• 제목/요약/키워드: Regional transfer center

검색결과 56건 처리시간 0.033초

Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South Korea

  • Jung, Joo Sung;Kang, Dong Hee;Lim, Nam Kyu
    • Archives of Plastic Surgery
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    • 제47권3호
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    • pp.223-227
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    • 2020
  • Background After the laws regulating emergency medicine were amended in 2012, regional trauma centers were established in South Korea. Plastic surgeons specialize in the simultaneous surgical care of patients with facial trauma, burns, and complicated wounds. The objective of this study was to evaluate the role of the plastic surgery department in treating severe trauma patients. Methods From January 2012 to December 2018, we enrolled 366 severe trauma patients with an Injury Severity Score (ISS) over 15 who received treatment by specialists in the plastic surgery department. Of these patients, 298 (81.4%) were male, and their mean age was 51.35 years (range, 6-91 years). The average ISS was 22.01 points (range, 16-75 points). Results The most common diagnosis was facial trauma (95.1%), and facial bone fracture (65.9%) was most common injury within this subgroup. Patients were referred to 1.8 departments on average, with the neurosurgery department accounting for a high proportion of collaborations (37.0%). The most common cause of trauma was traffic accidents (62.3%), and the average length of stay in the general ward and intensive care unit was 36.90 and 8.01 days, respectively. Most patients were discharged home (62.0%) without additional transfer or readmission. Conclusions Through this study, we scoped out the role of the specialty of plastic surgery in the multidisciplinary team at regional trauma centers. These results may have implications for trauma system planning.

요소 중심의 네트워크 접근법을 이용한 부정정 트러스 구조 해석 (Analysis of Indeterminate Truss Structures by Element-Focused Network Approach)

  • 한이철
    • 한국농공학회논문집
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    • 제58권3호
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    • pp.13-19
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    • 2016
  • Element-focused network analysis method for truss structure is proposed. The propagation process of loads from external loads to connected other elements is similar to that of connections between nodes in accordance with attachment rule in a network. Here nodes indicate elements in a truss structure and edges represent propagated loads. Therefore, the flows of loads in a truss structure can be calculated using the network analysis method, and consequently the structure can also be analyzed. As a first step to analyze a truss structure as a network, we propose a local load transfer rule in accordance with the topology of elements, and then analyze the loads of the truss elements. Application of this method reveal that the internal loads and reactions caused by external loads can be accurately estimated. Consequently, truss structures can be considered as networks and network analysis method can be applied to further complex truss structures.

미세수술로 복합조직 이식술을 이용한 두경부 종양의 재건 (Microsurgical Composite Tissue Transplantation in Reconstruction of the Head and Neck Tumor)

  • 오석준
    • 대한두경부종양학회지
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    • 제1권1호
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    • pp.63-74
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    • 1985
  • Although regional and myocutaneous flaps are still the standard in head and neck reconstruction. The capacity to transfer distant tissues by microsurgical technique expands the reconstructive surgeon's ability to restore severe deformities of the head and neck. From 1981 to 1985, thirteen patients with extensive defects of the head and neck after extirpative surgery of tumor have been reconstructed utilizing the technique of microsurgical composite tissue transplantation. In this series of patients, six presented with reconstructions in the different region of the head and neck with review of literatures. The results of case analysis are summarized as follows: 1) Transplantation was successful in twelve among thirteen patients (92%). 2) Seven patients presented with malignancy and six with benign tumor. 3) Frequent sites of reconstruction were face and mandible. 4) Fourteen free composite tissue transplantations for reconstruction of thirteen patients were obtained six different tissue compositions from eight different donor sites. 5) The recipient artery and vein was most often superficial temporal or facial vessels. 6) The average time of operation was ten hours.

