• Title/Summary/Keyword: 154

Search Result 7,010, Processing Time 0.042 seconds

Effectiveness after Designation of a Trauma Center: Experience with Operating a Trauma Team at a Private Hospital

  • Kim, Kyoung Hwan;Han, Sung Ho;Chon, Soon-Ho;Kim, Joongsuck;Kwon, Oh Sang;Lee, Min Koo;Lee, Hohyoung
    • Journal of Trauma and Injury
    • /
    • v.32 no.1
    • /
    • pp.1-7
    • /
    • 2019
  • Purpose: The present study aimed to evaluate the influence of how the trauma care system applied on the management of trauma patient within the region. Methods: We divided the patients in a pre-trauma system group and a post-trauma system group according to the time when we began to apply the trauma care system in the Halla Hospital after designation of a trauma center. We compared annual general characteristics, injury severity score, the average numbers of the major trauma patients, clinical outcomes of the emergency department, and mortality rates between the two groups. Results: No significant differences were found in the annual patients' average age ($54.1{\pm}20.0$ vs. $52.8{\pm}18.2$, p=0.201), transportation pathways (p=0.462), injury mechanism (p=0.486), injury severity score (22.93 vs. 23.96, p=0.877), emergency room (ER) stay in minutes (199.17 vs. 194.29, p=0.935), time to operation or procedure in minutes (154.07 vs. 142.1, p=0.767), time interval to intensive care unit (ICU) in minutes (219.54 vs. 237.13, p=0.662). The W score and Z score indicated better outcomes in post-trauma system group than in pre-trauma system group (W scores, 2.186 vs. 2.027; Z scores, 2.189 vs. 1.928). However, when analyzing survival rates for each department, in the neurosurgery department, in comparison with W score and Z score, both W score were positive and Z core was higher than +1.96. (pre-trauma group: 3.426, 2.335 vs. post-trauma group: 4.17, 1.967). In other than the neurosurgery department, W score was positive after selection, but Z score was less than +1.96, which is not a meaningful outcome of treatment (pre-trauma group: -0.358, -0.271 vs. post-trauma group: 1.071, 0.958). Conclusions: There were significant increases in patient numbers and improvement in survival rate after the introduction of the trauma system. However, there were no remarkable change in ER stay, time to ICU admission, time interval to emergent procedure or operation, and survival rates except neurosurgery. To achieve meaningful survival rates and the result of the rise of the trauma index, we will need to secure sufficient manpower, including specialists in various surgical area as well as rapid establishment of the trauma center.

The Effects of SCM Competency and Process Improvement on Operational Performance in Small and Venture Companies (중소벤처기업의 SCM역량과 프로세스 개선이 운영성과에 미치는 영향)

  • Lee, Seolbin;Park, Jugyeon
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
    • /
    • v.13 no.6
    • /
    • pp.143-154
    • /
    • 2018
  • This study is intended to look into the effects of SCM(supply chain management) competency and process improvement on operational performance in small and venture companies. To achieve this, a survey was empirically carried out to 179 small and venture manufacturing companies. The findings showed that the SCM competency had a significant effect on the process improvement and operational performance in small and venture companies, adopting all hypotheses. And the process improvement had a significant mediating effect on the relationship between SCM competency and operational performance in small and venture companies, adopting hypothesis 4. As for the findings, strategic alliance, technology development, competency concentration as SCM competencies and starting preparation, detailed planning, implementation management as process improvements were factors that have positive effects on quality performance, cost reduction and profit increase as operational performances in small and venture companies. In other words, the better process and performance by the maximized SCM competencies require selective input strategies for strategic alliance, technology development and competency concentration in small and venture companies. And for its early application and settlement, the starting preparation and detailed planning of business process within small and venture companies need to be jointly put in action under clear company-wide goal management. Consequently, the expected performance can be maximized when strict management and implementation lead to these attributes.

An Assessment of the Usefulness of Time of Flight in Magnetic Resonance Angiography Covering the Aortic Arch

