• Title/Summary/Keyword: Safe-site

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A useful additional medial subbrow approach for the treatment of medial orbital wall fracture with subciliary technique

  • Kim, Seung Min;Kim, Cheol Keun;Jo, Dong In;Lee, Myung Chul;Kim, Ji Nam;Choi, Hyun Gon;Shin, Dong Hyeok;Kim, Soon Heum
    • Archives of Craniofacial Surgery
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    • v.20 no.2
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    • pp.101-108
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    • 2019
  • Background: To date, a variety of surgical approaches have been used to reconstruct the medial orbital wall fracture. Still however, there is still a controversy as to their applicability because of postoperative scars, injury of anatomical structures and limited visual fields. The purpose of this study was to introduce a useful additional medial subbrow approach for better reduction and securement more accurate implant pocket of medial orbital wall fracture with the subciliary technique. Methods: We had performed our technique for a total of 14 patients with medial orbital wall fracture at our medical institution between January 2016 and July 2017. All fractures were operated through subciliary technique combined with the additional medial subbrow approach. They underwent subciliary approach accompanied by medial wall dissection using a Louisville elevator through the slit incision of the medial subbrow procedure. This facilitated visualization of the medial wall fracture site and helped to ensure a more accurate pocket for implant insertion. Results: Postoperative outcomes showed sufficient coverage without displacement. Twelve cases of preoperative diplopia improved to two cases of postoperative diplopia. More than 2 mm enophthalmos was 14 cases preoperatively, improving to 0 case postoperatively. Without damage such as major vessels or extraocular muscles, enophthalmos was corrected and there was no restriction of eyeball motion. Conclusion: Our ancillary procedure was useful in dissecting the medial wall, and it was a safe method as to cause no significant complications in our clinical series. Also, there is an only nonvisible postoperative scar. Therefore, it is a recommendable surgical modality for medial orbital wall fracture.

The Overlapping Running Suture Method Using Single Knotless Barbed Absorbable Suture Material for Abdominal Wall Closure after Single Incision Laparoscopic Appendectomy: Comparison with the Traditional Interrupted Closure Technique

  • Kim, Dong Hyun;Park, Jung Ho;Joo, Jung Il;Jeon, Jang Yong;Lim, Sang Woo
    • Journal of Minimally Invasive Surgery
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    • v.21 no.4
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    • pp.160-167
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    • 2018
  • Purpose: The aim of our study was to present an abdominal wall closure technique using barbed suture $V-Loc^{TM}$ 90 after single incision laparoscopic appendectomy (SILA) and to compare perioperative outcomes with conventional layer by layer abdominal wall closure after SILA. Methods: From March 2014 to July 2016, a retrospective case-control study was conducted for a total of 269 consecutive patients who underwent SILA. According to abdominal wall closure methods, 129 patients were classified into the V-Loc closure group and 140 patients were assigned into the conventional layer by layer closure group. In the V-Loc group, abdominal wall closure was performed from the fascia to the skin with a single thread of unidirectional absorbable barbed suture $V-Loc^{TM}$ 90 2-0 using continuous running suture and reverse overlapping reinforced running technique. Subcutaneous closure and subcuticular suture were performed with the remaining portion of V-Loc. Results: The V-Loc closure group showed shorter total operation time ($40.0{\pm}15.4min$ vs. $44.9{\pm}16.3min$, p=0.013) and abdominal wall cusing continuous running suture and reverse overlapping reinforced running technique. Subcutaneous closure and subcuticular suture were performed with the remaining portion of V-Loc. Results: The V-Loc closure group showed shorter total operation time losure time ($5.5{\pm}0.9min$ vs. $6.5{\pm}0.8min$, p<0.001). Postoperative incision length was significantly shorter in the V-Loc closure group ($1.1{\pm}0.3cm$ vs. $1.8{\pm}0.4cm$, p<0.001). Postoperative wound pain, time to resume diet, postoperative hospital stay, complications including surgical site infection, or mean patient satisfaction score at one month after hospital discharge was not significantly different between the two groups. Conclusion: In conclusion, unidirectional knotless barbed suture is a safe alternative method for abdominal wall closure after SILA. It can save time while providing comparable cosmesis.

