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The Clinical Investigation Study of Pancreatitis Developed in Burn Patients (화상환자에서 발생한 췌장염의 임상적 고찰)

  • Cho, Gi Yuon;Chun, Jin Woo;Kim, Young Min;Yoon, Jae Chul;Yim, Haejun;Cho, Yong Suk;Kim, Dohern;Hur, Jun;Chun, Wook
    • Journal of the Korean Burn Society
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    • v.22 no.1
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    • pp.10-14
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    • 2019
  • Purpose: To find progression and prognosis of pancreatitis developed in massive burn patients through retrospective analysis. Methods: A retrospective study was conducted on 32 patients with abnormal increase of serum lipase level among 2523 acute burn patients admitted to our burn center from January 1, 2017 to June 30, 2018. Pancreatitis in this study was defined as a serum lipase concentration level that is higher than 180 IU/L which is three times more than the normal level (less than 60 IU/L). In this study, a retrospective analysis was performed on patients with serum lipase level higher than 300 IU/L to better understand causality of burns and pancreatitis. Results: 32 patients (1.27%) had serum lipase level higher than 180 IU/L among 2523 acute burn subjects. And 13 patients (0.52%) of these 32 patients had serum lipase level elevated more than 300 IU/L. The study indicated serum lipase level was increased around 7 days after the injury. It returned to normal level early as after 1 to 2 weeks and late as after 4 to 6 weeks of injury. The serum amylase level was increased as similar modality as to the serum lipase level increase. The serum bilirubin, AST, ALT, LD, and GGT were also observed to be elevated when serum lipase was more than 1000 IU/L. Conclusion: The pancreatitis developed in burn patients are mostly as mild symptom. It could due to the ischemic injury and can easily be treated by a temporary fasting, TPN, and Gabexate intravenous injection.

Intravenous Colistin Therapy for Multidrug-Resistant Gram-Negative Bacterial Infections in Major Burn Injuries (중증 화상환자에서 다약제내성그람음성균의 Colistin 치료)

  • Cho, Gi yuon;Yoon, Jaechul;Chun, Jin Woo;Kim, Youngmin;Yim, Haejun;Kym, Dohern;Hur, Jun;Chun, Wook;Cho, Yong Suk
    • Journal of the Korean Burn Society
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    • v.22 no.1
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    • pp.1-9
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    • 2019
  • Purpose: The aim of this study was to investigate the characteristics of Acute Kidney Injury Network (AKIN)-defined nephrotoxicity in patients undergoing intravenous colistimethate sodium (CMS) therapy for major burns. Methods: This retrospective study included burn patients who received more than 48 h of intravenous CMS between September 2009 and December 2015. Data collection was performed using the institution's electronic medical record system. Patients assigned to the developed nephrotoxic group experienced aggravation of current AKIN stage during CMS treatment; those assigned to the non-nephrotoxic group experienced no change in current or exhibited improved AKIN stage during CMS therapy. Results: A total of 306 patients were included in this study. All patients were grouped according to AKIN stage: AKIN 0 (n=152); AKIN 1 (n=6); AKIN 2 (n=9); AKIN 3 (n=139). The baseline creatinine (Cr) level was 0.73 mg/dL. The incidence of nephrotoxicity was 50.3% according to AKIN stage; overall mortality was 45.8%. The non-nephrotoxic group consisted of 127 (74.7%) patients and 43 (25.3%) were in the developed nephrotoxic group. In patients requiring continuous renal replacement therapy (CRRT), baseline Cr level was 0.83 mg/dL, pre-CMS Cr level was 1.17 mg/dL, and post-CMS Cr level was 1.34 mg/dL. Conclusion: CMS can be administered without signs of nephrotoxicity for a certain period (approximately 1 week), it can be used relatively safely for 2 weeks. Application of CMS is a reasonable option for treating infections caused by multi-drug resistant gram-negative bacteria in patients with major burns. The caution should be exercised nevertheless.

