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Does a Preoperative Temporary Discontinuation of Antiplatelet Medication before Surgery Increase the Allogenic Transfusion Rate and Blood Loss after Total Knee Arthroplasty? (항 혈소판 제제의 술 전, 일시적 중단은 슬관절 전치환술 이후의 실혈량 및 동종수혈의 필요성을 증가시키지 않는가?)

  • Cho, Myung-Rae;Lee, Young Sik;Kwon, Jae Bum;Lee, Jae Hyuk;Choi, Won-Kee
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.127-132
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    • 2019
  • Purpose: The aim of this study was to determine if preoperative temporary discontinuation of antiplatelet medication (aspirin, clopidogrel, or cilostazol) is a safe procedure that does not increase early postoperative bleeding and allogenic blood transfusion after a total knee arthroplasty. Materials and Methods: A retrospective analysis was conducted among consecutive patients who underwent navigation assisted primary total knee arthroplasty performed by a single surgeon, from January 2013 to December 2016. A total of 369 patients enrolled in this study were divided into two groups, 271 patients with no history of antiplatelet therapy and 98 patients who underwent 7 days of temporary withdrawal of antiplatelet therapy. Comparative analysis between the two groups, on the variation of hemoglobin and hematocrit during the first and second postoperative days, was conducted to determine the amount of early postoperative bleeding and the frequency of allogenic blood transfusion during hospitalization. Results: The variation of hemoglobin, hematocrit during the first and second postoperative days and the frequency of allogenic blood transfusion between no history of antiplatelet medication and discontinuation antiplatelet medication before 7 days from surgery were similar in both groups. Of the 369 patients, 149 patients received a blood transfusion during their hospitalization. Compared to patients who did not receive a blood transfusion, those who did received blood transfusion were significantly older in age, smaller in height, lighter in weight, and showed significantly lower preoperative hemoglobin and hematocrit values. No statistically significant differences in sex, preoperative American Society of Anesthesiologists scores, and the history of antiplatelet medication until 7 days prior to surgery were observed between the two groups according to blood transfusion. Conclusion: Compared to patients with no history of antiplatelet medication, the temporary discontinuation of antiplatelet medication 7 days prior to surgery in patients undergoing antiplatelet medication did not increase the amount of postoperative bleeding or the need for allogenic blood transfusion.

Epidemiological Characteristic and Risk Factor of COVID-19 Cluster Related to Educational Facilities in Gangwon-do, Korea (December 10, 2020-September 23, 2021) (강원도내 교육시설관련 코로나바이러스감염증19 집단발생의 역학적특성과 위험요인 (2020.12.10-2021.9.23))

  • Hyosug Choi;Mi Young Kim;Shinyoung Lee;Eunmi Kim;Yeo Jin Kim
    • Pediatric Infection and Vaccine
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    • v.31 no.1
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    • pp.102-112
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    • 2024
  • Purpose: To identify the epidemiological characteristics and risk factors of coronavirus disease 19 (COVID-19) outbreaks depending on the type of educational facility by analyzing the COVID-19 cluster associated with educational facilities. Methods: This study is based on epidemiological investigation of COVID-19 cluster in Gangwon-do, Korea from December 10, 2020 to September 23, 2021 reported to the Korea Disease Control and Prevention Agency's Integrated Disease and Health Management System. Four hundred seven patients in 19 facilities, classified as cluster related to educational facilities, were the study population. The result of preliminary epidemiology survey report, in-depth epidemiological survey by phone and the result of risk assessment derived from the field epidemiology investigation were retrospectively analyzed to evaluate infectivity and the characteristics of the risk factors. Results: There were total of 407 confirmed patients related to 19 educational facilities, with 204 students under the age of 19 (50.1%). One hundred fifty-five preceding spreaders were from families (38.1%) and 125 were the teachers (30.7%). The place exposed to confirmed patients was the highest with 139 people (34.2%) at home. Conclusions: It was confirmed that the cause of the occurrence of clusters related to educational facilities was higher due to family transmission than the risk of facilities in schools. Nevertheless, continuous efforts should be made to control infection in educational facilities, and that teachers' implementation of principles for prevention of COVID-19 personal hygiene in their daily lives should be strengthened.

