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The incidence of unexpected delays in uploading outside radiologic images in the transfer of patients with major trauma

  • Woo, Si Jun;Kim, Yong Oh;Kim, Hyung Il
    • Journal of Trauma and Injury
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    • v.35 no.2
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    • pp.92-98
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    • 2022
  • Purpose: Critically ill patients are frequently transferred from one point of care to a hospital that can provide a higher level of care. To achieve optimal treatment within the targeted window of time necessary for time-sensitive cases like major trauma, rapid transportation and decision making are essential. Transferred patients have often undergone radiologic imaging at the referring hospital. Examining these outside images is paramount. Therefore, this study was conducted to estimate the upload time of outside images. Methods: This retrospective study was conducted from January to April 2020. Patients transferred from other hospitals with digitally recorded CDs or DVDs of radiologic or diagnostic images were included. When the patients were registered at the emergency department reception desk, the digital images were transmitted to our picture archiving and communication system using transmission software. The time of upload and the numbers of digital images were recorded. The time interval from patient registration to the time of upload was calculated. Results: The median number of images was 688 in the trauma team activation (TTA) group (688 in the TTA group, 281 in the non-TTA trauma group, and 176 in the nontrauma group, respectively; P<0.001). The median upload time was 10 minutes. The longest upload time was 169 minutes. The upload time was more than 20 minutes in 12 cases (19.4%). Conclusions: Patients with major trauma bring more images than patients with other diseases. Unexpected delays (>20 minutes) were noted in approximately 20% of cases. It is necessary to minimize this time.

Valorization of bottom ash with geopolymer synthesis: Optimization of pastes and mortar

  • Froener, Muriel S.;Longhi, Marlon A.;de Souza, Fabiana;Rodriguez, Erich D.;Kirchheim, Ana Paula
    • Advances in concrete construction
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    • v.14 no.1
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    • pp.1-13
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    • 2022
  • Due to the physical-chemical characteristics of some bottom ash (BA), there are technical, economic and environmental limitations to find a destination that will add value to it. In Brazil, this residue is eventually used for filling coal extraction pits or remains in sedimentation ponds, creating a susceptible panorama to environmental issues. The geopolymers binders are one of the alternatives to the proper use high amounts of these materials. In this work, geopolymeric binder pastes were produced with BA mixed to activators with different alkali contents (expressed as %Na2O), as well as the incorporation of soluble silicates (Ms content). The production of binary geopolymeric pastes based on the use of two industrial wastes: fluid catalytic cracking (FCC) and aluminum anodizing sludge (AAS), was also assessed. The content in mass of BA/FCC and BA/AAS ranged from 100/0, 90/10; 80/20 and 70/30. Systems with soluble silicates as activator in a molar ratio SiO2/Na2O of 1.0 (Ms = 1.0) and Na2O content of 15%, showed the best results of mechanical strength (42 MPa at day 28th). The improvement is up to 5X when compared to NaOH based systems. For systems with partial replacement of BA of 10% of AAS and 20% of FCC (80/20), the presence of soluble silicates was also effective to increase compressive strength.

A Study on the Maintenance Data Analysis of Vehicle Parts of Yongin Light Rail and Condition-Based Prediction Maintenance (용인경전철 차량부품 정비 데이터 분석 및 상태기반 예지 유지보수 방안 연구)

  • Lee, Kyeong Ho;Lee, Joong Yoon;Kim, Yeong Min
    • Journal of the Korean Society of Systems Engineering
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    • v.18 no.1
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    • pp.1-13
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    • 2022
  • The Yongin Light Rail train was manufactured by Bombardier Transportation in Canada in 2008 and is a privately invested railway line that has been operating in Yongin-si, Gyeonggi-do, since 2013. When the frequency of train failure increases due to aging, and there is a delay in the delivery period of imported parts used in the Bombardier manufactured trains, timely vehicle maintenance may not be performed due to lack of parts. To solve this problem, it is necessary to build a 'vehicle parts maintenance demand forecasting system' that analyzes the accurate and actual maintenance demand annual based on the condition of vehicle parts. The full scope of analysis in this paper analyzes failure data from various angles after opening of Yongin light rail vehicle to analyze failure patterns for each part and identify replacement cycles according to possible failures and consumption of parts. Based on this study, it is expected that Yongin Light Rail's maintenance system will change from the existing time-based replacement (TBM) concept to the condition-based maintenance (CBM) concept. It is expected that this study will improve the efficiency of the Yongin Light Rail maintenance system and increase vehicle availability. This paper is a fundamental for establishing of a system for predicting the replacement timing of vehicle parts for Yongin Light Rail. It reports the results of data analysis on some vehicle parts.

