• Title/Summary/Keyword: Regional transfer center

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Epidemiology of severe trauma patients treated by plastic surgeons: A 7-year study at a single regional trauma center in South Korea

  • Jung, Joo Sung;Kang, Dong Hee;Lim, Nam Kyu
    • Archives of Plastic Surgery
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    • v.47 no.3
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    • pp.223-227
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    • 2020
  • Background After the laws regulating emergency medicine were amended in 2012, regional trauma centers were established in South Korea. Plastic surgeons specialize in the simultaneous surgical care of patients with facial trauma, burns, and complicated wounds. The objective of this study was to evaluate the role of the plastic surgery department in treating severe trauma patients. Methods From January 2012 to December 2018, we enrolled 366 severe trauma patients with an Injury Severity Score (ISS) over 15 who received treatment by specialists in the plastic surgery department. Of these patients, 298 (81.4%) were male, and their mean age was 51.35 years (range, 6-91 years). The average ISS was 22.01 points (range, 16-75 points). Results The most common diagnosis was facial trauma (95.1%), and facial bone fracture (65.9%) was most common injury within this subgroup. Patients were referred to 1.8 departments on average, with the neurosurgery department accounting for a high proportion of collaborations (37.0%). The most common cause of trauma was traffic accidents (62.3%), and the average length of stay in the general ward and intensive care unit was 36.90 and 8.01 days, respectively. Most patients were discharged home (62.0%) without additional transfer or readmission. Conclusions Through this study, we scoped out the role of the specialty of plastic surgery in the multidisciplinary team at regional trauma centers. These results may have implications for trauma system planning.

Analysis of Indeterminate Truss Structures by Element-Focused Network Approach (요소 중심의 네트워크 접근법을 이용한 부정정 트러스 구조 해석)

  • Han, Yicheol
    • Journal of The Korean Society of Agricultural Engineers
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    • v.58 no.3
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    • pp.13-19
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    • 2016
  • Element-focused network analysis method for truss structure is proposed. The propagation process of loads from external loads to connected other elements is similar to that of connections between nodes in accordance with attachment rule in a network. Here nodes indicate elements in a truss structure and edges represent propagated loads. Therefore, the flows of loads in a truss structure can be calculated using the network analysis method, and consequently the structure can also be analyzed. As a first step to analyze a truss structure as a network, we propose a local load transfer rule in accordance with the topology of elements, and then analyze the loads of the truss elements. Application of this method reveal that the internal loads and reactions caused by external loads can be accurately estimated. Consequently, truss structures can be considered as networks and network analysis method can be applied to further complex truss structures.

Microsurgical Composite Tissue Transplantation in Reconstruction of the Head and Neck Tumor (미세수술로 복합조직 이식술을 이용한 두경부 종양의 재건)

  • Oh Suck-Joon
    • Korean Journal of Head & Neck Oncology
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    • v.1 no.1
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    • pp.63-74
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    • 1985
  • Although regional and myocutaneous flaps are still the standard in head and neck reconstruction. The capacity to transfer distant tissues by microsurgical technique expands the reconstructive surgeon's ability to restore severe deformities of the head and neck. From 1981 to 1985, thirteen patients with extensive defects of the head and neck after extirpative surgery of tumor have been reconstructed utilizing the technique of microsurgical composite tissue transplantation. In this series of patients, six presented with reconstructions in the different region of the head and neck with review of literatures. The results of case analysis are summarized as follows: 1) Transplantation was successful in twelve among thirteen patients (92%). 2) Seven patients presented with malignancy and six with benign tumor. 3) Frequent sites of reconstruction were face and mandible. 4) Fourteen free composite tissue transplantations for reconstruction of thirteen patients were obtained six different tissue compositions from eight different donor sites. 5) The recipient artery and vein was most often superficial temporal or facial vessels. 6) The average time of operation was ten hours.

