• Title/Summary/Keyword: Duty Rate

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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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Research on consciousness of the dental technicians about smoking realities-2005 (2005년 치과기공사의 흡연실태와 의식조사)

  • Park, Yong-Duk;Hwang, Kyung-Sook;Kim, Nam-Joong;Kang, Jong-Oh
    • Journal of Technologic Dentistry
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    • v.28 no.1
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    • pp.161-176
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    • 2006
  • The purpose of this study was to evaluate smoking of dental technicians in 2005, and we have distributed questionnaires about smoking in 2005-KDTA general meeting and analyzed them. All 555 respondents who attended KDTA general meeting were selected by random sampling. However we dismissed 41 because of invalidness, so we got 504 people. Therefore, we have got conclusions below: 1. The rate of smokers who attended in 2005 KDTA was 33.93%, 46.3% in men, 1.44% in women. When we compared to other specialist groups, the rate of dental technician smokers was higher than them. 2. When we analyzed the ages of first smoking, 55.56% of the people started to smoke when they were in 24 years old. This result was very similar to the rate of dentist smokers in 2005 KDA research. 3. According to the answers of smokers and people who wire smokers in the past about quitting smoking period and willness in future, 60.82% among all members failed to quit smoking and also 69.2% among all members did not leap over 3 months but, they have thought to quit smoking for 6 months. 4. According to the answers about antismoking training related to environment in dental and clinical labs, most dental technicians(92.66%) have never been trained, also 37.70% among all members have not fulfilled their duty at self office. They have not recognized the danger of the indirect smoking. 5. When we asked chiefs in dental and clinical labs, the reason why they, didn't do the antismoking training their staffs, 32.1% of them replied that they were so busy, and 42.13% did because of their staffs, abhorrence and needlessness. 6. As Pan-dentistry members, over 80% agreed to the thought of the antismoking, also had medical knowledge about smoking. So we have the conclusion that dental technicians have identification as the Pan-dentistry members. 7. Most dental technicians expected KDTA to play a role about the antismoking training for their members. We have two suggestions to KDTA about the antismoking problem for members according to above conclusions. First, KDTA should prepare the antismoking training in the curriculum. Second, KDTA should support the antismoking programs of schools for students.

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Dynamic Performance of Natural Gas Injection Valve for Heavy-Duty Power Generation Engine - Part I (발전용 대형엔진용 천연가스 분사밸브 동특성 연구 (I))

  • Choi, Young;Kim, Yong-Rae;Lee, Seok-Whan;Kim, Chang-Gi
    • Journal of the Korean Institute of Gas
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    • v.19 no.6
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    • pp.15-21
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    • 2015
  • Natural gas fuel has known to be very promising in terms of abundancy and economic value. Therefore it is widely treated as research topics in a variety field of production, storage and utilization. Natural gas has become one of the major sources for the power generation by using internal combustion engines(ICE). Development of natural gas fuel injection device should be preceded to realize a reliable natural gas fuel supply system for a MW class power generation reciprocating ICE. In this research, an injection valve which consists of solenoid and body part with a moving plate was designed and its dynamic performance was experimented in the engine-like environment. As a result of the experiments, linearity of flow rate was obtained and overall around 2ms of response time was observed at the pressure difference of 1bar. In addition, more than 100Liter/min(@2Hz) of gas flow rate was witnessed, which is expected to be adequate for the fuel supply system of a MW class natural gas engine.

A Numerical Study on Performance of a Heavy-Duty Diesel engine for Power Generation under Natural Gas-Diesel Dual Fuel Operation (발전용 대형 디젤 엔진의 천연가스-디젤혼소 운전 특성에 대한 수치해석 연구)

  • Cho, Jungkeun;Park, Sangjun;Song, Soonho;Hur, Kwang-Beom
    • Journal of the Korean Institute of Gas
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    • v.19 no.2
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    • pp.29-36
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    • 2015
  • This study is an 1-D numerical study prior to modification of diesel engine for power plants to natural gas/diesel dual fuel engine using GT-Power with 1.5MW diesel engine for power generation. Natural gas injector was installed to intake manifold for dual fuel engine model. Effects on engine performance and characteristics were investigated when dual fuel is used in unmodified diesel engine. The analysis was done under 5 conditions from 0% to 40% of mixing rate on 720RPM engine speed. As a result of research, the engine performance was decreased as increasing ratio of natural gas. Engine brake power was decreased by 18.4% under 40% mixing rate condition. To clarify the reason, effects of injection timing and period were evaluated with DOE method. Considering this result, optimization was done for these parameters. Also, comparison between performances of dual fueled engine and diesel engine was made after optimizing the timing of injection by DOE method. As a result, engine brake power was decreased by 8.55% under mixing rate 40% condition showing 12.5% improvement.

