• Title/Summary/Keyword: High Risk Area

Search Result 990, Processing Time 0.038 seconds

Community-Associated Methicillin-Resistant Staphylococcus aureus Colonization in the Upper Respiratory Tracts of Korean Military Recruits

  • Choi, Chang-Min;Kang, Cheol-In;Kim, Young-Keun;Heo, Sang-Taek;Kim, Chang-Hoon;Song, Jae-Kyung;Jung, Hee-Saeng
    • Tuberculosis and Respiratory Diseases
    • /
    • v.67 no.5
    • /
    • pp.409-412
    • /
    • 2009
  • Background: Several large outbreaks have demonstrated the threat of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in close-contact environments, such as occurs during training and quartering of military recruits training. In South Korea, which is a hospital or healthcare-associated MRSA prevalent area, military service is compulsory for all healthy young men. We surveyed and determined the extent of CA-MRSA colonization in the upper respiratory tracts of Korean military recruits. Methods: The Korean military recruits who were enrolled in a military training facility from November 2004 to March 2005 were eligible for this study. Sputum or nasopharyngeal swap was obtained from randomly selected subjects who displayed upper respiratory tract symptoms. Results: Of the 181 participants, 32 participants (17.7%) were colonized with S. aureus, and 12 participants (6.6%) were colonized with MRSA. Among the cases that were colonized with S. aureus, 37.5% (12/32) were colonized with MRSA. Antimicrobial susceptibility testing showed resistant patterns that were suggestive of the CA-MRSA strains for all of the MRSA isolates. Conclusion: This study of Korean military recruits found a great deal of showed MRSA colonization in them, and the antimicrobial resistant profile that was suggestive of a CA-MRSA strain. Further efforts to prevent the spread of MRSA infections and careful monitoring for CA-MRSA outbreaks are warranted, especially in a high risk group such as military recruits.

Metabolic Syndrome Status of Chinese Workers and Their Physical Profiles, Lifestyle Scores, and Nutrient Intakes (중국 직장인의 대사증후군 실태와 대사증후군 유무에 따른 신체적 특성, 생활습관 및 영양소 섭취량 비교)

  • Wang, Chao;Ryu, Hokyung
    • Korean Journal of Community Nutrition
    • /
    • v.22 no.1
    • /
    • pp.63-73
    • /
    • 2017
  • Objectives: This study was conducted to survey the related factors of metabolic syndrome of Chinese workers aged 20 years and above. Methods: The study was conducted at three locations in Shandong, China, currently working and took the physical examination (PE) within one year in the area as target participants. Personal characteristics, physical and biochemical results based on the PE, lifestyle habits, and food intake of the participants were used to analyze the relationship with metabolic syndrome. Results: Results showed that overall, thirty-one subjects (22.5%) had metabolic syndrome, twenty males (32.7%) and eleven females (14.2%). Metabolic syndrome was related to age, gender, educational level and occupational type with more risk in male (P < 0.05), people of older age (P < 0.001), low educational level (P < 0.05) and non-office workers (P < 0.01). According to the life style scores, lifestyle evaluation showed specifically alcohol consumption and smoking (P < 0.001) and stress management (P < 0.05) as important factors that were associated with the metabolic syndrome. High calorie (P < 0.01) and carbohydrate (P < 0.01) intakes were observed on male participants with metabolic syndrome in comparison to the non-metabolic syndrome but no significant difference on female participants. Conclusions: This results of this study can be used as significant supporting data to prevent and control metabolic syndrome in Chinese workers.

Effect of the Extracorporeal Circulation on Renal Function in Adult Open Heart Patients (개심술시 체외순환이 신장기능에 미치는 영향)

  • Lee, Jae-Won;Seo, Gyeong-Pil
    • Journal of Chest Surgery
    • /
    • v.18 no.4
    • /
    • pp.718-731
    • /
    • 1985
  • Renal dysfunction is a common complication of open-heart surgery: a form of controlled hemorrhagic shock, and successful perioperative management of renal dysfunction depends on recognition of the risk factors and optimal management of factors influencing renal function, including cardiopulmonary bypass, and early detection of renal failure. Changes in renal functional parameters including Ccr, Cosm, CH2O, FENa, and RFI were observed prospectively in forty five patients operated on at Dept. of Thoracic and Cardiovascular Surgery, S.N.U.H., from April to June, 1985. They were 23 males and 22 females with 35 acquired and 10 congenital heart diseases and the mean age and body surface area of them were 38.010.3 years [22-63] and 1.5518 M2[1.151.92] respectively. Followings are the conclusion. 1. The Ccr, representative of renal function, is significantly improved from 90.231.3 ml/min/M2 preoperatively to 101.536.4 ml/min/M2 postoperative and day [P<0.05], and all patients were classified as postoperative renal functional class I of Abel, which representing adequate renal protection during our cardiopulmonary bypass. 2. The Cosm is significantly elevated at immediate postperfusion time and remained high at postoperative one day representing osmotic diuresis at that time, but CH2O shows no significant changes at immediate postperfusion period and is decreased significantly at postoperative one day, representing recovery of renal concentrating ability at that time with decreasing urine flow. 3. The absolute value and changing tendency in FENa and RFI during perioperative period shows no diagnostic reliability on these parameters, but those of CH2O appear to reveal future renal function more accurately than Ccr 4. The depth of hypothermia may be protective upon renal function against the ill effects of prolonged nonpulsatile cardiopulmonary bypass. 5. The depth of the hypothermia, pump time of more than 150 minutes, poor cardiac function, and intraoperative events such as embolism appear to be related with immediate postperfusion renal function. 6. Hemoglobinuria and hemolysis, poor preoperative renal function, history of cardiac surgery, and massive transfusion associated with bleeding appear not to be related with renal dysfunction.

