• Clinical and Experimental Emergency Medicine
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• v.5 no.4
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• pp.219-229
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• 2018

Objective We compared the predictive value of the National Early Warning Score+Lactate (NEWS+L) score with those of other parameters such as the pre-endoscopic Rockall score (PERS), Glasgow-Blatchford score (GBS), and albumin, international normalized ratio, altered mental status, systolic blood pressure, age older than 65 years score (AIMS65) among patients with upper gastrointestinal bleeding (UGIB). Methods We conducted a retrospective study of patients with UGIB during 2 consecutive years. The primary outcome was the composite of in-hospital death, intensive care unit admission, and the need for ${\geq}5$ packs of red blood cell transfusion within 24 hours. Results Among 530 included patients, the composite outcome occurred in 59 patients (19 inhospital deaths, 13 intensive care unit admissions, and 40 transfusions of ${\geq}5$ packs of red blood cells within 24 hours). The area under the receiver operating characteristic curve of the NEWS+L score for the composite outcome was 0.76 (95% confidence interval, 0.70 to 0.82), which demonstrated a significant difference compared to PERS (0.66, 0.59-0.73, P=0.004), but not to GBS (0.70, 0.64-0.77, P=0.141) and AIMS65 (0.76, 0.70-0.83, P=0.999). The sensitivities of NEWS+L scores of 3 (n=34, 6.4%), 4 (n=92, 17.4%), and 5 (n=171, 32.3%) were 100%, 98.3%, and 96.6%, respectively, while the sensitivity of an AIMS65 score of 0 (n=159, 30.0%) was 91.5%. Conclusion The NEWS+L score showed better discriminative performance than the PERS and comparable discriminative performance to the GBS and AIMS65. The NEWS+L score may be used to identify low-risk patients among patients with UGIB.

• Journal of the Korean Society of Propulsion Engineers
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• v.22 no.1
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• pp.52-57
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• 2018

This paper presents the design and cold flow test results of oxidizer-rich preburner injectors for a 9 tonf-class staged combustion engine cycle. Three types of coaxial swirl injectors were designed, and 12 injectors were designed for each type. The diameters of the fuel tangential holes are identical. The diameters of the oxidizer tangential holes were varied to investigate the influence of combustion in the oxidizer-rich preburner according to the momentum ratio of the gas oxidizer generated from combustion in the injector chamber and liquid oxidizer through the cooling channel. It will be verified through a powerpack and combustion test using an oxidizer-rich preburner. In the cold flow test, the fuel flow rate and oxidizer tangential hole flow rate reached the target value based on the designed differential pressure.

• Journal of the Korean Geophysical Society
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• v.9 no.2
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• pp.121-128
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• 2006

Recently, spillways are need to control stable water level for supporting main dams because of floods by unusual change of weather such as Typhoon Rusa. This study has been focused on the amount of leakage through the rock mass distributed fractures and joints under the opened emergency spillway. It is very important to evaluate the amount of leakage as these affect stability of spillway by interaction between effective stress and pore pressure. The commercial program MAFIC has been used for analyzing groundwater flow in fractured rock mass. The results showed that the values of range, average and deviation of leakage were 2.85∼ 3.79×10-1, 3.32×10-1 and 1.70×10-2 m3/day/m2 respectively. Secondary, we have estimated the effect of grouting after the transmissivity(Tf) of joint 1 as main pathway of leakage known from above results was changed from 1.78×10-7 to 1.59×10-9 m2/s. The results showed that the values of range, average and deviation of leakage were 7.80×10-4∼1.53×10-3, 1.18×10-3 and 1.32×10-4 m3/day/m2 respectively. As the result, the amount of leakage after grouting has been decreased by a ratio of 1 to 277.

• Journal of Korean Tunnelling and Underground Space Association
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• v.24 no.6
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• pp.599-615
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• 2022

In order to excavate underground tunnel most safely such as Han river, the slurry shield TBM method is applied to cope with face of high water pressure for many metro projects. In downtown subway project most of excavated soil is discharged externally whereas in road construction excavated soil is used as filling materials so it becomes important factor for success of the project. After excavated soil, weathered rock and soft rock are discharged with bentonite through discharge pipe to slurry treatment plant then those soils are separated in separation plant according to those size. Fine grained soil has been discarded together with filter cake but it is not toxic and can be mixed with coarse aggregate in proper ratio so this study is performed to find use of qualified filling material to meet quality standard. Therefore, in this study, legal standards and quality standards for the utilization of excavated soil of the slurry shield TBM method were examined and test was conducted to derive recycling way for filter cake and aggregate. And a plan for using it as a filling material for road construction was derived. Because bentonite is a clay composed of montmorillonite, and the excavated soil in the tunnel is also non-toxic, disposal of this material can waste social cost so it is expected to be helpful in the underground space development project that carries out the TBM project by recycling it as a valuable resource.

