Objective : Traumatic brain injury (TBI) is one of the most common injuries in patients with multiple trauma, and it associates with high post-traumatic mortality and morbidity. A trauma center was established to provide optimal treatment for patients with severe trauma. This study aimed to compare the treatment outcomes of patients with severe TBI between non-trauma and trauma centers based on data from the Korean Neuro-Trauma Data Bank System (KNTDBS). Methods : From January 2018 to June 2021, 1122 patients were enrolled in the KNTDBS study. Among them, 253 patients from non-traumatic centers and 253 from trauma centers were matched using propensity score analysis. We evaluated baseline characteristics, the time required from injury to hospital arrival, surgery-related factors, neuromonitoring, and outcomes. Results : The time from injury to hospital arrival was shorter in the non-trauma centers (110.2 vs. 176.1 minutes, p=0.012). The operation time was shorter in the trauma centers (156.7 vs. 128.1 minutes, p=0.003). Neuromonitoring was performed in nine patients (3.6%) in the non-trauma centers and 67 patients (26.5%) in the trauma centers (p<0.001). Mortality rates were lower in trauma centers than in non-trauma centers (58.5% vs. 47.0%, p=0.014). The average Glasgow coma scale (GCS) at discharge was higher in the trauma centers (4.3 vs. 5.7, p=0.011). For the Glasgow outcome scale-extended (GOSE) at discharge, the favorable outcome (GOSE 5-8) was 17.4% in the non-trauma centers and 27.3% in the trauma centers (p=0.014). Conclusion : This study showed lower mortality rates, higher GCS scores at discharge, and higher rates of favorable outcomes in trauma centers than in non-trauma centers. The regional trauma medical system seems to have a positive impact in treating patients with severe TBI.
Objectives: The objective of this study was to identify factors associated with adolescent obesity, as well as any new factors that correlated with a change in the rate of obesity over time. Methods: The study used 5-yearly data collected by the Korea Youth Risk Behavior Survey starting from the year 2006 up until 2021 (data from 2nd, 7th, 11th, and 17th surveys were analyzed). Factors such as demographics, dietary factors, health behavioral factors, and mental health factors were studied. All data were analyzed using IBM SPSS 27.0, employing chi-square tests and multiple logistic regression analysis. Results: This study included data from a total of 255,200 participants. Factors contributing to obesity varied with time. Over the survey duration of 15 years, low academic achievement, parents with low levels of education, low frequency of fruit consumption, low frequency of fast food intake, long periods of being seated, and high levels of stress were significantly associated with a high rate of obesity. Factors that showed a new correlation with an increase in obesity rates included living with single parents, low frequency of muscle strengthening exercises, and experiencing intense sadness and despair in the past year. Factors that were correlated with a change in obesity rates over time included household economic status, frequency of carbonated beverage consumption, frequency of intense physical activity, and frequency of alcohol consumption. Breakfast intake and smoking were not significantly associated with obesity rates in the 15-year period. Conclusions: While several factors associated with obesity remained consistent over time, several new factors have emerged in response to social, economic, and environmental changes contributed to a change in obesity rate over time. Therefore, to prevent and manage adolescent obesity, continuous research into the new emergent factors contributing to obesity is needed.
The Journal of Korean Institute of Electromagnetic Engineering and Science
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제29권5호
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pp.353-358
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2018
We herein analyze the service traffic characteristics and spectrum of the 5G mobile communication and suggest the effective 5G network deployment method for 5G mobile communication services. The data rates of the 5G mobile communication are from several kbps (voice and IoT) up to 1 Gbps (hologram, among others). The 5G mobile communication services show the diverse cell coverage environments owing to the use of diverse service data rates and multiple spectrum bands. To effectively support the 5G mobile communication services, the network deployment requires the optimization of the service coverages for new service environments and multiple spectrum bands. Considering the 5G spectrum bandwidth debated at present, if the 5G services of 100 Mbps can be supported in the 200 m cell edge using the 3.5 GHz spectrum bands, the 5G services of the 1 Gbps hologram and 500-Mbps 4k UHD can be supported in the cell edges of 50 m and 100 m using the 28 GHz spectrum bands. Therefore, the 5G services can be supported effectively by the 5G network deployment using spectrum portfolio configurations to match the diverse 5G services and multiple bands.
