Summary
In 2005, South Korea initiated the 15‐year National Eco‐Industrial Park Development Program in three stages to gradually transform aged industrial complexes into eco‐industrial parks (EIPs) by promoting industrial symbiosis (IS). Building upon the pilot experiences from the first 5 years, the second phase of the program focused on the scaling‐up of IS at a broader regional level. Key scaling‐up strategies included the expansion of target areas by connecting multiple industrial complexes, the standardization of processes and dissemination of learning, and the development of large‐scale projects that could contribute to the regional development. In this study, we examined the evolution of IS over the last 10 years between 2005 and 2014, primarily to understand the characteristics and impact of these scaling‐up strategies. Our findings showed that the scale of IS in the second phase had increased in various aspects in comparison to that in the first phase. The number of operating projects had increased from 52 to 159, the number of participating firms increased from 90 to 596, and the average distance of IS increased from 40 to 48 kilometers. The size of economic and environmental benefits also increased along with an increase in the private investment and government research funding. We further analyzed the role of the regional EIP centers as facilitators, how their activities influenced the scaling‐up of IS, and discussed the characteristics of the Korea's approach to IS.
In most cases, patients admitted to an intensive care unit (ICU) have suffered from severe trauma, undergone major surgery or been treated for a serious medical illness. Although they often experience more intense pain than general ward patients, they are frequently unable to communicate their experiences to health care providers, thus preventing accurate assessment and treatment of their pain. If appropriate measures are not taken to treat pain in critically ill patients, stress response or sympathetic overstimulation can lead to complications. The short-term consequences of untreated pain include higher energy expenditure and immunomodulation. Longer-term, untreated pain increases the risk of post-traumatic stress disorder. Because pain is quite subjective, the accurate assessment of pain is very difficult in the patients with impaired communication ability. The current most valid and reliable behavioral pain scales used to assess pain in adult ICU patients are the Behavioral Pain Scale and the Critical-Care Pain Observation Tool. Once pain has been accurately assessed using these methods, various pharmacologic and non-pharmacologic therapies should be performed by the multidisciplinary care team. Accurate assessment and proper treatment of pain in adult ICU patients will improve patients outcome, which reduces the stress response and decreases the risk of post-traumatic stress disorder.
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