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Association Between Transport Accident Type And Mortality In Elderly Inpatients : Using Korean National Hospital Discharge In-depth Injury Survey Dataset (퇴원손상심층조사자료를 이용한 노인 입원 환자의 운수사고 유형과 사망 사이의 연관성)

  • Ryu, Han-Jun;Kang, Sun-Hee;Boo, Yoo-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.616-624
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    • 2020
  • This study analyzed the association between the type of transport accident and the associated mortality of elderly inpatients. The findings will contribute to the development and establishment of a systematic and effective policy according to the type of transport accident to reduce the mortality of inpatients. The data on elderly inpatients with transport accidents was extracted from the 2013-2017 Korean National Hospital Discharge In-depth Survey dataset. The data was analyzed by descriptive statistics analysis, chi-square tests and multiple logistic regression analysis. After adjustment for sociodemographic, disease, injury and policy factors, the elderly inpatient deaths due to transport accidents were significantly higher for pedestrian accidents (OR: 2.522 95%, CI: 1.291-4.972), bicycle/cart accidents (OR: 2.809, 95% CI: 1.328-5.942) and motorcycle accidents (OR: 2.330, 95% CI: 1.226-4.819) rather than that for car accidents. Likewise, elderly inpatients have a higher risk of death from other types of transport accidents than those caused by car accidents. However, Korean policies related to transport accidents of elderly inpatients are concentrated on car accidents. Effective policy is needed according to the characteristics of each type of transport accident to reduce the transport accident mortality of elderly inpatients.

Treatment of Subclavian Artery Injury in Multiple Trauma Patients by Using an Endovascular Approach: Two Cases (다발성 외상환자에서 혈관계 접근을 통해 치료한 쇄골하동맥 손상 2례)

  • Cho, Jayun;Jung, Heekyung;Kim, Hyung-Kee;Lim, Kyoung Hoon;Park, Jinyoung;Huh, Seung
    • Journal of Trauma and Injury
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    • v.26 no.3
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    • pp.243-247
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    • 2013
  • Introduction: Surgical treatment of subclavian artery (SA) injury is challenging because approaching the lesion directly and clamping the proximal artery is difficult. This can be overcome by using an endovascular technique. Case 1: A 37-year-old male was drawn into the concrete mixer truck. He had a right SA injury with multiple traumatic injuries: an open fracture of the right leg with posterior tibial artery (PTA) injury, a right hemothorax, and fractures of the clavicle, scapula, ribs, cervical spine and nasal bone. The injury severity score (ISS) was 27. Computed tomography (CT) showed a 30-mm-length thrombotic occlusion in the right SA, which was 15 mm distal to the vertebral artery (VA). A self-expandable stent($8mm{\times}40mm$ in size) was deployed through the right femoral artery while preserving VA flow, and the radial pulse was palpable after deployment. Other operations were performed sequentially. He had a viable right arm during a 13-month follow-up period. Case 2: A 25-year-old male was admitted to our hospital due to a motorcycle accident. The ISS was 34 because of a hemothorax and open fractures of the mandible and the left hand. Intraoperative angiography was done through a right femoral artery puncture. Contrast extravasation of the SA was detected just outside the left rib cage. After balloon catheter had been inflated just proximal to the bleeding site, direct surgical exploration was performed through infraclavicular skin incision. The transected SA was identified, and an interposition graft was performed using a saphenous vein graft. Other operations were performed sequentially. He had a viable left arm during a 15-month follow-up period. Conclusion: The challenge of repairing an SA injury can be overcome by using an endovascular approach.