Research on simple measurement method of floor finishing materials to predict lightweight floor impact noise reduction performance in apartment houses (공동주택 경량 바닥충격음 저감성능 예측을 위한 바닥마감재 간이측정 방법 연구)

  • Min-Woo Kang;Yang-Ki Oh
    • The Journal of the Acoustical Society of Korea
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    • v.42 no.6
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    • pp.594-602
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    • 2023
  • To date, research on heavy floor impact noise has mainly been conducted. The reason is that in the case of lightweight floor impact noise, sufficient performance could be secured with only the floating floor structure and floor finishing materials. In the case of heavy floor impact noise in a floating floor structure, the reduction performance can be predicted to some extent by measuring the dynamic elasticity of the floor cushioning material. However, with the recent introduction of the post-measurement system, various floor structures are being developed. In particular, many non-floating floor structures that do not use cushioning materials are being developed. In floor structures where cushioning materials are not used, the finishing material will have a significant impact on lightweight floor impact noise. However, research on floor finishing materials is currently lacking. In this study, as a basic research on the development of various floor finishing materials for effective reduction of lightweight floor impact noise, various materials used as floor finishing materials for apartment complexes were selected, the sound insulation performance of lightweight floor impact noise was measured in an actual laboratory, and vibration characteristics were identified through simple experiments. The purpose was to confirm the predictability of light floor impact noise.

A Study on the Analysis of Park User Experiences in Phase 1 and 2 Korea's New Towns with Blog Text Data (블로그 텍스트 데이터를 활용한 1, 2기 신도시 공원의 이용자 경험 분석 연구)

  • Sim, Jooyoung;Lee, Minsoo;Choi, Hyeyoung
    • Journal of the Korean Institute of Landscape Architecture
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    • v.52 no.3
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    • pp.89-102
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    • 2024
  • This study aims to examine the characteristics of the user experience of New Town neighborhood parks and explore issues that diversify the experience of the parks. In order to quantitatively analyze a large amount of park visitors' experiences, text-based Naver blog reviews were collected and analyzed. Among the Phase 1 and 2 New Towns, the parks with the highest user experience postings were selected for each city as the target of analysis. Blog text data was collected from May 20, 2003, to May 31, 2022, and analysis was conducted targeting Ilsan Lake Park, Bundang Yuldong Park, Gwanggyo Lake Park, and Dongtan Lake Park. The findings revealed that all four parks were used for everyday relaxation and recreation. Second, the analysis underscores park's diverse user groups. Third, the programs for parks nearby were also related to park usage. Fourth, the words within the top 20 rankings represented distinctive park elements or content/programs specific to each park. Lastly, the results of the network analysis delineated four overarching types of park users and the networks of four park user types appeared differently depending on the park. This study provides two implications. First, in addition to the naturalistic characteristics, the differentiation of each park's unique facilities and programs greatly improves public awareness and enriches the individual park experience. Second, if analysis of the context surrounding the park based on spatial information is performed in addition to text analysis, the accuracy of interpretation of text data analysis results could be improved. The results of this study can be used in the planning and designing of parks and greenspaces in the Phase 3 New Towns currently in progress.

Postoperative Imaging Findings of Biliary Atresia (담도폐쇄증의 수술 후 영상 소견)

  • Jisun Hwang;Hee Mang Yoon;Pyeong Hwa Kim;Jung-Man Namgoong;Seak Hee Oh;Ah Young Jung;Jin Seong Lee;Young Ah Cho
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1014-1031
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    • 2022
  • The Kasai portoenterostomy is the first-line treatment for the restoration of the flow of bile to the small intestine in patients with biliary atresia. Various complications can occur after Kasai portoenterostomy, including ascending cholangitis, biliary cirrhosis, and portal hypertension. Of these potential complications, ascending cholangitis in the most common. In cases of patients having uncontrolled complications due to progressive liver cirrhosis, portal hypertension, or progressive hyperbilirubinemia, liver transplantation is the indicated as treatment plan. Lifelong follow-up, particularly involving imaging studies, is important for the identification of various complications arising from biliary atresia after Kasai portoenterostomy. Additionally, imaging studies play a crucial role in the evaluation of potential liver donors and recipients. US is a key imaging modality utilized in the management of patients who undergo Kasai portoenterostomy, while CT and MRI are imperative to obtaining an accurate diagnosis.