  • Yoo, Yeong-Jun;Choi, Sung-Hyun;Dong, Kyung-Rae;Ji, Yun-Sang;Choi, Ji-Won;Ryu, Jae-Kwang
    • Journal of Radiation Industry
    • /
    • v.12 no.4
    • /
    • pp.325-332
    • /
    • 2018
  • Carotid angiography covering the aortic arch includes contrast-enhanced magnetic resonance angiography (CEA), which is applied to a large region and usually employs contrast media. However, the use of contrast media can be dangerous in infants, pregnant women, and patients with chronic renal failure (CRF). Follow-up patients informed of a lesion may also want to avoid constant exposure to contrast media. We aimed to apply time-of-flight (TOF) angiography to a large region and compare its usefulness with that of CEA. Ten patients (mean age, 58 years; range, 45~75 years) who visited our hospital for magnetic resonance angiography (MRA) participated in this study. A 3.0 Tesla Achieva magnetic resonance imaging (MRI) system (Philips, Netherland) and the SENSE NeuroVascular 16-channel coil were employed for both methods. Both methods were applied simultaneously to the same patient. Three TOF stacks were connected to cover the aortic arch through the circle of Willis, and CEA was applied in the same manner. For the quantitative assessment, the acquired images were used to set the regions of interest (ROIs) in the common carotid artery (CCA) bifurcation, internal carotid artery, external carotid artery, middle cerebral artery, and vertebral artery, and to obtain the signal-to-noise ratio (SNR) and the contrast-to-noise ratio (CNR) for the soft tissues. Three radiologists and one radiological resident performed the qualitative assessment on a 5-point scale - 1 point, "very bad"; 2 points, "bad"; 3 points, "average"; 4 points, "good"; and 5 points, "very good" - with regard to 4 items: (1) sharpness, (2) distortion, (3) vein contamination, and (4) expression of peripheral vessels. For the quantitative assessment, we estimated the mean SNR and CNR in each of the 5 ROIs. In general, the mean SNR was higher in TOF angiography (166.1, 205.2, 154.39, 172.23, and 161.95) than in CEA(92.05, 95.43, 84.76, 73.69, and 88.3). Both methods had a similar mean CNR: 67.62, 106.71, 55.9, 73.74, and 63.46 for TOF angiography, and 67.82, 71.19, 60.52, 49.45, and 64.07 for CEA. In all ROIs, the mean SNR was statistically significant (p<0.05), whereas the mean CNR was insignificant (p>0.05). The mean values of TOF angiography and CEA for each item in the qualitative assessment were 4.2 and 4.28, respectively for item 1; 2.93 and 4.55, respectively, for item 2; 4.6 and 3.13, respectively, for item 3; and 2.88 and 4.65, respectively, for item 4. Therefore, TOF angiography had a higher mean for item 3, and CEA had a higher mean for items 2 and 4; there was no significant difference between the two methods for item 1. The results for item 1 were statistically insignificant (p>0.05), whereas the results for items 2~4 were statistically significant (p<0.05). Both methods have advantages and disadvantages and they complement each other. However, CEA is usually applied to a large region covering the aortic arch. Time-of-flight angiography may be useful for people such as infants, pregnant women, CRF patients, and followup patients for whom the use of contrast media can be dangerous or unnecessary, depending on the circumstance.

Tree Growth and Ecosystem Conditions of Docheon Forest (Natural Monument No. 514) in Docheon-ri, Yeongdeok - Focusing on Plant Ecosystems - (천연기념물 제514호 영덕 도천리 도천숲의 생태계 현황 및 수목 생육 특성 - 식물생태계 현황을 중심으로 -)

  • Kim, Dong Wook;Hur, Bog Su;Lee, Seung Joo;Kim, Hyo Jeong
    • Korean Journal of Heritage: History & Science
    • /
    • v.44 no.1
    • /
    • pp.122-137
    • /
    • 2011
  • The purpose of this study was to present the characteristics of tree growth and the status of the ecosystem in Yeongdeok Docheon-ri Docheon forest, which was designated as Natural Monument No. 514. Results showed that most of the soil properties were generally within desirable levels except for some properties. The forest was composed of 503 trees. Major trees included Zelkova serrata, Celtis sinensis, Cornus walteri, Diospyros lotus, Hemiptelea davidii, and Evodia daniellii. In particular, trees such as Zelkova serrata, Celtis sinensis, and Cornus walteri showed D.B.H ranging from 10cm to 70cm. These trees appeared to be major tree species since the beginning of Docheon forest's existence. The wild birds observed from the site were from 18 families, 20 species, and 95 individuals. Also were found 1 mammal species, 1 reptile species, and 1 amphibian species. A dead Aix galericulata (designated Natural Monument No. 327) was found in the forest. The annual tree diameter growth of the sample trees was 2.3mm per year on average. The average age of the overstory trees was approximately 101 years, and the oldest tree was estimated to be 300~400 years old.

