Objective: This study is a systematic review conducted to analyze the environmental factors that cause falls in the older adult. Design: Systematic review Methods: The study was conducted by searching the Research Information Sharing Service (RISS), Korean studies Information Service System (KISS), and Data Base Periodical Information Academic (DBpia) databases for literature published in South Korea up to July 2020. A total of 12 studies were selected for analysis based on the inclusion and exclusion criteria. Results: The results of the analysis revealed that all the selected literature were surveys and the study subjects were 65 years of age and above. The sample size ranged from a minimum of 95 subjects to a maximum of 3,278. A total of eight tools were used to measure the environmental factors associated with falls. The prevalence and recurrence of falls increase with age and deterioration of health. Older adult individuals who experience falls encounter difficulties in recovering from impaired physical function and disability; moreover, in severe cases, falls may lead to death. Falls are largely associated with a combination of intrinsic and extrinsic (i.e., environmental) factors. The purpose of this study was to assess potential extrinsic risk factors for falls. Falls occur in indoor environments, such as washrooms, bathrooms and living rooms, and outdoor environments, including roads and stairways, depending on the season, time of day, and use of ambulatory aids. In such environments, falls are mainly caused by slipping and stuttering. Conclusions: Therefore, as the rate of fall is influenced by several factors, extrinsic factors should be improved by developing comprehensive accident prevention programs that address the improvement of environmental risk factors around places of residence to reduce risk factors among the older adult, who, especially, are at a high risk for falls.
Purpose: When a patient with acute deterioration occurs in a ward, the decision to transfer to intensive care unit (ICU) is critical to improve the patient's outcomes. However, when available ICU resources limited, it is difficult to determine which of the deteriorating ward patients to transfer to the ICU. Therefore the purpose of this study was to identify risk factors in predicting deteriorating ward patients transferred to intensive care unit (ICU). Methods: We reviewed retrospectively clinical data of 2,945 deteriorating ward patients who referred medical emergency team. Data were analyzed with multivariate logistic regression. Results: The solid cancer that diagnosed at hospitalization (odds ratio[OR] 0.39; 95% confidence interval [CI] 0.32-0.47), when the cause of deterioration was respiratory problem (1.51; 95% CI 1.17-1.95), high MEWS (1.22; 1.17-1.28) and SpO2/FiO2 score (2.41; 2.23-2.60) were predictive of ICU transfer. Conclusion: These findings suggest that early prediction and treatment of patients with high risk of ICU transfer may improve the prognosis of patients.
To evaluate the safety status of deteriorated segments in a submarine shield tunnel during its service life, a seepage model was established based on a cross-sea shield tunnel project. This model was used to study the migration patterns of erosive ions within the shield segments. Based on these laws, the degree of deterioration of the segments was determined. Using the derived analytical solution, the internal forces within the segments were calculated. Lastly, by applying the formula for calculating safety factors, the variation trends in the safety factors of segments with different degrees of deterioration were obtained. The findings demonstrate that corrosive seawater presents the evolution characteristics of continuous seepage from the outside to the inside of the tunnel. The nearby seepage field shows locally concentrated characteristics when there is leakage at the joint, which causes the seepage field's depth and scope to significantly increase. The chlorine ion content decreases gradually with the increase of the distance from the outer surface of the tunnel. The penetration of erosion ions in the segment is facilitated by the presence of water pressure. The ion content of the entire ring segment lining structure is related in the following order: vault < haunch < springing. The difference in the segment's rate of increase in chlorine ion content decreases as service time increases. Based on the analytical solution calculation, the segment's safety factor drops more when the joint leaks than when its intact, and the change rate between the two states exhibits a general downward trend. The safety factor shows a similar change rule at different water depths and continuously decreases at the same segment position as the water depth increases. The three phases of "sudden drop-rise-stability" are represented by a "spoon-shaped" change rule on the safety factor's change curve. The issue of the poor applicability of indicators in earlier studies is resolved by the analytical solution, which only requires determining the loss degree of the segment lining's effective bearing thickness to calculate the safety factor of any cross-section of the shield tunnel. The analytical solution's computation results, however, have some safety margins and are cautious. The process of establishing the evaluation model indicates that the secondary lining made of molded concrete can also have its safety status assessed using the analytical solution. It is very important for the safe operation of the tunnel and the safety of people's property and has a wide range of applications.
