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Effect of the Emergency Trauma Team's Management on the Treatment of Patients with Multiple Severe Trauma (다발성 중증 외상 환자들의 치료에 대한 응급 외상팀 운영의 효과)

  • Lee, Seong Hwa;Cho, Suck Joo;Yeom, Seok Ran;Ryu, Ji Ho;Jung, Jin Woo;Han, Sang Kyun;Kim, Yong In;Park, Maeng Real;Kim, Young Dae
    • Journal of Trauma and Injury
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    • v.22 no.2
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    • pp.172-178
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    • 2009
  • Purpose: We performed this study to determine how the emergency trauma team affects the treatment of patients with multiple severe trauma and to discuss the effect and the direction of the emergency trauma team's management. Methods: We performed a retrospective analysis of 518 patients who visited our emergency department with severe trauma from August 2006 to July 2008. We divided the severe trauma patients into 2 groups : patients before and after trauma team management (Group 1 and Group 2). Then, we compared demographic characteristics, mechanisms of injury, and treatment outcomes (lengths of stay in the ED, admission ratio, and in-hospital mortality) between the 2 groups. In the same way, patients with multiple severe trauma were divided into 2 groups, that are patients before and after trauma team management (Group 3 and Group 4) and analyzed. Results: There was no significant difference, except mean age, between groups 1 and 2. In group 4 patients, compared to group 3 patients, the lengths of stay in the ED were lower (p value < 0.001), and the admission ratio were higher (p value = 0.017), but there was no significant difference in the in-hospital mortality between the groups 3 and 4. Conclusion: When patients with multiple severe trauma visit the ED, the emergency trauma team' management can decrease the lengths of stay in the ED and increase the admission ratio, but does not produce a decrease in the in-hospital mortality rate. Further investigations of emergency trauma team management are needed to improve treatment outcomes for patients with multiple severe trauma.

The Development of Earthenware Kilns in Bongsan-ri Archaeological Site, Osong: Implications for Pre- and Post-1950 AD Absolute Age Determination (AD 1950년 전후 고고유적의 절대연대측정에 대한 고찰: 오송 봉산리 옹기가마 유적을 중심으로)

  • Kim, Myung Jin;Son, Myoung Soo;Kim, Tae Hong;Sung, Ki Seok
    • Journal of Conservation Science
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    • v.34 no.6
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    • pp.481-492
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    • 2018
  • We conducted TL/OSL dating for the earthenware kilns in the Bongsan-ri archaeological site, Osong, which was occupied from the late nineteenth to the late twentieth century. With the SAR-TL/OSL method, paleodose was determined from the equivalent dose during the burial period($ED_{burial}$), the background dose($ED_{BG}$), the fading correction factor(f), and the overestimation correction factor(C). The annual dose rates and their provenance were evaluated from the measurement of natural radionuclides $^{238}U$, $^{232}Th$, and $^{40}K$. Because the comprehensive absolute age was provided by combining the resulting TL/OSL and radiocarbon data, we concluded that, for the absolute chronology of a modern archaeological site, TL/OSL dating and radiocarbon dating must be carried out together and summed. The construction and occupation of earthenware kilns in the Bongsan-ri site had changed from stage I (No.5, 6 kilns), to stage II (No.1, 2, 3 kilns), to stage III (No.4) in chronological order. When Bayesian statistics were applied, we found that the absolute ages of occupation for stages I, II, and III correspond to AD $1910{\pm}23$, AD $1970{\pm}10$, and AD $1987{\pm}4$. These results were in good agreement with the archaeological context or chronology.

(벡터) 부울 함수의 비선형성에 관한 연구

  • 정하봉
    • Review of KIISC
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    • v.4 no.1
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    • pp.88-95
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    • 1994
  • 본 논문에서는 벡터 부울함수의 비선형성의 척도인 선형 함수군까지의 거리에 대해 알아본다. 특히 S-Box의 내부 함수로 이용될 수 있는 출력의 균등 분포성을 만족하는 벡터 부울함수의 선형함수군까지의 거리의 하계를 유도한다. 더불어 EDS에서의 S-Box내부함수의 비선형도를 산출하고 보다 비선형도가 높은, 즉 선형 함수군까지으 거리가 더 먼 새로운 S-Box의 존재를 밝힌다.