Analysis of the Relationship between Macpa Stress Index and Korean Job Stress Level - Focusing on Subway Construction Workers (맥파 스트레스와 한국인 직무스트레스의 상관관계 분석 - 도시철도 건설종사자를 대상으로)

  • Chae, Joung Sik;Lee, Yu Jeong;Chang, Seong Rok
    • Journal of the Korean Society of Safety
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    • v.37 no.1
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    • pp.64-69
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    • 2022
  • The study measured a subway construction worker's Macpa stress by Heart Rate Variability measuring instrument and conducted a survey of Korean job stress from subway construction workers. Also, the study analyzed the relationship between Macpa stress index and Korean job stress result and suggested managing stress method for each item. According to National Statistical Office data, the first line subway in Seoul was started to open in 1974. The extended total length is 996 kilometers until 2019. Many aged workers are currently working at subway construction sites due to the avoidance of young workers since the past until now. It means that the elderly has a substantial portion among subway construction workers. The productivity has been adversely affected by health problems due to the aging of workers, job stress due to heavy work, and personal health problems. So, the regulation and policies on job stress health management are being strengthened. The data were measured Macpa stress by machine measuring heart rate variability and conducted Korean job stress survey(shortened) from Sa-sang to Ha-dan line Busan subway construction workers for analyzing the relationship. Independent variable were age, job duration, job position, employment type, working type in this study. Macpa's dependent variable was stress index and Korean job stress survey(shortened)'s dependent variables were job requirements, job autonomy, relationship conflict, job instability, organizational structure, inappropriate compensation, working place culture, and total score. SPSS 12.0 K Statistics Program was used for statistical analysis. Kruskal-wallis test, a nonparametric statistical analysis, was used because the data are difficult to be assumed as normal distribution. As a result, the paper indicated the significant correlation between Macpa stress index and Korean job stress(short version). The elderly workers presented higher Macpa index and higher job stress due to aging and heavy-duty work. The majority workers were daily workers who had unstable working condition and uncertainty about the future. The study suggested a manual that could reduce job stress for subway construction workers and future study deriving management tool through analyzing job stress factor is necessary.

A Comparative Study on Fuel Consumption Depending on The Use of Lift Axle (가변축 사용여부에 따른 연료소모량 비교 연구)

  • Oh, Ju-Sam;Eo, Hyo-Kyoung
    • International Journal of Highway Engineering
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    • v.13 no.3
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    • pp.185-193
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    • 2011
  • As a Lift axle is an additional axle installed mostly in heavy freight truck, It"s introduced for the purpose of cost saving, such as logistics, fuel, tire wear and prevention of the pavement damage. However, the Effects of a lift axle are anecdotal and they have occurred often that a lift axle is used improperly by expectations of some drivers. For these reasons, this study conducts a field experiment in order to identifying the change rate of fuel consumption due to an a Lift axle using, develops the fuel consumption model of field data, and then compares the effects of a Lift axle using through application of the model. As a result, fuel consumption decreased in loading conditions that are both empty and full when not using a lift axle.

