Purpose: To compare the time intervals to magnetic resonance imaging (MRI) and surgical treatment in patients having traumatic cervical spinal cord injury (SCI) with and without bony lesions. Methods: Retrospectively analyzed adult patients visited Kyungpook National University Hospital and underwent surgical treatment for cervical SCI within 24 hours. The patients who were suspected of having cervical SCI underwent plain radiography and computed tomography (CT) upon arrival. After the initial evaluation, we evaluated the MRI findings to determine surgical treatment. Waiting times for MRI and surgery were evaluated. Results: Thirty-four patients were included. Patients' mean age was 57 (range, 23-80) years. Patients with definite bony lesions were classified into group A, and 10 cases were identified (fracture-dislocation, seven; fracture alone, three). Patients without bony lesions were classified into group B, and 24 cases were identified (ossification of the posterior longitudinal ligament, 16; cervical spondylotic myelopathy, eight). Mean intervals between emergency room arrival and start of MRI were 93.60 (${\pm}60.08$) minutes in group A and 313.75 (${\pm}264.89$) minutes in group B, and the interval was significantly shorter in group A than in group B (p=0.01). The mean times to surgery were 248.4 (${\pm}76.03$) minutes in group A and 560.5 (${\pm}372.56$) minutes in group B, and the difference was statistically significant (p=0.001). The American Spinal Injury Association scale at the time of arrival showed that group A had a relatively severe neurologic deficit compared with group B (p=0.046). There was no statistical significance, but it seems to be good neurological recovery, if we start treatment sooner among patients treated within 24 hours (p=0.198). Conclusions: If fracture or dislocation is detected by CT, cervical SCI can be easily predicted resulting in MRI and surgical treatment being performed more rapidly. Additionally, fracture or dislocation tends to cause more severe neurological damage, so it is assumed that rapid diagnosis and treatment are possible.
This paper proposed the validity and necessity of establishing the Jungwon Historical and Cultural Area by reviewing the historical characteristics of the name Jungwon and its temporal and spatial range. We also explored ways to utilize the Jungwon historical and cultural Area under the Special Act on the Maintenance of Historical and Cultural Areas. Jungwon, which means the center of the country, has strategic value as a key area connecting the Korean Peninsula to the north and south through the Geripryeong and Jukryeong. It also includes Chungju, which connects the Namhan and Bukhan Rivers . From the Mahan period, the areas of Cheongju and Jincheon, the Miho Stream basin to the west, and Chungju to the east were closely connected to each other. Afterwards, Baekje, Koguryo, and Silla engaged in a fierce battle to occupy the Jungwon area. Jungwon culture was born through the negotiation and fusion of the cultures of the three kingdoms. In particular, Silla continued to value the Jungwon area, demonstrated by the installation of Seowongyeong in Cheongju and Bukwongyeong in Wonju, centering on the Jungwongyeong. Since we have a historical view with a focus on ancient kingdoms, we have overlooked the full value of the history and culture of Jungwon. We need to recognize the importance of Jungwon area and think about how to utilize it. Therefore, we suggested in this paper that there be more public information services on the cultural heritage of Jungwon, the historical heritage experience, and the education programs for local residents. The development and operation of Jungwon's history, culture, and tourism contents, as well as the various academic research papers should be used to reveal the identity of the Jungwon historical and cultural area.
A distillation column, which is a main facility of the chemical process, separates the desired product from a mixture by using the difference of boiling points. The distillation process requires the optimization and the prediction of operation because it consumes much energy. The target process of this study is difficult to operate efficiently because the composition of feed flow is not steady according to the supplier. To deal with this problem, we could develop a data-driven model to predict operating conditions. However, data preprocessing is essential to improve the predictive performance of the model because the raw data contains outlier and noise. In this study, after optimizing the predictive model based long-short term memory (LSTM) and Random forest (RF), we used a low-pass filter and one-class support vector machine for data preprocessing and compared predictive performance according to the method and range of the preprocessing. The performance of the predictive model and the effect of the preprocessing is compared by using R2 and RMSE. In the case of LSTM, R2 increased from 0.791 to 0.977 by 23.5%, and RMSE decreased from 0.132 to 0.029 by 78.0%. In the case of RF, R2 increased from 0.767 to 0.938 by 22.3%, and RMSE decreased from 0.140 to 0.050 by 64.3%.
