• Title/Summary/Keyword: High Risk Area

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Validation of guidelines for field triage of injured patients for major trauma in patients of brain and spinal injury

  • Lee, Sung Kgun;Kang, Jeong Ho;Song, Sung Wook
    • Journal of Medicine and Life Science
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    • v.17 no.1
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    • pp.7-15
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    • 2020
  • The field triage guidelines have been widely implemented in the Korean trauma system. This study aimed to evaluate and validate whether it is reliable to use the field triage guidelines for predicting severe traumatic brain injury (TBI) and traumatic spinal injury (TSI) patients. This study retrospectively analyzed in-hospital cohort registries of all TBI and TSI patients, who visited the emergency department (ED) of the Jeju National University Hospital from 1 January 2013 to 31 December 2015. The primary outcome was defined as TBI and TSI patients with an injury severity score (ISS)>15. Secondary outcomes were defined as cases in which one or more of the following conditions: in-hospital death, ISS>15, admission to the intensive care unit, emergency surgery. We enrolled 14,889 TBI and TSI patients who visited ED, of which 7,966 (53.5%) were triage positive. The overall sensitivity, specificity and area under the curve (AUC) of the full cumulative field triage guidelines step's model (Step 1+3+4 criteria) for primary outcome were 82.8%, 47.0%, and 0.646, respectively. In the results for secondary outcomes, the specificity did not show a significant difference, but the sensitivity decreased to 66.5% and AUC to 0.568. The results of this study suggest that further optimization of the field triage guidelines is needed to identify high-risk TBI and TSI patients.

Prediction of Cavitation Intensity in Pumps Based on Propagation Analysis of Bubble Collapse Pressure Using Multi-Point Vibration Acceleration Method

  • Fukaya, Masashi;Ono, Shigeyoshi;Udo, Ryujiro
    • International Journal of Fluid Machinery and Systems
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    • v.2 no.2
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    • pp.165-171
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    • 2009
  • We developed a 'multi-point vibration acceleration method' for accurately predicting the cavitation intensity in pumps. Pressure wave generated by cavitation bubble collapse propagates and causes pump vibration. We measured vibration accelerations at several points on a casing, suction and discharge pipes of centrifugal and mixed-flow pumps. The measured vibration accelerations scattered because the pressure wave damped differently between the bubble collapse location and each sensor. In a conventional method, experimental constants are proposed without evaluating pressure propagation paths, then, the scattered vibration accelerations cause the inaccurate cavitation intensity. In our method, we formulated damping rate, transmittance of the pressure wave, and energy conversion from the pressure wave to the vibration along assumed pressure propagation paths. In the formulation, we theoretically defined a 'pressure propagation coefficient,' which is a correlation coefficient between the vibration acceleration and the bubble collapse pressure. With the pressure propagation coefficient, we can predict the cavitation intensity without experimental constants as proposed in a conventional method. The prediction accuracy of cavitation intensity is improved based on a statistical analysis of the multi-point vibration accelerations. The predicted cavitation intensity was verified with the plastic deformation rate of an aluminum sheet in the cavitation erosion area of the impeller blade. The cavitation intensities were proportional to the measured plastic deformation rates for three kinds of pumps. This suggests that our method is effective for estimating the cavitation intensity in pumps. We can make a cavitation intensity map by conducting this method and varying the flow rate and the net positive suction head (NPSH). The map is useful for avoiding the operating conditions having high risk of cavitation erosion.

