• Title/Summary/Keyword: point of impact

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An Introductory Study of the Level-of-Service Evaluation Methodology of Urban Roads with Multimodal Considerations (다수단 Mode를 고려한 도시부 도로의 서비스수준 평가방법에 관한 기초연구)

  • Park, Jun Seok;Roh, Jeong Hyun
    • International Journal of Highway Engineering
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    • v.17 no.2
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    • pp.123-134
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    • 2015
  • PURPOSES : The key point of a multimodal LOS (level-of-service) evaluation system is that all of the modes are mutually associated to determine each mode's LOS. For example, the LOS of the bicycle mode is measured based on not only bicycle volumes, but also automobile volumes. However, the Korea Highway Capacity Manual (KHCM) still focuses on the automobile mode in evaluating the LOS of the roads. Additionally, the KHCM's LOS of the other modes, except for the automobile, is not consistent with actual road conditions. The KHCM, therefore, needs to develop and introduce a multimodal LOS system in order to evaluate the service conditions more accurately. METHODS: As a preliminary step to the introduction of multimodal LOS research, in this study the current problem of the KHCM's LOS system through a close review and comparison with other HCMs (highway capacity manuals) was identified. Secondly, a field survey and investigation of the urban streets to apply the HCM's multimodal LOS system was conducted. Finally, a comparison analysis of the results of the HCM and KHCM LOS was performed. RESULTS: In the study, it was found that the results of the LOS for the automobile mode did not show a significant difference between the HCM and KHCM. However, the LOS of the bicycle and pedestrian mode tended to be worse in the multimodal LOS system, which results from considering the effects of the automobile mode. Moreover, it was found that many cases have the potential to improve the overall LOS conditions, while reducing the automobile capacity. CONCLUSIONS: With the introduction of the multimodal LOS system, road diet and complete streets can be easily applied to ans actual road improvement project. Ultimately, the multimodal LOS system should be introduced into the KHCM, which can then be applied to traffic impact studies and other road improvement projects for more accurate evaluations.

Introduction of Bong Chuna Manual Therapy (봉 추나요법의 개요)

  • Oh, Won-Kyo;Shin, Byung-Cheul
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.2 no.1
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    • pp.99-114
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    • 2007
  • Objectives : The purpose of this study was to introduce the Chuna Manual Therapy (CMT) using Bong (a type of stick which is called 'bong') as a part of Oriental Medicine. Methods : We searched several traditional methods of CMT using Bong, either individual contact to specialist of CMT using Bong or referred to publications, and summarized briefly for introduction. Authors also made a comparative study between existing CMT and CMT using the bong. Results & Conclusions : The indications of Bong CMT are regarded as acute or chronic pain syndrome, whiplash associated disorders, facet syndrome, vertebral misalignment, chronic fatigue syndrome, obesity and also lower extremity length difference caused by malalignment of vertebrae and pelvic bone. The Meridian Muscle Therapy by pressing down using the Bong can be carried out on the imbalances of the muscle by shortening and lengthening contraction. CMT with Bong is considered more effective than other existing CMT in terms of effectiveness. In the case of pelvic correction which needs a tremendous amount of force, it can reduce the force required effectively. This fact can be inferred by the theory of composition and decomposition of force during the transmission of power. We can perform Bong CMT feeling less fatigued subsequently than general CMT. Pressing down with flexed fingers to grip bong acts on the contraction of flexor digiti and extensor digiti muscle, this protects the $doctor^{\circ}{\emptyset}s$ wrist joints from injury. The bong which acts as a tool between the doctor and the patient, while being given treatment, absorbs and spreads out the direct impact from the patient to the doctor. CMT with Bong is able to apply to both existing massage therapies with the hand. The bong appliance can be used in all applications, particularly, but not limited to; Orthopedic and Manual Correction Therapy, Meridian Muscle Pressing, Exercise Therapy, and Meridian Point Manual Pressing Therapy. CMT with Bong belongs to the category of oriental rehabilitation and Chuna manual medicine.

