• Title/Summary/Keyword: safety benefits

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Evaluation of Bending Creep Performance of Laminated Veneer Lumber (LVL) Formwork for the Design of Timber Concrete Composite (TCC) Structures

  • Hyun Bae KIM;Takuyuki YOSHIOKA;Kazuhiko FUJITA;Jun ITO;Haruka NOHARA;Keiji NOHARA;Toshiki NARITA;Wonwoo LEE;Arata HOSOKAWA;Tetsuiji TANAKA
    • Journal of the Korean Wood Science and Technology
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    • v.52 no.4
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    • pp.375-382
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    • 2024
  • The study focuses on evaluating the bending creep performance of laminated veneer lumber (LVL) formwork in timber concrete composite (TCC) structures. Timber-framed construction is highlighted for its environmental benefits and seismic resistance, but limitations such as poor tensile strength and brittle failure in bending hinder its use in high-rise buildings. Wood-concrete hybrid structures, particularly those using reinforced concrete slabs with TCC floors, emerge as a potential solution. The research aims to understand the time-dependent behavior of TCC components, considering factors like wood and concrete shrinkage and connection creep. The experiment was conducted in western Japan on the TCC floor designed for use in the Kama-city Inatsuki-higashi compulsory education school. The LVL formwork, measuring 9,000 mm by 900 mm, and concrete is loaded onto it for testing. The creep test periods are examined using concrete loading. It employs a comprehensive creep analysis, adhering to Japanese standards, involving deflection measurements and regression analysis to estimate the creep coefficient. Results indicate substantial deformation after shoring removal, suggesting potential reinforcement needs. The study recommends extending test periods for improved accuracy and recognizing regional climate impacts. Overall, the research provides valuable insights into the potential of LVL formwork in TCC structures, emphasizing safety considerations and paving the way for further experimentation under varied conditions to validate structural integrity.

Is left lateral sectionectomy of the liver without operative site drainage safe and effective?

  • Byeong Gwan Noh;Young Mok Park;Hyung-Il Seo
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.26 no.4
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    • pp.313-317
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    • 2022
  • Backgrounds/Aims: Despite its limited benefits, operative site drainage after elective hepatectomy is routinely used. This study aimed to investigate the safety and effectiveness of left lateral sectionectomy without operative site drainage. Methods: This study retrospectively collected data from 31 patients who underwent elective left lateral sectionectomy between January 2017 and June 2020. Based on whether operative site drainage was used, the patients were divided into two groups: drainage and non-drainage of the operative site and a comparative analysis was conducted. Results: A total of 31 patients underwent left lateral sectionectomy during the study period. Of these, 22 patients were diagnosed with hepatocellular carcinoma; three, with intrahepatic cholangiocarcinoma; three, with liver metastasis; and three, with benign liver disease. Ten patients underwent laparoscopy. No significant differences were observed between the open and laparoscopic surgery groups. In the univariate analysis, there were no significant differences in the pre-, intra-, and postoperative clinicopathological factors between the non-drainage and drainage groups. The hospitalization period in the non-drainage group was significantly shorter than in the drainage group (8.44 days vs. 5.87 days, p < 0.05). In the operative site drainage non-use group, there were no cases of intraperitoneal fluid collection requiring additional procedures. Conclusions: Routine use of surgical drainage for left lateral sectionectomy of the liver to prevent intraperitoneal fluid collection is unnecessary.

Revascularization Strategies in Patients With ST-Segment Elevation Myocardial Infarction and Multivessel Disease: Is FFR-Guided Strategy Still Valuable?

