• Journal of Trauma and Injury
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• v.30 no.3
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• pp.75-79
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• 2017

Purpose: Although trauma is the most common cause of death under age 18, Korean national pediatric trauma data has lack of clinical data. This study is to prepare manpower resources, equipment, and make a correct policy decision on pediatric trauma victims Methods: The study enrolled 528 patients under age 16 with traumatic injury visited Wonju Severance Christian Hostpital Trauma Center, from February 12, 2015 to December 31, 2016. We analyzed the distribution of gender, age, place and time of the accident, injury mechanism, injury severity, and injured organ by medical record. Results: The major injury mechanisms were blunt injury in 485 (91.90%), penetrating injury in 27 (5.10%), burn in 13 (2.50%), near drowning in 2 (0.40%), and foreign body ingestion in 1 (0.20%). Ninety-seven (18.4%) patients were injured at home and 67 (12.7%) patients were injured at school. The overall mortality rate was 1.13% (n=6). 5 mortalities were related to automobile accident and one was fall down. Mean Injury Severity Score (ISS) was 4 (2, 8). No statistical significance was observed in the mean ISS between each age group. The peak time of accident occurrence was between 16 and 17 o'clock. The mean ISS was higher in blunt injury group than penetrating injury with statistical significance ($6.50{\pm}7.60$ vs. $3.00{\pm}8.10$; p<0.05). The most common injury site was upper extremity. Mean ISS was highest in thorax injury. However, mean ISS of thorax injury was higher with statistical significance only compared with face, neck and upper extremity injury. Conclusions: We reported our pediatric trauma patients data of our hospital level I trauma center, which is the only one level I trauma center of Gangwon Province. These data is useful to prevent and prepare for pediatric trauma.

• Journal of Chest Surgery
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• v.43 no.1
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• pp.47-52
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• 2010

Background: Traumatic diaphragmatic rupture is not common, but it requires swiftly performing an emergency operation. This study was conducted to evaluate the prognostic factors for mortality after surgically treating traumatic diaphragmatic rupture. Material and Method: From Jan 2001 to Dec. 2008, we experienced 37 cases of multiple traumas with diaphragmatic injuries that were confirmed by surgical procedures. We evaluated various factors, including the type of injury, the associated injuries, the preoperative vital signs, the ISS, the time until surgery and the rupture size. Result: There were 30 patients with blunt trauma and 7 patients with penetrating trauma. Thirty-four patients had associated injuries and the mean ISS was 20.8. Postoperative complications occurred in 11 patients and hospital mortalities occurred in 6 patients. The prognostic factors that had an influence on the postoperative mortalities were the preoperative intubation state, the patient who exhibited hypotension and a high ISS. Conclusion: Traumatic diaphragmatic rupture is just one part of multiple traumas. The postoperative mortalities might depend on not only on the diaphragmatic rupture itself, but also on the severity of the associated injuries.

• Journal of Trauma and Injury
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• v.27 no.4
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• pp.133-138
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• 2014

Purpose: If the survival of patients suffering from severe blunt trauma is to be improved, appropriate interventions should be taken immediately. The purpose of this study is to evaluate the clinical utility of end-tidal carbon dioxide ($ETCO_2$) as a surrogate marker for predicting both the need for intervention and the prognosis. Methods: This is a prospective observational study. Nasal cannula was applied to measure $ETCO_2$, and the following parameters, which are known to be related to the prognosis for a patient, were recorded: injury severity score (ISS), revised trauma score (RTS), arterial blood gas (ABG), lactate, and hemoglobin (Hb). To evaluate the outcome, we investigated the details of emergent interventions and expired patients. Results: A total of 93 patients were enrolled in this study. Emergent intervention was significantly associated with systolic blood pressure (sBP, p-value=0.001), $ETCO_2$ (p-value<0.001), serum lactate level (p-value<0.001), pH (p-value< 0.003), $HCO_3$ (p-value=0.004), base excess (p-value<0.002), ISS (p-value<0.001) and RTS (p-value=0.005). In the multivariate logistic regression, only $ETCO_2$ (odds ratio (OR): 0.897, 95% confidence interval (CI): 0.792-0.975, p-value= 0.048) and ISS (OR: 1.132, 95% CI: 1.053-1.233, p-value=0.002) were associated with emergent intervention whereas $ETCO_2$ (p-value=0.973) and ISS (p-value=0.511) were not statistically significant in predicting the survival of patients in the univariate analysis. An optimal ETCO cut-off of 29 mmHg on the ROC curve was determined, with the area under the ROC curve (AUC) being 0.824 (0.732-0.917)]. Conclusion: This study has revealed that $ETCO_2$, which can be rapid and easily measured through a nasal cannula, and the ISS may be prognostic indicators of emergent interventions in Emergency Departments.