Financing the Commercialisation of Green Innovation

  • Park, Jeongwon;Jeong, Changhyun
    • STI Policy Review
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    • v.4 no.1
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    • pp.94-118
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    • 2013
  • Innovation plays a large role in green growth. While it is a widely accepted view that, without innovation, it would be very difficult and costly to address major environmental issues, innovation itself tends to be constrained by limited access to eco-financing and is inherently risky, often requiring a long-term horizon. Although global consensus is more or less established as to the urgency and necessity of accelerating green innovation, the quality and quantity of financing in this area is largely insufficient, with increasing funding gaps in many countries. A new financial mechanism is urgently needed in order to re-orient financial flow and enable innovators to overcome the valleys of death that occur throughout the innovation cycle. A number of different modalities exist in financing the commercialisation of eco-innovation. Existing mechanisms have not been as successful as expected, revealing critical limits to furthering certain types of projects that are essential for economic and environmental progress. Experts' estimations have shown that the funding gap will widen in the coming years as demand for clean energy and green infrastructure rises, and as green technologies and innovation develop faster than the market for it can develop. Against this backdrop, the main purpose of this research is threefold: to identify issues and problems regarding current means of funding for eco-innovation and green projects; to provide insight into securing longterm green financing by looking at European cases; and ultimately to suggest policy implications for designing and implementing eco-specific financial instruments, focusing on governments' roles in sustainable financing for eco-innovation. This study analyses different models of financing mechanisms, a mix of public and private funds, in view of suggesting conditions for the sustainable financing of green projects, especially for large-scale high-risk projects. Based on the findings from the analyses of mechanisms and the shortcomings of the existing funding modalities, this study ultimately suggests policy implications for effectively supporting the commercialisation of eco-innovation.

Estimation of Carbonation and Service Life of Box Culvert for Power Transmission Line (박스형 전력구의 콘크리트 탄산화에 의한 잔존수명 예측)

  • Woo, Sang Kyun;Lee, Yun;Yi, Seong Tae
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.16 no.4
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    • pp.116-121
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    • 2012
  • The construction of underground structures such as box culverts for electric power transmission is increasing more and more, and the life extension of these structures is very important. Carbonation-induced corrosion in concrete may often occur in a high carbon dioxide environment. In this study, the risk of carbonation of two concrete box culverts in an urban area was evaluated by measuring the carbonation rate and concrete cover depth. Then, the carbonation-free service life at the depth of the steel was calculated, based on in situ information, by the Monte Carlo simulation. The service life of box culvert due to carbonation was estimated over 250 years via Monte Carlo simulation.

Efficacy and Safety of Soy Protein Based Formula in Atopic Dermatitis

  • Yeom, Kkot-Bo-Ra;Kim, Kyu-Han
    • Preventive Nutrition and Food Science
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    • v.16 no.3
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    • pp.248-252
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    • 2011
  • Soy protein based formula (SPF) has been developed for infants who are at a high risk for atopic dermatitis (AD) and cow's milk protein allergy (CMA). We performed this study to evaluate the therapeutic efficacy and safety of SPF compared to conventional hydrolyzed cow's milk formula (hCMF) in the feeding of infants with AD and CMA. 38 infants (12 to 24 months of age) diagnosed with CMA and AD were randomized to receive either SPF or hCMF for 12 weeks. Follow-up was conducted at 4, 8 and 12 weeks. Growth parameters of the infants were evaluated during each visit. Clinical evaluations, including AD severity scores, pruritus, specific immunoglobulin E (IgE) (cow's milk protein and soy protein) levels of peripheral blood, were made at enrollment and week 12. Analysis was performed on the 32 infants (SPF: n=16, hCMF: n=16) who completed the 12-week intervention. Eczema area and severity index (EASI) scores, a measure of the severity of AD, and pruritus were significantly reduced after 12 weeks compared to enrollment in the both groups; however, the median changes for EASI scores and pruritus were not statistically different between the two groups. The growth parameters did not differ significantly between both groups at any assessed time point. This study suggests that SPF could be useful in decreasing the severity of AD without affecting infant growth status. Therefore SPF could provide an adequate and safe alternative to hCMF in treating infants with AD and CMA during the first 12 to 24 months of their life.