Shoulder Arthrodesis in Brachial Plexus Injury Patient (상완신경총 손상 환자에서 시행한 견관절고정술)

  • Han, Chung-Soo;Chung, Duke-Whan;Lee, Jae-Hoon;Jeong, Bi-O;Park, Hyun-Chul;Kim, Jin-Young;Song, Jong-Hoon;Seo, Jae-Wan
    • Archives of Reconstructive Microsurgery
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    • v.18 no.2
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    • pp.55-61
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    • 2009
  • Purpose: To analyze the clinical and radiologic results of the shoulder arthrodesis in brachial plexus injury patients with flail upper extremity. Material and Method: From Aug 1978 to April 2008, 29 shoulders in 29 patients with brachial plexus injury with shoulder fusion, we evaluated 20 shoulders in 20 patients, more than 1 year follow up. The average follow-up period was 6.45years (range: 1year~24years). There were 13 men and 7 women, and the mean age at the time of trauma was 32.0years(2~65 years). The type of injury was a motorcycle accident in 11 patients, in car accident in 5, pedestrian accident in 3, and fall from a height in 1. The lesion of injury was root and trunk in 1 patient, trunk and cord in 1, trunk in 18. Surgery was performed on the whole arm type paralysis in 12 patients, lower arm type paralysis in 8 patients. The preoperative visual analog scale score was 8.7(7~10). When the trapezius and serratus anterior muscle were in function, operation was performed. 18 patients were processed to the additional operation. Gracilis free flap in 6 patients, neurotization in 3, Steindler flexor plasty in 6, and tendon transfer in 3 were performed. Fixation was conducted with cancellous screws in 13 patients, Knoles pins in 5, and cancellous screws and Knoles pins in 2. The position of the arthrodesis at operation was $28.5^{\circ}$($20~45^{\circ}$) in abduction, $30.3^{\circ}$($20~45^{\circ}$) in flexion, and $30.8^{\circ}$($20~40^{\circ}$) in internal rotation. Result: The follow up visual analog scale score was 3.4(0~7). Postoperatively, shoulder spica cast was applied for 15.3weeks(8-20weeks). The median time to bony union was 17.7weeks(9~28weeks). Average range of motion was $32.0^{\circ}$($15~40^{\circ}$) of abduction, $24.0^{\circ}$($10~40^{\circ}$) of flexion, and $18.5^{\circ}$($10~30^{\circ}$)of internal rotation. Conclusion: The shoulder fusion in brachial plexus injury patients is one of the good methods to relieve pain, improve the function and stabilize the flail shoulder joint.

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The Study on the Statistical Characteristics of Road Traffic Noise in Apartment Complex (국내 단지도로에서 도로교통소음에 대한 통계학적 특성연구 -도로교통 소음원이 수음점에 미치는 수평.수직 음원 분포특성 중심으로-)

  • Cho, Il-Hyoung;Chang, Soon-Woong;Kang, Sung-Won;Kim, Seog-Ku;Ko, Jung-Young
    • Journal of Environmental Science International
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    • v.16 no.10
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    • pp.1179-1187
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    • 2007
  • This paper represents the statistical characteristics of sources and receptors for road traffic noise in apartment complex. Also we suggested that the site-specific characteristics of vertical and horizontal distributions in the complex apartment have been derived using a different analysis for evaluating levels of Leq1h by the apartment floor at a given distance from a road in terms of the flow rate, the mean speed of the traffic, and the percentage of the type vehicles in the day and night periods. As a result, the contribution orders of traffic quantity by the type of vehicles showed as followed: light vehicle>medium vehicle>heavy vehicle>motorcycle. Especially, the mixing ratio of entering the road on the heavy vehicle in the daytime was two times higher than that of in the night. The speed in all types of vehicle is in the range of 41 and 81 km/hr and noise level was not significantly different in day and night-time. The sources of road traffic noise had different variations and uncertainties using a random variable and probability distribution. The sound distribution to receptors by the apartment floor showed S curve between 1st floor and $15^{th}$ floor With the normality test, the normal distributions using Anderson-Darling Test followed $1^{st},\;3^{th},\;13^{th}$ and $15^{th}$, floor in the daytime and all floors except $7^{th}$ floor in the night (p>0.05). And also, the value of the pearson correlation coefficient (r) obtained in this study have significantly different at the range of floor. In conclusion, the results suggested that the distribution characteristics of levels of $Leq_{1h}$ on the sources and receptors of road traffic noise in apartment complex must be improved and developed on the guideline of regulation of road traffic noise.