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Health Conditions and Health Behaviors of Merchants at Traditional Markets (전통시장 상인의 건강상태와 건강행태)

  • Hwang, Seong-Ho;Kwon, O-Hyun;Jeon, Mi-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.237-245
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    • 2017
  • This cross-sectional descriptive study was conducted to determine the health conditions and health behaviors of merchants at traditional markets and compare them with members of the general population[ED highlight - do you mean "members of the general population"?]. The data were collected from 307 merchants at N traditional market in C City from 1-20 June 2015 at D Health Center of C City after physical measurement and blood collection and then analyzed using SPSS WIN 21.0. The male, female, and overall smoking rates of merchants at the traditional market were 34.2%, 3.5% and 11.1%, the annual drinking rates were 68.4%, 38.5%, and 45.9%, and the rates of subjects under stress and the rates of experiencing depression were 23.7%, 28.5%, and 27.4% and 5.3%, 6.1%, and 5.9%, respectively, which were all relatively lower than members of the general population[ED highlight - please ensure that my changes here are in keeping with your intended meaning.]. The male, female and overall rates of medium-level physical activities and walking were 32.9%, 19.9%, and 23.1% and 85.5%, 79.2%, and 80.8%, respectively, to have relatively good health behaviors, and the mental health is relatively fine than members of the general population[ED highlight - please clarify this, I cannot infer your intended meaning.]. However, test group[ED highlight - the test group? Please specify.] had high prevalence rates of hypertension, diabetes, hypercholesterolemia, and metabolic syndrome. Moreover, as the duration of work increased, the abdominal circumference as well as the prevalence rates of low HDL-cholesterol, hypertension, metabolic syndrome, and arthritis increased. Therefore, the specific causes of these shall be determined, and the long-term daily life improvement program shall be prepared and applied continuously for merchants at traditional markets.[ED highlight - please specify what these refer to; however, the entire sentence can probably be deleted.

A STUDY ON THE DEGREE OF CONVERSION OF LIGHT CURING COMPOSITE RESIN ACCORDING TO THE THICKNESS OF TOOTH STRUCTURE PENETRATED BY LIGHT AND APPLIED LIGHT CURING TIME (조사광이 통과하는 치질의 두께와 광조사시간에 따른 광중합형 복합레진의 중합률에 관한 연구)

  • Hwang, Kee-Hwan;Jang, In-Ho;Lee, Se-Joon;Lee, Kwang-Won
    • Restorative Dentistry and Endodontics
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    • v.27 no.1
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    • pp.16-23
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    • 2002
  • Physical properties of composite resins such as strength, resistance to wear, discoloration, etc depend on the degree of conversion of the resin components. The purpose of this study was to evaluate the degree of conversion of the composite resins according to the thickness of tooth structure penetrated by light and applied light curing time. The coronal portions of extracted human teeth (one anterior tooth, three posterior tooth) was embedded by pink denture material. the mounted teeth were cut into three illumination sections (1mm thickness enamel section, 1mm thickness dentin section, 2mm thicknes dentin section) and one backing section with cutting wheel. Thin resin films were made by using 6kg pressure between slide glass during 5 minutes Thin resin film was light cured on coupled illumination section during 40sec, 80sec and 120sec. each illumination section was coupled as follows; no tooth structure(X), ename section(E), enamel section + 1mm dentin section(ED1), enamel section + 2mm dentin section(ED2), enamel section + 1mm dentin section + 2mm dentin section(EDD). To simulate the clinical situation more closely, thin resin films was cured against a backing section of tooth structure. The degree of conversion of carbon double bonds to single bonds in the resin films were examined by means of Fourier Transform Infrared Spectrometer. The results were obtained as follows ; 1 As curing time was increased, conversion rate was increased and as tooth thickness which was penetrated by curing light was increased, conversion rate was decreased. 2. At all tooth thickness groups, conversion rate between 80sec and 120sec was not significantly increased(P>0.05). 3. At 40sec group and 80sec, conversion rate between no tooth structure(X) group and 1mm enamel section(E) group was not significantly decreased(P>0.05). 4. At 80sec group and 120sec, conversion rate between 1mm enamel section(E) group and 1mm enamel section + 1mm dentin section(ED1) group was not significantly decreased(P>0.05).

A Comparison of the Effectiveness of Before and After the Trauma Team's Establishment: Treatment Outcomes and Lengths of Stay in the Emergency Department (중증외상팀의 운영 전후 손상환자의 응급실체류시간과 치료결과 비교)

