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Relationship between emergency department crowding and initial management, mortality of severe trauma patients (응급실 과밀화와 중증외상환자의 초기 처치 및 사망률과의 연관성)

  • Park, Chang Won;Ahn, Jae Yun;Seo, Kang Suk;Park, Jung Bae;Lee, Mi Jin;Kim, Jong Kun;Ryoo, Hyun Wook;Kim, Yun Jeong;Lee, Dong Eun;Moon, Sungbae;Choe, Jae Young
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.6
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    • pp.624-635
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    • 2018
  • Objective: This study examined whether emergency department (ED) crowding influences the timing of the initial assessment and treatment in severe trauma patients, as well as their mortality rates. Methods: This retrospective, observational study was conducted between January 2015 and October 2016, and included adult severe trauma patients who presented to the ED. The emergency department occupancy rate (EDOR) was used to measure ED crowding. The patients were divided into four groups using the EDOR quartile. The timeliness of the initial assessment and treatment in the four groups as well as the mortality rates were compared. Results: This study investigated 307 patients. The timing of the first computed tomography (CT) and laboratory test order, CT and laboratory test result acquisition, first transfusion, and patient transfer from the ED to the operating room were similar in the four groups. Multivariable logistic regression analysis did not show a significant difference in mortality between the groups. Conclusion: ED crowding was not associated with delays in the initial assessment and treatment of severe trauma patients, or in their mortality rates.

An Analysis of Dwelling Environment of Public Retirement(Silver) Housing Based on Post Occupancy Evaluation (거주 후 평가(P.O.E)에 의한 공공실버주택의 거주환경 분석)

  • Bak, Da-Hye;Kim, Young-Hwa;Lee, Sang-Hong
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.34 no.12
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    • pp.65-76
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    • 2018
  • Due to the rapid demographic and structural changes, Korea has faced a variety of social issues and quickly entered the aged society since the 2000s. In order deal with this reality, diverse types of welfare policies are emerging in the society as a whole. The government began to supply domestic public silver housing in 2016 to provide against the quickly growing aged society and now, the government is planning to supply approximately 50,000 housing by 2022 for quantitative growth of aged society, by selecting 1st and 2nd designated areas for the project additionally. This public retirement(silver) housing combines 'space' with 'service'. The lower floors are a public silver welfare Facilities and the upper floors are a housing spaces. This type of housing is to deal with requirements of rental housing residents by combining physical space with supporting service. Based on barrier-free design, the complex and unit house have safety handles and alarm bells in the bathroom, undulating washstands, bathroom sliding doors, corridor safety handles, and emergency safety exit lamps in each housing unit so the aged and the disabled can use easily and conveniently. Also, hand rails are installed and stepped pulleys are removed to promote convenience. Currently, the government is planning to increase the supply, focusing on low-income groups, such as beneficiaries of national basic livelihood and the working poor. Recognizing that the public retirement(silver) housing project is at its early stage, this study examined satisfaction, based on evaluations of real residents. This study aimed to obtain more empirical research data and apply them to public retirement(silver) house space analysis. For analysis, this study targeted Wirye public retirement(silver) housing and Magnolia public retirement(silver) housing that are in operation, and literature review, previous research review, and field survey were conducted to examine the present state. Using the questionnaires consisting of four large classification items; Block Layout, Housing Unit, Welfare Facilities, and Barrier-free Design, and sub-details, a survey was conducted to analyze residents' satisfaction. In conclusion, it is anticipated that this study would serve as basic research data about public retirement(silver) housing to increase continuously in future by analyzing public retirement(silver) housing spaces, on the basis of the analyzed data.

Investigation on Ferroelectric and Magnetic Properties of Pb(Fe1/2Nb1/2)O3 Fe-Site Engineered with Antisymmetric Exchange Interaction (반대칭 교환 상호작용을 갖도록 Fe-Site가 제어된 PbFe1/2Nb1/2O3의 강유전/자기적 특성 연구)