Selecting Hazardous Volcanoes that May Cause a Widespread Volcanic Ash Disaster to the Korean Peninsula (한반도에 광역화산재 재해를 발생할 수 있는 위험화산의 선정)

  • Yun, Sung-Hyo;Choi, Eun-Kyeong;Chang, Cheolwoo
    • Journal of the Korean earth science society
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    • v.37 no.6
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    • pp.346-358
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    • 2016
  • This study built the volcano Data Base(DB) of 289 active volcanoes around the Korean Peninsula, Japan, China (include Taiwan), and Russia Kamchatka area. Twenty nine more hazardous volcanoes including Baekdusan, Ulleungdo and 27 Japanese volcanoes that can cause a widespread ash-fall on the Korean peninsula by potentially explosive eruption were selected. This selection was based on the presence of volcanic activity, whether or not containing dangerous explosive eruption rock types, distance from Seoul, and volcanoes having Plinian eruption history with volcanic explosivity index (VEI) 4 or more. The results of this study are utilized for screening high-risk volcanoes that may affect the volcanic disaster caused by a widespread fallout ash. By predicting the extent of spread of ash caused by these hazardous volcanic activities and by analyzing the impact on the Korean peninsula, we suggest that it should be used for helping to predict volcanic ash damages and conduct hazards mitigation research as well.

Mapping the Geographic Variations of the Low Birth Weight cases in South Korea: Bayesian Approaches (우리나라 저체중아 출생의 공간적 변동성 지도화: 베이지언적 접근)

  • Roh, Young-hee;Park, Key-ho
    • Journal of the Korean Geographical Society
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    • v.51 no.3
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    • pp.367-380
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    • 2016
  • This study reviewed and compared methods for mapping aggregated low birth weight (LBW) and geographic variations in LBW in South Korea. Based on this review, we produced LBW maps in South Korea. Standardized mortality/morbidity ratios (SMRs) and crude mortality rates have been widely used for many years in epidemiological research. However, SMR-based maps are likely to be affected by sample size of unit area. Therefore, this study adopted a model-based approach using Bayesian estimates to reduce noisy variability in the SMR. By using a Bayesian model, we can calculate a statistically reliable RR values. We used the full Bayes estimator, as well as empirical Bayes estimators. As a result, variations in the two Bayes models were similar. The SMR-based statistics had the largest variation. The result maps can be used to identify regions with a high risk of LBW in South Korea.

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Relationship between Kimchi and Metabolic Syndrome in Korean Adults : Data from the Korea National Health and Nutrition Examination Surveys (KNHANES) 2007~2012 (한국 성인의 김치 섭취와 대사증후군과의 상관성 : 2007~2012년 국민건강영양조사 자료 분석)

  • Kim, Hyeon-Ji;Ju, Se-Young;Park, Chae-Rin;Park, Yoo Kyoung
    • Journal of the Korean Dietetic Association
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    • v.22 no.3
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    • pp.151-162
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    • 2016
  • The purpose of this study was to investigate the relationship between Kimchi intake and the prevalence of metabolic syndrome in Korean adults (over 19 years old), using data from the Korean National Health & Nutrition Examination Survey (KNHANES), 2007~2012. A total of 30,630 participants were analyzed in this study. Metabolic syndrome was diagnosed using the NCEP ATP III criteria standards. Out of the 30,630 participants, 8,230 (23.45%) had meatabolic syndrome. When the subjects were grouped by their Kimchi intake, those who consumed a sufficient amount (36.0~82.125 g) showed a lower prevalence of metabolic syndrome (P<0.001). However, multiple logistic regression analysis results after adjusting for sex and age, exercise status, smoking status, drinking status, energy intake, income level, occupation, area, frequency of eating-out, showed that the Kimchi intake did not significantly affect the odds ratio of metabolic syndrome. High sodium contents of Kimchi was the major cause of various cardiovascular diseases, and was associated with the hypertension risk factors of the metabolic syndrome. However, in this study, the Kimchi intake, even after adjusting sodium intake, did not have negative influence on the development of metabolic syndrome.

