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Why do Multiple-trauma Patients Stay Longer in the Intensive Care Unit?; - A Comparison of Injury Severity Score and The Number of Injured Regions - (어떤 다발성 외상환자가 중환자실에 오래 있게 되는가?; Injury severity score와 손상부위 수의 비교)

  • Jo, Mu Jin;Lee, Seong Hwa;Cho, Seok Ju;Yeom, Seok Ran;Han, Sang Kyoon;Park, Sung Wook;Lee, Dae Seop
    • Journal of Trauma and Injury
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    • v.26 no.2
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    • pp.47-52
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    • 2013
  • Purpose: Injury severity score (ISS), a widely used scoring system, is used to define the severity of trauma in multiple-trauma patients. Nevertheless, ISS cut-off value for predicting the outcome of multiple-trauma patients has not been confirmed. Thus, this study was performed to determine the more useful method for predicting the outcome for multiple-trauma patients: the ISS or the number of anatomical Abbreviated injury scale (AIS) injury regions. Methods: for 195 consecutive patients who a regional emergency medical center, we analyzed the ISS and the number of anatomical AIS injury region. The patients were divided into four groups based on the ISS and the number of anatomical AIS regions. We compared intensive-care-unit (ICU) admission days and hospitalization days and ICU stay ratio (ICU admission days/hospitalization days) between the four groups. Results: In the groups with an ISS more than 17, the results were not significantly different statistically the group with 2 anatomical AIS injury regions and more than 3 anatomical AIS injury regions. Also, in the group with an ISS of 17 or less, the results were the same as those for patients with an ISS more than 17 (p>0.05). Among the patients with 2 anatomical AIS injury regions, patients with an ISS more than 17 patients had more ICU admission days and a higher ICU stay ratio than patients with an ISS 17 or less. Also, Among the patients with 3 anatomical AIS injury regions, the results were the same as those for patients with 2 anatomical AIS injury regions. Conclusion: Patients with high ISS, regardless of the number of anatomical AIS injury regions had significantly longer ICU stays and higher ICU admission ratio. Thus, the ISS may be a better method than the number of anatomical AIS injury regions for predicting the outcomes for multiple-trauma patients.

A Study of Driver's Response to Variable Message Sign Using Evolutionary Game Theory (진화 게임을 이용한 VMS 정보에 따른 운전자의 행태 연구)

  • Kim, Joo Young;Na, Sung Yong;Lee, Seungjae;Kim, Youngho
    • Journal of Korean Society of Transportation
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    • v.32 no.5
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    • pp.554-566
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    • 2014
  • An objective of VMS(Variable Message Signs) is to make transportation system effective specifically for driver's path selection. The traffic solutions including a VMS problem can be modeled through Game Theory, however, the majority of the studies can not model various driver's response according to VMS information in game theory. So, this paper tries to analyze a driver's response according to VMS traffic informations through evolutionary game theory. We apply a behavior characteristics of driver to evolutionary game theory, then finds drivers are only accepting in case of the biggest pay-off, and if a traffic flow finds a balance over time, ratio of accepting information is converged as an evolutionary stable state gradually. Consequently, the strategy of the other drivers such as traffic problems can not be predicted accurately. In case, drivers repeat between groups and reasonable judgment by the experience, we expect that VMS can provide strategic information through evolutionary game theory.

Conceptual Source Design and Dosimetric Feasibility Study for Intravascular Treatment: A Proposal for Intensity Modulated Brachytherapy (혈관내 방사선치료를 위한 이론적 선원 설계 및 선량적 관점에서의 적합성 연구: 출력변조를 이용한 근접치료에 대한 제안)