Study on Improvement of Weil Pairing IBE for Secret Document Distribution (기밀문서유통을 위한 Weil Pairing IBE 개선 연구)

  • Choi, Cheong-Hyeon
    • Journal of Internet Computing and Services
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    • v.13 no.2
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    • pp.59-71
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    • 2012
  • PKI-based public key scheme is outstanding in terms of authenticity and privacy. Nevertheless its application brings big burden due to the certificate/key management. It is difficult to apply it to limited computing devices in WSN because of its high encryption complexity. The Bilinear Pairing emerged from the original IBE to eliminate the certificate, is a future significant cryptosystem as based on the DDH(Decisional DH) algorithm which is significant in terms of computation and secure enough for authentication, as well as secure and faster. The practical EC Weil Pairing presents that its encryption algorithm is simple and it satisfies IND/NM security constraints against CCA. The Random Oracle Model based IBE PKG is appropriate to the structure of our target system with one secret file server in the operational perspective. Our work proposes modification of the Weil Pairing as proper to the closed network for secret file distribution[2]. First we proposed the improved one computing both encryption and message/user authentication as fast as O(DES) level, in which our scheme satisfies privacy, authenticity and integrity. Secondly as using the public key ID as effective as PKI, our improved IBE variant reduces the key exposure risk.

Development of the Local Area Design Module for Planning Automated Excavator Work at Operation Level (자동화 굴삭로봇의 운용단위 작업계획수립을 위한 로컬영역설계모듈 개발)

  • Lee, Seung-Soo;Jang, Jun-Hyun;Yoon, Cha-Woong;Seo, Jong-Won
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.1
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    • pp.363-375
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    • 2013
  • Today, a shortage of the skilled operator has been intensified gradually and the necessity of an earthwork in extreme environment operators are difficult to access is increasing for the purpose of resource development and new living space creation. For this reason, an effort to develop an unmanned excavation robot for fully automated earthwork system is continuing globally. In Korea, a research consortium called 'Intelligent Excavation System' has been formed since 2006 as a part of Construction Technology Innovation Program of Ministry of Land, Transport and Maritime Affairs of Korea. Among detailed technologies of the Task Planning System is one of the core technologies of IES, this paper explains research and development process of the Local Area Design Module, which provides informatization unit to create automated excavators' work command information at operation level such as location, range, target, and sequence for excavation work. Designing of Local Area should be considered various influential factors such as excavator's specification, working mechanism, heuristics, and structural stability to create work plan guaranteed safety and effectiveness. For this research, conceptual and detail design of the Local Area is performed for analyzing design element and variable, and quantization method of design specification corresponding with heuristics and structural safety is generated. Finally, module is developed through constructed algorithm and developed module is verified.

Dynamic Response of Plate Structure Subject to the Characteristics of Explosion Load Profiles - Part B: Analysis for the Effect of Explosion Loading Time According to the Natural Period for Target Structures - (폭발하중 이력 특성에 따른 판 구조물의 동적응답 평가 - Part B: 고유주기에 따른 폭발하중 지속시간의 영향 분석 -)

  • Kang, Ki-Yeob;Choi, Kwang-Ho;Ryu, YongHee;Choi, JaeWoong;Lee, Jae-Myung
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.28 no.2
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    • pp.197-205
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    • 2015
  • Offshore structures for the gas production are exposed to the risk of gas leaks, and gas explosions can result in fatal damages to the primary structures as well as secondary structures. To minimize the damage from the critical accidents, the study of the dynamic response of structural members subjected to blast loads must be conducted. Furthermore, structural dynamic analysis has to be performed considering relationships between the natural frequency of structural members and time duration of the explosion loading because the explosion pressure tends to increase and dissipate within an extremely short time. In this paper, the numerical model based on time history data were proposed considering the negative phase pressure in which considerable negative phase pressures were observed in CFD analyses of gas explosions. The undamped single degree of freedom(SDOF) model was used to characterize the dynamic response under the blast loading. A blast wall of FPSO topside was considered as an essential structure in which the wall prevents explosion pressures from the process area to utility and working areas. From linear/nonlinear transient analyses using LS-DYNA, it was observed that dynamic responses of structures were influenced by significantly the negative time duration.

