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Effectiveness of the Trauma Team-Staffed Helicopter Emergency Medical Service (헬리콥터 응급의료서비스의 외상팀 탑승 여부와 외상환자의 생존율)

  • Kim, Tea-youn;Lee, Sang Ah;Park, Eun-Cheol;Huh, Yo;Jung, Kyoungwon;Kwon, Junsik;Moon, Jonghwan;Kim, Jiyoung;Kim, Juryang;Hwang, Kyungjin;Yun, Seong Keun;Lee, John Cook-Jong
    • Health Policy and Management
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    • v.28 no.4
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    • pp.411-422
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    • 2018
  • Background: Whether there is a difference in outcomes for trauma patients transferring to the helicopter emergency medical service (HEMS) according to their previous team composition is controversial. The purpose of this study is to evaluate the effectiveness of trauma team-staffed-HEMS (TTS-HEMS) when transferring to a trauma center. Methods: A retrospective comparison was conducted on patients transported to a trauma center over a 6-year period by the TTS-HEMS and paramedic-staffed-HEMS (119-HEMS). Inclusion criteria were blunt trauma with age ${\geq}15years$. Patient outcomes were compared with the Trauma and Injury Severity Score (TRISS) (30-day mortality) and the Cox proportional hazard ratio of mortality (in hospital). Results: There were 321 patients of TTS-HEMS and 92 patients of 119-HEMS. The TTS-HEMS group had a higher Injury Severity Score and longer transport time but a significantly shorter time to emergency surgery. The prehospital data showed that the trauma team performed more aggressive interventions during transport. An additional 7.6 lives were saved per 100 TTS-HEMS deployments. However, the TRISS results in the 119-HEMS group were not significant. In addition, after adjusting for confounders, the hazard ratio of mortality in the 119-HEMS group was 2.83 times higher than that in the TTS-HEMS group. Conclusion: HEMS was likely to improve the survival rate of injured patients when physicians were involved in TTS-HEMS. Survival benefits in the TTS-HEMS group appeared to be related to the fact that the trauma team performed both more aggressive prehospital resuscitation and clinical decision making during transportation.

A study on the granulometric and clastshape characteristic of gravel terrace deposit at Jeongdongjin area (정동진 단구 자갈층과 충진 물질의 입도 및 형상 특성에 대한 연구)

  • Kim, Jong Yeon;Yang, Dong Yoon;Shin, Won Jeong
    • Journal of The Geomorphological Association of Korea
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    • v.23 no.1
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    • pp.17-33
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    • 2016
  • Samples from newly exposed outcrop of sedimentary layers forming Jeongdongjin coastal terrace in Gangreung area are collected and analyzed to find the sedimentary environment. The site are located at the gentle hillslope of the terrace surface area. The height of the outcrop is about 8m and the altitude of it's highest part is 68~73m MSL. The lowest part of this out crop is the partly consolidated sand layer with gravel veneer within it. It is found that this part is not in-situ weathered sand stone through the OSL method. This sand layer is overlain by the gravel layer with sand matrix. The shapes of the gravels from this part are mainly 'platy', 'elongated', and 'bladed' by the index of Sneed and Folk(1958). In addition, mean roundness is not so high. It is sceptical to regard this part as marine sediments which are continuously exposed to erosional processes. The boundary between the lowest sand layer and gravel layer showing the abrupt change in forming material without any mixture or transitional zone, so gravels are seemed to deposited after some degree of consolidation of the lowest sand layer. In addition, the hight of the boundary between layers are changed by the place, so the surface of the partly consolidated sand layer is not flat and has irregularity on topography when it buried by gravels. Main part of this out crop is the poorly sorted coarse gravel(22.4mm) with sand matrix($1.36{\phi}$) layer with at least 2m thick covering the relatively fine gravels discussed above. Over 20% of particles have 'very platy', 'very elongated' and 'very bladed' shape and only less than 5% of particles have 'compact' shape, So this particles are also very hard to be regard as marine gravels which are abraded by marine processes. It can be concluded that this gravel layer formed by fluvial processes rather than coastal processes base on the form of the clast and sedimentary structure. The gravel layer is covered by fine($3{\sim}4{\phi}$) material layers of psudo-gleization which showing inter-bedding of red and white layers. Chemical composition of matrix and other fine materials should be analyzed in further studies. It is attempted to fine the burial ages of the sediment using OSL method, but failed by the saturation. So it can be assumed that these sediments have be buried over 120ka.

