• Journal of Energy Engineering
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• v.28 no.3
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• pp.10-17
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• 2019

According to South Korea's policy of supplying eco-friendly hydrogen vehicles, related industries are actively conducting research on the development of hydrogen cars and hydrogen charging station infrastructure. On the other hand, there is a lack of empirical research and assessment of the risk of non-metallic materials (such as liners, seals, gaskets) for classified materials that directly affect the durability and reliability of hydrogen vehicles and hydrogen charging stations. In this study, the risk factors for liners and seals of non-metallic parts used in high-pressure hydrogen installations were derived using FMEA, and the RPN values were calculated by converting the severity, frequency of occurrence and degree of detection into scores. The maximum value of the RPN 600, minimum value 63, average value 278.5 was calculated and periodic control of the liner and seal was identified as important. In addition, through hydrogen soakage and oxygen aging tests for non-metallic rubber products, physical test values that can be used as basic data were presented.

• Clinical and Experimental Pediatrics
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• v.62 no.4
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• pp.138-143
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• 2019

Purpose: Prognostic factors of coronary aneurysms in Kawasaki disease have been investigated in many studies. The aim of this study was to identify risk factors associated with early and late coronary artery outcomes in treated patients with Kawasaki disease. Methods: A total of 392 patients diagnosed with Kawasaki disease from January 2012 to December 2015 in Pusan National University Children's Hospital were retrospectively selected as subjects of the present study to determine risk factors for coronary aneurysms and persistence of coronary aneurysms after a 1-year follow-up. Results: Coronary aneurysms were detected in 30 of 392 patients within 1 month after the occurrence of Kawasaki disease. Coronary aneurysms persisted in 5 of 30 patients after a 1-year follow-up. A long duration of fever (adjusted odds ratio [OR], 1.47; 95% confidence interval [CI], 1.06-2.02; P=0.018) and high platelet count (adjusted OR, 1.00; 95% CI, 1.00-1.01; P=0.009) were found to be independent factors to predict the development of coronary aneurysms in the early phase. Initial coronary severity (adjusted OR, 46.0; 95% CI, 2.01-1047.80; P=0.016) and a high white blood cell count (adjusted OR, 1.17; 95% CI, 1.01-1.36; P=0.028) were found to be significant factors for the persistence of late coronary aneurysms in univariate analysis. However, no significant factors were found in multivariate analysis. Conclusion: These data are from early and late follow-up of coronary aneurysms in our unit. Further studies are needed to determine the mechanisms involved in the disappearance of coronary aneurysms and related factors.

• Acute and Critical Care
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• v.33 no.4
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• pp.222-229
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• 2018

Background: The diagnosis of pediatric acute respiratory distress syndrome (PARDS) is a pragmatic decision based on the degree of hypoxia at the time of onset. We aimed to determine whether reclassification using oxygenation metrics 24 hours after diagnosis could provide prognostic ability for outcomes in PARDS. Methods: Two hundred and eighty-eight pediatric patients admitted between January 1, 2010 and January 30, 2017, who met the inclusion criteria for PARDS were retrospectively analyzed. Reclassification based on data measured 24 hours after diagnosis was compared with the initial classification, and changes in pressure parameters and oxygenation were investigated for their prognostic value with respect to mortality. Results: PARDS severity varied widely in the first 24 hours; 52.4% of patients showed an improvement, 35.4% showed no change, and 12.2% either showed progression of PARDS or died. Multivariate analysis revealed that mortality risk significantly increased for the severe group, based on classification using metrics collected 24 hours after diagnosis (adjusted odds ratio, 26.84; 95% confidence interval [CI], 3.43 to 209.89; P=0.002). Compared to changes in pressure variables (peak inspiratory pressure and driving pressure), changes in oxygenation (arterial partial pressure of oxygen to fraction of inspired oxygen) over the first 24 hours showed statistically better discriminative power for mortality (area under the receiver operating characteristic curve, 0.701; 95% CI, 0.636 to 0.766; P<0.001). Conclusions: Implementation of reclassification based on oxygenation metrics 24 hours after diagnosis effectively stratified outcomes in PARDS. Progress within the first 24 hours was significantly associated with outcomes in PARDS, and oxygenation response was the most discernable surrogate metric for mortality.

