• 한국재난정보학회 논문집
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• 제18권3호
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• pp.672-686
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• 2022

연구목적: 본 연구의 목적은, 지체 장애인 대피경로 시설에 영향을 미치는 계획요인들을 도출하고, 각 시설별로 영향을 미치는 계획요소들을 규명하고자 하였다. 연구방법: 표본수의 문제와 다중공선성의 문제를 해결하기 위해 PLS(부분최소제곱) 회귀분석을 활용하였다. 연구결과: 분석결과, 각 시설별로 가장 중요한 계획요소는 출입문 : 출입문 닫히는 시간(1.131), 복도 : 휠체어를 위한 경사로(1.227), 계단 : 계단 비상조명(1.117), 대피공간 : 대피공간 편의시설(1.106)으로 도출되었다. 결론: 효율적인 장애인 대피경로를 계획하기 위해서는 일괄적인 반영이 아닌 장애인들의 인식, Needs, 만족도를 고려한 유니버설 디자인을 고려해야 한다.

• Steel and Composite Structures
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• 제43권2호
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• pp.165-183
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• 2022

Most transportation departments have recognized and developed procedures to address the ever-increasing weights of trucks traveling on bridges in a service today. Transportation agencies also recognize the issues with overheight vehicles' collisions with bridges, but few stakeholders have definitive countermeasures. Bridges are becoming more vulnerable to collisions from overheight vehicles. The exact response under lateral impact force is difficult to predict. In this paper, nonlinear impact analysis shows that the degree of deformation recorded through the modeling of the unprotected vehicle-girder model provides realistic results compared to the observation from the US-61 bridge overheight vehicle impact. The predicted displacements are 0.229 m, 0.161 m, and 0.271 m in the girder bottom flange (lateral), bottom flange (vertical), and web (lateral) deformations, respectively, due to a truck traveling at 112.65 km/h. With such large deformations, the integrity of an impacted bridge becomes jeopardized, which in most cases requires closing the bridge for safety reasons and a need for rehabilitation. We proposed different sacrificial cushion systems to dissipate the energy of an overheight vehicle impact. The goal was to design and tune a suitable energy absorbing system that can protect the bridge and possibly reduce stresses in the overheight vehicle, minimizing the consequences of an impact. A material representing a Sorbothane high impact rubber was chosen and modeled in ANSYS. Out of three sacrificial schemes, a sandwich system is the best in protecting both the bridge and the overheight vehicle. The mitigation system reduced the lateral deflection in the bottom flange by 89%. The system decreased the stresses in the bridge girder and the top portion of the vehicle by 82% and 25%, respectively. The results reveal the capability of the proposed sacrificial system as an effective mitigation system.

• 문화기술의 융합
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• 제8권5호
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• pp.285-290
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• 2022

중국의 급속한 발전에 따라 중국예술과 미술관도 빠르게 부상하고 있다. 본 연구는 중국미술관의 역사와 발전과정을 분석하여 중국미술관의 근대에서 현대에 이르는 발전과정을 정리하고, 최근 현황과 트렌드를 분석하고자 하였다. 중국 미술관은 서방 선진국 미술관과 격차가 있지만, 그 격차가 점차 좁혀지고 있는 것으로 분석됐다. 양과 질적인 면에서 중국 미술관은 빠른 성장을 보여주고 있고, 최근 미술관의 트렌드를 반영하여 변화하고 있다. 이러한 성장에도 불구하고, 자금 부족으로 인한 운영난을 겪고 있고, 제도와 지원 미비와 이로 인한 발전에 대한 저항, 전문인재의 부족 등의 문제점들이 있다. 최근 세계적 관심을 받고있는 중국미술관에 관한 연구는 매우 부족하기 때문에, 본연구는 한국의 중국미술관 연구에 기여할 수 있다. 본 연구를 통해 중국미술관의 발전과정과 현황, 문제점 등을 이해할 수 있으며, 이를 바탕으로 한국 미술관의 발전에 시사점을 주고자 한다.

• Journal of Gastric Cancer
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• 제24권1호
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• pp.108-121
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• 2024

Anastomotic leaks and fistulas are significant complications of gastric surgery that potentially lead to increased postoperative morbidity and mortality. Surgical intervention is reserved for cases with severe symptoms or hemodynamic instability; however, surgery carries a higher risk of complications. With advancements in endoscopic treatment options, endoscopic approaches have emerged as the primary choice for managing these complications. Endoscopic clipping is a traditional method comprising 2 main categories: through-the-scope clips and over-the-scope clips. Through-the-scope clips are user friendly and adaptable to various clinical scenarios, whereas over-the-scope clips can close larger defects. Another promising approach is endoscopic stent insertion, which has shown a high success rate for leak closure, although vigilant monitoring is required to monitor stent migration. Infection control is essential in post-surgical leakage cases, and endoscopic internal drainage provides a relatively safe and noninvasive means to manage fluids, contributing to infection control and wound healing promotion. Endoscopic suturing offers full-thickness wound closure, but requires additional training and endoscopic versatility. As a promising tool, endoscopic vacuum therapy potentially surpasses stent therapy by draining inflammatory materials and closing defects. Furthermore, the use of tissue sealants, such as fibrin glue and cyanoacrylate, has been reported to be effective in selected situations. The choice of endoscopic device should be tailored to individual cases and specific patient conditions, with careful consideration of the nature of the defect. Further extensive studies involving larger patient populations are required to provide more robust evidence on the efficacy of endoscopic approach in managing post-gastric anastomotic leaks.