  • Doosup Shin;Tae-Min Rhee;Seung Hun Lee ;Joo Myung Lee
    • Korean Circulation Journal
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    • v.52 no.4
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    • pp.280-287
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    • 2022
  • Several studies have shown the benefit of complete revascularization (CR) over culprit-only percutaneous coronary intervention (PCI) in patients with ST-segment elevated myocardial infarction (STEMI) and multivessel disease (MVD). Nevertheless, optimal strategy to select targets for non-culprit PCI has not been clarified. In this paper, we critically discuss and compare the safety and efficacy of different strategies for CR in patients with STEMI and MVD using a Bayesian network meta-analysis including all previous randomized controlled trials (RCTs). In Bayesian network meta-analysis of 13 RCTs, culprit-only PCI was associated with higher risk of major adverse cardiac events (MACE), compared with angiography-guided or fractional flow reserve (FFR)-guided CR strategies. However, there was no significant difference between angiography-guided and FFR-guided CR strategies in the risk of MACE and its individual components including all-cause death, cardiac death, myocardial infarction (MI), and revascularization. These evidence support that both angiography-guided and FFR-guided complete revascularization strategies would be reasonable treatment option in patients with STEMI and MVD. If the non-culprit lesion is severe on visual assessment, angiography-guided PCI can be considered. If the non-culprit lesion is intermediate in severity or unclear based on visual assessment, FFR-guided strategy can be used as a reliable and objective tool, providing similar benefits with less stents compared with an angiography-guided strategy. Further RCT is needed to evaluate direct comparison between angiography-guided and FFR-guided CR strategies in patients with STEMI and MVD. Ongoing FRAME-AMI trial (NCT02715518) will provide more evidence regarding this issue.

Analysis of the Crash Reduction Effects of the Red Light Camera Systems and Determination of the User Benefits (신호위반 단속시스템 설치에 따른 교통사고 감소 효과와 편익산정 기법 연구)

  • Kim, Sang-Youp;Choi, Jai-Sung;Kim, Myung-Kyu;Sung, Hyun-Jin
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.10 no.1
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    • pp.1-15
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    • 2011
  • The RLC systems is one of the intelligent transportation systems that has gained a nation-wide support for last decades and being installed to discourage motorists from running the red lights at signalized intersections. It is taken for granted that the RLC will provide motorists with increased safety, so that their installments are always justifiable. However, in order to acquire more efficiency and wider supports from the general public in future RLC installments, an improved methodology for analyzing the effects of the RLC systems is required. In order to satisfy this requirement, this research performed the following tasks. First, the number of signal violations after the RLC systems were investigated in order to check its resulting effects. Second, the number of crashes after the RLC systems were collected and compared with the number of signal violations. Third, a statistical analysis was carried out to develop the relationships between the signal violations and the crashes based on negative binomial distribution. The analysis revealed that the number of crashes has a close relationship with the RLC placement, traffic volume, vehicle speed, the number of phases, and the number of lanes for major approaches. Finally, based on the results found in this analysis, this research presents a methodology for analyzing the safety effects of placing the RLC that should be of service when investigating the economic consequences of the RLC systems.

The Conservation Value of Coral Communities in Moonseom Ecosystem Protected Area (문섬 등 주변해역 생태계보호구역 내 산호군락지의 보전가치)

  • Park, So-Yeon;Lee, Chang-Su;Kim, Min-Seop;Jo, In-Young;Yoo, Seung-Hoon
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.1
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    • pp.101-111
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    • 2018
  • The Korean government has been trying to conserve a marine ecosystem that has been shifting due to climate change. As part of this effort, the government designated seventy-seven marine species that have been disappearing and deserve to be protected as endangered managing them specially. To generate basic data to guide policy for these endangered species, their value must be measured. OOf the species declared endangered, coral is particularly threatened by climate change, and its management is important. Accordingly, understanding the potential value of reefs, can be an effective way of proving the benefits of continuous management to decision makers and the general public alike. To this end, we have applied the contingent valuation method (CVM), an economic technique of for valuing a environmental and non-market goods such as a coral reef. A national face-to-face survey of 1,000 randomly selected households was conducted in order to determine the public's willingness to pay (WTP) for conserving coral reefs. A one-and-one-half-bound (OOHB) model was adopted to interpret WTP responses, and a spike model was employed to deal with zero WTP responses. The results show that the conservation value of a coral reef can be estimated at 3,016 won per household per year, statistically significant at the 1 % level. Expanding values to the national population gives an annual value of 58.9 billion won. We can conclude that the public is willing to pay a significant amount to conserve coral reefs.

