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Treatment of Combat-related Gunshot and Explosive Injuries to the Extremities (전투 상황에서 발생한 사지 총상 및 폭발창의 치료)

  • Lee, Jung Eun;Lee, Young Ho;Baek, Goo Hyun;Lee, Kyung-Hag;Cho, Young Jae;Kim, Yeong Cheol;Suh, Gil Joon
    • Journal of Trauma and Injury
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    • v.26 no.3
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    • pp.111-124
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    • 2013
  • Purpose: We should prepare proper medical service for disaster control as South Korea is not free from terrorism and war, as we experienced through the two naval battles of the Yeonpyeong, one in 1999 and the other in 2002, the sinking of Cheonan in 2010, and the attack against the border island of Yeonpyeong in 2010. Moreover, North Korea's increasingly bellicose rhetoric and mounting military threats against the world demand instant action to address the issue. The aim of this article is to describe our experience with three patients with combat-related gunshot and explosive injuries to their extremities and to establish useful methods for the management of patients with combat-related injuries. Methods: Three personnel who had been injured by gunshot or explosion during either the second naval battle of the Yeonpyeong in 2002 or the attack against the border island of Yeonpyeong in 2010 were included in our retrospective analysis. There were one case of gunshot injury and two cases of explosive injuries to the extremities, and the injured regions were the left hand, the right foot, and the right humerus. In one case, the patient had accompanying abdominal injuries, and his vital signs were unstable. He recovered after early initial management and appropriate emergency surgery. Results: All patients underwent emergent surgical debridement and temporary fixation surgery in the same military hospital immediately after their evacuations from the combat area. After that, continuous administration of antibiotics and wound care were performed, and definite reconstructions were carried out in a delayed manner. In the two cases in which flap operations for soft tissue coverage were required, one operation was performed 5 weeks after the injury, and the other operation was performed 7 weeks after the injury. Definite procedures for osteosynthesis were performed at 3 months in all cases. Complete union and adequate functional recovery were achieved in all cases. Conclusion: The patient should be stabilized and any life-threatening injuries must first be evaluated and treated with damage control surgery. Staged treatment and strict adherence to traditional principles for open fractures are recommended for combat-related gunshot and explosive injuries to the extremities.

Research on the Actual Condition of Rotary Tilling & Rotary Power Requirement in the Central Area (중부지방에서의 로터리 경운작업 실태조사 및 경운부하)

  • Myung, Byung-Su;Lee, Hyun-Dong
    • Journal of the Korean Society of Industry Convergence
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    • v.12 no.2
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    • pp.79-83
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    • 2009
  • In this study, actual state of operation of rotary tillage was surveyed in the central part of Korea which includes 29 rural community around Asan city, Choongnam principal. 29 heads of the village and 44 farmers were surveyed at the field with a questionnaire on the operation of rotary tillage with farm tractors. Power requirement of rotary tillage operation was measured at the field of each farmers during rotary tilling operation in the central part of Korea. Summaries of this study are summarized as follows. 1) Operations of tillage and land preparation were found to be carried out with farm tractors by 98 percents which are results of the survey on 29 heads of the village and 44 farmers. 2) More than half of the farms had tractors with horsepower more than 38 kW which states that most tractors were supplied in middle and large size. 3) The case of applying secondary tillage after the first primary tillage were 79 percent among the most of operations of tillage and field preparation. Rotary tillage were carried out on the most of wet paddy fields and only 14 percent of dry fields were cultivated with rotary tillage. 4) 63.6 percent of farm tractors were surveyed to meet the recommended field capacity on tillage operation by the government which were ranged from 15.1 to 34.9 ha. And the field capacity of these farm tractors were greater than that of annual total area of operation field, 13.2ha (data from Information of agricultural machinery, National agricultural products quality service, Korea), which states the utilization of agricultural machinery was high in the area surveyed. 5) 46 percent of farmers changed the blade of rotary implement when they used it over the field capacity of rotary blade of 33 ha which is the area of field for rotary operation per a blade change. 55 percent of farmers changed the rotary blade more than once per two years. 6) The required power for rotary operation of each farm tractors were measured as 17.206 kW at untilled paddy field and 34.989 kW at untilled dry field on the average, respectively. The required power for rotary operation was measured as 28.248 kW on the average at the paddy field which had been plowed once and 28.015 at the paddy field that had rotary tillage operation. Untilled dry field showed the highest value of the required power for rotary operation.

