• Title/Summary/Keyword: Old-driver

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Influence of the change of driving confidence level upon driving behavior in the age groups (운전확신수준의 변화가 연령별 운전행동에 미치는 영향)

  • Soonyeol Lee;Soonchul Lee;Sunjin Park
    • Korean Journal of Culture and Social Issue
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    • v.12 no.3
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    • pp.23-47
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    • 2006
  • The purpose of this research is to study the relation between the change of driver's driving confidence level in the age categories and driving behavior. To survey the driving confidence level, we used the 'Driving Confidence Scale' questionnaire and surveyed the drive career, mileage, driving days, violation of traffic regulation (drunk driving, overspeed), traffic accident experience (assaulter, sufferer) together. The subjects of investigation were from 19-year-old to 80-year-old and 1,055 persons were participated in the research totally. To examinethe structure of driving confidence level, we executed the factor analysis. We compared the driving confidence level in the age categories (under 29-year-old, 30~39, 40~49, 50~64, over 65-year-old) and studied the relation between driving confidence level and driving behavior. Driving confidence level was composed of 4 factors such as 'insensibility to situation', 'unsafe driving', 'careless concentration' and 'self-efficacy of driving', and there was decreasing tendency for driving confidence level and overall driving behavior according to increasing age. Driving confidence level had the interrelation with age range, assaulting accident, suffered accident, driving period, drunk driving, overspeed, driving career and so on. We examined the difference of driving confidence level and driving behavior by dividing the participated drivers' groups into the traffic accident experienced group, drunk driving group and overspeed driving group, and there was a significant difference on driving confidence level and driving behavior between the group who had not experienced the violation of traffic regulation or traffic accident and another group who had experienced the violation of traffic regulation or traffic accident.

Massive Hemorrhage Facial Fracture Patient Treated by Embolization

  • Kim, Moo Hyun;Yoo, Jae Hong;Kim, Seung Soo;Yang, Wan Suk
    • Archives of Craniofacial Surgery
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    • v.17 no.1
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    • pp.28-30
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    • 2016
  • Major maxillofacial bone injury itself can be life threatening from both cardiovascular point of view, as well as airway obstruction. Significant hemorrhage from facial fracture is an uncommon occurrence, and there is little in the literature to guide the management of these patients. We report a 73-year-old male driver who was transported to our hospital after a motor vehicle collision. The patient was hypotensive and tachycardic at presentation and required active fluid resuscitation and transfusion. The patient was intubated to protect the airway. All external attempts to control the bleeding, from packing to fracture reduction, were unsuccessful. Emergency angiogram revealed the bleeding to originate from terminal branches of the sphenopalatine artery, which were embolized. This was associated with cessation of bleeding and stabilization of vital signs. Despite the age and severity of injury, the patient recovered well and was discharged home at 3 months with full employment. In facial trauma patients with intractable bleeding, transcatheter arterial embolization should be considered early in the course of management to decrease mortality rate.

Study on the Attire of New Women Described "Beol Geon Gon" ("별건곤"을 중심으로 본 신여성의 복장에 관한 연구)

  • 김희정
    • The Research Journal of the Costume Culture
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    • v.12 no.2
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    • pp.211-223
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    • 2004
  • The purpose of this study is to examine aspects of education, social activity, and sense of values in new women, categorizing the clothing habits into hair style, new modes and accessories on the basis of those. and to find out the influences of new women's attirement on clothing habit of general women, centering of 「Beol Geon Gon」 which made its first appearance in November 1926 and issued till June, 1934. First, new education became good opportunity to face and adopt new style of clothes. The school uniform of western style worn under the education system operated missionaries and clothes of returning students from studying abroad became a chance for general people to meet western clothes. Second, various style of western clothing was shown by enlargement of social activity area of new women. In the educational world and active careers such as doctor, journalist. women's libber, convenient clothing was required. The appearance of airwoman and driver showed trends that women's clothing was changing similar to men's clothing. Third, even general women started to adopt western clothes not to be old-fashioned as being threatened and weakened by the vision about marriage and love among new women, and participated in the trends.

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A Hip 14 Years after a Non-surgiclly-treated Pipkin Type-II Fracture of the Femoral Head - A Case Report - (핍킨 2형 대퇴골두골절의 보존적 치료 14년 후 결과 - 증례보고 -)

  • Lee, Young-Kyun;Ha, Yong-Chan;Koo, Kyung-Hoi
    • Journal of Trauma and Injury
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    • v.25 no.1
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    • pp.25-27
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    • 2012
  • A 30-year-old, male truck driver had a traffic accident and visited a hospital due to left hip pain. The patient's femoral head was fractured, and he was treated conservatively. For 14 years afterwards, he walked without a limp, had no pain, and drove his truck. He was involved in another traffic accident and experienced a comminuted fracture of the left distal femur 14 years after the initial injury. Although he was symptom-free, while being treated by open reduction and internal fixation for the distal femur fracture, he was concerned about the status of his left femoral head. Pelvis radiographs and reconstructed CT images were done, and they showed a spur change around the femoral head which had a dense sclerotic band within and revealed a slight depression of subchondral bone of the medial portion of the femoral head. The diagnosis was a Pipkin type-II fracture of the femoral head.