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Medical Students' Perceived Changes in Life, Mental Health Problems, and Strategies for Coping with Stress during the COVID-19 Pandemic (코로나19 팬데믹 상황에서 국내 의과대학생이 경험한 일상생활 변화, 정신건강 문제 및 스트레스 대처)

  • Kim, Hae Won;Yeo, Sanghee;An, Shinki
    • Korean Medical Education Review
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    • v.24 no.3
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    • pp.231-239
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    • 2022
  • This study aimed to examine the influence of the coronavirus disease 2019 (COVID-19) pandemic on areas of Korean medical students' lives, assess concerns, and investigate the strategies they used to cope with stress due to the pandemic. An online survey with a total of 53 items on the impact of COVID-19, concerns, and coping strategies was sent to medical students, and responses were collected from April 27, 2021 to May 30, 2021. In total, 1,329 students were included in the study. Analysis was performed using the chi-square test, independent-sample t-test, and one-way analysis of variance, and the post-hoc Scheffé test or Games-Howell test was performed for multiple comparisons. The main negative impacts of the pandemic were on hobbies/leisure activities and mental health, and medical students expressed the highest levels of concern regarding restriction of movement, returning to everyday life, and risk of infection for family and friends. Female students more strongly agreed that COVID-19 had increased their depressed mood and anxiety (p<0.001 and p=0.003, respectively). Furthermore, the negative impacts of the pandemic on different areas of life significantly affected current levels of depressed mood and anxiety. To cope with pandemic-related stress, students used several strategies such as talking with family or friends (91.5%), sleeping (83.1%), exercising (72.8%), using social networking services (60.8%), drinking alcohol (37.8%), and practicing meditation/mindfulness (24.4%); the effectiveness of these strategies ranged from 3.45 to 4.19 on a 5-point Likert-type scale (1-5). The study findings suggest that COVID-19 has influenced the mental health of medical students and raised concerns in many areas of their lives. Students used various strategies to cope with the pandemic-related stress; since the effectiveness of frequently used approaches varied, it is essential to guide medical students to develop effective coping strategies.

A Study on Determining Trade Terms for Logistics Efficiency in the Era of Logistics 4.0: Moderated Mediating Effect of Added Value of Traded Goods

  • Chang-Bong Kim;Kyeong-Wook Jeong;Hwa-Jung Hyun
    • Journal of Korea Trade
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    • v.27 no.4
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    • pp.1-18
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    • 2023
  • Purpose - The purpose of this paper is to study how flexibility and mutuality in determining trade terms impact logistics efficiency in the context of relational theory. Additionally, the effect of relational contracts on logistical efficiency relative to the value of the goods being traded is investigated. Design/methodology - According to the relational contract theory, we developed 17 factors utilizing a 7-point Likert scale to measure variables related to flexibility, mutuality, logistics efficiency, and the added value of goods. The survey occurred over four months, and was distributed directly, and via email, phone, and online Google surveys. A total of 403 surveys were collected out of 1,800 distributed, and 380 were analyzed. The principal respondents were import/export companies and members of the Korea International Trade Association and the Korea Small and Medium Business Export-Import Association. The collected data were analyzed using frequency analysis, exploratory factor analysis, and correlation analysis using SPSS ver. 26.0 statistical software, and hypothesis test results were derived using Process Macro ver. 3.5. Findings - This study provides evidence that negotiation flexibility for trade terms affects the efficiency of the logistics process, and the mutuality of such arrangements is shown to be associated with the flexibility and efficiency of logistics processes. Additionally, it has been established that companies whose trade goods possess a low degree of added value may experience increased efficiency in logistics operations if they agree to trade terms that are both flexible and mutually beneficial with their counterparts. Originality/value - This study suggests that in an environment of rapidly shifting global logistics and unpredictable related costs, trade companies may be able to improve logistics efficiency by establishing flexible, mutually beneficial trade terms when entering into contracts. Furthermore, it is suggested that companies dealing in low-value-added products may improve the logistical performance of approaching trade from a perspective of relational contracts.

Multimedia Technologies for Teaching Musical Art under Present-day Conditions

  • Svitlana Huralna;Nataliia Demianko;Nataliia Sulaieva;Viktoriia Irkliienko;Tetiana Horokhivska
    • International Journal of Computer Science & Network Security
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    • v.24 no.5
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    • pp.165-171
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    • 2024
  • The processes of society's informatization and digitalization necessitate the widespread use of new pedagogical technologies. Through these technologies, comprehensive disclosure of didactic functions of new methods of educational activity and the realization of the potential and creative potential. The use of information and computer multimedia technologies in teaching music art is especially relevant in the intensification of the development of interactive technologies, the transition to mixed forms of learning, and a period of socio-economic and sociopolitical upheavals. The study aims to substantiate the theoretical and applied principles of the analysis of multimedia technology learning musical art in modern conditions and assess the status and trends in their use in conducting educational activities. The study uses general scientific and unique methods of economic analysis, in particular, analysis and synthesis, analogy and comparison, generalization and systematization, and graphic ways. Regarding the results of the study of multimedia technologies for teaching musical art in current conditions, it was found that they contribute to the development of the seeker's creative, creative, and cognitive activity, have a positive impact on learning material, and diversify the educational process. Multimedia technologies such as presentations, programs for watching a video, listening to audio, music and singing karaoke, electronic encyclopedias, and Internet resources are proven to be the most used in music education. They have several qualitative and quantitative advantages, manifested in the possibilities of audio-visual presentation of educational material and significantly higher information density. It is suggested to strengthen the use of such computer programs as Microsoft Word, Ahead Nero, Finale, Adobe Audition, Sound Forge, and Microsoft PowerPoint for musical art classes.