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A Study on Drought Trend in Han River Basin (한강유역의 가뭄경향에 관한 연구)

  • Kim, Hyeong-Su;Mun, Jang-Won;Kim, Jae-Hyeong;Kim, Jung-Hun
    • Journal of Korea Water Resources Association
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    • v.33 no.4
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    • pp.437-446
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    • 2000
  • THe drought analysis is performed by applications of truncation level method and conditional probability concept for hydrologic time series in Han river basin. The distributed trend of conditional probability is determined using kriging method for the time series. This study uses daily flowrate, monthly rainfall, and daily high temperature data sets. The daily flowrate data of 12 years(1986~1997) is used for the analysis. Also, the 14 years' data sets(1986~1999) for monthly rainfall and daily high temperature obtained from the National Weather Service of Korea are used in this study. In the cases of flowrate and rainfall data sets, the estimated value corresponding to the truncation level is decreased as the truncation level is increased but in the high temperature data, the value is increased as the truncation level is increased. The conditional probability varies according to the observations and sites. However, the distributed trend of drought is similar over the basin. As a result, the possibility of the drought is high in the middle and lower parts of Han river basin and thus it is recommended the distributed trend of drought be considered when the plan or measures for drought are established.

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A Case Study on Elementary Teachers' Knowledge in Teaching Method for the Science-Gifted Students (과학영재 교수방법에 대한 초등과학 영재교사의 지식에 대한 사례연구)

  • Yeo, Sang-Ihn;Jin, Hyun Suk
    • Journal of Science Education
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    • v.36 no.1
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    • pp.94-105
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    • 2012
  • The purposes of this study is to identify the professional knowledge of the three elementary teachers for science-gifted students in teaching method. All teachers have received in-service program in gifted education, and have been recommended by their colleagues. Two teachers have instructed the gifted for more than five years, one teacher have instructed the gifted for one year and the general students for eleven years. For for this study, each teacher's lesson plans were collected, videotapes were recorded during lessons, and in-depth interview for each participant were conducted. All recoded data were transcribed and analyzed. Some unique characteristics of teaching method for the gifted were identified from the class instruction of participants. They had knowledge of teaching model for the gifted, especially Renzulli's three pod enrichment model. And they mainly used the materials developed by KEDI for the gifted. Also they had capability to be able to reconstruct them, but their lesson plans did not be realized well in their class. Some implications from findings of this study were suggested, such as teaching methods to improve the quality in the classes of the gifted in science.

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Comparing greenhouse gas emissions and nutritional values based on Korean suggested meal plans and modified vegan meal plans

  • Park, Geun-woo;Kim, Ji-yung;Lee, Min Hyeok;Yun, Jung-Im;Park, Kyu-Hyun
    • Journal of Animal Science and Technology
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    • v.62 no.1
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    • pp.64-73
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    • 2020
  • Producing animal products from farm to table emits massive amounts of greenhouse gases (GHGs). Modified meal plans, mainly including vegetables and grains, have been recommended to reduce GHG emissions. However, these meal plans have not been developed with regard to the micronutrient content, but rather with regard to the energy requirements of grains and vegetables, which could result in a nutritional imbalance. For this reason, we investigated a common Korean suggested meal plan (SMP) from the National Institute of Agricultural Sciences, in which nutritional conditions were considered, and evaluated its GHG emissions using the Life Cycle Assessment Inventory Database and nutritional values. The SMP, which included meat, was based on the Korean Nutrition Society for adult men age 19 to 29, and was changed to a vegan meal plan (VMP). Animal-based protein sources were substituted for meat alternatives, such as beans and tofu, for which carbon footprint data was available. To compare the nutritional differences, the 9th Korean Food Composition Tables I and II were consulted. To calculate GHG emissions, the carbon footprint data of the food was converted to a CO2 equivalent (CO2e) using a procedure from the Foundation of Agriculture Technology Commercialization and Transfer. It was found that GHG emissions per calorie were 18% lower for the VMP when compared to the SMP. However, if GHG emissions per total amino acids were evaluated, the VMP GHG emissions per total amino acids were 0.12 g CO2e/mg, while the corresponding value for the SMP was 0.06 g CO2e/mg. The Korean daily meat intake reported by the Korea Agricultural Statistics Service was 37.1% lower than in the SMP, but when converted to a protein intake the figure was 17.0% lower. It was found that each SMP resulted in more GHG emissions than the VMP, but when considered as GHG emissions per total amino acids, the opposite pattern was apparent. There is a need to conduct more detailed studies of the variation in GHG emissions with different meal plans, using the daily meat intake per person.