• Journal of Trauma and Injury
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• v.20 no.2
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• pp.57-64
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• 2007

Purpose: Clinically, acute respiratory distress syndrome (ARDS) occurs within 72 hours after acute exposure of risk factors. Because of its high fatality rate once ARDS progresses, early detection and management are essential to reduce the mortality rate. Accordingly, studies on early changes of ARDS were started, and serum ferritin, as well the as injury severity score (ISS), which has been addressed in previous studies, thought to be an early predictive indicator for ARDSMethods: From March 2003 to March 2005, we investigated 50 trauma patients who were admitted to the intensive care unit in Dongguk University Medical Center, Gyeongju. The patients were characterized according to age, sex, ISS, onset of ARDS, time onset of ARDS, serum ferritin level (posttraumatic $1^{st}\;&\;2^{nd}$ day), amount of transfused blood, and death. Abdominal computed topography was performed as an early diagnostic tool to evaluate the onset of ARDS according to its diagnostic criteria. The serum ferritin was measured by using a $VIDAS^{(R)}$ Ferritin (bioMeriux, Marcy-1' Etoile, France) kit with an enzyme-linked fluorescent assay method. For statistical analysis, Windows SPSS 13.0 and MedCalc were used to confirm the probability of obtaining a predictive measure from the receiver operating characteristics (ROC) curve. Results: The ISS varied from 14 to 66 (mean: 33.8) whereas the onset of ARDS could be predicted with the score above 30 (sensitivity: 90.0%, specificity: 60.0%, p<0.05). On the posttraumatic $1^{st}$ day, the serum ferritin levels were measured to be from 31 mg/dL to 1,200 mg/dL (mean: 456 mg/dL), and the onset of ARDS could be predicted when the value was over 340 mg/dL (sensitivity: 80.0%, specificity: 65.0%, p<0.05). On the posttraumatic $2^{nd}$ day, the serum ferritin levels were measured to be from 73 mg/dL to 1,200 mg/dL (mean: 404 mg/dL), and the onset of ARDS could be predicted when the value was over 627 mg/dL (sensitivity: 60.0%, specificity: 92.5%, p<0.05). The serum ferritin levels and the ISS were significantly higher on the posttraumatic $1^{st}$ and $2^{nd}$ day in the ARDS group, suggesting that they are suitable indices predicting the onset of ARDS, however relationship between the serum ferritin levels and the ISS was not statistically significant. Conclusion: In this study, we discovered increasing serum ferritin levels in multiple- trauma patients on the posttraumatic $1^{st}$ & $2^{nd}$ day and concluded that both the serum ferritin level and the ISS were good predictors of ARDS. Although they do not show statistically significant relationship to each other, they can be used as independent predictive measures for ARDS. Since ARDS causes high mortality, further studies, including the types of surgery and the methods of anesthesia on a large number of patients are essential to predict the chance of ARDS earlier and to reduce the incidence of death.

• 한국정보교육학회:학술대회논문집
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• 2004.08a
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• pp.529-538
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• 2004