The causes and counterplan for marine casualties of fishing boats according to the fishing types (어선의 업종별 해양사고의 원인과 대책)

  • KIM, Su-Hyung;KIM, Hyung-Seok;LEE, Yoo-Won
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.56 no.3
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    • pp.246-257
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    • 2020
  • According to the statistics of KMST (2010~2019), 68.5% of marine casualties have been occurred in fishing boats in the last 10 years. Although the incidence rate of annual average per ship is 10.4% for merchant ships and 2.3% for fishing boats, it is necessary to first reduce the marine casualties of fishing boats in order to reduce the occurrence of the whole marine casualty, considering that the number of registered fishing boats are 86.5% of the total. In this study, the top 10 fishing types with high occurring marine casualties in the past 10 years were selected using the statistics of KMST. Then, the causes of the marine casualties, focusing on the collision, were analyzed and counterplan were suggested. The biggest marine casualty that the top 10 fishing types have caused in the past 10 years was a collision, accounting for 71.7% of the total, and the rest were less than 10.0% each. Also, it was found that the biggest environment and cause of the collision were due to human factors such as poor look out or negligence of duty. Eventually, it was concluded that a reduction in the human factors for the causes basically, could lower the incidence of the marine casualties. Therefore, if the continuous and systematic correcting education of the attitude toward the ship operating of seafarers could conducted with the focus on the main human factors, the whole marine casualties will be expected to decrease gradually.

A study on the emotional identification lighting of AtoN facility by LED (LED에 의한 항로표지 시설의 감성식별 조명에 대한 연구)

  • Oh, Jin-Seong;Choi, Jo-Cheon
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2010.04a
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    • pp.145-147
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    • 2010
  • This study is the visually emotional identification lighting for easy to distinguish using 3colors LED on AtoN facility in shore and harbor, which have realized a controller for certainly express the mouth of a harbor by red light and green light of both sides a harbor and for synchronization at a time of right and left or serial sequential the harbor guidance light through synchronizer or timer by GPS. There is expectation effect that is prevent a confusion about distinguish of facility by ship's operator and to beautify a night scene of harbor, which is expressed to emotional identification lighting differ from great many lighting of harbor with variable color lighting the lighthouse body and vertical layer color lighting using LED. The function of AtoN is adapted that guidance light through synchronization or serial sequential lighting and display of harbor safety message by CW lighting, and this system is the power consumption greatly reduce by candle alternated high light LED.

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A Study on $CO_2$ Emission Estimation linked Port Action (항만 연계활동에 기초한 이산화탄소 배출량 추정)

  • Kim, Hwan-Seong;Jo, Min-Ji
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2010.04a
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    • pp.173-174
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    • 2010
  • As the quantity of goods transported, port industry and inland transport industry have developing to transport 630million ton goods annually. And the inland transport industry consists of ground transport for almost 80% of total transported goods. But, ground transport causes some serious problems especially the emission of greenhouse gases from trucks. According to issue "global warming", many regulations and agreements with countries in the world are becoming necessary and it is being fulfilled now. It is sure that Korea will have duty to reduce CO2 emission from 2013. Thus inland transport must cut off CO2 emission level. Therefore this paper will address that the calculation of CO2 emission under route of transportation container from six major container ports in Korea. And then, it will predict CO2 emission of inland transport industry according to increasing container traffic rate at ports.

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The Effect of Working Time Reduction in Hospital Management (근로시간 단축에 따른 병원경영 영향 분석)

  • Cho, Woo-Hyun;Lee, Sun-Mi;Lee, Hak-Sun;Ku, Bon-Seog;Park, Chan-Kun;Kwon, Soon-Chang
    • Korea Journal of Hospital Management
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    • v.9 no.1
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    • pp.46-65
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    • 2004
  • The study was designed to investigate what effect of working time reduction which will be gradually expanded to corporate size from June, 2004 could give to medical industries, and to provide basic information for hospitals and government to prepare the policy. 276 hospitals were surveyed about medical service income and manpower realities during the first half of 2003, using a structured survey tool. Response rate was 8% and 20 hospitals were finally analyzed. The effect of working time reduction in hospital management was different to the size of hospitals and the alternative. Income to existing service income was decreased by $2.2{\sim}4.6%$ in tertiary hospitals, by $3.2{\sim}5.7%$ in general hospitals with more than 300 beds, and by $3.7{\sim}6.0%$ in general hospitals with less than 300 beds. In preparation against such decrease in income, government is required to raise insurance payment, to calculate added service charge for day-off on Saturday forenoon, to retain emergency care payment, to expand emergency care facilities, to secure duty doctors, and to support middle and small sized hospitals. Hospitals are required to give self improving efforts such as fortifying of weekday care, development of weekend care program, strengthening of care capacity and function of emergency care center, and making manpower operation efficient.

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