Objective: Direct current cardioversion for atrial fibrillation could be associated with the risk of thromboembolic events. Anticoagulation therapy with warfarin (INR 2.0-3.0) is recommended 3 weeks before and 4 weeks after cardioversion to reduce the risk of thromboembolism. This study evaluated warfarin therapy in pharmacist-managed anticoagulant services (ACS). Methods: This retrospective study was performed in 106 patients with atrial fibrillation from 2012 to 2013. The primary efficacy endpoint was the composite of stroke, transient ischemic attack, myocardial infarction, and cardiovascular death. The primary safety measure was major bleeding. To evaluate the peri-procedural effects of warfarin treatment, we studied whether target INR was maintained, as well as the maintenance period of the therapeutic range. Quality of treatment was measured by time in therapeutic range (TTR) by using the Rosendaal method. Results: There were no thromboembolic events, but TEE examination at time of cardioversion showed a left atrial thrombus in three patients (2.8%). Bleeding complications after cardioversion occurred in 2 patients (1.9%). The average INR value at the time of cardioversion was $2.59{\pm}0.8$, and was within the therapeutic range in 83 patients (78%). Analysis of the patients in whom the value was within the therapeutic range twice consecutively showed that the ratio of TTR was 80% and the therapeutic range was maintained in 67 patients (63%) for an average of 4.90 weeks prior to cardioversion. Similarly, 76 patients (72%) had a stable INR within the therapeutic range for an average of 5.70 weeks and a mean TTR of 83%. Conclusion: Pharmacists significantly contributed to appropriate warfarin treatment with close monitoring during cardioversion. Likewise, active pharmacist monitoring and systemic management should be considered to reduce thromboembolism and bleeding complications in the peri-cardioversion period.
Concrete bridge decks are directly exposed to the severe environmental conditions such as rain water and deicing chemicals resulting in the freeze-thaw action and the rebar corrosion during their service lift. These deteriorations of bridge decks shorten the service lift and consequently they are the major concerns of the maintenance. The high performance concrete (HPC) deck is proposed as the alternative to minimize the deterioration problems. To develop more durable concrete deck, the performance characteristic tests of HPC mixtures were carried out. In this study, 4 different concrete mixtures were used varying the mineral admixtures as the cement replacement; ordinary portland cement (OPC), 20% fly ash (FA),20% fly ash with 4% silica fume (FS), and 40% ground granulated blast-furnace slag (BS). The design compressive strengths of HPC specimens were 27 MPa and 35 MPa, respectively. The results showed that the compressive strength of concrete did not much affect the durability of concrete. HPC with fly ash and silica lune (FS) were turned out to have the good durability and crack resistance.
In fostering dynamic, innovative SMEs, hidden champion companies can be an appropriate model for SMEs to learn the success factors. On the other hand, the need for intellectual property management is becoming important as the value of a company is changing from a financial asset to an intellectual property. Therefore, in this study, the patent portfolio analysis of the hidden champion companies mentioned in Herman Simmon's book "Hidden Champion" was performed. As a result of the analysis, it was confirmed that patents are not possessed or patent activities are actively carried out and a differentiated intellectual property management strategy is implemented to improve patent quality depending on the characteristics of the technology possessed. The results of these studies can be used as basic data to prepare an intellectual property management strategy for companies that want to create opportunities to acquire monopoly rights and reduce patent maintenance and management costs. In addition, in this study, the patent IPC analysis verified that Herman Simmon's claim that "Hidden champions have the ability to focus on core competencies and focus on one technology" is valid.
Rapid industrial development has led to a serious problem of pollution in the industrial sector. With the increasing social need for environmental protection, research on air pollution prevention equipment for reducing pollutants in industrial processes is actively being undertaken. The deterioration of existent, installed facilities, their increased emission rates, and the strengthening of the effluent quality standards make complying with permissible emission standards difficult. In fact, installing new electric precipitators or complementing existent facilities is inevitable. The expansion and complementation of the installed electrical precipitators have led to improvements in dust collection efficiency, shorter working times, and lower costs. Because of its easy installation and simple manufacturing process, the production method with the discharge electrode of an electric precipitator is widely used. The following conclusions were reached by classifying discharge electrodes into four types based on the production method and mutually comparing them by their dust collection efficiency. None of the four types used in this study were damaged by impact. However, we were able to confirm some strain from the compression sites of both type A and type B. Both type B and type C are expected to have greater dust collection efficiencies than the other models due to their large vibration transmissibility. Moreover, the high vibrational energy is expected to cause rapping damage during its operation. Particularly, in the case of type B, some of the strain was found at the end of the compression site. The coupling schemes of both type C and type D are out of vibration transmissibility. On the other hand, the ability to maintain straightness and solidity of the side is regarded as outstanding and stable. Type D has outstanding on-site workability, considering the presence of locking, structural stability, and work conditions. From these experiments, we determined that type C is the most ideal connection method of discharge electrode, considering its construction period of renovation. Type C is inferior to type D with regard to on-site workability. However, type C has outstanding dedusting transmission with regard to the straightness, solidity maintenance, and vibration of shearing stress.
