• 한국산학기술학회논문지
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• 제13권2호
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• pp.747-754
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• 2012

이 연구의 목적은 질병관리본부의 퇴원손상환자조사 자료를 이용하여 경제적 수준이 낮은 지역이 그렇지 않은 지역에 비해 다른 운수사고 양상을 보이는지를 규명하는 것이었다. 지역의 경제적 수준은 재정자립도를 지표로 삼아 5개로 구분하였다. 이 연구의 주요 결과는 다음과 같다. 첫째, 운수사고는 25-44세 그룹까지 증가하다가 그 이후에는 감소하는 양상을 보였다. 둘째, 운수사고의 유형은 승용차의 빈도가 가장 높았고 길 또는 간선도로에서 가장 많은 사고가 발생하였다. 셋째, 지역에 따라 운수사고 유형에 차이가 있었다. 넷째, 응급 입원율은 지역에 따라 차이를 보였으나, 소득수준에 따른 차이는 없었다. 마지막으로 소득수준이 낮은 지역은 골절, 자상, 개방성 상처와 같이 심각한 손상이 주로 발생하고 소득수준이 높은 지역은 염좌, 긴장, 탈구와 같이 상대적으로 덜 심각한 손상이 주로 발생하는 등 손상 양상의 지역간 차이가 발생하고 있었으며 이러한 지역간 차이는 통계적으로 유의하였다(p<0.05). 따라서, 지역간 소득 수준에 따라 운수사고 양상이 차이가 발생하고 있으므로 정부 및 지방자치단체는 이를 고려한 차별화된 운수사고 예방전략을 수립해야 할 것이다.

• Journal of Trauma and Injury
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• 제34권4호
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• pp.263-269
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• 2021

Purpose: There have been increasing concerns about serious traffic accidents on highways. The purpose of this study was to analyze factors affecting traffic accidents on highways and the severity of the resulting injuries. Methods: This retrospective study was conducted at a regional trauma center. We reviewed 594 patients who had been in 114 traffic accidents on highways from January 2018 to June 2020. We collected demographic data, clinical data, accident-related factors, and meteorological data (weather and temperature). Results: Environmental risk factors were found to be significantly associated with the incidence of traffic accidents on highways. Injury severity and the death rate were higher in sedans than in any other type of vehicle. Tunnels were the most common location of accidents, accounting for 47 accidents (41.2%) and 269 injured patients (45.3%). The injury severity of individuals riding in the driver's seat (front seat) was high, regardless of vehicle type. Three meteorological risk factors were found to be significantly associated with traffic accidents: rainy roads (odds ratio [OR] 2.08; 95% confidence interval [CI] 1.84-3.29; p=0.01), icy or snowy roads (OR 5.12; 95% CI 2.88-7.33; p<0.01), and foggy conditions (OR 2.94; 95% CI 2.15-4.03; p<0.05). Conclusions: The injury severity of patients was affected by seat position and type of vehicle, and the frequency of accident was affected by the location. The incidence of traffic accidents was strongly influenced by meteorological conditions (rain, snow/ice, and fog).

• Journal of Chest Surgery
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• 제22권4호
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• pp.609-619
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• 1989

During aortic valve surgery, cardioplegic solution is delivered through direct cannulation of both coronary ostia. Since this approach may cause an intimal injury leading to acute dissection or late ostial stenosis, this study was undertaken to evaluate myocardial protective effect of retrograde perfusion of cardioplegia [RCSP <% RRAP] in 18 clinical cases, which were compared with antegrade perfusion of cardioplegia in 27 clinical cases. This study were investigated 1] cease and return of electromechanical activity after cardioplegia infusion 2] the myocardial temperature during operation 3] the aortic cross clamping time and total bypass time 4] frequency of DC shock for defibrillation 5] need for inotropic drugs after operation 6] electrocardiographic evidence of myocardial infarction or ventricular arrhythmia after operation 7] the enzymes activity during preoperative and postoperative period as an evaluation of myocardial ischemic injury and 8] operative mortality rate The combination of retrograde cardioplegia and topical cooling with ice slush yielded promptly hypothermia of myocardium and shorter aortic cross-clamping time compared with antegrade cardioplegia [P < 0.05]. The temperature of the interventricular septum was maintained below 20oC by continuous perfusion or intermittent perfusion of cold blood cardioplegia and other results were no statistically significant difference between the two methods [P >0.05]. This technique provides clear operative field and avoids some serious complications which are caused by coronary ostial cannulation. These results suggested that the retrograde perfusion of cardioplegia is a simple, safe, and effective means of myocardial protection during open heart surgery.