A Comparison of the Recognition and Satisfaction for Health Care Service between Internal Customer and External Customer (수도권 소재 병원의 내 . 외부고객의 의료이용에 대한 인지도와 만족도 차이 분석)

  • 구정연;유승흠;이해종;손태용
    • Health Policy and Management
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    • v.10 no.1
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    • pp.111-125
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    • 2000
  • To compare the differences in the recognition on hospital utilization and satisfaction, 368 hospital employees and 485 patients were selected in four hospitals in Seoul and Kyung-gi do. The survey was done using a constructed form of checklist from Apr. 30 to May 10, 1999. And the results are as follows: l. Gaining knowledge of hospitals available among hospital employees differed from that of patients. When finding out about sources of information concerning hospitals, direct visit to the hospital was recognized to be the main factor for the hospital employees in contrast to the patients' recognition which were mass media, personal involvement of job related workplace and recommendations from other hospitals. There was no difference between university and general hospitals. 2. The factors that concern which hospital to choose there was a difference between hospital employees and patients. Hospital employees recommended their own hospital solely based on the reason that it was their work place. On the other hand, the patients made a choice based on the type of medical staff, transportation available and whether it was a university hospital or not. There was no difference between university and general hospitals. 3. The recognition of employees concerning hospital image of a hospital between hospital employees and patients was different. In university hospitals, the employees recognized the name value of university hospital and cooperation as most important, whereas the patients thought convenience, kindness were the main factors. Patients considered general hospitals to be more convenient. There was some difference between university and general hospitals. For university hospitals employees' recognition was higher and for the general hospital patients' recognition is higher on hospital image. 4. The recognition of employees was different from that of patients' on hospital satisfaction. The patients' satisfaction was higher than that of employees'. There was no difference between university and general hospitals. Based on the above findings, the employees' recognition on hospital utilization and satisfaction was different from that of the patients, but there was no difference between university and general hospitals. In both groups choice of hospital was associated with satisfaction. Results showing difference between employees' and patients' recognition can be applied to implement customer-oriented attitude and be used as a baseline data for internal-external marketing planning of hospital management. The study may be limited in that the results cannot be generalized due to its small sample size and not being able to reflect demographic variables and life style. Further studies to investigate the difference of hospital utilization and hospital satisfaction will be necessary to define demographic characteristics and recognition of employees which influences patients' hospital satisfaction.

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Recommendations of the Korean Society for Health Education and Promotion for Developing the Korean Credentialing Policy of Health Education Specialist (보건교육사 제도정립의 방향)

  • Kim, Kwang-Kee;Kim, Keon-Yeop;Kim, Young-Bok;Kim, Hye-Kyeong;Park, Kyoung-Ok;Park, Chun-Man;Lee, Moo-Sik
    • Korean Journal of Health Education and Promotion
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    • v.25 no.2
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    • pp.73-89
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    • 2008
  • Objectives: This research was conducted to suggest a recommendation for the Korean credentialing policy of health education specialist as the primary human resource in community health promotion activities from the special group perspective of the Korean Society for Health Education and Promotion. Methods: This research was conducted by the professional focus group discussion and descriptive literature review on health education and promotion. Results: This draft recommendation for Korean credentialing system development of health education specialist was based on the four background reasons for modifying health promotion related acts, for developing better policy of health education credentialing, for keeping the public and ethical responsibilities as the competitive professional society, and for improving health promotion activities in Korea. Theoretical background of the four reasons was Ottawa Charter. We classified three credentialing levels of health education specialist based on health education own competencies, coordiating competencies with environmental factors, and research competencies. Furthermore, we developed 10 major roles and categorized 53 sub-roles based on these competencies above. We recommended 10 classes required to take to become Health Education Specialist. These 10 classes were developed based on the credentialing systems in the United States and Japan. These 10 classes were about health education and promotion methods and strategies not health intervention topics. We also built the draft plan for continuing education to keep KCHES based on the NCHEC in the United States. Conclusions: Further research should be conducted to build better health education specialist credentialing systems modifing current communtiy-based health promotion activities in terms of modifying public regulation, developing KCHEC examination system, protecting job security both in public and private sectors, and creating professionalism in KCHEC.