Development of a Pick-up Device for Plug-Seedlings (플러그묘 취출장치 개발)

  • 최원철;김대철;김경욱
    • Journal of Biosystems Engineering
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    • v.26 no.5
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    • pp.415-422
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    • 2001
  • A seedling pick-up device for vegetable transplanters was developed and its work performance was evaluated at the laboratory. The pick-up device extracts seedlings from a 200-cell tray of seedlings and transfers them to the place where they are to be transplanted into the soil. The device consists of a path generator, pick-up pins and a pin driver. The path generator is a five-bar mechanism comprised of a fixed link, a driving link, a driven link, a connecting link and a slider. The slider is constrained to move along the driven link and a fixed slot of combined straight-line and circular paths. The connecting link joins the driving link and the slider. When the slider moves along the straight-line path of the slot it takes seedlings out from the cell and transfers them to the transplanting hopper when moving along the circular path. A proto-type of the pick-up device was built and tested under the various operational conditions such as age of seedling, approach direction and penetration depth of pins to the cell, holding method of seedling and extracting velocity. The device extracted 30 seedlings per minute with the maximum success ratio of 97% using the seedlings of 23 days old. Some design details were also discussed and suggested to enhance the performance of the device.

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Aesthetic Surgery for a Posttraumatically Split Medial Head of the Clavicle (쇄골의 외상성 분리증의 미용적 치료)

  • Choi, M.Seung Suk
    • Archives of Plastic Surgery
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    • v.34 no.4
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    • pp.535-537
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    • 2007
  • Purpose: We experienced a patient with posttraumatic duplication of the sternoclavicular joint causing a protruding deformity, whose major complaint was aesthetic. The patients history, radiologic findings, and surgical treatment are reported. Methods: A 41-year-old bus driver complained a bony prominence at the left medial clavicle, which had developed after a fracture. The patient was annoyed by the protrusion, which was even visible, when he was wearing a pullover. A three dimensional CT scan showed that the medial head was split into two portions, of which the anterior portion was protruding. In general anesthesia the anterior portion of the medial head was excised. Results: The bony prominence was corrected successfully. Follow up three dimensional CT scans showed that the anterior cortex of the clavicle had regenerated completely at the resection line one year after the operation. Conclusion: Surgical interventions for complications after clavicular fracture are usually carried out, only if there is a limitation of function or if it is painful. We report of a patient with posttraumatic bifurcation of the medial clavicular head, most probably caused by malunion. Upon the patient's request, the deformity causing protrusion of the medial clavicular area was successfully resected for cosmetic reasons.

Treatment of Anterior Glenoid Rim Fracture with Comminuted Fragment Using Arthroscopic Reduction and AO Headless Compression Screw Fixation - A Case Report - (관절경하 AO 무두 압박 나사를 이용한 견갑골 전방 관절와 분쇄 골절의 치료 - 증례 보고 -)

  • Kim, Hyung-Sik;Koh, Il-Hyun;Kim, Sung-Guk;Chun, Yong-Min;Kim, Sung-Jae;Kang, Ho-Jung
    • Clinics in Shoulder and Elbow
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    • v.14 no.1
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    • pp.94-98
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    • 2011
  • Purpose: We present a case of anterior glenoid rim comminuted fracture that was treated with arthroscopic reduction and an AO headless compression screw (HCS) fixation. Materials and Methods: A 31-year old man complained of left shoulder pain after falling down on stairs. The anterior glenoid comminuted fragments were arthroscopically reduced. Fixation with an AO HCS was done after placement of 1.1 mm Kirschner wire as a guide pin through a standard cannulated anterosuperior portal. Results: Twelve months after the operation, union of the fracture was achieved and the range of motion was fully recovered. He did not complain of any discomfort during his activities of daily living. Conclusion: An AO HCS had various screw sizes and this was good for fixation of a small glenoid fracture and a long drill bit and screw driver were useful for fixation of deep seated glenoid fracture. A short guide wire could be replaced by a 1.1 mm K-wire. An AO HCS was useful for fixation of an anterior glenoid rim comminuted fracture.