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고분자 필름의 두께변화에 따른 열전소자의 출력 특성변화에 관한 연구 (Research on the Output Characteristic of Thermoelectric Module according to the thickness variation of Polymer Pad)

  • 장호성;김재정;김인관;김영수
    • 대한설비공학회:학술대회논문집
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    • 대한설비공학회 2006년도 하계학술발표대회 논문집
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    • pp.976-981
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    • 2006
  • In case of attaching thermoelectric module and heat source, the polymer pad is attached on the $Al_2O_3$ plate, which is cooling side of thermoelectric module, in order to enhance mechanical safety of the system. It is impossible to calculate the exact distribution of temperature and flow pattern of inner gap of thermoelectric module. Therefore CFD(Computational Fluid Dynamics) analysis was executed to determine the thermo-fluid phenomena and distribution by Fluent. As the result of these analysis, heat transfer was dominated by conduction and the difference of temperature was linear distribution according to the thickness of polymer sheet.

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MODIS AEROSOL RETRIEVAL IN FINE SPATIAL RESOLUTION FOR LOCAL AND URBAN SCALE AIR QUALITY MONITORING APPLICATIONS

  • Lee, Kwon-Ho;Kim, Young-Joon
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2005년도 Proceedings of ISRS 2005
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    • pp.378-380
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    • 2005
  • Remote sensing of atmospheric aerosol using MODIS satellite data has been proven to be very useful in global/regional scale aerosol monitoring. Due to their large spatial resolution of $10km^2$ MODIS aerosol optical thickness (AOT) data have limitations for local/urban scale aerosol monitoring applications. Modified Bremen Aerosol Retrieval (BAER) algorithm developed by von Hoyningen-Huene et al. (2003) and Lee et al. (2005) has been applied in this study to retrieve AOT in fe resolutions of $500m^2$ over Korea. Look up tables (LUTs) were constructed from the aerosol properties based on sun-photometer observation and radiation transfer model calculations. It was found that relative error between the satellite products and the ground observations was within about $15\%$. Resulting AOT products were correlated with surface PMIO concentration data. There was good correlation between MODIS AOT and surface PM concentration under certain atmospheric conditions, which supports the feasibility of using the high-resolution MODIS AOT for local and urban scale air quality monitoring

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화학물질배출이동량 자료를 활용한 화학물질배출량 및 유해기반지수 정량화와 시공간 특성 연구 (A Study on the Spatiotemporal Characteristics of Chemical Discharges and Quantified Hazard-Based Result Scores Using Pollutant Release and Transfer Register Data)

  • 임유라;간순영;배현주
    • 한국환경보건학회지
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    • 제48권5호
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    • pp.272-281
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    • 2022
  • Background: The constant consumption of chemical products owing to expanding industrialization has led to an increase in public interest in chemical substances. As the production and disposal processes for these chemical products cause environmental problems, regional information on the hazard level of chemical substances is required considering their effects on humans and in order to ensure environmental safety. Objectives: This study aimed to identify hazard contribution and spatiotemporal characteristics by region and chemical by calculating a hazard-based result score using pollutant release and transfer register (PRTR) data. Methods: This study calculated the chemical discharge and hazard-based result score from the Risk-Screening Environmental Indicators (RSEI) model, analyzed their spatiotemporal patterns, and identified hotspot areas where chemical discharges and high hazard-based scores were concentrated. The amount of chemical discharge and hazard-based risk scores for 250 cities and counties across South Korea were calculated using PRTR data from 2011 to 2018. Results: The chemical discharge (high densities in Incheon, Daegu, and Busan) and hazard-based result scores (high densities in Incheon, Chungcheongnam-do, and some areas of Gyeongsangnam-do Province) showed varying spatial patterns. The chemical discharge (A, B) and hazard-based result score (C, D) hotspots were identified. Additionally, identification of the hazard-based result scores revealed differences in the type of chemicals contributing to the discharge. Ethylbenzene accounted for ≥80% of the discharged chemicals in the discharge hotspots, while chromium accounted for >90% of the discharged chemicals in the hazard-based result score hotspots. Conclusions: The RSEI hazard-based result score is a quantitative indicator that considers the degree of impact on human health as a toxicity-weighted value. It can be used for the management of industries discharging chemical substances as well as local environmental health management.