  • Kim Siyong;Han Eunyoung;Palta Jatinder R.;Ha Sung W.
    • Radiation Oncology Journal
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    • v.21 no.2
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    • pp.158-166
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    • 2003
  • Purpose: To propose a conceptual design of a novel source for intensity modulated brachytherapy. Materials and Methods: The source design incorporates both radioactive and shielding materials (stainless steel or tungsten), to provide an asymmetric dose intensity in the azimuthal direction. The intensity modulated intravascular brachytherapy was performed by combining a series of dwell positions and times, distributed along the azimuthal coordinates. Two simple designs for the beta-emitting sources, with similar physical dimensions to a $^{90}Sr/Y$ Novoste Beat-Cath source, were considered in the dosimetric feasibility study. In the first design, the radioactive and materials each occupy half of the cylinder and in the second, the radioactive material occupies only a quater of the cylinder. The radial and azimuthal dose distributions around each source were calculated using the MCNP Monte Carlo code. Results: The preliminary hypothetical simulation and optimization results demonstrated the 87$\%$ difference between the maximum and minimum doses to the lumen wall, due to off-centering of the radiation source, could be reduced to less than 7$\%$ by optimizing the azimuthal dwell positions and times of the partially shielded intravascular brachytherapy sources. Conclusion: The novel brachytherapy source design, and conceptual source delivery system, proposed in this study show promising dosimetric characteristics for the realization of intensity modulated brachytherapy in intravascular treatment. Further development of this concept will center on building a delivery system that can precisely control the angular motion of a radiation source in a small-diameter catheter.

Optimization of Water Reuse System under Uncertainty (불확실성을 고려한 하수처리수 재이용 관로의 최적화)

  • Chung, Gun-Hui;Kim, Tae-Woong;Lee, Jeong-Ho;Kim, Joong-Hoon
    • Journal of Korea Water Resources Association
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    • v.43 no.2
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    • pp.131-138
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    • 2010
  • Due to the increased water demand and severe drought as an effect of the global warming, the effluent from wastewater treatment plants becomes considered as an alternative water source to supply agricultural, industrial, and public (gardening) water demand. The effluent from the wastewater treatment plant is a sustainable water source because of its good quality and stable amount of water discharge. In this study, the water reuse system was developed to minimize total construction cost to cope with the uncertain water demand in future using two-stage stochastic linear programming with binary variables. The pipes in the water reuse network were constructed in two stages of which in the first stage, the water demands of users are assumed to be known, while the water demands in the second stage have uncertainty in the predicted value. However, the water reuse system has to be designed now when the future water demands are not known precisely. Therefore, the construction of a pipe parallel with the existing one was allowed to meet the increased water demands in the second stage. As a result, the trade-off of construction costs between a pipe with large diameter and two pipes having small diameters was evaluated and the optimal solution was found. Three scenarios for the future water demand were selected and a hypothetical water reuse network considering the uncertainties was optimized. The results provide the information about the economies of scale in the water reuse network and the long range water supply plan.

A Novel Approach for Controlling Process Uniformity with a Large Area VHF Source for Solar Applications

  • Tanaka, T.
    • Proceedings of the Korean Vacuum Society Conference
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    • 2011.08a
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    • pp.146-147
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    • 2011
  • Processing a large area substrate for liquid crystal display (LCD) or solar panel applications in a capacitively coupled plasma (CCP) reactor is becoming increasingly challenging because of the size of the substrate size is no longer negligible compared to the wavelength of the applied radio frequency (RF) power. The situation is even worse when the driving frequency is increased to the Very High Frequency (VHF) range. When the substrate size is still smaller than 1/8 of the wavelength, one can obtain reasonably uniform process results by utilizing with methods such as tailoring the precursor gas distribution by adjustingthrough shower head hole distribution or hole size modification, locally adjusting the distance between the substrate and the electrode, and shaping shower head holes to modulate the hollow cathode effect modifying theand plasma density distribution by shaping shower head holes to adjust the follow cathode effect. At higher frequencies, such as 40 MHz for Gen 8.5 (2.2 m${\times}$2.6 m substrate), these methods are not effective, because the substrate is large enough that first node of the standing wave appears within the substrate. In such a case, the plasma discharge cannot be sustained at the node and results in an extremely non-uniform process. At Applied Materials, we have studied several methods of modifying the standing wave pattern to adjusting improve process non-uniformity for a Gen 8.5 size CCP reactor operating in the VHF range. First, we used magnetic materials (ferrite) to modify wave propagation. We placed ferrite blocks along two opposing edges of the powered electrode. This changes the boundary condition for electro-magnetic waves, and as a result, the standing wave pattern is significantly stretched towards the ferrite lined edges. In conjunction with a phase modulation technique, we have seen improvement in process uniformity. Another method involves feeding 40 MHz from four feed points near the four corners of the electrode. The phase between each feed points are dynamically adjusted to modify the resulting interference pattern, which in turn modulate the plasma distribution in time and affect the process uniformity. We achieved process uniformity of <20% with this method. A third method involves using two frequencies. In this case 40 MHz is used in a supplementary manner to improve the performance of 13 MHz process. Even at 13 MHz, the RF electric field falls off around the corners and edges on a Gen 8.5 substrate. Although, the conventional methods mentioned above improve the uniformity, they have limitations, and they cannot compensate especially as the applied power is increased, which causes the wavelength becomes shorter. 40 MHz is used to overcome such limitations. 13 MHz is applied at the center, and 40 MHz at the four corners. By modulating the interference between the signals from the four feed points, we found that 40 MHz power is preferentially channeled towards the edges and corners. We will discuss an innovative method of controlling 40 MHz to achieve this effect.

