• Journal of Chest Surgery
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• 제20권1호
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• pp.65-70
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• 1987

Empyema thoracis following pneumonia, pulmonary tuberculosis, trauma and surgical procedures continues to be a source of major morbidity and mortality. We retrospectively reviewed the hospital records of 330 patients [child:87, adult243] treated for empyema thoracis at Catholic Medical Center between 1964 and 1986. The causes of empyema in these patients were as follows: pneumonia [C***:66%, A***:30%], pulmonary tuberculosis [C:2%, A:20%], lung abscess [C:3%, A:5%], postoperative complication [C:0%, A:13%], trauma [C:1%, A:4%] and unknown origin [C:23%, A:17%]. Three patients in this series died of sepsis from necrotizing pneumonia. Staphylococcus [29.3%], Streptococcus [8.8%], E. coli [8%], Mycobacterium tuberculosis [7.9%], Klebsiella [7.4%], Pseudomonas [6.4%], Bacteroides [3.4%] were the organisms most commonly isolated. Bacterial isolates were single in 68.3%, multiple 7.5% and absent 24.2%. The type of organism did not correlate with severity of disease or eventual requirement for closed thoracotomy drainage, open thoracotomy drainage [Modified Eloesser*s procedure], thoracoplasty, decortication or pleuropneumonectomy. Successful methods of treatment included aspiration in 44%, tube thoracotomy in 66%, open thoracotomy drainage in 98.7%, thoracoplasty in 98%, decortication in 96% and pleuropneumonectomy in 73%. Initial mode of management in empyema thoracis are thoracentesis and closed thoracotomy drainage. If the initial management was failed, we performed another surgical procedures. Before 1973, we manage with Schede`s thoracoplasty in the postpneumonectomy empyema patients. But thoracoplasty, with or without the use of muscle flaps, is a hazardous operation in the poor-risk patients. The permanent, open thoracotomy drainage is a relatively minor operation which is well tolerated even by cachexic, septic patients. It controls infection, and sometimes results in the bronchopleural fistula closing spontaneously.

• 한국안전학회지
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• 제30권2호
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• pp.83-89
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• 2015

In Korea for 20 years(1993-2012), total number and average annual number of oil spills were 6,608 cases and total volume and average annual volume of oils spilt were $57,328k{\ell}$ and nearly $2,866k{\ell}/year$, respectively. The annual number of oil spills and annual amount of oil spilt tended to decrease with the lapse of year in Korea. As oil transportation worldwide continues to increase, many communities are at risk of oil spill disasters and must anticipate and prepare for them. Factors that influence oil spill consequences are myriad and rage from the biophysical to the social. In this paper, we analysed the emergency response systems and recovery apparatuses for oil spill accident in marine and proposed a developed oil diffusion apparatus which can be used to initial response stage by crew, and to extend golden times. This system can be minimized casualties for rescued people in disaster.

• 한국안전학회지
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• 제29권5호
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• pp.166-171
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• 2014

This study is conducted to compare three methods of hazard analyses and to propose the control for the accidents arising under construction of heat accumulator of group energy projects(co-generation plants). The analysis of fatal accidents and the Analytic Hierarchical Process(AHP) using by the questionnaire survey for the workers engaged in the construction of heat accumulator and the quantitative questionnaire survey of expert group has been carried out. In order to analyze the fatal accidents, the 115 cases of accidents from 2001 to 2012 published by Korean Occupational Safety and Health Agency(KOSHA) and workers suffered from industrial accidents are collected and analyzed. The AHP is applied and analyzed for 66 persons of the construction site managers, safety engineers and construction engineers and the questionnaire survey of expert group is carried out and analyzed for the 51 persons of contractors and construction inspectors. The analyses of the types of accidents and the jobs of the suffered workers and the hazardous construction processes which are occurred accidents frequently are shown. The results of the analysis of fatal accidents and the AHP as well as the questionnaire of expert group are shown similar results.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.9707-9711
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• 2014

Background: Acute lymphoblastic leukemia (ALL) is a complex disease caused by interactions between hazardous exogenous or/and endogenous agents and many mild effect inherited susceptibility mutations. Some of them are known, but their functional roles still requireinvestigation. Age is a recognized risk factor; children with disease onset after the age of ten have worse prognosis, presumably also triggered by inherited factors. Materials and Methods: The MDR1 gene polymorphisms rs1045642, rs2032582 and MTHFR gene polymorphisms rs1801131 and rs1801133 were genotyped in 68 ALL patients in remission and 102 age and gender matched controls; parental DNA samples were also available for 42 probands. Results: No case control association was found between analyzed polymorphisms and a risk of childhood ALL development. Linkage disequilibrium was not observed in a family-based association study either. Only marginal association was observed between genetic marker rs2032582A and later disease onset (p=0.04). Conclusions: Our data suggest that late age of ALL onset could be triggered by mild effect common alleles.