Electrochemical Performance of Pitch coated Nano Silicon Sheets / Graphite Composite as Anode Material (피치로 코팅된 Nano Silicon Sheets/Graphite 음극복합소재의 전기화학적 특성)

  • Lee, Tae Heon;Lee, Jong Dae
    • Korean Chemical Engineering Research
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    • v.59 no.4
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    • pp.487-492
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    • 2021
  • In this study, the electrochemical properties of pitch coated silicon sheets/graphite anode materials were investigated. Using NaCl as a template, silicon sheets were prepared through the stöber method and the magnesiothermic reduction methode. In order to synthesize the anode composite, the silicon sheets and graphite were combined with SDBS. The pitch coated silicon sheets/graphite was synthesized using THF as a solvent for the anode material composite. The physical properties of the prepared anode composites were analysed by XRD, SEM, EDS and TGA. The electrochemical performances of the prepared anode composites were performed by the current charge/discharge, rate performance, cyclic voltammetry and EIS tests in the electrolyte LiPF6 dissolved solvents (EC:DMC:EMC=1:1:1 vol%). As the silicon composition of silicon sheets/graphite composite material increased, the discharge capacity also increased, but the cycle stability tended to decrease. The anode material of pitch coated silicon sheets/graphite composite (silicon sheets:graphite=3:7 weight ratio) showed the initial discharge capacity of 1228.8 mAh/g and the capacity retention ratio of 77% after 50 cycles. From these results, it was found that the cycle stability of pitch coated silicon sheets/graphite was improved.

Effect of fattening period on growth performance, carcass characteristics, and economic traits of Holstein steers

  • Kim, Sung Il;Park, Sungkwon;Myung, Jeong Hwan;Jo, Young Min;Choi, Chang Bon;Jung, Keun Ki
    • Journal of Animal Science and Technology
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    • v.63 no.5
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    • pp.1008-1017
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    • 2021
  • This study was conducted to investigate the effect of different fattening periods on the growth performance, carcass characteristics, and economic traits of Holstein steers. Sixty Holstein steers (8.0 ± 0.28 months old) with an average body weight (BW) of 231.88 ± 2.61 kg, were randomly allocated to five different fattening period treatments: 20, 21, 22, 23, and 24 months (n = 12 in each treatment group). Final BW and average daily gain (ADG) did not differ among the treatment groups during the early fattening period. At the late stage of the fattening period, the final BW of steers in the 24-month treatment group (812.84 kg) was greater (p < 0.05) than that of steers in the 20-month treatment group (750.39 kg). During the same period, steers in the 20- and 21-month treatment groups had a significantly higher (p < 0.05) ADG than those in the 22-month treatment group. The highest ADG (1.36 kg/day) was found in the 20-month treatment group (1.36), followed by the 21- (1.33 kg/day), 22- (1.22 kg/day), 23- (1.21 kg/day), and 24- (1.14 kg/day) month treatment groups. The feed conversion ratio (FCR) increased as the fattening period increased, and the FCR was 12.88% lower in the 20-month treatment group than in the 24-month treatment group. However, no significant differences were detected in back-fat thickness, loin area, marbling score, and chemical characteristics (water, crude protein, and crude fat content) among the treatment groups. The composition of fatty acids including C18:0, C18:1, saturated fatty acids, unsaturated fatty acids, and poly-unsaturated fatty acids did not differ among the experimental groups. As the fattening period increased, production costs increased, resulting in a decrease in gross income. The gross income for steers in the 24-month treatment group was 35.8% and 23.5% lower than that for steers in the 20- and 21-month treatment groups, respectively. Taken together, the best performance, including the ADG, FCR, and gross income, was obtained when the fattening program of the Holstein steers lasted 20 months.

Application of DNA Analysis for Identification of Prey Items on Zooplankton: Selective Treatment Method (기수역 요각류 위내용물 유전자 분석: 소화기관 내외부 유전자의 선택적 처리방법)

  • Chae, Yeon-Ji;Oh, Hye-Ji;Kim, Yong-Jae;Chang, Kwang-Hyeon;Jo, Hyunbin
    • Korean Journal of Ecology and Environment
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    • v.54 no.3
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    • pp.247-256
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    • 2021
  • Understanding the selective feeding behavior of zooplankton on phytoplankton is essential for evaluating the nutrient cycle and energy flow in the food web. Although many studies have been conducted regarding the feeding behaviors of zooplankton through gut content analyses, there are limitations in the visual identification of digested contents using a microscope. DNA techniques have been applied to overcome these limitations since they can detect and amplify small amounts of prey DNA remaining in the gut contents. We designed a method to extract prey DNA from the gut contents of the whole body of the copepod specimen and tested the resolution of DNA identification for the prey phytoplankton. The common brackish species, Sinocalanus tenellus, were collected from Saemangeum Reservoir in different sites and seasons, and gut content DNA was extracted using 2.5% bleach treatment for 2 min for removal of potential contamination sources existing in preserved specimens without dissolution of the body. The sequences of the extracted gut contents were confirmed using BLASTn suite based on the NCBI database. The phytoplankton species detected in the gut showed temporal and spatial differences. Although DNA analysis of small copepod gut contents has been suggested as an effective method to examine the dynamics of primary prey sources at the genus or species level, uncertainties such as misidentification and limitations in the detailed information of the composition still exist.

