• Clinical and Experimental Pediatrics
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• v.63 no.5
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• pp.184-188
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• 2020

Background: Many critically ill patients require transfer to a higher-level hospital for complex medical care. Despite the publication of the American Academy of Pediatrics guidelines for pediatric interhospital transportation services and the establishment of many pediatric transport programs, adverse events during pediatric transport still occur. Purpose: To determine the incidence of adverse events occurring during pediatric transport and explore their complications and risk factors. Methods: This prospective observational study explored the adverse events that occurred during the interhospital transport of all pediatric patients referred to the pediatric intensive care unit of Ramathibodi Hospital between March 2016 and June 2017. Results: There were 122 pediatric transports to the unit. Adverse events occurred in 25 cases (22%). Physiologic deterioration occurred in 15 patients (60%). Most issues (11 events) involved circulatory problems causing patient hypotension and poor tissue perfusion requiring fluid resuscitation or inotropic administration on arrival at the unit. Respiratory complications were the second most common cause (4 events). Equipment-related adverse events occurred in 5 patients (20%). The common causes were accidental extubation and endotracheal tube displacement. Five patients had both physiologic deterioration and equipment-related adverse events. Regarding transport personnel, the group without complications more often had a physician escort than the group with complications (92% vs. 76%; relative risk, 2.4; P=0.028). Conclusion: The incidence of adverse events occurring during the transport of critically ill pediatric patients was 22%. Most events involved physiological deterioration. Escort personnel maybe the key to preventing and appropriately monitoring complications occurring during transport.

• Archives of Plastic Surgery
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• v.39 no.3
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• pp.198-202
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• 2012

Background : Maxillary hypoplasia refers to a deficiency in the growth of the maxilla commonly seen in patients with a repaired cleft palate. Those who develop maxillary hypoplasia can be offered a repositioning of the maxilla to a functional and esthetic position. Velopharyngeal dysfunction is one of the important problems affecting speech after maxillary advancement surgery. The aim of this study was to investigate the impact of maxillary advancement on repaired cleft palate patients without preoperative deterioration in speech compared with non-cleft palate patients. Methods : Eighteen patients underwent Le Fort I osteotomy between 2005 and 2011. One patient was excluded due to preoperative deterioration in speech. Eight repaired cleft palate patients belonged to group A, and 9 non-cleft palate patients belonged to group B. Speech assessments were performed preoperatively and postoperatively by using a speech screening protocol that consisted of a list of single words designed by Ok-Ran Jung. Wilcoxon signed rank test was used to determine if there were significant differences between the preoperative and postoperative outcomes in each group A and B. And Mann-Whitney U test was used to determine if there were significant differences in the change of score between groups A and B. Results : No patients had any noticeable change in speech production on perceptual assessment after maxillary advancement in our study. Furthermore, there were no significant differences between groups A and B. Conclusions : Repaired cleft palate patients without preoperative velopharyngeal dysfunction would not have greater risk of deterioration of velopharyngeal function after maxillary advancement compared to non-cleft palate patients.

• Journal of the Korea institute for structural maintenance and inspection
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• v.19 no.3
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• pp.64-72
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• 2015

Risk Based Inspection (RBI) Period was proposed for highway bridges in Korea. Hazard factors affecting bridge condition deterioration were found by analyzing condition data from Highway Bridge Management System (HBMS). Certain level of correlations between those factors and condition deterioration were found. They are used to evaluate hazard score. Summarizing several hazard factors, final hazard is classified as three level;high, moderate, low. Vulnerability is assessed only by the current state of bridge. Then, risk matrix is suggested for inspection periods. Inspection periods of the bridges with grade C, D, and E are maintained the same as before. But, those of grade A and B with moderate and high hazard score are elongated to maximum 6 years while the maximum inspection period is three years at present. By adjusting inspection period according to risk assessment, it was shown that 27% of average inspection manpower can be saved.

• Asian Oncology Nursing
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• v.12 no.1
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• pp.110-116
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• 2012

Purpose: This study was performed to identify the pre-and post-transplant nutritional assessment for patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). Methods: The subjects of this study were 25 patients undergoing allogeneic HSCT. The data collection was performed from January 31st to March 31st, 2011. The Patient-Generated Subjective Global Assessment (PG-SGA), anthropometrics and biochemical test were collected from the time they entered the isolation unit until they left. Results: Pre-transplant nutritional assessment status indicated moderate malnutrition which scored $7.32{\pm}1.68$ in PG-SGA. There were 22 patients (88.0%) with moderate malnutrition and 3 patients (12.0%) with severe malnutrition. Post-transplant nutritional assessment indicated severe malnutrition status which scored $11.92{\pm}3.26$ in PG-SGA. Pre-and post-transplant nutritional assessment displayed significant differences (p<.001) in PG-SGA score. Hematopoietic stem cell transplantation led to a deterioration of patients' nutritional status. Pre-transplant patients were already in malnutrition status and patients undergoing allogeneic HSCT were at risk for malnutrition. Conclusion: Pre-and post-transplant patients were categorized as having undernutritional and malnutritional status. Pre-transplant nutrition status impacted on post-transplant nutritional status. Health care personnel should pay attention to patient's nutrition status when undergoing allogeneic HSCT with appropriate nutritional assessment tools.

