Purpose: The incidence of multiple trauma is increasing nowadays and is the leading cause of death among young adults. Initial treatment is well known to be crucial in multiple trauma victims. However, many indiscriminate transfers occur due to the lack of a well-organized trauma system in Korea. The objective of this study is to demonstrate the current serious state in which major trauma patients are transferred to the Emergency Medical Center of a university hospital from another medical center. Methods: From November 2009 to October 2010, we performed a retrospective study to analyze the characteristics of patients who visited the Ajou University Medical Center located in Gyeonggi-do. We evaluated the ISS (injury severity score), and a score over 15 point was identified as major trauma. The major trauma patients were separated into two groups according to the visit route, and the characteristics of each group were analyzed. Results: Among the 88,862 patients who visited to the Emergency Medical Center, trauma patients accounted for 19,950, and 343 of them were evaluated as major trauma patients. Among the 343 patients, 170 patients had been transferred from other medical centers. The proportion of males to females was 3.3:1, and the mean ISS was 22.7. The leading cause of trauma was motor vehicle accidents. Of the total 170 patients, 77.6% were admitted to the Intensive care unit and 36.3% underwent surgery. The 170 patients that had been transferred to our medical center, 78.8% were transferred from Gyeonggi-do, 15.3% were transferred from other regions, and 5.9% were miscellaneous. Conclusion: Almost half of the major trauma victims treat at our medical center had been transferred from other medical centers. Establishing a traumatic system, supported by well-organized trauma centers and emergency medical services, that can reduce inappropriate transfers among medical facilities is essential.
Journal of the Korea Academia-Industrial cooperation Society
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v.19
no.4
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pp.117-122
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2018
A large-capacity three-phase system air conditioner recently includes an inverter circuit to reduce power consumption. The inverter circuit uses a DC voltage that comes from DC-link power capacitor with the function of rectifying, which means AC voltage to DC voltage using a diode. An electrolytic capacitor is generally used to satisfy the voltage ripple and current ripple conditions of a DC-link power capacitor used for rectifying. Reducing the capacitance of the capacitor decreases the size, weight, and cost of the circuit. This paper proposes an algorithm to reduce the input ripple current by combining the minimum point estimation phase locked loop (PLL) phase control and the average voltage d axis current control technique. When this algorithm was used, the input ripple current decreased by almost 90%. The current ripple of the DC-link capacitor decreased due to the decrease in input ripple current. The capacitor capacity can be reduced but the electrolytic capacitor has a heat generation problem and life-time limitations because of its large equivalent series resistance (ESR). This paper proposes a method to select a film capacitor considering the current ripple at DC-link stage instead of an electrolytic capacitor. The capacitance was selected considering the voltage limitation, RMS (Root Mean Square) current capacity, and RMS current frequency analysis. A $1680{\mu}F$ electrolytic capacitor can be reduced to a $20{\mu}F$ film capacitor, which has the benefit of size, weight and cost. These results were verified by motor operation.
Since 1960's along with industrialization and urbanization, economic growth has been . achieved, however, at the same time, environmental condition has been seriously deteriorated. . Currently, volume of wastewater has been increasing at annual rate of 7% in sewage and 20% in industrial wastewater. However, the nation's sewage treatment serves only 33% of the municipal wastewater as of 1991. Major portion of air pollutants comes from combustion of oil and coal which comprise 81% of total energy use and emission gases from motor vehicles increasing at an accelerated rate. It is known that Korea generates the highest amount of waste per capta. Nevertheless, it is not sufficient to reduce the volume of waste by means of resources recovery and recycling. Recognizing the importance of global environmental problems such as ozone layer depletion, global warming and acid rain, international society has been making various efforts since the 1972 Stockholm conference. In particular, it is expected that the Rio conference which has adopted the Rio declaration and Agenda 21 will form a crucial turning point of the emerging new world order after the Cold War confrontation. To cope with such issues as domestic pollution and global environmental problems, the fundamental national policy aims at harmonizing "environmental protection and sustainable development". The Ministry of Environment has recently set up a mid-term comprehensive plan which includes annual targets for environmental protection. According to the government plan, gradual improvement of various environmental conditions and specific measures to achieve them is planned in time frame. Additional sewage treatment plants will be constructed in urban areas with the target to treat 65% of the nation's municipal sewage by 1996. Supply of clean fuels such as LNG will also be expanded starting from large cities as a cleaner substitute energy for coal and oil. In parallel with expansion of LNG, emphasis will be placed on installation of stack monitoring system. Due to the relatively limited land, government's basic policy for solid waste treatment is to develop large scale landfill facilities rather than small sized ones. Thirty three regional areas have been designated for the purpose of waste management. For each of these regions, big scale landfill site is going to be developed. To increase the rate of waste recycling the government is planning to reinforce separate collection system and to provide industries with economic incentives. As a part of meeting the changing situation on global environmental problems after UNCED, and accommodation regulatory measures stipulated in the global environmental conventions and protocols, national policy will try to alter industrial and economic structure so as to mitigate the increasing trends of energy consumption, by encouraging energy conservation and efficiency. In this regard, more attention will be given to the policy on the development of the cleaner technology. Ultimately, these policies and programs will contribute greatly to improving the current state of national public health.
