• 국제학술발표논문집
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• The 5th International Conference on Construction Engineering and Project Management
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• pp.74-79
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• 2013

Aiming at reducing deaths and injuries involving construction crane operations, OSHA has recently updated its 40-year-old crane safety standards with new rules addressing the use of cranes and derricks in construction. The goal of this change in rule is to deal with the leading causes of fatalities related to crane and derrick operations. Employers in the construction industry are mandated to ensure that employees in the work zone are trained to recognize hazards associated with the use of the equipment and any related duties that they are assigned to perform. However, those responsible at construction sites for the supervision and management of safe crane operations often lack the integrated knowledge of the standards, regulations and best practices for conducting or supervising daily, monthly, or quarterly inspection of cranes. As such, proper planning, management and implementation of crane operations, including inspections are just as paramount to reducing accidents on the construction site. It is important that engineers responsible for the management and planning of crane operations understand the latest OSHA crane and hoisting standards to ensure a safer work environment is maintained. Many on site engineers overseeing crane operations do not have adequate training, experience, and knowledge of the inspection requirements to assess safe crane operation and too often rely on the crane operator's judgement. This paper highlights recent research effort in defining significant changes in new crane and hoisting standards and provides basis for safety construction operations.

• Journal of Trauma and Injury
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• 제36권3호
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• pp.165-171
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• 2023

Trauma remains a significant healthcare burden, causing over five million yearly fatalities. Notably, the liver is a frequently injured solid organ in abdominal trauma, especially in patients under 40 years. It becomes even more critical given that uncontrolled hemorrhage linked to liver trauma can have mortality rates ranging from 10% to 50%. Liver injuries, mainly resulting from blunt trauma such as motor vehicle accidents, are traditionally classified using the American Association for the Surgery of Trauma grading scale. However, recent developments have introduced the World Society of Emergency Surgery classification, which considers the patient's physiological status. The diagnostic approach often involves multiphase computed tomography (CT). Still, newer methods like split-bolus single-pass CT and contrast-enhanced ultrasound (CEUS) aim to reduce radiation exposure. Concerning management, nonoperative strategies have emerged as the gold standard, especially for hemodynamically stable patients. Incorporating angiography with embolization has also been beneficial, with success rates reported between 80% and 97%. However, it is essential to identify the specific source of bleeding for effective embolization. Given the severity of liver trauma and its potential complications, innovations in diagnostic and therapeutic approaches have been pivotal. While CT remains a primary diagnostic tool, methods like CEUS offer safer alternatives. Moreover, nonoperative management, especially when combined with angiography and embolization, has demonstrated notable success. Still, the healthcare community must remain vigilant to complications and continuously seek improvements in trauma care.

• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.515-522
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• 2023

Objectives: The pandemic caused by coronavirus disease 2019 (COVID-19) has exerted an unprecedented impact on the health of populations worldwide. However, the adverse health consequences of the pandemic in terms of infection and mortality rates have varied across countries. In this study, we investigate whether COVID-19 mortality rates across a group of developed nations are associated with characteristics of their healthcare systems, beyond the differential policy responses in those countries. Methods: To achieve the study objective, we distinguished healthcare systems based on the extent of healthcare decommodification. Using available daily data from 2020, 2021, and 2022, we applied quantile regression with non-additive fixed effects to estimate mortality rates across quantiles. Our analysis began prior to vaccine development (in 2020) and continued after the vaccines were introduced (throughout 2021 and part of 2022). Results: The findings indicate that higher testing rates, coupled with more stringent containment and public health measures, had a significant negative impact on the death rate in both pre-vaccination and post-vaccination models. The data from the post-vaccination model demonstrate that higher vaccination rates were associated with significant decreases in fatalities. Additionally, our research indicates that countries with healthcare systems characterized by high and medium levels of decommodification experienced lower mortality rates than those with healthcare systems involving low decommodification. Conclusions: The results of this study indicate that stronger public health infrastructure and more inclusive social protections have mitigated the severity of the pandemic's adverse health impacts, more so than emergency containment measures and social restrictions.