As a measure to overcome the limit of small city which is weak in spontaneous competitiveness and to improve the quality of environmental, cultural and economic life of dwellers, it analyzed the geographical characteristics of city, movement path, economic status and other simple problems comprehensively and produced the vague problem solutions for dwellers and the practical direction for design using the 3D simulation rendering in order to suggest the result to change the potential for urban policy into substantial alternative. Geochang-gun selected as research area is evaluated for the place with high symbolic value of bridge in terms of environment, and the new design development for this kind of public design can be the good measure to increase the competitiveness of the city. This research is to understand the direction of the bridge recreation project which provides the cultural space connecting with other areas and improves the competitiveness of small city and to suggest the appropriate bridge design in order to provide the reasonable maintenance direction related to the future development of public design and the achievement of the symbolism of the region and to suggest the examples of public design for the urban competitiveness. For this purpose, focusing on Wicheon-stream in Geochang County, Gyeongsangnam-do selected as the research and development area for bridge design, it is to design the concept design bridge newly emphasizing the symbolism of bridge-oriented city for the development of future city.
This study is investigated dose change on intra-oral radiography when same conditions under the others unit and same unit under the different exposed conditions. Three different radiation devices were studied. Exposure to the upper anterior, premolar and molar on the variant time and dose measure was using semiconductor radiation dose meter. Obtained film density value was analyzed to the belong in the range of diagnosis. Results for dose of each region were less dissimilar between the maximum and minimum. Its value was different 10 times as many as 3 times. In addition, the range of film density was 2.10 ~ 2.95. These values were exceeded on the allow density of diagnostic value '0.25 ~ 2.0'. Even if the same device and the same condition, measured dose was considerable differance and film density was showed show the inappropriate density range. Those can be caused the patient's re-take and patient's diagnostic errors so patients has affected direct and indirect radiological harm. Therefore, dental radiography devices will be required periodical maintenance and also provided standard on the exposure and processing conditions.
The Journal of The Korea Institute of Intelligent Transport Systems
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제11권2호
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pp.29-38
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2012
The data quality and measurements along consecutive detector stations can vary much even in the same traffic conditions due to variety in detector types, calibration and maintenance effort, field operation periods, minor geometric changes of roads and so on. These faulty situations often create 10% or more of inherent difference in important traffic measurements between two stations even under stable low flow condition. Low detection rates(DR) and high false alarm rates(FAR) therefore sets in among many popular Automatic Incident Detection Algorithms(AIDA). This research is two-folded and aims mainly to develop a new AIDA for uninterrupted flow. For this purpose, a technique which utilizes a Simple Arithmetic Operation(SAO) of traffic variables is introduced. This SAO technique is designed to address the inherent discrepancy of detector data observed successive stations, and to overcome the degradation of AIDA performance. It was found that this new algorithm improves DR as much as 95 percent and above. And mean time to detection(MTTD) is found to be 1 minutes or less. When it comes to FAR, this new approach compared to existing AIDAs reduces FAR up to 31.0 percent. And capability in persistency check of on-going incidents was found excellent as well.
In order to assess sewage treatment technology necessary to achieve water quality criteria in the watershed and to ensure best treatment technology is applied in building and expanding PSTWs when establishing the Watershed Sewer System Maintenance Plan, it is necessary to develop assessment guidelines to determinate the best treatment technologies applicable to the public sewage treatment works(PSTWs). Sewage treatment technologies such as anaerobic-anoxic-aerobic treatment process are employed at PSTWs, and treatment efficiency varies due to many factors such as how the PSTWs are operated. Therefore, analyzing assessment guideline of best available technology(BAT) using currently in USA and EU, this study presents assessment parameters for the assessment guidelines to be used in determining the best treatment technologies applicable to PSTWs. We have a plan to implement pilot assessment in preparation for the final assessment guidelines based on the results of professionals survey and to determine weighted factors and assessment parameters using analytic hierarchy process (AHP).