Do, Myungsik;Kwon, Sooahn;Lee, Sang Hyuk;Kim, Yongjoo
KSCE Journal of Civil and Environmental Engineering Research
/
v.34
no.2
/
pp.645-654
/
2014
PMS (Pavement Management System) of National highways in Korea has used HDM (Highway Development and Management)-4 developed by World Bank for decision-making for maintenance and rehabilitation of pavements. However using HDM-4 is not appropriate in Korea because HDM-4 requires excessive input factors for analysis and economic analysis models loaded in HDM-4 are not suitable for Korean circumstances. Thus this study aims development of decision-making system for effective pavement management with reflecting Korean circumstances. Moreover this study proposed to define component of system, deterioration models, and basic units for component, and to analyze characteristics of component of system, and also to develop optimal decision-making system. The decision-making system for PMS mainly consists of 1) DB of highways, traffics, and socio-economic index, 2) pavement deterioration model, 3) speed prediction models by pavement conditions, 4) economic evaluation models, and 5) decision-making supporting system. Also this study provided analysis results in case studies for system verifications. However pavement deterioration models considering future probabilistic characteristic and index of decision-making are needed to develop for a further study.
The Pohang Chilpori is the area with abundant petroglyphs in Korea. The form of the shield, female sex organs, and yut board on the outcrops or float rocks which are composed of the rhyolitic rock are engraved on Chilpori and Shinheungri Petroglyphs. The rhyolitic rock is composed of the phenocryst and groundmass with quartz and feldspar. The rock surface shows mostly yellowish brown color and the rock surface is very irregular by serious weathering, and illite and kaolinite, a kind of the clay minerals, are produced. Deterioration aspects are mainly of surface exfoliation, grain peel-off, damages, scribbling. Chilpori Petroglyph (1) plane has been eroded by running water, in (2) plane has been abrased is on the rock surface, in (3) plane shows surface exfoliation and the various part of the rock surface in plane (4) has become the soil. The corrasion and black phenomenon of the Shinheungri Petroglyph (1) plane was formed by running water, and surface exfoliation and scribbling in plane (2) is serious. Deterioration factors are geomorphologic states, plants, rock of weak to weathering, and artificial influence such as a scribbling and a forest fire. For conservation of the these petroglyphs, study for rock surface conservation and the arrangement of around petroglyphs and construction of water wall are necessary.
The Gaetaesajiseokbulibsang (Treasure No. 219) consists of light gray and coarse to medium-grained granodiorite with feldspar phenocrysts in part. Magnetic susceptibility of the rock material was measured as 12.06(${\times}10^{-3}$ SI unit), being different from the granite($0.19{\times}10^{-3}$ SI unit) in the Mt. Cheonho. This indicates the raw material has been supplied from the outside. As a result of deterioration assessment, exfoliation of the Right Buddha, cement and dust of the Main Buddha were estimated as 35.2%, 21.1% and 25.0%. The ultrasonic velocity was measured as 2850.2m/s(Main Buddha), 2648.4m/s(Left Buddha) and 2644.5m/s(Right Buddha). The compressive strength calculated from the velocity showed low in the Right Buddha among three and the all pedestal parts which corresponds to the result of deterioration assessment. The indoor mean temperature and relative humidity of the shelter were $13.7^{\circ}C$ and 79.0%. It is evaluated that the indoor microclimate was stable and the shelter functioned to reduce climatic fluctuation of the outdoor. However, water condensation was occurred on the surface of the pedestal part during spring and summer, and freezing in winter season might also be done. These factors were probable to be a main cause of the surface exfoliation of the Triad Buddha Statues. Therefore, dehumidification and heating system in the shelter should be applied to prevent further deterioration.
Yoo, Ji Hyun;Lee, Myeong Seong;Choie, Myoungju;Ahn, Yu Bin;Kim, Yuri
The Journal of the Petrological Society of Korea
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v.27
no.4
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pp.207-222
/
2018
Celestial Chart Stones (original and reproduction) in the National Palace Museum are representative scientific cultural heritage of Korea. Material analysis and nondestructive deterioration assessment were conducted for long-term preservation of these stones. Material analysis revealed that the original was composed of slate and the reproduction was made of dolostone. The original consists of quartz, mica, dolomite minerals, while the reproduction was made up of dolomite, calcite and forsterite. Major deterioration factors of the original stone were cracks and breakouts. In case of the reproduction, scratches and artificial materials were mainly observed. The green and black surface contaminants present at the sides and back of the two celestial chart stones were interpreted as resin-based paint materials. The physical property evaluation using ultrasonic velocity showed a low velocity in the upper left side of the original, while the front right side of the reproduction showed a weak property. Meanwhile, the To-Tc method using ultrasonic velocity was applied to major cracks that impede stability of the original. As a result, it has been calculated that the beginning and the center of the crack are the deepest.
