• Journal of Trauma and Injury
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• 제22권1호
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• pp.71-76
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• 2009

Purpose: The goal of this study was to compare the outcome of the after trauma team (AfterTT) group to the before trauma team (BeforeTT) group. Methods: All trauma patients who visited to emergency room (ER) between July 1, 2006 and February 29,2008 based on trauma registry, with systolic blood pressure (SBP) < 90 mmHg or GCS < 9 were included in this study. We compared the amount of packed RBC transfusion, the ER stay time, the ER visit to CT evaluation time, the ER visit to operation time, the length of ICU stay, the length of hospital admission and the survival discharge rate between the AfterTT group and the BeforeTT group. Patients with brain injuries had little chance of survival. Burn patients, who visited the ER 24 hours after injury and patients who were dead on arrival (DOA) were excluded from this study. Results: Total of 93 patients were included in this study: 42 in the AfterTT group and 51 in the BeforeTT group. The AfterTT group and the Before TT group showed no differences in Revised Trauma Score (RTS) and mean age. The amount of packed RBC transfusion was lower in the AfterTT group, but no statistically significant difference was noted (AfterTT 11${\pm}$11units, BeforeTT 16${\pm}$15units, p=0.136). The ER visit to operation time was shorter in the AfterTT group, but there were no statistically significant difference between the groups (AfterTT 251${\pm}$223 minutes, BeforeTT 486${\pm}$460 minutes, p=0.082). The length of ICU stay was shorter in the AfterTT group, but the difference was not statistically significant (AfterTT 11${\pm}$12 days, Before TT 15${\pm}$30 days, p=0.438). The length of Hospital admission was shorter in the AfterTT group (AfterTT 43${\pm}$37 days, BeforeTT 68${\pm}$70 days, p=0.032), but this difference was not statistically significant. Conclusion: Simple Trauma team activation criteria decreased the amount of packed RBC transfusion and the hospital admission duration. Hemodynamic instability (SBP < 90 mmHg) and decreased mental state (GCS<9) are good indices for activating the trauma team.

• Journal of the korean society of oceanography
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• 제39권2호
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• pp.119-135
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• 2004

A three-dimensional numerical model using POM (the Princeton Ocean Model) is established in order to understand the dispersion processes of the Yangtze River water in the Yellow and East China Seas. The circulation experiments for the seas are conducted first, and then on the bases of the results the dispersion experiments for the river water are executed. For the experiments, we focus on the tide effects and wind effects on the processes. Four cases of systematic experiments are conducted. They comprise the followings: a reference case with no tide and no wind, of tide only, of wind only, and of both tide and wind. Throughout this study, monthly mean values are used for the Kuroshio Current input in the southern boundary of the model domain, for the transport through the Korea Strait, for the river discharge, for the sea surface wind, and for the heat exchange rate across the air-sea interface. From the experiments, we obtained the following results. The circulation of the seas in winter is dependent on the very strong monsoon wind as several previous studies reported. The wintertime dispersion of the Yangtze River water follows the circulation pattern flowing southward along the east coast of China due to the strong monsoon wind. Some observed salinity distributions support these calculation results. In summertime, generally, low-salinity water from the river tends to spread southward and eastward as a result of energetic vertical mixing processes due to the strong tidal current, and to spread more eastward due to the southerly wind. The tide effect for the circulation and dispersion of the river water near the river mouth is a dominant factor, but the southerly wind is still also a considerable factor. Due to both effects, two major flow directions appear near the river mouth. One of them is a northern branch flow in the northeast area of the river mouth moving eastward mainly due to the weakened southerly wind. The other is a southern branch flow directed toward the southeastern area off the river mouth mostly caused by tide and wind effects. In this case, however, the tide effect is more dominant than the wind effect. The distribution of the low salinity water follows the circulation pattern fairly well.

• Journal of Chest Surgery
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• 제48권3호
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• pp.180-186
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• 2015

