• Clinics in Orthopedic Surgery
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• 제10권4호
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• pp.500-507
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• 2018

Background: The sagittal alignment of the spine and pelvis is not only closely related to the overall posture of the body but also to the evaluation and treatment of spine disease. In the last few years, the EOS imaging system, a new low-dose radiation X-ray device, became available for sagittal alignment assessment. However, there has been little research on the reliability of EOS. The purpose of this study was to evaluate the intrarater and interrater reliability of EOS for the sagittal alignment assessment of the spine and pelvis. Methods: Records of 46 patients were selected from the EOS recording system between November 2016 and April 2017. The exclusion criteria were congenital spinal anomaly and deformity, and previous history of spine and pelvis operation. Sagittal parameters of the spine and pelvis were measured by three examiners three times each using both manual and EOS methods. Means comparison t-test, Pearson bivariate correlation analysis, and reliability analysis by intraclass correlation coefficients (ICCs) for intrarater and interrater reliability were performed using R package "irr." Results: We found excellent intrarater and interrater reliability of EOS measurements. For intrarater reliability, the ICC ranged from 0.898 to 0.982. For interrater reliability, the ICC ranged from 0.794 to 0.837. We used a paired t-test to compare the values measured by manual and EOS methods: there was no statistically significant difference between the two methods. Correlation analysis also showed a statistically significant positive correlation. Conclusions: EOS showed excellent reliability for assessment of the sagittal alignment of the spine and pelvis.

• Journal of Trauma and Injury
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• 제31권3호
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• pp.125-134
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• 2018

Purpose: The interest in the personal mobility started to grow and as the interest increases, there are growing concerns about the safety of it. The purpose of the study is to look at the types and dynamics of patients injured by the personal mobilities. Methods: This was a retrospective 2-year observational study, from January 2016 to December 2017, on the patients who visited the emergency center and the trauma center, with an injury related to driving the personal mobility. Cases of the personal mobility-related accident were collected based on electronic medical records and hospital emergency department-based injury in-depth surveillance data. Results: A total of 65 patients visited the emergency center and the trauma center, during this study period. Six patients of 50 adults admitted the alcohol consumption (12%) and two adult patients wore the helmet as the protection gear (3.1%). The number of the patients in 2017 rises three times more than the number of patients in 2016 (51 vs. 14). Injuries to the head and neck region (67.7%) was the most common, followed by the upper extremity (46.2%). Eleven patients (16.9%) were admitted to the hospital, of whom three were admitted to the intensive care unit due to intracranial hemorrhage. Nine patients underwent surgery. Conclusions: The use of the personal mobility will continue to grow and the accidents, caused by the vehicle, will increase along with it. The study showed the damage is worse than expected. Personal mobility currently has a limited safety laws and the riders are not yet fully aware of its danger. The improvement of the regulation of the personal mobility, safety education is needed.

• 인터넷정보학회논문지
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• 제20권5호
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• pp.9-18
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• 2019

APK (Android Application Package)는 리패키징 공격에 취약하므로 APK 파일 내부에 난독화 기술이 적용되어 있다. 하지만 리버스 엔지니어링 기술 역시 더욱 고도화 됨에 따라 또다른 위조 모바일 APK 파일이 개발 및 배포되고 있어 새로운 대응 방식이 필요하다. 블록체인은 암호화 방식을 사용하여 연결 및 보호되는 레코드 블록이 지속적으로 추가되는 방식으로, 각 블록에는 일반적으로 이전 블록의 암호화 해시값, 타임스탬프 및 트랜잭션 데이터 등을 포함하고 있다. 따라서, 일단 블록체인에 기록되면 해당 블록의 데이터는 이후에 생성된 모든 블록을 변경하지 않고서는 소급해서 변경/수정할 수 없다. 그러므로 블록체인 기술을 적용하면 모바일 APK 파일에 대한 정상 및 위조 여부를 확인할 수 있다. 이에 본 논문에서는 Hyperledger Composer를 이용한 컨소시움 블록체인 프레임워크를 기반으로 합법적인 APK를 블록체인 내에 기록하고 유지함으로써 위조 APK에 대한 검출 기능을 제공하는 DApp (분산형 애플리케이션)을 개발하였다. 제안된 DApp을 통해 사용자의 스마트폰에 위조된 앱이 설치 되는 것을 사전에 방지 할 수 있으므로 궁극적으로는 정상적이고 합법적인 안드로이드 모바일 앱 사용 환경을 제공할 것으로 기대된다.