The Journal of Korean Academy of Sensory Integration
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v.7
no.1
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pp.47-57
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2009
Objective : Purpose of this study is to study how Sensory Integration (SI) Intervention Program affect body-scheme and praxis ability of children with Developmental Disability (DD). Method : The SI intervention was programmed based on the theory of SI by Jean Ayres. Thirty children with DD underwent the SI program for six weeks. The effect of the SI intervention was evaluated in terms of body-scheme and praxis ability. Assessments used in this study are One-Point Imitation Test (OPIT) and 6 Body Puzzle Test (6BPT) for body-scheme; Praxis Test Sheet (PTS) for linguistic order, oral motor control, sequential praxis and Sensory Integration and Praxis Tests (SIPT) for postural praxis. Data of this study was analyzed by the paired t-test to compare before- and after the SI intervention. Results : Results of this study are (1) in the OPIT, there is significant difference on body-scheme ability (p<0.01); (2) in the PTS, there is significant difference on all three items (p<0.01); and (3) in the SIPT, there is significant difference on sensory integration and praxis function. Conclusions : From the results, it is concluded that sensory integration intervention is effective on body-scheme and praxis functions for children with developmental disability.
Journal of the Korea Academia-Industrial cooperation Society
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v.17
no.8
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pp.200-207
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2016
The automotive seat is an important component that moves in sync with the driver and is actively being developed with various new functions. The aim of this work is to develop a lightweight seat cushion extension module using a lightweight material. To this end, a structural strength analysis, vertical strength test, and durability test were conducted. In the structural analysis, the maximum value of deformation under vertical load was 4.98 mm at the front of the upper panel. The maximum stress was approximately 105 MPa, which occurred at the point of contact between the upper and lower panels of the module. The vertical strength test showed a maximum vertical deformation of 5.31 mm under a vertical load, which differed from the analysis results by approximately 6.45%. The structural safety of the product was verified by the fact that it showed no harmful deformation or damage during operation after the vertical strength test and a durability test for 20,000 cycles. Furthermore, the use of engineering plastics made it possible to reduce the weight by approximately 30% compared to existing products. The lack of damage after tests verified the passenger safety, strength, and rigidity of the product. The results are expected to be applied for improving environmental and fuel efficiency regulations and preventing accidents due to driver fatigue. The applications of this module could be expanded various types of vehicles, as well as other industries in which eco-friendly and lightweight materials are used.