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Research on the Output Characteristic of Thermoelectric Module according to the thickness variation of Polymer Pad (고분자 필름의 두께변화에 따른 열전소자의 출력 특성변화에 관한 연구)

  • Jang, Ho-Sung;Kim, Jae-Jung;Kim, In-Kwan;Kim, Young-Soo
    • Proceedings of the SAREK Conference
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    • 2006.06a
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    • pp.976-981
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    • 2006
  • In case of attaching thermoelectric module and heat source, the polymer pad is attached on the $Al_2O_3$ plate, which is cooling side of thermoelectric module, in order to enhance mechanical safety of the system. It is impossible to calculate the exact distribution of temperature and flow pattern of inner gap of thermoelectric module. Therefore CFD(Computational Fluid Dynamics) analysis was executed to determine the thermo-fluid phenomena and distribution by Fluent. As the result of these analysis, heat transfer was dominated by conduction and the difference of temperature was linear distribution according to the thickness of polymer sheet.

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MODIS AEROSOL RETRIEVAL IN FINE SPATIAL RESOLUTION FOR LOCAL AND URBAN SCALE AIR QUALITY MONITORING APPLICATIONS

  • Lee, Kwon-Ho;Kim, Young-Joon
    • Proceedings of the KSRS Conference
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    • 2005.10a
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    • pp.378-380
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    • 2005
  • Remote sensing of atmospheric aerosol using MODIS satellite data has been proven to be very useful in global/regional scale aerosol monitoring. Due to their large spatial resolution of $10km^2$ MODIS aerosol optical thickness (AOT) data have limitations for local/urban scale aerosol monitoring applications. Modified Bremen Aerosol Retrieval (BAER) algorithm developed by von Hoyningen-Huene et al. (2003) and Lee et al. (2005) has been applied in this study to retrieve AOT in fe resolutions of $500m^2$ over Korea. Look up tables (LUTs) were constructed from the aerosol properties based on sun-photometer observation and radiation transfer model calculations. It was found that relative error between the satellite products and the ground observations was within about $15\%$. Resulting AOT products were correlated with surface PMIO concentration data. There was good correlation between MODIS AOT and surface PM concentration under certain atmospheric conditions, which supports the feasibility of using the high-resolution MODIS AOT for local and urban scale air quality monitoring

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A Study on the Spatiotemporal Characteristics of Chemical Discharges and Quantified Hazard-Based Result Scores Using Pollutant Release and Transfer Register Data (화학물질배출이동량 자료를 활용한 화학물질배출량 및 유해기반지수 정량화와 시공간 특성 연구)

  • Lim, Yu-Ra;Gan, Sun-Yeong;Bae, Hyun-Joo
    • Journal of Environmental Health Sciences
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    • v.48 no.5
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    • pp.272-281
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    • 2022
  • Background: The constant consumption of chemical products owing to expanding industrialization has led to an increase in public interest in chemical substances. As the production and disposal processes for these chemical products cause environmental problems, regional information on the hazard level of chemical substances is required considering their effects on humans and in order to ensure environmental safety. Objectives: This study aimed to identify hazard contribution and spatiotemporal characteristics by region and chemical by calculating a hazard-based result score using pollutant release and transfer register (PRTR) data. Methods: This study calculated the chemical discharge and hazard-based result score from the Risk-Screening Environmental Indicators (RSEI) model, analyzed their spatiotemporal patterns, and identified hotspot areas where chemical discharges and high hazard-based scores were concentrated. The amount of chemical discharge and hazard-based risk scores for 250 cities and counties across South Korea were calculated using PRTR data from 2011 to 2018. Results: The chemical discharge (high densities in Incheon, Daegu, and Busan) and hazard-based result scores (high densities in Incheon, Chungcheongnam-do, and some areas of Gyeongsangnam-do Province) showed varying spatial patterns. The chemical discharge (A, B) and hazard-based result score (C, D) hotspots were identified. Additionally, identification of the hazard-based result scores revealed differences in the type of chemicals contributing to the discharge. Ethylbenzene accounted for ≥80% of the discharged chemicals in the discharge hotspots, while chromium accounted for >90% of the discharged chemicals in the hazard-based result score hotspots. Conclusions: The RSEI hazard-based result score is a quantitative indicator that considers the degree of impact on human health as a toxicity-weighted value. It can be used for the management of industries discharging chemical substances as well as local environmental health management.