• 건축역사연구
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• 제29권6호
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• pp.101-112
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• 2020

This study focuses on the construction of Gyeongbokgung Palace in the second year of King Gojong's reign, which has been spotlighted for political and economic history. The author analyzed the contents of wood procurement with the Yeonggeon Diary, which records each day of construction site. The results are as follows: First, the 2nd year of King Gojong's reign, Yeonggeon of Gyeongbokgung Palace, was a new building that reflected the old system and 270 years of changed environment on the existing site. Despite the poor economic conditions, it began with years of effort and voluntary volunteer work and dedication. Second, the priority of timber transport was recruiting people in the whole process and the supply and demand of transportation tools. Carrying lumber from the mountains to the riverside and floating it at the right time were all a matter of manpower. Soldiers and carts were used to carry timber that arrived in Hangang River to the construction site. The cart was a consumable product, so it was necessary to continuously use the wood to make cart at the site. Third, fire and flood were the biggest obstacles to the Yeonggeon schedule of Gyeongbokgung Palace. Especially the fire was fatal. It was difficult to extinguish the fire in temporary structure, where was the storage for wood to construct. These disasters greatly affected the construction cost and construction period. Wood procurements of Gyeongbokgung Palace were based on public offerings. At the same time, recycled materials from other palace wood and nearby houses, nationwide buying of private mountain wood, the logging of royal tombs and some of the buildings of Gyeonghui Palace and Changgyeong Palace were relocated.

• Journal of Trauma and Injury
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• 제35권2호
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• pp.76-83
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• 2022

Purpose: Ventilator-associated pneumonia is the most common nosocomial infection in patients with mechanical ventilation. In 2013, the new concept of ventilator-associated events (VAEs) replaced the traditional concept of ventilator-associated pneumonia. We analyzed risk factors for VAE occurrence and in-hospital mortality in trauma patients who received mechanical ventilatory support. Methods: In this retrospective review, the study population comprised patients admitted to the Jeju Regional Trauma Center from January 2020 to January 2021. Data on demographics, injury characteristics, and clinical findings were collected from medical records. The subjects were categorized into VAE and no-VAE groups according to the Centers for Disease Control and Prevention/National Healthcare Safety Network VAE criteria. We identified risk factors for VAE occurrence and in-hospital mortality. Results: Among 491 trauma patients admitted to the trauma center, 73 patients who received ventilator care were analyzed. Patients with a chest Abbreviated Injury Scale (AIS) score ≥3 had a 4.7-fold higher VAE rate (odds ratio [OR], 4.73; 95% confidence interval [CI], 1.46-17.9), and those with a glomerular filtration rate (GFR) <75 mL/min/1.73 m² had 4.1-fold higher odds of VAE occurrence (OR, 4.15; 95% CI, 1.32-14.1) and a nearly 4.2-fold higher risk for in-hospital mortality (OR, 4.19; 95% CI, 1.30-14.3). The median VAE-free duration of patients with chest AIS ≥3 was significantly shorter than that of patients with chest AIS <3 (P=0.013). Conclusions: Trauma patients with chest AIS ≥3 or GFR <75 mL/min/1.73 m² on admission should be intensively monitored to detect at-risk patients for VAEs and modify the care plan accordingly. VAEs should be closely monitored to identify infections early and to achieve desirable results. We should also actively consider modalities to shorten mechanical ventilation in patients with chest AIS ≥3 to reduce VAE occurrence.

• 건축역사연구
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• 제32권1호
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• pp.73-88
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• 2023

Recently, local studies looking at the 'local(region) as a whole' are gradually increasing. The study of local architectural history is important in that it provides specific information that encompasses the local and the entire and clues to three-dimensionalize the time and space in the local. To infer the 'presentness' of each era, reliable data in various fields are needed. Recently, as many databases (DB) and archives, from the 'National Archives of Korea' to other local archives, have been established and publicized, research resources in the local are growing rapidly in quantity and quality. Nevertheless, it is difficult to comprehensively check the data necessary to study the local architectural history(local architectural history research resources). Against this background, this study confirmed the trend of changes in the archive construction environment and the status and problems of local architectural history research resources in places that currently disclose local history research resources among generalized web-archives. Next, the relationship between the actual research on local architectural history was confirmed through the analysis of existing studies and the data used for Jeju. As a result, local studies, local archives, and local architectural history research agree with recent changes in local research trends, and the degree of archival construction has reached the same level as the available research resources except core data in local architectural history research. However, there is a problem that the density of information that can be used is low because the local architectural history research resources that can be obtained are fragmented because there are no archives and construction entities specialized in local architecture. As each archive has entered the stabilization and upgrading stage, the construction of new archives needs to be reconsidered, but it is time to find a detailed way to link related information quickly and accurately, such as private records, to reduce the gap in information needed in terms of research on local architecture and architecture history.

