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A Study on the Public-Private Partnership in the Emergency Medical System in Korea (한국응급의료서비스 민관파트너십 도입의 타당성에 관한 연구)

  • Kim, Kook-Rae;Kim, Tae-Yun
    • Fire Science and Engineering
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    • v.20 no.2 s.62
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    • pp.31-43
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    • 2006
  • In Korea, the Emergency Medical Service, EMS is provided by Fire Services with 119 EMS and all the public uses the service for free. Although it appears very successful and is respected nationally, structural problem EMS exist and are worsening. First of all, the "free riding effect" becomes increasingly problematic. Some argue that 30% of the demands is not urgent or emergent. The total number of demands is increasing even without the free riding effect. The Current EMS system itself cannot meet the increasing EMS demand. The medical aspect is so poor that the EMS cannot dispatch a medical specialist to the scene. The cardiac arrest resuscitation rate is only $1.24{\sim}9.9%$, compared to 40% in Boston, MA, USA. But due to the regulations and limitations of the Fire Service organization, it is difficult to secure enough EMS resources. To work out these problems, it needs a structural innovation. To secure enough resources and achieve higher medical performance we should invite the medical sector and the private sector into EMS arena by contracting partnerships with Fire Services and charging a reasonable EMS fee. We found through statistical test that any partnership system is more effective than fire-alone system and most countries around the world have partnership system rather than fire-alone system.

Job Analysis of a Staff who Manage Quit-smoking Policy on Health Centers (보건소 금연사업 담당자의 직무분석)

  • Na, Baeg-Ju;Lee, Moo-Sik;Kim, Keon-Yeop;Kim, Eun-Young;Bae, Kyung-Hee;Lee, Ju-Yul;Oh, Kyung-Hee;Oh, Jong-Doo
    • Korean Journal of Health Education and Promotion
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    • v.23 no.4
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    • pp.173-192
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    • 2006
  • Objectives: This job analysis of a staff in charge of quit-smoking policy at public health centers aims at providing fundamental information to establish strategies supporting various quit-smoking. Methods: The job analysis of a staff in charge of quit-smoking policy at public health centers was carried out through DACUM(Development of Curriculum) method from April through May 2006. Three experts had developed job description with staffs in charge of quit-smoking policy at public health centers through two workshops. The survey was practiced for staff in charge of quit-smoking policy at the other public health centers. The characteristics of the staffs such as age, years for working at public health center, years for charging with quit-smoking work, the proportion of responsibility for quit-smoking work, were surveyed. Results: The research has reached the conclusions below. 1. The job description have been developed considering input-process-outcome axis and plan-do-evaluation axis for quit-smoking policy at public health centers. The final job description is composed of 3 missions, 7 accountabilities, 20 sub-work items. 2. The quit-smoking activity mostly focused at direct education and counselling. But planing and evaluation activity for quit-smoking have been under-achieved. 3. The staffs for quit-smoking policy were feel it is easy to educate and counsel to comer to public health centers for quit-smoking. But having the high proportion of responsibility for quit-smoking policy have usually difficult to do that. So they want to education about counselling for smoker. 4. The staffs who worked over the 2 years for quit-smoking policy the public health center have responded that investigate the smoking rate of the jurisdiction community and the problem of the culture about smoking and smoking policy is important. Conclusions: The study helps reinforcing the initiatives of central government for quit-smoking policy at public health centers. Especially staffs want education in technology area for counselling smoker. And they want nationwide supporting for investigating smoking rate and related factors at the local level.

Life Cycle Assessment of Mobile Phone Charger Containing Recycled Plastics (재생 플라스틱을 적용한 휴대폰 충전기 전과정평가)

  • Heo, Young-chai;Bae, Dae-sik;Oh, Chi-young;Suh, Young-jin;Lee, Kun-mo
    • Journal of Korean Society of Environmental Engineers
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    • v.39 no.12
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    • pp.698-705
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    • 2017
  • Environmental impact of a mobile phone charger containing recycled plastic was quantified using LCA and the environmental benefits from the use of recycled and virgin plastic were compared. The assessment considers potential environmental impacts across the whole life cycle of the charger including; pre-manufacturing; manufacturing; distribution; product use; and end-of-life stages and quantified six environmental impact categories; Abiotic depletion; Acidification; Eutrophication; Global warming; Ozone layer depletion; and Photochemical oxidants creation. The study showed that the environmental impacts of the use stage accounted for 94.4% and 70% in the resource depletion and global warming impact categories, respectively, and the environmental impacts of the pre - manufacturing stage accounted for more than 98% in the other impact categories. The main cause of the environmental impacts in the use stage was electricity consumed by the charger. The main cause in the pre-manufacturing stage was PBA (Printed Board Assembly) and external case manufacturing. In order to quantify the environmental benefits of recycled PC (Polycarbonate) in the exterior case, the environmental impacts of 1 kg production of recycled PC and virgin PC were evaluated. The environmental impact on the abiotic depletion of the recycled PC is estimated to be 30% compared to the virgin PC, and the impacts on the other impact categories of the recycled PC were less than 5% of the virgin plastic. Sensitivity analysis was performed for 12 items including site data and assumptions made. The sensitivity of each item was less than 10%. The results of this study confirm that designing compact and light PBA, improving charging efficiency, and use of recycled plastic are important design factors to reduce the environmental impact of a charger.

