward taking steps to come up with preventive measures against scrub typhus transmission.

A framework of management for preventing illegal distribution of pdf bookscan file (PDF 형식 북스캔 파일 불법 유통 방지를 위한 관리 프레임워크)

  • Lee, Kuk-Heon;Chung, Hyun-Ji;Ryu, Dae-Gull;Lee, Sang-Jin
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.23 no.5
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    • pp.897-907
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    • 2013
  • Since various smart devices are being developed, a growing number of people are reading eBooks instead of paper books. However, people started making eBooks on their own by scanning paper books because there are not enough eBooks provided from market. The term "Bookscan" was made with this reason. The number of bookscan company is increasing because the equipment is too expensive. However, the commercial activity of bookscan company is against copyright law. Also bookscan files are in danger of being illegally distributed on web, because bookscan companies are not protecting copyright. Publication market follows the same procedure with sound market which was collapsed due to copyright problem. Therefore, the technical methods should be prepared for law system against bookscan. The previous ICOP(Illegal Copyrights Obstruction Program) system has been applied to sound and movie files, but not applied to publication. This paper suggests the framework for bookscan file management based on practical mechanism.

A Study on Buffeting Responses of a In-service Steel Cable-stayed Bridge Using Full-scale Measurements (실측 데이터를 이용한 공용중인 강사장교의 버페팅 응답 분석)

  • Lee, Deok Keun;Kong, Min Joon;You, Dong Woo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.36 no.3
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    • pp.349-359
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    • 2016
  • In order to analytically evaluate buffeting responses, the analysis of wind characteristics such as turbulence intensity, turbulence length, gust, roughness coefficient, etc must be a priority. Static aerodynamic force coefficients, flutter coefficients, structural damping ratios, aerodynamic damping ratios and natural frequencies affect the analytical responses. The bridge interested in this paper has being been used for 32 years. As the time passes, current terrain conditions around the bridge are different markedly from the conditions it was built 32 years ago. Also, wind environments were considerably varied by the climate change. For this reason, it is necessary to evaluate the turbulence intensity, length, spectrum and roughness coefficient of the bridge site from full-scale measurements using the structural health monitoring system. The evaluation results indicate that wind characteristics of bridge site is analogous to that of open terrain although the bridge is located on the coastal area. To calculate buffeting responses, the analysis variables such as damping ratios, static aerodynamic force coefficients and natural frequency were evaluated from measured data. The analysis was performed with regard to 4 cases. The evaluated variables from measured data are applied to the first and second analysis cases. And the other analysis cases were performed based on Design Guidelines for Steel Cable Supported Bridges. The calculated responses of each analysis cases are compared with the buffeting response measured at less than 25m/s wind speed. It is verified that the responses by the numerical analysis applying the estimated variables based on full-scale measurements are well agreed with the measured actual buffeting responses under wind speed 25m/s. Also, the extreme wind speed corresponding to a recurrence interval 200 years is derived from Gumbel distribution. The derived wind speed for return period of 200 years is 45m/s. Therefore the buffeting responses at wind speed 45m/s is determined by the analysis applying the estimated variables.

Accessibility Measure of Cultural Facilities Using Urban Network Analysis (Urban Network Analysis를 이용한 문화시설의 접근성 분석)

  • Park, Tae-Sun;Lee, Mee-Young
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.2
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    • pp.455-464
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    • 2015
  • Investments into existing cultural facilities are determined based on administrative district-based indices like population and area. Such macro judgment indices, however, fail to consider accessibility of cultural facilities from neighboring administrative districts and thus create problems including wasted budgets and duplicated investments. More recently, the government has made it a goal to increase the level of citizen awareness of these facilities, but achieving this requires the integration of neighboring administrative districts such that characteristics including transportation network and buildings are reflected in a comprehensive manner. This research therefore looks into Urban Network Analysis (UNA) as a means to investigate accessibility of cultural facilities. Use of UNA will make it possible to analyze the transportation network as well as building distribution, explained by building density, settled population, and other important building factors, in tandem, leading to the concentration of cultural facilities and the surrounding economic district being more properly reflected, and thus allowing for greater explanatory power in determining the level of accessibility. To test this, four target research districts were chosen from within the Gyeonggi Province and analyzed in terms of the accessibility of their everyday cultural facilities. Of the four districts of Gunpo, Anyang, Uiwang, and Gwacheon, accessibility of the first two districts, was found to be high, while accessibility was found to be relatively low for the latter two districts. This finding indicates that cultural facilities investments should be concentrated in the districts of Gunpo and Anyang.

The Response of a Single Pile and Pile Groups to Tunnelling Performed in Weathered Rock (풍화암에서 실시된 터널굴착으로 인한 단독말뚝 및 군말뚝의 거동)

  • Lee, Cheol Ju
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.5C
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    • pp.199-210
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    • 2012
  • The effects of tunnelling in weak weathered rock on the behaviour of a pre-existing single pile and pile groups ($3{\times}3$ and $5{\times}5$ pile groups) above a tunnel have been studied by carrying out three-dimensional (3D) elasto-plastic numerical analyses. Numerical modelling of such effects considers the response of the single pile and pile groups in terms of tunnelling-induced ground and pile settlement as well as changes of the shear transfer mechanism at the pile-soil interface due to tunnelling. Due to changes in the relative shear displacement between the pile and the soil at the pile-soil interface with tunnel advancement, the shear stresses and axial pile force distributions along the pile change drastically. Based on the computed results, upward shear stresses are induced up to about Z/L=0.775 from the pile top, while downward shear stresses are mobilised below Z/L=0.775, resulting in a reduction in the axial pile force distribution with depth equivalent to a net increase in the tensile force on the pile. A maximum tensile force of about $0.36P_a$ developed on the single pile solely due to tunnelling, where $P_a$ is the service axial pile loading prior to tunnelling. The degree of interface shear strength mobilisation at the pile-soil interface was found to be a key factor governing pile-soil-tunnelling interaction. Overall it has been found that the larger the number of piles, the greater is the effect of tunnelling on the piles in terms of pile settlement, while changes of the axial pile forces for the piles in the groups are smaller than for a single pile due to the shielding effect. The reduction of apparent allowable pile capacity due to tunnelling-induced pile head settlement was significant, in particular for piles inside the groups.

A Study on Estimating Route Travel Time Using Collected Data of Bus Information System (버스정보시스템(BIS) 수집자료를 이용한 경로통행시간 추정)

  • Lee, Young Woo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.3
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    • pp.1115-1122
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    • 2013
  • Recently the demands for traffic information tend to increase, and travel time might one of the most important traffic information. To effectively estimate exact travel time, highly reliable traffic data collection is required. BIS(Bus Information System) data would be useful for the estimation of the route travel time because BIS is collecting data for the bus travel time on the main road of the city on real-time basis. Traditionally use of BIS data has been limited to the realm of bus operating but it has not been used for a variety of traffic categories. Therefore, this study estimates a route travel time on road networks in urban areas on the basis of real-time data of BIS and then eventually constructs regression models. These models use an explanatory variable that corresponds to bus travel time excluding service time at the bus stop. The results show that the coefficient of determination for the constructed regression model is more than 0.950. As a result of T-test performance with assistance from collected data and estimated model values, it is likely that the model is statistically significant with a confidence level of 95%. It is generally found that the estimation for the exact travel time on real-time basis is plausible if the BIS data is used.