• 한국운동역학회지
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• 제31권3호
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• pp.155-161
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• 2021

Objective: There is a lack of studies using the 3D-2D image registration techniques on the mechanism of a shoulder injury for ice hockey players. This study aimed to analyze in vivo 3D glenohumeral joint arthrokinematics in collegiate ice hockey athletes and compare shoulder scaption with or without a hockey stick using the 3D-2D image registration technique. Method: We recruited 12 male elite ice hockey players (age, 19.88 ± 0.65 years). For arthrokinematic analysis of the common shoulder abduction movements of the injury pathogenesis of ice hockey players, participants abducted their dominant arm along the scapular plane and then grabbed a stick using the same motion under C-arm fluoroscopy with 16 frames per second. Computed tomography (CT) scans of the shoulder complex were obtained with a 0.6-mm slice pitch. Data from the humerus translation distances, scapula upward rotation, anterior-posterior tilt, internal to external rotation angles, and scapulohumeral rhythm (SHR) ratio on glenohumeral (GH) joint kinematics were outputted using a MATLAB customized code. Results: The humeral translation in the stick hand compared to the bare hand moved more anterior and more superior until the abduction angle reached 40°. When the GH joint in the stick hand was at the maximal abduction of the scapula, the scapula was externally rotated 2~5° relative to 0°. The SHR ratio relative to the abduction along the scapular plane at 40° indicated a statistically significant difference between the two groups (p < 0.05). Conclusion: With arm loading with the stick, the humeral and scapular kinematics showed a significant correlation in the initial section of the SHR. Although these correlations might be difficult in clinical settings, ice hockey athletes can lead to the movement difference of the scapulohumeral joints with inherent instability.

• 근관절건강학회지
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• 제28권1호
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• pp.30-40
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• 2021

Purpose: This study aims to present nurses' legal conflicts and legal basis through the precedent analysis of a crime of professional negligence resulting in death and injury for the past 20 years and provide vital references to cultivate the correct and high-level legal consciousness of nurses. Methods: This study was conducted in five stages of the systematic content analysis method. It amalyses the precedents of a crime of nurses' professional negligence resulting in death and injury from 2000 to 2020. The application system for the provision of the written judgment was used to collect precedents. A total of 67 cases were analyzed in this study, and they were classified according to the type of nursing error, and the contents were systematically analyzed. Results: A total of 52 cases (77.5%) of nursing errors were caused by independent nursing practices. They were classified as 38 cases (A1) in the violation of patient supervision obligations, 12 cases in the violation of progress observation obligations (A2), one case in the violation of medical equipment inspection obligations (A3), and one case in the violation of explanation and verification obligations. Among the non-independent nursing practices (code B), B1 was 10 cases related to administrative acts, one blood transfusion accident (B2), and one anesthesia accident (B3). Conclusion: To prevent nurses from being involved in legal confits, the advocation of systematic training such as nurses' legal obligations and judgment grounds through case-based learning from the recent precedent analysis and promote nurses' legal perspective, and preventive activities are essential.

• 한국학교ㆍ지역보건교육학회지
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• 제23권4호
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• pp.29-39
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• 2022

Objectives: The purpose of this study was to assess the incidence of delivery and puerperium complications in South Korea and analyze the correlations between the patient's characteristics and delivery and complications before and after 10 years. Methods: This study used the data from an Korean National Hospital Discharge In-depth Injury Survey. Cases of which the principal diagnosis and second diagnoses were disease classification ICD code O00-O99(Pregnancy, childbirth and the puerperium) were defined as the study subjects, and the first study group was divided as the year of discharge from 2005 to 2007, and the second study group from 2015 to 2017. Results: The number of patients discharged whose principal diagnosis or second diagnoses was O00-O99 was 21,598(Weighted 423,306) from 2005 to 2007 and 19,028(Weighted 364,384) from 2015 to 2017, which decreased by 13.9% compared to 10 years ago. The average age of discharged patients increased by about 2 years and was statistically significant (p<.0001). Factors associating spontaneous delivery, caesarean section and puerperium complication were hospitalization route, bed size, maternal age, length of hospital stay, and the year of discharge. Conclusion: Based on the results of this study, health and education policies and economic support for medical care for high-risk pregnancy and delivery management would be necessary continuously. In addition, policies to strengthen the medical system for high-risk pregnancy management in non-metropolitan areas with high fertility rates would also be needed.