Study on Dose Rate on the Surface of Cask Packed with Activated Cut-off Pieces from Decommissioned Nuclear Power Plant

  • Park, Kwang Soo;Kim, Hae Woong;Sohn, Hee Dong;Kim, Nam Kyun;Lee, Chung Kyu;Lee, Yun;Lee, Ji Hoon;Hwang, Young Hwan;Lee, Mi Hyun;Lee, Dong Kyu;Jung, Duk Woon
    • Journal of Radiation Protection and Research
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    • v.45 no.4
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    • pp.178-186
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    • 2020
  • Background: Reactor pressure vessel (RV) with internals (RVI) are activated structures by neutron irradiation and volume contaminated wastes. Thus, to develop safe and optimized disposal plan for them at a disposal site, it is important to perform exact activation calculation and evaluate the dose rate on the surface of casks which contain cut-off pieces. Materials and Methods: RV and RVI are subjected to neutron activation calculation via Monte Carlo methodology with MCNP6 and ORIGEN-S program-neutron flux, isotopic specific activity, and gamma spectrum calculation on each component of RV and RVI, and dose rate evaluation with MCNP6. Results and Discussion: Through neutron activation analysis, dose rate is evaluated for the casks containing cut-off pieces produced from decommissioned RV and RVI. For RV cut-off ones, the highest value of dose rate on the surface of cask is 6.97 × 10-1 mSv/hr and 2 m from it is 3.03 × 10-2 mSv/hr. For RVI cut-off ones, on the surface of it is 0.166 × 10-1 mSv/hr and 2 m from it is 1.04 × 10-1 mSv/hr. Dose rates for various RV and RVI cut-off pieces distributed lower than the limit except the one of 2 m from the cask surface of RVI. It needs to adjust contents in cask which carries highly radioactive components in order to decrease thickness of cask. Conclusion: Two types of casks are considered in this paper: box type for very-low-level waste (VLLW) as well as low-level waste (LLW) and cylinder type for intermediate-level waste (ILW). The results will contribute to the development of optimal loading plans for RV and RVI cut-off pieces during the decommissioning of nuclear power plant that can be used to prepare radioactive waste disposal plans for the different types of wastes-ILW, LLW, and VLLW.

Analysis of Climate and Topographical Factors of Economical Forests in Korea to Select the Restoration Safe Site of 5 Dominant Oak Species (참나무 5종의 생태 복원 적지 추정을 위한 경제림 육성단지의 기후와 입지 요인 분석)

  • Lee, Seung-Yeon;Kim, Eui-Joo;Lee, Eung-Pill;Cho, Kyu-Tae;Park, Jae-Hoon;Lee, Young-Keun;Chung, Sang-Hoon;Hong, Yong-Sik;Park, Jin-Hee;Choi, Seung-Se;Kim, Hae-Ran;You, Young-Han
    • Korean Journal of Ecology and Environment
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    • v.53 no.4
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    • pp.427-435
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    • 2020
  • The most important thing to successfully restore an oak forest is finding suitable climatic conditions and topographic factors for the oak species to be introduced. In this study, in order to find suitable environmental conditions for the five dominant oak trees on the Korean Peninsula, we carried out analysing the information on the location of forest vegetation on the Korean Peninsula. The range of annual mean temperature of the five oak trees was narrow in the order of Q. mongolica (7.7~14.3℃), Q. variabilis (9.2~13.8℃), Q. acutissima (10.5~14.3℃), Q. serrata (11.4~13.7℃), Q. aliena (11.0~12.9℃). The range of annual precipitation of oaks was narrow in order of Q. mongolica (1072.7~1780.9 mm), Q. variablis (1066.6~1554.9 mm), Q. acustissima (1036.5~1504.8 mm), Q. serrata (1062.6~1504.7 mm). The range of altitude was in order of Q. mongolica (147~1388m), Q. serrata (93~950m), Q. variabilis(90~913m), Q. acustissima (60~516m), Q. aliena (55~465 m). The range of slope was in the order of Q. mongolica (8~56°), Q. variabilis(5~52°), Q. serrata (11~45°), Q. aliena (15~38°), Q. acustissima (16~37°). These results are considered to be very useful in the case of ecological restoration using deciduous oak trees on the Korean Peninsula.

