• Title/Summary/Keyword: Regional transfer center

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A Research on the Design and Operation of Regional Hub-Level Vertiport (지역 허브급 버티포트의 설계 및 운영 연구)

  • Dong-Wook Lee;Dong-Kyu Lee;Sung-Sik Park
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.32 no.1
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    • pp.79-90
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    • 2024
  • UAM is emerging due to the deepening population concentration in the metropolitan area and the problem of congested ground transportation in urban areas. Accordingly, along with research on eVTOL aircraft for UAM services, interest in vertiport, the interest in vertiports, the infrastructure that allows eVTOLs to take off and land, is also increasing. However, behind the concentration of population in the metropolitan area, aphenomenon of local extinction is occurring in conjunction with the aging population. AAM, which moves quickly through 3D space, can be an effective SOC facility in times of local extinction crisis. In this paper, we introduce a design plan from the perspective of a complex transper center for a regional hub-level vertiport that can connect with local high-speed rail and utilize local airports in compliance with the vertiport design guidelines issued by FAA(Federal Aviation Administration) and EASA(European union Aviation Safety Agency). We would like to present Vertiport's future operation plan.

Impact of Regional Cardiocerebrovascular Centers on Myocardial Infarction Patients in Korea: A Fixed-effects Model

  • Cho, Sang Guen;Kim, Youngsoo;Choi, Youngeun;Chung, Wankyo
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.1
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    • pp.21-29
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    • 2019
  • Objectives: The Regional Cardiocerebrovascular Center (RCCVC) Project designated local teaching hospitals as RCCVCs, in order to improve patient outcomes of acute cardiocerebrovascular emergencies by founding a regional system that can adequately transfer and manage patients within 3 hours. We investigated the effects of RCCVC establishment on treatment volume and 30-day mortality. Methods: We constructed a panel dataset by extracting all acute myocardial infarction cases that occurred from 2007 to 2016 from the Health Insurance Review and Assessment Service claims data, a national and representative source. We then used a panel fixed-effect model to estimate the impacts of RCCVC establishment on patient outcomes. Results: We found that the number of cases of acute myocardial infarction that were treated increased chronologically, but when the time effect and other related covariates were controlled for, RCCVCs only significantly increased the number of treatment cases of female in large catchment areas. There was no statistically significant impact on 30-day mortality. Conclusions: The establishment of RCCVCs increased the number of treatment cases of female, without increasing the mortality rate. Therefore, the RCCVCs might have prevented potential untreated deaths by increasing the preparedness and capacity of hospitals to treat acute myocardial infarction patients.

Transportation Time is Significantly Decreased in Acute Ischemic Stroke Patients Under Drip-and-Ship Paradigm for Thrombolysis

  • Kim, Jeong-Yeon;Cha, Jae-Kwan;Kim, Dae-Hyun;Nah, Hyun-Wook;Jeong, Jin-Heon
    • Journal of Neurocritical Care
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    • v.11 no.2
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    • pp.86-92
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    • 2018
  • Background: A delay of transfer for patients with acute stroke needing emergent revascularization is a huge hurdle for efficacy of revascularization. The objective of this study was to investigate changes of transportation time calculated by image to door (ITD) time (from checking brain images at first contact hospital to arriving at our emergency center) before and after 2015. Methods: This study was performed in a retrospective manner from 2013 into 2017. Acute ischemic stroke (AIS) patients having intravenous thrombolysis and/or mechanical thrombectomy during the observation period were enrolled. Among them, those who had revascularization under 'Drip-and-Ship' or 'Ship-and-Drip' paradigm were selected. Results: During the observation period, 225 patients were treated under 'Drip-and-Ship' or 'Ship-and-Drip' paradigm. Twenty-three were excluded due the lack of detailed data. Among 202 patients, 73 and 129 were treated under Drip-and-Ship and Ship-and-Drip paradigms, respectively. In 2013, 35 patients from 18 hospitals (median distance, 25 km) were transferred to our regional stroke center and their median ITD time was 116 minutes. It was gradually decreased after 2015. In 2017, ITD time was significantly (P<0.01) shortened to 85 minutes without significant changes in transfer distance. The median onset to puncture time was also significantly (P=0.03) decreased from 365 minutes in 2013 to 270 minutes in 2017. Conclusion: Our results implicate that many hospitals in our stroke region might have recognized the importance of rapid transportation for AIS after 2015.