Design of Dead-end Membrane Module with Increased Permeate Flux by Natural Convection Instability Flow (자연대류 불안정 흐름에 의해 투과량을 증가시킨 전량여과 막모듈의 설계)

  • Kim, Gi-Jun;Youm, Kyung-Ho
    • Membrane Journal
    • /
    • v.29 no.3
    • /
    • pp.147-154
    • /
    • 2019
  • The permeate flux increments of a natural convection instability flow (NCIF) caused by the change of inclined angles ($0{\sim}180^{\circ}$) to gravity of the commercial membrane module were tested in the dead-end membrane filtration of BSA protein solution. The NCIF are more generated as the inclined angle increased from $0^{\circ}$ to $180^{\circ}$, and the occurred NCIF enhances permeate flux. However, the commercial module can only generate NCIF by completely removing the air gap in module. Since the custom design module designed in this study is permeated in a crossward direction ($90^{\circ}$), NCIF is always generated even if there is the air gap in module. The results of membrane filtration of BSA and dextran solutions using a custom design module showed that the flux in the crossward direction is increased to about 3.8 times for BSA solution and 1.8 times for dextran solution after two hours of operation due to the occurrence of NCIF. Also, NCIF generation is continued during 20 hours filtration of BSA solution, increasing the permeate flux to about 7.5 times. Since the custom design module with a permeation in the crossward direction and NCIF is always generated within the module, so it is possible to expect an increase in permeate flux due to the suppression of fouling formation, and thus to be utilized as a superb dead-end membrane module.

A Study on the Introduction of Baseball and Muscular Christianity in the Late Chosun Dynasty (조선 말기 야구의 도입과 강건한 기독교주의에 관하여)

  • Kim, yong-hyun;Shin, eui-yun;Kim, Youn-soo
    • The Journal of the Convergence on Culture Technology
    • /
    • v.5 no.3
    • /
    • pp.147-154
    • /
    • 2019
  • Baseball was first introduced in Korea by American Gillette, who was the general manager of the YMCA in the late Joseon Dynasty. There are many discussions about the timing of the first baseball game in Korea, but it has yet to be sorted out. But what is certain is that baseball was introduced directly from the after 1903, when the first Korea YMCA, the Hwang seong Christian Youth Association, was founded. Gillett studied at Springfield YMCA International Training School in the United States from 1900 to 1901. The school is where Gulick worked as a teacher, who actively embraced strong Christianity from Britain and laid the foundation for the YMCA project in the United States. Therefore, Gillett was influenced by this Muscular Christianity, and the reason behind the introduction of baseball in our country is the same Muscular Christianity idea. Gillett, the manager of the YMCA in Korea, has developed various sports projects in Korea based on this Manager idea. It also helped the Korean people, who have been under Japanese colonial rule since 1905, to strengthen their bodies and minds and It helped the independence movement of Koreans. These specific and practical examples are YMCA baseball team active and the 105-member incident.

Effect of Occurrence of Scion Root on the Growth and Root Nutrient Contents of 'Shiranuhi' Mandarin Hybrid grown in Plastic Film House (자근발생이 부지화 감귤나무의 수체 생육과 뿌리내 양분함량에 미치는 영향)

  • Kang, Seok-Beom;Moon, Young-Eel;Yankg, Gyeong-Rok;Joa, Jae-Ho;Han, Seong-Gap;Lee, Hae-Jin;Park, Woo-Jung
    • Korean Journal of Environmental Agriculture
    • /
    • v.38 no.3
    • /
    • pp.154-158
    • /
    • 2019
  • BACKGROUND: 'Shiranuhi' mandarin is a major cultivar among all late ripening type of citrus, and is widely cultivated in Korea. However, many farmers have reported scion root problems in their orchard resulting in reduced flowering and fruiting. It is necessary that the physiology of scion-rooted 'Shiranuhi' mandarin trees is further understood. METHODS AND RESULTS: This experiment was conducted to understand the growth response and physiology of scion-rooted 'Shiranuhi' mandarin hybrids. In our study, 'Shiranuhi' mandarin trees were divided into two groups: trees without scion roots (control) and trees with scion roots. The experiment was conducted in Seogwipo of Jeju, with ten replicates for each group. Growth of trees with scion roots was more vigorous and the trees were taller than the controls. Tree height and trunk diameter of scion-rooted trees were significantly higher than those of control trees. Exposed length of rootstocks of scion-rooted trees was significantly lower (by about 2 cm) than that of control trees (8.6 cm). In terms of root nutrition, carbon contents of scion-rooted trees was significantly lower than that of control trees, but nitrogen and potassium concentrations in scion roots were significantly higher than those in control roots. CONCLUSION: Based on the results, we infer that growth of scion-rooted trees was very vigorous and the content of nitrogen in these roots was higher than that in the control tree roots. Thus, the carbon/nitrogen ratio of scion roots was significantly lower than that of the control roots.