Hygiene and Safety Management On/Offline Blended Education Case - Centered on the Eunpyeong-gu Children's Service Center - (위생·안전관리 온·오프라인 블렌디드 교육 사례 - 은평구 어린이급식소 중심으로 -)

  • Kim, Jieun;Kim, Hyeri;Kang, Soonjin;Jung, ByeolYi;Hwang, Hailee;Choi, Yejin;Hwang, Hayan;Kang, Jiwon;Ju, Eunseo;Hwang, Hyeyeong;Byun, Jinyoung;Choi, Jieun;Park, Yujin;Park, Jihyun;Han, Jihoon;Nam, Daewoo;Hong, Wansoo
    • Journal of the FoodService Safety
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    • v.2 no.2
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    • pp.111-115
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    • 2021
  • The purpose of this study is to evaluate the effectiveness of online and offline blended education for hygiene and safety management of children's foodservice operations in Eunpyeong-gu. For the teachers of the children's foodservice operations, two online sessions and one offline session were conducted with different educational themes each time. In terms of satisfaction with the education, the online program 'Mission Possible' scored 4.8 points and the collective education of teachers and staff scored 4.6 points, indicating that the training composition and communication with the person in charge were high. In other field opinions, it was found that online and offline education according to the situation was very helpful in the overall management of the children's foodservice operations. With fewer face-to-face opportunities, there were difficulties in on-site support and management. To supplement this, various programs were applied to help children's foodservice operations provide healthy and safe meals and snacks.

A Conversion Protocol for 2W Telephone Signal over Ethernet in a Private PSTN (사설 PSTN에서 2W 전화 신호의 이더넷 변환 프로토콜)

  • Shin, JinBeom;Cho, KilSeok;Lee, DongGwan;Kim, TaeHyon
    • Journal of the Korea Institute of Military Science and Technology
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    • v.24 no.6
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    • pp.645-654
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    • 2021
  • In this paper, we proposed a protocol to convert 2W telephone analog signals to Ethernet data in a private PSTN 2W tactical voice system. There are several kinds of operational problems in the tactical telephone network where 2W telephone copper lines are installed hundreds of meters away from the PBX in a headquarter site. The reason is that it is difficult to install and maintain the 2W telephone copper cable in severe operational fields and to meet safety and stability operational requirements of the telephone line under lighting and electromagnetic environments. In order to solve these challenging demands, we proposed an efficient method that the 2W analog interface signals between a private PBX system and a 2W telephone is converted to Ethernet messages using the optical Ethernet data communication network already deployed in the tactical weapon system. Thus, it is not necessary to install an additional optic cable for the ethernet telephone line and to maintain the private PSTN 2W telephone network. Also it provides safe and secure telecommunication operation under lightning and electromagnetic environments. This paper presents the conversion protocol from 2W telephone signals over Ethernet interface between PBX systems and 2W telephones, the mutual exchange protocol of ethernet messages between two converters, and the rule to process analog signal interface. Finally, we demonstrate that the proposed technique can provide a feasible solution in the tactical weapon system by analyzing its performance and experimental results such as the bandwidth of 2W telephone ethernet network and the transmission latency of voice signal, and the stability of optic ethernet voice network along with the ethernet data network.

MMS Data Accuracy Evaluation by Distance of Reference Point for Construction of Road Geospatial Information (도로공간정보 구축을 위한 기준점 거리 별 MMS 성과물의 정확도 평가)

  • Lee, Keun Wang;Park, Joon Kyu
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.39 no.6
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    • pp.549-554
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    • 2021
  • Precise 3D road geospatial information is the basic infrastructure for autonomous driving and is essential data for safe autonomous driving. MMS (Mobile Mapping System) is being used as equipment for road spatial information construction, and related research is being conducted. However, there are insufficient studies to analyze the effect of the baseline reference point distance, which is an important factor in the accuracy of the MMS outcome, on the accuracy of the outcome. Therefore, in this study, the accuracy of the data acquired using MMS by reference point distance was analyzed. Point cloud data was constructed using MMS for the road in the study site. For data processing, 4 data were constructed considering the distance from the reference point for MMS data, and the accuracy was analyzed by comparing the results of 12 checkpoints for accuracy evaluation. The accuracy of the MMS data showed a difference of -0.09 m to 0.11 m in the horizontal direction and 0.04 m to 0.19 m in the height direction. The error in the vertical direction was larger than that in the horizontal direction, and it was found that the accuracy decreased as the distance from the reference point increased. In addition, as the length of the road increases, the distance from the reference point may vary, so additional research is needed. If the accuracy evaluation of the method using multiple reference points is made in the future, it will be possible to present an effective method of using reference points for the construction of precise road spatial information.