A Study on the Measurement and Comparison(IEC 60079-32-2) of Flammable Liquid Conductivity (인화성 액체 도전율에 관한 측정 및 비교(IEC 60079-32-2) 연구)

  • Lee, Dong Hoon;Byeon, Junghwan
    • Journal of the Korean Society of Safety
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    • v.34 no.4
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    • pp.22-31
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    • 2019
  • The flammable liquid conductivity is an important factor in determining the generation of electrostatic in fire and explosion hazardous areas, so it is necessary to study the physical properties of flammable liquids. In particular, the relevant liquid conductivity in the process of handling flammable liquids in relation to the risk assessment and risk control in fire and explosion hazard areas, such as chemical plants, is classified as a main evaluation item according to the IEC standard, and it is necessary to have flammable liquid conductivity measuring devices and related data are required depending on the handling conditions of the material, such as temperature and mixing ratio for preventing the fire and explosion related to electrostatic. In addition, IEC 60079-32-2 [Explosive Atmospheres-Part 32-2 (Electrostatic hazards-Tests)] refers to the measuring device standard and the conductivity of a single substance. It was concluded that there is no measurement data according to the handling conditions such as mixing ratio of flammable liquid and temperature together with the use and measurement examples. We have developed the measurement reliability by improving the structure, material and measurement method of measuring device by referring to the IEC standard. We have developed a measurement device that is developed and manufactured by itself. The test results of flammable liquid conductivity measurement and the data of the NFPA 77 (Recommended Practice on Static Electricity) Annex B Table B.2 Static Electric Characteristic of Liquids were compared and verified by conducting the conductivity measurement of the flammable liquid handled in the fire and explosion hazardous place by using Measuring / Data Acquisition / Processing / PC Communication. It will contribute to the prevention of static electricity related disaster by taking preliminary measures for fire and explosion prevention by providing technical guidance for static electricity risk assessment and risk control through flammable liquid conductivity measurement experiment. In addition, based on the experimental results, it is possible to create a big data base by constructing electrostatic physical characteristic data of flammable liquids by process and material. Also, it is analyzed that it will contribute to the foundation composition for adding the specific information of conductivity of flammable liquid to the physical and chemical characteristics of MSDS.

An Analysis on the rule of the Calendar(曆律) in 『Hyupgiltongui』 Bonwon chapter one (『협길통의(協吉通義)』 본원일(本原一)의 역률(曆律)에 대한 분석)

  • Kwon, Yung-soo;Kim, Ki-Seung
    • Industry Promotion Research
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    • v.6 no.1
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    • pp.23-31
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    • 2021
  • The Calendar(曆法) has been a very important concern in every dynasty of history.『Hyupgiltongui』 written in the Joseon Dynasty included many contents related to the Calendar. In particular, the ancient rule of the Calendar(曆律) shown in the text of 『Hyupgiltongui』 Bonwon chapter one is meaningful in the process of creating the necessary Calendar for selection and reading fortune. Accordingly, we tried to analyze the rule of the Calendar(曆律) that is the fundamental principle of the Calandar(曆法) and the almanac which can be used in real life, based on comparative analysis of 『Hyupgibyeonbangseo』, 『Sanggiltongseo』 and 『Cheongidaeyo』, which are the basis of 『Hyupgiltongui』. Saju Myung-ri is the scheme of time change by the combination of Ganji (Celestial Stems). Therefore, the core of the calendar system is to make four pillars by the year, month, day, and time. For doing this, 『Hyupgiltongui』 provides basic principles and materials for making four pillars using constellations like 28 Fixed Stars, as well as does simple composition principle for telling fortune such as Ten Celestial Stems, Twelve Zodiac Signs, the order of four seasons(四序), Yukjin(六辰) and Sexagenary Cycle (甲曆). However, despite the limitations of the results produced by the rule of the Calendar(曆律), we came to the conclusion that if reading fortune in Saju(四柱簡明) is to find good one(吉) in terms of understanding it as the rule of predicting future(術法) not science, its usefulness cannot be ignored.