  • Park, Ji-Hun;Lee, Ju-Hyeon;Cho, Jae-Hyeon;Jang, Jong Moon;Jo, Wook
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.35 no.3
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    • pp.297-302
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    • 2022
  • We investigated the origin of magnetic behaviors induced by an asymmetric spin exchange interaction in Fe-site engineered lead iron niobate [Pb(Fe1/2Nb1/2)O3, PFN], which exhibits a room-temperature multiferroicity. The magnitude of spin exchange interaction was regulated by the introduced transition metals with a distinct Bohr magneton, i.e., Cr, Co, and Ni. All compositions were found to have a single-phase perovskite structure keeping their ferroelectric order except for Cr introduction. We discovered that the incorporation of each transition metal imposes a distinct magnetic behavior on the lead iron niobate system; antiferro-, hard ferro-, and soft ferromagnetism for Cr, Co, and Ni, respectively. This indicates that orbital occupancy and interatomic distance play key roles in the determination of magnetic behavior rather than the magnitude of the individual Bohr magneton. Further investigations are planned, such as X-ray absorption spectroscopy, to clarify the origin of magnetic properties in this system.

A Study on the Development of H2 Fuel Cell Education Platform: Meta-Fuelcell (연료전지 교육 플랫폼 Meta-Fuelcell 개발에 관한 연구)

  • Duong, Thuy Trang;Gwak, Kyung-Min;Shin, Hyun-Jun;Rho, Young-J.
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.22 no.5
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    • pp.29-35
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    • 2022
  • This paper proposes a fuel cell education framework installed on a Metaverse environment, which is to reduce the burden of education costs and improve the effect of education or learning. This Meta-Fuel cell platform utilizes the Unity 3D Web and enables not only theoretical education but also hands-on training. The platform was designed and developed to accommodate a variety of unit education contents, such as ppt documents, videos, etc. The platform, therdore, integrates ppt and video demonstrations for theoretical education, as well as software content "STACK-Up" for hands-on training. Theoretical education section provides specialized liberal arts knowledge on hydrogen, including renewable energy, hydrogen economy, and fuel cells. The software "STACK-Up" provides a hands-on practice on assembling the stack parts. Stack is the very core component of fuel cells. The Meta-Fuelcell platform improves the limitations of face-to-face education. It provides educators with the opportunities of non-face-to-face education without restrictions such as educational place, time, and occupancy. On the other hand, learners can choose educational themes, order, etc. It provides educators and learners with interesting experiences to be active in the metaverse space. This platform is being applied experimentally to a education project which is to develop advanced manpower in the fuel cell industry. Its improvement is in progress.

Impact of lattice versus solid structure of 3D-printed multiroot dental implants using Ti-6Al-4V: a preclinical pilot study

  • Lee, Jungwon;Li, Ling;Song, Hyun-Young;Son, Min-Jung;Lee, Yong-Moo;Koo, Ki-Tae
    • Journal of Periodontal and Implant Science
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    • v.52 no.4
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    • pp.338-350
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    • 2022
  • Purpose: Various studies have investigated 3-dimensional (3D)-printed implants using Ti6Al-4V powder; however, multi-root 3D-printed implants have not been fully investigated. The purpose of this study was to explore the stability of multirooted 3D-printed implants with lattice and solid structures. The secondary outcomes were comparisons between the 2 types of 3D-printed implants in micro-computed tomographic and histological analyses. Methods: Lattice- and solid-type 3D-printed implants for the left and right mandibular third premolars in beagle dogs were fabricated. Four implants in each group were placed immediately following tooth extraction. Implant stability measurement and periapical X-rays were performed every 2 weeks for 12 weeks. Peri-implant bone volume/tissue volume (BV/TV) and bone mineral density (BMD) were measured by micro-computed tomography. Bone-to-implant contact (BIC) and bone area fraction occupancy (BAFO) were measured in histomorphometric analyses. Results: All 4 lattice-type 3D-printed implants survived. Three solid-type 3D-printed implants were removed before the planned sacrifice date due to implant mobility. A slight, gradual increase in implant stability values from implant surgery to 4 weeks after surgery was observed in the lattice-type 3D-printed implants. The marginal bone change of the surviving solid-type 3D-printed implant was approximately 5 mm, whereas the value was approximately 2 mm in the lattice-type 3D-printed implants. BV/TV and BMD in the lattice type 3D-printed implants were similar to those in the surviving solid-type implant. However, BIC and BAFO were lower in the surviving solid-type 3D-printed implant than in the lattice-type 3D-printed implants. Conclusions: Within the limits of this preclinical study, 3D-printed implants of double-rooted teeth showed high primary stability. However, 3D-printed implants with interlocking structures such as lattices might provide high secondary stability and successful osseointegration.