• Clinical Endoscopy
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• 제56권1호
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• pp.38-49
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• 2023

Background/Aims: Patients with Barrett's esophagus are at increased risk of developing esophageal adenocarcinoma. Endoscopic therapies aim to eradicate dysplastic and metaplastic tissues. Hybrid argon plasma coagulation (hybrid-APC) utilizes submucosal fluid injection to create a protective cushion prior to ablation that shields the submucosa from injury. We performed a pooled meta-analysis to evaluate the safety and efficacy of hybrid-APC. Methods: We conducted a systematic search of major electronic databases in April 2022. Studies that included patients with dysplastic and non-dysplastic Barrett's esophagus undergoing treatment with hybrid-APC were eligible for inclusion. Outcome measures included complete remission of intestinal metaplasia (CR-IM), stricture formation, serious adverse events, and number of sessions necessary to achieve CR-IM. Results: Overall pooled CR-IM rate for patients undergoing hybrid-APC was 90.8% (95% confidence interval [CI], 0.872-0.939; I²=0%). Pooled stricture rate was 2.0% (95% CI, 0.005-0.042; I²=0%). Overall serious adverse event rate was 2.7% (95% CI, 0.007-0.055; I²=0%). Conclusions: Results of the current meta-analysis suggest that hybrid-APC is associated with high rates of CR-IM and a favorable safety profile. Interpretation of these results is limited by the inclusion of retrospective cohort and case series data. Randomized controlled trials that standardize treatment and outcome evaluation protocols are necessary to understand how this treatment option is comparable to the current standards of care.

• 대한안전경영과학회지
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• 제24권3호
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• pp.15-21
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• 2022

This study examined the certification effects of safety and health management system (SHMS) on the establishment level of SHMS and accident statistics in construction industry. This study obtained the establishment level of SHMS for 106 construction companies surveyed from our previous study. In addition, three major accident statistics (mortality rate, accidental mortality rate, and injury rate) for the companies were collected from the database in Korean Occupational Safety and Health Agency. The statistical analysis results revealed that the establishment level for SHMS certified companies was significantly higher than those for uncertified or certification preparing companies. Furthermore, SHMS certified companies showed significantly smaller accident statistics compared to uncertified or certification preparing companies. The results of this study support the positive effects of SHMS on reducing major industrial accidents in construction companies.

• 한국산학기술학회논문지
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• 제20권12호
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• pp.468-474
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• 2019

