• 제목/요약/키워드: Transfer Center

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일개 권역응급의료센터에서의 중증 외상환자의 전원 현황과 문제점 (Current State and Problem of the Transfer of Severely Injured Patients in One Regional Emergency Medical Center)

  • 이원철;조충현;정경원;민영기;최상천;김기운;안정환;정용식;황선애;김지영;이국종;정윤석
    • Journal of Trauma and Injury
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    • 제23권1호
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    • pp.6-15
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    • 2010
  • Purpose: Trauma is one of the leading causes of death, especially among young people. Life-threatening conditions are very common in multiple-traumatized patients due to concurrent multi-organ injuries. Treating such severely injured patients is time critical. However, in Korea, the transfer of severely injured patients is not uncommon due to the lack of a mature trauma care system. In developed countries, the preventable trauma death rate is very low, but the rate is still very high in Korea. This study's objective was to demonstrate the current serious state in which severely injured patients have to be transferred from a Regional Emergency Medical Center even though it actually serves as a trauma center. Methods: Ajou University Medical Center is a tertiary hospital that serves as a trauma center in Gyeonggido. The medical records at Ajou University Medical Center for a 1-year period from January 1, 2008, to December 31, 2008, were retrospectively reviewed. A severely injured patient was defined as a patient who showed more than 15 point on the ISS (injury severity score) scale. We investigated the clinical characteristics of such patients and the causes of transfer. Results: Out of 81,718 patients who visited the Regional Emergency Medical Center, 19,731 (24.1%) were injured patients. Among them, 108 severely-injured patients were transferred from one Regional Emergency Medical Center to other hospitals. The male-to-female ratio was about 3.5:1, and the mean ISS was 23.08. The most common mechanism of injury was traffic accidents (41.7%). A major cause of transfer was the shortage of intensive care units (44.4%); another was for emergent operation (27.8%). Most of the hospitals that received the severely-injured patients were secondary hospitals (86.1%). Conclusion: Although the Regional Emergency Medical Center played a role as a trauma center, actually, severely-injured patients had to be transferred to other hospitals for several reasons. Most reasons were related with the deficiencies in the trauma care system. If a mature trauma care system is well-organized, the numbers of transfer of severely injured patients will be reduced significantly.

Effect of particle migration on the heat transfer of nanofluid

  • Kang, Hyun-Uk;Kim, Wun-Gwi;Kim, Sung-Hyun
    • Korea-Australia Rheology Journal
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    • 제19권3호
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    • pp.99-107
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    • 2007
  • A nanofluid is a mixture of solid nanoparticles and a common base fluid. Nanofluids have shown great potential in improving the heat transfer properties of liquids. However, previous studies on the characteristics of nanofluids did not adequately explain the enhancement of heat transfer. This study examined the distribution of particles in a fluid and compared the mechanism for the enhancement of heat transfer in a nanofluid with that in a general microparticle suspension. A theoretical model was formulated with shear-induced particle migration, viscosity-induced particle migration, particle migration by Brownian motion, as well as the inertial migration of particles. The results of the simulation showed that there was no significant particle migration, with no change in particle concentration in the radial direction. A uniform particle concentration is very important in the heat transfer of a nanofluid. As the particle concentration and effective thermal conductivity at the wall region is lower than that of the bulk fluid, due to particle migration to the center of a microfluid, the addition of microparticles in a fluid does not affect the heat transfer properties of that fluid. However, in a nanofluid, particle migration to the center occurs quite slowly, and the particle migration flux is very small. Therefore, the effective thermal conductivity at the wall region increases with increasing addition of nanoparticles. This may be one reason why a nanofluid shows a good convective heat transfer performance.