1997년부터 시작된 1단계 교육정보화 종합계획에서부터 1999년 '교육 발전 5개년 계획'에 이르기까지 정보통신기술활용교육을 위한 물적 인프라 구축에 힘써왔다. 이렇게 정보통신기술교육을 위한 물적 인프라 구축이 완료되어 있다고 하는 시기에 중요하게 점검해보아야 하는 것이 바로 교육정보화의 내용, 즉 정보통신기술교육과정이다. 본 연구자는 국가표준의 학생ICT활용능력기준(ISSS)을 분석의 틀로 설정하여 현재 강원도에서 사용되어지고 있는 정보통신기술교육과정을 위한 인정도서의 내용이 ISSS에서 제안하고 있는 교육과정에 맞게 구성되어 있는지를 살펴본 후, ISSS에서 제안하고 있는 상세화된 교육과정을 충실히 운영해 나가기 위해 기본적으로 필요한 교재 및 교구 요소들을 추출하였다. 이를 바탕으로 단위 학교에서 이러한 교재 및 교구 기준 안이 필요한지와 구비되어 있는 수줄과 수요를 설문지를 통해 확인해 보고자 하였다. 이러한 연구는 이후 정보통신기술활용교육을 위한 교재 및 교구 기준을 마련하는 기초 연구가 될 수 있을 것으로 기대한다.

• Journal of Institute of Control, Robotics and Systems
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• v.13 no.1
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• pp.58-64
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• 2007

In this paper, the stabilization problem of the image stabilization system(ISS) that captures the image of an object on the ground by remote sensing is considered. The ISS should be stable under outer disturbance such as helicopter vibration for tracking line of sight. Although PID controllers are optimized for the system, disturbances cause the instability of the system. To minimize the effect of the disturbance, the time-delayed control method is used to compensate for uncertainties. Simulation studies are performed and experiments are conducted to confirm the simulation results. Performances of PID control and time-delayed control methods are compared.

• 한국생물공학회:학술대회논문집
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• 2002.04a
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• pp.543-547
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• 2002

DNA vaccines use eukaryote expression vectors to produce immunizing proteins in the vaccinated host and it represents a novel approach to vaccine and immuno-therapeutic development. We constructed a 2.9 kb compact plasmid vector (pVAC) which contains CMV promoter, polycloning site, BGH poly A terminator, ampicillin resistance gene and PBR322 origin. Enriched unmathlyated CpG motifs have introduced into pVAC-ISS1 and pVAC-ISS2 which are derived from pVAC for enhancing Thl responses. These plasmid DNAs rapidly induced interleukin 6 secretion in vivo. It is expected that these vectors will contribute to the DNA inoculation against infectious disease and various cancers without adjuvant.

• Parasites, Hosts and Diseases
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• v.41 no.2
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• pp.125-127
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• 2003

Muscle larvae of Trichinella isolates from two outbreaks in Korea were analyzed by a polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and multiple-PCR. All of the muscle larvae showed a band similar to that of T. spiralis larvae of the reference strain. The two Korean Trichinella isolates (isolate code ISS623 and ISS1078) might be classifiable to Trichinella spiralis.

• Proceedings of the Korean Vacuum Society Conference
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• 2011.02a
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• pp.344-344
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• 2011

W(110)면에 흡착원자인 Al원자의 coverage와 annealing과정에서의 온도를 변화시켜, 여러 조건에서의 Al/W(110)계의 흡착구조를 저에너지 전자회절(LEED)과 이온산란분광법(ISS-TOF)을 이용하여 연구하였다. 여러 결과 중, annealing 온도가 900K인 1.0ML Al/W(110)면은 double domain의 p($1{\times}1$)의 흡착구조로 W(110)면의 center of hollow site에서 $0.55{\AA}$ 벗어난 위치에 흡착되었으며, W(110) 표면원자로부터 Al 원자까지의 높이는 $2.13{\pm}0.15{\AA}$이다. 또한 annealing 온도가 1100K인 0.5ML Al/W(110)면은 double domain의 p($2{\times}1$)의 흡착구조로 W(110)면의 center of bridge site에 흡착되었으며, W(110) 표면원자로부터 Al 원자까지의 높이는 $2.18{\pm}0.15{\AA}$이다.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.2 no.1
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• pp.79-85
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• 1998

The 9-digit MMSI(Maritime Mobile Service Identity) in the NBDP is converted to the 7-digit identity signal, used to identify to the phase of and to synchronize to the clock of the ISS(Information Sending Station) automatically for phasing procedure between radio stations. In this paper, algorithms for the automatic identification phasing procedures and for conversions, calculations between 7-signals and 9-identity, those check-numbers in the phasing procedures for calling of the NBDP are discussed and designed. And a method of the faster locking and phasing for calling than that of recommended by ITU-R is suggested and implemented.