Investigation of the level difference of floor impact noises through the shape variation of EVA resilient materials with composite floor structure (EVA 완충재의 형상변환을 통한 복합구조의 바닥충격음 변이 조사)

  • Jakin Lee;Seung-Min Lee;Chan-Hoon Haan
    • The Journal of the Acoustical Society of Korea
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    • v.43 no.1
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    • pp.60-71
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    • 2024
  • The present study aims to investigate the level difference of floor impact noises of composite floor structure using EVA resilient materials. In order to this, four different types of resilient materials were designed combining PET, PP sheet and EVA mount including Flat type, Deck type, Cavity type and Mount type. Totally 9 different samples were made for acoustic measurements which were carried out twice with bang-machine and impact ball as the heavy-weight floor impact noise sources. All the floor impact noise measurements were undertaken at the authentication institution. As a result, concerning Flat and Cavity types, it was found that 2 dB ~ 5 dB of heavy-weight floor impact noise was reduced supplementally when PET was added, while floor impact noise larger than 50 dB was acquired when single resilient material was used. Especially, most high performance was obtained for Mount type with 1st grade of light-weight floor impact noise and 2nd grade of heavy-weight floor impact noise. This is because of material property with low dense PET sound absorption materials which fill all around EVA mounts. Also, it was considered that this results are due to the sound impact absorption by the both EVA mounts and the air cavity between EVA mount and PP sheet. Also, it was found that at least 36 EVA mounts per 1m2 area of resilient panel make more noise reduction of heavy-weight floor impact noises.

Satisfaction and Perception Analysis of Parks of the 1st and 2nd Generation New Towns (1·2기 신도시 공원 이용자의 만족도와 인식 분석)

  • Kim, Youngmin;Hue, Younsun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.52 no.4
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    • pp.1-17
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    • 2024
  • This study analyzed the behaviors and satisfaction of park users in nine parks representing first and second-generation new towns, aiming to propose directions for planning new town parks. According to the analysis, park users in new towns mainly visit parks for purposes such as relaxation, strolling, and exercise, often with family, alone, or with friends. They typically spend 1-2 hours in the park and mostly access it on foot. Additionally, satisfaction with park accessibility is high, particularly among pedestrians. Satisfaction survey results indicate that pedestrian pathways, trees and vegetation, water features, rest areas, and cultural facilities have the greatest impact on overall park satisfaction. Playgrounds and sports facilities show relatively lower satisfaction levels, indicating a need for improvement. Furthermore, according to NPS analysis, park users are highly willing to recommend parks, especially with Gwanggyo Lake Park and Dongtan Central Park receiving high recommendation scores. IPA analysis shows that pathways and vegetation are perceived as highly important and satisfactory, while playgrounds and sports facilities are categorized as areas needing improvement. Thus, there is a need to consider improvement strategies for each. Additionally, identifying park users' grievances can lead to creating a better park environment. Finally, concerning the planning direction for new town parks, linear-shaped parks facilitating walking are preferred, with parks preserving natural terrain and forests deemed the most desirable. Based on these results, future city parks, including those in the third-generation new towns, should harmonize with nature and prioritize pedestrian access.

An analytic Study on long-term increasing and decreasing Type of Elementary School Students in urban Area in Korea (우리나라 시지역 초등학교 학생수 증감 추세 유형 연구)

  • Yoon, Yong-Gi
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.16 no.2
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    • pp.34-43
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    • 2017
  • The purpose of this study is to provide a basis for determining when a school established long term school plans accepted by analyzing the trend of increase or decrease elementary school students 30 years to target of following nine cities, 552 elementary schools in Korea - 4 metropolitan cities(Ilsan, Bundang, Jungdong, Pyungchon, Sanbon, Dongtan and Kwangkyo), 4 central regional cities (Chunan, Asan, Seosan and Nonsan), 3 south-eastern regional cities(Pohang, Woolsan, Jinju, Changwon and Kyungsan) and 4south-western regional cities(Kwangju, Jeonju, Suncheon and Kunsan) for this purpose. Results of this study are as follows: First, the most common type was type 5, accounting for 56.8% (658) of the total, followed by type 11 (12.8%), type 13 (7.9%), type 15 (5.6%). Of the total 15 types, type 1, type 3, type 7 and type 14 accounted for less than 1% of the total. Second, the results of the Conflict Model I and Conflict Model II showed that Type1 and Type7 were not needed to be adopted.