Effect of nutrition education by childcare teachers on food serving sizes

  • Heejung Park;Jin Heo;Wookyoun Cho
    • Journal of Nutrition and Health
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    • v.55 no.6
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    • pp.699-708
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    • 2022
  • Purpose: Adequate nutrition is to be provided for normal growth and development during early childhood. Currently, childcare teachers provide lunch to most children in Korea. The purpose of this study was to investigate the portion size provided by teachers and examine the effect of education on food serving size. Methods: The subjects were childcare teachers (n = 120) in charge of children aged 3-5 years at a daycare center in Hanam-si. The survey was conducted through questionnaires which included questions on the general characteristics of the teachers, their nutritional education status, and the source of nutrition information. In addition, the portion sizes of items on the menu currently provided to children were measured and the data were analyzed. To assess the effectiveness of education in determining serving size, the subjects were randomly equally divided into two groups. In the first group (n = 60) theoretical education on nutrition and serving sizes was given, whereas in the second (n = 60), practical education on these topics was provided. Results: The difference between the actual portion size of rice and the serving size announced on the menu was observed to decrease along with the increase in the experience of the teacher, although the differences in the main dish and kimchi were higher. The gap between the serving size mentioned in the menu and the portion size distributed widened as the age of the teachers increased. Notably, the difference between the portion size and the serving size of food decreased after both practical and theoretical education. Furthermore, the effect of education on the serving size of the main dishes (p < 0.001), side dishes (p < 0.01), and kimchi (p < 0.01) was observed to be greater in the practical education group than in the theoretical education group. Conclusion: Regular education should be provided to teachers on the serving sizes mentioned in the menu, as the quantity of food served depends on the experience and age of teachers. In the case of rice, theoretical education alone sufficed to ensure a proper serving size. However, hands-on training on the main and side dishes, and kimchi would be much more helpful.

A Study on Sustainable Management of Hiking Trails: Focusing on Daebu Haesol-gil, Ansan-si (걷기 여행길의 지속가능한 관리방안 연구 - 안산시 대부 해솔길을 대상으로 -)

  • Yi, Dong-Yoon;Jung, Wook-Jai;Son, Yong-Hoon
    • Journal of Korean Society of Rural Planning
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    • v.29 no.3
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    • pp.1-14
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    • 2023
  • Due to the 3 years and 4 months of corona, many things have changed throughout society, such as social activities, free movement, and lifestyle. One of them is the increasing public interest and demand for walking tours. Public awareness of health and leisure activities has increased due to lifestyle changes, aging, and urbanization following the spread of infectious diseases such as COVID-19, and demand for walking tour services is also increasing. As of 2019, nationwide About 560 'Walking Trails' of 1,849 courses were created, with a total length of 18,000 km. In this study, in a situation where social interest and necessity for walking tours are increasing, studies related to walking tours are reviewed, and sustainable management plans for walking tours are proposed. To this end, the concept and research trends of walking tours were examined through literature related to walking tours, and in-depth interviews were conducted with a total of 17 people, 8 visitors and 9 officials, with Ansan Daebudo Haesol-gil as the target. Visitors In-depth interviews with 180 contents were coded, and 147 effective contents were divided into 20 subcategories and organized into 7 upper categories. In-depth interviews with 101 stakeholders were individually coded, 96 effective contents were divided into 14 subcategories, and organized into 5 upper categories. After that, it was reviewed based on the contents organized through qualitative content analysis, and the Five implications were derived. The significance of this study is that the study was conducted on specific Haesol-gil in the suburbs of the metropolitan area. The limitation of this study was that more detailed investigations and considerations were not conducted on the positive and negative effects of walking tours on the Daebudo area. As a follow-up study, academic arrangements and case studies on regional regeneration through walking tours are required.

