• Title/Summary/Keyword: Establishment rate

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Effects of Trauma Center Establishment on the Clinical Characteristics and Outcomes of Patients with Traumatic Brain Injury : A Retrospective Analysis from a Single Trauma Center in Korea

  • Kim, Jang Soo;Jeong, Sung Woo;Ahn, Hyo Jin;Hwang, Hyun Ju;Kyoung, Kyu-Hyouck;Kwon, Soon Chan;Kim, Min Soo
    • Journal of Korean Neurosurgical Society
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    • v.62 no.2
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    • pp.232-242
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    • 2019
  • Objective : To investigate the effects of trauma center establishment on the clinical characteristics and outcomes of trauma patients with traumatic brain injury (TBI). Methods : We enrolled 322 patients with severe trauma and TBI from January 2015 to December 2016. Clinical factors, indexes, and outcomes were compared before and after trauma center establishment (September 2015). The outcome was the Glasgow outcome scale classification at 3 months post-trauma. Results : Of the 322 patients, 120 (37.3%) and 202 (62.7%) were admitted before and after trauma center establishment, respectively. The two groups were significantly different in age (p=0.038), the trauma location within the city (p=0.010), the proportion of intensive care unit (ICU) admissions (p=0.001), and the emergency room stay time (p<0.001). Mortality occurred in 37 patients (11.5%). Although the preventable death rate decreased from before to after center establishment (23.1% vs. 12.5%), the difference was not significant. None of the clinical factors, indexes, or outcomes were different from before to after center establishment for patients with severe TBI (Glasgow coma scale score ${\leq}8$). However, the proportion of inter-hospital transfers increased and the time to emergency room arrival was longer in both the entire cohort and patients with severe TBI after versus before trauma center establishment. Conclusion : We confirmed that for patients with severe trauma and TBI, establishing a trauma center increased the proportion of ICU admissions and decreased the emergency room stay time and preventable death rate. However, management strategies for handling the high proportion of inter-hospital transfers and long times to emergency room arrival will be necessary.

Characteristics of Seedling Establishment and Yield of Platycodon grandiflorus by Ridge Width and Mulching Materials (이랑폭과 피복재에 따른 도라지의 입모율 및 수량특성)

  • Cho, Young-Son
    • Korean Journal of Medicinal Crop Science
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    • v.19 no.4
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    • pp.233-237
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    • 2011
  • This study was carried out to investigate the seedling establishment and yield of direct-sown Platycodon grandiflorus seeds cultured by three ridge width, 0.4, 0.8, and 1.2 m and four mulching materials, rice straw, rice bran, black plastic film, and no mulching in upland. Seedling establishment rate (70%) was the highest in rice straw mulched plot of 500 seeds/$m^2$ sowed and root yield after one year was also the highest in rice straw mulched treatment and followed by rice bran, no mulching, and black plastic film treatment. In this result, ridge width 120cm and rice straw mulching combined treatment was best for getting the highest seedling establishment ratio and seedling numbers per area. However, ridge width and mulching materials should be considered soil moisture content and weed population for saving labor cost.

Studies on Establishment of Over sown Pasture Seed II. Effect of coating materials on germination and yield of pasture species (겉뿌린 목초종자의 정착에 관한 연구 II. 각종 증량재 피복이 파종목초의 발아 , 정착 및 수량에 미치는 영향)

  • 이효원;김훈기;김창호
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.10 no.1
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    • pp.10-14
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    • 1990
  • The effects of coating materials on germination, establishment and herbage production were investigated in a laboratory and field over 1988-1989. For this purpose, four treatments of lime 50 % + briquet ash 50 %, briquet ash, dairy excreta and fowldung as coating material were applied to orchardgrass and red clover with meth ylcellulose. The germination rate of lime 50 % + briquet ash 50 % (70.6 %), briquet ash (84.0 %), dairy excreta (66.0 %) and fowldung (61.3 %) in orchardgrass were, showing lower than that of the control (86.6 %), respectively and the rate of red clover ranged from 59.0 to 18.6 %. Establishment in orchardgrass were from 2.0 to 0.9 %, showing lower than the control, whole a little higher except dairy excreta and fowldung treatments in red clover than the control. The DM yield of lime 50 % + briquet ash 50 % treatment was almost same to the control and other treatment showed lower yield compared with the yield of the control. The benefical effect of seed coating on field performance was minimal especially in terms of establishment and yield increase.

