• 무역학회지
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• 제45권5호
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• pp.141-159
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• 2020

Container terminals at Gwangyang Port are operated by three container operators: A, B and C. Ultimately, there is consensus that a single operator should operate all terminals so that economies of scale can be achieved even in the operation of the container terminal. Integration between operators has a positive effect on both operators and shipping companies. From the operator's point of view, overlapping fixed costs between operators can be unified, reducing overall costs and utilizing spare facilities. On the other hand, from the viewpoint of the shipping company, it is possible to ensure stable use of the port facilities and always allow berthing, reduce days on demurrage and ship waiting, and provide one-stop service for work. However, existing cases of operators' integration or relocation of terminals remained to estimate the expected effects of alternatives, emphasizing only the financial point of view. The port terminal is a large system, and it is important to consider that it is an aggregate of major logistics facilities and equipment. Moreover, if the estimation can be made by quantifying the expected effect, the justification of the terminals' relocation can be further emphasized. Therefore, it is very important to estimate the expected effect from the viewpoint of systemic operation. Moreover, the need for operators' integration can be further emphasized if it can be estimated through quantification of expected effects. Currently, three alternatives are considered as alternatives to the terminals' relocation, and in this study, the optimal plan was derived for the 3 alternatives by the linear planning model of the minimum shuttle transportation cost in the terminal. The optimal plan is alternative 2, which shows the most advantageous integration effect in terms of expected effects. Alternative 2 integrates the B terminal into the C terminal, and the A terminal operates independently as it is.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제26권6호
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• pp.291-300
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• 2023

Purpose: The impact of coronavirus 2019 (COVID-19) on gastrointestinal (GI) endoscopy procedures in adults has been reported, with a drastic reduction in the number of procedures. However, there are no sufficient data regarding the impact on pediatric GI endoscopy. Here, we aimed to report that impact in the Asia-Pacific region. Methods: A questionnaire-based internet survey was conducted from June to November 2021 among pediatric endoscopy institutions in the Asia-Pacific region, with each institution providing a single response. Overall, 25 questions focused on the impact of the number of procedures conducted, the usage of personal protective equipment (PPE), and endoscopy training programs during the pandemic. Results: A total of 162 institutions across 13 countries in the Asia-Pacific region participated in the study, and 133 (82.1%) institutions underwent procedure changes since the emergence of COVID-19. The number of esophagogastroduodenoscopy and ileocolonoscopy procedures decreased in 118/133 (88.7%) and 112/133 (84.2%) institutions, respectively. Endoscopy for patient with positive COVID-19 in an emergency or urgent cases still carried out in 102/162 (62.9%) institutions. Screening of COVID-19 for all patients before endoscopy was done across 110/162 (67.9%) institutions. PPE recommendations varied among institutions. Pediatric gastrointestinal endoscopy training programs were discontinued in 127/162 (78.4%) institutions. Conclusion: This study reports the impact of the COVID-19 pandemic on pediatric gastrointestinal endoscopy in the Asia-Pacific region. There has been a significant reduction in the number of endoscopic procedures and relevant training programs.

• 한국항공운항학회지
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• 제31권3호
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• pp.59-70
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• 2023

In order to predict low-level wind shear at Incheon International Airport (RKSI), a Low-Level Wind Shear prediction system (KMAP-LLWS) along the runway take-off and landing route at RKSI was established using Korea Meteorological Administration Post-Processing (KMAP). For the performance evaluation, the case of low-level wind shear cases calculated from Aircraft Meteorological Data Relay (AMDAR) from July 2021 to June 2022 was used. As a result of verification using the performance evaluation index, POD, FAR, CSI, and TSS were 0.5, 0.85, 0.13, and 0.34, respectively, and the prediction performance was improved by POD, CSI, and TSS compared to the Low-Level Wind Shear prediction system (LDPS-LLWS) calculated using the Korea Meteorological Administration's Local Data Assimilation and Prediction System (LDAPS). This means that the use of high-resolution numerical models improves the predictability of wind changes. In addition, to improve the high FAR of KMAP-LLWS, the threshold for low-level wind shear strength was adjusted. As a result, the most effective low-level wind shear threshold at 8.5 knot/100 ft was derived. This study suggests that it is possible to predict and respond to low-level wind shear at RKSI. In addition, it will be possible to predict low-level wind shear at other airports without wind shear observation equipment by applying the KMAP-LLWS.