  • PDF

Radiation Damage by the Pool Fire of LNG Storage Tank (LNG 저장 탱크의 Pool Fire에 의한 복사열 피해)

  • Sohn Jung-Hwan;Hahn Yoon-Bong
    • Journal of the Korean Institute of Gas
    • /
    • v.2 no.1
    • /
    • pp.14-22
    • /
    • 1998
  • In this work, in order to quantitatively predict the radiation flux and propose an idea about how to reduce the radiation damage, the radiation flux caused by pool fire of an LNG storage tank has been calculated using the RISC (Risk and Industrial Safety Consultant) proposed model under various conditions. Model predictions showed that the most important parameter affecting the radiation flux by the LNG pool fire is the wind speed. The extent of radiation damage to a target from fire flame was more significant with variation of wind speed at a low wind speed than with that at a high wind speed. It was found that the radiation damage by the former is substantially reduced with planting windbreak system around the plant. Since the windbreak is most economical than any other method, it is strongly suggested to plant a tree belt in the factory surroundings, especially near by the area of gas storage facilities, linking with water cooling and fire protection systems.

  • PDF

Development and Evaluation of Electronic Health Record Data-Driven Predictive Models for Pressure Ulcers (전자건강기록 데이터 기반 욕창 발생 예측모델의 개발 및 평가)

  • Park, Seul Ki;Park, Hyeoun-Ae;Hwang, Hee
    • Journal of Korean Academy of Nursing
    • /
    • v.49 no.5
    • /
    • pp.575-585
    • /
    • 2019
  • Purpose: The purpose of this study was to develop predictive models for pressure ulcer incidence using electronic health record (EHR) data and to compare their predictive validity performance indicators with that of the Braden Scale used in the study hospital. Methods: A retrospective case-control study was conducted in a tertiary teaching hospital in Korea. Data of 202 pressure ulcer patients and 14,705 non-pressure ulcer patients admitted between January 2015 and May 2016 were extracted from the EHRs. Three predictive models for pressure ulcer incidence were developed using logistic regression, Cox proportional hazards regression, and decision tree modeling. The predictive validity performance indicators of the three models were compared with those of the Braden Scale. Results: The logistic regression model was most efficient with a high area under the receiver operating characteristics curve (AUC) estimate of 0.97, followed by the decision tree model (AUC 0.95), Cox proportional hazards regression model (AUC 0.95), and the Braden Scale (AUC 0.82). Decreased mobility was the most significant factor in the logistic regression and Cox proportional hazards models, and the endotracheal tube was the most important factor in the decision tree model. Conclusion: Predictive validity performance indicators of the Braden Scale were lower than those of the logistic regression, Cox proportional hazards regression, and decision tree models. The models developed in this study can be used to develop a clinical decision support system that automatically assesses risk for pressure ulcers to aid nurses.

An Experimental Study on the Application of Horizontal Barrier and In-Rack Sprinklers to Prevent Vertical Spread of Rack-type Warehouse Fires (랙크식 창고 화재의 수직 확산 방지를 위한 수평차단막과 In-Rack 스프링클러 적용에 관한 실험연구)

  • Park, Moon-Woo;Hong, Sung-Ho;Choi, Ki-Ok;Choi, Don-Mook;Kim, Soo-Jin
    • Journal of the Korean Society of Safety
    • /
    • v.34 no.5
    • /
    • pp.15-21
    • /
    • 2019
  • A rack-type warehouse has the advantage of storing a large amount in a small area by loading goods vertically. But in terms of fire risk, the fire load is very high, which can cause massive damage in the event of a fire. In the United States, research has been actively conducted to minimize the spread of vertical fires, and relevant standards have been established and operated. In Korea, research and related standards are insufficient to prevent the vertical spread of rack-type warehouse fires. In this study, an experimental study was conducted to prevent the vertical spread of a rack-type warehouse fire using a horizontal barrier and in-rack sprinklers. As a result of the test, the horizontal barrier considering the continuous flame prevented the vertical spread of the flame for a certain time. However, the horizontal barrier with continuous flame did not show the effect of preventing continuous flame. The combination of the horizontal barrier and the in-rack sprinkler prevented the vertical spread of fire effectively. In addition, the heat collecting effect through the horizontal barrier was shown and helped the early operation of the in-rack sprinklers.