Collapse Analysis of Ultimate Strength Considering the Heat Affected Zone of an Aluminum Stiffened Plate in a Catamaran (카타마란 알루미늄 보강판의 열영향부 효과를 고려한 최종강도 붕괴 해석)

  • Kim, Sung-Jun;Seo, Kwang-Cheol;Park, Joo-Shin
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.26 no.5
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    • pp.542-550
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    • 2020
  • The use of high-strength aluminum alloys for ships and of shore structures has many benefits compared to carbon steels. Recently, high-strength aluminum alloys have been widely used in onshore and of shore industries, and they are widely used for the side shell structures of special-purpose ships. Their use in box girders of bridge structures and in the topside of fixed platforms is also becoming more widespread. Use of aluminum material can reduce fuel consumption by reducing the weight of the composite material through a weight composition ratio of 1/3 compared to carbon steel. The characteristics of the stress strain relationship of an aluminum structure are quite different from those of a steel structure, because of the influence of the welding[process heat affected zone (HAZ). The HAZ of aluminum is much wider than that of steel owing to its higher heat conductivity. In this study, by considering the HAZ generated by metal insert gas (MIG) welding, the buckling and final strength characteristics of an aluminum reinforcing plate against longitudinal compression loads were analyzed. MIG welding reduces both the buckling and ultimate strength, and the energy dissipation rate after initial yielding is high in the range of the HAZ being 15 mm, and then the difference is small when HAZ being 25 mm or more. Therefore, it is important to review and analyze the influence of the HAZ to estimate the structural behavior of the stiffened plate to which the aluminum alloy material is applied.

An Economic Valuation Analysis of Building the Second Ice-Breaking Research Ship in Korea with Using Bayesian Approach (베이지안 접근법을 활용한 제2쇄빙연구선 건조사업의 경제적 편익 산정연구)

  • Cho, Seung-Kuk;Lee, Joo-Suk
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.5
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    • pp.569-575
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    • 2018
  • The need for ice-breaking research ships is growing as interest in the Arctic grows. In Korea the 7,500 ton ship Araon, launched in 2009, is the only icebreaker, and difficulty remains when conducting research at the North and South Pole. Thus, the Ministry of Maritime Affairs and Fisheries is pushing for the construction of a second icebreaker, and an economic valuation of a second icebreaker is needed. Such a study will help reduce controversy about the construction of a second icebreaker and help ensure reasonable decisions. The economic benefits of a second icebreaker were calculated using a contingent valuation method. In this study, a Bayesian Approach was applied, in contrast to previous methodology utilizing the maximum likelihood estimation method. According to this analysis, the average WTP per household was estimated at 1,999 won per year, and the total benefit from the construction of a second icebreaker was estimated at 373.9 billion won per year.

Acupuncture for Chronic Fatigue Syndrome and Idiopathic Chronic Fatigue: a Pilot Randomized Controlled Trial (만성 피로증후군과 특발성 만성 피로에 대한 침 치료 효과: 무작위 대조 예비 임상연구)

  • Kim, Jung-Eun;Kang, Kyung-Won;Kim, Ae-Ran;Kim, Joo-Hee;Kim, Tae-Hun;Park, Hyo-Ju;Shin, Mi-Suk;Lee, Min-Hee;Lee, Sang-Hun;Lee, Seung-Hoon;Jung, So-Young;Jung, Hee-Jung;Hong, Kwon-Eui;Choi, Sun-Mi
    • Journal of Acupuncture Research
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    • v.29 no.5
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    • pp.109-118
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    • 2012
  • Objectives : The aim of this study was to evaluate the effectiveness and safety of acupuncture for chronic fatigue syndrome and idiopathic chronic fatigue. Methods : A randomized, controlled pilot trial was conducted. Twenty-four participants were randomized into one of the two groups: an acupuncture group(n=12) and wait-list group(n=12). The treatment group received 12 sessions of acupuncture over 4 weeks. Eight points($GV_{20}$; bilateral GB20, $BL_{11}$, $BL_{13}$, $BL_{15}$, $BL_{18}$, $BL_{20}$, and $BL_{23}$) were selected for needling. The control group did not receive acupuncture treatment during study period and follow-up were done in the $5^{th}$ and $9^{th}$ weeks after randomization in both groups. The primary outcome was fatigue severity scale(FSS) and the secondary outcomes included a short form of stress response inventory(SRI-short form), beck depression inventory(BDI), and insomnia severity index(ISI). Safety was assessed at every visit. Results : There were statistically significant differences in the between group values of FSS at $5^{th}$ weeks after randomization(p=0.0002), SRI-short form, BDI, and ISI at $5^{th}$, $9^{th}$ weeks after randomization(p<0.01). There were no adverse events. Conclusions : The results suggest that acupuncture is associated with benefits on the short-term outcomes in chronic fatigue syndrome and idiopathic chronic fatigue.

