• 제목/요약/키워드: PARK Index

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중증외상환자에서 TRISS를 활용한 예방가능 중증외상사망률 지표: PARK Index (PARK Index for Preventable Major Trauma Death Rate)

  • 박찬용;유병철;김호현;황정주;이정남;조현민;박한나
    • Journal of Trauma and Injury
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    • 제28권3호
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    • pp.115-122
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    • 2015
  • Purpose: To calculate Preventable Trauma Death Rate (PTDR), Trauma and Injury Severity Score (TRISS) is the most utilized evaluation index of the trauma centers in South Korea. However, this method may have greater variation due to the small number of the denominator in each trauma center. Therefore, we would like to develop new indicators that can be used easily on quality improvement activities by increasing the denominator. Methods: The medical records of 1005 major trauma (ISS >15) patients who visited 2 regional trauma center (A center and B center) in 2014 were analyzed retrospectively. PTDR and PARK Index (Preventable Major Trauma Death Rate, PMTDR) were calculated in 731 patients with inclusion criteria. We invented PARK Index to minimize the variation of preventability of trauma death. In PTDR the denominator is all number of deaths, and in PARK Index the denominator is number of all patients who have survival probability (Ps) larger than 0.25. Numerator is the number of deaths from patients who have Ps larger than 0.25. Results: The size of denominator was 40 in A center, 49 in B center, and overall 89 in PTDR. The size of denominator was significantly increased, and 287 (7.2-fold) in A center, 422 (8.6-fold) in B center, and overall 709 (8.0-fold) in PARK Index. PARK Index was 12.9% in A center, 8.3% in B center, and overall 10.2%. Conclusion: PARK Index is calculated as a rate of mortality from all major trauma patients who have Ps larger than 0.25. PARK Index obtain an effect that denominator is increased 8.0-fold than PTDR. Therefore PARK Index is able to compensate for greater disadvantage of PTDR. PARK Index is expected to be helpful in implementing evaluation of mortality outcome and to be a new index that can be applied to a trauma center quality improvement activity.

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형태지수를 이용한 도로경관의 선호성 분석에 관한 연구 - 설악산 국립공원을 대상으로 - (A Study on the Analysis of Landscape Preference in the Road-landscape by Index of Shape -The case of Sorak National Park-)

  • 서주환;최현상;김상범;이철민
    • 한국조경학회지
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    • 제27권4호
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    • pp.87-93
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    • 1999
  • This study is focus on exploring the relationship between the index of shape and the factor of perception. This study site is a Sorak National Park which sciences of road-landscape. Slides, which were used in the study, were taken in the Sorak National Park along the roads. For this purpose, the study used the questionnairy about the Road-landscape which was presented by a slide projection, also used th index of Shape. This research used analysis method of multi-regression between the preference and perceptional factors, and between the preference and index of shape. 1) The regression result of $R^2$ is 00827 between the preference and perceptional factors, therefore we can positively consider that the preference is related to the perception. The preference is affected highly by the intimacy which is the one of perceptional factors. 2) The regression result of $R^2$ is 0.692 between the preference and the index of shape. The preference has a relation with the index of shape, and it is affected highly by the index of sky. 3) Therefore, this study identifies the relationship between the preference and the perceptional factors, and the index of shape makes this relationship possible.

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PARK Index and S-score Can Be Good Quality Indicators for the Preventable Mortality in a Single Trauma Center

  • Park, Chan Yong;Lee, Kyung Hag;Lee, Na Yun;Kim, Su Ji;Cho, Hyun Min;Lee, Chan Kyu
    • Journal of Trauma and Injury
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    • 제30권4호
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    • pp.126-130
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    • 2017
  • Purpose: Preventable Trauma Death Rate (PTDR) using Trauma and Injury Severity Score (TRISS) has been most widely used as a quality indicator in South Korea. However, this method has a small number of deaths corresponding to the denominator. Therefore, it is difficult to check the change of quality improvement for annual mortality, and there is a disadvantage that variation is severe. Therefore, we attempted to improve the quality of the mortality evaluation by reducing the variation by applying the PARK Index (preventable major trauma death rate, PMTDR) which can increase the number of denominator significantly. And the Save score (S-score) was also examined as another quality indicator. Methods: In the PARK Index, the denominator is number of all patients who have survival probability (Ps) larger than 0.25. Numerator is the number of deaths among these. The PARK Index includes only patients with ISS >15. The S-score is calculated in the same way as the W-score, but the S-score includes only patients with ISS >15, which is a difference from the W-score. Results: PARK Index decreased annually and was 12.9 (37/287) in 2014, 9.6 (33/343) in 2015, and 7.3 (52/709) in 2016. S-score increased annually and was -0.29 in 2014, 4.21 in 2015, and 8.75 in 2016. Conclusions: PARK Index and S-score improved annually. This shows that both quality indicators are improving year by year. PARK Index (PMTDR) has 9.5-fold increase in denominator overall compared to PTDR by TRISS. The S-score used only ISS >15 patients as a denominator. Therefore, there is an advantage that the numerical value change is larger than the W-score. In addition, S-score is not affected by the ratio of major trauma patients to minor trauma patients.