• 한국항해항만학회지
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• 제26권3호
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• pp.355-361
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• 2002

최근 선원재해 감소를 위한 국내선사들의 많은 노력에도 불구하고 그 감소율은 둔감하고 있는 실정이며, 이에 관한 일과성 유사연구 사례는 있으나 선원정책의 인적요소를 중심으로 하는 본격적인 연구는 부족한 실정이다. 따라서, 본 연구에서는 현재 승선중이거나 승선경험이 있는 선원을 중심으로 설문조사를 실시하여 선원재해에 관한 의식현황을 분석하여 해상안전 및 선원재해에 관한 대비책을 제시하고자한다.

• 대한기계학회논문집A
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• 제24권6호
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• pp.1479-1490
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• 2000

The design process of the motor driven tilt/telescopic steering column is established by axiomatic design approach in conceptual design stage. By selecting independent design variables for improvin g performance of the steering system, each detailed design can be carried out independently. In the detailed design, the safety in crash environment and vibration reduction are considered. An occupant analysis code SAFE(Safety Analysis For occupant crash Environment) is utilized to simulate the body block test. Segments, contact ellipsoids and spring-damper elements are used to model the steering column in SAFE. The model is verified by the result of the body block test. After the model is validated, the energy absorbing components are designed using an orthogonal array. Occupant analyses are performed for the cases of the orthogonal array. Final design is determined for the minimum occupant injury. For vibrational analysis, a finite element model of the steering column is defined for the modal analysis. The model is validated by the vibration experiment. Size and shape variables are selected for the optimization process. An optimization is conducted to minimize the weight subjected to various constraints.

• 한국자동차공학회논문집
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• 제11권3호
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• pp.145-154
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• 2003

Occupant simulation models have been used to study trends or specific design changes in several typical crash situations. The ATB, Articulated Total Body, was developed and used to predict gross human body responses to vehicle crashes and pilot ejections. Since the ATB source code is open to public, the user can add their own defined modules and functions. The introduction of seat belts into cars significantly decreased the injury risk of passengers in frontal impacts. In this paper, a new seat belt model was developed and implemented into the ATB. For this purpose, a subroutine of the new seat belt was constructed. A force-deflection function was added to replace an existing function to consider energy absorption. The function includes hysteresis effects of the experiment data of the loading and unloading parts of the seat belt load-extension curve. Moreover, this belt model considers a slip between ellipsoid and belt segments. This paper attempted to validate the ATB program which includes the subroutine of new belt models comparing with the real car frontal crash experiments and MADYMO frontal models. The analysis focusses on the human movement and body accelerations.

• 한국자동차공학회논문집
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• 제7권6호
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• pp.144-155
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• 1999

An occupant analysis code SAFE (Safety Analysis For occupant crash Environment) is utilized to simulate and improve the crash performance of an energy absorbing steering system. The safety standard FMVSS 203 is simulated and used for design evaluations . Segments and contact elliposids are utilized to model the bod blocks and the components of the steering system with SAFE. Spring-damper elements and force-deflection characteristics are utilized to model the energy absorbing components such as the plate and the polyacetal molding. The plate absorbs the impact energy through tensile deformation . Whereas, the polyacetal molding absorbs the impact energy through compression. the body block test is carried out to validate tie simulation model, and real component tests are performed to extract the force-deflection curves . After the model is validated , the parameter study is carried out to evaluate the crash performance of the energy absorbing components. A performance measure is defined for the parameter study. Using the results of the parameter study and managing the orthogonal arrays, optimum design values of energy absorbing components are determined to minize the occupant injury.

• 한국중재학회지:중재연구
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• 제14권1호
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• pp.29-60
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• 2004

Recently stand-by credits are using as surety devices in various global business transactions including sale of goods. Stand-by credits have lots of merits but simultaneously have high possibility of improper demand by the beneficiary due to the characteristics of the documents required. So so-called fraud rule has developed as a solution to the improper demand in letter of credit transactions. And the actual way of the fraud rule is the injunction by the competent court. The purpose of this article is to examine the applicability of the injunction in stand-by credit transactions by means of case studies. For this purpose, the author examined the concept of the injunction, necessity of the injunction in stand-by credit transactions and the cases of injunction granted and injunction denied. Firstly, the courts have legal standard of the application of injunction due to the legislation of the relative articles in the United Nations Convention on Independent Guarantees and Stand-by Letters of Credit and the Uniform Commercial Code. Secondly, the courts have taken a negative attitude granting injunction in order to observe the independence principle. Thirdly, the courts have a tendency to grant injunction when the demand has no conceivable basis and the applicant will suffer irreparable injury without injunction. Finally, like the saying 'prevention is the best cure', the applicant always pays attention with reasonable care before improper demand by the beneficiary.