Background: Extracorporeal membrane oxygenation (ECMO) has recently attracted interest as a treatment for severe acute respiratory distress syndrome (ARDS). However, the outcomes of this procedure in post-surgical settings have not yet been characterized. In this study, we evaluated the outcomes of ECMO in patients with severe postoperative ARDS. Methods: From January 2007 to December 2012, a total of 69 patients (aged $58.3{\pm}11.5$ years, 23 females) who underwent venovenous ECMO to treat severe postoperative ARDS were reviewed. Of these patients, 22 (31.9%) had undergone cardiothoracic surgery, 32 (46.4%) had undergone liver transplantation, and 15 (21.7%) had undergone other procedures. Results: Thirty-four patients (49.3%) were successfully weaned from ECMO, while the other 35 patients (50.7%) died on ECMO support. Among the 34 patients who were successfully weaned from ECMO, 21 patients (30.4%) eventually died before discharge from the hospital, resulting in 13 hospital survivors (18.8%). Multivariable analysis showed that the duration of pre-ECMO ventilation was a significant independent predictor of death (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.29 to 3.90; p=0.004), whereas the concomitant use of continuous venovenous hemodialysis (CVVHD) was associated with improved survival (OR, 0.55; 95% CI, 0.31 to 0.97; p=0.038). Conclusion: Although the overall survival rate of patients treated with ECMO for postoperative ARDS was unfavorable, ECMO offered an invaluable opportunity for survival to patients who would not have been expected to survive using conventional therapy. CVVHD may be beneficial in improving the outcomes of such patients, whereas a prolonged duration of pre-ECMO ventilator support was associated with poor survival.

• 한국진공학회:학술대회논문집
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• 한국진공학회 1998년도 제14회 학술발표회 논문개요집
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• pp.77-77
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• 1998

Present silicon dioxide (SiOz) 떠m as intennetal dielectridIMD) layers will result in high parasitic c capacitance and crosstalk interference in 비gh density devices. Low dielectric materials such as f f1uorina뼈 silicon oxide(SiOF) and f1uoropolymer IMD layers have been tried to s이ve this problem. I In the SiOF ftlm, as fluorine concentration increases the dielectric constant of t뼈 film decreases but i it becomes unstable and wa않r absorptivity increases. The dielectric constant above 3.0 is obtain어 i in these ftlms. Fluoropolymers such as polyte$\sigma$따luoroethylene(PTFE) are known as low dielectric c constant (>2.0) materials. However, their $\alpha$)Or thermal stability and low adhesive fa$\pi$e have h hindered 야1리ru뚱 as IMD ma따"ials. 1 The concept of a plasma processing a찌Jaratus with 비gh density plasma at low pressure has r received much attention for deposition because films made in these plasma reactors have many a advantages such as go여 film quality and gap filling profile. High ion flux with low ion energy in m the high density plasma make the low contamination and go어 $\sigma$'Oss피lked ftlm. Especially the h helicon plasma reactor have attractive features for ftlm deposition 야~au똥 of i앙 high density plasma p production compared with other conventional type plasma soun:es. I In this pa야Jr, we present the results on the low dielectric constant fluorocarbonated-SiOF film d밑JOsited on p-Si(loo) 5 inch silicon substrates with 00% of 0dFTES gas mixture and 20% of Ar g gas in a helicon plasma reactor. High density 띠asma is generated in the conventional helicon p plasma soun:e with Nagoya type ill antenna, 5-15 MHz and 1 kW RF power, 700 Gauss of m magnetic field, and 1.5 mTorr of pressure. The electron density and temperature of the 0dFTES d discharge are measUI벼 by Langmuir probe. The relative density of radicals are measured by optic허 e emission spe따'Oscopy(OES). Chemical bonding structure 3I피 atomic concentration 따'C characterized u using fourier transform infrared(FTIR) s야3띠"Oscopy and X -ray photonelectron spl:’따'Oscopy (XPS). D Dielectric constant is measured using a metal insulator semiconductor (MIS;AVO.4 $\mu$ m thick f fIlmlp-SD s$\sigma$ucture. A chemical stoichiome$\sigma$y of 야Ie fluorocarbina$textsc{k}$영-SiOF film 따~si야영 at room temperature, which t the flow rate of Oz and FTES gas is Isccm and 6sccm, res야~tvely, is form려 야Ie SiouFo.36Co.14. A d dielec$\sigma$ic constant of this fIlm is 2.8, but the s$\alpha$'!Cimen at annealed 5OOt: is obtain려 3.24, and the s stepcoverage in the 0.4 $\mu$ m and 0.5 $\mu$ m pattern 킹'C above 92% and 91% without void, res야~tively. res야~tively.

• 한국물환경학회지
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• 제22권2호
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• pp.277-287
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• 2006

