• Journal of Korean Neurosurgical Society
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• v.29 no.1
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• pp.58-65
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• 2000

Objective : Thoracolumbar junction is second most common level of injury next to cervical spine. The object of this study is to study the usefulness of surgical titanium mesh instead of bone graft, as well as to evaluate the correction of spinal deformity and safety of early ambulation in patients with injury at thoracolumbar junction. Patients and Methods : This review included 51 patients who were operated from July 1994 to December 1997. The injured spine is considered to be unstable, if it shows involvement of two or more columns, translatory displacement more than 3.5mm, decrease more than 35% in height of vertebral body and progression of malalignment in serial X-ray. The decision to operate was determined by (1) compression of spinal cord or cauda eguina, (2) unstable fracture, (3) malalignment and (4) fracture dislocation. The procedure consisted of anterior decompression through corpectomy and internal fixation with anterior instrument and surgical titanium mesh which was impacted with gathered bone chip from corpectomy. Results : Fifty-one patients were followed up for at least 12 months. The main causes of injury were fall and vehicle accident. The twelfth thoracic and the first and the second lumbar vertebrae were frequently involved. Complete neural decompression was possible under direct vision in all cases. Kyphotic angulation occurred in a patient. Radiologic evaluation showed correction of deformity and no distortion or loosening of surgical titanium mesh with satisfactory fixation postoperatively. Conclusions : We could obtain neurological improvement, relief of pain, immediate stabilization and early return to normal activities postoperatively. Based on these results, authors recommend anterior decompression and internal fixation with surgical titanium mesh in thoracolumbar unstable spine injuries.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.19 no.4
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• pp.435-446
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• 1997

Overall study was carried out for the patients visiting Department of Oral & Maxillofacial Surgery through Emergency Room in Chonnam University Hospital, from Jan. 1, 1992 to Dec. 31, 1996. Result obtained were as follows ; Male predilection was shown, the male to female ratio being 2.5 to 1. The frequently developing age group were the first 3rd and 4th decade and under the age of 9 was followed. The number of patients for emergency was peak in September and October to 11%. About the causes for emergency, traffic accident was the most, and fall down injury and assault were followed. About the injury lists, facial laceration was preceded and the next facial bone fracture and the tooth injury followed. In the facial bone fracture, fracture in the mandible only was the most, and zygomaticomaxillary complex fracture, and mandible-maxilla complex fracture were followed. when the case of the mandible fracture, symphysis, condyle, angle were marked in succession. 57% was predomunatly ranged in the timea of 18 : 00 to 03 : 00 for the emergency. From injury onset to visiting emergency room, the range of 8 hours to 12 hours was predominant. Above results suggest that urgent patients of oral and maxillofacial area were relatively so high that division of oral and maxillofacial surgery should be established immediately.

• Korean Journal of Construction Engineering and Management
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• v.12 no.5
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• pp.71-80
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• 2011

Flying net should be installed on every 3 or 4 construction floor from 8m above ground according to the rule. In the apartment housing construction, flying net installation work has been recognized the most dangerous work among the whole works because a small mistake of labors might make their death accident. Sub-contractors specialized in flying net have been developing various flying net types. However, most works of installing flying net as working with the developed system are performed outside the apartment housing, so that the risk of fall in works of installing supports and unfolding net is still high. Furthermore, as using the previously developed flying net labors might bump into the frame or the wire rope for supporting so that it makes secondary accidents. The objective of this research is to produce the proto-type of anti-collision flying net system based on the result of problem analysis on the installation and detachment process and suggest the improved anti-collision flying net system, which is able to improve safety and field applicability by conducting field experiment and analyzing performance.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1982.05a
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• pp.9.2-9
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• 1982

The incidence of decannulation difficulty included tracheal stenosis has markedly increased in recent years because of translaryngeal intubation and tracheostomy although advancing antibiotics and new treatment for these problems. Treatment has always been difficult but in mild cases, a new soft, flexible tracheal T-tube that designed to maintain an adequate tracheal airway as well as to provide support in the reconstructed trachea and in severe cases, transverse resection with subsquent end to end anastomosis has been used in recent years. Authors experienced 2 cases of tracheal stenosis and decannulation difficulty which developed after tracheostomy that was performed due to automobile accident and fall down respectively and using a silicone tracheal T-tube for 3 months good results were obtained. So authors reported with brief review of literatures.

