• Korean Journal of Radiology
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• 제23권9호
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• pp.878-888
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• 2022

Objective: To investigate the clinical impact of a quality improvement program including dedicated emergency radiology personnel (QIP-DERP) on the management of emergency surgical patients in the emergency department (ED). Materials and Methods: This retrospective study identified all adult patients (n = 3667) who underwent preoperative body CT, for which written radiology reports were generated, and who subsequently underwent non-elective surgery between 2007 and 2018 in the ED of a single urban academic tertiary medical institution. The study cohort was divided into periods before and after the initiation of QIP-DERP. We matched the control group patients (i.e., before QIP-DERP) to the QIP-DERP group patients using propensity score (PS), with a 1:2 matching ratio for the main analysis and a 1:1 ratio for sub-analyses separately for daytime (8:00 AM to 5:00 PM on weekdays) and after-hours. The primary outcome was timing of emergency surgery (TES), which was defined as the time from ED arrival to surgical intervention. The secondary outcomes included ED length of stay (LOS) and intensive care unit (ICU) admission rate. Results: According to the PS-matched analysis, compared with the control group, QIP-DERP significantly decreased the median TES from 16.7 hours (interquartile range, 9.4-27.5 hours) to 11.6 hours (6.6-21.9 hours) (p < 0.001) and the ICU admission rate from 33.3% (205/616) to 23.9% (295/1232) (p < 0.001). During after-hours, the QIP-DERP significantly reduced median TES from 19.9 hours (12.5-30.1 hours) to 9.6 hours (5.7-19.1 hours) (p < 0.001), median ED LOS from 9.1 hours (5.6-16.5 hours) to 6.7 hours (4.9-11.3 hours) (p < 0.001), and ICU admission rate from 35.5% (108/304) to 22.0% (67/304) (p < 0.001). Conclusion: QIP-DERP implementation improved the quality of emergency surgical management in the ED by reducing TES, ED LOS, and ICU admission rate, particularly during after-hours.

• Journal of Trauma and Injury
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• 제26권2호
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• pp.47-52
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• 2013

Purpose: Injury severity score (ISS), a widely used scoring system, is used to define the severity of trauma in multiple-trauma patients. Nevertheless, ISS cut-off value for predicting the outcome of multiple-trauma patients has not been confirmed. Thus, this study was performed to determine the more useful method for predicting the outcome for multiple-trauma patients: the ISS or the number of anatomical Abbreviated injury scale (AIS) injury regions. Methods: for 195 consecutive patients who a regional emergency medical center, we analyzed the ISS and the number of anatomical AIS injury region. The patients were divided into four groups based on the ISS and the number of anatomical AIS regions. We compared intensive-care-unit (ICU) admission days and hospitalization days and ICU stay ratio (ICU admission days/hospitalization days) between the four groups. Results: In the groups with an ISS more than 17, the results were not significantly different statistically the group with 2 anatomical AIS injury regions and more than 3 anatomical AIS injury regions. Also, in the group with an ISS of 17 or less, the results were the same as those for patients with an ISS more than 17 (p>0.05). Among the patients with 2 anatomical AIS injury regions, patients with an ISS more than 17 patients had more ICU admission days and a higher ICU stay ratio than patients with an ISS 17 or less. Also, Among the patients with 3 anatomical AIS injury regions, the results were the same as those for patients with 2 anatomical AIS injury regions. Conclusion: Patients with high ISS, regardless of the number of anatomical AIS injury regions had significantly longer ICU stays and higher ICU admission ratio. Thus, the ISS may be a better method than the number of anatomical AIS injury regions for predicting the outcomes for multiple-trauma patients.

• Journal of Korean Neurosurgical Society
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• 제60권6호
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• pp.620-626
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• 2017

Objective : Although venous thromboembolism (VTE) is frequently related to dehydration, the impact of dehydration on VTE in acute ischemic stroke (AIS) is not clear. This study investigated whether dehydration, as measured by blood urea nitrogen (BUN)/creatinine (Cr) ratio, influences the occurrence of VTE in patients with AIS. Methods : This is a retrospective study of patients with AIS between January 2012 and December 2013. Patients with newly diagnosed AIS who experienced prolonged hospitalization for at least 4 weeks were included in this study. Results : Of 182 patients included in this study, 17 (9.3%) suffered VTE during the follow-up period; in two cases, VTE was accompanied by deep vein thrombosis and pulmonary embolism. Patients with VTE were more frequently female and had higher National Institutes of Health Stroke Scale (NIHSS) score, more lower limb weakness, and elevated blood urea nitrogen BUN/Cr ratio on admission. In a multivariate analysis, BUN/Cr ratio >15 (odds ratio [OR] 8.75) and severe lower limb weakness (OR 4.38) were independent risk factors for VTE. Conclusion : Dehydration on admission in cases of AIS might be a significant independent risk factor for VTE.