• 의료법학
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• 제16권2호
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• pp.27-53
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• 2015

최근, 서울의 성형수술 병원에서 중국 여성 환자가 사망한 원인이 대리 의사의 무단 유령수술 때문이 아니냐는 의혹이 제기되었다. 사고가 발생한 후, 소비자시민모임과 한국환자단체연합회는 지난 3월 유령수술감시운동본부를 발족시켰다. 환자가 알지 못하는 상태에서 환자의 동의 없이 담당 의사를 교체하는 것은 사기행위이자 기본적인 윤리를 저해하는 행위이다. 환자는 1명의 인간으로서 자신을 치료할 의사를 선택할 권리가 있으며, 대리의사를 용인하거나 거부할 수 있는 권한도 환자에게 부여되어야 한다. 환자가 수술을 허락한 사람은 집도의라는 점을 유의해야 한다. 환자는 자신이 계약한 의사로부터 치료를 받을 권리가 있다. 환자를 치료하는 의사는 환자-의사 관계를 창출하는 계약이 허용하는 범위 내에서 자신의 능력껏 수술을 시행할 의무가 있다. 그는 환자로부터 부여 받은 수술 권한을 다른 사람에게 위임할 수 없다. '유령수술은 형법 제257조(상해, 존속상해)가 적용된다. 환자가 알지 못하는 상태에서 환자의 동의 없이 집도의를 교체하는 것은 상해행위이다. 이 부분이 쟁점인데, '유령 수술이 형법 제347조(사기)와도 연관이 있기 때문이다. 환자가 알지 못하는 상태에서 환자의 동의 없이 다른 의사가 수술을 대신하는 것이 사기 행위에 해당하는지 하는 문제도 쟁점이 될 수 있다. 뿐만 아니라, 유령 수술은 의료법 제27조(무면허 의료행위 등 금지), 제22조(진료기록부 등), 제33조(개설 등)와도 관련이 있다. 환자에 대한 의사의 의무는 (1) 수술 동의를 통해 자신에게 주어진 권한의 범위 내에서; (2) 계약 조건에 따라; (3) 수술의 필요성/진행과 관련된 모든 사실을 완전하게 공개하고, (4) 자신의 모든 역량을 발휘하면서 수술에 임하는 것이다.

• Clinical and Experimental Pediatrics
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• 제53권3호
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• pp.314-322
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• 2010

목 적 : 경남권역 응급의료센터인 마산삼성병원을 내원한 소아청소년 응급환자들을 후향적 방법으로 내원 양상을 분석하여 향후에 지역 응급 진료의 질 향상에 기여하고자 본 연구를 시행하였다. 방 법 : 2007년 1월 1일부터 2008년 12월 31일까지 2년 동안 마산삼성병원 응급센터로 내원하였던 19세 미만 소아청소년 환자 14,065명 의 의무 기록지를 통해 연구하였다. 결 과 : 남녀비는 1.5:1로 남자가 더 많았고, 연령은3세 미만이 49.6%였다. 내원 환자는 5월, 일요일, 하루 중에는 20시에서 21시 사이가 가장 많았다. 기후와의 관련에서 하루 내원 환자 수는 황사가 있을 때 3배, 맑은 날 또는 10 mm 미만의 비가 내린 경우는 10 mm 이상 비가 내렸을 때보다 4배 더 많았다. 주된 진료담당과는 전체의 62.0%가 소아과였다. ICD-10 질병 분류에서 손상 중독 및 외인에 의한 경우 22.4%, 단일 증상 및 질환으로는 발열이 13.1%로 가장 많았다. 최종 진료 처리 형태로는 퇴원이 73.8%, 입원은 25.7%였다. 15세 이상 19세 미만의 청소년인 경우 전체 연령과 다른 점은 응급의학에서 50.0%를 담당하였고, 손상 중독 및 외인에 의한 경우 36.9%, 단일 증상 질환으로는 복통이 10.9%로 가장 많았다. 또 최종 입원한 경우는 30.6%로 전체 연령보다는 더 많았고 내원 환자수가 일교차가 클수록 비례하여 더 많았다. 결 론 : 응급센터를 내원한 소아 환자 수는 남자, 3세 미만, 5월, 일요일, 20-21시 사이, 황사가 없는 맑은 날, 손상 중독 및 외인에 의한 경우 및 발열인 경우가 가장 많았다. 청소년이 소아환자와 다른 점은 일교차가 클 수록, 복통으로 내원하는 경우가 더 많았다.