• The Journal of the Korean dental association
• /
• v.54 no.10
• /
• pp.811-819
• /
• 2016

Panfacial fracture is extremely difficult to manage facial injuries but concomitant injuries and severe complications including facial esthetic and functional problems can make it harder. Thorough evaluation and closed co-work with other specialists is needed when reduction and fixation cannot be achieved quickly. Emergency bony support and soft tissue key suture provide the patients with airway integrity, hard and soft tissue vitality. A systemic treatment plan must be made by 3D CT image. This plan include airway management for surgery, sequence of reduction and fixation, approach method, soft tissue resuspension and reconstruction of lost tissue like inferior orbital wall, zygomaic buttress and soft tissue. From known to unknown structures, accurate reduction and fixation will provide proper occlusion, facial projection, width, hight and function. Consideration about facial retaining ligaments must be given to prevent soft tissue sagging.

• Journal of Chest Surgery
• /
• v.33 no.12
• /
• pp.963-967
• /
• 2000

정상심실중격의 폐동맥협착은 흔한 선천성 심장질환이지만 신생아기에 심한 증세를 보이는 위기적 폐동맥 협착은 드물며 예후도 대단히 나쁘다. 경피적 풍선 판막성형술의 발달과 함께 폐동맥협착의 외과적 치료는 더욱 줄어드는 추세이다. 본 증례는 정상심실중격의 위기적 폐동맥협착증으로 진단받은 생후 2일된 남자 신생아로 심한 청색증과 저산소증을 보여 응급실로 내원하였다. 환아는 산소공급 및 Prostaglandin E$_1$을 투여 후 동맥혈 산소 분압이 19 mmHg에서 54mmHg로 증가하였다. 경피적 풍선 판막성형술을 시도하였으나 유도도관(Guide wire)이 판막의 개구부를 통과하지 못하였고 시술도중 심낭내로 조영제가 고이는 소견을 보여 우심실 천공이 의심되었으므로 응급으로 정상체온의 체외순환하에서 폐동맥 절개후 폐동맥 판막절개술을 시행하였다. 수술 후 중환자실에서의 수술경과는 양호하였고 현재 수술 6개월째 외래 추적관찰중이다.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.12 no.8
• /
• pp.1401-1407
• /
• 2008

Recently, a health care need according to the increase of an advanced age population is increasing. The requirement about a health care monitoring is increasing rapidly from general people as well as patient. The requisition about a medical treatment technique and a medical treatment information service is the trend to be expanding. That can be possible minimizing the inconvenience of the patient to take a medical service and continuously monitoring the status of the patient to take a health care service. This paper discusses an implementation of wireless physiological signal monitoring system for health care. The system are composed of the sensor node and monitoring program. The sensor node has the physiological signal measurement part and the wireless communication part. The remote monitoring system has a monitoring program that are communicating the sensor node using bluetooth. The sensor node measured the ECG, pulse wave, blood pressure, SpO2, and heart rate.

• The Journal of Engineering Geology
• /
• v.31 no.3
• /
• pp.367-380
• /
• 2021

This study evaluated the stability through a three-dimensional numerical analysis method when a natural cave exists under a road in operation in Jeju Island. In order to confirm the geometric and geotechnical characteristics of the Jeju natural cave passing under the road, existing geotechnical survey reports were collected, and were studied the characteristics. In order to evaluate the effect of vehicle vibration loading on the natural cave in Jeju, three-dimensional numerical analysis was performed considering discontinuities. Through this, the stability of roads and caves with respect to vehicle speed and the depth of cover (distance from the road to the top of the natural cave) was evaluated and countermeasures were suggested. In order to secure the long-term stability of the Jeju natural cave that penetrates the lower part of the road, it was evaluated that systematic management such as long-term measurement management, reinforcement measures, and emergency measures would be necessary depending on the depth of the cover.

• Journal of the Health Care and Life Science
• /
• v.9 no.1
• /
• pp.77-86
• /
• 2021

This study is a research study to determine the effect of online lecture substitution for subjects due to COVID-19 on self-directed learning ability, academic achievement, and online learning satisfaction of nursing students. From September to October 2020, the final 113 nursing students of data recovered as enrolled in the Department of Nursing at a university located in G City were analyzed. The data collected were analyzed by performing descriptive statistics and hierarchical regression analysis using the SPSS 21.0 program. The study results are summarized as follows. The average score of self-directed learning was 3.32±0.39, academic achievement 3.32±0.75, and learning satisfaction was 3.31±0.78. Factors affecting online learning satisfaction were found to be preferred learning methods and academic achievement. Based on the results of this study, it is necessary to design instruction and operate classes to improve online learning satisfaction by evaluating the learner's learning method in advance when running nursing school subjects as online lectures for nursing students.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.26 no.4
• /
• pp.556-561
• /
• 2022