우리나라는 2018년 OECD 회원국 가운데 인구 10만명 당 8.4명으로 35개국 중 4위로 높은 사고율을 보이고 있으며, 그 중 어린이나 고령자와 같은 교통약자의 사망률은 42.2%로 OECD회원국 중 가장 높은 수준에 있다. 이에 어린이 및 노인 등 교통약자에 대한 보행 중 교통사고를 감소시킬 수 있도록 기존에 설치된 수동적인 교통안전시설물에서 보행자 및 운전자를 감지하고 차량과 보행자간에 정보를 인지하여 상호 인식하는 ICT기반 능동형 교통시설물 개발하였으며, 본 연구에서는 관련 문헌 검토 및 교통사고분석시스템 자료를 이용하여 스쿨존 및 고령자와 같은 교통약자의 사고 발생 시 사고요인을 분석하였으며, 교통사고 특성 분석 등을 통하여 교통약자의 보행 중 교통사고 저감을 위한 맞춤형 교통안전시설물을 개발하였다. 또한, 테스트베드를 설치하여 교통안전시설물의 시인성 측정을 통해 주행 중 전방주시빈도 및 차량주행속도를 측정하였으며, 속도감속에 따라 보행자사고 중상률을 예측하기 위하여 한국교통안전공단에서 실행한 속도별 "자동차 대 보행자 인체모형" 충돌실험모델을 적용한 결과, 시설물 설치 후 중상가능성은 4.6%로 크게 감소됨을 예측하였다. 이와 같이 테스트베드를 통해 교통안전시설물의 시인성 및 차량통행속도 저감 효과를 검증하였고, 보행자대 차량사고의 중상률을 예측하여 상호인식 교통안전시설물을 효과검증을 시행한 결과, 상호인식 교통안전시설물을 설치함에 따라 교통약자의 교통사고에 대한 저감효과를 기대한다.

• 한국자동차공학회논문집
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• 제24권1호
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• pp.24-32
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• 2016

The mortality rate of car-pedestrian accidents is quite high, compared to the frequency of accidents. Researches on pedestrian protection are being actively performed worldwide. The A-pillar and lower part of the wind shield cause the most serious damage to the pedestrians. Typical devises to protect the pedestrians are the hood lift system and pedestrian airbag. The design of such devices for an sport utility vehicle is performed based on a design process using design of experiments (DOE). The design results are obtained by an orthogonal array (OA), analysis of mean (ANOM) and analysis of variance (ANOVA). A metamodel is also used in the design process.

• 한국전문물리치료학회지
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• 제8권3호
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• pp.107-117
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• 2001

Falls are the most serious health problems in elderly population. They are a major cause of premature death, physical injury, immobility, psychosocial dysfunction, and nursing home placement. To reduce the alarming rate of falls and related excessive mortality and morbidity, efforts must be made to detect persons at risk of falling and to prevent or reduce the frequency of falls. To facilitate such approaches, it is essential to find the cause of falling (and under what conditions) of the elderly and the factors that are associated with risk of falling. This study was aimed at designing interventions that minimize risk of falling by ameliorating contributing factors while maintaining or improving patient's mobility.

• 농약과학회지
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• 제12권2호
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• pp.197-200
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• 2008

Thiophene에 다양한 치환기를 가진 5-benzyloxymethyl-1,2-isoxazoline 유도체들을 합성하였으며 이들의 제초활성을 온실의 논조건에서 시험하였다. 대부분의 화합물은 좋은 제초활성을 보였다. 특히 화합물 3d, 3e, 3f는 피, 물달개비 등에 대하여 0.063 kg/ha 정도의 약량에서도 강한 제초활성을 보이면서도 이앙벼에는 약해가 거의 나타나지 않는 선택성을 갖고 있었다.

• Archives of Reconstructive Microsurgery
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• 제24권2호
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• pp.75-78
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• 2015

High-pressure (HP) injection injury to the upper extremity often causes a very serious clinical problem, leading to poor outcomes, including amputation, so that a true surgical emergency is required. The outcomes can be improved with emergent wide surgical debridement. However the diagnosis of these injuries is often delayed due to underestimated evaluation at first appearance and lack of common knowledge of the seriousness of this injury. The type and pressure of the infecting material is an important factor in prognosis and organic solvents infected pressure injury can cause poor outcome and increased amputation rate. In this case, we report on reconstruction of HP oil-based paint injection injuries of the finger using T-shaped pedicles and multiple venous anastomoses. In this concept, arterial flow can be maintained by the reverse flow of distal anastomosis when there is difficulty with the proximal anastomosis. And venous flow can be preserved by deep and superficial vein anastomosis. This concept has various advantages including preserving patency of the pedicle in chronic vasculopathy or trauma cases and maintaining the arterial flow by the reverse flow of distal anastomosis and can improve the free flap survival by a two vascular anastomosis system.