포용적 생활 SOC 정책 추진을 위한 공원결핍지수 개발 연구 (Development of Index of Park Derivation to Promote Inclusive Living SOC Policy)

  • 김용국
    • 한국조경학회지
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    • 제47권5호
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    • pp.28-40
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    • 2019
  • 지역 및 인구집단의 사회경제적 지위에 따른 생활 SOC 공급의 불균형 문제를 해결하기 위해 포용도시 정책에 대한 논의가 확장하고 있다. 본 연구의 목적은 포용적 도시공원 정책 추진을 위한 대안적 지표로 공원결핍지수(Index of Park Derivation, IPD)를 제안하고, 이를 7대 광역시에 적용해 공원 정책 필요도가 상대적으로 높은 지역을 선정하는 것이다. 주요 연구결과는 다음과 같다. 첫째, 포용도시와 공원기능에 대한 관련 이론 및 선행연구 검토를 통해 포용적 도시공원 정책 개념을 "노인, 어린이, 저소득층, 폭염 미세먼지 등의 환경 재난 재해 취약계층 등 사회경제 및 환경적 지위가 낮은 지역 및 인구집단을 우선적으로 고려해 양질의 공원서비스를 공급 관리하는 정책"이라고 조작적으로 정의했다. 둘째, 공원서비스 수준, 인구구조 특성, 경제 및 교육 수준, 건강 수준, 환경적 취약성 등 5개 부문의 17개 변수를 종합하여 공원결핍지수(Index of Park Derivation, IPD)를 개발했다. 공원결핍지수를 구성하는 변수들은 체육시설, 어린이집, 유치원, 공공도서관 등 공원 외의 생활 SOC 정책에도 적용 가능할 것으로 판단된다. 셋째, 7대 광역시 1,148개 읍면동 지역에 공원결핍지수를 적용한 결과 광역시별 공원서비스 필요도가 상대적으로 높은 지역들이 도출되었다. 서울특별시 강북구 삼각산동, 부산광역시 강서구 대저1동, 대구광역시 동구 안심1동, 인천광역시 부평구 삼산1동, 광주광역시 광산구 신창동, 대전광역시 대덕구 회덕동, 울산광역시 북구 농소3동이 지역별 공원 정책필요도 1순위로 도출되었다. 본 연구는 정부 및 지자체가 쉽게 접근 활용할 수 있는 통계 및 지리정보 데이터에 기반해 포용적 도시 공원 정책을 추진할 수 있는 대안적 지표를 제안했다는 의의를 갖는다.

덕유산 국립공원 삼림식생의 종 다양성 (Species Diversity of Forest Vegetation in Togyusan National Park)

  • Kim, Chang-Hwan;Bong-Seop Kil
    • The Korean Journal of Ecology
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    • 제19권3호
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    • pp.223-230
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    • 1996
  • Five measurements of species diversity (richness index, diversity index, evenness index, dominance index and species sequences-importance curve) and their relationships with sltitude, tree age and community type were studied in $T\v{o}gyusan$ National Park, Korea. Altitude and tree age were the major variables explaining the differences of species diversity in the whole forest. Species richness index, diversity index and evenness index of Quercus mongolica and Pinus densiflora communities were lower than those of Carpinus laxiflora, Q. serrata, Fraxinus mandshurica, Q. mongolica - P. densiflora communities than that in the other communities. The species sequence-importance curve of the forest communities in $T\v{o}gyusan$ coincided with the ideal curve calculated by the lognormal-distribution theory.

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국립공원 탐방수요와 경제변수간의 인과성 분석 (A Causality Analysis on the Relationship Between National Park Visitor Use and Economic Variables)

  • 심규원;이주희
    • 한국산림과학회지
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    • 제99권4호
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    • pp.573-579
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    • 2010
  • 본 연구는 국립공원 탐방수요와 경제변수인 산업생산지수와 소비자물가지수 간의 관계를 분석하였다. 인과 관계검정 결과 산업생산지수와 소비자물가지수는 국립공원 탐방수요에 영향을 미치는 것으로 나타났다. 또한 충격반응분석 결과 산업생산지수와 소비자물가지수가 단기적으로 큰 반응을 보이기 시작하여 장기적으로 파급효과를 미치는 것으로 나타났다. 그리고 분산분해분석 결과 국립공원 탐방수요는 자체변수에 가장 영향을 많이 받는 것으로 나타났다. 이상의 연구 결과 경제변수는 휴양의 수요를 예측하고 정책을 수립하는데 유용하게 활용될 수 있을 것으로 판단된다.