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Germination and Growth Characteristics of Tannin Containing Forage Crops (탄닌 함유 사초식물의 발아 및 생육특성)

  • 허삼남;이성운;최순호;차장옥
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.21 no.4
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    • pp.211-216
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    • 2001
  • In an effort to investigate the germination and growth characteristics of tannin containing forage crops (such as chicory, birdsfoot trefoil, Lotus pedunculatus, sulla, lespedeza, crownvetch, sainfoin), germinativity, seedling vigor, and productivity were studied. Although the cumulative germination percentage (CGP) of chicory and birdsfoot trefoil was low, the germination rate(GR) and days to reach 50% of final germination(Gt50) were excellent. Crownvetch, lespedeza and sainfoin showed poor germination. Chicory seeds were light but the rate of emergence and establishment were high. Seeds of Lotus pedunculatus and birdsfoot trefoil were also small, but their rates of emergence and establishment were quite good. On the other hand, seeds of sainfoin and crownvetch were heavy but their emergence and establishment rate were very low. Lespedeza was the best in getting over the hot summer, and crownvetch also survived well during summer. Chicory was good in productivity and early growing but its persistence was not good. In case of birdsfoot trefoil and Lotus pedunculatus their early growing were slow but their productivity and persistence were fairly well. Lespedeza, crownvetch, and sainfoin showed poor growth in Korea. Based on the results of this study it can be concluded that chicory would be better to use as short term high productive forage crop, and Lotus pedunculatus and birdsfoot trefoil could be used as continuous functional forage crops in Korea. (Key words : Tannin. Germination. Chicory. Birdsfoot trefoil, Lotus pedunculatus)

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Effects of the Safety and Health Management System on Safety and Health Management Level and Accident Indicators in Construction Industry (건설업의 안전보건경영시스템 인증이 안전보건관리수준과 사고지표에 미치는 영향)

  • Kim, Panki;Lee, Sudong;Jung, Kihyo
    • Journal of the Korea Safety Management & Science
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    • v.24 no.3
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    • pp.15-21
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    • 2022
  • This study examined the certification effects of safety and health management system (SHMS) on the establishment level of SHMS and accident statistics in construction industry. This study obtained the establishment level of SHMS for 106 construction companies surveyed from our previous study. In addition, three major accident statistics (mortality rate, accidental mortality rate, and injury rate) for the companies were collected from the database in Korean Occupational Safety and Health Agency. The statistical analysis results revealed that the establishment level for SHMS certified companies was significantly higher than those for uncertified or certification preparing companies. Furthermore, SHMS certified companies showed significantly smaller accident statistics compared to uncertified or certification preparing companies. The results of this study support the positive effects of SHMS on reducing major industrial accidents in construction companies.

The Bitter Counsel for Activation of the Korea Medical Dispute Mediation and Arbitration Agency (한국의료분쟁조정중재원의 활성화를 위한 고언(苦言))

  • Roh, Sang-Yup
    • The Korean Society of Law and Medicine
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    • v.17 no.1
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    • pp.169-208
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    • 2016
  • "Act on Remedies for Injuries from Medical Malpractive and Mediation of Medical Disputes)" has been enacted to solve medical dispute. In addition, mediation and arbitration procedures have started since April 8th, 2012 from the Establishment of Korea Medical Dispute Mediation and Arbitration Agency. The average initiation rate of mediation for the past three years turned out to be 43%. Hereupon, Establishment of Korea Medical Dispute Mediation and Arbitration Agency has created a solution for automatic initiation if relevant to particular conditions to improve initiation rate of mediation procedures and passed it through the Assembly plenary session in May, 2016 and promulgated on the 30th of the same month. However, even if mediation procedure initiation rate is increased, there is no guarantee for mediation establishment rate to be improved according to current law. If Establishment of Korea Medical Dispute Mediation and Arbitration Agency intends to increase aforementioned value, automatic initiation is not the only solution. Instead, it seems to be a major assignment to identify fundamental reasons for why major health care facilities have not participated in it and to restore reliability on them. In addition, among crimes specified on the Article 268 of Criminal Act in the Article $51^*$ of "Act on Remedies for Injuries from Medical Malpractive and Mediation of Medical Disputes)", revision must be made so that the clause of clue and death by occupational or gross negligence is applied. Furthremore, it is suggested to supplement previously insufficient policies with the operation so that mediation procedures created by Establishment of Korea Medical Dispute Mediation and Arbitration Agency are stably settled in the perspective of medical institutions including the establishment of new conditions for medical institutions founders or health and medical service personnel to claim the proxy payment for damage.