• Journal of Chest Surgery
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• 제57권1호
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• pp.87-91
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• 2024

Gunshot-induced chest trauma is exceedingly rare among civilians in South Korea due to strong firearm control policies. In contrast to military reports emphasizing the use of emergent open thoracotomy to increase chances of survival, most penetrating non-cardiac injuries in civilian settings are managed conservatively, such as through chest tube insertion, as they typically result from lower-energy bullets. However, early surgical intervention for penetrating gunshot wounds can help reduce delayed fatalities caused by septic complications from pneumonia or empyema. The advent of minimally invasive thoracic surgery has provided cost-effective and relatively non-invasive treatment options, aided in the prevention of potential complications from undrained hematomas, and facilitated functional recovery and reintegration into society. We successfully treated a patient with a penetrating gunshot wound to the chest using video-assisted thoracoscopic surgery.

• 한국안전학회지
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• 제39권1호
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• pp.33-40
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• 2024

This study analyzes the impact of regular preventive maintenance (PM) on reducing the failure rate and occurrence of falling accidents of industrial overhead doors. A reliable safety device model with an additional safety device, which is installed to replace a defective one, is proposed. The research methodology involves collecting breakdown and falling accident records, comparing and analyzing data before and after regular PM implementation, and experimenting with two types of retrofittable safety devices. Key findings are as follows. 1. Regular PM implementation significantly reduces the failure rate of old overhead doors. 2. A parallel structured model with two alternative safety devices can minimize falling accident risks. The study's contributions include the following. 1. The positive impact of PM on extending overhead door lifespan is quantified. 2. A general safety device model that can be retrofitted and used as replacement with a fail-safe function is proposed.

• Structural Engineering and Mechanics
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• 제91권1호
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• pp.63-73
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• 2024

Improving the blast resistance of structural establishments has become an imperative engineering commitment to prevent property damage and fatalities in terrorist incidents. This study investigates the effects of blast mass and stand-off distance on CFRP skin concrete core sandwich bunkers of varying thicknesses using ABAQUS/Explicit software with CONWEP functionality. The considered parameters include TNT masses of 1, 10, and 25 kg and stand-off distances of 0.1, 1, 2, and 2.5 meters on structures with 200, 250, and 500 mm core thicknesses. The study finds that there exists a declining response corresponding to the blasting mass reduction coupled with increases in the stand-off distance and core thickness. The 500 mm thick bunker sustains less damage compared to those with 200 mm and 250 mm core thicknesses. The sandwich configuration remains structurally advantageous vs. those without skins. The sandwich bunker with a 500 mm thick concrete core gives the best performance against the 10 kg TNT blast load with a 1 m standoff distance exhibiting a 22.8% reduction in damage vs. that without skins. Mathematical expressions are then formulated for predicting maximum von Mises stress, principal stress, and displacement of sandwich bunkers as functions of TNT masses, stand-off distances, and core thicknesses.

• 대한교통학회지
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• 제29권4호
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• pp.7-15
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• 2011

도심 교통체증 감소와 물류의 신속한 이동을 위해 1990년대 초반 등장한 퀵서비스산업은 이륜자동차의 증가를 가속화 했으며, 경제발전에 따라 250CC 이상 대배기량의 이륜자동차들도 레저용으로 급증하고 있는 추세를 보이고 있다. 사고발생추세에서 전체교통사고대비 2005년 5.7%, 2008년 8.3%로 점차 증가추세를 보이며 사망률 또한 증가하고 있다. 본 연구에서는 이륜자동차의 자동차전용도로 통행에 대한 위험도를 알아보고자 서울시 연속류 도로를 대상으로 이륜자동차의 법규위반율과 차로변경 행태, 주행속도 행태를 분석하였으며 사고시의 차량충격량을 PCCRASH 시뮬레이션으로 산출하였다. 분석 결과, 차로변경시간과 평균통행속도가 일반차량과 상이하며 도로정체가 발생할 경우 부적절한 주행행태를 보이는 것으로 나타났다. 정부의 이륜자동차 자동차전용도로 허용 검토에 있어 본 연구는 허용여부를 판단하는데 도움이 되며 이륜자동차의 주행 행태를 연구하는데 기초자료로 활용할 수 있다.