• The Korean Journal of Pain
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• 제19권2호
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• pp.296-298
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• 2006

Droopy shoulder syndrome (DSS) is a rare disease, characterized by drooping shoulders, which stretches the brachial plexus, and causes pain, but without any signs of neurological impairment. These patients suffer from pain in the neck, shoulders, arms and hands, which result in long, graceful, swan necks, low-set shoulders, and horizontal or down sloping clavicles. No abnormalities in the vascular, neurological or electrical findings have also been known. The T1 and/or T2 bodies can be seen in the lateral view in a radiological study of the cervical spine. In the majority of cases, conservative treatments, such as postural correction and shoulder girdle strengthening exercise, are commonly recommended. However, DSS may be misdiagnosed as severe thoracic outlet syndrome or herniated cervical disc disease, leading to unnecessary and hazardous invasive treatments. The presented case was consistent with DSS, and was treated with stellate ganglion block, trigger point injection, and shoulder girdle strengthening exercise.

• Steel and Composite Structures
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• 제29권4호
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• pp.423-435
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• 2018

There are presently two general ways of accounting for hazardous metal creep in structural fire analyses: either we incorporate creep strains implicitly in hardening model ('implicit-creep' plasticity) or we account for creep explicitly ('explicit-creep' plasticity). The first approach is simpler and usually used for fast engineering applications, e.g., following proposals of EN 1993-1-2. Prioritizing this approach without consideration of its limitations, however, may lead to significant error. So far the possible levels of such error have been demonstrated by few researchers for individual structural elements (i.e., beams and columns). This paper, however, presents analyses also for selected beam-girder assemblies. Special numerical models are developed correspondingly and they are validated and verified. Their important novelty is that they do not only account for creep in individual members but also for creep in between-member connections. The paper finally shows that outside the declared applicability limits of the implicit-creep plasticity models, the failure times predicted by the applied alternative explicit-creep models can be as much as 40% shorter. Within the limits, however, the discrepancies might be negligible for majority of cases with the exception of about 20% discrepancies found in one analysed example.

• 패션비즈니스
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• 제26권4호
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• pp.136-153
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• 2022

The fashion industry is considered hazardous and a threatened to the environment. Due the negative perception, the industry should focus on sustainability as a social role. Therefore, several redesign fashion collaborations mainly focusing on renewing abandoned resources are already in place. The research method was based on previous studies, and 3 characteristics were derived: Redesign collaboration between fashion companies, Redesign collaboration between fashion & heterogeneous industries, and Redesign collaboration between the fashion industry & non-profit organizations. Those 3 characteristics were reviewed using 4 criteria. First, to establish and maximize the sustainable brand image and to be the best examples in environmental management, the organization endeavors to collaborate with various industries, institutions, and designers. Second is the expansion of the customer network through the spread of value consumption. Third is the creation of new values through a resource circulation structure. This means that the resource circulation structure system helps the partners to minimize on wastage. Fourth is the spread of de-boundary lines and the possibility of brand growth. Through collaboration with other industries, the boundaries of materials used in the fashion industry started to blur, thus expanding the continuous brand growth potential. The study derived the characteristics of redesign collaboration by systematically analyzing the cases. Further, the study looks forward to analyzing the characteristics of the products processed by redesign fashion collaborations in future research.

