KSCE Journal of Civil and Environmental Engineering Research
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v.43
no.4
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pp.477-484
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2023
The number and age of elderly drivers are continuously increasing according to the extension of the human lifespan. Therefore, in transportation, efforts are being made to differentiate and manage elderly drivers by age group. This study aims to identify the factors affecting the crash severity of early and late elderly drivers, compared to middle-aged drivers, and to identify the characteristics between these groups. Crash data that occurred on nationwide roads for the past 5 years (2017-2021) was applied. Unlike previous studies, this study only targeted drivers in their 40s and older, when presbyopia begins: middle-aged driver (40-64), early elderly driver (65-74), and late elderly driver (75+). As a result of logistic regression analysis, a total of 18 variables were found to affect serious injuries including fatalities in early and late elderly drivers. Most of these variables appeared to lead to severity more sensitively in the late elderly group. The results of this study are expected to be useful as basic information for establishing traffic safety policies for elderly drivers in the future.
Min-A Shin;Seok Oh;Min Chul Kim;Doo Sun Sim;Young Joon Hong;Ju Han Kim;Youngkeun Ahn;Myung Ho Jeong
The Korean journal of internal medicine
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v.39
no.1
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pp.110-122
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2024
Background/Aims: Due to limited real-world evidence on the association between time to presentation (T2P) and outcomes following acute myocardial infarction and diabetes (AMI-DM), we investigated the characteristics of patients with AMI-DM and their outcomes based on their T2P. Methods: 4,455 patients with AMI-DM from a Korean nationwide observational cohort (2011-2015) were divided into early and late presenters according to symptom-to-door time. The effects of T2P on three-year all-cause mortality were estimated using inverse probability of treatment weighting (IPTW) and survival analysis. Results: The incidence of all-cause mortality was consistently higher in late presenters than in early presenters (11.4 vs. 17.2%; p < 0.001). In the IPTW-adjusted dataset, the incidence of all-cause mortality was numerically higher in late presenters than in early presenters (9.1 vs. 12.4%; p = 0.072). In the survival analysis, the cumulative incidence of all-cause mortality was significantly higher in late presenters than in early presenters before and after IPTW. In the subgroup with ST-elevation myocardial infarction, late presenters had a higher incidence of cardiac death than early presenters before (4.8 vs. 10.5%; p < 0.001) and after IPTW (4.2 vs. 9.7%; p = 0.034). In the initial glycated hemoglobin (HbA1c)-stratified analysis, these effects were attenuated in patients with HbA1c ≥ 9.0% before (adjusted hazard ratio [HR]: 1.45, 95% confidence interval [CI]: 0.80-2.64) and after IPTW (adjusted HR: 0.82, 95% CI: 0.40-1.67). Conclusions: Late presentation was associated with higher mortality in patients with AMI-DM; therefore, multifaceted and systematic interventions are needed to decrease pre-hospital delays.
Twelve patients underwent surgical correction of total anomalous pulmonary venous connection[TAPVC] between Sep. 1989 and May 1993. There were 9 boys and 3 girls whose ages ranged from 10 days to 17 month [median 1.2 month]. Six patients were less than 1 month of age at operation. The anomalous drainage was supracardiac in 6, cardiac in 2, infracardiac in 2, and mixed in 2. There were 3 early death, and its mortality rate was 25%. There were no operative mortality after Sep. 1991. Age at operation, presence of preoperative pulmonary venous obstruction, preoperative assisted ventilation and type of anomaly did not affect early mortality. Late pulmonary venous obstruction was developed in 4 patients between 1 month to 4 month after operation. Among these patients, 2 were died and one was reoperated and well, and the other one was not operated because of patient`s refusal. We conclude that late pulmonary venous obstruction is fatal and its early detection and correction is important for improving late survival.
Nutritional adequacy of growing Thoroughbred horses raised in an alternate feeding system - grazing during late spring through late fall and stable feeding for the rest of seasons - was assessed by determining vitamin E and trace mineral levels in the serum and blood chemistry related to nutrition and health. During the stable feeding in winter and early spring, 50 growing female horses were fed concentrates (1.4% of their body weight), grass hay (0.62%) and alfalfa hay (0.37%). For the grazing period, the same horses were fed supplementary concentrates (1.1%) during late spring through early summer, and concentrates (1.1%) and alfalfa hay (0.5%) during late summer through late fall. Blood samples were collected before grazing in early spring, and during grazing in early summer through late fall. Serum vitamin E, BUN, GTP, total bilirubin and direct bilirubin levels were increased (P<0.01) by grazing compared to those measured before the initiation of grazing. Horses had lower (P<0.01) serum Fe contents in early summer than in late fall or in time of stable feeding. Stable feeding increased (P<0.01) serum Cu content compared to grazing in both early summer and late fall. In late fall, serum Zn level increased (P<0.01) compared to that found in the other seasons. Blood glucose and creatinine levels decreased (P<0.01) after grazing. Results indicate that supplementations of some minerals and vitamin E are not always necessary in diets for growing horses and should be done after careful evaluation of diets with regard to concentrations and biological availability of minerals.