Effects of Drivers' Personality on Habitual Traffic Crashes Through the Truncated Poisson Model (절단 포아송 모형을 이용한 상습적 교통사고 유발자의 성격 특성이 교통사고에 미치는 영향)

  • Jang, Youn-Mi;Kim, Do-Gyeong
    • Journal of Korean Society of Transportation
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    • v.32 no.1
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    • pp.50-62
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    • 2014
  • The number of traffic accidents has been decreased since 2000; however, the downward trend of crash occurrence has been slower after 2006. A few decades ago, physical improvement projects such as alignment improvement and the installation of safety facilities were usually implemented to decrease the occurrence of traffic accidents, but the effects of physical improvement on safety have been gradually decreased. The main objective of this study is to identify how the drivers' characteristics affect and/or are related to traffic accidents. Most of previous works have focused on revealing the difference of the nature of the drivers between the drivers who have no experience and the drivers with experience of traffic accidents. This study tries to analyze the habitual accidents proneness through a survey of drivers' personalities for drivers who were involved in traffic accidents at least once. As a result, nine personality factors were found to be statistically significant: Neuroticism(N), Lie(L), Psychoticism* Neuroticism(PN), Psychoticism*Lie(PL), Extraversion*Lie(EL), Neuroticism*Lie(NL), Impulsiveness(IMP), Venturesomeness(VEN), Empathy(EMP). Among these factors, single character factors were found to increase accidents, whereas complex factors were found to decrease the occurrence of accidents.

Response Analysis of RC Bridge Piers due In Multiple Earthquakes (연속지진하중에 의한 철근콘크리트 교량 교각의 응답해석)

  • Lee Do-Hyung;Jeon Jong-Su;Park Tae-Hyo
    • Journal of the Korea Concrete Institute
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    • v.16 no.3 s.81
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    • pp.357-367
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    • 2004
  • In this paper, the effect of cumulative damage for reinforced concrete bridge piers subjected to both single and multiple earthquakes is investigated. For this purpose, selected are three set of accelerograms one of which represents the real successive input ground motions, recorded at the same station with three months time interval. The analytical predictions indicate that piers are in general subjected to a large number of inelastic cycles and increased ductility demand due to multiple earthquakes, and hence more damage in terms of stiffness degradation is expected to occur. In addition, displacement ductility demand demonstrates that inelastic seismic response of piers can significantly be affected by the applied input ground motion characteristics. Also evaluated is the effect of multiple earthquakes on the response with shear. Comparative studies between the cases with and without shear indicate that stiffness degradation and hence reduction in energy dissipation capacity of piers are pronounced due to the multiple earthquakes combined with shear. It is thus concluded that the effect of multiple earthquakes should be taken into account for the stability assessment of reinforced concrete bridge piers.

The Effects of the RFID System for Eco-Agricultural Products on Trust and Behavior Intention: Focusing on an Expanded Technology Acceptance Model (친환경농산물 RFID 시스템이 신뢰 및 행동의도에 미치는 영향 : 확장된 기술수용모델(TAM)을 중심으로)