• Journal of Preventive Medicine and Public Health
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• 제33권1호
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• pp.76-82
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• 2000

Objectives : We attempted to assess He accuracy of ICD codes for cerebrovascular diseases in medical insurance claims (ICMIC) and to investigate the reasons for error. This study was designed as a preliminary study to establish a nationwide surveillance system. Methods : A total of 626 patients with medical insurance claims who indicated a diagnosis of cerebrovascular diseases during the period from 1993 to 1997 was selected from the Korea Medical Insurance Corporation cohort (KMIC cohort: 115,600 persons). The KMIC cohort was 10% of those insured who had taken health examinations in 1990 and 1992 consecutively. The registered medical record administrators were trained in the survey technique and gathered data from March to May 1999. The definition of cerebrovascular diseases in this study included cases which met ore of two criteria (Minnesota, WHO) or 'definite stroke' in CT/MRI finding. We questioned the medical record administrators to explain the error if the final diagnoses were not coded as stroke. Results : The accuracy rate of the ICMIC was 83.0% (425 cases) Medical records were not available for 8.2% (51 cases) due to the closing of hospitals, the absence of a computer system or omission of medical record, etc. Sixty-three cases (10.0%) were classified as impossible to interpret due to insufficient records in 'major clinical symptoms' or 'neurological deficits'. The most common reason was 'to meet review criteria of medical insurance benefits (52.9%)'. The department where errors in the ICMIC occurred most frequently was the department for medical insurance claims in the hospital. Conclusion : The accuracy rate of the ICMIC was 83.0%.

• 대한예방한의학회지
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• 제19권3호
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• pp.91-102
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• 2015

Objective : The purpose of this study is to find out the possibility of application to herbal medicine's report form for adverse drug reaction (ADR) by reviewing and analyzing Asian countries's ADR report forms. Method : We investigated, compared, and analyzed ADR report forms (ADR-RF) of Asian countries's ADR institutions (ACAI), such as, Korea institute of drug safety & risk management and Dongguk university Ilsan oriental hospital (DUIOH) in Korea, national center for ADR monintoring (NCAM) in China, pharmaceuticals and medical devices agency (PMDA) in Japan, Ministry of Health and Welfare (MOHW) in Taiwan, and drug office, department of health, the government of the Hong Kong special administrative region (GHKSAR) in Hong Kong. Results : ADR-RF for ACAI included common contents, such as, patients information (name(initial), gender, age, weight), adverse event (AE)'s report information (Recognition and report for AE occurrence, first or follow up report, Severe AE), the detailed information of AE (the title of AE, onset & closing date of AE symptoms, the progress & results detailed test of AE), the information of AE's medicine (the types of medicine, product name, ingredient name, suspected or combination drug, single dose & frequency, dosage form, administration route, dealing for AE-suspected medicine), and AE reporter's information (reporter's information, institution's information). Taiwan had ADR-RF and the department exclusively for herbal medicine (HM), but others (except DUIOH) had not only no ADR report form but also contents for HM. Conclusion : ADR-RF for HM have to include the common contents of ACAI at least, as well as HM information related to ADR, such as the title, composition and types of HM, history related to HM's ADR, and the contents of drug-induced liver injury and so on. In addition, the main department of government for HM's ADR will be needed.

• 한국환경복원기술학회지
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• 제3권3호
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• pp.81-99
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• 2000

The shelterbelts are very important to conserve and protect the sandy land, vegetation coverage, farmland, livestock and human life in the desertified land. The shelterbelts are constructed by the several row-plantings of high-adaptable species in the desertified land. The shelterbelts have various kind of type, and there are shelterbelts for conservation of farmland in dry the region, the protective shelterbelts (windbreaks for blowing-sand, artificial sanddune fixation by revegetation, and construction of farmland shelterbelts to protect farmland and pasture from wind erosion, etc.) in the semi-dry steppe, shelterbelts around the villages and oasis for sanddune fixation, shelterbelts for protection of railroads, and so on. The shelterbelts consist of main she1terbelts and minor shelterbelts. The main shelterbelts were constructed by being perpendicular to main wind direction, and the minor shelterbelts were constructed by being perpendicular to the main shelterbelts. Generally, the width of shelterbelts is 8~20m, and the number of row-planting is 4~10. The grid sizes of shelterbelts networks are $400{\times}400m$, $300{\times}500m$, $100{\times}200m$, and so on, and there are ventilation type and closing type in the type of shelterbelt. The width, number of row-planting, grid size and type of shelterbelt are selected by the local characteristics. The effects of shelterbelts are mainly the climate improvement and mitigation, such as prevention of occurrence of strong wind, cold wind and blowing-sand. And, the other effects of shelterbelts are effect of reforestation, increase of agricultural productions, establishment of greenbelts and green forests, construction of landscape-eco shelterbelts, improvement of life environment of local villages, supply of fuel wood and agricultural wood, land amelioration, effect of revegetation and restoration of desertified land, and so on. The kinds of the tree species mainly used for the construction of shelterbelts have differences between regions, but main species are Populus euphratica, Populus simonii, Populus bolleana, Populus tomentosa, Salix flavida, Salix mongolica, Tamarix chinensis, Hedysarum scoparium, and so on.