• Journal of Trauma and Injury
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• v.27 no.4
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• pp.126-132
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• 2014

Purpose: The field trauma triage for injured patients is essential for trauma care system. In this study, agreement of patient evaluation between by prehospital EMS personnel and by hospital staffs and the appropriateness of prehospital triage were evaluated. Methods: This observational study was conducted from September to October 2012 for 5 weeks. During this period, EMT evaluated patient's severity according to guideline for field triage and recorded. Same guideline was applied in 26 hospitals for patients with EMS use. Kappa statistics were used to measure agreement for each item of guideline. Finally, over-triage and under-triage rate of EMT were calculated. Results: During study period, total 3,106 patients were transferred to 26 hospital emergency departments with EMS use. Kappa statistics for "vital signs" items were 0.45 for mentality lower than V and 0.44 for systolic blood pressure lower than 90 mmHg as a moderate agreement. In "anatomy of injury" items Kappa statistics were very low. In "mechanism of injury" items Kappa statistics were 0.28 for high-rise fall down and 0.27 for high energy traffic accident but in other items Kappa statistics were very low. 362 patients (12.0%) were over-triaged and 281 patients (9.3%) were under-triaged. Conclusion: Field triage can be applied but need to evaluate and modify in order to become accurate and sensitive for decision of transportation.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.22 no.1
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• pp.56-62
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• 2000

Fracture of frontal bone is infrequent, but may have serious complications because of their proximity to the brain, eyes and noses. Fractures of the frontal area range from 5% to 15% of all facial bone fracture and include supraorbital rim and frontal sinus. As frontal bone fractures most frequently occur in the multiply injured patient, a thorough clinical and radiological examination of the patient is required before diagnosis and treatment plans are established. Sometimes coorperative treatment with other department is required. It is specially considered that incision for access to frontal region and surgical methods for open reduction, cranialization, cannulization, sinus obliteration. After surgical or conservative treatment, it may have complication. Complication of frontal bone injury vary in severity and may occur at several years after the incidents. The major types of complications are those that occur directly at the time of injury, infection and chronic problems. This is clinical study on 31 patients with frontal bone fracture, at department of oral and maxillofacial surgery in dental hospital of Wonkwang university during past ten years. The results were as follows; 1. The sex ratio of all patients is 29 (94%) male to 2 (6%) female, the average age is 33 and the prominent groups are 2nd, 3rd decade age. 2. The causative factors are mostly traffic accident 22 cases (70%) and fall dawn, industrial accidents, so on. 3. The 17 cases has shown alert mental status, but neurologic problems is in 14 (45%) cases in initial accessment. 4. Associated facial bone fractures are prominent in the maxilla (42%) and panfacial fracture (39%). 5. Involved general problems are in department of neurologic surgery problems (65%), orthopaedic problems (23%) and ophthalmologic problems (19%) in order. 6. Open reduction has done in 15 cases and 16 cases with conservative management. 7. Postoperative complications are chronic headache (42%), esthetic problems (39%) and ophthalmologic problems (35%)in order.

• Journal of the Korean association of regional geographers
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• v.14 no.5
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• pp.587-603
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• 2008

The Woong-Chi region is located between Wan-ju and Jin-an had experienced transportation route change from past continuously. The difference of relative height especially steep slope of western side is given to the most difficulty for transportation route open in Woong-Chi region. For the overcome this restraint geomorphological condition, multi-route were developed according to available purpose in walking period. They effort to decrease of slope and curve in route continual1y, and only used the conditioned route for automobile from 1910s in automobile period. The social aspect in transportation route change on this region is, firstly, the transportation route has trend from variety to simplicity. Secondary, new transportation route is opened by social needs such as traffic accident and social big event. Thirdly, the regional range was extended for overcome restraint condition. Fourthly, the rise and fall of route related settlement is influenced by transportation route change. The used technical method for the overcome the geomorphological condition is make a tunnel, alleviate the curve radius, alleviate the slop and consider the direction of the sunny than shady side.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.550-560
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• 2018