  • Choi, Won-Sik;Kim, Moon-Myoung;Lee, Soo-Bum
    • Culinary science and hospitality research
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    • v.19 no.1
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    • pp.85-102
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    • 2013
  • The purpose of this study is to examine the effect relation of the external variables of the RFID for eco-agricultural products, that of the external variables on TAM approachableness and usefulness, that of TAM approachableness on usefulness, that of TAM as approachableness and usefulness on trust and behavior intention, and the effect of trust on the behavior intention. The subjects of the actual analysis are the ordinary consumers aged 20 and over living in Seoul and Gyeong-gi Province and have the experience of purchasing eco-agricultural products. Total 300 copies of questionnaire were distributed for 14 days from September 24, 2012 until October 7, 2012, and total 278(92.7%) copies of survey materials were used for the final statistical analysis data except some found too strong unequal distribution of the response value or the value unknown at present. In the analysis results of this study, by examining the effects of the external variables of the RFID for eco-agricultural products on TAM's accessibility and usefulness and verifying the causal relationship between TAM's accessibility and consumers' trust and behavioral intent, this study has a sufficient value as an initial study on the RFID for eco-agricultural products. Thus, the results of this in-depth study show that producers and distributors maintaining and providing with safer eco-agricultural products food directly influence service companies' visible achievements.

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A Study on Effects of Tuning Intake and Exhaust Systems upon Engine Performance in a Driving Gasoline Car (운행 가솔린자동차 엔진성능에 미치는 튜닝 흡기 및 배기 시스템의 효과에 관한 연구)

  • Bae, Myung-whan;Ku, Young Jin;Park, Hui-seong
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.41 no.11
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    • pp.775-784
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    • 2017
  • The purpose of this study was to analyse the basic data of the engine tuning inspection by confirming the working possibility of effective engine tuning and identifying the characteristics of tuned engine that are no problem with the safety operation and environment in a driving gasoline car. The effects of tuned engine on the characteristics of air/fuel ratio and performance at a wide range of engine speeds were experimentally investigated by the actual driving car with a four-cycle, four-cylinder DOHC, turbo-intercooler, water-cooled gasoline engine operating under four types of non-tuning, and tuning 2-1, 2-2 and 2-3. The tuned parts of engine in a driving gasoline car include the intake manifold, intake pipe, air filter, exhaust manifold, exhaust pipe and silencer. In this experiment, the air-fuel ratio and torque of both non-tuned and tuned engines that one person took on board in the car with a five-speed automatic transmission were measured by the chassis dynamometer(Dynojet 224xLC). It was found that the maximum torque of tuned engine in a driving gasoline car was increased by 103.68% on average, while the maximum output was increased by 119.68% on average in comparison to the non-tuned engine.

3D Measurement Method Based on Point Cloud and Solid Model for Urban SingleTrees (Point cloud와 solid model을 기반으로 한 단일수목 입체적 정량화기법 연구)

  • Park, Haekyung
    • Korean Journal of Remote Sensing
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    • v.33 no.6_2
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    • pp.1139-1149
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    • 2017
  • Measuring tree's volume is very important input data of various environmental analysis modeling However, It's difficult to use economical and equipment to measure a fragmented small green space in the city. In addition, Trees are sensitive to seasons, so we need new and easier equipment and quantification methods for measuring trees than lidar for high frequency monitoring. In particular, the tree's size in a city affect management costs, ecosystem services, safety, and so need to be managed and informed on the individual tree-based. In this study, we aim to acquire image data with UAV(Unmanned Aerial Vehicle), which can be operated at low cost and frequently, and quickly and easily quantify a single tree using SfM-MVS(Structure from Motion-Multi View Stereo), and we evaluate the impact of reducing number of images on the point density of point clouds generated from SfM-MVS and the quantification of single trees. Also, We used the Watertight model to estimate the volume of a single tree and to shape it into a 3D structure and compare it with the quantification results of 3 different type of 3D models. The results of the analysis show that UAV, SfM-MVS and solid model can quantify and shape a single tree with low cost and high time resolution easily. This study is only for a single tree, Therefore, in order to apply it to a larger scale, it is necessary to follow up research to develop it, such as convergence with various spatial information data, improvement of quantification technique and flight plan for enlarging green space.