Production loads of the contaminants near the Nakdong-river are, BOD : $1,006ton{\cdot}day^{-1}$, TN : $117ton{\cdot}day^{-1}$, and TP : $21ton{\cdot}day^{-1}$. Among the sources of contamination, the biggest contribution to the production load was shared by the human population, which maintains 40.7% of BOD, 44.2% of TN, and 52.5% of TP production. Similarly, among the sources of discharge load, the human population contributed 45.0% of BOD, 34.5% of TN, and 45.8% of TP. Results of flow investigation in 2001 and 2002 indicate that among the side streams, Nam-river showed the greatest average flow. In case of main stream flow, it was increased in the downstream due to the increase of the influents from the side streams. In case of BOD, COD, TOC and SS, high values were detected at Keumho-river where industrial wastewater was discharged as high level concentration. In case of the main stream, Koryoung point where direct influence of Keumho-river and Seongseo industrial complex is evident showed high BOD, COD and TOC. Oxidized nitrogen compounds and total nitrogen showed similar patterns of BOD, COD, and TOC. Especially, nitrate nitrogen was relatively high at all points. However, in case of Chlorophyll-a, relatively high values were observed at mid- and downstream areas such as Koryoung, Namjee, Soosan, Moolkeum and Hakooeun. This could be caused by the slow flow rate and the abundant nutrient salts attributed by the side streams. Relatively better water quality was observed in 2002 when the flow was relatively abundant than that in 2001. Results of investigation during 2001-2002 showed that delivery load increased as the flow reaches downstream. In 2001, delivery loads at the downstream Soosan-bridge were BOD $22,152ton{\cdot}day^{-1}$, COD $45,467ton{\cdot}day^{-1}$, TN $22,062ton{\cdot}day^{-1}$, TP $926ton{\cdot}day^{-1}$. Delivery loads in 2002 were increased due to the increase of the rainfall. They are BOD $25,876ton{\cdot}day^{-1}$, COD $64,200ton{\cdot}day^{-1}$, TN $41,101ton{\cdot}day^{-1}$, and TP $1,362ton{\cdot}day^{-1}$.

• 상하수도학회지
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• 제34권3호
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• pp.211-220
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• 2020

When domestic sewage and rainwater runoff are discharged into a single sewer pipe, it is called a "combined sewer system." The sewage design standards in Korea specify the flow velocity based only on the volume of rainfall; therefore, sedimentation occurs on non-rainy days owing to the reduced flow rate and velocity. This sedimentation reduces the discharge capacity, causes unpleasant odors, and exacerbates the problem of combined sewer overflow concentration. To address this problem, the amount of sewage on non-rainy days, not just the volume of rainfall, should also be considered. There are various theories on sedimentation in sewer movement. This study introduces a self-cleansing velocity based on tractive force theory. By applying a self-cleansing velocity equivalent to the critical shear stress of a sand particle, sedimentation can be reduced on non-rainy days. The amount of sewage changes according to the water use pattern of citizens. The design hourly maximum wastewater flow was considered as a representative value, and the velocity of this flow should be more than the self-cleansing velocity. This design method requires a steeper gradient than existing design criteria. Therefore, the existing sewer pipelines need to be improved and repaired accordingly. In this study, five types of improvement and repair methods that can maximize the use of existing pipelines and minimize the depth of excavation are proposed. The key technologies utilized are trenchless sewer rehabilitation and complex cross-section pipes. Trenchless sewer rehabilitation is a popular sewage repair method. However, it is complex because the cross-section pipes do not have a universal design and require continuous research and development. In an old metropolis with a combined sewer system, it is difficult to carry out excavation work; hence, the methods presented in this study may be useful in the future.

• 공업화학
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• 제10권3호
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• pp.415-418
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• 1999

튜브식 양극판과 겔전해액을 사용한 VRLA (valve regulated Iead-acid) 전지에 있어서 양극 활물질 (active material)의 충전 밀도에 따른 충 방전 싸이클 특성을 고찰하였다. VRLA전지에 사용된 양극 활물질의 밀도는 각각 3.2g/mL, 3.4g/mL 및 3.6g/ml 이었다. VRLA전지는 IU 방식 ($I_{max}=0.2C_{10}/10$, 상한 전압 2.40 v/cell)의 충전과, D.O.D 100%/C5의 방전 방법으로 충 방전 싸이클 수명 시험을 실시하였다. 시험은 $25{\pm}1^{\circ}C$의 항온항습기에서 실행하였다. 시험 결과 활물질 밀도별 VRLA전지의 초기 용량은 밀도와 무관하였다. 즉 3.4g/mL에서 가장 우수하였고, 3.6g/mL에서 가장 낮았다. 충 방전 싸이클에서의 특성은 3.6g/mL인 전지는 3.4g/mL와 거의 유사하였고, 3.2g/mL보다는 크게 우수하였다. 또한 VRLA 전지의 수분고갈 및 열화는 양극 활물질의 충전 밀도가 높을수록 적었다. 이상으로 충 방전 싸이클용 VRLA전지의 양극 활물질의 밀도는 3.4~3.6g/mL이 적절한 것으로 판단되었다.