• Safety and Health at Work
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• v.13 no.3
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• pp.279-285
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• 2022

Background; In the event of an industrial accident, the appropriate choice of hospital is important for worker health and prognosis. This study investigates whether the choice of hospital by the employer in the case of industrial accidents affects the prognosis of injured employees. Methods; Data from the 2018 Panel Study of Workers' Compensation Insurance in Korea were used in an unmatched case-controlled study. The exposure variable is "hospital selection by an employer," and the outcome variable is 'worker's disability." Odds ratios (ORs) were estimated by modified Poisson regression and adjusted for age, gender, underlying disease, injury severity, and workplace size and stratified by industrial classification. The group at increased risk was analyzed and stratified by age, gender, and area. Results; In the construction industry, hospital selection by the employer was significantly associated with increased risk of disability (adjusted OR 1.26; 95% confidence interval [CI]; 1.20-1.32) and severe disability (adjusted OR 1.38; 95% CI; 1.08-1.76) among the injured. Female and younger workers not living in the Seoul capital area were more at risk of disability and severe disability than those living in the Seoul capital area. Conclusions; Hospital selection by employers affects the prognosis of workers injured in an industrial accident. For protecting workers' health and safety, workplace emergency medical systems should be improved, and the selection of appropriate hospitals to supply treatment should be reviewed.

• Journal of Convergence for Information Technology
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• v.12 no.5
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• pp.107-115
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• 2022

The purpose of this study is to identify the drivers of supply chain vulnerability and internal/external disruptive events and to verify the moderating effect of SCRM to mitigate negative disruption impacts. The analysis results of 182 SMEs are as follows. First, SC vulnerability proceeded from excessive efficiency. Second, the probability and severity of internal factors were higher than that of external factors. In particular, the priority of responding to risks arising from the supply chain process was higher than the value chain within the firm. Finally, the higher the level of risk management in the supply chain, the more positively the negative disruption impact was mitigated. This study is valuable in providing practical clues to the decision-making of a firm's managers and policymakers responding to supply chain risks.

• Proceedings of the Korea Water Resources Association Conference
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• 2023.05a
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• pp.177-177
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• 2023

The impacts of dams on transboundary flow are complex and challenging to project and manage, given the potential moderating influence of a broad range of anthropogenic and natural factors. This study presents a global meta-analysis of 168 studies that examines the effect magnitude of dams on downstream seasonal, annual flow, and hydrological extremes risk on 39 hotspot transboundary river basins. The study also evaluates the impact of 13 factors, such as climate, basin characteristics, dams' design and types, level of transboundary cooperation, and socioeconomic indicators, on the heterogeneity of outcomes. The findings reveal that moderators significantly influence the impact of dams on downstream flow, leading to considerable heterogeneity in outcomes. Transboundary cooperation emerges as the key factor that determines the severity of dams' effect on both dry and wet season's flows at a significance level of 0.01 to 0.05, respectively. Specifically, the presence of water-supply and irrigation dams has a significant (0.01) moderating effect on dry-season flow across basins with high transboundary cooperation. In contrast, for wet-season flow, the basin's vulnerability to climate extremes is associated with a large negative effect size. The various moderators have varying degrees of influence on the heterogeneity of outcomes, with the aridity index, population density, GDP, and risk level of hydro-political tension being the most significant factors for dry-season flow, and the risk level of hydro-political tension and basin vulnerability to climate extremes being the most significant for wet-season flow. The results suggest that transboundary cooperation is crucial for managing the impacts of dams on downstream flow, and that various other factors, such as climate, basin characteristics, and socioeconomic indicators, have significant moderating effects on the outcomes. Thus, context-specific approaches are necessary when predicting and managing the impacts of dams on transboundary flow.