Factors Contributing to Mortality for Patients at a Newly-designated Regional Trauma Center (중증 외상 특성화 센터에서 사망률에 영향을 미치는 인자 분석)

  • Chang, Ikwan;Kim, Hoon;Shin, Hee Jun;Joen, Woo Chan;Park, Joon Min;Shin, Dong Wun;Park, Jun Seok;Kim, Kyung Hwan;Park, Je Hoon;Choi, Seung Woon
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.188-195
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    • 2012
  • Purpose: An increase in the demand for specialized Trauma Centers led to a government-driven campaign, that began in 2009. Our hospital was selected as one of the Trauma Centers, and we reviewed data on trauma patients in order to correlate the mortality at a regional Trauma Center with its contributing factors, such as the severity of the injury, the means of arrival, and the time duration before arrival at our center. Methods: Data on the patients who visited our Trauma Center from January 2010 to November 2011 were retrospectively reviewed using electronic medical records. The patients who had revised trauma scores (RTSs) less than 7 or injury severity scores (ISSs) greater than 15 were included. The patients were categorized as survivors and non-survivors, and the means of arrival as transferred or visited directly. Time durations before arrival of less than one hour were also taken intoconsideration. Results: Two hundred(200) patients were enrolled, and the mortality rate was 36.5%. The most common cause of the accident was an automobile accident, and the most common cause of death was brain injury. The RTSs and the ISSs were significantly different in the non-survivor and the survivor groups. The mortality rate of the patients who were transferred was not statistically different from that of patients who visited directly. However, a time duration before arrival of less than one hour was statistically meaningful. Conclusion: The prognosis of the trauma patients were correlated with the severity of the trauma as can be expected, but the time between the incidence of accident and the arrival at hospital and whether the presence of transfer to trauma center were not statistically significant to the prognosis.

A New F1 Hybrid Variety of Rapeseed (Brassica napus L.), 'Jomang' with Early Maturation, High Yield and High Oleic Acid (조숙, 다수성, 올레인산 고함유 유채 신품종 '조망')

  • Kim, Kwang-Soo;Jang, Young-Seok;Lee, Yong-Hwa;Cho, Hyun-Jun;Bang, Jin-Ki;Suh, Sae-Jung
    • Korean Journal of Breeding Science
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    • v.42 no.3
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    • pp.236-240
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    • 2010
  • 'Jomang' is a new $F_1$ hybrid variety of rapeseed (Brassica napus L.) with early maturation, high yield and high oleic acid. This hybrid variety was developed from the cross between Mokpo-CGMS (male sterile line) and 8516-B-5-6-5-3 (restore line) for the production of edible oil and biodiesel in 2006. Yield trials were conducted from 2007 to 2008, and regional adaptation trials were examined at four locations in 2008. 'Jomang' has green and parted leaf, yellowish flower and black seed coat. The ripening date of 'Jomang' is 1~4 days earlier than 'Sunmang' and 'Tammiyuchae'. The average seed yield of the regional adaptation trials was 406 kg/10a, which was 7% and 42% higher than those of 'Sunmang' and 'Tammiyuchae,' respectively. Total oil content of 'Jomang' was 44.5%. 'Jomang' has no erucic acid in fatty acid composition. However, oleic acid content is 68.2%, which is 3.4% and 5.1% higher than 'Tammiyuchae' and 'Sunmang,' respectively. Total glucosinolate content was 2.31 mg/g. Therefore, this variety is recommended as a leading variety at southwestern area including Jeonnam, Jeonbuk and Kyongnam provinces and Cheju island of Korea.