Synthesis of Mesoporous Pt-Au Alloy Electrode by Electrodeposition Method for Direct Methanol Fuel Cell (전기화학적 증착법에 의한 직접 메탄올 연료전지(DMFC)용 메조포러스 백금-금 합금전극제조)

  • Park, Eun-Kyung;Ahn, Jae-Hoon;Kim, Young-Soo;Kim, Kyung-Hwa;Baeck, Sung-Hyeon
    • Korean Chemical Engineering Research
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    • v.46 no.4
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    • pp.727-731
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    • 2008
  • Mesoporous Pt-Au alloy films were successfully fabricated on ITO-coated glass by electrodeposition method using tri-blockcopolymer (P123) as a templating agent. The electrolyte consisted of 10 mM hydrogen hexachloroplatinate ($H_2PtCl_6$), 10 mM hydrogen tetrachloroaurate ($HAuCl_4$), and proper amount of P123. For comparison, control samples were electrodeposited without $HAuCl_4$ and P123. Film composition was determined by EDS(Energy Dispersive X-ray Spectroscopy), and the mesoporous structure was confirmed by TEM(Transmission Electron Microscopy). SEM(Scanning Electron Microscopy) was utilized to examine surface morphology, and it was observed that the addition of P123 affected the particle growth, resulting in the significant change of surface morphology. Methanol oxidation and CO oxidation were carried out to investigate electrocatalytic activities of synthesized samples. It was observed that the catalytic activity was strongly dependent on the film compositions. Compared with nonporous electrode prepared without P123 templating, mesoporous films prepared with P123 templating showed much higher catalytic activities and stability for both methanol oxidation and CO oxidation. These enhanced electrocatalytic activities were due to the high surface area and facilitated charge transfer of mesoporous films.

Reformation of Legislation and System for Improving Seoul Metropolitan Railway Transfer Center and Connection Transportation Facility (수도권 광역철도역 환승센터 및 연계시설확충을 위한 법제도 개선방안)

  • Kim, Si Gon;Kim, Ji Yeon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.37 no.1
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    • pp.119-124
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    • 2017
  • In this paper, 18 railway stations in Gyunggi-do are selected as metropolitan transfer centers out of 203 stations based on three elements. They are the number of passengers, the level of connection transport, and the level of relevant plans. For 18 stations the level of service (LOS) is analyzed for connection transport system. As a result, half of them are found to be below LOS "D". In order to maximize the use of those railway stations, a method is proposed to upgrade the level of service to "C" above. Finally, the improvement plans are suggested for two acts. In the Special Act on Metropolitan Traffic Management of the Metropolitan Region, the central government financial support ratio is suggested from 30% to 50%, from "necessary costs" to "total costs." In the Act on National Integrated Transport System Efficiency, 50% for connection road and 70% for connection raiway are suggested.

Optimization Design of Commercial Large Gas Oven Systems (상업용 대형 가스오븐 시스템의 최적 설계)

  • Kim, Do-Hyun;Yu, Byeonghun;Kum, Sungmin;Lee, Chang-Eon
    • Journal of Energy Engineering
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    • v.25 no.2
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    • pp.21-28
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    • 2016
  • This research was conducted for the optimal design of large commercial gas oven system. Equivalent ratio was determined through a numerical analysis and experiments on the combustion condition of the combustor. After reviewing the supply capacity of burner(20,000 kcal) and control method of convection fan, two types of heat exchangers designed. In order to maintain a uniform temperature inside the oven is required convection fan braking system. The center temperature in the oven rises more rapidly when the convectional fan is rotated in the counterclockwise direction than the counter-clockwise direction. And The efficiency of the system by installing a large heat transfer area was higher.

A Study on the Planning of Agropolis Framework (농업혁신도시의 표준 프레임워크 도출에 관한 연구)

  • Choi, Soo-Myung;Kim, Young-Joo
    • Journal of Korean Society of Rural Planning
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    • v.11 no.4 s.29
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    • pp.17-24
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    • 2005
  • The sustainable development of local communities is faced with limitation due to poor infrastructure and lack of cooperation among stake-holders. To overcome such circumstances and thus to ensure balanced development of the local communities, the central government is driving construction of innovative cities mainly through transfer of public institutions to local cities. In this study, to contribute to the development of plans for the future agropolis' associated with the transfer of public institutions, efficient organization mechanisms of the agropolis such as basic structure and spatial allocation was examined through analyses of advanced cases(Sophia Antipolis, St. Hyacinthe Science Part Food Valley, Stoneleigh Park) of foreign countries. The analyses showed that the organization of agropolis were consisted of three main components; 1) agricultural and food industry complex conducting R&D, 2) service facilities(information, trade, consulting and advertisement) supporting agricultural and food industries and rural enterprise center in charge of a variety of events including exhibition, rural experience, education, and contest, 3) silver facilities such as hospital and town providing medical service and residence. Based on the results, inventories of facilities which are necessary in 'the future agropolis' and their spatial allocation were suggested.