Studies on Engneering Properties of Coal Ash Obtained as Industrial Wastes (산업폐기물(産業廢棄物)로 발생(發生)되는 석탄회(石炭灰)의 토질력학적(土質力學的) 특성(特性)에 관한 연구(硏究))

  • Chun, Byung Sik;Koh, Yong Il;Oh, Min Yeoul;Kwon, Hyung Seok
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.10 no.1
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    • pp.115-123
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    • 1990
  • The purpose of this study was to examine the uses of coal ash as a type of construction material. The methods of examination were chemical anlysis, soil laboratory test and the soil vibration test. Materials used were coal ash obtained as a by-product from 5 thermal power plants in Yongdong, Yongwol, Sochon(anthracite coal) and in Samchonpo and Honam (bituminous coal). Over 70% of the coal ash consisted of silica and alumina. The fly ash grain size showed a uniform distribution from fine-sand to silt, and that of the bottom ash showed from sand to gravel. The specific gravity and density of the coal ash were low. The long term strength increased gradually due to the self-setting property resulting from pozzolanic activity. The shear strength was higher than that of general soil. Cohesion and optimum moisture content of anthracite coal ash were higher than bituminous coal ash, whereas the maximum dry density was higher in bituminous coal ash. The coal ash dynamic Young's modulous curve range was similar to that of general soil. Of the results from the soil vibration test by car-running, the size relative acceleration level in the ash pond was higher than that of natural ground, but the damping ratio was lower than that of natural ground near the ash pond. The coal ash has more advantageous engineering properties than general soil with particles of the same size. For example, the California Bearing Ratio of the bottom ash at both Yongdong and Yongwol was 77~137%. Therefore we expect that if further study is done, coal ash can be used as a construction material when reclaiming seashore, construction embankments, road construction, making right-weight aggregate, or as a general construction material.

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A Study on Improving the Performance of Shale for Application of Aggregate for Concrete (콘크리트용 골재활용을 위한 셰일 골재의 성능개선에 관한 연구)

  • Lee, Seung-Han;Jung, Yong-Wook;Jang, Seok-Soo;Yeo, In-Dong;Choi, Jong-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.11
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    • pp.5915-5922
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    • 2013
  • In this study, with the aim of improving the performance of shale to allow for its use as coarse aggregate for concrete, we coated shale aggregates with water repellents and polymers and evaluated their physical properties such as density, water absorption rate, wear rate, and stability depending on the coating method. In addition, the effects of the performance improvement were evaluated by assessing the properties of fresh concrete produced by varying the shale substitution ratio, as well as the compressive strength, flexural strength, and freeze-thaw resistance according to curing ages. The test results revealed that the absolute dry densities of all coated aggregates satisfied the standard density for coarse aggregates for concrete(>$2.50g/cm^3$),and the absorption rate of the shale aggregate coated with water repellent decreased by about 50% compared with that of uncoated shale. The wear rate of the polymer-coated shale decreased by up to 13.0% compared with that of uncoated shale. All coated aggregates satisfied the stability standard for coarse aggregates for concrete(${\leq}12$). The water repellent-induced performance improvement decreased the shale aggregates' slump by about 20~30mm compared with that of the uncoated shale aggregates, and the air content of the repellent-coated shale aggregate increased by up to 0.9% compared with that of the uncoated shale aggregate. The compressive strength of the polymer-coated shale aggregates at a curing age of 28 days was RS(F) 95.7% and BS(F) 90.0%, and the flexural strength was RS(F) 98.0 % and BS(F) 92.0% of the corresponding values of concretes produced using plain aggregates. Furthermore, the concrete using polymer-coated shale aggregates showed a dynamic modulus of elasticity of RS(F) 91% and BS(F) 88% after 300 freeze-thaw cycles, thus demonstrating improved freeze-thaw durability.