Transfer length of 2400 MPa seven-wire 15.2 mm steel strands in high-strength pretensioned prestressed concrete beam

  • Yang, Jun-Mo;Yim, Hong-Jae;Kim, Jin-Kook
    • Smart Structures and Systems
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    • 제17권4호
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    • pp.577-591
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    • 2016
  • In this study, the transfer length of 2400 MPa, seven-wire high-strength steel strands with a 15.2 mm diameter in pretensioned prestressed concrete (PSC) beams utilizing high strength concrete over 58 MPa at prestress release was evaluated experimentally. 32 specimens, which have the variables of concrete compressive strength, concrete cover depth, and the number of PS strands, were fabricated and corresponding transfer lengths were measured. The strands were released gradually by slowly reducing the pressure in the hydraulic stressing rams. The measured results of transfer length showed that the transfer length decreased as the concrete compressive strength and concrete cover depth increased. The number of strands had a very small effect, and the effect varied with both the concrete cover depth and concrete strength. The results were compared to current design codes and transfer lengths predicted by other researchers. The comparison results showed that the current transfer length prediction models in design codes may be conservatively used for 2400 MPa high-strength strands in high-strength concrete beams exceeding 58 MPa at prestress release.

Mitochondrial DNA Heteroplasmy in Cloned Bovine Embryos following Somatic Cell Nuclear Transfer

  • Do, Jeong-Tae;Lee, Bo-Yon;Kim, Seung-Bo;Lee, Hoon-Taek;Chung, Kil-Saeng
    • 한국동물번식학회:학술대회논문집
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    • 한국동물번식학회 2002년도 춘계학술발표대회 발표논문초록집
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    • pp.40-40
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    • 2002
  • Nuclear transfer (NT) has the potential to produce large number of identical progeny and would greatly benefit ongoing research efforts, Cloned animals produced by NT, however, may not be genetically identical to the donor cell. In NT procedures, nucleus genes originate from donor cell, and mitochondrial genes originate from recipient oocytes. (omitted)

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F-Center Excitation Energy Transfer to CN$^-$ vibrational Levels in CsCl

  • Jang, Du-Jeon
    • 한국광학회:학술대회논문집
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    • 한국광학회 1990년도 광학 및 양자전자학 워크샵
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    • pp.94-100
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    • 1990
  • The rapid quenching dynamics of the F-center excitation by CN- defects in CsCl crystals were investigated by monitoring the ground state bleach recovery kinetics of F-centers, using a picosecond streak camera absorption spectrometer. The F-centers in CN- doped quenched samples show two bleach recovery components. Optical aggregation converts the slow component to the fast component. The slow one is due to the normal relaxation of the F*-centers as found in CN_ free crystals. The fast one is due to the energy transfer of the F-center electronic excitation to the vibrational energy levels of CN_ molecualr defects. The energy transfer occurs only in the F-center-CN_ defect pairs, FH(CN_)-centers.

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은 박막이 코팅된 표면에서 물질전이층의 형성 및 그 트라이볼로지적 역할에 관한 연구 (A Study on the Formation and the Tribological Role of Mass Transfers Layers at Rubbing Silver-coated Surface)

  • 양승호;공호성;윤의성;김대은
    • 한국윤활학회:학술대회논문집
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    • 한국윤활학회 2002년도 제35회 춘계학술대회
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    • pp.45-52
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    • 2002
  • The tribological role of mass transfer layer was studied with silver coatings under various ranges of load and sliding speed. Silver coating was performed with a functionally gradient coating method. Tests were performed in dry sliding conditions, using a ball-on-disk contact configuration, at the load of 0.0196-17.64 N and the sliding speed of 20-1,000 mm/s in ambient air. Optical microscope and EPMA analyses showed that contact surfaces were covered with the mass transfer layers of agglomerated wear particles depending upon the contact conditions, and they greatly influenced the tribological characteristics of the surfaces. However, the formation of mass transfer layer was suppressed as the sliding speed increased, and above a critical sliding speed, no mass transfer layer was able to form. For building up a general framework of tribological behavior of the coated silver films, all test data were summarized on a map whose axes are contact pressure and sliding speed.

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