• The KSFM Journal of Fluid Machinery
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• 제5권4호
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• pp.11-18
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• 2002

A turbopump system composed of two pumps and one turbine is considered. The turbine composed of a nozzle and a rotor is used to drive the pumps while gas passes through the nozzle and potential energy is converted to kinetic energy, which forces the rotor blades to spin. In this study, an aerodynamic design of turbine system is investigated with some pre-determined design requirements (i.e., pressure ratio, rotational speed, required power, etc.) following Liquid Rocket Engine (L.R.E.) system specifications. For simplicity of turbine system, impulse-type rotor blades for open-type L.R.E. have been chosen. Usually, the open-type turbine system requires low mass flow-rate compared to close-type system. In this study, a partial admission nozzle is adopted to maximize the efficiency of the open-type turbine system. A design methodology of turbine system was introduced. Especially, partial admission nozzle was designed by means of simple empirical correlations between efficiency and configuration of the nozzle. Finally, a turbine system design is presented for a 10 ton thrust level of L.R.E.

• Journal of the Korea Society of Computer and Information
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• 제21권4호
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• pp.123-129
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• 2016

This study had a purpose to find the correlation between academic achievement and entrance examination score using FCA and framing a concept of university academic achievement and entrance examination score and then, building concept lattice. The subject for this analysis was admission materials of freshmen in computer engineering department at A university located in Chungcheong area in 2010. Also 56 students in total were subjects for the score analysis of their first semester from 2010 to 2014. The major findings of this study were as follows. We organized and extracted many-valued context, concept lattice, associated rules using FCA. And we analyzed the correlation between University academic achievement and entrance examination score using FCA. The conclusions were as follows. We could get meaningful analyzed results using FCA. University academic achievement had lower relativeness with entrance examination score and female students had higher university academic achievement than male students. The improvement points are summarized below. It is necessary to improve the ratio and application method of the university admission factors and to increase the regular admission for a university. And programs for completing College-preparatory programming for male students in low university academic achievement are necessary.

• 유체기계공업학회:학술대회논문집
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• 유체기계공업학회 2000년도 유체기계 연구개발 발표회 논문집
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• pp.145-152
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• 2000

A turbopump system composed of two pumps and one turbine is considered. The turbine composed of a nozzle and a rotor is used to drive the pumps while gas passes through the nozzle, potential energy is converted to kinematic energy, which forces the rotor blades to spin. In this study, an aerodynamic design of turbine system is investigated using compressible fluid dynamic theories with some pre-determined design requirements (i.e., pressure ratio, rotational speed, required power etc.) obtained from liquid rocket engine (L.R.E.) system design. For simplicity of turbine system, impulse-type rotor blades for open type L.R.E. have been chosen. Usually, the open-type turbine system requires low mass flow rate compared to close-type system. In this study, a partial admission nozzle Is adopted to maximize the efficiency of the open-type turbine system. A design methodology of turbine system has been introduced. Especially, partial admission nozzle has been designed by means of simple empirical correlations between efficiency and configuration of the nozzle. Finally, a turbine system design for a 10 ton thrust level of L.R.E is presented.

• The KSFM Journal of Fluid Machinery
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• 제7권6호
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• pp.28-37
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• 2004

An experimental study is conducted to investigate flow characteristics on a small axial-type turbine which is applied as the rotating part of air tools. It operates in a partial admission due to consumption restriction of the high pressure air. In this operating condition, it is necessary to understand flow characteristics for obtaining the high specific output power. Tested turbine consists of two stages and the mean radius of flow passage is less than 10mm. A 6 bar pressure air is used to operate the turbine. The experimental results show that flow angles depend on the measuring location along the circumferential direction, but its discrepancy is alleviated along the axial direction. Absolute flow velocities show three times difference according to the measuring location at the exit of the first rotor due to the partial admission, but they show similar value at the exit of the second rotor by the velocity diffusion. From the measured flow angles and velocities, a ratio of output power obtained by the first and second rotor is estimated. It shows that the output power obtained by the second rotor is about $11\%$ to that by the first rotor at 60,000 RPM. It is effective therefore to improve the first rotor for increasing the turbine output power.