• 생태와환경
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• 제34권2호통권94호
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• pp.119-125
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• 2001

경안천과 팔당호 주요 유입부에서 2000년 9월부터 2001년 2월까지 수중 총세균수의 분포 및 변동을 조사하였다. 경안천 본류에서 총세균수는 하수처리장 배출수가 유입될 때 뚜렷이 증가하였다. 경안천 본류에서 유하거리 (km)당 총세균의 소멸량은 0.13${\times}10^{6}$cells/ml로서 하류로 이송되면서 하상에 침강 소멸되는 양이 상당하였다. 총세균수의 변동은 9${\sim}$10월, 11월 및 12${\sim}$2월에 평균값이 각각 1.74${\sim}$3.10${\times}10^{6}$cells/ml, 1.86${\sim}$7.30${\times}10^{6}$cells/ml 및 4.56${\sim}$8.75${\times}10^{6}$cells/ml 범위로서 세균의 생물량은 고수온기에 적었고 저수온기에 오히려 증가하였다. 총세균수는 수온이 >$10^{\circ}C$인 시기(9${\sim}$10월)보다 <$10^{\circ}C$인 저수온기(12${\sim}$2월)에 2.1${\sim}$3.0배 풍부하였다. 총세균수로 평가하였을 때 수질은 부영양상태였고 하수처리장 배출수는 경안천과 팔당호의 미생물 오염에 대한 가장 큰 source로 평가되었다. 경안천 뿐만 아니라 팔당호의 상수원 수질을 보호하기 위해서는 하수처리장 배출수 관리에 대한 대책 마련이 매우 시급한 것으로 판단되었다.

• 생태와환경
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• 제53권1호
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• pp.91-101
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• 2020

본 연구에서는 특별관리해역인 시화호 유역의 산업단지 하천에 강우 시 비점오염의 형태로 유입되는 중금속의 유출 특성 파악 및 오염원 파악을 하천 토구를 통해 배출되는 강우유출수 내 용존 및 입자성 중금속(Cr, Co, Ni, Cu, Zn, As, Cd, Pb)을 조사하였다. 용존성 Co와 Ni은 강우 초반에 고농도로 유출된 후 시간에 따라 감소하는 결과를 보였으나, 대부분의 원소는 조사시기별 강우량 및 유량 변화에 따라 각각 다른 특징을 보였다. 입자성 중금속의 경우, 시간에 따른 부유물질의 농도 변화와 유사한 경향을 보였다. 강우유출수 내 존재하는 중금속 중 Co, Ni, Zn는 용존 상태로 유출되는 비율이 높았고, Cr, Cu, Pb은 입자상 유출 비율이 상대적으로 높았다. 입자 상태로 유출되는 중금속의 인위적 오염도를 평가하기 위해 농집지수를 계산한 결과, Cu, Zn, Cd은 very highly polluted에 해당하는 심각한 오염수준으로 나타났다. 연구지역인 3간선수로 유역 인근의 도로먼지 중 125 ㎛ 이하에서의 중금속 농도와 비교한 결과, 강우유출수 내 Cu, Zn, Cd의 중금속이 금속제조관련 시설에서 절삭 혹은 가공 중에 발생하여 산업시설 표면에 축적되어 있는 금속물질이 강우유출수와 함께 수환경으로 유출된 것을 알 수 있었다. 강우유출수 내 총중금속 평균 유출부하량은 1회 강우 시 Cr 128 g, Co 12.35 g, Ni 98.5 g, Cu 607.5 g, Zn 8,429.5 g, As 6.95 g, Cd 3.7 g, Pb 251.75 g으로 금속제조와 관련된 산업시설이 주로 존재하는 유역의 특성을 잘 반영한 것으로 판단된다.

• 한국화재소방학회논문지
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• 제27권3호
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• pp.30-37
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• 2013

본 연구는 가연성탱크 화재발생시 하나의 포 비례혼합기에서 분기헤더를 거쳐 다수의 소화지역 분기방식 포 소화설비의 분기헤더에서 저장탱크 하단부 입상관 까지의 포수용액 배관단면적 감소에 따른 통과유량 감소로 혼합비가 허용범위를 벗어날 때 적정농도의 포수용액 방출에 효과적인 방법을 확보하는데 궁극적인 목적이 있다. 이를 위해 기설치 포 소화설비의 유량변동에 따른 혼합비 변동원인 분석 및 일정혼합비 보상방법을 찾아보고, 포 비례혼합기 벤츄리 폼챔버 오리피스 및 미터링 오리피스 교체실험을 통해 원액흡입배관 단면적을 확장시킬 수 있는 미터링 오리피스 교체실험이 포 소화설비 혼합비 개선에 가장 효과적인 방안임을 입증하였다.