중증 외상 특성화 센터에서 사망률에 영향을 미치는 인자 분석 (Factors Contributing to Mortality for Patients at a Newly-designated Regional Trauma Center)

  • 장익완;김훈;신희준;전우찬;박준민;신동운;박준석;김경환;박제훈;최승운
    • Journal of Trauma and Injury
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    • 제25권4호
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    • pp.188-195
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    • 2012
  • Purpose: An increase in the demand for specialized Trauma Centers led to a government-driven campaign, that began in 2009. Our hospital was selected as one of the Trauma Centers, and we reviewed data on trauma patients in order to correlate the mortality at a regional Trauma Center with its contributing factors, such as the severity of the injury, the means of arrival, and the time duration before arrival at our center. Methods: Data on the patients who visited our Trauma Center from January 2010 to November 2011 were retrospectively reviewed using electronic medical records. The patients who had revised trauma scores (RTSs) less than 7 or injury severity scores (ISSs) greater than 15 were included. The patients were categorized as survivors and non-survivors, and the means of arrival as transferred or visited directly. Time durations before arrival of less than one hour were also taken intoconsideration. Results: Two hundred(200) patients were enrolled, and the mortality rate was 36.5%. The most common cause of the accident was an automobile accident, and the most common cause of death was brain injury. The RTSs and the ISSs were significantly different in the non-survivor and the survivor groups. The mortality rate of the patients who were transferred was not statistically different from that of patients who visited directly. However, a time duration before arrival of less than one hour was statistically meaningful. Conclusion: The prognosis of the trauma patients were correlated with the severity of the trauma as can be expected, but the time between the incidence of accident and the arrival at hospital and whether the presence of transfer to trauma center were not statistically significant to the prognosis.

조숙, 다수성, 올레인산 고함유 유채 신품종 '조망' (A New F1 Hybrid Variety of Rapeseed (Brassica napus L.), 'Jomang' with Early Maturation, High Yield and High Oleic Acid)

  • 김광수;장영석;이영화;조현준;방진기;서세정
    • 한국육종학회지
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    • 제42권3호
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    • pp.236-240
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    • 2010
  • '조망'은 조숙, 다수성이며 바이오디젤 생산 및 식용으로 이용이 가능한 유채로 2006년에 웅성불임인 목포-CGMS와 임성회복환분친인 8634-B-1-3-1-8을 교배하여 생산력검정시험(2007, 2008)과, 지역적응시험(2008)을 거쳐, 2008년에 육성된 품종이다. '조망'의 엽형은 하부익상전렬, 엽색 및 줄기색은 녹색, 결각은 중간이며 꽃색은 황색, 종피색은 흑색이다. '조망'의 성숙일는 6월 3일로 '선망'보다 1일, '탐미유채'보다는 4일 정도 빠르다. 지역적응시험시험 결과, '조망'의 수량은 10a 당 406 kg으로 같은 1대잡종인 '선망'에 비해 7%, 고정종인 '탐미유채'에 비해 42% 증수되었다. '조망'의 기름함량은 44.5%이고, 지방산 중 에루신산은 없는 반면, 올레인산의 함량은 68.2%로 '탐미유채'와 '선망'에 비해 각각 3.4%, 5.1% 높아져 바이오디젤 생산용으로 적합하였다. 글루코시놀레이트 함량은 2.31 mg/g으로 국제허용기준치인 3.0 mg/g 이하였다. '조망'은 전남, 전북, 경남 및 제주도를 포함하는 우리나라의 서남부지역에서 재배에 적합한 품종이다.