Multi-scale heat conduction models with improved equivalent thermal conductivity of TRISO fuel particles for FCM fuel

  • Mouhao Wang;Shanshan Bu;Bing Zhou;Zhenzhong Li;Deqi Chen
    • Nuclear Engineering and Technology
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    • v.55 no.3
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    • pp.1140-1151
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    • 2023
  • Fully Ceramic Microencapsulated (FCM) fuel is emerging advanced fuel material for the future nuclear reactors. The fuel pellet in the FCM fuel is composed of matrix and a large number of TRistructural-ISOtopic (TRISO) fuel particles which are randomly dispersed in the SiC matrix. The minimum layer thickness in a TRISO fuel particle is on the order of 10-5 m, and the length of the FCM pellet is on the order of 10-2 m. Hence, the heat transfer in the FCM pellet is a multi-scale phenomenon. In this study, three multi-scale heat conduction models including the Multi-region Layered (ML) model, Multi-region Non-layered (MN) model and Homogeneous model for FCM pellet were constructed. In the ML model, the random distributed TRISO fuel particles and coating layers are completely built. While the TRISO fuel particles with coating layers are homogenized in the MN model and the whole fuel pellet is taken as the homogenous material in the Homogeneous model. Taking the results by the ML model as the benchmark, the abilities of the MN model and Homogenous model to predict the maximum and average temperature were discussed. It was found that the MN model and the Homogenous model greatly underestimate the temperature of TRISO fuel particles. The reason is mainly that the conventional equivalent thermal conductivity (ETC) models do not take the internal heat source into account and are not suitable for the TRISO fuel particle. Then the improved ETCs considering internal heat source were derived. With the improved ETCs, the MN model is able to capture the peak temperature as well as the average temperature at a wide range of the linear powers (165 W/cm~ 415 W/cm) and the packing fractions (20%-50%). With the improved ETCs, the Homogenous model is better to predict the average temperature at different linear powers and packing fractions, and able to predict the peak temperature at high packing fractions (45%-50%).

The Effects of Sleep Apnea and Variables on Cognitive Function and the Mediating Effect of Depression (수면무호흡증과 수면변수가 인지기능에 미치는 영향과 우울증의 매개효과)

  • Park, Kyung Won;Kim, Hyeong Wook;Choi, Mal Rye;Kim, Byung Jo;Kim, Tae Hyung;Song, Ok Sun;Eun, Hun Jeong
    • Sleep Medicine and Psychophysiology
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    • v.24 no.2
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    • pp.86-96
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    • 2017
  • Objectives: This study aimed to analyze causality among sleep apnea, depression and cognitive function in patients with obstructive sleep apnea. Methods: We reviewed the medical records of 105 patients with sleep apnea and snoring who underwent overnight polysomnography (PSG). We analyzed various biological data, sleep variables (sleep duration and percentage) and respiratory variables [arousal index (AI), periodic leg movement index (PLM index), snoring Index (SI), mean SpO2, minimum SpO2, apnea-hypopnea index (AHI), and respiratory disturbance index (RDI)]. We also analyzed various data by sleep, cognition, and mood related scales: Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESS), snoring index by scale (SIS), Montreal Cognitive Assessment-Korean (Moca-K), Mini-mental State Examination-Korean (MMSE-K), clinical dementia rating (CDR), and Beck Depression Inventory (BDI). We analyzed causation among sleep, and respiratory, mood, and cognition related scales in obstructive sleep apnea patients. We analyzed the mediating effects of depression on sleep apnea patient cognition. Results: As Duration N1 increased and Total sleep time (TST) decreased, MOCA-K showed negative causality (p < 0.01). As BDI and supine RDI increased, causality was negatively related to MOCA-K (p < 0.01). As PSQI (p < 0.001) and SIS (p < 0.01) increased and as MMSE-K (p < 0.01) decreased, causality was positively related to BDI. BDI was found to mediate the effect of age on MOCA-K in patients with obstructive sleep apnea. Conclusion: Duration N1, total sleep time, BDI, and supine RDI were associated with cognitive function in obstructive sleep apnea patients. Depression measured by BDI partially mediated cognitive decline in obstructive sleep apnea patients.