• Journal of Acupuncture Research
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• v.39 no.2
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• pp.96-104
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• 2022

This study aimed to examine the clinical efficacy of electroacupuncture treatment for carpal tunnel syndrome by reviewing published randomized controlled trials. Among the 186 studies retrieved from 7 online databases (PubMed, Cochrane library, CNKI, NDSL, RISS, OASIS, KMbase) on October 29, 2021, 4 studies were selected according to the inclusion, exclusion criteria, and were evaluated using risk of bias. Control groups for electroacupuncture were wearing a splint at night, traditional acupuncture, and medication. Methods such as total effective, functional status scale, symptom severity scale, electromyography, tip pinch strength, visual analogue scale, numeric rating scale, and ultrasound were used to evaluate the therapeutic effect. Electroacupuncture was reported to have significant treatment results compared with the control group in methods such as total effectiveness, electromyography, and tip pinch strength. However, the quality of the studies (using risk of bias) does not allow reliable conclusions to be made. Many high quality (low risk of bias) randomized controlled trials are needed to examine the efficacy of electroacupuncture treatment for carpal tunnel syndrome.

• Journal of the Korea Institute of Building Construction
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• v.24 no.2
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• pp.249-260
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• 2024

In recent years, the proportion of medium and small-sized apartments within the housing market has seen a noticeable increase, alongside a corresponding rise in disputes related to construction defects. Such disputes are most prevalent in the finishing works phase of construction, which not only are frequent in occurrence but also impose significant repair costs. Furthermore, there is a noticeable scarcity of research focused on the quality management of finishing work defects prior to the completion of construction. Addressing this issue necessitates a methodology capable of preemptively identifying defects by analyzing their frequency and associated costs across various defect types. Consequently, the aim of this study is to propose a risk assessment methodology by conducting an analysis of defect cases across 3,299 apartment units, considering aspects such as frequency and severity. The outcomes of this research endeavor are expected to offer practical management strategies to enhance the quality of apartment finishing works and serve as an academic foundation for the enhancement of construction management systems pertaining to apartment finishing works.

• Transactions of the Korean Society of Automotive Engineers
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• v.17 no.2
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• pp.90-97
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• 2009

One of the most important factors that affect a person's risk of injury in a motor vehicle crash is the age of the person. This study investigates the characteristics of crash injuries among young, middle-aged and older drivers and occupants. Based on the comprehensive claim data from automobile insurance from 2000 to 2007, this study examines in great detail the drivers and occupants injury body regions and severity by age in car-to-car frontal crashes. It has been shown that elderly drivers and occupants suffer more injuries at a chest region compared to the middle-aged group. This research calls attention to the need for design to make vehicles more protective for older drivers in car-to car frontal crashes.

• The Journal of Korean Physical Therapy
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• v.20 no.3
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• pp.19-28
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• 2008

Purpose: We analyzed the incidence of falls and the related factors, circumstances, and consequences associated with falls in stroke patients. Methods: We recruited 127 stroke patients and used a self-reported questionnaire to measure fall prevalence rates and the related factors, circumstances, and consequences of falls. The chi-square test was used to establish associations between related factors. Results: The prevalence of falls in stroke patients was 69.3%, and was associated with gender and time since the stroke. Falls occurred 2-5 times (55.4%) poststroke and most subjects first fall in the 2$\sim$6 month (46.5%) after the stroke. Most (55%) falls occurred at the hospital. Walking was the most frequent circumstance for falls (38.5%). Most (54.4%) falls led to consequences such as fractures, ligament strains, bruises, or abrasions. Conclusion: Fall-prevention strategies decrease the number of falls and the severity of fall-related injuries. These data support the concept of preventive strategies for falls in stroke patients who are at risk.