• 한국안전학회지
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• 제39권2호
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• pp.28-37
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• 2024

The recent surge in the production and handling of hazardous materials in Korea necessitates developing and implementing robust emergency response plans. These plans are crucial in safeguarding the well-being of workers and residents in the event of an incident. The consequence analysis methodology outlined in the KOSHA guidelines provides a foundation for designing emergency response plans in the event of chemical accidents. However, the consequence analysis is evaluated based on assumed accident cases or worst-case scenarios. Consequently, the emergency response plan based on the consequence analysis may overestimate the damage area, complicating rescue efforts and unnecessarily increasing costs. More information and parameters become available after an accident, enabling more accurate consequence analysis. This implies that the results of consequence analysis based on this detailed information provide more realistic results than those based on assumed accidents. This study attempts to optimize the resource allocation and cost-effectiveness of emergency response plans for chemical accidents. Existing procedures and manuals are revised to elucidate the proposed model and conduct real-time consequence analysis. The existing emergency response plan is compared to verify the proposed model's efficacy. The obtained results indicate that the proposed model can exhibit better performance.

• Journal of Preventive Medicine and Public Health
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• 제28권3호
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• pp.663-677
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• 1995

Special health examination institute has done periodic health examination for workers who have worked in the hazardous workplace. However, assessment on outcome in special health examination institute about detection ability of occupational disease has not been. In this circumstances, we studied on the differences of health examination outcome among special health examination institutes and identified related factors which affected outcome of special health examination in the special health examination institutes. The summary of the results were as follows. 1. 50 special health examination institutes were examined in this study. Among them, university institutes were 13 cases(26.0%), hospitals were 20 cases(40.0%), a corporation aggregates were 9 cases(18.0%) and an auxiliary organs of company were 8 cases(16.0%). There were 29(58.0%) institutes with a preventive medicine specialist, but 21 institutes(42.0%) were not. 2. Total workers examined in 50 institutes were 606,948 and workers diagnosed as occupational disease$(D_1)$ were 3,156. The rate of occupational disease was 6 workers per 1,000 examined workers. Workers needed for close observation(C) were 95,809 and the rate of workers needed for close observation was 141 per 1,000 examined workers. 3. The rate of occupational disease of university institutes was highest(11.3 per 1,000 examined workers), and followed by hospitals(6.0 per 1,000 examined workers), a corporation aggregates(4.2 per 1,000 examined workers), and an auxiliary organs of company(1.2 per 1,000 examined workers). The difference of the rate of occupational disease between university institutes and an auxiliary organs of company was statistically moderate significant(p<.1). The rate of occupational disease in special health examination institutes with establishment duration was more than 10 years was statistically higher than institutes with establishment duration was less than 10 years(p<.1). 4. The results of multiple regression, $R^2$ was 0.3394(adjusted $R^2$ was 0.2109), F-value was 2.6416(p<.05), and statistically significant variables were establishment duration(p<.01), number of examined workers per one doctor(p<.1), and auxiliary organs of company(p<.1), which dependent variable was the rate of occupational disease and independent variables were number of examined workers per one doctor, classification of institute, the rate of working environment exceeding TLV, duration of institute establishment, presence of a preventive medicine specialist.

• 한국ITS학회 논문지
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• 제20권2호
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• pp.30-42
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• 2021

전국 고속도로의 포트홀 발생으로 인한 보상금액과 건수는 2015년 대비 2019년에 각각 약 4.2배, 3.5배 수준으로 증가하고 있으며, 이러한 도로 위 위험요소들로 인한 피해 증가로 국토교통부는 사업용 차량 내 장치(운행기록계, 블랙박스, ADAS)가 수집하는 정보를 활용하여 도로위험정보를 수집하고 제공할 수 있는 기술 및 서비스를 개발 중에 있다. 본 연구는 이러한 기술개발을 대비하여 운전자 및 도로관리자에게 도로위험정보를 제공하기 위해서 연속류 및 단속류를 대상으로 개발한 알고리즘에 대한 통합평가를 실시하여 설정한 3개 시나리오들을 검증하였다. 그 결과, 통합평가 전체 정확도가 81.88%로 도출되었고 통합평가의 목적과 가정을 고려하여 1분 미만 데이터의 누락, GPS 좌표 위치와 알고리즘 관련 오류들만 본 통합평가 시 발생한 오류로 간주하였다. 그 중에서 GPS 오류 데이터들을 보정하여 전체 90.15%(도로파손의 확률: 99.38%, 결빙: 84.45%,안개: 94.42%)의 정확도로 도출하였다. 본 연구결과는 사업용 차량이 수집할 위치기반 정보 정확도 향상 및 정책개발의 기초자료로 활용될 수 있을 것이다.