• 한국산업보건학회지
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• 제34권1호
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• pp.35-47
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• 2024

Objectives: Many cases of lung cancer have been reported by school kitchen workers as occupational cancer. Twenty-eight schools in Gyeongsangnam-do Province were selected to evaluate the effect of improved kitchen ventilation systems. Ventilation characteristics before and after renovation were compared and design techniques were identified. Methods: In the design stage for kitchen ventilation systems, expert intervention was used to improve the designs. Ventilation characteristics and air quality were evaluated before and after the renovations. Hood face velocity and fan flow rate were measured and the smoke visualization technique was used to evaluate the capability of protecting worker's breathing zone. The concentrations of PM_0.3 were measured at points not adjacent to cooking equipment because these concentrations fluctuate greatly. Results: Mean hood face velocity increased from 0.29 m/s before renovation to 0.7m/s after renovation. The concentrations of PM_0.3 showed a roughly 95% reduction. Concentrations of CO showed more than a 75% reduction. Smoke visualization showed greater protection of workers' breathing zone. Conclusions: Advanced design techniques for school kitchen ventilation systems were applied to renovate old kitchen ventilation systems. The performance of the new kitchen ventilation systems was nearly excellent. Further improvement of design techniques is still needed, however.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제30권1호
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• pp.37-44
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• 2024

Purpose: The planning of medical facilities involves formulating a comprehensive medical basic plan, translating it into spatial dimensions through a space program. Feasibility assessment often relies on empirical methods like floor area per bed. However, with the shift towards specialized medical concepts, proportional scaling to bed numbers is challenging. This study proposes scale planning improvements during the feasibility assessment stage for comprehensive hospitals, analyzing cases using area determination factors and standard areas based on medical resources. Methods: The Korean Development Institute's Public Investment Management Center (KDI) identified issues in the scale determination of medical facilities in the Preliminary Feasibility Study Guidelines and investigated alternative approaches for determining the scale of a case that passed the preliminary feasibility study in 2019. The study assessed the feasibility of applying individual factors to determine not only the number of beds but also the scale at the sector and department levels. Additionally, a statistical analysis was conducted to examine the correlation between the total number of beds and various area determination factors. Results: Results suggest a strong correlation between total beds and major equipment needs, but in hospitals with <500 beds, this correlation weakens. Ward section scale is better calculated per ward type, not just total beds. Outpatient department scale depends on specialists, influencing treatment room numbers. Medical personnel play a crucial role in determining the scale of sections like rehabilitation therapy rooms, operating rooms, dialysis rooms, and overall facility scale.

• Safety and Health at Work
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• 제15권2호
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• pp.181-186
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• 2024

Background: This study aimed to analyze the trend of occupational noise-induced hearing loss (ONIHL) in Brazilian workers at a metallurgical plant with a hearing conservation program (HCP), which has been addressed in a previous study. Methods: All 152 workers in this time series (20032018) participated in the HCP and used personal protective equipment. All annual audiometry records in the company's software were collected from the electronic database. The trend of ONIHL was analyzed with the joinpoint regression model. The hearing thresholds of ONIHL cases at the end of the series were compared with those found in a national reference study. Results: The binaural mean hearing thresholds at 3, 4, and 6 kHz at the end of the series were higher for ages ≥50 years, exposures ≥85 dB (A), time since admission >20 years, and maintenance workers. Significance was found only in the group divided by age. There was an increasing time trend of ONIHL, though with a low percentage variation for the period (AAPC = 3.5%; p = 0.01). Hearing thresholds in this study differed from the reference one. Conclusion: Despite the unmet expectation of a stationary trend in the study period, the time pace of ONIHL evolution did not follow what was expected for a population exposed to noise. These findings signal to the scientific community and public authorities that good ONIHL control is possible when HCP is well implemented.

• 정보처리학회논문지B
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• 제16B권5호
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• pp.341-346
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• 2009