• 기록학연구
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• 제76호
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• pp.119-157
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• 2023

본 연구는 기존의 대통령선물에 대한 메타데이터의 보완을 위하여 패싯검색기능을 제안하고자 하였다. 이를 위하여 대통령기록관이 온라인 서비스 중인 3,574건의 대통령선물을 바탕으로 대통령선물의 선물명, 증정인, 증정국가와 증정일 및 수령 경위, 규격, 특징에서 추출된 기록물의 특성을 파악하였다. 이를 기초로 5개의 기본 패싯과 51개의 하위패싯으로 대통령선물 패싯 기반의 분류를 설계하였으며 구조화된 패싯은 각 패싯 요소를 정의하고 배열 순서 및 기호를 부여하였다. 이러한 분류체계는 검색시스템에 적용하여 패싯네비게이션을 구축하는 기반으로의 활용을 기대할 수 있을 것이다. 연구를 통해 대통령선물에 대한 새로운 분류체계 개발이 필요하다는 점을 확인하였으며 이를 위한 대안적 의미의 분류체계로서 패싯 분류를 적용할 것을 제안하였다.

• Nuclear Engineering and Technology
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• 제55권4호
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• pp.1485-1494
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• 2023

The bow of the nuclear fuel assembly is a well-known phenomenon. One of the vital criteria during the history of nuclear fuel development has been fuel assembly's mechanical stability. Once present, the fuel assembly bow can lead to safety issues like excessive water gap and power redistribution or even incomplete rod insertion (IRI). The extensive bow can result in assembly handling and loading problems. This is why the fuel assembly's bow is one of the most often controlled geometrical factors during periodic fuel inspections for VVER when compared e.g. to on-site fuel rod gap measurements or other instrumental measurements performed on-site. Our proposed screening method uses existing video records for fuel inspection. We establish video frames normalization and aggregation for the purposes of bow measurement. The whole process is done by digital image processing algorithms which analyze rotations of video frames, extract angles whose source is the fuel set torsion, and reconstruct torsion schema. This approach provides results comparable to the commonly utilized method. We tested this new approach in real operation on 19 fuel assemblies with different campaign numbers and designs, where the average deviation from other methods was less than 2 % on average. Due to the fact, that the method has not yet been validated during full scale measurements of the fuel inspection, the preliminary results stand for that we recommend this method as a complementary part of standard bow measurement procedures to increase measurement robustness, lower time consumption and preserve or increase accuracy. After completed validation it is expected that the proposed method allows standalone fuel assembly bow measurements.

• Journal of Chest Surgery
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• 제24권7호
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• pp.663-668
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• 1991

To evaluate risks, complications and mortality of reoperations on heart valve prosthesis, we reviewed clinical records of 53 patients who underwent reoperation because of prosthetic valve failure[PVF], from Jan 1959 through Jun. 1991. They had undergone 48 mitral, 10 aortic valve rereplacement Primary tissue failure was the main cause of reoperation : it occurred in 51 valves at a mean postoperative interval of 58 months. Calcification and collagen disruption of prosthesis were main causes of primary tissue failure in macro and micropathology, In 3 failing mechanical prostheses, paravalvular leak was in 2 cases, another one case had the thrombi at the hinge portion. If conditions such as emergency operation with or without endocarditis, thromboembolism and advanced NYHA functional class are prevented, we think that reoperative valve replacement has similar morbidity and mortality to initial valve replacement surgery. But our sturdy represents higher mortality [22.6%] because of late surgical intervention failing the prevention of conditions leading to myocardial damage. In conclusion if the tearing, calcification, and a new murmur were detected the early reoperation should be considered to increase late survival.

• 건축역사연구
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• 제32권5호
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• pp.81-94
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• 2023

Haeju was home to the Hwanghae-do Provincial Office and a hub for supporting the northwestern regions of Korea. Local commerce expanded in Haeju during the late Joseon period based on its abundant resources and regional products, leading it to evolve into a large city. King Seonjo temporarily resided in Haeju while seeking refuge from the Japanese Invasions of Korea, and Yi Yi (sobriquet: Yulgok) secluded himself in Seokdam in Haeju in his later years. King Seonjo's residence in Haeju and Yi Yi's retirement there boosted interest in the city among the literati and influenced its places of scenic beauty. The development of its local history and literary achievements were documented in a wide variety of historical records and visual materials. Eight scenic views in Haeju became famous through a poem written by Seong Su-ik in the late sixteenth century. Around the mid-eighteenth century, eight new scenic views became popular. Local officials and travelers from other regions produced a vast body of prose and poetry focusing on the landscape and society of Haeju, playing a crucial role in raising awareness of its scenic attractions. Most surviving visual materials related to Haeju were created in and after the nineteenth century. Many of them illustrate both landscapes and the everyday lives of people. Among them, paintings of scenic spots created by Jeong Seon (sobriquet: Gyeomjae), who never actually visited Haeju in person, raises some of the issues posed by relying on indirect materials. In contrast, Eight Scenic Views of Haeju, which is presumed to have been produced by a local painter, appears to have accurately highlighted the characteristics of each scenic spot. Moreover, Haejudo, a folding screen presenting a panoramic view of Haeju, incorporates content from paintings depicting eight scenic views, in this case Eight Scenic views of Haeju. This practice can be observed in visual materials of other provincial cities.