Facial nerve is subject to injury at any point in the course from the cerebral cortex to the motor end plate in the face, so many etiologic varieties of facial paralysis may be encountered, including trauma, viral infection and the idiopathic. Authors have studied 39 cases of facial paralysis which had experienced of treatment in our department from March, 1996 to March, 1997 at Dong San Medical Center. The results obtained are as follows : 1) The highest age incidence showed 10 cases(24.6%) in 3rd decade 2) Among the total of 39 cases, male were 21 cases(53.8%) and female were 18cases(46.2%). 3) At the involved side, left side were 19 cases(48.7%) and right side were 18 cases(46.2%). 4) The causes of facial paralysis were; idiopathic (Bell's palsy) in 19 cases(48.7%) infectious in 6 cases(15.4%) neoplastic in 6 cases(15.4%) traumatic in 5 cases(12.9%) metabolic in 2 cases(5.1%) congenital in 1 cases(2.6%) 5) In time interval between onset of symptom and treated initial date, 26 cases(66.7%) in below 10 days and 8 cases(20.5%) in 11-20 days 6) Correlation of recovery rate according to the treated duration did not differ significantly 7)Result after treatment were satisfactory
Journal of the Institute of Electronics Engineers of Korea SC
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v.48
no.4
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pp.47-53
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2011
The Electric Multiple Unit (EMU) has many types of door system such as sliding door, plug door etc.al. according to customer's requirements. The sliding door is widely used in Korea but has weak point in the noise problem. In the low operation speed, the noise coming from outer side of the EMU is not an important factor. As the speed is higher than before, noise is increased and make a problem. The main cause of noise is the imperfect air tightness in the EMU. The plug door system has advantages for the noise reduction characteristic in the high speed area. We have been developing electric plug-in door. The door is controlled by Door Control Unit(DCU) following the order of Automatic Train Protection (ATP) that is a kind of train signalling system. DCU has to simultaneously open and close the doors and the operation of it is related to the passengers safety. So DCU is a safety device that is important to reliability and safety. DCU is composed of several devices of control, motor driving, Input/Output, communication and power. In this paper, we will describe the functions, characteristic, requirement, subsystem and test results of DCU used for the electric plug-in door.
Purpose: In this study, a comparison was done of the extent of health-related quality of life (HRQoL) for preterm and fullterm children during early childhood, and factors affecting HRQoL in the early childhood of premature children were analyzed. Methods: Eighty mothers of children born prematurely and 83 mothers of children born at fullterm listed on two Internet cafes were sampled for this study. The major instrument used for the study was the TNO-AZL Preschool Quality Of Life (TAPQOL) questionnaire. Results: Total score for HRQoL in the premature group was 80.5 (${\pm}9.9$) and for the full term group, 85.0 (${\pm}8.3$), on a 100-point scale. A comparison of the premature group and full term group showed that the domains which scored relatively lower with respect to HRQoL included the stomach, motor function, anxiety, liveliness and communication. Among the factors that have an impact on HRQoL were 'length of stay in neonatal intensive care unit (${\geq}7$ days)' and 'birth weight (<1,000 gm)'. The explanation power of the model was 17%, which was statistically significant. Conclusion: These findings indicate that a differentiated premature infant follow-up program for children who are hospitalized over 7 days in NICU or weighed under 1,000g at birth is urgently needed.
Journal of the Korea Institute of Information and Communication Engineering
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v.13
no.12
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pp.2641-2646
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2009
The more growing on home automation system at automatic control, the more efficiency required for energy consumption and for recycling energy in near future. Heating is essential in general apartment. Heating method is two types in apartment. One uses electricity, and other one uses warm water. If use electricity, is not efficient by rise of electric charges. But, It can reduce much in expense aspect, if use warm water. When use warm water, temperature of warm water is not equal from all pipe parts. Therefore, indoor tempera can be unequal with set point. Solution of these problems is as following. Temperature sensor in warm water attach pipe. The measured temperature transmits by real time. Temperature of warm water controls in receiver side. In this paper, we propose an automatic temperature transmission system for the heating pipe at home, that is a low-power based, and supply the energy source from a small AC motor resided in bottom cement mortal. The proposed system is used in power mechanism from a collision process of water-jet using propeller water-difference and also designed a CPU module by Atmega8 at ATMEL co., Inc. and a communication module by CC1020 at Chipcon co., Inc.
Kim, Jungtai;Kim, Moo Sun;Ko, Kyeongjun;Jang, Dong Uk
Journal of the Korea Academia-Industrial cooperation Society
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v.16
no.11
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pp.7934-7940
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2015
The raise of the acceleration can be one of possible methods to increase the scheduled speed of the metropolitan railway system. It is possible to raise the acceleration to the some point by increasing the traction power of the motor. However, there is a limit of the acceleration because the traction power over some level related to the adhesion causes a slip, which prevents from accomplishing the target acceleration. The running resistance is also an important factor to consider. Both the adhesion and the running resistance as well as the traction power vary according to the velocity. Therefore, the standardization of the acceleration needs the analysis of these factors as a function of velocity. In this study, we focus on the advanced urban transit unit(AUTS) for the standardization. We derive a novel equation of the adhesion suitable for the AUTS by investigation of the traction and adhesion equation as well as the experiment data. And finally we propose the standard of the acceleration based on this analysis.
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