모션 데이터 글러브는 손의 움직임을 측정하여 컴퓨터에 입력하는 대표적인 인간과 컴퓨터간의 인터페이스 도구로서, 홈 오토에이션, 가상 현실, biometrics, 모션 캡쳐 등의 컴퓨터 신기술에 사용되는 필수 장비이다. 본 논문에서는 대중화를 위하여, 별도의 특수 장비 없이 사용 가능한 저가형 비주얼 모션 데이터 글러브를 개발하고자 한다. 본 방식의 특징은 기존의 모션 데이터 글러브에 사용되었던, 고가의 모션 센싱 섬유를 사용하지 않음으로써, 저가형으로 개발이 가능하다는 것이다. 따라서 제작이 용이하고 대중화에 크게 기여할 수 있다는 장점을 가진다. 본 방식에서는 모션 센싱 섬유를 사용하는 기계적인 방식대신 광학적 모션 캡쳐 기술을 개량한 비주얼 방식을 채택한다. 기존의 비주얼 방식에 비해 본 방식은 다음과 같은 장점과 독창성을 가진다. 첫째, 기존의 비주얼 방식은 가려짐 현상을 제거하고 3차원 자세 복원을 위해 많은 수의 카메라와 장비를 사용하는 데 비해, 본 방식은 모노비전 방식을 채택하여 장비가 간소하고 저가형 개발이 가능하다. 둘째, 기존의 모노비전방삭은 가려짐 현상에 취약하여 영상에서 가려진 부분은 3차원 자세 복원이 어려웠다. 하지만 본 논문은 독창적으로 설계된 막대 모양의 지시자를 사용하여, 영상에서 가려진 부분도 3차원 자세 복원이 가능하다. 셋째, 기존의 모노 비전 방식은 비선형 수치해석 형태의 영상 해석 알고리즘을 사용하는 경우가 많아서 초기화나 계산시간 면에서 불편하였다. 하지만, 본 논문에서는 독창적인 공식화 방법을 사용하여 닫힌 형태의 영상해석 알고리즘을 도출함으로써 이와 같은 불편을 개선하였다. 넷째, 기존의 닫힌 형태의 알고리즘은 공식화 과정에서 근사화 방법을 도입하는 경우가 많아서 정확도가 떨어지고 특이점에 의한 응용분야에 제한이 있었다. 하지만 본 방식은 오일러 각과 같은 국부적인 매개화나 근사화 등을 사용하는 대신 지수형태의 트위스트좌표계를 사용하는 독창적인 공식화 방법을 사용하여, 공식화 단계에서의 근사화 방법 없이 닫힌 형태의 알고리즘을 도출함으로써 이 문제들을 개선하였다.

• 농촌의학ㆍ지역보건
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• 제36권1호
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• pp.36-46
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• 2011

본 연구는 도서지역에 있는 47개 보건지소에 근무하는 의과 공중보건의사 79명을 대상으로 응급의료 수행 현황 및 지식수준 등을 파악하고자 하였다. 전체 79명의 대상자 중 35명이 설문에 응답하여 44.30%의 응답률을 보였다. 지난 6개월간 도서지역 보건지소에 근무하는 공중보건의사 중 58.68%가 응급의료 질환을 경험하였고, 평균 1.92건의 응급처치를 수행한 것으로 나타났다. 하지만, 실제 응급처치 능력에 대해서는 일부 생명과 직접 연관된 응급처치 능력에 자신이 없음을 호소하였다. 보건지소 근무 의사 중 20.25%만이 전문의 자격을 갖춘 의사였는데, 응급의료 관련 질환을 처치하는 데 있어 전문의가 일반의와 비교하면 지식수준이 유의하게 높은 것을 확인할 수 있었다. 또한, 지식수준이 높다 하더라도 장비 및 의료지원 등 부족으로 실제 처치 능력으로 이어지지 못하는 것을 알 수 있었다. 일부 섬의 경우 1명의 공중보건의사만 배치된 일도 있었으나 일반의 1인, 전문의 1인을 배치하는 것이 타당하다는 의견이 많았고, 공중보건의사 배치 이후 부족한 지식 및 기술을 습득하기 위한 교육 및 지원체계가 필요하다는 의견이 다수 있었다. 도서지역은 지리적으로 고립되어 있고, 이용할 수 있는 보건의료기관에 대한 선택권이 적다는 점에서 보건지소의 역할이 무엇보다 중요하다. 특히 응급질환 발생시 보건지소를 이용하는 주민이 많다는 측면에서도 보건지소 응급의료 기능을 강화하는 방안을 마련하는 것이 필요하겠다. 응급의료 기능을 효율적으로 수행하고 질 높은 서비스 제공을 위하여 적절한 인력, 의료장비를 갖추도록 하고, 응급의료에 대한 매뉴얼 개발 및 현장교육 체계를 정비하여 최신의 지식과 기술을 보급하는 방안을 강구하여야 한다.