MICRODONTIA IN A CHILD TREATED WITH CHEMOTHERAPEUTIC AGENT (항암 화학치료를 받은 아동의 치아발육이상 : 증례 보고)

  • Kye, Hi-Ran;Lee, Jae-Ho;Kim, Seong-Oh;Sohn, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.146-150
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    • 1999
  • With the improved cure rates for childhood malignant conditions in the past decade, late effects of cancer therapy must be recognized to minimize their impact on the quality of life in long-term survivors. Chemoradiation therapy is a major part of pediatric oncology treatment and is implicated in causing tooth agenesis, microdontia, root shortening, early apical closure, and coronal hypocalcification. Dental development may be affected by illness, trauma, chemotherapy, or radiation therapy at any point prior to complete maturation. Treatment given during the first 3.5 years of life was more likely to affect the dental lamina and crown formation and result in a small tooth. Dental treatment affected by chemoradiation damage to developing teeth includes orthodontic tooth movement, prosthetic abutment consideration, periodontal health, space maintenance, requirement for home fluoride regimens to protect hypomineralized teeth, and enodontic procedures. Dental abnormalities are common in patients treated for cancer, and these children require aggressive dental follow-up. Meticulous surveillance may facilitate detection of abnormalities, enabling the dental practitioner to intervene earlier in promoting a more aggressive regimen of oral care, thus reducing the morbidity associated with dental sequelae of oncotherapy, specifically periodontal disease and malocclusion. In this case, we report microdontia of all permanent second premolar and second molar in an 8 year old boy treated with chemotherapeutic agents during period of active dental development(14 months to 38 months of age).

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ENVIROMENTAL CONDITION DURING AIR SHIPMENT OF HORTICULTURAL PRODUCTS FROM OKINAWA TO TOKYO

  • Akinaga, Takayoshi;Kohda, Yoshihiro
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 1993.10a
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    • pp.413-422
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    • 1993
  • Air shipment affords the quickest possible delivery of horticultural products. The price of air shipped horticultural products are relatively high as most of these products are perishable. Usually the temperature in the cargo compartment is not controlled during flight. Thus, special attention should be paid to procooling prior to shipment. The environmental condition during transportation of horticultural products is an essential parameter for maintaining the quality of perishable products. Commonly horticultural products were loaded by ULD(Unit Load Devices) as a container or pallet in the aircraft (except for small aircraft) . Therefore, inside temperature of the container and cargo compartment came into question. Scarce literature on the relationship between environmental condition and quality changes of horticultural products during air shipment can be found. By the stand point of keeping fresh quality, investigations on the actual condition of air shipments were carried out to improve the technique during the distribution process of fresh horticultural products. Temperature, humidity, atmospheric pressure, carbon dioxide, ethylene, impacts, and changes in quality during the air shipment of snapbeans, okras and chrysanthemums were measured. Temperature was measured by recording thermometers, relative humidity by recording hygrometers, atmospheric pressure by a strain -guage type pressure sensor, carbon dioxide by testing tubes, ethylene by sampling bags and a gaschromatograph, impacts and vibrations by impact recorders and a 3D accelerometer. Relationships between environmental conditions and quality changes during air shipments were clarified. It was expected from investigations into actual shipments that the ventilation and insulation properties of air freight containers were related to the quality of agricultural products. Aircraft can no directly load and unload trucks into them. The transshipment is inclined to cause shocks and vibrations, and to invite damages within a short time.