In this paper, we present a block media communication (BMC) system which employs powerline communication to the equipments used in the welding process for ship-assembly and uses metal block as a communication medium. Inductive couplers are installed on digital feeder and pin jig. Information signal is added to the current generated by the welding gun, and applied to the block. When the welding operation starts, information generated in the field is transmitted to the monitoring server in real-time. The field test on the BMC system confirms that the transmitted data are correctly received at the server. Since the proposed system can be built without any changes to the existing welding process, it is helpful to increase competitiveness of the shipbuilding industry through smart factory of shipyards. It is also possible to quickly respond to emergency situations that may occur to workers in an electromagnetic wave shielding environment or a closed space, the effect of preventing industrial accidents will be great.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.49 no.2
• /
• pp.228-233
• /
• 2022

Arteriovenous malformations (AVMs) are rare congenital anomalies characterized by direct communication between arteries and veins that bypass the capillary bed. AVMs may not manifest clinically until late infancy or childhood. In particular, facial AVMs can cause urgent life-threatening dental events. A 5-year-old girl without a medical history visited the hospital because of spontaneous gingival bleeding around the posterior gingival area of the lower left 2nd primary molar. Angiography through the femoral approach under general anesthesia was performed for differential diagnosis and therapeutic option. The blood flow was effectively reduced after arterial embolization alone, and there was no evidence of recurrence at the 5-month follow-up. The present study reports that embolization of the affected vessels can be a more effective and safe method than surgical resection for the treatment of AVM during the growth period.

• Journal of Korea Society of Industrial Information Systems
• /
• v.14 no.3
• /
• pp.50-57
• /
• 2009

We propose a network node search scheme to address the network fragmentation due to high node mobility in the VANET. VANET is very similar to MANET in that a multi-hop ad-hoc network is configured by wireless communication between vehicles without any network infrastructure. However, high speed mobility, high node density, and frequent topology change induce frequent network fragmentation so that overall network traffic can be increased. In this paper, new broadcasting protocol called an adaptive relay node search protocol is proposed to decrease the network fragmentation. It reduces the network fragmentation and network traffic by researching nodes outside the dangerous area only in case of network fragmentation. Simulation results show that the proposed protocol decreases network fragmentation by up to 39.9% and increase informed rate by up to 41.9% compared to the existing broadcasting protocol.

• Journal of the Korean Orthopaedic Association
• /
• v.54 no.2
• /
• pp.177-181
• /
• 2019

Acute compartment syndrome, which is an orthopedic emergency, induces irreversible tissue necrosis by increasing the compartment pressure. In serious cases, this event may result in functional impairment, loss of the lower limb, and death by renal failure. When the patient initially presents with pain and swelling that are similar to deep vein thrombosis, a differential diagnosis between the two diseases is very critical. The authors encountered a case of acute compartment syndrome after anticoagulant therapy in a patient presenting with painful swelling of the left leg following a massage that was initially misdiagnosed as deep vein thrombosis. A fasciotomy was performed on this case with satisfactory results. This paper reports this case with a review of the relevant literature.

• The Journal of the Korea Contents Association
• /
• v.17 no.6
• /
• pp.661-671
• /
• 2017

The purpose of this study is to compare and analyze the difference between the importance perceived by pre-school teachers and their actual performance in regards to the 7 Guidelines of Safety Education set out by the Ministry of Education, and through the analysis, to identify the items that need priority support and those that need long-term improvement efforts for exemplary safety education for young children. For this, mean average and standard deviation were calculated and paired sample t-test conducted, and IPA(Importance-Performance Analysis) matrix method was performed to analyze the priority and long-term support items and improvement needs. The study results show differences in all areas and all items in the 7 Guidelines of Safety Education by the MoE in the pre-school teachers' perceived importance and actual performance. Areas and items that are identified to be in need of priority support for exemplary safety education in pre-schools; 2 items under 'Violence and Personal Safety' area and I item under 'Substance and Internet Addictions' area. Areas and items that are identified to be in need of long-term improvement efforts are; 6 items under 'First Aid and Emergency Treatment' area, 1 item under 'Violence and Personal Safety' area, 3 items under 'Workplace Safety Culture' area, 3 items under 'Substance and Internet Addictions' area and 1 item under 'Disaster and Safety' area.