Jo, Young Hoon;Lee, Myeong Seong;Choi, Gi Eun;Lee, Chan Hee
Korean Journal of Heritage: History & Science
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v.44
no.3
/
pp.92-111
/
2011
This study focus on the restoration stone selection of break-out part based on material characteristics analysis and the conservational safety diagnosis using various nondestructive techniques for Jungdong and Banjukdong Stone Auariums. As a result, the original rocks of the stone aquariums body are porphyritic granodiorite with magnetite-series having igneous lineation, microcline phenocryst, veinlet and basic xenolith. As a result of the provenance presumption of the host rock, a rock around Gamgokri area in Nonsan City was identified the genetically same rock. Therefore, the rock is appropriate for restoration materials of the break-out part. The deterioration assessment showed that the stone aquariums were highly serious scaling, scale off and blackening. Particularly, the front face of Banjukdong stone aquarium needs reinforcement of structural crack (760mm) caused from igneous lineation of biotite. Blackening contaminants on the stone aquariums surface occurred by combining iron oxide, manganese oxide and clay mineral. Also, major factors of efflorescence contaminants were identified as calcite (Jungdong stone aquariums) and gypsum (Banjukdong stone aquariums). The physical characteristics of stone aquariums appeared that the original and new stone is third (moderately weathered) and second grade (slightly weathered), respectively. This study sets up an integrated conservation system from material analysis to restoration stone selection and conservational safety diagnosis of Jungdong and Banjukdong stone aquariums.
Kim, Sang-Hyun;Jung, Woo-Tai;Kang, Jae-Yoon;Park, Hee-Beom;Park, Jong-Sup
Journal of the Korea institute for structural maintenance and inspection
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v.25
no.1
/
pp.1-6
/
2021
Concrete structures gradually age due to deterioration of materials or excess loads and environmental factors, and their performance decreases, affecting the usability and safety of structures. Although external tension construction methods are widely used among the reinforcement methods of old bridges, it is insufficient to identify the effects and effects of reinforcement depending on the level of aging. Therefore, in this study, a four-point loading experiment was conducted on the subject with the non-reinforced and external tensioning method to confirm the reinforcement effect of the external tensioning method, assuming the aging of the structure as a reduction in the compressive strength and tensile reinforcement of concrete, to analyze the behavior of the reinforcement and confirm the reinforcement effect. As a result of the experiment, it was difficult to identify the amount of reinforcement in the extreme condition due to early elimination of the anchorage. Therefore, compliance with the regulations on anchor bolts is required when applying the external tension reinforcement method. Crack load and yield load increased depending on whether external tension was reinforced, but before the crack, the stiffness before and after reinforcement was similar, making it difficult to confirm the reinforcement effect.
A museum's collections is fundamental factors to construct important activity of museum performing a role as cultural facility for learning, education and research. Therefore, conservation of collections through appropriate environments is previously established in step of planing a museum. Hereby, the purpose of this study is to set up the classification of collections and suggest a useful guidance of the storage division in a domestic museum. The results of this study are as follows. First, the main factors of deterioration are temperature and relative humidity in a museum storage, so classification of collections should be set up according to the objective standards of these factors. Second, the classification of collections can be performed as follow: the group for nonorganic materials subdivide metal, chinaware, earthenware, and jade stone, the group for organic materials subdivide leather hair paper fabric, bone horn shell mound and wood herbage and the group for composed materials. Third, for storage division of a domestic museum, basically has to consider that it is reasonable to plan $4{\sim}5$ storages in metal, jade stone, chinaware earthenware, and organic materials of $1{\sim}2$ units in case of a serial of history like archaeological, antique museum. And in case of folk relics of modern and contemporary arts are collected, it is reasonable to plan over 5 storages add composed materials to foregoing classification.
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