Bias Characteristics Analysis of Himawari-8/AHI Clear Sky Radiance Using KMA NWP Global Model (기상청 전구 수치예보모델을 활용한 Himawari-8/AHI 청천복사휘도 편차 특성 분석)

  • Kim, Boram;Shin, Inchul;Chung, Chu-Yong;Cheong, Seonghoon
    • Korean Journal of Remote Sensing
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    • v.34 no.6_1
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    • pp.1101-1117
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    • 2018
  • The clear sky radiance (CSR) is one of the baseline products of the Himawari-8 which was launched on October, 2014. The CSR contributes to numerical weather prediction (NWP) accuracy through the data assimilation; especially water vapor channel CSR has good impact on the forecast in high level atmosphere. The focus of this study is the quality analysis of the CSR of the Himawari-8 geostationary satellite. We used the operational CSR (or clear sky brightness temperature) products in JMA (Japan Meteorological Agency) as observation data; for a background field, we employed the CSR simulated using the Radiative Transfer for TOVS (RTTOV) with the atmospheric state from the global model of KMA (Korea Meteorological Administration). We investigated data characteristics and analyzed observation minus background statistics of each channel with respect to regional and seasonal variability. Overall results for the analysis period showed that the water vapor channels (6.2, 6.9, and $7.3{\mu}m$) had a positive mean bias where as the window channels(10.4, 11.2, and $12.4{\mu}m$) had a negative mean bias. The magnitude of biases and Uncertainty result varied with the regional and the seasonal conditions, thus these should be taken into account when using CSR data. This study is helpful for the pre-processing of Himawari-8/Advanced Himawari Imager (AHI) CSR data assimilation. Furthermore, this study also can contribute to preparing for the utilization of products from the Geo-Kompsat-2A (GK-2A), which will be launched in 2018 by the National Meteorological Satellite Center (NMSC) of KMA.

The Rationalization of PDM in Pusan Port for the Period of Round Pacific Area (환태평양 시대의 부산항 물류산업 합리화)

  • Park, S. Y.;Park, C. S.
    • Journal of Korean Port Research
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    • v.6 no.1
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    • pp.93-110
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    • 1992
  • The most change in this century is supposed to be declination of ideology, and block of world economy. Addition to down full of cold war atmosphere around Northeast Asia, not only economic and social mood in this region is dramatically changed, but also it gave birth to the block of Northeast economy that accerlated new hub of world economy. According to dramatic change of economic surroundings the dynamic potential of growth in this region will be guided to enlarge inter-regional trade and increase volume of trade, thus suggests to grow steadily transportation. cargos in this region will have to arrange the system of delivery and inner transportation, accessary facilities, inter-regional harbors if North America and EC has connected easily. As have accerlated GATT and UR represented multilateralism and regionalism, it has regulated to increase trades of region due to relief of the trade barrier through specific areas has agreed with separately. The flow of regionalism of world economy has appeared to realize EC and NAFTA centered U.S.A, and also has presented to free trade region or one-size market agreement in Asia as APEC, EAEG in Malaysia, and etc. In defense to this block and internationalism of world economy, Pusan has to come forward to the hub of Northeast others has proposed a project to dominate the Northeast, Economy Association Agreement as Far East comprehensive development project in USSR, Hunchun development project in NK, and East Sea development project in PRC, Niigate regional development in Japan, Duman River development project in NK, and East Sea development project in Korea. As this exercise has proceed, Pusan also have arranged development strategy definitely and prepared provisions systematically. Engaging to participate center of delivery system is meant to be completed complex functions, namely the transfer storage processing & assembly function of international commodity. Pusan has ability to be terminal point of TSR. it had been connected to EC as the biggest economy block and TKR as complex transportation root to Far East, it would be the center of inground and seabase delivery terminal to Rotterdom as the biggest container pier and major piers to North-East and South East Asia. In order to provide a Role of 21 century's internationalization, Pusan has appealed to participate in management information research and development connected to Pohang-Ulsan-Changwon-Masan, and has utilized efficiently the resources such as man, material, money and information.

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