Validation of Nursing-sensitive Patient Outcomes;Focused on Knowledge outcomes (지식결과에 대한 타당성 검증;간호결과분류(NOC)에 기초하여)

  • Yom, Young-Hee;Lee, Kyu-Eun
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.3
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    • pp.357-374
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    • 2000
  • The purpose of this study was to validate knowledge outcomes included Nursing Outcomes Classification(NOC) developed by Johnson and Maas at the University of Iowa. A sample of 71 nurse experts working in university affiliated hospitals participated in this study. They were asked to rate indicators that examplified the outcomes on a scale of 1(indicator is not all characteristic) to 5(indicator is very characteristic). A questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of outcomes. The results were as follow: 1. All indicators were considered to be 'supporting' and no indicators were considered to be 'nonsupporting'. 2. 'Knowledge: Treatment Regimen' attained and OCV score of 0.816 and was the highest OCV score among outcomes. 3. 'Knowledge: Energy Conservation' attained an OCV score of 0.748 and was the lowest OCV score among abuse outcomes. 4. 'Knowledge: Breastfeeding' attained an OCV score of 0.790 and was the highest indicator was 'description of benefits of breastfeeding'. 5. 'Knowledge: Child Safety' attained an OCV score of 0.778 and was the highest indicator was 'demonstration of first aids techniques'. 6. 'Knowledge: Diet' attained an OCV score of 0.779 and was the highest indicator was 'performance of self-monitoring activities'. 7. 'Knowledge: Disease Process' attained an OCV score of 0.815 and was the highest indicator was 'description of signs and symptoms'. 8. 'Knowledge: Health Behaviors' attained an OCV score of 0.800 and was the highest indicator was 'description of safe use of prescription drugs'. 9. 'Knowledge: Health Resources' attained an OCV score of 0.794 and was the highest indicator was 'description of need for follow-up care'. 10. 'Knowledge: Infection Control' attained an OCV score of 0.793 and was the highest indicator was 'description of signs and symptoms'. 11. 'Knowledge: Medication' attained an OCV score of 0.789 and was the highest indicator was 'description of correct administration of medication'. 12. 'Knowledge: Personal Safety' attained an OCV score of 0.804 and was the highest indicator was 'description of measures to reduce risk of accidental injury'. 13. 'Knowledge: Prescribed Activity' attained an OCV score of 0.810 and was the highest indicator was 'proper performance of exercise'. 14. 'Knowledge: Substance Use Control' attained an OCV score of 0.809 and was the highest indicator was 'description of signs of dependence during substance withdrawl'. 15. 'Knowledge: Treatment Procedure(s)' attained an OCV score of 0.795 and was the highest indicator was 'description of appropriate action for complications'. 16. 'Knowledge: Treatment Regimen' attained an OCV score of 0.816 and was the highest indicator was 'description of self-care responsibilities for emergency situations'. More outcomes need to be validated and outcomes sensitive to Korean culture need to be developed.

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The Preventive and Therapeutic Effects of Probiotics in Allergic Diseases Via Immune Modulation (프로바이오틱스의 면역조절을 통한 알레르기 예방 및 치료효과)

  • Kim, Yeon-Hui;Choi, Chang-Yong;Chun, Taehoon
    • Journal of Food Hygiene and Safety
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    • v.31 no.3
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    • pp.141-152
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    • 2016
  • The demand to develop more safe and efficient methods for treating allergic patient is now continuously growing due to the increasing prevalence of allergic diseases. Probiotics are endogenous microbial flora that gives health benefits within hosts. Probiotics are now considered as one of solutions to treat allergic patients since recent evidence shows that some of probiotics have immunomodulatory function. Also, the treatment of probiotics to patients is relatively safer than other anti-inflammatory agents. In this review, we summarized on immunomodulatory function of some probiotics which show preventive or therapeutic effects on major allergic diseases such as atopic dermatitis, allergic rhinitis, asthma, or food allergy. Based on previous literature, the treatment of probiotics can alleviate the symptoms of allergic diseases via balancing $Th_1/Th_2$ response or increasing the number of regulatory T ($T_{reg}$) cells.