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An Analysis of Health Examination Outcome in the Special Health Examination Institute (특수건강진단기관의 건강진단 결과 분석)

  • Ahn, Yeon-Soon;Jung, Sang-Hyuk;Shin, Dong-Chun;Won, Jong-Uk;Roh, Jae-Hoon
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.3 s.51
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    • pp.663-677
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    • 1995
  • Special health examination institute has done periodic health examination for workers who have worked in the hazardous workplace. However, assessment on outcome in special health examination institute about detection ability of occupational disease has not been. In this circumstances, we studied on the differences of health examination outcome among special health examination institutes and identified related factors which affected outcome of special health examination in the special health examination institutes. The summary of the results were as follows. 1. 50 special health examination institutes were examined in this study. Among them, university institutes were 13 cases(26.0%), hospitals were 20 cases(40.0%), a corporation aggregates were 9 cases(18.0%) and an auxiliary organs of company were 8 cases(16.0%). There were 29(58.0%) institutes with a preventive medicine specialist, but 21 institutes(42.0%) were not. 2. Total workers examined in 50 institutes were 606,948 and workers diagnosed as occupational disease$(D_1)$ were 3,156. The rate of occupational disease was 6 workers per 1,000 examined workers. Workers needed for close observation(C) were 95,809 and the rate of workers needed for close observation was 141 per 1,000 examined workers. 3. The rate of occupational disease of university institutes was highest(11.3 per 1,000 examined workers), and followed by hospitals(6.0 per 1,000 examined workers), a corporation aggregates(4.2 per 1,000 examined workers), and an auxiliary organs of company(1.2 per 1,000 examined workers). The difference of the rate of occupational disease between university institutes and an auxiliary organs of company was statistically moderate significant(p<.1). The rate of occupational disease in special health examination institutes with establishment duration was more than 10 years was statistically higher than institutes with establishment duration was less than 10 years(p<.1). 4. The results of multiple regression, $R^2$ was 0.3394(adjusted $R^2$ was 0.2109), F-value was 2.6416(p<.05), and statistically significant variables were establishment duration(p<.01), number of examined workers per one doctor(p<.1), and auxiliary organs of company(p<.1), which dependent variable was the rate of occupational disease and independent variables were number of examined workers per one doctor, classification of institute, the rate of working environment exceeding TLV, duration of institute establishment, presence of a preventive medicine specialist.

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Public Key based LR-WPAN Security Algorithm (공개키 방식의 LR-WPAN 보안 알고리즘)

  • Kim, Jin-Cheol;Oh, Young-Hwan
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.43 no.11 s.353
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    • pp.54-67
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    • 2006
  • Low Rate WPAN (Wireless Personal Area Network) designed for low power and low cost wireless communication is an important technology to realize ubiquitous environment. IEEE 802.15.4 and ZigBee Alliance recommend the SKKE (Symmetric-Key Key Establishment) protocol for key establishment and management. The SKKE algorithm has security weakness such as the absence of authentication process or electric signature in key generation and exchange when devices join the role of coordinators. In this paper, we propose new key establishment and security algorithm based on public key encryption to solve low rate WPAN security problems. Also, to improve PLC AMR system's weaknesses in communication reliability and security, we propose a new AMR system model based on IEEE 802.15.4 and we apply our security algorithm to AMR profile for security enhancement.

An Analysis of Pattern Shift in the Epitaxial Growth of Silicon on (lll) Substrates ((lll) 기판의 실리콘 단결정층 성장시 발생하는 패턴 이동 현상의 분석)

  • Baek, Mun-Cheol;Jo, Gyeong-Ik;Song, Seong-Hae
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.21 no.4
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    • pp.17-23
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    • 1984
  • A model analysis of pattern shift in the epitaxial growth of silicon on (111) substrates was performed. The growth rate anisotropy was considered as the most important affecting factor of pattern shift, and for the model establishment the off angle of the substrate and the process temperature were taken as the variables. We derived a theoretical equation of pattern shift by assuming the growth rate anisotropy as the trigonometric sine function of the off angle of the substrate and defining the growth rate anisotropy factor related to the process temperature. The pattern shift ratio calculated by this model had the same tendency with the experimental ones, which, however, were about twice greater than those. It was supposed that this discrepailcy was due to the second order affecting factor such as facetting and step broadening which had been exluded in model establishment.

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Velocity Structure of Wall Jet Originating from Circular Orifices in Shallow Water (천해역에 방류되는 원형 다공바닥젵의 유속구조)

  • 김대근;서일원
    • Journal of Environmental Science International
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    • v.11 no.10
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    • pp.1039-1044
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    • 2002
  • In this study, breakwater model which has several outlet pipes to discharge water is settled in the experimental open channel and mean velocity distributions of multi wall jet are measured. The length of zone of flow establishment of wall jet is shorter than that of free jet and decay rate of jet centerline longitudinal velocity along x is linear in $0.3{leq}x/I_p{leq}17$. The rate of vertical width and lateral width spreading of multi wall jet is respectively 0.0753, 0.157.