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Assessment of visibility of facial wrinkle reduction by various types of observers

  • Westerink, J.H.D.M.
    • Proceedings of the SCSK Conference
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    • 2003.09a
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    • pp.448-456
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    • 2003
  • The prime objective of many facial wrinkle-reduction treatments is to achieve visible improvement. Thus the visibility of before/after treatment differences is often part of an efficacy assessment. This paper investigates whether the background knowledge of the people acting as observers in such assessments is of impact on the results: e.g. the subjects themselves are familiar with their faces, skin professionals have much experience in judging skin quality, and thus both might be more sensitive to small changes. In a clinical study 44 Female subjects were regularly treated during a period of 12 weeks with one of three wrinkle-reduction methods: K, Land M (placebo). Photographs were taken before treatment and at 6 and 12 weeks. The photographs were judged by 3 types of observers:ㆍ24 Lay observers were given the 0&6-week and the 0&12-week photo pairs of all subjects to indicate the one with the least wrinkles in a two-alternative forced-choice (TAFC) procedure.ㆍThe subjects themselves were given the 0&6-weel and the 0&12-week pair of their own photos (8 replications) to indicate the photo with the least wrinkles (TAFC).ㆍA trained panel of skin professionals (N=3) each gave 9-point Fitzpatrick wrinkle-severity scores for all individual 0-week and 12-week photos. We found that the lay observers perceived the same differences as the subjects themselves: significant improvements after 12 weeks for treatment K (p<0.0005 and p=0.005, respectively), no visible effects for treatments Land M, and, most importantly, a significant difference between treatments K and M/placebo (p=0.02 and p=0.04, respectively). Also the trained panel found this difference between K and M (p=0.013), but here it was due to a significant deterioration over time of the 'placebo-treated' wrinkles (M, p=0.03). Thus in conclusion we have found no indications that extra knowledge - in the form of familiarity with the own face or in the form of professional training - results in the identification of more treatments that show significantly visible wrinkle-reduction.

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Reuse and Remediation of Closed Landfill in Korea

  • Shin, Chan-ki
    • Proceedings of the Korean Environmental Health Society Conference
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    • 2002.04a
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    • pp.91-99
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    • 2002
  • A recent survey investigated that there were over one thousand un-controlled closed landfills(1,072 sites) in Republic of Korea. Most of these landfills were constructed before 1986. Waste management act were not promulgated at that time, so they usually do not have dranage system and leachate treatment facility. Also, considerable attention has been received to landfill leachate pollution, leachate has an adverse impact on the surrounding environment such as soil, groundwater, and water supply source. According to the result of survey for closed landfill management, it was reported that 875 sites out of 1,072sites(81.6%) have no leachate treatment facility and 630 sites out of 1,072sites(58.7%) have been used for farm lands and residence. Consequently it is hard to do postclosure care continuously in most of cases and these uncontrolled landfills have contaminated farm lands and residence. The average age of these landfills are ranged mostly between 2 to 15 years. Much time and advanced technology are needed to remediate these uncontrolled landfills, therefore the survey for present status of closed landfill sites is required and suitable treatment processes should be prepared. With this point of view, We has been investigated to find out the present status of closed landfill, problems of post management and discussed plans for remediation and reuse. Remedial actions of un-controlled landfill have been carried out the many cities since 1997 upto now. Most frequently applied technology were reuse after excavation and there were several cases to capping in the surface of landfill and to construct subsurface barriers. It is considered that landfills in use have a possibility not to be controlled because of inadequate construction and improper management. Therefore remediation of uncontrolled landfills and recovery technology should be develop continuously Especially, it has been expected that resource technology of landfill gas as a energy has some advantages in controlling odors in the site area and accelerating stabilization of landfills with the energy.

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The Impact of an Emergency Fee Increase on the Composition of Patients Visiting Emergency Departments

  • Jung, Hyemin;Do, Young Kyung;Kim, Yoon;Ro, Junsoo
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.6
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    • pp.309-316
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    • 2014
  • Objectives: This study aimed to test our hypothesis that a raise in the emergency fee implemented on March 1, 2013 has increased the proportion of patients with emergent symptoms by discouraging non-urgent emergency department visits. Methods: We conducted an analysis of 728 736 patients registered in the National Emergency Department Information System who visited level 1 and level 2 emergency medical institutes in the two-month time period from February 1, 2013, one month before the raise in the emergency fee, to March 31, 2013, one month after the raise. A difference-in-difference method was used to estimate the net effects of a raise in the emergency fee on the probability that an emergency visit is for urgent conditions. Results: The percentage of emergency department visits in urgent or equivalent patients increased by 2.4% points, from 74.2% before to 76.6% after the policy implementation. In a group of patients transferred using public transport or ambulance, who were assumed to be least conscious of cost, the change in the proportion of urgent patients was not statistically significant. On the other hand, the probability that a group of patients directly presenting to the emergency department by private transport, assumed to be most conscious of cost, showed a 2.4% point increase in urgent conditions (p<0.001). This trend appeared to be consistent across the level 1 and level 2 emergency medical institutes. Conclusions: A raise in the emergency fee implemented on March 1, 2013 increased the proportion of urgent patients in the total emergency visits by reducing emergency department visits by non-urgent patients.