Injury Analysis of a 25-passenger Bus Left-quarter Turn Rollover Accident (25인승 버스 전복사고의 탑승자 손상 분석)

  • Park, Sang Min;Kim, Sang Chul;Lee, Kang Hyun;Lee, Jae Wan;Jeon, Hyuk Jin;Kim, Ho Jung;Kim, Jin Yong;Kwak, Young Soo;Lee, Woo Sung
    • Journal of Trauma and Injury
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    • v.27 no.3
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    • pp.50-56
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    • 2014
  • Purpose: Rollover motor vehicle crashes have a higher injury severity and fatality than other motor vehicle crash types. From a left-quarter turn rollover accident of 25-passenger bus, we intend to assess the injury of the occupant and the injury severities according to the occupants' position. Methods: We carried out the 3 steps investigation of occupants' interview, visiting the repair shop and using the police report. We analyzed injuries sustained by occupants, and compared injury severities considering column, row in occupant's position and passenger interaction Results: The rollover involved 14 passengers in the bus who were all old women except a man driver. The most common injury was in the upper extremity, with six occurrences being a left clavicle fracture. Major injuries including hemothorax and pneumothorax were diagnosed at left side of the occupant. In the comparison of injury severity among driver's column (left side), mid column and passengercolumn, ISS of passenger column was the highest ($9.9{\pm}7.4$, $8.8{\pm}5.5$, and $10.3{\pm}4.0$, respectively, p>0.05). The injury severity of multiple occupants by row was higher than that of single occupant (10.8 vs. 3, p<0.05). Conclusion: An occupant must fasten their seat belt to prevent an injury by passenger interaction in the left-quarter turn rollover accident of a bus.

The Effects of Driving Rehabilitation Program on Cognitive Function in Elderly (운전재활프로그램이 노인의 인지기능에 미치는 효과)

  • Lee, Sungsook;Kim, Bora;Ha, Jaeyoung;Park, Jimin;Cho, Yeseul;Ha, Jinri;Hong, Useon;Kim, Sungwon
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.4
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    • pp.91-100
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    • 2014
  • Purpose : The purpose of this experiment is to find out the effectiveness which exert influence on cognitive skills by using the Driver Rehabilitation program for senior citizens who are over 65 years old and live in Busan. Method : From July first, 2014 to August 28th, 2014, we researched the 60 elderly people who are over 65 and go to community relief center which is in Busan. - 30 are experimental group and the other is control group. In the experimental group, we used Nintendo wii's driving simulation program and RC Car driving program in the model road. For estimation, we used MVPT-3(Motor-Free Visual Perception Test-3), Trail Making Test - 1, Trail making Test - 2 and LOTCA(Loewenstein Occupational Therapy Cognitive Assessment). Result : Nintendo wii's driving simulation program and RC Car driving program in model road results efficient visual perception ability. This programs results effectively in visual perception ability and space perception ability. This programs results effectively in motor apraxia ability. This programs results effectively in control ability for visual perception. This programs results effectively in thinking operation. Conclusion : Nintendo Wii's driving simulation program and RC Car driving program in model road positively influence improving for visual perceptual ability and cognitive function of elderly people. Also it is considered as being more efficient for improving visual perceptual ability and cognitive function to implement basic rehabilitation training with driving rehabilitation program than basic training itself.

Case Report of Transparotid Approach of Mandibular Subcondylar Fracture (하악골 과두하 골절의 이하선 경유 접근법을 통한 관혈적 정복술 증례보고)

  • Moon, Mincheol;Oh, Suk Joon;Koh, Seoung Hoon
    • Archives of Craniofacial Surgery
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    • v.10 no.1
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    • pp.33-36
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    • 2009
  • Purpose: Fractures of the mandibular condylar area are common injuries that account for 29% to 40% of fractures of the facial bones and represent 20% to 62% of all mandibular fractures. Currently 3 main methods are being used in the treatment of mandibular subcondylar fractures: closed reduction; open reduction and internal fixation; Endoscopic reduction and internal fixation. Each method has its proponents and opponent as well as advantages and disadvantages, and indications for each vary among surgeons. There are six approaches of open reduction: submandibular, retromandibular, preaurilcular, postauricular, intraoral, transparotid approach. Among them, transparotid approach has been described for subcondylar exposure with dissection in the direction of facial nerve fibers to expose the bone through the parotid gland. This approach carries the risk of a parotid glandular fistula as well as facial nerve injury but has the advantage of being directly over the fracture site. We report safety and efficacy of surgical treatment using a transparotid approach for direct plating. Methods: A 43-year-old man sustained multiple facial bone fractures by driver traffic accident. Mandibular subcondyle was fractured and dislocated internally. We performed open reduction and internal fixation by transparotid approach. Fractured site was fixed by titanium mini plate & screw. We applicated arch bar for approximately 3 weeks. Results: Follow-up length was about 5months. Scar of surgical incision was indistinct, there was no symptoms and signs of facial nerve and parotid gland injury, and maximal mouth opening was measured 49.5 mm. Conclusion: Transparotid approach has high risks of facial nerve and parotid gland injury, but paradoxically it is the most effective technique in saving facial nerve. Open reduction and internal fixation of mandibular subcondylar fracture by transparotid approach with precise and versed procedure, best outcome can be expected.