Quantification of the CO2 Footprint in Residential Construction

  • Don Mah;Juan D. Manrique;Haitao Yu;Mohamed Al-Hussein;Reza Nasseri
    • International conference on construction engineering and project management
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    • 2009.05a
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    • pp.525-536
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    • 2009
  • The current residential process adheres to a traditional method of construction involving wood framing on-site on poured concrete foundations which has been widely applied in North America. A conventional residential construction process can include seventeen distinct stages ranging from stake-out to pre-occupancy inspection. The current practice possesses short comings including high construction material wastes, long scheduling timelines, adverse weather conditions, poor quality, low efficiencies and negative environmental impacts from transportation and equipment use. Over CAN $5 billion dollars was spent in the construction sector during 2007 in Canada. Previous findings in CO2 emissions during the construction process of a conventional dwelling emphasize more than 45 tonnes of CO2 emissions. Hence, in Alberta alone during 2007, almost 50,000 residential units would release more than two million tonnes of CO2. These numbers demonstrate the economical and environmental impact in building construction and its relationship with CO2 emissions. The aim of this paper is to quantify the CO2 emissions from the current residential construction process in order to establish the baseline for CO2 emission reduction opportunities. The quantification collection methodology will be approached by identifying the seventeen various stages of construction and quantifying the contributions of CO2 from specific activities and their impacts of work for each stage. The approach of separating these into separate stages for collection will allow for independent opportunities for analysis from various independent contractors from the entire scope of work. The use of BIM will be implemented to efficiently quantify CO2 emissions. Based on the CO2 quantification baseline, emission reduction opportunities such as an industrialized construction process will be introduced that allows homebuilders to reduce the environmental and economical impact of home construction while enabling them to produce higher quality, more energy efficient homes in a safer and shorter period of time.

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Developing an Occupants Count Methodology in Buildings Using Virtual Lines of Interest in a Multi-Camera Network (다중 카메라 네트워크 가상의 관심선(Line of Interest)을 활용한 건물 내 재실자 인원 계수 방법론 개발)

  • Chun, Hwikyung;Park, Chanhyuk;Chi, Seokho;Roh, Myungil;Susilawati, Connie
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.5
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    • pp.667-674
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    • 2023
  • In the event of a disaster occurring within a building, the prompt and efficient evacuation and rescue of occupants within the building becomes the foremost priority to minimize casualties. For the purpose of such rescue operations, it is essential to ascertain the distribution of individuals within the building. Nevertheless, there is a primary dependence on accounts provided by pertinent individuals like building proprietors or security staff, alongside fundamental data encompassing floor dimensions and maximum capacity. Consequently, accurate determination of the number of occupants within the building holds paramount significance in reducing uncertainties at the site and facilitating effective rescue activities during the golden hour. This research introduces a methodology employing computer vision algorithms to count the number of occupants within distinct building locations based on images captured by installed multiple CCTV cameras. The counting methodology consists of three stages: (1) establishing virtual Lines of Interest (LOI) for each camera to construct a multi-camera network environment, (2) detecting and tracking people within the monitoring area using deep learning, and (3) aggregating counts across the multi-camera network. The proposed methodology was validated through experiments conducted in a five-story building with the average accurary of 89.9% and the average MAE of 0.178 and RMSE of 0.339, and the advantages of using multiple cameras for occupant counting were explained. This paper showed the potential of the proposed methodology for more effective and timely disaster management through common surveillance systems by providing prompt occupancy information.

Analyzing the Impact of Species on Urban Development Using Meta Population Model (메타개체군 이론을 활용한 도시개발에 따른 생물 종 영향 평가 활용 가능성 분석)