Dishes Contributing to Sodium Intake of Elderly Living in Rural Areas (농촌 노인의 나트륨 섭취에 기여하는 음식 분석)

  • Moon, Hyun-Kyung;Choi, Soon-Ok;Kim, Jung-Eun
    • Korean Journal of Community Nutrition
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    • v.14 no.1
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    • pp.123-136
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    • 2009
  • Sodium is a necessary element for the body. Excessive intake of sodium is known as one of the risk factors for chronic diseases. Recently, increasing numbers of people in Korea are suffering from chronic diseases. Major causes of deaths were chronic degenerative disease with the rising aging population. Especially, the population of rural areas is growing older fast. In rural areas, it is known that under nutrition and high sodium intake were major nutritional problems. For sodium intake, there were some studies about contributing food items. They were not enough to show diets relate to sodium intakes. Thus, this study analyzed dishes contributing to sodium intakes of elderly living in rural areas. Dietary intakes using "the 24hour recall method" were used. For the analysis for sodium intakes, "Can-pro3.0" was used. Ranking of dishes by contributions of sodium intakes were Korean cabbage, kimchi (19.6%), seasoned soybean paste (5.3%), soybean paste (4.6%), soybean paste soup dried radish leaves (3.5%), hot pork and kimchi stew (3.4%) in order. Ranking of dish groups by sodium intakes was kimchies (28.3%), soup and hot soups (22.8%), stews and casseroles (9.7%), seasonings (8.2%),and seasoned vegetables (6.0%) in order. One-dish meals among cooked rice, wheat noodles among noodle and mandu, soups using the soybean paste, stews using soybean paste and kimchi, salted fish among grilled foods, stir-fried anchovy among stir-fried foods, seasoned spinach, and Korean cabbage kimchi contributed to sodium intakes. As the nutrition deficiency of the elderly living in rural areas could be a problem, and excessive sodium intakes is threatening to their health, it is needed for the senior citizens to have adequate knowledge for diets containing less sodium. And recipes for healthy food and nutrition education based on their diets are needed.

Floristic Study of Mt. Byeollipsan (Ganghwa-gun), Korea (별립산(강화군)의 관속식물상)

  • Kim, Jung-Hyun;Kim, Sun-Yu;Yoon, Chang-Young;Park, Sung-Ae;Kim, Yong-Hyun
    • Korean Journal of Plant Resources
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    • v.28 no.4
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    • pp.441-455
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    • 2015
  • This study was carried out to investigate the flora of Mt. Byeollipsan (Ganghwa-gun). The vascular plants from 13 field surveys were revealed to total of 574 taxa; 116 families, 355 genera, 505 species, 8 subspecies, 52 varieties, 7 forms and 2 hybrids. A high plant diversity were Asteraceae (12.3%), Poaceae (10.6%), Cyperaceae (6.1%), Fabaceae (4.5%) and Rosaceae (4.2%) in regular order. The seven taxa of Korean endemic plants such as Clematis brachyura, Viola seoulensis, Populus × tomentiglandulosa, Salix koriyanagi, Ajuga multiflora f. rosea, Hemerocallis hakuunensis and Polygonatum infundiflorum were collected. The red data of vascular plants according to IUCN valuation basis were examined five taxa; Least Concern (LC) species of both Phacelurus latifolius and Belamcanda chinensis, Not Evaluate (NE) species of Lithospermum arvense, Scorzonera austriaca ssp. glabra and Polygonatum infundiflorum. The floristic regional indicator plants found in this area were 34 taxa comprising one taxa of degree IV, six taxa of degree III, 11 taxa of degree II, and 16 taxa of degree I. In addition, the naturalized plants were identified as 46 taxa and the percent of naturalized index (NI) was 8.0%, Urbanization Index (UI) was 14.3%, respectively.