A study on the Evaluation of Real-Time Map Update Technology for Automated Driving (자율주행 지원을 위한 정밀도로지도 갱신기술 평가를 위한 기준 도출 연구)

  • PARK, Yu-Kyung;KANG, Won-Pyung;CHOI, Ji-Eun;KIM, Byung-Ju
    • Journal of the Korean Association of Geographic Information Studies
    • /
    • v.22 no.3
    • /
    • pp.146-154
    • /
    • 2019
  • Recently, a system has been developed and applied to establish and utilize HD maps through R&D. The biggest problem, however, is the lack of a proper HD map update system, which requires the development and adoption of such a system as soon as possible. In addition, in the case of updating HD maps for automated driving, integrity and accuracy of maps are required for safe driving, so an test of these technologies and data quality is required. In April 2018, the Ministry of Land, Infrastructure and Transport implemented a project to 'Develop Technology to Demonstrate and Share the Instant Road Change Detection and Update Technology for automated driving. This paper analyzed the technology for updating map based on the investigation and analysis of relevant technology trends for the development of integrated demonstration and sharing technology of road change rapid detection and updating map technology, and put forward the criteria for road change rapid detection, integrated quality verification of update technology. It is expected that the results of this study will contribute to quality assurance of HD maps that support safety driving for automated vehicles.

Fabrication and Evaluation of Heat Transfer Property of 50 Watts Rated LED Array Module Using Chip-on-board Type Ceramic-metal Hybrid Substrate (Chip-on-board 형 세라믹-메탈 하이브리드 기판을 적용한 50와트급 LED 어레이 모듈의 제조 및 방열특성 평가)

  • Heo, Yu Jin;Kim, Hyo Tae
    • Journal of the Microelectronics and Packaging Society
    • /
    • v.25 no.4
    • /
    • pp.149-154
    • /
    • 2018
  • This paper describes the fabrication and heat transfer property of 50 watts rated LED array module where multiple chips are mounted on chip-on-board type ceramic-metal hybrid substrate with high heat dissipation property for high power street and anti-explosive lighting system. The high heat transfer ceramic-metal hybrid substrate was fabricated by conformal coating of thick film glass-ceramic and silver pastes to form insulation and conductor layers, using thick film screen printing method on top of the high thermal conductivity aluminum alloy heat-spreading panel, then co-fired at $515^{\circ}C$. A comparative LED array module with the same configuration using epoxy resin based FR-4 PCB with thermalvia type was also fabricated, then the thermal properties were measured with multichannel temperature sensors and thermal resistance measuring system. As a result, the thermal resistance of the ceramic-metal hybrid substrate in the $4{\times}9$ type LEDs array module exhibited about one third to the value as that of FR-4 substrate, implying that at least triple performance of heat transfer property as that of FR-4 substrate was realized.

Mediating Effects of the Distress Tolerance on the Relationship between Negative Emotions and Subjective Well-Being (부정적 정서와 주관적 안녕감의 관계에서 고통 감내력의 매개효과 연구)

  • Choi, Soon-Mi;Jeong, Moon-Kyeong
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.5
    • /
    • pp.145-154
    • /
    • 2019
  • As the interest in the positive quality of life is increasing throughout the world, the number of people who are suffering from negative sentiments, such as depression, anxiety, or stress, is increasing, as well. Especially, the adolescence period is the period of transition from childhood to adulthood and accompanies significant changes in terms of the body and mind alike. The purpose of this study is to examine the negative sentiment of the juveniles, caused by the stress they experience in their social and personal domains and the distress tolerance that can protect the inner feelings of them at the same time, to understand how they are related to the subjective well-being of the juveniles. For this study, the researcher employed the data from 362 high school students from the high schools located in Seoul and Gyeonggi area, which were analyzed using the statistics suites SPSS 22.0 and AMOS 22.0. According to the findings of this study, first, the depression and anxiety of the adolescent population showed a significant relationship for each variable with regard to the distress tolerance and the subjective well-being. Especially, the negative correlation with the subjective well-being was highly significant. Second, the depression and anxiety of the juveniles turned out to influence the distress tolerance and subjective well-being of them in a negative manner. In both distress tolerance and subjective well-being, the influence of anxiety was higher than that of depression. Third, in the relationship between depression, anxiety, and subjective well-being, the distress tolerance turned out to have a mediating effect. Such results of this study provided the basic data for suggesting the strategies to promote the perceived psychological well-being and help the juveniles who are under stress.