Many countries have provided support for research and development and implemented policies for Advanced Driver Assistance Systems (ADAS) for enhancing the safety of vehicles. With such efforts, the toll of casualties due to traffic accidents has decreased gradually. Korea has exhibited the lowest toll of casualties due to traffic accidents and is ranked 32nd in mortality among the 35 OECD members. Traffic accidents typically fall into three categories depending on the cause of the accident: vehicle to vehicle (V2V), vehicle to pedestrian (V2P), and vehicle independent. Most accidents are caused by drivers' mistakes in recognition, judgment, or operation. ADAS has been proposed to prevent and reduce accidents from such human errors. Moreover, the global automobile industry has recently been developing various safety measures, but on-road tests are still limited and contain various risks. Therefore, this study investigated the international standards for evaluation tests with regard to the assessment techniques in braking capability to cope with the limitations of on-road tests. A theoretical formula for braking force and a control algorithm are proposed, which were validated by comparing the results with those from an on-road test. These results verified the braking force depending on the functions of ADAS. The risks of on-road tests can be reduced because the proposed theoretical formula allows a prediction of the tendencies.

• Journal of the Korean Regional Science Association
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• v.34 no.4
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• pp.19-34
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• 2018

The purpose of this study is to analyze the seasonal issues using the local newspaper articles with the keyword beach from 2004 to 2017. Topic modeling and Time series regression analysis based on open source programs were performed for analysis. Topic modeling results showed 35 topics in spring, 47 topics in summer, 36 topics in autumn and 35 topics in winter. The common themes were 'beaches', 'festivals and events', 'accident and environmental issues', 'tourism', 'development and sale', 'administration and policy' and 'weather'. Time series regression analysis showed in the spring, 5 Hot-Topics and 2 Cold-Topic were found out of the 35 topics. In the summer, 6 Hot-Topics and 3 Cold-Topic were found out of the 47 topics. In the autumn, 4 Hot-Topics and 3 Cold-Topic were found out of the 36 topics. In the winter, 3 Hot-Topics and 3 Cold-Topic were found out of the 35 topics. And for each season, topics that do not fall into the Hot-Topic and Cold-Topic are classified as Neutral-Topic. In this study if seasonal uses are different such as beaches are deemed that seasonal topic modeling for analysis of regional issues will yield more useful results and enable detailed diagnosis.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.30 no.4
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• pp.331-341
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• 2020

Objectives: This study was conducted to evaluate perceptions of safety and risk among Korean industrial hygienists and the change between before and after the Sewol Ferry Disaster in 2014. Two surveys with questionnaires composed of 51 questions were completed by attendees of the Korea Industrial Hygiene Association(KIHA) conference. Methods: One was conducted at the 2013 KIHA Fall Conference(N=181) and the other was from the 2014 KIHA Summer Conference(N=123). Between these two surveys was the Sewol Ferry Disaster on April 14, 2014, which was believed to seriously affect safety and risk perceptions in Korea. Results: It was revealed that industrial hygienists' awareness of safety rules strengthened after the Sewol Ferry Disaster(p<0.05). It was apparent that people over the age of 30 were more sensitive to social safety. There was no significant difference in the evaluation and attitude regarding governmental safety policy between the years of 2013 and 2014. The credibility of public organizations responsible for the disaster management system decreased. The self-evaluation of respondents' safety level also decreased. This trend shows mainly in the younger generation. It was evaluated that the overall social safety level decreased and the anxiety level increased. The score on social safety on a ±5 Likert scale was 0.68 in the 2013 survey and -0.33 in the 2014 survey(p<0.05). It was reported that the most serious threat factors for accident or disaster were 'building collapse > illegalities and corruption > side effects of radiation therapy >accidents in normal activity > occupational disease,' in order. They picked 'safety ignorance > hurry-up habits and culture > focusing on short-term benefit > easy-going attitude > insufficient safety education' for the causes of low social safety levels in 2013. In 2014, they were 'safety ignorance > easy-going attitude > focusing on short-term benefit > insufficient safety education > hurry-up habits and culture'. Conclusions: This study has some limitations because it was originally not designed to survey attitudes prior to the Sewol Ferry disaster in 2013. In addition, the survey targets are industrial hygienists who are familiar with occupational disease and injury.