Kim, Su-Gon;Kim, Jong-Duk;Kwon, Chan-Ho;Park, Hyung-Soo;Ko, Han-Jong;Ha, Jong-Kyu;Kim, Dong-Am
Journal of The Korean Society of Grassland and Forage Science
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v.24
no.4
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pp.309-316
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2004
This experiment was carried out to assess the growth and development of five rye(Secale cereale L.) cultivars based on the Feekes scale in relation to sowing date at the Experimental Livestock Farm, Seoul National University(SNU), Suwon from 30 September 2001 to 4 May 2002. The experiment was conducted in split plot design with three replications. The main plots consisted of two sowing date such as early(30 September) and late(15 October). The subplots consisted of rye cultivars of five different maturity groups such as 'Kodiak', 'Koolgrazer', 'Danko', 'Homil22' and 'Olhomil'. The plant height of early sowing rye cultivars was higher than that of late one. Among the rye cultivars tested, plant heights of early maturing cultivars were higher than those of the other cultivars. The tiller number at early sowing(48.0) was higher than that of late(24.3), however, late maturing cultivars were higher than those of the other cultivars among the rye cultivars tested. Growth and development in the early sowing were generally three days earlier than those of late sowing cultivars. Growth and development in 'Olhomil' rye cultivars was earlier than 'Danko' rye cultivars when sown in early, but 'Olhomil' and 'Koolgrazer' rye cultivars showed an early maturity than 'Danko' rye when sown in late. Therefore, the developmental stages of winter rye cultivars could be categorised the following maturity; 'Olhomil' and 'Koolgrazer' are early in maturity, 'Homil22' is medium, and 'Kodiak' and 'Danko' are late in maturity.
Background: To improve postoperative outcomes associated with interstitial pneumonia (IP) in patients with lung cancer, the management of the postoperative acute exacerbation of IP (PAEIP) was investigated. Methods: Patients with primary lung cancer were considered to be at risk for PAEIP (possible PAEIP) based on a preoperative evaluation. The early phase of this study was from January 2001 to December 2008, and the late phase was from January 2009 to December 2014. In the early phase, chest computed tomography (CT) was performed for patients for whom PAEIP was suspected based on their symptoms, whereas in the late phase, chest CT was routinely performed within a few days postoperatively. The numbers of possible PAEIP cases, actual PAEIP cases, and deaths within 90 days due to PAEIP were compared between both phases. Results: In the early and late phases, surgery was performed in 712 and 617 patients, 31 and 72 possible PAEIP cases were observed, nine and 12 actual PAEIP cases occurred, and the mean interval from the detection of PAEIP to starting treatment was $7.3{\pm}2.3$ and $5.0{\pm}1.8$ days, respectively. Five patients died in the early phase, and one patient died in the late phase. Significantly fewer PAEIP-related deaths were observed in the late phase (p<0.05). Conclusion: Identifying patients at risk for PAEIP by routine postoperative CT examinations led to the early diagnosis and treatment of PAEIP, resulting in the reduction of PAEIP-related mortality.
A meta-analysis was conducted to summarize the results of studies which have described the profiles of hormones during the oestrous cycle in buffalo using a fixed effect model and a random effect model. Plasma progesterone concentrations were lowest (0.30${\pm}$0.06 ng/ml) during the peri-oestrous phase and increased (p = 0.067) through the early luteal phase to a maximum concentration (1.94${\pm}$0.03 ng/ml) during the mid-luteal phase. Circulating plasma inhibin and estradiol concentrations were lowest (0.31${\pm}$0.01 and 11.04${\pm}$0.13 ng/ml) during the mid-luteal phase, increased through the late luteal phase to maximum concentrations (0.44${\pm}$0.02 and 22.48${\pm}$0.32 ng/ml) during the peri-oestrous phase. Plasma FSH concentrations were lowest during the early luteal phase and increased through the mid-luteal phase to a maximum concentration during the peri-oestrous phase. Peripheral prolactin concentrations were lowest during the late luteal phase and increased to a maximum concentration during the peri-oestrous phase which then declined (p = 0.716) during the early luteal phase. Peripheral plasma cortisol concentrations decreased from 2.68${\pm}$0.14 ng/ml during the early luteal phase to 1.43${\pm}$0.27 ng/ml during the mid-luteal phase (p<0.001) which then increased to 2.06${\pm}$0.17 ng/ml during the late luteal phase. Plasma $T_{5}$ concentrations decreased from the late luteal phase to the peri-oestrous phase (p<0.001) which then increased during the early luteal phase. $T_{4}$ concentrations increased from the late luteal phase to the peri-oestrous phase which then decreased during the early luteal phase.