• Journal of the Korean Institute of Gas
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• v.25 no.4
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• pp.27-35
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• 2021

Recently, as a solution to the sharp drop in "power reserve ratio", it is being converted to a microgrid that enables bi-directional transmission and distribution. A microgrid is composed of a small-scale distributed power supply and a load. As a representative technology of distributed power generation, there is a Micro Combined Heat and Power system applied to homes and buildings. In this study, a safety standard was developed by dividing the power generation system, cooling system, lubrication system, and exhaust system to derive safety standards for a small gas engine power generation system with a gas consumption less than 232.6kW (200,000 kcal/h). In the case of the power generation system, a filter was installed and the system was stopped by detecting gas leakage and abnormalities in engine speed or output and the cooling system is stipulated to stop the system in case of insufficient cooling water or overheating. The lubrication system monitors the pressure and temperature of the lubricating oil and stops the system when an abnormality occurs, and the exhaust gas emission concentration regulation value was specified in accordance with domestic and foreign standards. Through the results of this study, it is judged that the safety of the gas engine power generation system can be improved and it can contribute to the commercialization of products.

• Journal of Digital Convergence
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• v.19 no.8
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• pp.351-359
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• 2021

This study was conducted to analyze the relationship between the practice of aerobic exercise and the prevalence and risk of arthritis with comorbid chronic diseases. For this study, the National Health and Nutrition Examination Survey 2017-2019 data were used and 17,356 people were selected as subjects. The relationship between the practice of aerobic exercise and the prevalence and risk of arthritis according to demographic characteristics and chronic diseases was analyzed by the chi-square independence test and Breslow-Day test. While the rate of aerobic exercise was low among women, the elderly, the low-income group, the low-education group, and people living in rural areas, the prevalence and risk of arthritis were relatively high. And in the chronic disease-positive group, those who practiced aerobic exercise had a relatively lower prevalence and risk of arthritis than those who did not. In particular, the practice of aerobic exercise was an effective complement in reducing the prevalence and risk of arthritis in people with high blood pressure, diabetes, and dyslipidemia. Therefore, the practice of aerobic exercise such as walking, slow running, and aerobic dance should be recommended in terms of the preventive medicine and health care to people who are in the group with a high prevalence of arthritis in demographic characteristics and people who have comorbid chronic diseases.

• Annals of Pediatric Endocrinology and Metabolism
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• v.23 no.4
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• pp.196-203
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• 2018

Purpose: The hemoglobin glycation index (HGI) represents the degree of nonenzymatic glycation and has been positively associated with cardiometabolic risk factors (CMRFs) and cardiovascular disease in adults. This study aimed to investigate the association between HGI, components of metabolic syndrome (MS), and alanine aminotransferase (ALT) in a pediatric nondiabetic population. Methods: Data from 3,885 subjects aged 10-18 years from the Korea National Health and Nutrition Examination Survey (2011-2016) were included. HGI was defined as subtraction of predicted glycated hemoglobin ($HbA1_c$) from measured $HbA1_c$. Participants were divided into 3 groups according to HGI tertile. Components of MS (abdominal obesity, fasting glucose, triglycerides, high-density lipoprotein cholesterol, and blood pressure), and proportion of MS, CMRF clustering (${\geq}2$ of MS components), and elevated ALT were compared among the groups. Results: Body mass index (BMI) z-score, obesity, total cholesterol, ALT, abdominal obesity, elevated triglycerides, and CMRF clustering showed increasing HGI trends from lower-to-higher tertiles. Multiple logistic regression analysis showed the upper HGI tertile was associated with elevated triglycerides (odds ratio, 1.65; 95% confidence interval, 1.18-2.30). Multiple linear regression analysis showed HGI level was significantly associated with BMI z-score, $HbA1_c$, triglycerides, and ALT. When stratified by sex, age group, and BMI category, overweight/obese subjects showed linear HGI trends for presence of CMRF clustering and ALT elevation. Conclusion: HGI was associated with CMRFs in a Korean pediatric population. High HGI might be an independent risk factor for CMRF clustering and ALT elevation in overweight/obese youth. Further studies are required to establish the clinical relevance of HGI for cardiometabolic health in youth.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.506-512
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• 2018