Monetary Penalty System and Privacy (벌금형 제도의 현대적 가치와 개인정보문제)

  • Kim, Woon-Gon
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.6
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    • pp.107-115
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    • 2015
  • A fine is defined to the criminal penalty which is slighter than imprisonment on a system of criminal penalty, but put practically a seat to imprisonment and similar strong discipline contrivance to commission agent in capitalism societies be doing. Also, did heavy commission, but the corporation time, a fine to consider the respect which cannot impose other criminal penalty, and cannot but impose fine penalty only to this corporation carries out art as important criminal penalty than the commission which a person does. But fine drawing of our country cannot carry out art scaring to criminal penalty to rich body as aggregate fine drawing, and a lot of, but do abatement duration of a fine so as same, and be most in spite of adjudication criminal sentence occupying at criminal case adjudication, and difference cannot do to an amount of a fine that is carrying well out the art. Therefore, and have to change to the daily fine systemdm which gained because of total fine system in order to carry out value as modern criminal penalty, and a few fines shall exchange to penalty payment system according to complement department canon of Penal Code, and social accusation protects individual information of low commission agent if so, can normally do art accomplishment of criminal penalty. The system that the maximum can guarantee right of defence of accused has to have to be introduced in procedural a few aspect to pronounce this and a fine. Specially, let explain necessary fact to be related to, and informal procedures understand, and introduction of drawing to be able to get from accord of accused is necessary for accused before charging to informal decree in order cannot be guaranteed right of defence this of accused while consisting in writing of whether accusation and adjudication are procedural at informal procedures, and to supplement respect.

Design and Implementation of Wireless Power Transfer System for a Personal Rapid Transit (PRT) Vehicle (PRT 차량의 무선급전 시스템 설계 및 구현)

  • Kang, Seok-Won;Jeong, Rag-Gyo;Byun, Yeun-Sub;Um, Ju-Hwan;Kim, Baek-Hyun
    • Journal of Digital Convergence
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    • v.12 no.11
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    • pp.289-298
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    • 2014
  • Recently, the traditional paradigm in railroad technology is changing as more efficient and cost-effective electric vehicle (EV) technologies have emerged. The original concept of PRT (Personal Rapid Transit) proposed in the past has come to be regarded as unrealistic, but its feasibility is improving through the utilization of an EV platform. In particular, battery-powered vehicles pose difficult technical challenges in attempts to achieve reliable and efficient operation. However, based on the inductive power transfer (IPT) technology, the fast charging of supercapacitors with high energy density can contribute to overcoming this technical challenge and promote the transition to electric-powered ground transportation by improving the appearance of cities. This study discusses the development process of a power supply system for PRT, including concept design, numerical analysis, and device manufacturing, along with performance predictions and evaluations. In terms of results, the system was found to meet the performance requirements for power supply modules on a test-bed.

A Low Area and High Efficiency SMPS with a PWM Generator Based on a Pseudo Relaxation-Oscillating Technique (Pseudo Relaxation-Oscillating 기법의 PWM 발생기를 이용한 저면적, 고효율 SMPS)

  • Lim, Ji-Hoon;Wee, Jae-Kyung;Song, Inchae
    • Journal of the Institute of Electronics and Information Engineers
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    • v.50 no.11
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    • pp.70-77
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    • 2013
  • We suggest a low area and high efficiency switched-mode power supply (SMPS) with a pulse width modulation (PWM) generator based on a pseudo relaxation-oscillating technique. In the proposed circuit, the PWM duty ratio is determined by the voltage slope control of an internal capacitor according to amount of charging current in a PWM generator. Compared to conventional SMPSs, the proposed control method consists of a simple structure without the filter circuits needed for an analog-controlled SMPS or the digital compensator used by a digitally-controlled SMPS. The proposed circuit is able to operate at switching frequency of 1MHz~10MHz, as this frequency can be controlled from the selection of one of the internal capacitors in a PWM generator. The maximum current of the core circuit is 2.7 mA, and the total current of the entire circuit including output buffer driver is 15 mA at 10 MHz switching frequency. The proposed SMPS has a simulated maximum ripple voltage of 7mV. In this paper, to verify the operation of the proposed circuit, we performed simulation using Dongbu Hitek BCD $0.35{\mu}m$ technology and measured the proposed circuit.