Changes in patterns of plastic surgery emergencies at a level I trauma center in India during the COVID-19 pandemic

  • Singh, Veena;Haq, Ansarul;Sharma, Sarsij;Kumar, Sanjeev;Kumar, Aditya;Kumar, Amarjeet;Kumar, Neeraj;Kumar, Anil
    • Journal of Trauma and Injury
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    • v.35 no.2
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    • pp.108-114
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    • 2022
  • Purpose: The coronavirus disease 2019 (COVID-19) pandemic has had major effects worldwide, including sudden and forceful setbacks to the healthcare system. The COVID-19 pandemic has also led to changes in the plastic and reconstructive management of emergency cases, including those due to road traffic accidents. This study analyzed changes in patterns of plastic surgery emergencies and modifications in consultation policies to minimize the exposure of healthcare workers. Methods: Data on plastic surgery emergency calls received from the trauma and emergency department were collected for a period of 2 months before and during lockdown. The data were then analyzed with respect to the cause, mechanism, and site of the injury, as well as other variables. Results: During lockdown, there was a 40.4% overall decrease in the plastic surgery emergency case volume (168 vs. 100). The average daily number of consultations before lockdown was 2.8 as compared to 1.6 during lockdown. Road traffic accidents remained the most common mechanism of injury in both groups (45.8% vs. 39.0%) but decreased in number during the lockdown (77 vs. 39). Household accidents, including burns, were the second most common cause of injury in both phases (7.7% vs. 20.0%), but their proportion increased significantly from 7.7.% to 20.0% in the lockdown phase (P=0.003). The percentage of minor procedures done in the emergency department increased from 53.5% to 72.0% during lockdown (P=0.002). Procedures in the operating room decreased by 73.1% during lockdown (67 vs. 18, P=0.001). Conclusions: The COVID-19 pandemic and lockdown orders in India greatly influenced trends in traumatic emergencies as observed by the plastic surgery team at our tertiary care center. Amidst all the chaos and limitations of the pandemic period, providing safe and prompt care to the patients presenting to the emergency room was our foremost priority.

Development of 3D Underground Information Construction and Visualization System Based on IUGIM (지하공간통합지도 기반 3차원 지하정보 구축 및 가시화시스템 개발)

  • Kang, Kyung Nam;Kim, Wooram;Hwang, Seung Hyun;An, Joon Sang
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.39 no.6
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    • pp.497-505
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    • 2021
  • Due to recent underground space accidents, are a frequent occurence in Korea, the government established the basic plan for the construction of the IUGIM (Integrated Underground Geospatial Information Map) in 2015 as a measure for safety management of underground spaces. The development of IUGIM was partially completed as of 2021. The underground space management entity and related organizations are utilizing it. This study is being carried out as part of a plan to improve the usability of IUGIM, and to build a visualization system that compares real-time field data with stored data. A system, equipped with a visualization function for borehole data and 6 types of underground facilities built and managed on IUGIM; a tool capable of comparative analysis with real-time data measured in the field, is being built. The 6 types of underground facilities are water supply pipe, sewage pipe, power pipe, gas pipe, communication pipe, and heating pipe. The completed system was demonstrated at three locations in Seocho-gu, Gangnam-gu in Seoul. The field demonstration was carried out by accessing the mobile center and downloading IUGIM data, visualizing IUGIM data (surface creation, borehole information, underground facilities), and visualizing the GPR(Ground Penetrating Radar)-based data acquired at the field. As a result of the empirical results of IUGIM data and GPR-based field data, it was judged to be suitable. As a result of this study, it is judged that it can be helpful for safe construction at the excavation site.

Empirical Research on Improving Traffic Cone Considering LiDAR's Characteristics (LiDAR의 특성을 고려한 자율주행 대응 교통콘 개선 실증 연구)

  • Kim, Jiyoon;Kim, Jisoo
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.21 no.5
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    • pp.253-273
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    • 2022
  • Automated vehicles rely on information collected through sensors to drive. Therefore, the uncertainty of the information collected from a sensor is an important to address. To this end, research is conducted in the field of road and traffic to solve the uncertainty of these sensors through infrastructure or facilities. Therefore, this study developed a traffic cone that can maintaing the gaze guidance function in the construction site by securing sufficient LiDAR detection performance even in rainy conditions and verified its improvement effect through demonstration. Two types of cones were manufactured, a cross-type and a flat-type, to increase the reflective performance compared to an existing cone. The demonstration confirms that the flat-type traffic cone has better detection performance than an existing cone, even in 50 mm/h rainfall, which affects a driver's field of vision. In addition, it was confirmed that the detection level on a clear day was maintained at the 20 mm/h rain for both cones. In the future, improvement measures should be developed so that the traffic cones, that can improve the safety of automated driving, can be applied.