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Study on the Damage Mechanism by Salt of White Porcelain Figurine in Underglaze Iron (백자 철화 인물형 명기의 염 손상 메커니즘 연구)

  • Lee, Sun Myung;Jin, Hong Ju;Yun, Ji Hyeon;Kwon, Oh Young
    • Journal of Conservation Science
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    • v.36 no.5
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    • pp.368-382
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    • 2020
  • It was confirmed that a white porcelain figurine in underglaze iron was damaged after exhibition. This study analyzes the current state of salt damage on the artifact and identifies the factors contributing to its deterioration by examining the material characteristics of the artifact and exhibition environment. The analysis will thus assist in preparing a conservation scheme for artifacts. The crystallized carbonate on the surface of the white porcelain figurine is a water-soluble alkali salt with high hygroscopicity and high solubility in water. This solubility increases as the temperature increases. The figurine was low-fired at approximately 1000℃. A lead glaze was applied, and thin cracks were formed on the glazed surface, indicating poor surface properties. Our analysis suggested that the showcase used in the exhibition likely created a moist environment resulting from condensation, as it was exposed to high temperature and relative humidity, particularly in comparison to the exhibition room where the temperature was regulated using an air conditioner. In addition, the artifacts in the showcase were exposed to sudden changes in temperature and relative humidity as the air conditioner was repeatedly turned on and off. Therefore, it can be deduced that the soluble salt remaining on the white porcelain figurine moved toward the surface of the relatively weak glaze as a result of the temperature, and the crystallized salt exacerbated surface damage as the moisture evaporated in a dry environment.

Studies on the Behaviour of Fish Schools in the Main-Net of a Large Scale Set-Net Using a Scanning Sonar ( III ) - The Behaviour of Anchovy Engraulis Japonica Sonar-III (소나 관찰에 의한 대형정치망내 어군행동의 연구 ( III ) - 원통내 멸치어군의 행동과 원통의 기능)

  • Kim, Mung-Kwan;Inoue, Yoshihiro;Park, Jeong-Sik
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.32 no.3
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    • pp.217-222
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    • 1996
  • The moving behaviour of anchovy schools(There were small schools of sardine and round-herring in this anchovy schools} in the bag - net of a large scale set - net was investigated using a scanning sonar, in the Kishihata set - net fishing ground located in Nanao city Ishigawa prefecture, Japan from Dec. 1st to Dec. 4th, 1992. The results obtained are summarized as follows ; 1. Moving behaviour of fish schools between two bag - nets was more in the daytime than in the nighttime. 2. The rate of entering fish schools from the first bag -- net to the second bag - net were 78% when the fish school in the second bag -- net existed. The result suggest that fish school existence in the second bag - net affected the rate of entering fish schools from the first bag - net to the second- bag - net. However, the time of stay of fish school that entered the second bag -- net was very short when the fish school in the second bag - net existed densely. The result suggest that a high fish density in the second bag - net might enlarge the escape rate 3. The majority of fish schools moved to the center and off shore side of the bag - net when fish schools entered the bag - net.