FE-Analysis of Hot Forming of Al Large Thick Plate for Spherical LNG Tank Considering Cooling Performance of Grid-Typed Die (격자형 금형의 냉각효과를 고려한 구형 LNG 탱크용 대형 알루미늄 후판의 열간성형해석)

  • Lee, Jung-Min;Lee, In-Kyu;Kim, Dae-Soon;Kwon, Il-Keun;Lee, Seon-Bong;Kim, Byung-Min
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.11
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    • pp.1190-1198
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    • 2012
  • A hot forming of large thick Al plate using a grid-type hybrid die is a process to make a shell plate for the production of a spherical LNG tank. This process is characterized by using a grid-typed die with an additional air cooling system for reducing the cooling time of the heated plate after hot forming. The process consists of the plate's feeding, heating, forming and cooling in detail and each of them is continuously performed along the rail. This paper was designed to propose the analytical and experimental methods for determining the convection and interfacial heat transfer coefficients required in hot forming analysis of Al plate. These values in the analysis are to reproduce numerically the cooling performance of grid-typed die and cooling device. Interfacial heat transfer was obtained from the heat transfer experiments for different pressures and inverse analysis method. To verify the efficiency of the coefficient values obtained from above methods, FE analysis and experiment of the hot spherical-forming process were conducted for a small-scaled model. The convection coefficient was also calculated from flow analysis of air released by cooling device within grid-typed die using ANSYS-CFX.

Epidemiology and outcomes of patients with penetrating trauma in Incheon Metropolitan City, Korea based on National Emergency Department Information System data: a retrsopective cohort study

  • Youngmin Kim;Byungchul Yu;Se-Beom Jeon;Seung Hwan Lee;Jayun Cho;Jihun Gwak;Youngeun Park;Kang Kook Choi;Min A Lee;Gil Jae Lee;Jungnam Lee
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.224-230
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    • 2023
  • Purpose: Patients with penetrating injuries are at a high risk of mortality, and many of them require emergency surgery. Proper triage and transfer of the patient to the emergency department (ED), where immediate definitive treatment is available, is key to improving survival. This study aimed to evaluate the epidemiology and outcomes of patients with penetrating torso injuries in Incheon Metropolitan City. Methods: Data from trauma patients between 2014 and 2018 (5 years) were extracted from the National Emergency Department Information System. In this study, patients with penetrating injuries to the torso (chest and abdomen) were selected, while those with superficial injuries were excluded. Results: Of 66,285 patients with penetrating trauma, 752 with injuries to the torso were enrolled in this study. In the study population, 345 patients (45.9%) were admitted to the ward or intensive care unit (ICU), 20 (2.7%) were transferred to other hospitals, and 10 (1.3%) died in the ED. Among the admitted patients, 173 (50.1%) underwent nonoperative management and 172 (49.9%) underwent operative management. There were no deaths in the nonoperative management group, but 10 patients (5.8%) died after operative management. The transferred patients showed a significantly longer time from injury to ED arrival, percentage of ICU admissions, and mortality. There were also significant differences in the percentage of operative management, ICU admissions, ED stay time, and mortality between hospitals. Conclusions: Proper triage guidelines need to be implemented so that patients with torso penetrating trauma in Incheon can be transferred directly to the regional trauma center for definitive treatment.

Requirements for Cerebrovascular Surgery in Comprehensive Stroke Centers in South Korea

  • Kim, Tackeun;Oh, Chang Wan;Park, Hyeon Seon;Lee, Kunsei;Lee, Won Kyung;Lee, Heeyoung
    • Journal of Korean Neurosurgical Society
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    • v.61 no.4
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    • pp.478-484
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    • 2018
  • Objective : Cerebrovascular disease (CVD) was the third most common cause of death in South Korea in 2014. Evidence from abroad suggests that comprehensive stroke centers play an important role in improving the mortality rate of stroke. However, surgical treatment for CVD is currently slightly neglected by national policy, and there is still regional imbalance in this regard. For this reason, we conducted a survey on the necessity of, and the requirements for, establishing regional comprehensive cerebrovascular surgery centers (CCVSCs). Methods : This investigation was performed using the questionnaire survey method. The questionnaire was consisted with two sections. The first concerned the respondent's opinion regarding the current status of demand and the regional imbalance of cerebrovascular surgery in South Korea. The second section asked about the requirements for establishing regional CCVSCs. We sent the questionnaire to 100 board members of the Korean Society of Cerebrovascular Surgeons. Results : Most experts agreed that cerebrovascular surgery patients were concentrated in large hospitals in the capital area, and 83.6% of respondents agreed that it was necessary to alleviate the regional imbalance of cerebrovascular surgery. With regards to personnel, over 90% of respondents answered that at least two neuro-vascular surgeons and two neuro-interventionists are necessary to establish a CCVSC. Regarding facilities, almost all respondents stated that each CCVSC would require a neuro-intensive care unit and hybrid operating room. The survey asked the respondents about 13 specific neurovascular surgical procedures and whether they were necessary for a regional CCVSC. In the questions about the necessity of cerebrovascular surgical equipment, all seven pieces of equipment were considered essential by all respondents. A further five pieces of equipment were considered necessary on site: computed tomographic angiography, magnetic resonance angiography, conventional angiography, surgical microscope, and surgical navigation. Our results may provide a basis for future policy regarding treatment of cerebrovascular disease, including surgery. Conclusion : Raising the comprehensiveness of treatment at a regional level would lower the national disease burden. Policies should be drafted regarding comprehensive treatment including surgery for cerebrovascular disease, and related support plans should be implemented.