• Journal of the Korea institute for structural maintenance and inspection
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• v.14 no.2
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• pp.171-175
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• 2010

This paper presents the experimental results of frost durability characteristics including freezing-thawing and de-icing salt scaling of the concrete for gutter of the road and marine structure. Mixtures were proportioned with the three level of water-binder ratio(W/B) and three binder compositions corresponding to Type I cement with 0%, 30% and 50% GGBS(Ground granulated blast furnace slag) replacement. Also, two different solutions of calcium chloride were used to evaluate their effect on the frost durability resistance. Specially, in case of complex of freezing and thawing with salt and carbonation, the deterioration of concrete surface is evaluated. Test results showed that the BFS30 and BFS50 mixture exhibited higher durability and lower mass loss values than those made with OPC mix and the use of GGBS can be used effectively in terms of economy and frost durability of the concrete to be in complex deterioration. Therefore, the resistance to complex deterioration with freezing-thawing was strongly influenced by the strength and the type of cement.

• Journal of Korean Society of Water and Wastewater
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• v.24 no.2
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• pp.183-193
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• 2010

Well planned rehabilitation order of pipes is essential for efficient maintenance and management of Water Distribution Systems. In this study, not only deterioration rate of pipes but also structural and nonstructural failure which causes abnormal condition of WDS is considered to determine rehabilitation order. Probabilistic Neural Network is used for calculating deterioration rate at present and the importance of pipes is computed under structural and nonstructural failure by using Pipe by Pipe Failure Analysis and Effect Index. Utopian Approach, one of the Multi-Criteria Decision Making methods, is used for assessment of final rehabilitation order based on distance measure between utopian point and alternative one. Developed model in this study shows that it gives more reliable results than existing methods considering hydraulic relative importance does in application to real networks. In this point, the newly developed model, which gives advantages over existing models, can make a credible decision and simple application.

• KEPCO Journal on Electric Power and Energy
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• v.3 no.1
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• pp.23-28
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• 2017

The life management technology becomes important as the failure risk of the aged power transformers increases. Asset management technology, therefore, has been developed to evaluate the remaining life and build replacement strategies of power transformers, which enables an optimal investment decisions based on reliability and economic feasibility. The remaining life assessment technology uses data related to such as installation, operation, maintenance, refurbishment, and disposed history of power transformers. The optimal investment decision additionally uses data related to failure and social costs. To develop the asset management technology in power transformers, it is important to find deterioration parameters directly indicating degradation of power transformers. In this study, 110,000 DGA data during the past 35 years have been analyzed in order to find the deterioration parameters related to the degradation of power transformers. The alarm rates of combustible gases ($H_2$, $C_2H_2$, $C_2H_4$, $CH_4$, $C_2H_6$), TCG CO, and $CO_2$ were analyzed as deterioration parameters. The origin of the gas was discussed in connection with discharge, overheating and insulation aging.

• Earthquakes and Structures
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• v.3 no.5
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• pp.649-673
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• 2012

Recent studies have highlighted the importance of accounting for aging and deterioration of bridges when estimating their seismic vulnerability. Effects of structural degradation of multiple bridge components, variations in bridge geometry, and comparison of different environmental exposure conditions have traditionally been ignored in the development of seismic fragility curves for aging concrete highway bridges. This study focuses on the degradation of multiple bridge components of a geometrically varying bridge class, as opposed to a single bridge sample, to arrive at time-dependent seismic bridge fragility curves. The effects of different exposure conditions are also explored to assess the impact of severity of the environment on bridge seismic vulnerability. The proposed methodology is demonstrated on a representative class of aging multi-span reinforced concrete girder bridges typical of the Central and Southeastern United States. The results reveal the importance of considering multiple deterioration mechanisms, including the significance of degrading elastomeric bearings along with the corroding reinforced concrete columns, in fragility modeling of aging bridge classes. Additionally, assessment of the relative severity of exposure to marine atmospheric, marine sea-splash and deicing salts, and shows 5%, 9% and 44% reduction, respectively, in the median value bridge fragility for the complete damage state relative to the as-built pristine structure.

• Land and Housing Review
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• v.11 no.3
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• pp.83-92
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• 2020

In South Korea, problems caused by material deterioration of time-worn concrete structures have been increased recently. Because severe material deterioration could damage the structure's safety, it's important to evaluate the old structure's condition and structural capacity regularly to keep its proper performance. The safety evaluation of concrete structures has been initiated and performed periodically since 1995 according to a guideline in accordance with a law in Korea. The guideline prescribes the evaluation types, intervals and methods of the target structure. A lot of cost and labor have been invested every year to carry out the regular safety evaluation. However, it's not clear that the current manual could inspect the old structure's condition and assess the structural capacity precisely. Thus, the verification study initiated to figure out the Korean safety evaluation manual's practicalness. First, the Korean manual was analyzed and then compared with that of other countries for concrete bridges which are representative concrete structure. After that, the previously written evaluation reports were collected and analyzed to find out how the safety evaluation has been carried out. Based on the study results, the parts requiring verification of the manual were drawn. A research program is in progress in order to verify the parts by performing tests with actual structural members from decommissioned concrete bridges.

• Earthquakes and Structures
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• v.26 no.1
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• pp.59-75
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• 2024

This paper presents a dam-reservoir interaction model that includes, water compressibility, sloshing of surface water, and radiation damping at the far-end reservoir, to investigate the influence of concrete deterioration on seismic behavior along with seismic performance of gravity dams. Investigations on seismic performance of the dam body have been conducted using the linear time-history responses obtained under six real and 0.3 g normalized earthquake records with time durations from 10 sec to 80 sec. The deterioration of concrete is assumed to develop due to mechanical and chemical actions over the dam lifespan. Several computer programs have been developed in FORTRAN 90 and MATLAB programming languages to analyze the coupled problem considering two-dimensional (2D) plane-strain condition. According to the results obtained from this study, the dam structure shows critical responses at the later ages (75 years) that could cause disastrous consequences; the critical effects of some earthquake loads such as Chi-Chi with 36.5% damage and Loma with 56.2% damage at the later ages of the selected dam body cannot be negligible; and therefore, the deterioration of concrete along with its effects on the dam response should be considered in analysis and design.