Evaluation of Volcanic Processes and Possible Eruption Types in Ulleung Island (울릉도에서의 화산과정과 발생 가능한 분출유형의 평가)

  • Hwang, Sang Koo;Jeong, Seong Wook;Ryu, Han Young;Son, Young Woo;Kwon, Tae Ho
    • Economic and Environmental Geology
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    • v.53 no.6
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    • pp.715-727
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    • 2020
  • Volcanostratigraphy in Ulleung Island is divided into 4 stratigraphic groups: Dodong Basaltic Rocks, Ulleung Group, Seonginbong Group and NariGroup. The main pyroclastics in them includes lapilli tuff intercalated within the Dodong Basaltic Rocks, lapilli tuff at the top of Sadong Breccia, Sataegam Tuff, Gombawi Welded Tuff, Bongrae Scoria Deposits, Maljandeung Tuff, Nari Scoria Deposits and Jugam Scoria Deposits. Analysing eruption types, The lapilli tuff in the Dodong Basaltic Rocks is derived from Surtseyan eruption, and the Bongrae, Nari and Jugam Scoria Deposits are caused by Strombolian eruptions or/and sub-Plinion eruptions, but the Sataegam Tuff and Maljandeung Tuff are derived from Plinian and phreatoplinian eruptions. Among them the large-scaled eruptions. In particular, the eruptions of Maljandeung were large enough to result in caldera collapse, and had falled out tephras to the eastern Korean peninsula but even Japan Islands. The magma with high potential to be still alive is judged to be trachyandesitic and phonolitic in composition. If the trachyandesitic magma explodes, it will probably result in a strombolian eruption and have a fairly low explosivity, but if the phonolitic magma explodes, it will probably result in a plinian eruption and have a much higher explosivity. If the eruption had a high explosivity, there is a possibility that it could easily be converted into a phreatoplinian eruption due to the influx of groundwater by the easy generation of fractures. These large-scaled eruptions could fall out tephras to the eastern Korean peninsula but even Japan Islands.

Comparative Analysis of Mathematics Textbooks in Elementary Schools between Korea and Canada - Focusing on the Numbers and Operations in 5th and 6th Grade - (한국과 캐나다 초등학교 수학 교과서 비교 분석 - 초등학교 5, 6학년 수와 연산 영역을 중심으로 -)

  • Kim, Aekyong;Ryu, Heuisu
    • Journal of Science Education
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    • v.44 no.3
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    • pp.331-344
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    • 2020
  • This study aims to find meaningful implications for the development of Korean elementary school math education courses and textbooks by comparing and analyzing the number and arithmetic areas of Korean and Canadian math textbooks in fifth and sixth grades. To this end, the textbook composition system of Korean and Canadian elementary schools was compared and analyzed, and the number and timing of introduction of math textbooks and math textbooks by grade, and the number in fifth and sixth grade and the learning contents of math textbooks were compared and analyzed. The following conclusions were obtained from this study: First, it is necessary to organize a textbook that can solve the problem in an integrated way by introducing the learned mathematical concepts and computations naturally in the context of problems closely related to real life, regardless of the type of private calculation or mathematics area. Second, it is necessary to organize questions using materials such as real photography and mathematics, science, technology, engineering, art, etc. and to organize textbooks that make people feel the necessity and usefulness of mathematics. Third, sufficient learning of the principles of mathematics through the use of various actual teaching aids and mathematical models, and the construction of textbooks focusing on problem-solving strategies using engineering tools are needed. Fourth, in-depth discussions are needed on the timing of learning guidance for fractions and minority learning or how to organize and develop learning content.

An Analysis of 2018 Local Elections: Structure and Issues (2018년 지방선거 결과 분석: 구조와 쟁점)

  • Yoon, Jongbin
    • Korean Journal of Legislative Studies
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    • v.24 no.2
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    • pp.39-66
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    • 2018
  • This paper analyzes the structures and issues of 2018 Korean local elections based on the author's observations on the electoral processes. Even if this paper does not follow a traditional statistical method, it provides the interpretative meanings of 2018 local elections by utilizing an expert's observations of campaign processes. This result of 2018 election can be summarized into two analytical frames. In terms of electoral competition structure, three key factors, such as presidential approval rating, party competition structure, ideological spectrum, tend to affect the winning of governing party. In the light of election issue, the inter-Korean summit, the Washington-Pyeongyang summit, Incheon deprecating remark were positive to the vote gains of governing party, but the negative campaign, the drucking scandal and the swing voters were found not to be significant. The local election in Korea tends to show dual meanings, a proxy war of national-level politics and a composition process of local government. This paper found that the 2018 election has dual meanings at the same time, in a sense that it is the punishment of the ex-governing party's wrongdoing and the power change of local government.