As a basic research on applying the microbial strains which had been isolated and proved to remove heavy metals, such as Pb, Cd, Zn, and Cu in This laboratory to actual wastewater treatment, optimum condition of the treatment system with addition of single or multiple species of pollutants and microorganisms were investigated at small scale. Concentration of the bacterial inoculum was 3000mg/L and 1500mg/L of MLSS for treatment with single and multiple species, respectively. Removal rates of heavy metals were expressed at HRT’s (Hydraulic Retention Time) of 12, 24, and 48 hr. Removal rates of Pb, Cd, Zn, and Cu after 12 days at HRT of 24hr with addition of single and multiple species were 93%, 90%, 80%, and 39%, and 75%, 90%, 74%, and 48%, respectively. Judging from these results, treatment capability of the isolated strains is excellent. Hence, the microorganisms are expected to be applicable to actual wastewater treatment.
Journal of Korean Society of Occupational and Environmental Hygiene
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제16권4호
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pp.398-412
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2006
The purpose of this study is to investigate the relationship between the acceleration of vibration by the powered hand tools used in the shipbuilding industry, and to develop the prospective prevalence model for the hand-arm vibration syndrome among the shipbuilding workers.The acceleration levels and frequencies of six types of grinder were measured using the ISO5349 method along with the time of exposure to the vibration from the powered hand tools. Medical examination for 114 workers were performed using the cold provocation test. Comparisons were made between the estimated prevalence of hand-arm vibration syndrome from ISO5349 and the observed values from the medical examinations. By multiple regression, we developed the prospective prevalence model of hand-arm vibration syndrome produced by the hand tools used in the shipbuilding industry. 4 hour-energy-equivalent frequency-weighted accelerations were $6.23m/s^2$ in the grinding job done after welding, and $13.39m/s^2$ in the grinding job done before painting. The mean exposure time while holding powered hand tools was 4.64 hours. Prevalence rates of Raynaud's Phenomenon were 12.04% in the grinding after soldering, and 42.9% in the grinding before painting measured using the ISO5349 method. After exposure to vibration for 10.79 years, about a half of the workers in the grinding after welding could developed Raynaud's Phenomenon. For the workers in the grinding before painting, the latency was 5.02 years. The ISO equation for dose response relationship was not significantly correlated with observed recovery rates of finger skin temperatures, blood flows and amplitudes of nerve conduction velocities. A multiple regression model for dose-response relationship was proposed from the results. Recovery rate of the skin temperatures = -0.668+ 0.337 ${\times}$ 4 hour energy equivalent frequency-weighted accelerations + 0.767 ${\times}$ duration of vibration exposure(years) The validity was proved by multiple regression analysis after correlation transformation and regression results based on model-building data and validation data.
Calla lilies (Zantedeschia spp.) are monocotyledonous ornamental plants which belongs to the Araceae family. After the release of elite calla cultivar, an efficient propagation system is needed for commercial use. Despite the use of conventional propagation methods such as splitting of tubers and rhizomes of calla, rapid and efficient propagation system should be developed. In order to achieve this goal, stem segments contained apical meristems derived from calla lily cultivar (cv. Gag-si) were cultured on Murashige and Skoog (MS) medium supplemented with various concentrations of cytokinin and auxin. This was aimed at inducing embryogenic calluses, shoots and multiple shoots. As a result, about 25% of induction rates of yellow embryogenic calluses were observed with MS medium containing both $0.5mg{\cdot}L^{-1}\;NAA$ and $1.5mg{\cdot}L^{-1}\;BA$ as growth regulators. In the experiments involving the regeneration from embryogenic calluses through shoot formation, MS medium supplemented with $0.5mg{\cdot}L^{-1}\;IAA$ and $2.0mg{\cdot}L^{-1}\;BA$ showed the highest rates at approximately 85 ~ 90% with regard to the formation of shoots in calla. Moreover, multiple shoots needed for rapid propagation were generated when explants were cultured on MS medium supplemented with $0.5mg{\cdot}L^{-1}\;IAA$ and $2.0mg{\cdot}L^{-1}\;BA$ with 40% of formation rate. In this study, the combination of auxin and cytokinin showed positive effects on both the induction of embryogenic calluses, the formation of shoots as well as multiple shoots in calla. The regeneration system described here can contribute to the development of breeding programs of calla in the future.
