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Policy Implications for Home-Visit Nursing(HVN) of the Korean Long Term Care Insurance through the implications of the Japanese HVN (한국 장기요양 방문간호의 정책적 함의와 일본 방문간호의 시사점)

  • Ryu, Hosihn;Arita, Kumi
    • Journal of Korean Public Health Nursing
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    • v.29 no.3
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    • pp.403-411
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    • 2015
  • Due to lack of an information system regarding the status of using home-visit nursing (HVN), it has barriers of providing improvement of the HVN for management of elderly health care in Korea. The twofold aims of the current review are to expose the existing agendas for HVN and to suggest the political implications for HVN of Korea based on the transition process and revised HVN system of Japan. This review suggests that an information evaluation system has to precede for HVN services in detail. And, the service provided per manpower should be assessed by separating the code of manpower (registered nurse, nurse aide, dental hygienist) as well as securing detailed and precise information on the HVN services. The other suggestion, development of a community-based home health care nursing model in order to provide necessary services for long-term health insurance beneficiaries. In addition, a master plan for health care for elderly should be established at the national level in order to establish an effective home health nursing delivery system.

Maxillary anterior single implant prosthesis ; a clinical case

  • Kim Seung-June;Kwon Kung-Rock;Lee Sung-Bok;Woo Yi-Hyung;Choi Dae-Gyun;Choi Boo-Byung
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.3
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    • pp.306-312
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    • 2001
  • Achieving an aesthetic implant-supported restoration in the single tooth missing case can be challenging when the implant site is in e anterior region. The objective of this report is to focus on presurgical evaluation of implant site and systematic development of related prosthetic modalities. An accurate diagnostic evaluation, a systematically developed pesurgical plan, and knowledge and clinical skill of the various related therapeutic modalities are indispensible. Collection of patient's information, appropriate abutment selection, soft tissue contour, implant axis, and occlusion need to be discussed for aesthetic clinical outcome. For aesthetic restoration, such as surgical guide stent for precise implant positioning customized provisional restoration for development of optimal periimplant soft tissue contours, and fabrication customized abutment (mesiostructure) for veriable emergence profile, are recommended.

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The Behavior of Effluent Discharged from the Confined Dumping Facility (제한투기시설에서 배출되는 여수의 거동)

  • 정대득;이중우
    • Journal of Korean Port Research
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    • v.14 no.4
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    • pp.429-439
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    • 2000
  • The primary purpose of dredging work is to maintain navigational readiness and to increase environmental amenity. Therefore the dredging project, which is composed of excavating, removing, transporting and storing or dumping dredged material, must be carefully managed to insure that dredging works are completed in a cost-effective and environmentally safe method. The most important point in dumping operations is evaluating and decreasing the impacts of dumping works at the dumping area. One of the most effective method for this purpose is using the schematic process composed of the sophisticate plan, precise work and predicting/reducing the impacts based on an numerical model being closely linked with field observation. In this study, a numerical model is used to predict the spatial transport and fate of the effluent discharged from the confined dumping facility(CDF) located at a coastal area. To achive this purpose, numerical models were used for reappearing the tidal current of concerned area. These models were then applied to Mokpo harbpr where capital dredging and maintenance dredging are being conducted simultaneously and the CDF is under construction. In series of model case study, we found that the effluent discharged from CDF was governed by the receiving water condition and outfall geometry, so that limit of near-field was 14∼500 meter down stream and 4∼150 meter in transverse direction. dilution ranged from 1.1 to 8.2 on the cases. Long-term diffusion characteristics was governed by the dilution rate during near-field behavior, ambient conditions and CDF operation modes.