Estimated Additional Number of Workers and Additional Collective Dose by Reducing Dose Limits (선량한도 하향이 방사선작업인력 및 집단선량에 미치는 영향예측)

  • Ha, Chung-Woo;Na, Seong-Ho
    • Journal of Radiation Protection and Research
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    • v.23 no.3
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    • pp.149-157
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    • 1998
  • An analysis has been performed to estimate the additional number of workers and the additional collective dose in man-cSv which would be required, nuclear industry-wide as a result of reducing individual dose limit. This analysis can be extended to the reduction in the dose limits recommended by ICRP Publ.60 and BEIR V report as well as the proposed dose limits by regulatory authorities. An industry-wide database was employed in the analysis based on a summary of industry-wide occupational radiation exposure compiled by the Korea Radioisotope Association. Correlation model was employed to compute the affects of setting specific annual individual dose limits. In this study, we have addressed worker non-productivity while in the radiation environment on a parametric or 'sensitivity analysis' basis. This alleviates the need for developing such data underlying a summation of many individual tasks at many nuclear facilities. It has the advantage that very low non-productivity assumptions can readily be defended as conservative, in that it is difficult to approach such low worker non-productivity factors even in the best of environments in any industry. On a per facility basis, for calendar year 1997, the number of workers required would be increased from 231 workers to 269 workers and collective man-cSv dose would be also increased by approximately fourteen percent if the individual dose limit was reduced to 2 cSv/y and an individual worker non-productivity fraction of 0.1 is assumed.

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Monitoring and risk assessment of pesticide in school foodservice products in seoul, Korea (서울지역 학교급식 식재료의 잔류농약 위해성 평가)

  • Seo, Young-Ho;Moon, Kwang-Deog
    • Food Science and Preservation
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    • v.21 no.1
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    • pp.69-74
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    • 2014
  • We tested for residual pesticide levels in school foodservice agricultural products in Seoul, Korea from 2010 to 2012. A total of 316 samples of 23 different types of agricultural products were analyzed via gas chromatography-nitrogen phosphate detector (GC-NPD), an electron capture detector (GC-${\mu}ECD$), a mass spectrometry detector (GC-MSD), and a high performance liquid chromatography-ultraviolet detector (HPLC-UV). We used multi-analysis methods to analyze 185 different pesticide types. Among the selected agricultural products, residual pesticides were detected in 26 samples (8.2%), of which 6 samples (1.9%) exceeded the Korea Maximum Residue limits (MRLs). We detected pesticide residue in more than 65% of the Chwinamul, while 6 among 9 analyzed samples contained pesticide residue, and 1 sample exceeded the Korea MRLs. Among the 185 kinds of pesticides that we have tested, 18 were detected, while 7 of them were detected more than twice. Data obtained were then used for estimating the potential health risks associated with the exposures to these pesticides. The most critical commodity is carbofuran in the perilla leaves, which has contributed 3.8% to the hazard index (HI). These results showed that the detected pesticides could not be considered as a serious public health problem. Nevertheless, constant supervision is recommended.

Real-time Spatial Recommendation System based on Sentiment Analysis of Twitter (트위터의 감정 분석을 통한 실시간 장소 추천 시스템)

  • Oh, Pyeonghwa;Hwang, Byung-Yeon
    • The Journal of Society for e-Business Studies
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    • v.21 no.3
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    • pp.15-28
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    • 2016
  • This paper proposes a system recommending spatial information what user wants with collecting and analyzing tweets around the user's location by using the GPS information acquired in mobile. This system has built an emotion dictionary and then derive the recommendation score of morphological analyzed tweets to provide not just simple information but recommendation through the emotion analysis information. The system also calculates distance between the recommended tweets and user's latitude-longitude coordinates and the results showed the close order. This paper evaluates the result of the emotion analysis in a total of 10 areas with two keyword 'Restaurants' and 'Performance.' In the result, the number of tweets containing the words positive or negative are 122 of the total 210. In addition, 65 tweets classified as positive or negative by analyzing emotions after a morphological analysis and only 46 tweets contained the meaning of the positive or negative actually. This result shows the system detected tweets containing the emotional element with recall of 38% and performed emotion analysis with precision of 71%.