The fine dust generated in the home and restaurant business occupies a low ratio of about 4% of the total fine dust emissions. However, at the foodservice business, the rate of change of the pollutant concentration is very high, so that the temporary fine dust concentration can be measured up to 60 times. The pollutants generated from non-industrial combustion plants consist of particulate fine dust and gaseous organic compounds. To remove these pollutants, cleaning dust collection system, which is an effective system for simultaneous removal of gaseous and particulate matter, is applied. This is a method of increasing the probability of diffusion capture of the Brownian motion by pressurized liquid injection method using the atomizing nozzle. The dust removal efficiency of the fine dust collecting system was analyzed by nozzle spraying air pressure condition and angle using the manufactured fine dust removing system. As a result, it was confirmed that the efficiency of removal of fine dust and gaseous organic compounds was more than 90%. The developed system is expected to be highly usable in the future because it can remove particulate dust from the existing plant hood system without any installation cost.

• Journal of the Korea Convergence Society
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• v.10 no.1
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• pp.339-351
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• 2019

This study was conducted to identify the factors associated with the ruptured intracranial aneurysm (RIA) among demographic, admission to hospital, clinical, aneurysym itself and lifestyle characteristics. Medical records of RIA patients and un-RIA patients which had been admitted to undergo treatment including surgery (From January to December 2016) were included into data analysis. Multiple logistic regression showed that two and more than warning signs (14.14 (CI: 1.25-159.40)) indicated the greatest odds ratio with RIA, was followed by headache more than 3 scores (13.95 (CI: 3.68-52.83)), the admission via emergency room (13.62 (CI: 4.85-38.26)), single marital status (9.72 (CI: 2.22-42.49)), 1 mmHg increased systolic blood pressure (1.04 (CI: 1.01-1.08)), 1 score increased GCS (0.58 (CI: 0.37-0.90)), arrythmia finding in electrocardiogram (3.70 (CI: 1.22-11.22)) and increased age (0.95 (CI: 0.91-0.99)). The risk groups having factors associated with RIA were identified. Preventive activities including routine assessment should be done before developing the rupture and urgent care should be needed after developing the rupture for risk groups.

• Journal of Soil and Groundwater Environment
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• v.24 no.3
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• pp.24-35
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• 2019

It is known that ${\delta}^{13}C_{DIC}$ (carbon-13 isotope of dissolved inorganic carbonate (DIC) ions) of water increases when dissolved $CO_2$ degases. However, ${\delta}^{13}C_{DIC}$ could decrease when the pH of water is lower than 5.5 at the early stage of degassing. Laboratory experiments were performed to observe the changes of ${\delta}^{13}C_{DIC}$ as $CO_2$ degassed from three different artificial $CO_2$-rich waters (ACWs) in which the initial pH was 4.9, 5.4, and 6.4, respectively. The pH, alkalinity and ${\delta}^{13}C_{DIC}$ were measured until 240 hours after degassing began and those data were compared with kinetic isotope fractionation calculations. Furthermore, same experiment was conducted with the natural $CO_2$-rich water (pH 4.9) from Daepyeong, Sejong City. As a result of experiments, we could observe the decrease of DIC and increase of pH as the degassing progressed. ACW with an initial pH of 6.4, ${\delta}^{13}C_{DIC}$ kept increasing but, in cases where the initial pH was lower than 5.5, ${\delta}^{13}C_{DIC}$ decreased until 6 hours. After 6 hours ${\delta}^{13}C_{DIC}$ increased within all cases because the $CO_2$ degassing caused pH increase and subsequently the ratio of $HCO_3{^-}$ in solution. In the early stage of $CO_2$ degassing, the laboratory measurements were well matched with the calculations, but after about 48 hours, the experiment results were deviated from the calculations, probably due to the equilibrium interaction with the atmosphere and precipitation of carbonates. The result of this study may be not applicable to all natural environments because the pressure and $CO_2$ concentration in headspace of reaction vessels was not maintained constant as well as the temperature. Nevertheless, this study provides fundamental knowledge on the ${\delta}^{13}C_{DIC}$ evolution during $CO_2$ degassing, and therefore it can be utilized in the studies about carbonated water with low pH and the monitoring of geologic carbon sequestration.