Analysis of the Effect of Superplasticizer combined CASB on Ultra High Strength Mortar and Concrete Using Mineral Admixture (광물질 혼화재 사용 초고강도 모르타르 및 콘크리트에 CASB 화합 고성능감수제의 효과분석)

  • Han, Cheon-Goo;Yoo, Seung-Yeup
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.6 no.1
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    • pp.72-79
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    • 2011
  • This study is performed to analyze the effects of CASB by applying the superplasticizer combined CASB on the ultra high strength mortar and concrete that uses different mineral admixture depending on whether the silica fume was used and the results are summarized below. From the characteristics of Fresh mortar and concrete, the fluidity was lower in B2-CASB than B2-PC from the mixing of CASB and based on the viscosity of the mortar and concrete in the binary proportion but in the ternary proportion, B3-CASB showed a larger fluidity than B3-PC because of a reduction in the restriction level due to the effects of an improvement of particle size distribution. The compression strength was higher in ternary proportion than in binary proportion and higher in CASB than in PC from the characteristics of hardening mortar and concrete and this is analyzed as a result of increased minuteness from the calcium silicate hydrates produced from the pozzolan reaction of a mineral admixture, SF, and also the charging effects of capillary pore of CASB. Overall, when using the nanomaterial, CASB in combination with a superplasticizer, the fluidity and the strength aspects of the ternary proportion of ultra high strength mortar and concrete with silica fume may be improved to a higher quality.

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The Effect of Negative electric field using charged PTFE membrane on Bone Healing of Rabbit Long Bone (Charged membrane에 의한 negative electric field가 토끼 장골의 골 치유에 미치는 영향)

  • Kwon, Yong-Su;Park, Jin-Woo;Lee, Jae-Mok;Suh, Jo-Young
    • Journal of Periodontal and Implant Science
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    • v.34 no.3
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    • pp.551-562
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    • 2004
  • The purpose of this study was to evaluate the effects of negatively electric field on bone healing in rabbit segmental long bone defects using negatively charged PTFE membrane. Ten millimeter segmental defects in the rabbit radius were used as the experimental model. After membranes were then charge injected using a corona-charging apparatus, the left defects were covered with non charged PTFE membranes as control groups, whereas the right defect was covered with negatively charged PTFE membranes as test group. The animals were divided into 4 groups of 2 rabbits each, and sacrificed at 2, 4, 6, and 8 weeks. Histomorphometric analysis showed a more newly formed bone in negatively charged membrane at early healing period. At 2 weeks, the proportion of new bone formation to total defect area was 0.32% in control group, 1.10% in experimental group. At 4 weeks, the proportion of new bone formation to total defect area was 6.86% in control, and 13.75% in experimental. At 6 and 8 weeks, no obvious difference was found between the two groups but newly formed bone in test groups were slightly more than that in control groups. In conclusion, negatively charged membranes showed more newly bone tissue than noncharged membranes at an early healing period. Although the number of samples was small, this study showed that the combination of negatively electrical stimulation and P1FE membrane may be of value in long bone healing.

FE Analysis on the Screwed Safety of a Valve for a LPG Bombe (LPG 용기용 밸브의 체결안전성에 관한 유한요소해석)

  • Kim, Chung-Kyun;Oh, Kyong-Seok
    • Journal of the Korean Institute of Gas
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    • v.11 no.4
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    • pp.79-84
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    • 2007
  • In this paper, the finite element analysis of a valve screw for a LPG cylinder has been presented on the leakage safety and strength one, which are computed and investigated by a contact normal stress and von Mises stress between a female screw of a valve and a male screw of a neck ring in a LPG bombe. The LP gas charging pressure of a LPG bombe is $8{\sim}9kg/cm^2$, which is pressurized to the screw sealing contact areas between a valve and a LP gas cylinder. The peak failures of the screw tooth height due to a scratch wear and chipping loss of the contact area may decrease screw tooth strength and increase a leakage of a LP gas. These are strongly affect to the contact normal and von Mises stresses of the valve screws. The FEM computed results show that the tooth height loss due to a wear and chipping failure of the screw peak does not affect to the LP gas leak and strength of a valve screw theoretically. But if the tooth wear of the screw height of a brass valve overpasses the critical strength safety of the valve, the valve screw may be failed in fastening the valve and a LP gas bombe suddenly.

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A Study of Hydrogen Embrittlement on a Material of CNG Storage Tank (CNG 저장용기 재료의 수소취성에 관한 연구)

  • Han, J.O.;Lee, Y.C.;Lee, J.S.;Chae, J.M.;Hong, S.H.
    • Journal of the Korean Institute of Gas
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    • v.15 no.2
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    • pp.9-14
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    • 2011
  • A set of test was conducted on a SA-372 steel for CNG storage tank to study the effect of hydrogen embrittlement. Tensile tests were carried out several conditions such as CNG, HCNG and H2 gas environment including air and Ar under the 35 MPa. Also, the test speed was set at 4*10^-4/s and 4*10^-5/s respectively. To maintain the high pressure for environmental gas during test process, we chose MTS which was installed autoclave. Test results showed that tensile stress, elongation rate and cross sectional contraction under Ar and CNG charging condition were similar to that of reference of air. And there was little bit change with test speed variations. However, hydrogen added conditions such as HCNG and H2 were revealed noticeable change in elongation rate and cross sectional contraction. Tensile stress was still uniform for all conditions. From the results, the effect of hydrogen embrittlement was confirmed on the hydrogen enriched conditions. Also its effect was showed more strong with much hydrogen concentration and slower test speed.