This retrospective study evaluated the effect of age at first calving on the productive and reproductive performance in Holstein dairy cattle. Data were collected on 2,297 lactations from 19 dairy farms, including dates of birth, insemination, pregnancy, calving, and lactation and milk production (305-day milk yield at first lactation and lifetime milk yield). Lactation data were grouped based on age at first calving into the early (< 24 months, n = 414), moderate (24 ${\leq}$ and ${\leq}$ 28 months, n = 1,268), and late (> 28 months, n = 615) groups. The 305-day milk yield at first lactation was higher (p < 0.005) in the late group (8,461.9 kg) than in the early (8,130.8 kg) and moderate (8,261.9 kg) groups. Lifetime days in milk were shorter (p < 0.01) in the early group (1,045.7) than in the moderate (1,143.1) and late (1,110.7) groups, whereas the lifetime milk yield was higher (p < 0.05) in the moderate group (34,171.8 kg) than in the early group (31,791.6 kg). The second calving interval (days) differed (p < 0.0001) between the early (416.9), moderate (438.9), and late (455.3) groups. The culling rate at the first and second lactations tended to be higher (p = 0.08) in the early group (31.2%) than in the moderate group (26.0%), whereas it was intermediate in the late group (29.3%). In conclusion, dairy heifers aged 24-28 months at first calving showed a higher productive performance through an increased lifetime milk yield and a decreased culling rate.
Lee, Soohyung;Lee, Sang Moo;Lee, Jaehun;Kim, Eun Joong
Journal of Animal Science and Technology
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v.63
no.5
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pp.1086-1097
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2021
This study examined the impact of using total mixed ration (TMR) and concentrate on feed intake, daily gain, carcass yield grade, and carcass quality grade of Hanwoo steers and its subsequent economic efficiency. Thirty six 7-month-old Hanwoo steers were assigned to one of the four treatment groups, and each group was divided into three repeated pens, with each repeated pen comprising three steers. The treatment groups were: 1) separate feeding with commercial concentrate and forage (namely, SCF) for the entire experimental period; 2) TMR feeding for a growing period followed by SCF for the early and late fattening period (namely, TMRGSCF); 3) TMR feeding for growing and an early fattening period followed by SCF for the late fattening period (namely, TMREFSCF); and 4) TMR feeding for the entire experimental period (namely, TMRW). The results showed that the SCF treatment had significantly (p < 0.05) higher feed intake during the growing period than other treatments. In contrast, the total feed intake had little difference during early and late fattening as well as the whole period regardless of feeding strategies. Daily gain showed no difference during the growing period. However, it was significantly higher in SCF and TMREFSCF treatments for the early and late fattening period, respectively (p < 0.05). The daily gain during the total raising period is in the order of TMREFSCF > TMRGSCF > SCF > TMRW. Carcass characteristics, including carcass weight, loin eye muscle area, and carcass yield grade, did not significantly differ among different treatments. However, TMRW treatment, wherein TMR was fed for a long time, showed that the cold carcass weight was less compared with other treatments, but carcass yield grade was higher with thinner backfat. Backfat thickness was in the order of SCF > TMRGSCF > TMREFSCF > TMRW, showing that the thickness reduced with longer TMR feeding (p < 0.05). TMRGSCF, which numerically had a higher carcass quality grade, showed higher economic efficiency, whereas SCF showed low economic efficiency. In conclusion, it was more feasible to apply TMR strategy in the growing and early fattening period and then SCF for the early or late fattening period to improve carcass yield, quality grade, and economic efficiency.
Recently, emergence of smart-phones and Social Networking Service(SNS) would offer the market environment changes and the opportunities for new business. For the case analysis comprehensive survey were implemented. And those data were analyzed along the research framework. The late-comer firms offered differential services, maintained creative and opened corporate culture, shoed learning capabilities which means absorption and organization of external knowledge, innovative efforts to control the insurgents than early-mover firms. When we analyze these phenomena along the developmental stages of late-comer, we can perceive that the stage of late-comers firms were moving from the "tracing the path" stage to "jumping the path" stage which means the creating capabilities were more or less enhanced and the firms become more stable in terms of business operation. In business model, early-mover firms showed clear definition for each business element, especially the revenue structure, while late-mover firms seemed unstable or unclear revenue structure.
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