• International Journal of Advanced Culture Technology
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• 제10권4호
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• pp.316-321
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• 2022

Since 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly, infecting millions of people worldwide. On March 11, 2020, the World Health Organization declared coronavirus disease (COVID-19) a pandemic owing to the worldwide spread of SARS-CoV-2, which created an unprecedented burden on the global healthcare system. In this context, there are increasing concerns regarding co-infections with other respiratory viruses, such as the influenza virus. In this study, clinical data of patients infected with SARS-CoV-2 and other respiratory viruses were compared with patients infected with SARS-CoV-2 alone. The hematology and blood biochemistry results of 178 patients infected with SARS-CoV-2 , who were tested on admission, were retrospectively reviewed. In patients with SARS-CoV-2 and adenovirus co-infection, C-reactive protein levels were elevated on admission, whereas lactate dehydrogenase (LDH), prothrombin time, international normalized ratio, activated partial thromboplastin clotting time, and bilirubin values were all within the normal range. Moreover, patients with SARS-CoV-2 and human bocavirus co-infection had low LDH and high bilirubin levels on admission. These findings reveal the clinical features of respiratory virus and SARS-CoV-2 co-infections and support the development of appropriate approaches for treating patients with SARS-CoV-2 and other respiratory virus co-infections.

• Journal of the Institute of Electronics Engineers of Korea TC
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• 제41권4호
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• pp.17-24
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• 2004

Call blocking probabilities of streaming data service in CDMA system with access point(AP) of WLAN are analyzed for different cell geometry of base station and AP and queuing is modeled. The considered system leads to successful handoffs between the APs of WLAN. Blocking probabilities are enumerated as a function for ratio of base station and AP sizes, their locations and the number of buffer in the queue. Results show that blocking probability is not influenced by base station and AP locations but mainly by ratio of their sizes. For CDMA system of radius 100m, 5 buffers in the queue and 7㏈ noise rise(NR), in order to obtain 1% call blocking probability, a cell with hot spot of radius 20m has more 0.6Erlang than that of radius 60m.

• Nutrition Research and Practice
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• 제9권3호
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• pp.268-277
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• 2015

BACKGROUND/OBJECTIVES: Although it is crucial to identify those children likely to be treated in an appropriate nutrition rehabilitation programme and discharge them at the appropriate time, there is no golden standard for such identification. The current study examined the appropriateness of using Mid-Upper Arm Circumference for the identification, follow-up and discharge of malnourished children. We also assessed its discrepancy with the Weight-for-Height based diagnosis, the rate of recovery, and the discharge criteria of the children during nutrition rehabilitation. SUBJECTS/METHODS: The study present findings from 156 children (aged 6-59 months) attending a supplementary feeding programme at Makadara and Jericho Health Centres, Eastern District of Nairobi, Kenya. Records of age, weight, height and mid-upper arm circumference were selected at three stages of nutrition rehabilitation: admission, follow-up and discharge. The values obtained were then used to calculate z-scores as defined by WHO Anthro while estimating different diagnostic indices. RESULTS: Mid-upper arm circumference single cut-off (< 12.5 cm) was found to exhibit high values of sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio at both admission and discharge. Besides, children recorded higher rate of recovery at 86 days, an average increment of 0.98 cm at the rate of 0.14mm/day, and a weight gain of 13.49gm/day, albeit higher in female than their male counterparts. Nevertheless, children admitted on basis of low MUAC had a significantly higher MUAC gain than WH at 0.19mm/day and 0.13mm/day respectively. CONCLUSIONS: Mid-upper arm circumference can be an appropriate tool for identifying malnourished children for admission to nutrition rehabilitation programs. Our results confirm the appropriateness of this tool for monitoring recovery trends and discharging the children thereafter. In principle the tool has potential to minimize nutrition rehabilitation costs, particularly in community therapeutic centres in developing countries.