  • Eun Sub Kim;Young Won Mo;Tae Yoon Park;Yoonho Jeon;Jiyoung Choi;Dong Kun Lee
    • Journal of Environmental Impact Assessment
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    • v.32 no.2
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    • pp.61-71
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    • 2023
  • As differences in the impact of each species on a spatial scale occur, analysis at the landscape scale is necessary to evaluate the impact of a development project. In previous studies, the Incidence Function Model (IFM) based on meta population theory was used to analyze the impact of species on the environment that changes according to urban development. However, since the model was required at least 10 occupied areas, it is difficult to use it for species that are difficult to monitor such as endangered species. Therefore, we proposed the Incidence Function Model (IFM) using species distribution model to fill the species data. In addition, we reviewed whether the developed model can be used in environmental impact assessment. As a result of the analysis, the minimum occupancy of Prionailurus bengalensis on urban development decreased to 56.5% and the possibility of survival to 28.7%. We confirmed that It rapidly decreased from the reference points of 230 and 70habitats through analysis of the meta-population capacity according to the decrease in the number of habitats. These results can be assessing the environment impact of each species on habitat loss. And it can support decision-making on the minimum number and area of habitat for species protection. This study is expected to be used as basic data for environment impact assessment on before and after development projects and mitigation measures plans, thereby increasing the effectiveness of reduction plans.

Leading, Coincident, Lagging INdicators to Analyze the Predictability of the Composite Regional Index Based on TCS Data (지역 경기종합지수 예측 가능성 검토를 위한 TCS 데이터 선행·동행·후행성 분석 연구)

  • Kang, Youjeong;Hong, Jungyeol;Na, Jieun;Kim, Dongho;Cheon, Seunghun
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.21 no.1
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    • pp.209-220
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    • 2022
  • With the worldwide spread of African swine fever, interest in livestock epidemics has increased. Livestock transport vehicles are the main cause of the spread of livestock epidemics, but there are no empirical quarantine procedures and standards related to the mobility of livestock transport vehicles in South Korea. This study extracted the trajectory of livestock-related vehicles using the facility-visit history data from the Korea Animal Health Integrated System and the DTG (Digital Tachograph) data from the Korea Transportation Safety Authority. The results are presented as exposure indices aggregating the link-time occupancy of each vehicle. As a result, 274,519 livestock-related vehicle trajectories were extracted, and the exposure values by link and zone were derived quantitatively. This study highlights the need for prior monitoring of livestock transport vehicles and the establishment of post-disaster prevention policies.

A Study on the Analysis of Container Physical Distribution System -Pusan Port Oriented- (물류시스템 분석에 관한 연구 - 부산항을 중심으로 -)

  • Park, C.H.;Lee, C.Y.
    • Journal of Korean Port Research
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    • v.5 no.2
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    • pp.19-37
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    • 1991
  • This work aims to : establish a model of the container physical distribution system of Pusan port comprising 4 sub-systems of a navigational system, on-dock cargo handling/transfer/storage system, off-dock CY system and an in-land transport system : examine the system regarding the cargo handling capability of the port and analyse the cost of the physical distribution system. The overall findings are as follows : Firstly in the navigational system, average tonnage of the ships visiting the Busan container terminal was 33,055 GRT in 1990. The distribution of the arrival intervals of the ships' arriving at BCTOC was exponential distribution of $Y=e^{-x/5.52}$ with 95% confidence, whereas that of the ships service time was Erlangian distribution(K=4) with 95% confidence, Ships' arrival and service pattern at the terminal, therefore, was Poisson Input Erlangian Service, and ships' average waiting times was 28.55 hours In this case 8berths were required for the arriving ships to wait less than one hour. Secondly an annual container through put that can be handled by the 9cranes at the terminal was found to be 683,000 TEU in case ships waiting time is one hour and 806,000 TEU in case ships waiting is 2 hours in-port transfer capability was 913,000 TEU when berth occupancy rate(9) was 0.5. This means that there was heavy congestion in the port when considering the fact that a total amount of 1,300,000 TEU was handled in the terminal in 1990. Thirdly when the cost of port congestion was not considered optimum cargo volume to be handled by a ship at a time was 235.7 VAN. When the ships' waiting time was set at 1 hour, optimum annual cargo handling capacity at the terminal was calculated to be 386,070 VAN(609,990 TEU), whereas when the ships' waiting time was set at 2 hours, it was calculated to be 467,738 VAN(739,027 TEU). Fourthly, when the cost of port congestion was considered optimum cargo volume to be handled by a ship at a time was 314.5 VAN. When the ships' waiting time was set at I hour optimum annual cargo handling capacity at the terminal was calculated to be 388.416(613.697 TEU), whereas when the ships' waiting time was set 2 hours, it was calculated to be 462,381 VAN(730,562 TEU).

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