• 한국전자거래학회지
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• 제20권4호
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• pp.241-256
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• 2015

기업의 정보 보안을 보장하기 위해, 많은 정부가 다양한 보안 관련 대책을 의무화해오고 있다. 하지만 이러한 보안 대책의 실행에 앞서, 이의 잠재적 효과성을 분석하는 연구는 부족한 실정이다. 본 연구는 안전벨트의 착용 법제화가 자동차 사고 사망자 감소에 미치는 효과에 대한 연구를 응용하여, 정부의 다양한 보안 대책의 사전 효과성 평가가 가능한 모형을 개발하는 것을 목적으로 한다. 또한, 인터넷 진흥원의 정보보호실태조사(기업편) 데이터를 개발된 모형에 적용하여 어떠한 보안대책의 법제화가 사회 및 산업 전반의 보안위험을 줄이는데 효과적인지 사전평가를 시행하였다. 그 결과 보안교육의 법제화가 다른 보안대책에 비해 효과적임을 확인하였다.

• 한국ITS학회 논문지
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• 제15권3호
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• pp.85-93
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• 2016

본 논문은 보행자와 자동차 운전자에게 안전관련 메시지를 시각 및 청각적으로 전달하고 횡단보도 자체의 시인성을 조명을 통해 개선할 수 있는 요소들로 구성된 '횡단안전 지원시스템'의 설치 전 후에 대한 효과 평가를 수행하였다. 효과 평가는 시스템 설치 전 후별 주행속도, 보행자의 좌 우 살핌 빈도 분석을 통해 시스템 설치 전 후의 안전성 향상도를 평가하였다. 횡단안전 지원시스템의 설치 전 후의 차량 주행속도는 주 야간 모두 감소하였으며 보행자 행태를 조사한 결과 주간에는 횡단 전 또는 횡단 중 좌 우를 보는 빈도의 비율이 설치 전 27.9%에서 설치 후 62.9%로 개선되었고, 야간에는 설치 전 36.0%에서 설치 후 58.7%로 개선되어, 횡단안전 지원시스템의 설치 후 보행자의 안전의식이 향상된 것을 확인하였고 보행자 행태에 긍정적인 영향을 주어 보행자의 안전을 증가시킬 수 있음을 확인하였다.

• 한국정보통신학회논문지
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• 제20권7호
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• pp.1269-1276
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• 2016

세계적으로 지진, 해일, 홍수, 폭설 등의 자연 재해와 화재, 방화, 테러 등의 인위적 재해가 빈번하게 발생하고 있으며, 이러한 다양하고 예측 불가능한 재해로 인해 다수의 사상자가 발생하고 있다. 재해 발생 시 빠른 시간에 재해 발생 여부를 파악하여 재해 발생 위치와 적절한 피난 경로 등의 정보를 피해자에게 제공한다면 신속히 안전한 장소로 대피가 가능하여 피해를 최소화 할 수 있다. 이에 본 논문에서는 실내공간에서 공황상태가 발생 했을 경우 사람들의 움직임을 파악하여 긴급 재해 발생 여부를 신속히 탐지하고 이를 통해 상황에 따라 신속하고 안전하게 대피가 가능하도록 긴급 피난 지원 시스템의 알고리즘을 제안하고 구현하였다. 이동 단말기에서는 실내 보행자의 행동과 위치를 분석하여 서버로 전송하고 서버에서는 전송받은 정보를 토대로 긴급상황 여부를 판단한다. 긴급상황이 발생하면 서버는 이동 단말기에게 이를 통보하고, 실내 보행자는 이동단말기를 이용하여 비상탈출을 실시하게 된다.