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Quantification of Uncertainty Associated with Environmental Site Assessments and Its Reduction Approaches (부지 오염도 평가시 불확실성 정량화 및 저감방안)

  • Kim, Geonha;Back, JongHwan;Song, Yong-Woo
    • Journal of Soil and Groundwater Environment
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    • v.19 no.1
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    • pp.26-33
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    • 2014
  • Uncertainty associated with a sampling method is very high in evaluating the degree of site contamination; therefore, such uncertainty affects the reliability of precise investigation and remediation verification. In particular, in evaluating a site for a small-sized filling station, underground utilities, such as connection pipes and oil storage tanks, make grid-unit sampling impossible and the resulting increase in uncertainty is inevitable. Accordingly, this study quantified the uncertainty related to the evaluation of the degree of contamination by total petroleum hydrocarbon and by benzene, toluene, ethylene, and xylene. When planning a grid aimed at detecting a hot spot, major factors that influence the increase in uncertainty include grid interval and the size and shape of the hot spot. The current guideline for soil sampling prescribes that the grid interval increase in proportion to the area of the evaluated site, but this heightens the possibility that a hot spot will not be detected. In evaluating a site, therefore, it is crucial to estimate the size and shape of the hot spot in advance and to establish a sampling plan considering a diversity of scenarios.

Augmentation Mammaplasty in Women with Simple Sunken Chest (단순흉부함몰 환자에서 유방확대술)

  • Jang, Hyun;Oh, Sang-Ah;Yoon, Won-June
    • Archives of Plastic Surgery
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    • v.37 no.6
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    • pp.808-814
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    • 2010
  • Purpose: The sunken chest deformity without breast asymmetry is not a rare condition encountered in augmentation mammaplasty. Therefore, failure to recognize the deformity and improper surgical plan will lead to a suboptimal result. The authors review the experience of breast augmentation in simple sunken chest patient based on retrospectively collected data. Methods: From January, 2008 to January, 2009, patients with simple sunken chest underwent endoscopic submuscular augmentation mammaplasty through axilla, using silicone implants. Patient demographics were queried and outcomes were assessed. Results: Eleven patients (22 breasts) were followed up for 8.2 months after surgery. Sunken chests were augmented with implant size of approximately 248.9 cc (range: 213~286 cc) and contralateral chest with 211.4 cc (range: 180~235 cc). Simultaneous camouflaging the chest wall depression with breast augmentation resulted in good aesthetic outcome. All of the patients were satisfied with the surgery. There were no complications among all patients. Conclusion: We have demonstrated proper surgical planning with precise implant selection to optimize results in patients with small breast and simple sunken chest. Even though asymmetry still remains after the operation, it is still considered as acceptable.

A Study on the Construction of a Drone Safety Flight Map and The Flight Path Search Algorithm (드론 안전비행맵 구축 및 비행경로 탐색 알고리즘 연구)

  • Hong, Ki Ho;Won, Jin Hee;Park, Sang Hyun
    • Journal of Korea Multimedia Society
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    • v.24 no.11
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    • pp.1538-1551
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    • 2021
  • The current drone flight plan creation creates a flight path point of two-dimensional coordinates on the map and sets an arbitrary altitude value considering the altitude of the terrain and the possible flight altitude. If the created flight path is a simple terrain such as a mountain or field, or if the user is familiar with the terrain, setting the flight altitude will not be difficult. However, for drone flight in a city where buildings are dense, a safer and more precise flight path generation method is needed. In this study, using high-precision spatial information, we construct a drone safety flight map with a 3D grid map structure and propose a flight path search algorithm based on it. The safety of the flight path is checked through the virtual drone flight simulation extracted by searching for the flight path based on the 3D grid map created by setting weights on the properties of obstacles and terrain such as buildings.

Validation of KREAM Based on In-Situ Measurements of Aviation Radiation in Commercial Flights

  • Hwang, Junga;Kwak, Jaeyoung;Jo, Gyeongbok;Nam, Uk-won
    • Journal of Astronomy and Space Sciences
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    • v.37 no.4
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    • pp.229-236
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    • 2020
  • There has been increasing necessity of more precise prediction and measurements of aviation radiation in Korea. For our air crew and passengers' radiation safety, we develop our own radiation prediction model of KREAM. In this paper, we validate the KREAM model based on comparison with Liulin observations. During early three months of this year, we perform total 25 experiments to measure aviation radiation exposure using Liulin-6K in commercial flights. We found that KREAM's result is very well consistent with Liulin observation in general. NAIRAS shows mostly higher results than Liulin observation, while CARI-6M shows generally lower results than the observations. The percent error of KREAM compared with Liulin observation is 10.95%. In contrast, the error for NAIRAS is 43.38% and 22.03% for CARI-6M. We found that the increase of the altitude might cause sudden increase in radiation exposure, especially for the polar route. As more comprehensive and complete analysis is required to validate KREAM's reliability to use for the public service, we plan to expand these radiation measurements with Liulin and Tissue Equivalent Proportional Counter (TEPC) in the near future.