A Study on the Certification Criteria fot Personal Watercraft Using Electric Power Propulsion (전기 동력 추진식 수상오토바이 인증기준 개발 연구)

  • Kang, Dae-Kon;Kim, Shin-Hyo
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.1
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    • pp.67-72
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    • 2017
  • This study developed an electric power propulsion personal watercraft by combining a battery and an electric system from the domestic automobile industry with water motorcycle from marine leisure industry in a convergence of technology. It also developed a safety inspection plan and type approval standard for personal watercraft that use electric power propulsion. For the registration and production of the electric power PWC (Personal Watercraft), a safety inspection standard (draft) and type approval standard (draft) have been established. PWC that use this electric power propulsion certification standard have been divided into two categories according to the use of gasoline engines as related to the ship's electrical system. The contents of these safety inspections standards is divided into 7 categories, and their purpose is to confirm the facilities used for the safe operation of PWC. Type approval is divided into 7 categories and is intended to ensure the safe production of PWC. This is basic data can be used to establish criteria for safety inspection and type approval of electric power propulsion vessels and to guide the production of the environmentally friendly PWC in Korea.

A Case of Thigh Stump Pain with Unidentified Complaints (다양한 증상을 호소한 대퇴 절단지통 1예)

  • Cha, Young-Deog;Kim, Il-Ho;Kim, Yu-Jae;Kim, Chun-Sook;Ahn, Ki-Rhang;Park, Wook;Kim, Sung-Yell
    • The Korean Journal of Pain
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    • v.7 no.1
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    • pp.100-105
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    • 1994
  • This is a study of decrease in both stump pain and unidentified complaints after removal of neuroma on an amputated left thigh. The patient was a 44 year old woman who received an operation after a motorcycle accident 20th of March, 1991. She started a rehabilitation program in early June of the same year. How ever the patient complained of a squeezing pain on the amputated area. This symptom became more severe after the removal of the nails in September. The pain was perceived as a mental problem and the patient was released from the previous hospital. The pain continued and on the 9th of March, 1992, the patient was introduced to our pain clinic. The patient complained about the cold sensation and pressure pain of the amputated area at the beginning. Later she also expressed various unidentified complaints. No improvement resulted after conducting an epidural block and a lumbar sympathetic ganglion block. MMPI test showed psychological instability. Local injection showed some positive effects, which led to considerations concerning the possibility of neuroma. After confirming the existence of neuroma through CT and MRI, neuromectomy was performed. After the removal of neuroma, the unidentified complaints as well as the stump pain decreased.

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Persuasive Effects of Message Framing and Source on the Attitudes and Behavior Intention for Drunk Driving Prevention: Focusing on Vietnamese Motorbike Driver (메시지 프레이밍과 정보원 유형이 음주운전 예방캠페인의 설득효과에 미치는 영향: 베트남 오토바이 운전자를 중심으로)

  • Nguyen, Thanh-Mai;Ha, Ji-Young;Jo, Sam-Sup
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.137-150
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    • 2019
  • In this study, we investigated the joint effects of message framing (profit vs. loss) and source type (celeb vs. general) on the persuasive effectiveness of mass media campaign to prevent drunk driving. As a result of conducting an experimental study on 218 motorcycle drivers in Vietnam, the main effects of message framing were not significant, but the interaction effect with the type of information source consistently influenced the attitude toward the advertisement, the drunk driving prevention, and the behavior intention Specifically, it is more persuasive to send a message by a general model rather than an celebrity when the loss framing method is used while it is more persuasive to send a message by a celebrity model than a general model when the gain framing is used. This study therefore provided valuable information and practical implication to the National Traffic Safety Committee of Vietnam for establishing a campaign to prevent drunk driving. In addition, this research also has valuable theoretical implication because it examines the effect of drunk driving prevention campaign on the attitude toward not only advertisement and the drunk driving prevention but also the behavior intention.