Chemical and Bacteriological Water Qualify of the Sonakdong River (서낙동강 강수의 화학적${\cdot}$세균학적 수질)

  • KIM Yong Gwan
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.19 no.4
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    • pp.347-355
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    • 1986
  • The Sonakdong river is very important water source not only for agricultural water of Kimhae field but also for fishery water. Recently the middle and lower areas of the river have the tendency to be heavily contaminated by domestic sewage and agricultural chemicals. Fifty six water samples were collected from 8 stations from July to December in 1985 for the experiment (Fig. 1). To evaluate the water quality, pH, water temperature, electrical conductivity, chloride ion, nutrients ($NO^{-}_{2}-N,\;NO^{-}_{3}-N,\;NH^{+}_{4}-N,\;PO^{3-}_{4}-P,\;SiO_2-Si$), total coliform, fecal coliform, and fecal streptococcus were determined. Range and mean value of the samples were as follows; pH $6.3{\sim}9.4$, 7.91; water temperature $6.1{\sim}34.8^{\circ}C,\;23.88^{\circ}C$; electrical conductivity (from St. A to G) $1.575{\times}10^2{\sim}30.50{\times}10^2{\mu}{\mho}/cm,\;6.57{\times}10^2{\mu}{\mho}/cm$; chloride ion $23.5{\sim}14,300mg/l$, 770.0mg/l; nitrite-nitrogen $0.007{\sim}0.110mg/l$, 0.053mg/l; nitrate-nitrogen $0.001{\sim}1.638mg/l$, 0.649 mg/l; ammonia-nitrogen $0.017{\sim}4.200mg/l$, 0.497mg/l; phosphate-phoshorus $0.011{\sim}0.281mg/l$, 0.086mg/l; and silicate-silicious $2.4{\sim}6.5mg/l$, 4.43mg/l. Electrical conductivity and chloride ion of the station F(Chomanpo) were $2.676{\times}10^2{\mu}{\Omega}cm$ and 123.99mg/l which were lower than those of others. Among the analyzed nutrients, silicate-silicious concentration was the highest through all the samples. The bacterial density of the samples ranged $36{\sim}110,000/100ml$ for total coliform, $15{\sim}46,000/100ml$ for fecal coliform and $3.6{\sim}15,000/100ml$ for fecal streptococcus. The range and the mean of the TC/FC ratio were $3.0{\sim}9.6$, 5.51 and those of the FC/FS ratio were $1.1{\sim}9.2$, 6.19, respectively. On the other hand, fecal coliform was not detected in about $78\%$ of the water samples examined. Composition of coliform was $52\%$ Escherichia coli group, $3\%$ Citrobacter freundii group, $13\%$ Enterobacter aerogenes group and $31\%$ others.

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Hydrothermal Synthesis of Kaolinite and Change of Its Properties (캐올리나이트의 수열합성 및 특성변화)