  • Kwon, Cheong-Hoon;Park, Chang-Min;Park, Young-Tae
    • Journal of Trauma and Injury
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    • v.24 no.2
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    • pp.75-81
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    • 2011
  • Purpose: The aim of this study was to analyze the influence of a trauma team's management. Methods: A total of 181 patients with severe trauma were retrospectively divided into two groups. Of these 181 patients, 81 patients without a trauma team admitted between April and October 2008 were assigned to Group 1, and 100 patients with a Trauma team admitted between April and October 2009 were assigned to Group II. We compared general characteristics, the length of stay in the emergency department (ED) and treatment outcomes (24-h packed RBC transfusion, length of intensive care unit (ICU) stay, length of hospital stay, in-hospital mortality, 24-h mortality) between these two groups. Results: The length of stay in the ED was significantly reduced in Group II compared to Group I ($p$=0.025). No significant differences were found in mean arterial pressure, Glasgow Coma Scale, Revised Trauma Score, Injury Severity Score, in-hospital mortality and 24-h mortality between the two groups. However, Group II had a lower amount of 24-h packed RBC transfusion and a shorter length of ICU and hospital stay than Group I, although these differences were not statistically significant. Conclusion: Through the establishment of a trauma team, the length of stay in the ED can be reduced remarkably. Furthermore, the need for 24-h packed RBC transfusions and the length of stay in the ICU and hospital were found to be decreased in patients managed by a trauma team.

Color Enhancement of Freshwater Pearl by Heat Treatment (열처리에 의한 다양한 컬러 담수양식진주의 색 향상 연구)

  • Son, Soo-Jung;Seo, Jin-Gyo;Park, Jong-Wan
    • The Korean Journal of Malacology
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    • v.25 no.1
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    • pp.81-89
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    • 2009
  • In this study, we conducted heat-treatment on freshwater cultured pearls at various conditions in other to improve their color. Also, after heat treatment, we used the UV-Vis, ED-XRF and SEM to investigate changes freshwater cultured pearls' color, composition and internal structure. UV-Vis analysis showed the reflectivity of samples increased at most heat-treatment conditions although the reflectivity decreased at a certain temperature and duration. At $100^{\circ}c$/8 h, $120^{\circ}c$/6 h and $140^{\circ}c$/4 h, the reflectivity increased highest. In proportion to reflectivity increase, freshwater cultured pearls' color was improved. Ca, Mn, Sr and other micro elements were found from ED-XRF analysis. However, changes in composition of elements were not detected. It was found that the content of Mn in freshwater cultured pearl is higher than other micro elements. From SEM analysis, aragonite's shape was shown in narce and some of the narce were condensed after heat treatment.

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Effect of Age on Optimal Clinical Dose of Dexmedetomidine Sedation (덱스메데토미딘의 임상 용량의 나이에 따른 변화)

  • Choi, Yoon Ji;Baik, Jae Won;Ro, Young Jin
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.14 no.3
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    • pp.151-155
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    • 2014
  • Background: Dexmedetomidine is known to be administered for sedation safely even in a very elderly patient. The purpose of this study was to determine the effect of age on clinically optimal dose of dexmedetomidine for sedation. Methods: We enrolled 50 patients ASA class I and II, scheduled for lower extremity surgery that need. They were classified into a young group (n = 26), aged below 75 and an old group (n = 24), aged above 75. Dexmedetomidine was continuously infused $0.5{\mu}g/kg$ within 10 min, followed by maintenance at a dose of $0.5{\mu}g/kg/min$, initially. The next dose was selected using the Dixon's up-and-down method. Results: The cED50 of dexmedetomidine required to maintain optimal sedation level in young and old group were 0.50 and $0.48{\mu}g/kg$, respectively. With isotonic regression, cED95 of dexmedetomidine was $0.71{\mu}g/kg$ (95% confidence intervals $0.57-1.06{\mu}g/kg$) and $0.58{\mu}g/kg$ (95% confidence intervals $0.51-0.67{\mu}g/kg$). There were no significant differences in cED50 (P = 0.21), recovery variables, or incidence of side effects between the two groups. Conclusions: Clinically optimal dose of dexmedetomidine was not affected to the age during sedation.

Development of an Assessment Tool of Educational CEO's Information Competency based on Job Categories (교육CEO의 직무별 정보활용 역량 진단도구 개발)

  • Suh, Soon-Shik;Chang, Yun-Jeong;Kim, Hyun-Deok
    • Journal of The Korean Association of Information Education
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    • v.12 no.2
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    • pp.173-182
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    • 2008
  • Teachers should actively maintain and improve their ICT competency in today's ever changing information society. A standardized system should now be developed to assist educators when choosing courses to improve their ICT competency. Previous ICT competency studies have only measured one's current ICT abilities rather than analyzing the skills necessary for educators to be successful in the educational system. This study developed an assessment tool to measure the ICT competency levels of CEOs who have the potential to be the decision makers in ICT education. In order to accomplish this, the jobs, duties, and tasks of educational CEOs were analyzed against the ICT Skills Standards for Teachers to determine which ICT skills are required by educational CEOs. Sixty-three questions were extracted from this analysis, guiding educational CEOs in the determination of their own ICT skills level.

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