Factors and Their Correlation with Injury Severity of Elderly Pedestrian Traffic Accidents

  • Hyun, Tae gyu;Yeom, Seok-Ran;Park, Sung-Wook;Lee, Deasup;Kim, Hyung bin;Wang, Il Jae;Bae, Byung Gwan;Song, Min keun;Cho, Youngmo
    • Journal of Trauma and Injury
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    • v.32 no.3
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    • pp.143-149
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    • 2019
  • Purpose: No previous study has assessed elderly pedestrian traffic accidents based on a nationwide database. This study aimed to help primary physicians who examine patients in emergency departments to determine and make prompt and accurate treatment decisions. Methods: This study used data from the Emergency Department-based Injury Indepth Surveillance from 2013 to 2017, managed by the Korea Centers for Disease Control and Prevention. Pedestrians aged ${\geq}65years$ were included, and using multivariate logistic regression multiple factors were analyzed to determine their relationship with injury severity. Results: Of 227,695 subjects, 6,498 were included, of whom 2,065 (31.8%) were severely injured. There were more female than male patients in all severity groups. Most accidents occurred in the afternoon and on general roads. In the multivariate analysis, the odds ratio (OR) of injury severity for male pedestrians was 1.165 (95% confidence interval: 1.034-1.313, p=0.012). Older age of patients and the use of ambulances were associated with greater injury severity. The accident time affected the degree of injury severity; i.e., compared to dawn, injury severity increased in the morning (OR: 1.246, p=0.047) and decreased at night (OR: 0.678, p<0.001). A significant difference was noted in the correlation between the type of vehicle causing the accident and the accident severity; i.e., motorcycle accidents had lower severity than bicycle accidents (OR: 0.582, p=0.047). Conclusions: Injury severity was correlated with sex, age, transportation to the ED, TA onset time, and type of vehicle. The study results suggest that injury severity may be positively reflected in initial assessments and overall integrated treatments by physicians and in the related policies.

Detection and Identification of Moving Objects at Busy Traffic Road based on YOLO v4 (YOLO v4 기반 혼잡도로에서의 움직이는 물체 검출 및 식별)

  • Li, Qiutan;Ding, Xilong;Wang, Xufei;Chen, Le;Son, Jinku;Song, Jeong-Young
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.21 no.1
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    • pp.141-148
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    • 2021
  • In some intersections or busy traffic roads, there are more pedestrians in a specific period of time, and there are many traffic accidents caused by road congestion. Especially at the intersection where there are schools nearby, it is particularly important to protect the traffic safety of students in busy hours. In the past, when designing traffic lights, the safety of pedestrians was seldom taken into account, and the identification of motor vehicles and traffic optimization were mostly studied. How to keep the road smooth as far as possible under the premise of ensuring the safety of pedestrians, especially students, will be the key research direction of this paper. This paper will focus on person, motorcycle, bicycle, car and bus recognition research. Through investigation and comparison, this paper proposes to use YOLO v4 network to identify the location and quantity of objects. YOLO v4 has the characteristics of strong ability of small target recognition, high precision and fast processing speed, and sets the data acquisition object to train and test the image set. Using the statistics of the accuracy rate, error rate and omission rate of the target in the video, the network trained in this paper can accurately and effectively identify persons, motorcycles, bicycles, cars and buses in the moving images.

YOLO-based Traffic Signal Detection for Identifying the Violation of Motorbike Riders (YOLO 기반의 교통 신호등 인식을 통한 오토바이 운전자의 신호 위반 여부 확인)

  • Wahyutama, Aria Bisma;Hwang, Mintae
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.141-143
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    • 2022
  • This paper presented a new technology to identify traffic violations of motorbike riders by detecting the traffic signal using You Only Look Once (YOLO) object detection. The hardware module that is mounted on the front of the motorbike consists of Raspberry Pi with a camera to run the YOLO object detection, a GPS module to acquire the motorcycle's coordinate, and a LoRa communication module to send the data to a cloud DB. The main goal of the software is to determine whether a motorbike has violated a traffic signal. This paper proposes a function to recognize the red traffic signal colour with its movement inside the camera angle and determine that the traffic signal violation happens if the traffic signal is moving to the right direction (the rider turns left) or moving to the top direction (the riders goes straight). Furthermore, if a motorbike rider is violated the signal, the rider's personal information (name, mobile phone number, etc), the snapshot of the violation situation, rider's location, and date/time will be sent to a cloud DB. The violation information will be delivered to the driver's smartphone as a push notification and the local police station to be used for issuing violation tickets, which is expected to prevent motorbike riders from violating traffic signals.

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