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A Study on the Estimation of Energy Expenditure and falls measurement system for the elderly (고령자를 위한 에너지 소비 추정 및 낙상 측정 시스템에 관한 연구)

  • Lim, Chae-Young;Jeon, Ki-Man;Ko, Kwang-Cheol;Koh, Kwang-Nak;Kim, Kyung-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.4
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    • pp.1-9
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    • 2012
  • As we are turnning into the aged society, accidents by falling down are increasing in the aged people's group. In this paper, we design the system with the 3-Axis acceleration sensor which is composed by a single chip. The body activity signal is measured with the signal detector and RF communicator in this proposed system and the and falling by the entering signal pattern analysis with 3-Axis acceleration sensor. For the RF communication, we are using nRF24L01p and 8bits ATmega uC for the processor. The error of energy expenditure estimation between motor driven treadmill and proposed a body activity module was 7.8% respectively. Human activities and falling is monitored according to analyze and judge the critical value of the Signal Vector. as falled down if they don't turn off the alarm after specific period and the aged person's after falling down activities are their position and more.

A Study on the Range of Damage Effects of Benzene Leakage Accidents using the KORA Program (KORA 프로그램을 활용한 벤젠 누출사고 피해영향범위에 관한 연구)

  • Cha, Jeong-Min
    • Fire Science and Engineering
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    • v.33 no.4
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    • pp.112-120
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    • 2019
  • Benzene is a class 4 hazardous material according to the Act on the Safety Control of Hazardous Substances. This study qualitatively evaluated the damage size of a "toxic" accident and "pool fire" accidents based on benzene in a virtual scenario of a fire and leakage accident during unloading at a port facility. The KORA program was used as an evaluation method, which is supported as a universal program by the National Institute of Chemical Safety. The range of damage effects of a benzene-induced fire and leakage accident was predicted. In the case of toxic damage range, the accident's damage effect range for the "worst case scenario" was reduced by up to 5.11% with a decrease in the size of the leakage hole. In the case of the leakage time, the damage effect range increased to 145.12% with a 10 min leakage time compared to that of a 5 min leakage time and went up to 20 min (212.29%) with a 20 min leakage time. In the case of pool-fire-induced damage, the damage effect range by radiant heat in the "worst case scenario" was 228.8 m in radius from the center of the handling facility. In the "alternative scenario," the damage effect range by radiant heat was reduced by up to 8.26% compared to that in the "worst case scenario" since the size of the leakage hole was decreased by reducing the cross-sectional area of the pipe.

Deterioration Analysis and Source Area on Rock Properties of the Seokgatap Pagoda in the Bulguksa Temple, Korea (불국사 석가탑의 풍화훼손도 분석 및 기원암의 산지추정)

  • Lee, Myeong-Seong;Lee, Chan-Hee;Suh, Man-Cheol;Choi, Seok-Won
    • 한국문화재보존과학회:학술대회논문집
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    • 2004.10a
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    • pp.15-24
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    • 2004
  • The Seokgatap pagoda composed of mainly alkali granite and other minor pink-feldspar granite, fine-grained granite, granodiorite, diorite, gabbro, and tuff. Despite the small loss and damage derived from joints, its peel-off and exfoliation are serious enough to cause the heavy deterioration on the stone surface. The chemical and petrological weathering has partly replaced the original rock-forming minerals with clay minerals and iron oxyhydroxides. Based on the petrogenesis, rock materials of the pagoda is very similar to rocks of Dabotap pagoda and the Namsan granite in the Gyeongju. The central fart of the pagoda has sunken highly, which caused all the corners to split and the structural transformation to become worse. The reverse V-shaped gaps between the materials have broken stones filled in a coarse way. The iron plates inserted between the upper flat stone laid on other stones and tile pagoda body in the north and east side has been exposed in the air and corroded, discoloring of the adjacent stones. The overall diagnosis of the Seokgatap pagoda is the deteriorated functions of the stone materials, which calls for a long-term monitoring and plans to reinforce the stone surfaces. But the main body including the pagoda roof stone needs washing on a regular basis, and the many different cracks should be fixed with glue by using the fillers or hardeners designed for stone cultural properties after removing the cement mortar. In case of the replacement of the stone materials with new stones, it's necessary to examine the pagoda for the center of gravity and support intensity of the materials. The structural stability of the pagoda can be attained by taking a reinforce measure in geotechnical engineering and making a drainage. The ground humidity, which has aggravated weathering and structural instability, should be resolved by setting up a humidity reduction facility. The contamination of lichens and bryophyte around the pagoda and on the surface is serious. Thus biochemical treatments should be given too in order to prevent further biological damages and remove the vegetation growing on the discontinuous planes.

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