• Journal of Chest Surgery
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• 제51권4호
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• pp.260-265
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• 2018

Background: A method of wound closure using knotless suture material in the chest tube site has been introduced at our center, and is now widely used as the primary method of closing chest tube wounds in video-assisted thoracic surgery (VATS) because it provides cosmetic benefits and causes less pain. Methods: We included 109 patients who underwent VATS pulmonary resection at Samsung Medical Center from October 1 to October 31, 2016. Eighty-five patients underwent VATS pulmonary resection with chest drain wound closure utilizing knotless suture material, and 24 patients underwent VATS pulmonary resection with chest drain wound closure by the conventional method. Complications related to the chest drain wound were compared between the 2 groups. Results: There were 2 cases of pneumothorax after chest tube removal in both groups (8.3% in the conventional group, 2.3% in the knotless suture group; p=0.172) and there was 1 case of wound discharge due to wound dehiscence in the knotless suture group (0% in the conventional group, 1.2% in the knotless suture group; p=0.453). There was no reported case of chest tube dislodgement in either group. The complication rates were non-significantly different between the 2 groups. Conclusion: The results for the complication rates of this new chest drain wound closure method suggest that this method is not inferior to the conventional method. Chest drain wound closure using knotless suture material is feasible based on the short-term results of the complication rate.

• 대한후두음성언어의학회지
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• 제24권2호
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• pp.107-111
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• 2013

Objectives : We developed two-dimensional (2D) scanning videokyomography to evaluate the mucosal wave of whole vocal cords in real time to overcome the limit of preexisting stroboscopy and line scanning videokymography which could not evaluate it. Methods : We implemented a continuous light source with high brightness, a high-definition CMOS camera, and capture board for saving the data. We created the software program to analyze the image data from the system. The test of the functionality of the 2D scanning videokymography camera was performed in one of the authors (P.H.J 32 years old male). Vocal cord images were obtained during normal phonation and falsetto phonation. Images were obtained also during cough, diplophonia. Results : The system made it possible to measure objective parameters, including fundamental frequency, amplitude, regularity, mucosal wave, and phase difference, medial and lateral peak, opening versus closing duration related to vocal fold vibration. Simultaneously, it enabled analysis of the whole mucosal wave of the entire vocal fold in real time. 2D scanning videokymography was also effective for evaluating the dynamic status of the vocal fold when the subject phonated aperiodic voice. Conclusion : In conclusion, 2D scanning videokymography can support the analysis of the whole mucosal wave of the entire vocal cord with objective vocal parameters, overcoming the limitations of stroboscopy and previous line scanning videokymography techniques.

• 한국대기환경학회지
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• 제25권1호
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• pp.26-37
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• 2009

Recently rapid environmental changes due to desertification and industrialization in China make a threat to Korea, especially during Asian Dust Event (ADE). This study was aimed to compare symptoms and behaviors related to ADE between Korea and China. We conducted questionnaires on self-reported symptoms and behaviors before and during ADE. Korean and Chinese subjects were grouped into children, adults, and elderly by nation (n=791). Statistical analyses were performed by $X^2$-test, Fisher's exact test, t-test and chow's test for comparing differences between Korean and Chinese. We estimated the odds ratio for perceived symptoms during ADE by preventive behavior, using Generalized Estimation Equation (GEE). The study indicated that there were significant differences between symptoms in Korea and those in China such as cold, cough, and sore throat, especially in elderly. Preventive behaviors such as avoiding outdoor activity and wearing sunglasses were more often performed in China than Korea. However wearing mask was more often performed in Korea than China. After adjusting for age, sex, educational level, and smoking status, the odds ratio (OR) of dry cough symptom in Korea was significantly decreased by closing the windows and wearing a mask during ADE. In China, the OR of dry cough symptom was decreased by wearing a mask and avoiding outdoor activity. We found that China which had higher performance of preventive behavior showed lower prevalence of symptoms during ADE than Korea. Also preventive behaviors could affects prevalence of symptoms during ADE. This results suggest that preventive behavior. could reduce symptoms during ADE and there are needed for. more attentions to reduce a threat of ADE.