The use of water by cities is increasing owing to industrialization, the concentration of population, and the enhancement of the standard of living. Accordingly, the amount of waste water is also increasing, and the degree of pollution of the water system is rising. In order to solve this problem, it is necessary to remove organisms and suspended particles as well as the products of eutrophication such as nitrates and phosphates. This study developed a high-end treatment engineering solution with maximum efficiency and lower costs by researching and developing a advanced treatment engineering solution with the use of Biosorption. As a result, the study conducted a test with a $50m^3/day$ Pilot Scale Plant by developing treatment engineering so that only the secondary treatment satisfies the standard of water quality and which provided optimal treatment efficiency along with convenient maintenance and management. The removal of organisms, which has to be pursued first for realizing nitrification during the test period, was made in such a way that there would be no oxidation by microorganisms in the reactor while preparing oxygen as an inhibitor for the growth of microorganism in the course of moving toward the primary settling pond. The study introduced microorganisms in the endogeneous respiration stage to perform adhesion, absorption, and filtering by bringing them into contact with the inflowing water with the use of a sludge returning from the secondary settling pond. Also a test was conducted to determine how effective the microorganisms are as an inner source of carbon. The HRT(Hydraulic Retention Time) in the nitrification tank (aerobic tank) could be reduced to two hours or below, and the stable treatment efficiency of the process using the organisms absorbed in the NAR reactor as a source of carbon could be proven. Also, given that the anaerobic condition of the pre-treatment tank becomes basic in the area of phosphate discharge, it was found that there was excellent efficiency for the removal of phosphate when the pre-treatment tank induced the discharge of phosphate and the polishing reactor induced the uptake of phosphate. The removal efficiency was shown to be about 94.4% for $BOD_5$. 90.7% for $COD_{Cr}$ 84.3% for $COD_{Mn}$, 96.0% for SS, 77.3% for TN, and 96.0% for TP.
Journal of the Korean Institute of Landscape Architecture
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제33권6호
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pp.98-108
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2006
The climate of urban area is an unstable type with considerable seasonal variation in precipitation wind speed, and temperature and it grows worse. Besides, ozone is a serious air pollutant in most of large cities. So worldwide, some of large cities are investing in forestry options to offset their climate problems, but lack of information has hindered comparisons of urban un cost effectiveness to other options. This research intends to study the economic benefits of tree shading of 19 parking lots in UCD campus. The economic benefits of tree shading are air conditioning savings, air quality, stormwater run-off, and other benefits. Especially, this study focuses how much the economic benefit of parking lot shading has been increased from 1995 to 2003 year by aerophoto. Some data on dimensions of parking lots and the number, size, tree species, and location of trees around each parking lot was inventoried. Two aerophotos(1995,2003) were used in order to analyze the increasement of tree canopy in 19 parking lots for 8 years. However, increasing coverage of trees and managing them for healthy growth would not be sufficient for avoiding adverse impacts by future climate change. Additional measures should be followed such as an increase of energy use efficiency and development of substitute energy. For example, coverage of trees help to save cooling energy by blocking solar radiation reaching parking cars and building structures through shading, and creating cool micro-climates through evapotranspiration. They also reduce heating demand by decreasing air infiltration and heat conduction out of the interior of buildings. Proper arrangement of vegetation over the parking lots can reduce cooling and heating costs. So proper planting design around hard space paving including species selection and location can significantly save cooling and heating energy. And a reduction in car and building's heating and cooling costs results in the reduction in energy demand which causes to emissions of air pollutants. Total increased tree canopy from 1995 to 2003 is $8,470.45m^2$ and the economic benefits is US$ 5,282.10. The economic benefit of one tree has been US$ 7.21 for 8 years. And an annually increased benefit is US$ 0.9 per a tree. If this kind of study is applied to studying the economic benefits of tree canopy in parking lots of Korea, it could result in guidelines of tree planting of parking lots. Because the trees selected for planting in parking lots were not suitable for an environment, the guidelines should contain a recommended list of trees. The guidelines should propose the shading percentage of parking lot when we plan a parking lot and contain the maintenance of trees in order to maximize the economic benefits of tree canopy.
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