This study conducts differential analysis on the financial positions of Korean shipping companies before and after the bankruptcy of the H carrier, looking specifically at their financial ratios, profit and loss patterns, and other factors related to their financial operation. Firstly, it was discovered that major measures of financial health, such as average assets per carrier, were not affected by the bankruptcy of the H carrier. However, despite this, most carriers experienced large changes in profits and losses, with total sales and shipping revenues averaging 424.5 billion won and 381.7 billion won respectively before the bankruptcy, but falling by half to 252.1 billion won and 234.6 billion won after the bankruptcy. Additionally, charter revenues and expenses also dropped by more than half. EBIT/sales and pre-tax revenue margins were also heavily affected after the bankruptcy, with both figures averaging 8% and 3% respectively before the bankruptcy, but falling into the negative range at -2% and -8% post-bankruptcy, resulting in significant deterioration in operational profitability. The study concludes that there is an urgent need to establish a global sales network, improve cost structures, and consistently secure stable cargo in order to increase Korean carriers' profitability. Of all financial measures, liquidity and total asset efficiency were identified as the most severely-impacted by the H carrier bankruptcy, thereby requiring the most pressing policy addressing.
Han, Eunah;Hwang, Hyuna;Yu, Gina;Ko, Dong Ryul;Kong, Taeyoung;You, Je Sung;Choa, Minhong;Chung, Sung Phil
Journal of The Korean Society of Clinical Toxicology
/
v.19
no.1
/
pp.1-7
/
2021
Purpose: The purpose of this study was to conduct a systematic review to investigate the socio-economic benefits of the poison control center (PCC) and to assess whether telephone counseling at the poison control center affects the frequency of emergency room visits, hospitalization, and length of stay of patients with acute poisoning. Methods: The authors conducted a medical literature search of the PubMed, EMBASE, and Cochrane Library databases. Two reviewers evaluated the abstracts for eligibility, extracted the data, and assessed the study quality using a standardized tool. Key results such as the cost-benefit ratio, hospital stay days, unnecessary emergency room visits or hospitalizations, and reduced hospital charges were extracted from the studies. When meta-analysis was possible, it was performed using RevMan software (RevMan version 5.4). Results: Among 299 non-duplicated studies, 19 were relevant to the study questions. The cost-benefit ratios of PCC showed a wide range from 0.76 to 36 (average 6.8) according to the level of the medical expense of each country and whether the study included intentional poisoning. PCC reduced unnecessary visits to healthcare facilities. PCC consultation shortened the length of hospital stay by 1.82 (95% CI, 1.07-2.57) days. Conclusion: The systematic review and meta-analysis support the hypothesis that the PCC operation is cost-beneficial. However, when implementing the PCC concept in Korea in the future, it is necessary to prepare an institutional framework to ensure a costeffective model.
Journal of the Korean Society of Marine Environment & Safety
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v.27
no.1
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pp.135-144
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2021
In this study, we investigated the characteristics of the process of hydrogen production using boil-of gas (BOG) generated from an LNG-fueled ship and the application of hydrogen fuel cell systems as auxiliary engines. In this study, the BOG steam reformer process was designed using the UniSim R410 program, and the reformer outlet temperature, pressure, and the fraction and consumption of the product according to the steam/carbon ratio (SCR) were calculated. According to the study, the conversion rate of methane was 100 % when the temperature of the reformer was 890 ℃, and maximum hydrogen production was observed. In addition, the lower the pressure, the higher is the reaction activity. However, higher temperatures have led to a decrease in hydrogen production owing to the preponderance of adverse reactions and increased amounts of water and carbon dioxide. As SCR increased, hydrogen production increased, but the required energy consumption also increased proportionally. Although the hydrogen fraction was the highest when the SCR was 1.8, it was confirmed that the optimal operation range was for SCR to operate at 3 to prevent cocking. In addition, the lower the pressure, the higher is the amount of carbon dioxide generated. Furthermore, 42.5 % of the LNG cold energy based on carbon dioxide generation was required for cooling and liquefaction.