  • Jang, Young-Nam;Ryu, Gyoung-Won;Chae, Soo-Chun
    • Journal of the Mineralogical Society of Korea
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    • v.22 no.3
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    • pp.241-248
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    • 2009
  • Kaolinite was synthesized from amorphous $SiO_2$ and $Al(OH)_3{\cdot}xH_{2}O$ as starting materials by hydrothermal reaction conducted at $250^{\circ}C$ and $30\;kg/cm^2$. The acidity of the solution was adjusted at pH 2. The synthesized kaolinite was characterized by XRD, IR, NMR, FE-SEM, TEM and EDS to clarify the formational process according to the reaction time from 2 to 36 hours. X-ray diffraction patterns showed after 2 h of reaction time, the starting material amorphous $Al(OH)_3{\cdot}xH_{2}O$ transformed to boehmite (AlOOH) and after the reaction time 5 h, the peaks of boehmite were observed to be absent thereby indicating the crystal structure is partially destructed. Kaolinite formation was identified in the product obtained after 10 h of reaction and the peak intensity of kaolinite increased further with reaction time. The results of TGA and DTA revealed that the principal feature of kaolinite trace are well resolved. TGA results showed 13 wt% amount of weight loss and DTA analysis showed that exothermic peak of boehmite observed at $258^{\circ}C$ was decreased gradually and after 10 h of reaction time, it was disappeared. After 5 h of the reaction time, the exothermicpeak of transformation to spinel phase was observed and the peak intensiy increased with reaction time. The results of FT-IR suggested a highly ordered kaolinite was obtained after 36 hours of reaction. It was identified by the characteristic hydroxide group bands positioned at 3,696, 3670, 3653 and $3620\;cm^{-1}$. The development of the hydroxyl stretching between 3696 and $3620\;cm^{-1}$, depends on the degree of order and crystalline perfection. TEM results showed that after 15 h reaction time, curved platy kaolinite was observed as growing of (001) plane and after 36 h, the morphology of synthetic kaolinite exhibited platy crystal with partial polygonal outlines.

Clinical Characteristics of Recurred Patients with Stage I,II Non-Small Cell Lung Cancer (근치적 절제 후 재발한 1,2기 비소세포폐암 환자의 임상상)

  • Ham, Hyoung-Suk;Kang, Soo-Jung;An, Chang-Hyeok;Ahn, Jong-Woon;Kim, Ho-Cheol;Lim, Si-Young;Suh, Gee-Young;Kim, Kwhan-Mien;Chung, Man-Pyo;Kim, Ho-Joong;Kim, Jhin-Gook;Kwon, O-Jung;Shim, Yong-Mog;Rhee, Choong-H.
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.4
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    • pp.428-437
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    • 2000
  • Background : Five year survival rate of postoperative stage I non-small cell lung cancer(NSCLC) reaches to 66%. In the remaining one third of patients, however, cancer recurs and the overall survival of NSCLC remains dismal. To evaluate clinical and pathologic characteristics of recurred NSCLC, the patterns and factors for postoperative recurrence in patients with staged I and II NSCLC were studied. Method : A retrospective analysis was performed in 234 patients who underwent radical resection for pathologic stage I and II NSCLC. All patients who were followed up for at least one year were included in this study. Results : 1) There were 177 men and 57 women The median age was 63. The median duration of the follow up period was 732 days (range 365~1,695 days). The overall recurrence rate was 26.5%, and the recurrence occurred $358.8{\pm}239.8$ days after operation. 2) The ages of recurred NSCLC patients were higher ($63.2{\pm}8.8$ years) than those of non-recurred patients ($60.3{\pm}9.8$ years)(p=0.043). The recurrence rate was higher in stage II (46.9%) than in stage I (18.8%) NSCLC p<0.001. The size of primary lung mass was larger in recurred ($5.45{\pm}3.22\;cm$) than that of non-recurred NSCLC ($3.74{\pm}1.75\;cm$, p<0.001). Interestingly, there were no recurrent cases when the resected primary tumor was less than 2cm. 3) Distant recurrence was more frequent than locoregional recurrence (66.1% vs. 33.9%). Distant recurrence rate was higher in females and in cases of adenocarcinoma. Brain metastasis was more frequent in patients with adenocarcinoma than in those with squamous cell carcinoma (p=0.024). Conclusion: The tumor size and stage were two important factors for determining the possibility of a recurrence. Because distant brain metastasis was more frequent in patients with adenocarinoma, a prospective study should be conducted to evaluate the effectiveness of preoperative brain imaging.

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