기상청 전구 수치예보모델을 활용한 Himawari-8/AHI 청천복사휘도 편차 특성 분석 (Bias Characteristics Analysis of Himawari-8/AHI Clear Sky Radiance Using KMA NWP Global Model)

  • 김보람;신인철;정주용;정성훈
    • 대한원격탐사학회지
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    • 제34권6_1호
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    • pp.1101-1117
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    • 2018
  • 청천복사휘도는 히마와리-8호 정지궤도 기상위성에서 제공되는 주요 산출물 중의 하나로서, 자료동화 과정을 통해 수치예보 정확도 향상에 기여한다. 특히, 청천복사휘도는 대기운동벡터와 함께 대기 상층에서 자료동화의 효과를 보인다. 본 연구에서는 히마와리-8호 청천복사휘도의 편차 특성 분석과 평가를 통해 자료를 활용하는 사용자에게 정보를 제공해주고, 효과적으로 자료를 사용할 수 있도록 수치예보모델자료를 활용한 편차와 불확실성을 계산하였다. 일본 기상청에서 제공되는 청천복사휘도를 관측 자료로 사용하였고, 17 km 공간해상도의 기상청 전구 모델 Unified Model(UM) 자료와 복사전달모델 RTTOV-v11.2를 이용하여 청천복사휘도를 모의하였다. 먼저, 관측자료의 특성을 파악하고 관측자료와 모의된 청천복사휘도의 채널별 편차특성을 분석하였다. 전반적인 결과는 히마와리-8호 위성의 세 개의 수증기 채널(6.2, 6.9, $7.3{\mu}m$)에서는 양의 편차를 보인 반면에 대기창 적외 채널(10.4, 11.2, $12.4{\mu}m$)에서는 음의 편차를 보였다. 또한 분석결과는 계절과 영역에 따라 상이하게 나타났으며, 특히 사막이나 고지대 지역의 편차 특성이 뚜렷하게 나타났다. 이를 통해 청천복사자료를 활용할 때 시공간적인 특성을 고려해야 함을 확인할 수 있었다. 본 연구의 결과는 히마와리-8호 AHI의 청천복사휘도를 자료동화 할 때 전처리 과정에서 유용하게 활용될 수 있을 것이며, 2018년에 발사된 천리안-2A호의 산출물 활용에도 도움이 될 것으로 기대한다.

환태평양 시대의 부산항 물류산업 합리화 (The Rationalization of PDM in Pusan Port for the Period of Round Pacific Area)

  • Park, S. Y.;Park, C. S.
    • 한국항만학회지
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    • 제6권1호
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    • pp.93-110
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    • 1992
  • The most change in this century is supposed to be declination of ideology, and block of world economy. Addition to down full of cold war atmosphere around Northeast Asia, not only economic and social mood in this region is dramatically changed, but also it gave birth to the block of Northeast economy that accerlated new hub of world economy. According to dramatic change of economic surroundings the dynamic potential of growth in this region will be guided to enlarge inter-regional trade and increase volume of trade, thus suggests to grow steadily transportation. cargos in this region will have to arrange the system of delivery and inner transportation, accessary facilities, inter-regional harbors if North America and EC has connected easily. As have accerlated GATT and UR represented multilateralism and regionalism, it has regulated to increase trades of region due to relief of the trade barrier through specific areas has agreed with separately. The flow of regionalism of world economy has appeared to realize EC and NAFTA centered U.S.A, and also has presented to free trade region or one-size market agreement in Asia as APEC, EAEG in Malaysia, and etc. In defense to this block and internationalism of world economy, Pusan has to come forward to the hub of Northeast others has proposed a project to dominate the Northeast, Economy Association Agreement as Far East comprehensive development project in USSR, Hunchun development project in NK, and East Sea development project in PRC, Niigate regional development in Japan, Duman River development project in NK, and East Sea development project in Korea. As this exercise has proceed, Pusan also have arranged development strategy definitely and prepared provisions systematically. Engaging to participate center of delivery system is meant to be completed complex functions, namely the transfer storage processing & assembly function of international commodity. Pusan has ability to be terminal point of TSR. it had been connected to EC as the biggest economy block and TKR as complex transportation root to Far East, it would be the center of inground and seabase delivery terminal to Rotterdom as the biggest container pier and major piers to North-East and South East Asia. In order to provide a Role of 21 century's internationalization, Pusan has appealed to participate in management information research and development connected to Pohang-Ulsan-Changwon-Masan, and has utilized efficiently the resources such as man, material, money and information.

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