YEOM, SANG HO;YUN, YOUNG HWA;CHOI, SEUNGWOOK;KWON, JIHEE;LEE, SECHAN;LEE, JAE HUN;LEE, CHANGSOO;KIM, MINJOONG;KIM, SANG-KYUNG;UM, SUKKEE;KIM, CHANG-HEE;CHO, WON CHUL;CHO, HYUN-SEOK
Journal of Hydrogen and New Energy
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v.32
no.6
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pp.442-454
/
2021
The porous transport layer (PTL) is essential to effectively remove oxygen and hydrogen gas from the electrode surface at high current density operation conditions. In this study, the effect of PTL with different characteristics such as pore size, pore gradient, interfacial coating was investigated by multi-layered sintered mesh. A water electrolysis single cell of active area of the 34.56 cm2 was constructed, and IV performance and impedance analysis were conducted in the range of 0 to 2.0 A/cm2. It was confirmed that the multi-layered sintered mesh PTL, which have an average pore size of 25 to 57 ㎛ and a larger pore gradient, removed bubbles effectively and thus seemed to improve IV performance. Also, it was confirmed that the catalytic metals such as Ni, NiMo coating on the PTL reduced activation overpotential, but increased mass transport overpotential.
This paper is about designing and implementing the simulation training equipment (simulator) for the CBRN Reconnaissance Vehicle-II (armor type). The simulation training equipment (simulator) is a military training equipment in a virtual environment that analyzes the training using various CBRN equipment according to the CBRN situation and make a professional report. The controller or training instructor can construct a scenario using the instructor control system for a possible CBRN situation, spread the situation, and observe the process of the trainee performing the propagated situation appropriately. All process can be monitored and analyzed by the system, and it can be recorded, so it is also used for AAR (After Action Review). To implement CBRN situation training in a virtual environment, instructor control (IOS), host (HOS), video (IGS), input/output device (IOC), and sound (ACS) were implemented, a long-range chemical automatic detector (LCA), a combined chemical detector (CAD), a control (MCC) and an operation (OCC) computer were developed as simulators. In this paper, the design and development of simulation training equipment for CBRN Reconnaissance Vehicle-II (armor type) was conducted, and the performance was verified through integrated tests and acceptance tests.
Kim, Jeong-Jin;Seok, Won-Gyun;We, Joon-Woo;Ahn, So-Hee
Journal of the Korea institute for structural maintenance and inspection
/
v.25
no.6
/
pp.154-160
/
2021
Recently, there have been increasing construction works carried out in urban centers, which are inducing frequent artificial vibration in the vicinity of existing structures due to such construction works. moreover, in case of industrial estates, vibration is induced due to operation of machines in the surrounding areas, thereby causing problems. meanwhile, in case of ordinary concrete that compose structure has low level of damping capability for vibration. accordingly, there are difficulties in blocking a wide range of vibrations delivered to the structures from outside including not only vibrations generated in the structures themselves but also ground vibration. recently, numerous studies are being carried out actively on high-damping system that markedly enhanced the damping performances of structures by utilizing polymer concrete in order to block the vibrations delivered to the structures through ground. therefore, this study compared the performances of polymer concrete with those of ordinary concrete, polyurethane pad and foamed rubber pad in order to review its performances in reducing ground vibration. for this purpose, review of FRF and vibration acceleration as dynamic characteristics was made. after comparative verification on the dynamic characteristics is made when polymer concrete and other aforementioned materials are applied to underground structures, the possibility of application of polymer concrete to structures is reviewed.
Background: Surgical repair of partial anomalous pulmonary venous return (PAPVR) to the superior vena cava (SVC) using the Warden procedure has favorable outcomes. However, there remain some concerns after the Warden procedure, such as sinoatrial nodal dysfunction and systemic or pulmonary venous stenosis. We investigated the outcomes of the Warden procedure for repair of PAPVR to the SVC. Methods: This retrospective study included 22 consecutive patients who underwent the Warden procedure for PAPVR between 2002 and 2018. The median age and body weight at operation were 27.5 months (interquartile range [IQR], 5.0-56.8 months) and 13.2 kg (IQR, 6.5-16.0 kg), respectively. The median follow-up duration was 6.2 years (IQR, 3.5-11.6 years). Results: There were no cases of early or late mortality. No patients had postoperative heart rhythm problems, except 1 patient who showed transient sinoatrial nodal dysfunction in the immediate postoperative period. Procedure-related complications requiring reintervention occurred in 5 patients, including 3 of 4 SVC stenosis cases and 2 pulmonary venous stenosis cases during follow-up. The rate of freedom from reintervention related to the Warden procedure was 75.9% at 10 years. Conclusion: In cases requiring extension or creation of an atrial septal defect to achieve a sufficient venous pathway, or interposition of an entire circumferential conduit between the SVC and right atrium due to the shortness of the SVC in the Warden procedure, stenotic complications of the venous pathway occurred. Careful observation of changes in the pressure gradient or anatomical stenosis is required in such patients.
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