A Multi-tier Based Lying Posture Discrimination Algorithm Using Lattice Type Pressure Sensors Allocation (격자형 압력 센서 배치 구조를 이용한 다층 기반 누운 자세 판별 알고리즘)

  • Cho, Min Jae;Hong, Youn-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.6
    • /
    • pp.402-409
    • /
    • 2019
  • Patients with dementia or elderly patients who can not move at all by themselves are at a high risk of falls and bedsore due to lack of caregivers. In this paper, to solve this problem, we propose an algorithm to determine the patient's lying postures by discriminating the main body parts such as head, shoulders, and hips based on the pressure intensity sensed at regular intervals. A smart mat with a lattice structure in which a pressure sensor is arranged so that the body part can be discriminated irrespective of the physical characteristics has been implemented. It consists of two modules of $7{\times}7$ array size. Each module consists of 49 FSR-406 sensors and independently senses pressure. For each module, the body part corresponding to the upper body or the lower body is sequentially discriminated by using a pressure distribution such as a cumulative pressure sum using a filter. The proposed algorithm can identify five lying positions by examining the inclusion relationship between body parts belonging to layer-1 such as head, shoulder, and hip area.

Beta-wave Correlation Analysis Model based on Unsupervised Machine Learning (비지도학습 머신러닝에 기반한 베타파 상관관계 분석모델)

  • Choi, Sung-Ja
    • Journal of Digital Convergence
    • /
    • v.17 no.3
    • /
    • pp.221-226
    • /
    • 2019
  • The characteristic of the beta wave among the EEG waves corresponds to the stress area of human perception. The over-bandwidth of the stress is extracted by analyzing the beta-wave correlation between the low-bandwidth and high-bandwidth. We present a KMeans clustering analysis model for unsupervised machine learning to construct an analytical model for analyzing and extracting the beta-wave correlation. The proposed model classifies the beta wave region into clusters of similar regions and identifies anomalous waveforms in the corresponding clustering category. The abnormal group of waveform clusters and the normal category leaving region are discriminated from the stress risk group. Using this model, it is possible to discriminate the degree of stress of the cognitive state through the EEG waveform, and it is possible to manage and apply the cognitive state of the individual.

International Comparison of Retail Banking in Korea, U.K, and Spain - Based on Basel II and rocyclicality - (한국, 영국, 스페인의 소매금융 국제비교 - 바젤 II와 경기순응성을 중심으로 -)

  • Cheong, Kiwoong
    • International Area Studies Review
    • /
    • v.12 no.3
    • /
    • pp.217-239
    • /
    • 2008
  • The purpose of this paper examines the way the potential for increased procyclicality may arise in Korea according to the introduction of Basel II based on the empirical results of U.K. and Spain. Because of the limited retail banking data, the correlations between risk-weighted assets corresponding to the denominator of the capital ratio and procyclicality, and capital ratio and the procyclicality are analyzed in Korea. As a result, there is a high possibility that the procyclicality may occur in Korea. However, there are limitations in judging the existence of the procyclicality for the capital in Korea only based on those correlations. In the future, in case more of retail banking data are accumulated, the procyclicality in Korea should be examined based on the systematic model like the cases in England and Spain. Lastly, the policy implications are derived based on the calculation process of the regulatory capital(Pillar I), the process of the Financial Authorities(Pillar II), and the market discipline(Pillar III).

A Study on the Ignition Temperature and Ignition Induction Time According to Storage Amount of Wood Pellets (우드펠릿의 저장량에 따른 발화온도 및 발화유도시간에 관한 연구)

  • Kim, Hyeong-Seok;Choi, Yu-Jung;Kim, Jung-Hun;Jeong, Phil-Hoon;Choi, Jae-Woo
    • Fire Science and Engineering
    • /
    • v.33 no.1
    • /
    • pp.7-14
    • /
    • 2019
  • While wood pellets are often used as a fuel in thermoelectric power plants and firewood boilers, there is a risk of ignition temperature when strong wood pellets, which have a high calorific value, for prolonged periods of time. In this research study, the minimum auto ignition temperature and the ignition limitation temperature according to the change in flow rate depending on the size of the test vessel were calculated, and based on these temperatures, the apparent activation energy was calculated to predict the combustive properties of the material. The apparent activation energy was calculated to be 190.224 kJ/mol. The thicker the sample is storage in the vessel, the longer the ignition induction time was due to the increased difficulty in heat being transferred from the surface of the vessel to the middle section area of the vessel. For vessel of the same size, the higher the flow rate, the lower the auto ignition temperature was. It was also confirmed that increases in the size of the test vessel lowered the auto ignition temperature and increased the ignition induction time.