• Journal of Acupuncture Research
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• 제17권1호
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• pp.27-41
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• 2000

The meridian system is the most essential and basic connecting structure that maintains the vital activities of viscera and bowels by connecting them with each part of body's surface. Doctors can understand the healthy condition, and the region and deficiency-excessiveness of disease by observing the condition of Qi flowing. Deficiency and excessiveness could be differentiated by various symptoms expressed in meridian system. Especially there could be several clues like pain, heat-cold, protuberance-depression, change of color and shine in the line of channel leads to the judgment of deficiency-excessiveness The diagnosis of deficiency and excessiveness can be generalized by quantification of elastic status in skin surface along the meridian system. By comparing data from measurement of elastic condition with those from traditional deficiency and excessiveness, it could be utilized for the development of oriental medicine. All biological activities in the human body are based on meridian system according to the oriental medicine. Also the meridian system is viewed as basic and essential structure connecting internal viscera and each part of body. The areas of expressed channel phenomena are muscle to bone, muscle to muscle and bone to bone. These areas are called depression where meridian system is present and any changing state on those points can be measured. It could be difficult in diagnosing the reaction of meridian system because doctor can depend on his own judgment. Therefore, it is necessary to quantify and indexate channel reactions. To quantify the channel reactions, specially manufactured instrument was used to quantify the protuberance and depression to differentiate the deficiency and excessiveness. The results follow as below; 1. The elastic index measurement by the equipment proved a pattern of agreement showing the values that ranged within standard deviation 0.05kgf/cm throughout the experiment except few cases' measurement in CV-17. 2. To evaluate the state of deficiency & excessiveness of elastic index measurements in frontal point, elastic index measurements in the front paint were compared to the elastic index measured surrounding the point within 2.5 cm. Such result of indexing procedure was closely matched to the concept of palpitation. 3. If the elastic index values in the surrounding front point closely located to the elastic index values in the front point, the judgement on the state of deficiency and excessiveness was delayed. Otherwise, it was judged as deficiency or excessiveness. 4. Out of total 12 cases of comparing the elastic index values to the elastic index values in the surrounding front point, Three to nine front points were judged as either in the state of deficiency or excessiveness. 5. Among the nine front points judged as either in the state of deficiency or excessiveness, Four cases were matched to the electric index measured by EAV that evaluating the internal organs by five different phases. If more clinical cases are accumulated, it is expected to systematically theorize and improve the concept of deficiency and excessiveness in the internal organs using the front point.

• Journal of Chest Surgery
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• 제38권5호
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• pp.366-370
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• 2005

배경: 일반적으로 심장수술은 정중흉골절개를 통해 행해져 오고 있으며, 과거 십 년간 내시경 장비와 수술 수기의 향상은 작은 절개를 이용한 최소 침습적 심장수술의 발전을 이끌었다. 술자의 음성 명령을 인식하여 내시경을 움직이는 로봇 팔(AESOP 3000, Automated Endoscope System for Optimal Positioning)의 등장으로 심장수술은 로봇 시대에 진입하였다. 대상 및 방법: 2004년 4월부터 12월까지 총 78명의 환자들에게 수술로봇을 이용한 심장수술을 시행하였고 그 중 64명의 환자들에게는 음성명령으로 조절되는 로봇 팔과 대퇴 동정맥관 삽관, 경피적 내경정맥관 삽관, 흉곽을 통한 대동맥 겸자를 사용하여 5cm 우외측 최소개흉으로 로봇을 이용한 최소 침습적 심장수술을 시행하였다. 다른 14명의 환자들에게는 AESOP을 이용한 내흉동맥 박리를 통해 최소 침습적 관상동맥 우회술(MIDCAB)을 시행하였다. 결과: 로봇을 이용한 심장수술은 승모판막 성형술이 37예, 승모판막 치환술이 10예, 대동맥판막 치환술이 1예, MIDCAB이 14예, 심방중격결손증 수술이 9예, Maze 수술만 시행한 경우가 1예였다. 승모판 수술의 경우 평균 체외순환시간은 $165.3\pm43.1$분이었고 평균대동맥 차단 시간은 $110.4\pm48.2$분이였다. 재원일수의 중간값은 승모판 수술인 경우 6일($3\~30$일), MIDCAB은 4일($2\~7$일), 심방중격결손증 수술은 4일($2\~6$일)이였다. 합병증으로는 술 후 출혈로 재수술한 경우가 3예이였고 사망환자는 없었다. 결론: 수술로봇을 이용한 심장수술을 시행한 우리의 경험으로 볼 때 많은 심장외과 의사들이 로봇을 이용하여 작은 창상을 통해 최소 침습적 심장수술이 가능하리라 본다. 수술로봇을 이용한 심장수술의 이점을 분석하기 위해서는 잘 계획된 연구와 긴밀한 장기간의 관찰이 필요할 것으로 판단된다.