International journal of advanced smart convergence
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제8권4호
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pp.34-39
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2019
Millimeter-wave (mmWave) and Non-orthogonal multiple access (NOMA) are expected to be the major techniques that lead to the next generation wireless communication. NOMA provides a high spectrum efficiency by sharing of spatial resources among users in the same frequency band. Meanwhile, millimeter-wave gives a huge underutilized bandwidth at extremely high frequency band (EHF) which covers 30GHz to 300GHz. These techniques have been proven in several recent literatures to achieve high data rates. The combination of NOMA and millimeter-wave techniques further improves average sum capacities, as well as reduces the interference compared to conventional wireless communication systems. In this paper, we focus on hybrid NOMA system working in millimeter-wave frequency. We propose a clustering algorithm used for a hybrid NOMA scheme to optimize the usage of wireless resources. The proposed clustering algorithm adds several conditions in grouping users and defining clusters to increase the probability of the successful superposition decoding process. The performance of the proposed clustering algorithm is investigated in hybrid NOMA system and compared with the conventional orthogonal multiple access (OMA) scheme.
Purpose: To describe the performance in the health-promoting lifestyle and to identify the major factors affecting the health-promoting relationships between self care behaviors and health promoting lifestyle profile in patients with pulmonary tuberculosis. Method: A convenience sample for this study was 172 pulmonary tuberculosis patients who have taken TB medications in urban city. The HPLP-II was selected to measure the concept of health-promoting lifestyle because of the number of research studies conducted using both the original HPLP and the revised HPLP-II. The statistical methods used in this study were t-test, ANOVA, Pearson correlations, and multiple regression. Result: The differences of the HPLP-II were found to have a significance of age, marital status, education level, and health service center. The level of self care behaviors was related positively to the level of health promoting lifestyle and their subcategories. Based on stepwise multiple regression analysis, the model that predicted factors included self care behaviors, age, health service center and education. Conclusion: After decades of decreasing rates, TB has reemerged as a serious national problem in Korea. The careful clinical management and more national concern of TB may help to improve the outcomes of many patients. The findings of this study suggest that TB patients who are more fulfilled in health-promoting lifestyles and self-care behaviors may be able to make better decisions regarding positive health-promoting behaviors.
The Journal of Asian Finance, Economics and Business
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제6권3호
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pp.103-113
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2019
The effectiveness of monetary policy critically depends upon how well the transmission mechanism functions, so that the desired impact on output and inflation is achieved. The purpose of this paper is to study the transmission mechanism of monetary policy by analyzing the impact on inflation and output during multiple indicator regime (1998-99 to 2014) in an emerging economy-India. The Inflation Targeting Regime is also briefly outlined alongwith the impact on output and inflation. Using quarterly data for the period 1997 to 2017, the paper uses weighted average call money market rate as a proxy for the policy rate and evaluates the strength of the interest rate channel. We use a conventional Structural vector auto regression (SVAR) methodology to evaluate the efficacy and show the impluse response functions. Our results find that changes in the policy rate impact output growth steeply with a lag of about two quarters and the impact on inflation is maximized after three quarters. The study concludes that the monetary policy in India has a significant impact on output and inflation in the short-to-medium-run. After the policy shock, the fall in the output growth rate is of greater magnitude than the fall in inflation.
The researcher intended to investigate the rate of absenteeism and other related statistics among the workers in a steel and iron industry with the criteria and the recommendation of the International Association on Occupational Health. With the well designed questionaire and interview, 1,882 workers were surveyed from July the 24th to the 28th, 1978. The results were as follows; The workers who experienced absence were 16.8% in July. The rate of frequency (spells) was 3.24, the duration was 4.65, the frequency (persons) was 345.20, and the lost time was 1.27. 41.0% among the absentee experienced sickness absences and the rates of sickness absence were as follow; the frequency (spells) nab 1.34, the duration was 2.29, the frequency (persons) was 101.06 and the lost time was 0.63, respectively. The main causes of sickness absence were general symptoms, such as fatigue (50.8%) and gastro-intestinal symptoms (13.8%). The frequency of sickness was highly correlated to the frequency of drinking, the amount of smoking, the physical work-load and the amount of drinking, which was analysed by the stepwize multiple regrssion analysis. The multiple R due to the above mentioned four variables was 0.320 and the R square was 10.3%.
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