Rajakudakan Wat Chotikaram: From Ruins to The Reconstruction of The Grand Stupa, Wat Chedi Luang, Chiang Mai

  • Kirdsiria, Kreangkrai;Buranautb, Isarachai;Janyaemc, Kittikhun
    • SUVANNABHUMI
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    • v.13 no.2
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    • pp.167-186
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    • 2021
  • The Grand Stupa is mentioned in historical text as 'Rajakudakan', which means a royal building with a multitiered superstructure. This Grand Stupa is the principal construction of Wat Chedi Luang, and marks the center of the Chiang Mai City Plan. This study argues that the Grand Stupa was built in 1391 during Phaya Saen Mueang Ma's reign, possibly inspired by the construction of Ku Phaya in Bagan. Thereafter, in 1545, the Grand Stupa's superstructure collapsed after the great earthquake, resulted in the irreparable damage since then. Therefore, a survey using a 3D laser scanner is conducted to collect the most precise data on the current condition of the Grand Stupa, yielding an assumption of its reconstruction. Other simultaneous stupas or those that show a close architectural relationship (e.g. stupas in Wat Chiang Man and Wat Lok Moli and the stupa of King Tilokaraj in Wat Chet Yot in Chiang Mai) are also employed as research frameworks for the reconstruction. As a result, the architectural research on the Grands Stupa, compared with simultaneous stupas, yields a fruitful argument that the pre-collapse superstructure form of the Grand Stupa marks the most architectural similarity to the stupa of Wat Chiang Man.

Tracing of Active Fault Using Geomorphic Markers (지형 분석을 통한 활성 단층 추적 연구)

  • Shin, Jae-Ryul;Hong, Yeong-Min;Kim, Hyung-Soo;Lee, Gwang-Ryul
    • Journal of The Geomorphological Association of Korea
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    • v.26 no.4
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    • pp.107-121
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    • 2019
  • This study documents the distribution of (active) faults around the southern part of the Yangsan Fault and the Moryang Fault and the middle part of the Dongrae Fault. For this objective, we extracted lineaments and fault-related landforms by analyzing aerial photos and digital elevation models and with the result of fieldwork on fault-relating features of the Quaternary landforms. Geomorphological techniques for active fault study are not only preliminary but also essential methods because, in general, an active fault can be defined only with fault-deformed Quaternary sediments when there is no way to detect precise timing of faulting. Therefore, geomorphological interpretation in active fault research is necessary to determine the extent, direction, termination and timing of fault. This study addresses the results of such geomorphological analysis and geomorphic markers for tracing the active faults in the study area. It is plan to investigate with geophysical and geological techniques the sites referred in this study.

A Study on the Turning System for Processing a Large Ship Propeller (대형 선박 프로펠러 가공 공정용 터닝 시스템에 관한 연구)

  • Do-Hun Chin
    • Journal of the Korean Society of Industry Convergence
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    • v.26 no.5
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    • pp.825-831
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    • 2023
  • The propellers used for big ships have a large diameter and are very heavy. In order to apply a precise and safe work process to them, it is necessary to use an exclusive turning system. For this reason, various techniques are applied to produce them. However, workers' convenience and safety are not taken into consideration enough at production sites. Conventionally, these propellers are designed to be separated as their turning system is loaded and rotated by empty weight. Therefore, it is necessary to replace such a design. This study tries to find the weaknesses of the design and structure of a conventional propeller turning system for large ships, to verify structure integrity of a structure in structural analysis, and to devise a plan for designing a new type of turning system. In the basic concept design and structural analysis for the turning system used in the propeller finishing process for large ships, this study drew the following conclusions. It was possible to develop the work process of the turning system for the propeller finishing process used for large ships, to obtain the dimensions for exterior design through a basic design. Structural analysis was conducted to find the structure integrity of the turning system. As a result, in the rail installed to transfer a gantry, the maximum stress was about 45MPa, about 5.5 times lower than the yield strength 250MPa. Therefore, the turning system was judged to be safe structurally.