정규분포 공정 가정하에서의 공정능력지수 $C_{pmk}$ 에 관한 효율적인 신뢰한계 (Better Confidence Limits for Process Capability Index $C_{pmk}$ under the assumption of Normal Process)

  • 조중재;박병선;박효일
    • 품질경영학회지
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    • 제32권4호
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    • pp.229-241
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    • 2004
  • Process capability index is used to determine whether a production process is capable of producing items within a specified tolerance. The index $C_{pmk}$ is the third generation process capability index. This index is more powerful than two useful indices $C_p$ and $C_{pk}$. Whether a process distribution is clearly normal or nonnormal, there may be some questions as to which any process index is valid or should even be calculated. As far as we know, yet there is no result for statistical inference with process capability index $C_{pmk}$. However, asymptotic method and bootstrap could be studied for good statistical inference. In this paper, we propose various bootstrap confidence limits for our process capability Index $C_{pmk}$. First, we derive bootstrap asymptotic distribution of plug-in estimator $C_{pmk}$ of our capability index $C_{pmk}$. And then we construct various bootstrap confidence limits of our capability index $C_{pmk}$ for more useful process capability analysis.

지리산국립공원 심원계곡 생태경관 복원공사지역 식생 변화 (A Change of Vegetation at the Ecological Restoration Area of Simwon Valley in Jirisan National Park)

  • 정태준;김연경;김영진;정명희;박경희;신창근;박선홍;김영선
    • 한국환경생태학회지
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    • 제35권3호
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    • pp.294-304
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    • 2021
  • 본 연구는 지리산국립공원 심원계곡 생태경관 복원공사지역의 모니터링 결과를 분석하여 체계적인 복원관리를 도모할 수 있는 기초자료를 확보하는데 그 목적이 있다. 복원사업이 완료된 2017년도에 식생 모니터링을 위한 조사구 12개소와 대조구 4개소를 설치하였고, 2017년과 2020년의 상대우점치, 종다양도지수, 유사도 등의 변화를 분석하였다. 복원사업 시 수목이 식재되었던 조사구는 종다양도지수가 0~1.4552로 나타났고, 대조구와의 유사도지수에서는 1개 조사구가 1.32%로 분석된 것을 제외하고 모두 0%로 나타났다. 조사구의 종다양도지수 및 유사도지수가 매우 낮은 것은 복원사업 시 식재된 수목이 고사하거나 멧돼지 피해, 유수에 의한 침식으로 유실되는 등의 영향으로 판단되었다. 반면 복원사업 시 수목이 식재되지 않은 미식재 조사구는 종다양도지수가 0.9538~2.3222로 나타났고, 유사도지수는 최대 8.33%까지 분석되었다. 국립공원 생태경관 복원공사지역의 복원 공법 개발을 위한 장기 모니터링과, 미식재 조사구의 천이과정을 분석하는 지속적인 연구가 필요하다.

Development of Safety Assessment Indicators and Facility Management System for Crime Prevention - A Case Study of Park -

  • Lee, Su-Ji;Lee, Seung-Su;Song, Ki-Sung;Hwang, Jung-Rae
    • 한국컴퓨터정보학회논문지
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    • 제24권7호
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    • pp.109-116
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    • 2019
  • In this study, a GIS-based park safety assessment index was developed to enable objective park vulnerability assessment through data-based GIS analysis, a safety assessment was conducted by selecting a target site where various parks are operated and applying the park safety assessment index. In addition, a facility management system was developed for efficient management of the park safety assessment to update the park safety and provide a foothold for indirect PPGIS. In the case of the assessment index of the safety rating of the park, it was possible to conclude that the accurate quantitative performance was given to the calculation of the safety grade of the park based on the fact that the facilities are different depending on the environment and the size of the park. In addition, the marking the safety grade of parks, as well as the function to show the safety facilities of parks, a common living area for citizens, the management system is expected to have an impact on promoting the use of parks. In the future, in functions such as reporting of facility failures and verifying civil information are implemented by applying civic group participation programs and crowd-sourcing technologies, it is believed that all facilities as well as parks managed by the local government can be managed more efficiently.

해조류 군집지수에 기초한 해양국립공원의 생태학적 평가 (Ecological Evaluation of Marine National Parks Based on Seaweed Community Index)

  • 오지철;최한길;김철도;안중관
    • 한국수산과학회지
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    • 제49권3호
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    • pp.385-392
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    • 2016
  • Seasonal variability in the algal community structure of intertidal zones was examined at six study sites in Marine National Parks, on the western and southern coasts of Korea from March to November 2015. A total of 193 species of algae, comprising 27 green, 40 brown and 126 red algae, were identified. Algal biomass averaged 101.50 g dry wt./m2 with a maximal at Tonggae (168.12 g dry wt./m2) and minimum at Haseom (54.49 g dry wt./m2). The dominant seaweeds by biomass were Sargassum thunbergii at five sites (Tonggae, Haseom, Namdongri, Ando amd Sinjeonri), and S. fusiforme at Soando. Community indices measured as follows: dominance index (DI), 0.31–0.69; richness index (R), 7.30–11.43; evenness index (J'), 0.33–0.49; and diversity index (H'), 1.15–1.86. As evaluated using community indices and environmental states, the EEI (Ecological Evaluation Index) of the Marine National Park was “normal”. The present results indicate that seaweed community structures and indices could be used to evaluate the environmental status of coastal ecosystems.